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https://www.readbyqxmd.com/read/27487073/9-years-of-a-single-referral-centre-management-of-stevens-johnson-syndrome-and-toxic-epidermal-necrolysis-lyell-s-syndrome
#1
Diana Monteiro, Paula Egipto, Julia Barbosa, Ricardo Horta, Jose Amarante, Pedro Silva, Alvaro Silva
CONTEXT: Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) corresponds to a rare and acute life-threatening mucocutaneous reactions characterized by extensive necrosis and epidermal detachment. There are no efficacious pharmaceutical interventions proven through large clinical trials. OBJECTIVE: We sought to study clinical cases admitted in our institution in order to determine which drugs and medical comorbidities or treatments impacted the mortality...
August 3, 2016: Cutaneous and Ocular Toxicology
https://www.readbyqxmd.com/read/27120729/laparoscopic-resection-of-gastrointestinal-stromal-tumors-gist
#2
Marcelo de Paula Loureiro, Rômulo Augusto Andrade de Almeida, Christiano Marlo Paggi Claus, Eduardo Aimoré Bonin, Antônio Moris Cury-Filho, Daniellson Dimbarre, Marco Aurélio Raeder da Costa, Marcílio Lisboa Vital
BACKGROUND: Gastrointestinal mesenchymal or stromal tumors (GIST) are lesions originated on digestive tract walls, which are treated by surgical resection. Several laparoscopic techniques, from gastrectomies to segmental resections, have been used successfully. AIM: Describe a single center experience on laparoscopic GIST resection. METHOD: Charts of 15 operated patients were retrospectively reviewed. Thirteen had gastric lesions, of which ten were sub epithelial, ranging from 2-8 cm; and three were pure exofitic growing lesions...
March 2016: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
https://www.readbyqxmd.com/read/26978684/direct-fascia-lata-reconstruction-to-reduce-donor-site-morbidity-in-endoscopic-endonasal-extended-surgery-a-pilot-study
#3
Matteo Vitali, Frank Rikki Canevari, Andrea Cattalani, Vincenzo Grasso, Teresa Somma, Andrea Barbanera
OBJECTIVE: Fascia lata is a validated source of autologous grafts, adopted by many surgical figures throughout different types of reconstructive procedures. Postoperative pain and muscle prolapse are frequent complications after harvesting fascia lata; donor site morbidity causes delayed mobilization and increased lenght of hospital stay. In our department fascia lata is used as autologous graft in reconstruction of skull base after extended endoscopic transsphenoidal surgery (EETS) and the thigh defect is usually repaired with allograft to restore tissue continuity and avoid muscle prolapse...
May 2016: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/26517797/associated-factors-to-empyema-in-post-traumatic-hemotorax
#4
Mario Pastore Neto, Vivian Resende, Carla Jorge Machado, Emanuelle Maria Sávio de Abreu, João Baptista de Rezende Neto, Marcelo Dias Sanches
OBJECTIVE: to analyze the associated factors with empyema in patients with post-traumatic retained hemothorax. METHODS: prospective observational study. Data were collected in patients undergoing PD during emergency duty. Variables analyzed were age, sex, mechanism of injury, side of the chest injury, intrathoracic complications of RH, laparotomy, specific injuries, rib fractures, trauma scores, days to diagnosis, diagnostic method of RH, primary indication of PD, initial volume drained, length of the first tube removal, surgical procedure...
July 2015: Revista do Colégio Brasileiro de Cirurgiões
https://www.readbyqxmd.com/read/26078662/the-importance-of-administration-of-early-surfactant-and-nasal-continuous-positive-airway-pressure-in-newborns-with-respiratory-distress-syndrome
#5
Abdullah Ceylan, Suat Gezer, Nihat Demir, Oğuz Tuncer, Erdal Peker, Ercan Kırımi
AIM: Mechanical ventilation is an invasive method and causes to important problems in the respiratory tract and lung parenchyma. The objective of our study was to investigate if administration of early surfactant and nasal continuous positive airway pressure (nCPAP) was superior to delayed surfactant administration and mechanical ventilation. MATERIAL AND METHODS: The study was conducted in the Van 100th Year University, Medical Faculty Hospital, Neonatal Intensive Care Unit...
September 2014: Türk Pediatri Arşivi
https://www.readbyqxmd.com/read/25883456/comparison-of-two-minimal-invasive-techniques-of-splenectomy-standard-laparoscopy-versus-transumbilical-multiport-single-site-laparoscopy-with-conventional-instruments
#6
Baris Bayraktar, Onur Bayraktar, Ibrahim Ali Ozemir, Ebru Kizilkilic, Erman Ozturk, Rafet Yigitbasi
BACKGROUND: Laparoendoscopic single-site (LESS) splenectomy which is performed on small number of patients, has been introduced with better cosmetic outcome, less postoperative pain, greater patient satisfaction and faster recovery compared to standard laparoscopy. MATERIALS AND METHODS: Thirty six patients were included in the study comparing standard laparoscopic splenectomy (LS, 17 patients) transumbilical multiport splenectomy performed with conventional laparoscopic instruments (TUMP-LS, 19 patients)...
April 2015: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/25561423/ultrasound-guided-saphenous-nerve-block-is-an-effective-technique-for-perioperative-analgesia-in-ambulatory-arthroscopic-surgery-of-the-internal-knee-compartment
#7
A Bonet, M Koo, A Sabaté, I Otero, J Bocos, A Pi
OBJECTIVES: Arthroscopic knee surgery is a minimally invasive technique with moderate pain during the first 24h. Our main objective was to evaluate the efficacy of ultrasound guided saphenous nerve block as a method of pain control intraoperatively and postoperatively for this surgery. MATERIAL AND METHODS: A prospective and observational study. All patients received general anesthesia with laryngeal mask in the saphenous group, nerve block was performed with 10 ml ropivacaine 0...
October 2015: Revista Española de Anestesiología y Reanimación
https://www.readbyqxmd.com/read/25327157/seasonal-bmi-differences-between-restrictive-and-purging-anorexia-nervosa-subtypes
#8
COMPARATIVE STUDY
Angela Fraga, Veronica Caggianesse, Olaia Carrera, Montserrat Graell, Gonzalo Morandé, Emilio Gutiérrez
OBJECTIVE: Seasonal differences in anorexia nervosa is an area of research which has received scarce attention in the literature. The aim of this study was to explore patterns of seasonal variation in body weight in anorexia nervosa patients admitted to an eating disorders unit from January 2007 to December 2011. METHOD: Anorexia nervosa restrictive (ANR) and binge eating/purging (ANBP) subtypes were compared with respect to BMI on admission during the Warm and Cold Semester, and in terms of lenght of hospital stay...
January 2015: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/25310549/-hyperlactatemia-at-icu-admission-is-a-morbid-mortality-determinant-in-high-risk-non-cardiac-surgeries
#9
Samantha L S Almeida, Cristina P Amendola, Vanessa M Horta, Erica Sousa, Célio A B Gusmão, João M Silva Júnior, Ederlon Rezende
BACKGROUND AND OBJECTIVES: One of the greatest challenges found by the intensivists in their daily activities is tissue hipoperfusion control. Blood lactate is generally accepted as a marker of tissular hypoxia and several studies have demonstrated good correlation between blood lactate and prognosis during shock and resuscitation. The aim of this study was to evaluate the clinical utility of arterial blood lactate as a marker of morbidity and mortality in critically ill patients in the post-operative period of high risk non-cardiac surgeries...
December 2006: Revista Brasileira de Terapia Intensiva
https://www.readbyqxmd.com/read/25232432/safety-and-effectiveness-of-three-port-laparoscopic-cholecystectomy
#10
Burhan Mayir, Ugur Dogan, Umit Koc, Arif Aslaner, Tuna Bılecık, Cemal Ozben Ensarı, Tugrul Cakir, Mehmet Tahir Oruc
UNLABELLED: Most commonly performed laparoscopic surgery is laparoscopic cholecystectomy. Although cholecystectomy through three port is not commonly preferred, researches have shown that it is a safe and feasible way of surgery. Material and Methods. We evaluate 100 patient that have undergone elective laparoscopic cholecystectomy through three port (group one). These patients were compared with 50 patients that have undergone laparoscopic cholecystectomy through four port (group two)...
2014: International Journal of Clinical and Experimental Medicine
https://www.readbyqxmd.com/read/25017586/comparison-of-the-urethrovesical-anastomoses-with-polyglecaprone-monocryl%C3%A2-and-bidirectional-barbed-v-loc-180%C3%A2-running-sutures-in-laparoscopic-radical-prostatectomy
#11
COMPARATIVE STUDY
Murat Arslan, Altug Tuncel, Yilmaz Aslan, Zafer Kozacioglu, Bulent Gunlusoy, Ali Atan
OBJECTIVE: We compared polyglecaprone (Monocryl®) and bidirectional barbed (V-Loc® 180) running sutures during urethrovesial anastomosis (UVA) in laparoscopic radical prostatectomy (LRP). MATERIALS AND METHODS: A total of 92 consecutive patients underwent extraperitoneal LRP for prostate cancer. In the first 47 patients, the running UVA was performed using 3-0 monofilament polyglecaprone (Monocryl®) suture (Group 1). In the subsequent 45 patients, the running UVA was performed with the 3-0 barbed suture (V-Loc® 180) (Group 2)...
June 2014: Archivio Italiano di Urologia, Andrologia
https://www.readbyqxmd.com/read/24635370/-comparison-of-hysterectomy-techniques-in-a-group-of-patient-operated-for-the-diagnosis-female-to-male-transsexualism
#12
RANDOMIZED CONTROLLED TRIAL
P Filová, M Halaška, B Sehnal, M Otčenášek
OBJECTIVE: Comparison of duration of surgery, blood loss, complications, lenght of post-operative hospitalisation and post-operative morbidity in a group of patient operated for the diagnosis FtM transsexualism. DESIGN: Retrospective clinical study. MATERIAL: In our set of patients were 163 FtM transsexuals with caryotype 46 XX and normal gynecological finding (81 virgins). They were operated on from 1998-2012 at Department of Obstetrics and Gynecology The First Faculty of Medicine Charles University in Prague and Hospital Na Bulovce after at least of 12 months of hormonal preparation...
January 2014: Ceská Gynekologie
https://www.readbyqxmd.com/read/24520751/complications-of-liver-resection-at-clinic-of-abdominal-surgery-during-three-year-period
#13
Jusuf Sabanovic, Samir Muhovic, Lana Sarajlic, Haris Tanovic, Igor Gavric, Salem Bajramagic
INTRODUCTION: Liver is made up of functionally indipendent parts or segments, and segmentation is based on course and ramification of blood vessels and bile ducts whereby each segment represents separate territory of the liver. Most severe complication is a postoperative liver insufficiency that demands complex treatment, is followed by high mortality and demans specific treatment including liver transpaltation. MATERIALS AND METHODS: Study was designed as retrospective and included patients who underwent liver resection at Clinic for abdominal surgery of Clinical Centre University Of Sarajevo (CCUS) during period 2010-2012...
2013: Medical Archives
https://www.readbyqxmd.com/read/23875122/serum-albumin-levels-in-burn-people-are-associated-to-the-total-body-surface-burned-and-the-length-of-hospital-stay-but-not-to-the-initiation-of-the-oral-enteral-nutrition
#14
Joaquín Pérez-Guisado, Jesús M de Haro-Padilla, Luis F Rioja, Leo C Derosier, Jorge I de la Torre
OBJECTIVE: Serum albumin levels have been used to evaluate the severity of the burns and the nutrition protein status in burn people, specifically in the response of the burn patient to the nutrition. Although it hasn't been proven if all these associations are fully funded. The aim of this retrospective study was to determine the relationship of serum albumin levels at 3-7 days after the burn injury, with the total body surface area burned (TBSA), the length of hospital stay (LHS) and the initiation of the oral/enteral nutrition (IOEN)...
2013: International Journal of Burns and Trauma
https://www.readbyqxmd.com/read/23699268/direct-costs-of-acute-exacerbation-of-copd-patients-in-a-second-level-hospital
#15
Hakan Tanriverdi, Halit Besir, Gulseren Pekbak
SESSION TYPE: COPD Posters IIPRESENTED ON: Wednesday, October 24, 2012 at 01:30 PM - 02:30 PMPURPOSE: We aimed to determine the costs of acute exacerbation of COPD in one year period in a second level hospital. and drawing attention to this big health problem and its economic burden.METHODS: Hospital automation system rewieved between january 01 - december 31 in year of 2011. Patients who had diagnosed COPD or acute exacerbation of COPD were included study. Paitents total costs, medicine cost, bed cost and proportion of these recorded...
October 1, 2012: Chest
https://www.readbyqxmd.com/read/23673706/-predictive-factors-of-esophagojejunal-fistula-after-total-gastrectomy-in-gastric-cancer-patients
#16
A Ben Maamer, H Zaafouri, R Noomene, N Haoues, A Bouhafa, A Oueslati, A Cherif
BACKGROUND: The main complication observed after total gastrectomy is the oesophagojejunal anastomosic fistla. Its incidence varies between 7.4% and 11.5%. The mortality after anastomic leafage is high at around 20%, representing 30% and 54% of global mortality after total gastrectomy. AIM: This study aimed to evaluate mortality and morbidity after total gastrectomy and to determine their predictive factor METHODS: this is retrospective study about 80 cases of total gastrectomy for gastric cancer, collected in the departmentof General Surgery of the University Hospital Habib Thameur Tunis during the period 1 January 1995 to 31 December 2010...
April 2013: La Tunisie Médicale
https://www.readbyqxmd.com/read/23491353/stellenwert-der-endoskopischen-chirurgie-von-leistenhernien
#17
Schmid, Schlumpf
The endoscopic techniques of groin hernia repair have developed tremendously over the past 10 years. There are numerous prospective randomized clinical trials comparing conventional techniques of groin hernia repair with endoscopic methods. However, it is difficult to establish a proper meta-analysis of the currently available data due to widely differing study designs. We assessed the currently available prospective randomized clinical trials comparing conventional versus laparoscopic hernia repair. We conclude that based on present data there is a clear advantage for the endoscopic techniques regarding length of hospital stay, postoperative recovery and return to normal activity...
February 1, 2005: Therapeutische Umschau. Revue Thérapeutique
https://www.readbyqxmd.com/read/23444811/-perception-of-safety-climate-in-outpatient-pediatric-care
#18
Claudia Baldegger, Adelheid Zeller
In ambulant pediatric care, patients situations are becoming increasingly complex, because the lenght of hospital stay is reduced since the introduction of Diagnosis Related Groups (DRG). Consequently, the patients' safety is constantly becoming more important. The patients' safety is closely associated with the nurses' awareness of risks and the safety climate within the institution. This study is investigating how nurses of a pediatric outpatient service estimate the patients' safety and how that can be optimized, if necessary...
February 2013: Pflege Zeitschrift
https://www.readbyqxmd.com/read/23414773/autologous-bone-flap-versus-hydroxyapatite-prosthesis-in-first-intention-in-secondary-cranioplasty-after-decompressive-craniectomy-a-french-medico-economical-study
#19
J-M Lemée, D Petit, M Splingard, P Menei
BACKGROUND AND PURPOSE: Decompressive craniectomy is the most common justification for cranioplasty. A medico-economial study based on the effective cost of the hydroxyapatite prosthesis, the percentage of autologous bone graft's loss due to bacterial contamination and the healthcare reimbursment, will allow us to define the best strategy in term of Healthcare economy management for the cranioplasties. A comparison was made between the two groups of patients, autologous bone flap versus custom-made prosthesis in first intention, based on the clinical experience of our department of neurosurgery...
April 2013: Neuro-Chirurgie
https://www.readbyqxmd.com/read/23033785/-gut-bacteria-and-antimicrobial-resistance-what-to-worry-about
#20
Mari Kanerva
Gram negative and anaerobic bacteria from gut microbiota are important pathogens both in community-acquired and hospital infections. Escherichia coli is the the most common cause of adult bacteraemias in Finland. Antimicrobial resistance in these bacteria is a threatening phenomenon. Enterobacteriacae producing extended spectrum beta-lactamase (ESBL) have spead worldwide. The use of antimicrobial agents shifts the balance in gut microbiota and induces and selects bacterial resistance. When resistant bacteria cause infections, empiric antimicrobial therapy may not cover them, which may increase lenght of hospital stay, costs and mortality due to infections...
2012: Duodecim; Lääketieteellinen Aikakauskirja
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