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Interventional radiolog

Metin Yeşiltaş, Dursun Özgür Karakaş, Berk Gökçek, Semih Hot, Seracettin Eğin
BACKGROUND: The Alvarado score (AS) and the Appendicitis Inflammatory Response score (AIRS) were developed to diagnose acute appendicitis (AA). The aim of this study was to evaluate the severity of AA using the AS and the AIRS tools. METHODS: Patients who presented between January 2016 and December 2017 and underwent surgery for AA and who had a preoperative AS and AIRS value were evaluated retrospectively. The details of age, sex, pathological severity, the presence of local peritonitis or fecaloid, drainage, appendix diameter, and operation type were evaluated according to the AS and the AIRS...
November 2018: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
Brijendra Singh, Vaibhav Gupta, Shahana Gupta
INTRODUCTION: Laparoscopic inguinal hernia repair has gained importance during last few decades, because of its several advantages. However, it has its own set of complications, which can be avoided by following the basic anatomical principles of laparoscopic inguinal hernia repair. PRESENTATION OF CASE: An 85-year-old male patient, developed a painless intraabdominal lump following laparoscopic inguinal hernia repair. Clinical and radiological evaluation was suggestive of pseudo aneurysm...
November 27, 2018: International Journal of Surgery Case Reports
Erik N K Cressman
OBJECTIVE: Interventional radiology (IR) needs comprehensive structure. The reactive structure of the past is strategically unwise for long-term growth of IR. CONCLUSION: IR needs a structured approach to move forward most effectively. A preliminary taxonomic scaffold is put forth and critically analyzed to illustrate new areas of research for the field, to identify new opportunities for growth, and to serve as a starting point for future discussion.
December 4, 2018: AJR. American Journal of Roentgenology
M V Korolenkova, N V Starikova, N V Udalova
AIM: The hypothesis tested was whether proper tooth development in cleft lip and palate (CLP) patients is affected by early orthopaedic treatment (EOT), primary surgical interventions and palatal defects after primary palatoplasty. METHODS: The prospective study groups comprised 369 CLP children (aged 11.0 ± 4.5 years) and 500 healthy children (aged 11.1 ± 3.8 years) aged > 6 years without any diseases associated with increased risk of dental anomalies...
December 3, 2018: European Archives of Paediatric Dentistry: Official Journal of the European Academy of Paediatric Dentistry
Tyler H Haeffs, Christopher A Scott, Tiffany H Campbell, Youbai Chen, Meredith August
PURPOSE: To review cases of suppurative osteomyelitis of the jaws treated at the Massachusetts General Hospital (Boston, MA) over a 10-year period, evaluate specifics of disease presentation, and answer the clinical question: are there identifiable variables associated with treatment outcome? MATERIALS AND METHODS: A retrospective cohort study was completed using patients treated for suppurative osteomyelitis of the jaws at the Massachusetts General Hospital from April 2006 to October 2016...
December 2018: Journal of Oral and Maxillofacial Surgery
Abhay Srinivasan, Anthony K Guzman, Elizabeth B Rand, Jack Rychik, David J Goldberg, Pierre A Russo, Anne Marie Cahill
BACKGROUND: Patients who have undergone the Fontan operation for palliation of congenital heart disease with single-ventricle pathophysiology are at high risk for developing progressive liver fibrosis. Pathological assessment from percutaneous liver biopsy is central to the management of Fontan-associated liver disease, but liver biopsy in this vulnerable population poses unique challenges and potential risks. OBJECTIVE: This retrospective study describes our experience with percutaneous liver biopsy performed to assess changes of Fontan-associated liver disease, with particular regard to procedural outcomes...
November 30, 2018: Pediatric Radiology
Pervinder Bhogal, Elina Henkes, Stefan Schob, Muhammad AlMatter, Victoria Hellstern, Hansjörg Bäzner, Oliver Ganslandt, Hans Henkes, Marta Aguilar Pérez
Background: There is limited published literature on the use of flow diverting stents (FDS) to treat ruptured intracranial aneurysms in the acute stage. We present our experience of using FDS to treat small (≤5 mm) ruptured aneurysms. Methods: We retrospectively identified all patients with ≤5 mm ruptured aneurysms treated exclusively with FDS between February 2009 and February 2016. We recorded demographic data, the Hunt and Hess score, aneurysm location and size, therapeutic intervention, immediate angiographic and clinical result, and clinical and radiological follow-up information...
2018: Surgical Neurology International
Sheila Krishnan, Christopher M Kniese, Mark Mankins, Darel E Heitkamp, Francis D Sheski, Kenneth A Kesler
Broncholithiasis is a condition in which calcified material has entered the tracheobronchial tree, at times causing airway obstruction and inflammation. Broncholiths generally originate as calcified material in mediastinal lymph nodes that subsequently erode into adjacent airways, often as a result of prior granulomatous infection. Disease manifestations range from asymptomatic stones in the airway to life-threatening complications, including massive hemoptysis and post-obstructive pneumonia. Radiographic imaging, particularly computed tomography scanning of the chest, is integral in the evaluation of suspected broncholithiasis and can be helpful to assess involvement of adjacent structures, including vasculature, prior to any planned intervention...
October 2018: Journal of Thoracic Disease
Staci Beamer
Fungal infections of the lung are common in endemic areas and in immunocompromised patients. Antifungal therapy is the cornerstone of medical therapy for most pulmonary fungi but surgery is an important adjunct in cases of complicated disease or resistant organisms. A multidisciplinary approach including pulmonary medicine, infectious disease, interventional radiology, and thoracic surgery is favored. This article reviews the surgical management of common fungal pulmonary infections and their sequelae.
October 2018: Journal of Thoracic Disease
Endale Gebreegziabher Gebremedhn, Abatneh Feleke Agegnehu, Bernard Bradley Anderson
Background: Emergency laparotomy is a high risk procedure which is demonstrated by high morbidity and mortality. However, the problem is tremendous in resource limited settings and there is limited data on patient outcome. We aimed to assess postoperative patient outcome after emergency laparotomy and associated factors. Methods: An observational study was conducted in our hospital from March 11- June 30, 2015 using emergency laparotomy network tool. All consecutive surgical patients who underwent emergency laparotomy were included...
December 2018: Annals of Medicine and Surgery
Sunday Nnamdi Okonkwo, Tayyab Afghani, Maheen Akbar, Amna Manzoor, Muhammad Asif
Glial heterotopia is a rare congenital mass that often presents as a unilateral mass lesion in or around the nose. Complete surgical excision is the treatment of choice. However, before any surgical intervention for suspected glial heterotopia, distinction should be made both clinically and radiologically from the pathologically related encephalocele to prevent the risk of cerebrospinal fluid leak and meningitis. Here, we report a rare case of bilateral orbital glial heterotopia in a 2-year-old child with review of the literature...
September 2018: Oman Journal of Ophthalmology
Desislava Kalinova, Rasho Rashkov
Infectious spondylodiscitis is characterized by vertebral osteomyelitis, spondylitis, and discitis. Patients present with persistent low back pain, fever, or neurological findings. Diagnosis is made with a combination of clinical, radiological, and laboratory findings. Magnetic resonance tomography (MRI) has high sensitivity and specificity in diagnosis and differentiation of the type of spondylodiscitis and may reveal signs of spondylodiscitis even in very early stages. Infectious spondylodiscitis responds to antimicrobial therapy well if diagnosed early before development of neurological deficit and requirement of surgical intervention...
2018: Reumatologia
Ronilda Lacson, Eseosa Odigie, Aijia Wang, Neena Kapoor, Atul Shinagare, Giles Boland, Ramin Khorasani
RATIONALE AND OBJECTIVES: To quantify the use of Diagnostic Certainty Phrases (DCP) in radiology reports, including DCPs with good agreement (including "diagnostic of," "unlikely" and "represents") in connoting degree of certainty between providers based on previous studies; and to assess whether modality, presence of a trainee, radiologic subspecialty, and individual radiologists are associated with the usage of DCPs with good agreement. MATERIALS AND METHODS: This retrospective, IRB-approved study was conducted at an academic medical center...
November 28, 2018: Academic Radiology
Robert J Vandewalle, Alexis K Bagwell, Jared R Shields, Robert Cartland Burns, Brandon P Brown, Matthew P Landman
BACKGROUND: When evaluating a pediatric patient with abdominal pain, identification of a small bowel-to-small bowel intussusception (SBI) on radiologic imaging can create a diagnostic dilemma. The clinical significance and need for surgical exploration of SBI is highly variable, as most of them are considered clinically insignificant. We hypothesize that combination of clinical and radiologic factors in an exclusively SBI population will yield factors that guide the clinician in making operative decisions...
January 2019: Journal of Surgical Research
Mustafa Sungur, Selahattin Caliskan, Utku Lokman
The success rate of percutaneous nephrolithotomy (PNL) is about 90%, but overall complications of this surgery have been reported in up to 83% cases. The complications are graded using Clavien classification system from grade 1 to 5. Grade 1 needs simple treatments without surgical, endoscopic, and radiologic interventions like antiemetics, antipyretics, and analgesics. Grade 5 denotes death of the patient. Calyx neck stricture is grade 3b complication with an incidence of 0.1%. In this study, a case of hydrocalyx, which is very rare complication after PNL, is presented...
December 2018: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
(no author information available yet)
OBJECTIVEIn patients with syringomyelia and type I Chiari malformation (CM-I) who have required reoperation because of persistent, recurrent, or expanding syrinx, the senior author placed a stent from the fourth ventricle to the cervical subarachnoid space in hopes of promoting circulation of CSF out of the ventricle and away from the central canal of the spinal cord. This study was undertaken to determine the long-term success of this operative stratagem in eliminating the syrinx, as well as to document the complications that occurred following stent placement...
October 1, 2018: Journal of Neurosurgery. Pediatrics
(no author information available yet)
OBJECTIVEResident attrition creates a profound burden on trainees and residency programs. This study aims to analyze trends in resident attrition in neurological surgery.METHODSThis study followed a cohort of 1275 residents who started neurosurgical residency from 2005 to 2010. Data obtained from the American Association of Neurological Surgeons (AANS) included residents who matched in neurosurgery during this time. Residents who did not finish their residency training at the program in which they started were placed into the attrition group...
November 1, 2018: Journal of Neurosurgery
Timothy Ariyanayagam, Karl Drinkwater, Neil Cozens, David Howlett, Paul Malcolm
OBJECTIVE: To re-audit the use of safety checklists in radiology departments in NHS departments throughout the UK. METHODS: This audit was performed on behalf of The Royal College of Radiologists Audit Committee in 2016 and was sent to radiology audit leads at every NHS department in the UK to determine the use of safety checks in various modalities and subspecialties. Free form text boxes gathered data on problems with checklist implementation. RESULTS: 109/177 (62%) trusts responded...
November 29, 2018: British Journal of Radiology
Andrzej Kotela, Piotr Wojdasiewicz, Paweł Łęgosz, Sylwia Sarzyńska, Katarzyna Drela, Łukasz Pulik, Beata Kaleta, Monika Kniotek, Jan Borysowski, Łukasz A Poniatowski, Ireneusz Kotela
Hemophilia A and B are rarely occurring X chromosome-linked congenital coagulation disorders dominated by spontaneous joint bleedings and chronic synovitis, leading to development of hemophilic arthropathy (HA). Progranulin (PGRN) is a growth factor with anti-inflammatory and immunomodulatory properties. PGRN is an important molecule in the pathogenesis of osteoarthritis (OA) and rheumatological disorders. This study was aimed at investigating the potential role of PGRN in the mechanisms underlying the pathogenesis of HA...
November 29, 2018: Clinical and Experimental Pharmacology & Physiology
M S Islam, M T Hossain, M N Uddin, M R Chowdhury, M S Hasan
We conducted a study to evaluate the reliability of the medial hemi-soleus muscle flap for wound coverage of infected open fracture of distal third of tibia. Wound coverage of exposed lower third tibia and ankle region remains a difficult task. Muscle flaps are preferred for infected wounds especially where there are exposed bone, joint and/or tendons. Soleus muscle is a good option for local reconstruction. Soleus being the prime ankle plantar flexor and stabilizer of the ankle in ambulation cannot be sacrificed without significant morbidity...
October 2018: Mymensingh Medical Journal: MMJ
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