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Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
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Related Experiment Video

Updated: Mar 14, 2026

Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty
09:31

Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty

Published on: February 27, 2018

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24 hours stay after hip replacement.

Yannick N T Van Den Eeden1, Bruno J G De Turck2, Frank M C Van Den Eeden3

  • 1a Trauma Department , Krankenhaus der Barmherzigen Brüder , Trier Germany.

Acta Orthopaedica
|September 24, 2016
PubMed
Summary
This summary is machine-generated.

A new fast-track protocol for direct anterior approach total hip arthroplasty (DAA THA) achieved a 24-hour length of stay for most patients. This patient-centered approach resulted in low complication and readmission rates.

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Area of Science:

  • Orthopedic Surgery
  • Arthroplasty
  • Fast-Track Protocols

Background:

  • Fast-track surgery has reduced total hip arthroplasty (THA) length of stay to 2-4 days.
  • Investigating a novel time-based, patient-centered protocol for direct anterior approach (DAA) THA aiming for a 24-hour stay.

Purpose of the Study:

  • To determine if a 24-hour length of stay is achievable for all patients undergoing primary DAA THA or only a select group.
  • To evaluate the efficacy and safety of a patient-centered, time-based DAA THA protocol.

Main Methods:

  • Prospective analysis of 378 consecutive patients undergoing primary DAA THA between March 2012 and December 2015.
  • Exclusion of patients with complicated comorbidities or those over 85 years old.
  • Monitoring length of stay, complication rates, re-admissions, and reoperations at 90 days post-surgery.

Main Results:

  • The average length of stay was 26 hours, with all patients discharged within 24 hours post-operation.
  • Overall complication rate within 3 months was 6%.
  • Three-month re-admission and reoperation rates were both 2%.

Conclusions:

  • A time-based, patient-centered fast-track program for DAA THA can standardize a 24-hour length of stay.
  • This approach leads to high patient satisfaction with minimal complications, re-admissions, and reoperations.