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Evisceration

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https://www.readbyqxmd.com/read/29456673/full-thickness-conjunctival-flap-covering-surgery-combined-with-amniotic-membrane-transplantation-for-severe-fungal-keratitis
#1
Jing Zhong, Bowen Wang, Saiqun Li, Yuqing Deng, Haixiang Huang, Ling Chen, Jin Yuan
Fungal keratitis is a severe and common ocular infectious disease. The present study evaluated the efficiency of full-thickness conjunctival flap covering surgery with amniotic membrane transplantation (FCCS + AMT) as a transitional surgery for severe fungal keratitis. A total of 17 patients with severe fungal keratitis without corneal perforation underwent FCCS + AMT between January 2010 and December 2015. The pathogenic factors, preoperative diagnosis and postoperative prognosis of FCCS + AMT at 3 months were evaluated...
March 2018: Experimental and Therapeutic Medicine
https://www.readbyqxmd.com/read/29454636/incisional-hernia-prevention-and-use-of-mesh-a-narrative-review
#2
Pilar Hernández-Granados, Manuel López-Cano, Salvador Morales-Conde, Filip Muysoms, Josep García-Alamino, José Antonio Pereira-Rodríguez
Incisional hernias are a very common problem, with an estimated incidence around 15-20% of all laparotomies. Evisceration is another important problem, with a lower rate (2.5-3%) but severe consequences for patients. Prevention of both complications is an essential objective of correct patient treatment due to the improved quality of life and cost savings. This narrative review intends to provide an update on incisional hernia and evisceration prevention. We analyze the current criteria for proper abdominal wall closure and the possibility to add prosthetic reinforcement in certain cases requiring it...
February 14, 2018: Cirugía Española
https://www.readbyqxmd.com/read/29451331/sliding-free-transverse-rectus-abdominis-myocutaneous-flap-for-closure-of-a-massive-abdominal-wall-defect-a-case-report
#3
Annika Senghaas, Thomas Kremer, Volker J Schmidt, Leila Harhaus, Christoph Hirche, Ulrich Kneser, Amir K Bigdeli
Despite considerable advances in reconstructive surgery, massive abdominal wall defects continue to pose a significant surgical challenge. We report the case of a 72-year-old morbidly obese female patient with Clostridium septicum-related gas gangrene of the abdominal wall. After multidisciplinary treatment and multiple extensive debridements, a massive full-thickness defect (40 cm × 35 cm) of the right abdominal wall was present. The abdominal contents were covered with a resorbable mesh to prevent evisceration...
February 16, 2018: Microsurgery
https://www.readbyqxmd.com/read/29421361/quantification-of-the-campylobacter-contamination-on-broiler-carcasses-during-the-slaughter-of-campylobacter-positive-flocks-in-semi-industrialized-slaughterhouses
#4
Christian Vinueza-Burgos, María Cevallos, Marco Cisneros, Inge Van Damme, Lieven De Zutter
Campylobacter contamination of broiler carcasses has been little studied in semi-industrialized slaughterhouses in developing countries, where several steps are carried out manually or with limited technology. In this study, we performed quantification of the Campylobacter contamination on carcasses at four steps in the slaughter process in three Ecuadorian slaughterhouses. Therefore, 15 Campylobacter positive batches were sampled in three commercial slaughterhouses. For every batch, caecal content and five samples of breast skin were taken and examined for Campylobacter counts at the following steps: after plucking, after evisceration, after final washing and after water chilling...
January 31, 2018: International Journal of Food Microbiology
https://www.readbyqxmd.com/read/29401695/influence-of-graded-levels-of-l-theanine-dietary-supplementation-on-growth-performance-carcass-traits-meat-quality-organs-histomorphometry-blood-chemistry-and-immune-response-of-broiler-chickens
#5
Muhammad Saeed, Xu Yatao, Faiz-Ul Hassan, Muhammad Asif Arain, Mohamed E Abd El-Hack, Ahmed E Noreldin, Chao Sun
l-theanine is a water-soluble non-proteinous amino acid mainly found in green tea leaves. Despite the availability of abundant literature on green tea, studies on the use of l-theanine as a feed additive in animals, and especially broilers are limited. The objective of this study was, therefore, to evaluate the effect of different dietary levels of l-theanine on meat quality, growth performance, immune response, and blood metabolites in broilers. A total of 400 day-old broiler chicks were randomly divided into four treatment groups using a completely randomized design; C-control, basal diet; 100LT-basal diet + 100 mg l-theanine/kg diet; 200LT-basal diet + 200 mg l-theanine/kg diet; and 300LT-basal diet + 300 mg l-theanine/kg diet...
February 3, 2018: International Journal of Molecular Sciences
https://www.readbyqxmd.com/read/29373338/corneal-neurotization-for-neurotrophic-keratopathy-clinical-outcomes-and-in-vivo-confocal-microscopic-and-histopathological-findings
#6
Darren S J Ting, Gustavo S Figueiredo, Christin Henein, Eric Barnes, Omar Ahmed, Hardeep S Mudhar, Francisco C Figueiredo
PURPOSE: To describe the long-term outcomes and in vivo confocal microscopic (IVCM) and histopathological findings after corneal neurotization surgery. METHODS: We included 2 patients who underwent corneal neurotization surgery for severe unilateral neurotrophic keratopathy secondary to cerebellopontine angle meningioma. Corneal sensation was measured using the Cochet-Bonnet esthesiometer (CBE) (0-60 mm). IVCM was performed using the Heidelberg HRT3 Rostock Corneal Module...
January 24, 2018: Cornea
https://www.readbyqxmd.com/read/29372693/small-bowel-transanal-evisceration-mimicking-a-rectal-prolapse-a-case-report-and-review-of-literature
#7
Giuseppe Pisano, Enrico Erdas, Fabio Medas, Umberto Pisano, Pietro Giorgio Calò
Transanal intestinal evisceration is a very uncommon and dramatic occurrence, linked most frequently to rectal prolapse rupture or, very rarely, to traumatic pathology. The Authors describe a case of a 74-year-old female patient who required urgent hospital admission because of a seemingly strangulated rectal prolapse. During surgical preparation the protruding mass was recognized as small bowel loops herniating from the anus. Evisceration was due to spontaneous rectal wall rupture, most likely caused by increased abdominal pressure and consequent breach through the weakened rectum...
November 20, 2017: Annali Italiani di Chirurgia
https://www.readbyqxmd.com/read/29369452/accuracy-of-computed-tomography-in-diagnosis-of-intra-abdominal-injuries-in-stable-patients-with-anterior-abdominal-stab-wounds-a-systematic-review-and-meta-analysis
#8
Bonny J Baron, Roshanak Benabbas, Casey Kohler, Carina Biggs, Valery Roudnitsky, Lorenzo Paladino, Richard Sinert
BACKGROUND: Work-up for patients presenting to the Emergency Department (ED) following an anterior abdominal stab wound (AASW) has been debated since the 1960s. Experts agree that patients with peritonitis, evisceration, or hemodynamic instability should undergo immediate laparotomy (LAP), however, workup of stable, asymptomatic or non-peritoneal, patients is not clearly defined. OBJECTIVES: To evaluate the accuracy of computed tomography of abdomen and pelvis (CTAP) for diagnosis of intra-abdominal injuries requiring Therapeutic Laparotomy (THER-LAP) in ED patients with AASW...
January 25, 2018: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/29366461/quantification-of-hygiene-indicators-and-salmonella-in-the-tonsils-oral-cavity-and-rectal-content-samples-of-pigs-during-slaughter
#9
Inge Van Damme, Wesley Mattheus, Sophie Bertrand, Lieven De Zutter
The tonsils, oral cavity and faeces of 94 pigs at slaughter were sampled to assess the numbers of total aerobic bacteria, Enterobacteriaceae and Escherichia coli in the rectal content, tonsils and oral cavity of pigs at time of evisceration. Moreover, the prevalence, numbers and types of Salmonella spp. were determined. Mean numbers of Enterobacteriaceae in tonsils and the oral cavity differed between slaughterhouses. The proportion of Enterobacteriaceae relative to total aerobic bacteria differed between the different tissues, though large variations were observed between animals...
May 2018: Food Microbiology
https://www.readbyqxmd.com/read/29350250/-abdominal-injuries-in-polytraumatized-adults-systematic-review
#10
C E M Pothmann, K Sprengel, H Alkadhi, G Osterhoff, F Allemann, T Jentzsch, G Jukema, H C Pape, H-P Simmen, V Neuhaus
Abdominal injuries are potentially life-threatening and occur in 20-25% of all polytraumatized patients. Blunt trauma is the main mechanism. The liver and spleen are most commonly injured and much less often the intestines. The clinical evaluation proves equivocal in many cases; therefore, the gold standard is computed tomography (CT), which has been increasingly used even in hemodynamically weakly stable or sometimes even unstable patients because it promptly provides precise diagnostic findings, which present the basis for successful therapy...
January 19, 2018: Der Unfallchirurg
https://www.readbyqxmd.com/read/29344483/retinoinvasive-uveal-melanoma-report-of-2-cases-and-review-of-the-literature
#11
John P Gorham, Eszter Szalai, Jill R Wells, Hans E Grossniklaus
Purpose: To describe the clinical history and histopathologic findings of 2 cases of retinoinvasive uveal melanoma. Methods: The medical records and pathology specimens of 2 patients with retinoinvasive uveal melanoma were reviewed. Results: The first patient had an iris/ciliary body melanoma that was treated and the second patient had suspected iridocorneal endothelial syndrome. Both patients developed a blind, painful eye; the first patient's right eye was enucleated and the left eye of the second patient underwent evisceration...
November 2017: Ocular Oncology and Pathology
https://www.readbyqxmd.com/read/29326127/skill-sets-required-for-the-management-of-military-head-face-and-neck-trauma-a-multidisciplinary-consensus-statement
#12
John Breeze, R Blanch, J Baden, A M Monaghan, D Evriviades, S E Harrisson, S Roberts, A Gibson, N MacKenzie, D Baxter, A J Gibbons, S Heppell, J G Combes, R F Rickard
INTRODUCTION: The evolution of medical practice is resulting in increasing subspecialisation, with head, face and neck (HFN) trauma in a civilian environment usually managed by a combination of surgical specialties working as a team. However, the full combination of HFN specialties commonly available in the NHS may not be available in future UK military-led operations, necessitating the identification of a group of skill sets that could be delivered by one or more deployed surgeons. METHOD: A systematic review was undertaken to identify those surgical procedures performed to treat acute military head, face, neck and eye trauma...
January 10, 2018: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/29316216/transvaginal-evisceration-of-small-bowel
#13
James W T Toh, Taina Lee, Corinna Chiong, Grahame Ctercteko, Nim Pathma-Nathan, Toufic El Khoury, Danette Wright, Jennifer King
No abstract text is available yet for this article.
January 8, 2018: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/29307129/identification-and-characterization-of-yersinia-enterocolitica-strains-isolated-from-pig-tonsils-at-slaughterhouse-in-central-italy
#14
Patrizia Centorame, Nadia Sulli, Cristina De Fanis, Orazio Vincenzo Colangelo, Fabrizio De Massis, Annamaria Conte, Tiziana Persiani, Cristina Marfoglia, Silvia Scattolini, Francesco Pomilio, Alfreda Tonelli, Vincenza Annunziata Prencipe
Yersinia enterocolitica causes foodborne disease in humans and infections are usually acquired from contaminated raw or undercooked pork. Pigs are considered the primary reservoir of human pathogenic bio-serotypes. A total of 376 tonsil tissue samples collected after evisceration and cutting from pig carcasses were tested for Yersinia enterocolitica. Animals came from an abattoir located in the Abruzzo region, Italy. Yersinia enterocolitica was isolated from 35 out of 376 (9.31%) samples. A total of 47 strains were isolated, the prevalent bio-serotype was 4÷O:3 (95...
December 29, 2017: Veterinaria Italiana
https://www.readbyqxmd.com/read/29303687/effect-of-the-abdominal-fascial-closure-with-triclosan-coated-sutures-in-fecal-peritonitis-on-surgical-site-infection-and-evisceration-a-retrospective-multi-center-study
#15
Jaime Ruiz-Tovar, Natalia Alonso, Aina Ochagavía, Antonio Arroyo, Carolina Llavero
BACKGROUND: Surgical site infection (SSI) is a frequent complication in dirty surgery, reaching rates of up to 40%. The incidence of SSI might be influenced by the suture used for closure of the abdominal fascia. Sutures coated with antibacterial substances may reduce the bacterial load in the incision. PATIENTS AND METHODS: A retrospective study of patients with intra-operative diagnosis of fecal peritonitis undergoing a laparotomy in three Spanish hospitals was performed...
January 2018: Surgical Infections
https://www.readbyqxmd.com/read/29302514/searching-cause-of-death-through-different-autopsy-methods-a-new-initiative
#16
REVIEW
Abhishek Das, Ranadip Chowdhury
A lawful disposal of human dead body is only possible after establishment of proper and valid cause of death. If the cause is obscure, autopsy is the only mean of search. Inadequacy and unavailability of health care facility often makes this situation more complicated in developing countries where many deaths remain unexplained and proper mortality statistics is missing, especially for infant and children. Tissue sampling by needle autopsy or use of various imaging technique in virtopsy have been tried globally to find out an easier alternative...
April 2017: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29301337/organ-segmentation-in-poultry-viscera-using-rgb-d
#17
Mark Philip Philipsen, Jacob Velling Dueholm, Anders Jørgensen, Sergio Escalera, Thomas Baltzer Moeslund
We present a pattern recognition framework for semantic segmentation of visual structures, that is, multi-class labelling at pixel level, and apply it to the task of segmenting organs in the eviscerated viscera from slaughtered poultry in RGB-D images. This is a step towards replacing the current strenuous manual inspection at poultry processing plants. Features are extracted from feature maps such as activation maps from a convolutional neural network (CNN). A random forest classifier assigns class probabilities, which are further refined by utilizing context in a conditional random field...
January 3, 2018: Sensors
https://www.readbyqxmd.com/read/29300514/surgical-preferences-in-the-management-of-recalcitrant-endophthalmitis
#18
Roxana Fu, Joseph Childs, William Nunery, Peter Timoney
To assess the practice patterns of current members of the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS) in the treatment of medically refractive endophthalmitis (MRE). A 17-question survey included the procedure of choice for MRE, the preferred type of orbital implant, the timing of implant placement, and the incidence of postoperative complications. 107 ASOPRS members participated in the study. In the setting of MRE, 72% preferred evisceration versus 28% who preferred enucleation...
January 4, 2018: Orbit
https://www.readbyqxmd.com/read/29299896/infective-endocarditis-presenting-as-endogenous-endophthalmitis-secondary-to-streptococcus-agalactiae-in-a-healthy-adult-case-reports-and-literature-review
#19
Yu Ra Sim, Ye Jin Lee, Seung Woon Park, Sang Hyun Kim, Ju Hee Choi, Jung Yoon Choi, Min Ja Kim, Jang Wook Sohn, Jaemoon Ahn, Young Kyung Yoon
Endogenous endophthalmitis secondary to group B Streptococcus (GBS) is extremely rare, particularly in healthy adults. However, the visual prognosis is poor. We report the first South Korean case of GBS infective endocarditis presenting as endogenous endophthalmitis and skin and soft tissue infection. Cultures of blood, vitreous humor, and pus from skin aspirates yielded a penicillin-susceptible serotype V strain of Streptococcus agalactiae. After 6 weeks, the patient completely recovered from GBS infective endocarditis...
December 2017: Infection & Chemotherapy
https://www.readbyqxmd.com/read/29283143/ocular-infections-caused-by-scedosporium-apiospermum-a-case-series
#20
Seema Ramakrishnan, Kunal Mandlik, Tejashree Sanket Sathe, Joseph Gubert, Thiruvengada Krishnan, Prabu Baskaran
The aim of our retrospective study is to report a case series of ocular infections caused by a rare fungus, Scedosporium apiospermum, in a South Indian population. Thirteen cases of culture-positive S. apiospermum infections diagnosed between January 2011 and March 2016 were included in this study. The parameters evaluated were predisposing factors, treatment and final clinical outcome. The most common mode of presentation was keratitis (84.6%) followed by sclerokeratitis (15.3%). The predisposing factors involved were unspecified foreign body injury (30...
January 2018: Indian Journal of Ophthalmology
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