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"Review of the management"

Rajendra Kumar Ghritlaharey
INTRODUCTION: Peroral extrusion of peritoneal part of Ventriculoperitoneal Shunt (VPS) catheter is an extremely rare complication following VPS implantation. AIM: To review the options available for the management of peroral extrusion of VPS catheter. MATERIALS AND METHODS: PubMed, Medline, PMC (PubMed Central), Embase, Google scholar databases search was performed to retrieve the published/available data relating to the peroral extrusion of VPS catheter...
November 2016: Journal of Clinical and Diagnostic Research: JCDR
Jaimie B Glick, Brittany G Craiglow, Keith A Choate, Hugo Kato, Robert E Fleming, Elaine Siegfried, Sharon A Glick
Harlequin ichthyosis (HI) is the most severe phenotype of the autosomal recessive congenital ichthyoses. HI is caused by mutations in the lipid transporter adenosine triphosphate binding cassette A 12 (ABCA12). Neonates are born with a distinct clinical appearance, encased in a dense, platelike keratotic scale separated by deep erythematous fissures. Facial features are distorted by severe ectropion, eclabium, flattened nose, and rudimentary ears. Skin barrier function is markedly impaired, which can lead to hypernatremic dehydration, impaired thermoregulation, increased metabolic demands, and increased risk of respiratory dysfunction and infection...
January 2017: Pediatrics
Dinushi Weerasinghe, Christian J Lueck
Septic cavernous sinus thrombosis is a rare but serious complication of infection of the cavernous sinuses. There are no randomised, controlled trials of management of this condition and existing reviews of the literature are somewhat dated. The authors report a case with a favourable outcome and then present the findings of a literature review of the management of this condition. Outcome data suggest that corticosteroids are of equivocal benefit whereas antibiotics and anticoagulation are beneficial.
December 2016: Neuro-ophthalmology
A V Kasbekar, E J Combellack, S G Derbyshire, A C Swift
BACKGROUND: There has been a shift towards conservative management of penetrating neck trauma in selected patients. METHODS: A retrospective case note review of the management of penetrating neck trauma (2007-2013) was undertaken at our large teaching hospital and compared against best-evidenced practice. RESULTS: Sixty-three patients were admitted over six years. The incidence of penetrating neck trauma is reducing, contrary to our belief...
January 2017: Journal of Laryngology and Otology
Pilar Marin-Sanchez, Maria Luisa Sánchez-Ferrer, Clara Garrido-Navarro, Antonio Prieto-Gonzalez, Francisco Machado-Linde
INTRODUCTION: A 42-year-old woman presented with urinary incontinence 9 years after the last of four vaginal deliveries. She had also had one Caesarean section. Immediately after the last delivery, she presented with haematuria, which resolved within a few hours, but the drain remained prophylactically for 7 days. Nine years later, she was referred to a specialist hospital. METHOD: The patient presented with continuous urinary incontinence, and physical examination revealed a loss of urine from the vagina, the latter confirmed by a methylene blue test showing loss of urine from the uterine cervix...
November 19, 2016: International Urogynecology Journal
P Yiannoullou, C Hall, K Newton, L Pearce, O Bouamra, T Jenks, A B Scrimshire, J Hughes, F Lecky, Adh Macdonald
INTRODUCTION The spleen remains one of the most frequently injured organs following blunt abdominal trauma. In 2012, regional trauma networks were launched across England and Wales with the aim of improving outcomes following trauma. This retrospective cohort study investigated the management and outcomes of blunt splenic injuries before and after the establishment of regional trauma networks. METHODS A dataset was drawn from the Trauma Audit Research Network database of all splenic injuries admitted to English and Welsh hospitals from 1 April 2010 to 31 March 2014...
January 2017: Annals of the Royal College of Surgeons of England
Tiffany Loh, Ashley G Rubin, Shang I Brian Jiang
BACKGROUND: Basal cell carcinoma (BCC) is the most common malignancy in the United States. Most BCCs occur on cutaneous surfaces, but rare cases on the mucosal lip have also been documented. Because only a small number of mucosal BCC (mBCC) cases have been reported, data on their clinical characteristics and management are limited. OBJECTIVE: To perform an updated literature review of the management of mBCCs on the lip. METHODS: A comprehensive literature review was conducted through a search of the PubMed database with the key phrases "mucosal basal cell carcinoma," "basal cell carcinoma mucosa," and "basal cell carcinoma lip mucosa...
December 2016: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
J Trotman, J Trinh, Y L Kwan, J A Estell, J Fletcher, K Archer, K Lee, K Foo, J Curnow, A Bianchi, L Wignall, E Verner, R Gasiorowski, E Siedlecka, I Cunningham
BACKGROUND: Multidisciplinary Team (MDT) meetings aimed at facilitating peer review have become standard practice in oncology. However, there is scant literature on the optimal structure and conduct of such meetings. AIMS: We aimed to develop a process for formal peer review of patients with haematologic malignancies, and to audit any resulting changes made to the management recommendations of the treating physician. METHODS: A standard operating procedure (SOP) for MDT meetings was developed essentially to integrate clinical peer review with weekly pathology and radiology meetings...
October 18, 2016: Internal Medicine Journal
Euna B Koo, Aubrey L Gilbert, Deborah K VanderVeen
PURPOSE: Amblyopia is a leading cause of low vision and warrants timely management during childhood. We performed a literature review of the management of amblyopia and potential risk factors for amblyopia. METHODS: Literature review of the management of amblyopia and risk factors for amblyopia. RESULTS: Common amblyopia risk factors include anisometropic or high refractive error, strabismus, cataract, and ptosis. Often a conservative approach with spectacles is enough to prevent amblyopia...
2017: Seminars in Ophthalmology
S H Emile, H Elfeki, M Abdelnaby
BACKGROUND: Fistula-in-ano (FIA) in infants differs, in several ways, from FIA in adults. The current review aims to assess FIA in infants less than 2 years old and to illustrate the outcome of different treatment modalities described in the literature. METHODS: An organized search of the English literature over the past 25 years was conducted according to the preferred reporting items for systematic reviews and meta-analyses guidelines. Electronic databases and Google Scholar were searched for articles focusing on management of FIA in infants...
September 23, 2016: Techniques in Coloproctology
Peter Paal, Les Gordon, Giacomo Strapazzon, Monika Brodmann Maeder, Gabriel Putzer, Beat Walpoth, Michael Wanscher, Doug Brown, Michael Holzer, Gregor Broessner, Hermann Brugger
BACKGROUND: This paper provides an up-to-date review of the management and outcome of accidental hypothermia patients with and without cardiac arrest. METHODS: The authors reviewed the relevant literature in their specialist field. Summaries were merged, discussed and approved to produce this narrative review. RESULTS: The hospital use of minimally-invasive rewarming for non-arrested, otherwise healthy, patients with primary hypothermia and stable vital signs has the potential to substantially decrease morbidity and mortality for these patients...
September 15, 2016: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Jose J Correa, Tariq S Hakky, Philippe E Spiess, Tian Chuang, Wade J Sexton
We report two cases of urachal adenocarcinoma managed with robotic-assisted partial cystectomy. A detailed description of the robotic technique including methods used to resect the tumor, urachus, and umbilicus en bloc is described. A review of the management of urachal adenocarcinoma is presented. The robotic approach is technically feasible and safe, and is an attractive alternative to traditional open or laparoscopic-assisted partial cystectomy for this uncommon genitourinary malignancy.
January 2010: Journal of Robotic Surgery
Dafney L Davare, Zishan Chaudry, Rafael Sanchez, Seong K Lee, Chauniqua Kiffin, Andrew A Rosenthal, Eddy H Carrillo
Venous air embolus (VAE) occurs when gas, specifically atmospheric air, enters into the vascular system. Although rare, they can be fatal due to risk of cardiovascular collapse. In this report, we present a unique case of a 66-year-old female trauma patient with an inferior vena cava air embolism. An overview of the potential cause is presented, along with a review of the management of VAE.
2016: Journal of Surgical Case Reports
M Mifsud, M Abela, N I L Wilson
AIMS: Although atlantoaxial rotatory fixation (AARF) is a common cause of torticollis in children, the diagnosis may be delayed. The condition is characterised by a lack of rotation at the atlantoaxial joint which becomes fixed in a rotated and subluxed position. The management of children with a delayed presentation of this condition is controversial. This is a retrospective study of a group of such children. PATIENTS AND METHODS: Children who were admitted to two institutions between 1988 and 2014 with a diagnosis of AARF were included...
May 2016: Bone & Joint Journal
Ciara O'Connor, Fidelma Fitzpatrick, Seamus Looby, Karina O'Connell
BACKGROUND: The aim of this submission is to demonstrate the need for broad antimicrobial therapy, including empiric anti-fungal therapy, if rim-enhancing lesions are noted on cerebral imaging. METHODS: A retrospective microbiological and radiologic review of the management of a rare case of multiple Scedosporium apiospermum and vancomycin-resistant Enterococcus faecium intra-cranial abscesses in an immunocompromised patient was performed. A manual chart review assessing clinical and epidemiologic characteristics was completed including procedures and operative notes, use of invasive devices, biochemical and haematological blood test results, antimicrobial agents received, and documentation of a travel history...
August 2016: Surgical Infections
Peter S Russell, Anhubav Mittal, Lisa Brown, Colin McArthur, Anthony J R Phillips, Max Petrov, John A Windsor
BACKGROUND: A review of the management of acute pancreatitis (AP) at a tertiary intensive care unit (ICU) in Auckland, New Zealand, was published in 2004. This paper aims to update this series and identify changes in admission criteria, management and outcomes. METHODS: A retrospective review of patients admitted to the Department of Critical Care Medicine, Auckland City Hospital, with AP from 2003 to 2014 was undertaken and data compared with the previous study (1988-2001)...
March 28, 2016: ANZ Journal of Surgery
Nikhil G Thaker, Laurie Sturdevant, Anuja Jhingran, Prajnan Das, Marc E Delclos, Gary B Gunn, Mary Frances McAleer, Welela Tereffe, Seungtaek L Choi, Steven J Frank, William J Simeone, Wendi Martinez, Stephen M Hahn, Robin Famiglietti, Deborah A Kuban
PURPOSE: Academic centers increasingly find a need to define a comprehensive peer-review program that can translate high-quality radiation therapy (RT) to community network sites. In this study, we describe the initial results of a quarterly quality audit program that aims to improve RT peer-review and provider educational processes across community sites. MATERIALS AND METHODS: An electronic tool was used by community-based certified member (CM) sites to enter clinical treatment information about patients undergoing peer review...
April 2016: Journal of Oncology Practice
Mark K Huntington, Charles W Shafer
A number of chronic viral infections require special attention during pregnancy in the prenatal, perinatal and postnatal periods. In many rural areas of South Dakota, these conditions are present, but readily-accessible subspecialty consultation is not. Fortunately, most aspects of management of these conditions in pregnancy are easily within the scope of practice of primary care physicians. This paper presents a review of the management of pregnancies complicated by HBV, HCV, HIV, HPV and HSV, offering a quick-reference guide for physicians who may infrequently encounter these patients as a part of their practices...
January 2016: South Dakota Medicine: the Journal of the South Dakota State Medical Association
Emma Wilson, Malcolm Lader
Strong evidence supports the existence of a discontinuation syndrome following the withdrawal of antidepressant medication, particularly second-generation antidepressants. The syndrome is a common phenomenon and guidance as to best avoid the symptoms is essential for both practitioners and patients. The current study reviewed the available literature on the best methods of discontinuation for antidepressants in order to avoid or prevent the occurrence of any unpleasant side effects associated with antidepressant withdrawal...
December 2015: Therapeutic Advances in Psychopharmacology
J H Saunders, S Subramonia, W G Tennant
PURPOSE: To evaluate the outcome of the management of iatrogenic arterial injuries following knee arthroplasty using a primary endovascular approach. METHODS: A detailed review of the management of all iatrogenic arterial injuries to the lower limb following total knee arthroplasty (TKA) referred to the Vascular Surgical Unit of a tertiary referral hospital between July 2005 and December 2007 identified from a prospectively maintained database. RESULTS: Of the seven cases referred over a 30-month period, six patients underwent endovascular treatment with successful limb salvage...
December 2012: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
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