paracenthesis

OBJECTIVE: Despite the advances in surgical technique and postoperative care, infectious complications are associated with high mortality rates. Acinetobacter species are emerging as a leading worldwide nosocomial pathogen in intensive care unit (ICU) patients. This study was designed to evaluate the results of the patients who developed Acinetobacter infection in the ICU after liver transplantation. METHODS: We retrospectively analyzed 220 patients who had undergone liver transplantation between August 2011 and August 2012...

OBJECTIVE: The aim of the study was to investigate plasma D-dimer concentration in patients with liver cirrhosis with and without ascites and to evaluate the impact of ascites depletion on circulating plasma D-dimer levels. METHODS: Sixty patients with liver cirrhosis were recruited and categorized into two groups: cirrhotic patients without ascites in group 1 (n = 30) and patients with liver cirrhosis and ascites in group 2 (n = 30). D-dimer levels were measured on day of admission, in patients with ascites D-dimer concentration levels were repeated measured after ascites resolution cofirmed by ultrasonography...

PURPOSE: To report crystal formation as a complication of intravitreal ganciclovir injection. PATIENTS AND METHODS: A 73-year-old female patient with unilateral cytomegalovirus retinitis was treated with intravitreous ganciclovir (4 mg/0.04 mL). RESULTS: After the intravitreal injection, sudden crystallization was observed in the vitreous humor. The patient experienced marked reduction in visual acuity and increased intraocular pressure. Despite aqueous paracenthesis and pars plana vitrectomy, optic atrophy was observed and her visual acuity remained unimproved after 12 months...

Ascites is the most common complications of patients with cirrhosis. The treatment of ascites has been based on the ascitic volume. MODERATE ASCITIS: an oral diuretic and a low-salt diet are indicated. Efficacy can be assessed from the weight curve but also from tolerance. MAJOR ASCITIS: evacuation via a paracenthesis should be done in a single session associated with vascular filling to prevent hypovolemia. Immediately after drainage, an oral diuretic is given to prevent recurrence. REFRACTORY ASCITIS: different therapeutic options include iterative paracenthesis, peritoneal-jugular-shunt and transjugular intrahepatic portosystemic shunt...

BACKGROUND: More than 50% of vitrectomies are performed in pseudophakic eyes. There is free communication between the anterior segment of the eye and the vitreous cavity through the zonular fibres of the lens. This means it is possible to use a primary anterior chamber infusion for pars-plana vitrectomy. METHODS: For some years, therefore, we have used an anterior chamber approach for the infusion cannula when carrying out such simple vitreo-retinal procedures as silicone oil removal or macular pucker peeling in pseudophakic eyes...

Recent studies in our laboratory have demonstrated a role of nitric oxide (NO) in morphine-induced reduction of intraocular pressure (IOP) and pupil diameter (PD) in the New Zealand white (NZW) rabbit. The present study was designed to determine the effect of morphine on NO release in the aqueous humor of NZW rabbits, as this effect could be associated with morphine-mediated changes in aqueous humor dynamics and iris function. Dark-adapted NZW rabbits were treated as follows: (1) treatment with morphine (10, 33 or 100 microg, 5 min); (2) treatment with morphine or endomorphin-1 for 5, 15 or 30 min; (3) pretreatment with naloxone (100 microg), L-NAME (125 microg) or reduced glutathione (GSH, 100 microg) for 30 min, followed by treatment with morphine (100 microg, 5 min)...

The hepatorenal syndrome is defined as renal failure in patients with severe liver disease. It may be diagnosed by exclusion of other potential factors which may cause renal failure, such as hypovolaemia, nephrotoxic drugs and severe bacterial infection. Liver transplantation is the target treatment leading to recovery of renal function. Other methods such as vasoconstrictors, renal replacement therapy and repeated paracenthesis with intravenous albumin infusions are also presented.

No abstract text is available yet for this article.

Retinal artery occlusion is rare in young adults, and may be associated with hereditary thrombophilia. We present a 19-year-old male who was evaluated for central retinal artery occlusion and found to be homozygous for the factor V Leiden mutation and heterozygous for the prothrombin G20210A mutation. Anterior chamber paracenthesis resulted in dramatic improvement, but recurring loss of vision necessitated repeated paracenthesis and the addition of aspirin to standard anticoagulation treatment. The literature concerning hereditary thrombophilia and retinal artery occlusion is reviewed, and the synergistic effect of multiple risk factors is emphasized...

The role of the nutrition is discussed in relation to chronic liver disease. An outline of the general principles involved in regulating nutrition in patients with advanced liver disease is given followed by an evaluation of the effects of malnutrition on the outcome of the disease. Major problems faced over the course of advanced liver disease are carbohydrate intolerance, sodium and fluid retention which may progress to hepatorenal syndrome, and hepatic encephalopathy. Interest on diet regulation in such cases has been recently reemphasized in multicenter studies particularly in the liver transplant setting and alcoholic liver disease...

STUDY AIM: The aim of this retrospective study is to report five cases of laparoscopic splenorraphy with an absorbable perisplenic mesh for splenic injury. PATIENTS AND METHOD: From January 1996 to February 1998, three men and two women (mean age: 52 years) were included in this study. The splenic lesions were due to either a fall (n = 3), a traffic accident (n = 1), or pleural paracenthesis in a patient with mediastinitis after valvular replacement. Splenic injury was recognized by ultrasonography...

BACKGROUND: Listeria monocytogenes is a rare cause of endogenous endophthalmitis. Only 14 cases are published in the literature so far. All eyes showed similar clinical features and profound visual loss. PATIENTS AND METHODS: We report on a case of an otherwise healthy 73-year-old male. He was referred to our hospital because of acute hypopyoniritis with secondary glaucoma. Within a few hours the severity of the intraocular infection increased dramatically resulting in the clinical picture of an acute endophthalmitis...

Since May 1993 to February 1995 we have used "DK-LINE" OPSIA in 137 patients in whom were 161 procedures on 141 eyes performed. It was used in 116 retinal detachments, 29 of them were posttraumatic. 28x in the eyes with proliferative diabetic retinopathy, 8x by injuries of the posterior segment of the eye, 5x in dislocated lenses and 3x by the removal of subretinal membranes. At the end of retinal detachment surgery was retina attached in 94.2%. Peroperatively we recorded subretinal migration of PFCL in 16 cases...

The chromosome numbers and sex-determining systems of six species of Criocerinae have been determined, four of them for the first time. Oulema melanopus L., Crioceris paracenthesis L., C. asparagi and C. duodecimpunctata L. share a 7II + Xyp formula, while Lema puncticollis Curt. has 8II + Xyp and Lilioceris lilii shows a karyotype of 2n = 20 chromosomes. The modal chromosome formula and possibly the most primitive one for Criocerinae is 7II + Xyp, but it should not be assumed as the ancestral formula for the Chrysomelidae since the most ancient groups of chrysomelids have been little investigated...

No abstract text is available yet for this article.

The aetiology of pericarditis is often difficult to assess. To try to clear up this problem, a pericardial biopsy through a left lateral thoracotomy was performed in 70 cases in which the cause could not be established by the usual means (including pericardial paracenthesis in 32 cases). They included either subacute pericarditis, dry or with effusion (biopsy being undertaken as an average 45 days after the clinical onset), or chronic pericarditis with effusion. Tuberculosis was thus demonstrated in 14 cases (8 of which were aged more than 60 years), inaugural pericardial tumours in 8 and suppuration in 3 cases...

Excess trust in antibiotic therapy, as well as omission in paracenthesis in treating acute otitis media, are the main factors to account for the development of a new problem in the middle ear: secretory otitis media; that is, presence of liquid, usually of mucoid type, in the tympanic cavity, which constitutes the most common cause of hearing loss in children. The eustachian tube obstruction, being an important mechanical obstructive factor in this pathologic type problem, as well as recent evidence from studies, showing that the mucosa of the middle ear, suffering repeated infections, undergoes metaplasic changes, to a glandular epithelium that maintains the presence of liquid in the cavity...