Mesh in Hernia Repair: Evolving Strategies and Contemporary Perspectives Review Abstract Purpose: This review examines the evolving role of surgical mesh in contemporary hernia repair, focusing on guideline recommendations, device safety, patient selection, wound environment, operative technique, and practical clinical decision-making. Methodology: This narrative review
Author: Nancy Ogbonna
Environmental and Lifestyle Hematology: How Air Pollution and Chronic Stress Influence Hematopoiesis, Inflammation, and Vascular Risk
Environmental and Lifestyle Hematology: The Influence of Air Pollution and Chronic Stress on Hematopoiesis, Inflammation, and Vascular Risk Review Abstract Purpose: This review examines how fine particulate air pollution and chronic psychosocial stress may influence hematopoiesis, inflammatory leukocyte production, coagulation biology, clonal hematopoiesis, and cardiovascular risk.
HFpEF: From Therapeutic Desert to Crowded Treatment Space
Heart Failure with Preserved Ejection Fraction: Transitioning from Limited Therapeutic Options to an Expanding Treatment Landscape Review Abstract Purpose Heart failure with preserved ejection fraction (HFpEF) remains one of the most heterogeneous and diagnostically challenging syndromes in cardiovascular medicine. This review examines the evolving management
Perioperative Anaphylaxis: Preparing for the Next Rocuronium, Chlorhexidine, or Antibiotic Reaction
Perioperative Anaphylaxis: Preparing for Rocuronium, Chlorhexidine, and Antibiotic Reactions Review Abstract Purpose: This review examines perioperative anaphylaxis, with emphasis on practical preparedness for reactions involving neuromuscular blocking agents, chlorhexidine, and perioperative antibiotics. Methodology: This narrative review integrates current perioperative anaphylaxis guidance, drug-allergy practice parameters, official
Normal Pressure Hydrocephalus: The Reversible Dementia We Still Miss
Normal Pressure Hydrocephalus: The Reversible Dementia We Still Miss Review Abstract Purpose: This review examines normal pressure hydrocephalus (NPH), emphasizing timely clinical recognition, evidence-based diagnostic strategies, patient selection for surgical intervention, anticipated outcomes after cerebrospinal fluid shunting, medication-related confounders, and procedural safety considerations. As one
Permanent Contraception: Salpingectomy vs Tubal Ligation. What’s Your Default Now?
Permanent Contraception: Salpingectomy Versus Tubal Ligation - Current Default Approaches Review Abstract Purpose: This review evaluates complete bilateral salpingectomy and traditional tubal ligation, tubal occlusion, or partial salpingectomy as surgical options for permanent contraception. It compares contraceptive effectiveness, perioperative safety, operative feasibility, ovarian function, cancer-risk
Albuminuria as a Vital Sign: Why Urine ACR Is Becoming Central to Kidney-Cardiovascular Risk Assessment
Albuminuria as a Vital Sign: Why Urine ACR Is Becoming Central to Kidney-Cardiovascular Risk Assessment Review Abstract Albuminuria, most commonly assessed using the urine albumin-to-creatinine ratio (ACR), has emerged as one of the most valuable biomarkers in contemporary nephrology and cardiovascular medicine. Despite its proven clinical
Autism Spectrum Disorder and Early Detection: The Emerging Role of AI-Assisted Diagnostic Aids
Autism Spectrum Disorder and Early Detection: The Emerging Role of AI-Assisted Diagnostic Aids Review Abstract Autism spectrum disorder (ASD) is a common neurodevelopmental condition characterized by persistent differences in social communication and social interaction, accompanied by restricted, repetitive patterns of behavior, interests, or activities. The condition
Frailty-Adjusted Anesthesia: Should Physiologic Age Replace Chronologic Age?
Frailty-Adjusted Anesthesia: Should Physiologic Age Replace Chronologic Age? Review Abstract Chronologic age has traditionally served as a cornerstone of perioperative risk assessment and clinical decision making. While advancing age is associated with an increased likelihood of postoperative complications, it is increasingly recognized that age alone provides an
Indocyanine Green for Perfusion: When It Helps, and When It Can Mislead
Indocyanine Green for Perfusion: When It Helps, and When It Can Mislead Review Abstract Indocyanine green (ICG) fluorescence angiography has emerged as an important intraoperative imaging modality for assessing tissue perfusion and supporting surgical decision making. By providing real time visualization of blood flow, ICG fluorescence
