keyword
https://read.qxmd.com/read/38534183/what-factors-can-affect-the-occurrence-of-vertigo-in-patients-after-craniofacial-surgery-in-china
#1
JOURNAL ARTICLE
Sainan Zhang, Jun Zhuang, Wenhong Wu, Lan Huang, Mei Tian, Li Guo, Mengjin Sun, Jintian Hu, Na Liu
Vertigo is a complication of craniomaxillofacial contour plastic surgery characterized by dizziness from hypovolemia in the cerebral hemispheres and brainstem. The authors analyzed the current status and influencing factors of postoperative vertigo in patients who undergo craniomaxillofacial contouring and discussed improvements in nursing strategies. The authors investigated 418 patients admitted to the authors' hospital who underwent craniomaxillofacial contouring between November 2020 and October 2023 and divided them into asymptomatic and symptomatic groups based on syncopal precursors or vertigo...
March 27, 2024: Journal of Craniofacial Surgery
https://read.qxmd.com/read/38533144/successful-fluid-management-in-respiratory-failure-due-to-clazosentan-following-a-cerebral-aneurysm-clipping-a-case-report
#2
Hirotaka Kinoshita, Kodai Kato, Yuma Yamazaki, Eiji Hashiba, Kazuyoshi Hirota
Clazosentan, a potent selective endothelin receptor subtype A antagonist, has been demonstrated to be effective in preventing cerebral vasospasms after subarachnoid hemorrhage. We report the successful management of respiratory failure due to pulmonary edema associated with clazosentan, with a hemodynamic monitoring system. A 49-year-old Japanese man underwent emergency clipping for a right internal carotid-posterior communicating artery aneurysm. The surgery and general anesthesia for the rupture proceeded with no complications...
February 2024: Curēus
https://read.qxmd.com/read/38533091/lumboperitoneal-shunt-and-ventriculoperitoneal-shunt-for-chronic-hydrocephalus-after-aneurysmal-subarachnoid-hemorrhage-a-comparison
#3
JOURNAL ARTICLE
Xiaolei Li, Yuangang Wang, Bin Xia, Hongmin Che, Zhongnan Yan
OBJECTIVE: Chronic hydrocephalus after aneurysmal subarachnoid hemorrhage (aSAH) results in poor neurological outcomes and cognitive deficits. Currently, the main treatments for chronic hydrocephalus include ventriculoperitoneal shunt (VPS) and lumboperitoneal shunt (LPS); however, the optimal treatment for chronic hydrocephalus after aSAH remains controversial. METHOD: The records of 82 patients were retrospectively analyzed, and the patients were divided into VPS and LPS groups based on surgical methods...
2024: Frontiers in Surgery
https://read.qxmd.com/read/38532182/a-pig-model-of-symptomatic-spinal-epidural-hematoma
#4
JOURNAL ARTICLE
Jiasheng Chen, Haozheng Li, Shengxin Zeng, Hua Zhou, Xiao Liu, Panpan Hu, Xiaoguang Liu, Zhongjun Liu, Feng Wei, Zihe Li
PURPOSE: The purpose of this study was to establish an animal model capable of simulating the development and decompression process of symptomatic spinal epidural hematoma (SSEH). METHODS: A total of 16 male Bama miniature pigs were included in this study and randomly allocated into four groups: Group A (4 h 20 mmHg hematoma compression), Group B (4 h 24 mmHg hematoma compression), Group C (4 h 28 mmHg hematoma compression), and Group Sham (control)...
March 27, 2024: European Spine Journal
https://read.qxmd.com/read/38531270/risk-of-post-tonsillectomy-hemorrhage-among-covid-19-positive-pediatric-patients
#5
JOURNAL ARTICLE
Ann M Martin, Zachary T Elliott, James A Leonard, Jessica H Maxwell, Kelly Scriven, Earl Harley
OBJECTIVE: COVID-19 infection has been demonstrated to increase risk for post-operative bleeding. This study investigated the impact of COVID-19 infection on post-tonsillectomy hemorrhage in pediatric patients, a potentially devastating complication. STUDY DESIGN: Retrospective cohort study. METHODS: The TriNetX database was queried for pediatric patients who underwent tonsillectomy and evaluated for outcomes of primary and secondary post-tonsillectomy hemorrhage...
February 8, 2024: International Journal of Pediatric Otorhinolaryngology
https://read.qxmd.com/read/38531081/impact-of-intraoperative-cortical-indocyanine-green-extravasation-on-local-vasogenic-edema-immediately-after-direct-revascularization-in-an-adult-with-moyamoya-disease-illustrative-case
#6
JOURNAL ARTICLE
Maeho Yamasaki, Masaki Ito, Haruto Uchino, Taku Sugiyama, Miki Fujimura
BACKGROUND: Local vasogenic edema induced after direct revascularization in moyamoya disease (MMD) is associated with blood-brain barrier dysfunction, potentially leading to postoperative cerebral hyperperfusion (CHP) or delayed intracerebral hemorrhage. This phenomenon allows the leakage of fluids, proteins, and other substances from the blood vessels into the extracellular compartment. Typically, such edema is observed postoperatively rather than intraoperatively. OBSERVATIONS: A 48-year-old female with ischemic-onset MMD underwent revascularization on her left hemisphere with Suzuki's angiographic stage III...
March 25, 2024: J Neurosurg Case Lessons
https://read.qxmd.com/read/38531051/irreversible-transmural-intestinal-necrosis-in-acute-mesenteric-ischemia-retrospective-cohort-study-from-a-high-volume-hospital
#7
JOURNAL ARTICLE
Zhiyuan Yu, Xiaoyu Dong, Rui Li, Chun Xiao, Sixin Zhou, Zhen Yuan, Yunhe Gao, Peiyu Li
Background: Owing to the low incidence rate and nonspecific symptoms of acute mesenteric ischemia (AMI), the identification and prediction of irreversible transmural intestinal necrosis (ITIN) and extensive bowel resection (≥100 cm) (EBR) are difficult and critical. This study aimed to investigate the risk factors for ITIN and EBR in patients with AMI. Methods: The clinical data of 254 AMI patients were retrospectively analyzed. Furthermore, the incidence of ITIN and EBR were set as dependent variables, and relevant risk factors were screened using univariate and multivariate logistic regression analyses...
March 27, 2024: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://read.qxmd.com/read/38531000/extensive-endolaser-during-vitrectomy-for-primary-rhegmatogenous-retinal-detachment-is-associated-with-epiretinal-membrane-formation
#8
JOURNAL ARTICLE
Bertan Cakir, Bryan L Peacker, Rebecca Zeng, Jack H Tracy, Yilin Feng, John B Miller
BACKGROUND AND OBJECTIVE: Epiretinal membrane (ERM) formation, a common complication following pars plana vitrectomy (PPV) for primary rhegmatogenous retinal detachment (RRD) repair, is associated with vision loss and metamorphopsias. Although laser retinopexy is generally associated with ERM formation, the correlation between the extent of laser treatment and ERM formation during PPV is not well established. The aim of this study was to identify risk factors associated with ERM formation including extend of endolaser retinopexy after PPV for primary RRD...
March 1, 2024: Ophthalmic Surgery, Lasers & Imaging Retina
https://read.qxmd.com/read/38530145/free-flap-reconstruction-of-elbow-soft-tissue-defects-lessons-learned-from-15%C3%A2-years-of-experience
#9
J Reed McGraw, Reena S Sulkar, Corey M Bascone, Sammy Othman, Jaclyn T Mauch, Hani I Naga, L Scott Levin, Stephen J Kovach
BACKGROUND: The elbow is a complex joint that is vital for proper function of the upper extremity. Reconstruction of soft tissue defects over the joint space remains challenging, and outcomes following free tissue transfer remain underreported in the literature. The purpose of this analysis was to evaluate the rate of limb salvage, joint function, and clinical complications following microvascular free flap coverage of the elbow. METHODS: This retrospective case series utilized surgical logs of the senior authors (Stephen J Kovach and L Scott Levin) to identify patients who underwent microvascular free flap elbow reconstruction between January 2007 and December 2021...
May 2024: Microsurgery
https://read.qxmd.com/read/38528844/initial-experience-with-unidirectional-barbed-suture-for-abdominal-donor-site-closure-in-deep-inferior-epigastric-perforator-flap-breast-reconstruction
#10
JOURNAL ARTICLE
Emily R Finkelstein, Abdel-Moneim Mohamed Ali, Tripp Holton, Benjamin Slavin, Susan Taghioff, Juan Mella-Catinchi, Devinder Singh
BACKGROUND: The deep inferior epigastric perforator (DIEP) flap is a predominant technique for autologous breast reconstruction. However, the best method of abdominal fascial closure in this technique is not well defined. This study details our initial experience with unidirectional barbed suture-only repair of abdominal donor site fascia. METHODS: Patients who underwent DIEP flap breast reconstruction and abdominal fascial closure with Stratafix Symmetric Polydioxanone PDS Plus were retrospectively reviewed...
March 2024: Plastic and Reconstructive Surgery. Global Open
https://read.qxmd.com/read/38524997/endovascular-treatment-of-postpancreatectomy-hemorrhage-from-the-retroportal-artery-with-compression-of-the-celiac-trunk-by-the-median-arcuate-ligament-a-case-report
#11
Taku Kotera, Masakatsu Tsurusaki, Ryohei Kozuki, Atsushi Urase, Ayumi Hirayama, Kazunari Ishii
Retroportal artery is one of the communicating arteries between the hepatic artery and the superior mesenteric artery, but it is often a small artery and usually unrecognized. We report a 60-year-old man that was successfully treated for postpancreatectomy hemorrhage from the retroportal artery with compression of the celiac trunk by the median arcuate ligament. Following the pancreaticoduodenectomy, the bloody discharge was discovered through the drainage catheter. We underwent transcatheter arterial embolization for the bleeding from the retroportal artery associated with a postoperative pancreatic fistula...
March 1, 2024: Interventional radiology
https://read.qxmd.com/read/38524672/hemorrhagic-giant-adrenal-myelolipoma-discovered-incidentally-a-case-report
#12
Luma Alhassan, Hassan Nasser, Mohammed A Ali, Haneen G Sagher, Moatasem H Al-Janabi
Adrenal myelolipomas are rare, benign, nonfunctional tumors composed of mature adipose tissue and hematopoietic elements. Hemorrhage within an adrenal myelolipoma is an uncommon occurrence, and when it happens, it can present with various clinical manifestations. Here, we report a case of a hemorrhagic giant adrenal myelolipoma in a 45-year-old female that was discovered incidentally. We discuss the clinical presentation, radiological findings, surgical intervention, and postoperative outcomes in this case report...
March 2024: Journal of Surgical Case Reports
https://read.qxmd.com/read/38524505/delayed-neurological-dysfunction-following-posterior-laminectomy-with-lateral-mass-screw-fixation-a-case-report-and-review-of-literature
#13
Rui-Zhong Yan, Chao Chen, Chu-Ran Lin, Yan-Hui Wei, Zhi-Jian Guo, Ya-Kun Li, Quan Zhang, He-Yi Shen, Hao-Lin Sun
BACKGROUND: While most complications of cervical surgery are reversible, some, such as symptomatic postoperative spinal epidural hematoma (SEH), which generally occurs within 24 h, are associated with increased morbidity and mortality. Delayed neurological dysfunction is diagnosed in cases when symptoms present > 3 d postoperatively. Owing to its rarity, the risk factors for delayed neurological dysfunction are unclear. Consequently, this condition can result in irreversible neurological deficits and serious consequences...
March 6, 2024: World Journal of Clinical Cases
https://read.qxmd.com/read/38523933/septoplasty-and-nasal-packs-from-otolaryngologists-perspectives-a-cross-sectional-survey
#14
JOURNAL ARTICLE
Balqees Alghanem, Nawaf Almotairi, Ahmad Alrasheedi
Introduction Septoplasty is a commonly performed surgery by otolaryngologists. This study examines the routine use of non-absorbable nasal packs in the postoperative period in Kuwait. Our aim is to assess the views of otolaryngologists in Kuwait regarding the routine use of non-absorbable nasal packing after septoplasty with or without turbinoplasty. Materials and methods A cross-sectional study, an anonymous survey, consisting of 10 questions, using Google Forms was conducted. It was distributed via WhatsApp and in person hard copies to otolaryngologists - head and neck surgeons in Kuwait...
February 2024: Curēus
https://read.qxmd.com/read/38523206/post-endovascular-treatment-blood-brain-barrier-disruption-predicts-patient-outcomes-better-than-pre-treatment-status
#15
JOURNAL ARTICLE
Huazheng Zhai, Yao Li, Ruiqi Jia, Jun Cao, Qiang Wei, Weimin Yang, Jingye Wang
OBJECTIVES: Blood-brain barrier (BBB) disruption is an important pathological change after cerebral infarction that exacerbates brain injury. We aimed to investigate and compare the predictive utility of pre-treatment BBB permeability (BBBP) and BBBP within 1 h after endovascular treatment (EVT) for hemorrhagic transformation (HT) and 90-day prognosis. METHODS: Patients underwent preoperative computed tomography perfusion (CTP) and non-contrast CT (NCCT) within 1 h after EVT...
March 25, 2024: Neurological Sciences
https://read.qxmd.com/read/38521937/hemorrhagic-pericardial-tamponade-in-a-hemodialysis-patient-with-catheter-related-superior-vena-cava-syndrome-a-case-report
#16
JOURNAL ARTICLE
Xiaohong Zhao, Kang Wang
BACKGROUND: Iatrogenic complications of endovascular treatment for central venous stenosis have not yet been reported. Here we present a case of a patient on maintenance hemodialysis who developed catheter-related superior vena cava syndrome and subsequently suffered from hemorrhagic pericardial tamponade after undergoing percutaneous transluminal angioplasty and stenting. CASE PRESENTATION: A 72-year-old male patient presented with uremia, and had been receiving maintenance hemodialysis for the past five years...
March 23, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38521347/a-rare-intraocular-foreign-body-resulting-from-a-workplace-accident
#17
Juan Manuel Lopez, María Soledad Pighin, Melisa Picco, Ignasi Jürgens
A 54-year-old man presented to the ophthalmic emergency department of our center with eye pain and blurred vision in his right eye following a workplace accident. Examination revealed a penetrating corneal injury with the presence of an intraocular foreign body (IOFB) involving the corneoscleral limbus, perforating the cornea, iris, anterior lens capsule, and lens. Immediate surgical intervention was carried out with the extraction of the IOFB, identified as an 8 mm mussel shell fragment, and the removal of the resulting traumatic cataract...
March 21, 2024: Archivos de la Sociedad Española de Oftalmología
https://read.qxmd.com/read/38519571/a-novel-conchal-cartilage-harvesting-technique
#18
JOURNAL ARTICLE
Qingqing Li, Zaihong Chen, Zhiyuan Jiang, Junnan Deng, Wei Cui, Zhen Cai, Yang Sheng
BACKGROUND: Conchal cartilage is generally favored in rhinoplasty with a satisfied aesthetic outcome. However, patients may suffer from postoperative donor auricle deformities. OBJECTIVES: This study introduced a novel conchal cartilage harvesting technique which can minimize the deformity of auricle and harvest the sufficient amounts of grafts. METHODS: This study proposed preservation of the concha cymba and cavum support structures to minimize the deformity of auricle and harvest of cartilage hidden in the craniofacial region to obtain the sufficient amounts...
March 22, 2024: Aesthetic Plastic Surgery
https://read.qxmd.com/read/38518284/comprehensive-characterization-of-intracranial-hemorrhage-in-deep-brain-stimulation-a-systematic-review-of-literature-from-1987-to-2023
#19
JOURNAL ARTICLE
Cletus Cheyuo, Artur Vetkas, Can Sarica, Suneil K Kalia, Mojgan Hodaie, Andres M Lozano
OBJECTIVE: Deep brain stimulation (DBS) is an effective treatment for medically refractory movement disorders and other neurological conditions. To comprehensively characterize the prevalence, locations, timing of detection, clinical effects, and risk factors of DBS-related intracranial hemorrhage (ICH), the authors performed a systematic review of the published literature. METHODS: PubMed, EMBASE, and Web of Science were searched using 2 concepts: cerebral hemorrhage and brain stimulation, with filters for English, human studies, and publication dates 1980-2023...
March 22, 2024: Journal of Neurosurgery
https://read.qxmd.com/read/38518140/observation-on-efficacy-of-selective-malposition-ligation-combined-with-hemorrhoid-and-fistula-i-in-complex-mixed-hemorrhoid
#20
JOURNAL ARTICLE
Zhiyu Zhu, Ye Lin
OBJECTIVE: The efficacy of selective malposition ligation combined with hemorrhoid and fistula I prescription and the improvement of complications were assessed to improve surgical efficiency and safety. METHODS: 423 patients undergoing complex mixed hemorrhoid surgery at different time points were included as research objects and enrolled into group A (malposition ligation), group B (selective malposition ligation), and group C (selective malposition ligation and hemorrhoid and fistula I), each with 141 cases...
March 22, 2024: Alternative Therapies in Health and Medicine
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