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https://www.readbyqxmd.com/read/28760131/atypical-injury-of-radial-nerve-after-humeral-shaft-fracture
#1
Murat Yeşil, Özal Özcan, Ömer Ali Kaya, Sadık Emre Erginoğlu
As general opinion, conservative treatment is usually suggested for closed humeral shaft fractures with radial nerve palsy; however, some authors advocate early surgical exploration, particularly for spiral fractures of the humerus accompanied with radial nerve palsy. In this article, we present a case of radial nerve palsy after fracture of the proximal-middle third of humeral shaft. A surgical exploration of the nerve revealed that the sharp tip of the bony fragment at fracture site was penetrated into the nerve and separated the nerve as two bands, almost like a ″buttonhole″ injury...
August 2017: Eklem Hastalıkları Ve Cerrahisi, Joint Diseases & related Surgery
https://www.readbyqxmd.com/read/28579291/successful-use-of-partial-aneurysmectomy-and-repair-approach-for-managing-complications-of-arteriovenous-fistulas-and-grafts
#2
COMPARATIVE STUDY
Shouwen Wang, Michele S Wang
OBJECTIVE: Arteriovenous fistulas and grafts may often be associated with localized complications related to aneurysms/pseudoaneurysms, buttonholes, or structural defects that require proper management to ensure continued access functionality for hemodialysis. Partial aneurysmectomy and repair (PAR) is a targeted surgical approach specifically designed for managing these complications. The basic concepts of PAR include resecting unhealthy or excessive tissue over an access, reconstructing the vascular access lumen using in situ vascular wall or tissue when possible, and closing overlying skin with healthy margins to promote reliable healing...
August 2017: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/28489723/femtosecond-laser-assisted-pterygium-surgery
#3
Matthias Fuest, Yu-Chi Liu, Minas T Coroneo, Jodhbir S Mehta
PURPOSE: Pterygium is a prevalent ocular surface disorder. Conjunctival autografting (CAG) after pterygium resection is the gold standard treatment. Thinner CAGs without Tenon tissue provide better results but are technically difficult to achieve. We report on the first femtosecond laser (FSL)-assisted pterygium surgery (FLAPS) in humans. METHODS: In a clinical trial, we treated 6 eyes of 5 patients with FLAPS. After manual removal of the pterygium, CAGs were dissected with the Ziemer Z8 at 60-μm depth and glued into the resection defect...
July 2017: Cornea
https://www.readbyqxmd.com/read/28471290/is-the-transposition-of-the-nipple-areolar-complex-necessary-in-simon-grade-2b-gynecomastia-operations-using-suction-assisted-liposuction
#4
Burhan Özalp, Ömer Berköz, Mustafa Aydınol
OBJECTIVE: The aim of this study was to assess the efficacy of suction-assisted liposuction (SAL) in Simon grade 2b gynecomastia and its effect on sternal notch to nipple areola (SNN) distance. METHODS: A retrospective analysis was performed on 21 patients with grade 2b gynecomastia who underwent SAL. Preoperative and postoperative SNN distances of the patients were measured, the results were analysed using a Mann-Whitney U test and a p-value <.05 was accepted as statistically significant...
May 4, 2017: Journal of Plastic Surgery and Hand Surgery
https://www.readbyqxmd.com/read/28434704/establishment-of-buttonhole-technique-as-a-puncture-alternative-for-arteriovenous-f%C3%A3-stulas-experience-of-a-centre-over-3years
#5
Laura Baena, José L Merino, Blanca Bueno, Beatriz Martín, Verónica Sánchez, Luca Caserta, Beatriz Espejo, Patricia Domínguez, Alicia Gómez, Vicente Paraíso
INTRODUCTION: The buttonhole (BH) puncture technique for arteriovenous fistulas is an alternative to the classical staggered puncture. PURPOSE: We present 3years' results incorporating the BH puncture technique for arteriovenous fistulas in our dialysis unit. MATERIAL AND METHODS: Twenty-two patients were started on BH technique, 15 men and 7 women (mean age: 62 years; SD: 12), with time spent on dialysis when starting the BH technique of 34 months (SD: 34, median: 27, range: 3-136)...
March 2017: Nefrología: Publicación Oficial de la Sociedad Española Nefrologia
https://www.readbyqxmd.com/read/28039347/irreducible-posterolateral-elbow-dislocation-a-rare-injury
#6
REVIEW
Christopher Fenelon, Muhammed M Zafar, Gerard Anthony Sheridan, Stephen Kearns
Posterolateral dislocation of the elbow is an injury commonly treated in the emergency department by closed reduction. Very rarely it can be irreducible and require open reduction. Only four cases of irreducible posterolateral elbow dislocation have been described in the literature over the past 50 years. We report the case of a 20-year-old man who sustained such an injury. Open reduction was performed and revealed the radial head protruding or 'buttonholing' through the lateral collateral ligament complex...
December 30, 2016: BMJ Case Reports
https://www.readbyqxmd.com/read/28007112/short-term-complications-of-femtosecond-laser-assisted-laser-in-situ-keratomileusis-cuts-review-of-1210-consecutive-cases
#7
Thomas Kohnen, Luisa Schwarz, Matthias Remy, Mehdi Shajari
PURPOSE: To evaluate short-term complications after femtosecond laser cuts for laser in situ keratomileusis (LASIK). SETTING: Department of Ophthalmology, Goethe University, Frankfurt, Germany. DESIGN: Retrospective consecutive case series. METHODS: Consecutive femtosecond laser cuts (1210 cuts in 624 patients) from LASIK performed with the Intralase FS60 between 2006 and 2014 were analyzed. The analysis looked at intraoperative and postoperative complications at 1 day, 1 week, and 1 month and factors with potential impact on the complication rate, such as ablation depth...
December 2016: Journal of Cataract and Refractive Surgery
https://www.readbyqxmd.com/read/27919798/femtosecond-laser-assisted-conjunctival-autograft-preparation-for-pterygium-surgery
#8
REVIEW
Matthias Fuest, Yu-Chi Liu, Gary Hin-Fai Yam, Ericia Pei Wen Teo, Hla Myint Htoon, Minas T Coroneo, Jodhbir S Mehta
PURPOSE: Pterygium is a common ocular surface disorder. Conjunctival autografting (CAG) following pterygium resection is the gold standard treatment. CAGs without Tenon's tissue provide better results but are more technically difficult to achieve. In this study, we evaluated the feasibility and reproducibility of femtosecond laser (FSL)-assisted CAG preparation. METHODS: Fifteen porcine globes were fixed in a suction holder and CAGs of different diameters were created by 1) an experienced consultant and 2) a less experienced fellow using the Ziemer LDV Z8...
December 2, 2016: Ocular Surface
https://www.readbyqxmd.com/read/27876356/-low-flux-dialysate-daily-home-hemodialysis-a-result-for-the-62%C3%A2-first-french-and-belgian-patients
#9
Anaïs Benabed, Patrick Henri, Thierry Lobbedez, Eric Goffin, Simona Baluta, Abdelkader Benziane, Ahmed Rachi, Johan W van der Pijl, Clémence Bechade, Maxence Ficheux
Since 2011, a new device is available for low flux dialysate quotidian home hemodialysis in France and Belgium. This study aims to evaluate the characteristics and dialysis prescriptions for Nx Stage System One™ users. We retrospectively included patients trained between 2011 and 2013 in France and Belgium. We collected data concerning their clinical features, their dialysis prescriptions, their laboratory parameters until 6 months of dialysis and, reason for dropping in case of cessation. Sixty-two patients from 31 centers, aged 48±18 years old, with a sex ratio 46/16 (M/F) are included with a median Charlson comorbidity index of 1 [0-3]...
November 18, 2016: Néphrologie & Thérapeutique
https://www.readbyqxmd.com/read/27803775/plexiform-angiomyxoid-myofibroblastic-tumor-of-stomach-a-rare-case
#10
Laimas Jonaitis, Mindaugas Kiudelis, Paulius Slepavicius, Lina Poskienė, Limas Kupcinskas
Plexiform angiomyxoid myofibroblastic tumor (PAMT) is a rare benign mesenchymal tumor of stomach. Rarity of this kind of tumors and scarce review articles may cause underrecognition of this entity and pose a real diagnostic challenge to gastroenterologists, pathologists and surgeons when encountering such patients and differentiating PAMT from other gastric intramural tumors. We report a case of 28-year-old woman, who presented with epigastric pain after meals, iron-deficiency anaemia and weight loss. Upper gastrointestinal endoscopy revealed submucosal tumor-like elevated lesion in the anterior wall of the antrum with intact overlying mucosa...
October 16, 2016: World Journal of Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/27781373/home-hemodialysis-associated-infection-the-achilles-heel-of-intensive-hemodialysis
#11
REVIEW
Clara K Poon, Christopher T Chan
Home hemodialysis (HHD) is emerging as an important alternate renal replacement therapy. Although there are multiple clinical advantages with HHD, concerns surrounding increased risks of infection in this group of patients remain a major barrier to its implementation. In contrast to conventional hemodialysis, infection related complication represents the major morbidity in this mode of renal replacement therapy. Vascular access related infection is an important cause of infection in this population. Use of central vein catheters and buttonhole cannulation in HHD are important modifiable risk factors for HHD associated infection...
April 2017: Hemodialysis International
https://www.readbyqxmd.com/read/27772644/intensive-hemodialysis-and-potential-risks-with-increasing%C3%A2-treatment
#12
REVIEW
Michael A Kraus, Sheru Kansal, Michael Copland, Paul Komenda, Eric D Weinhandl, George L Bakris, Christopher T Chan, Richard J Fluck, John M Burkart
Although intensive hemodialysis (HD) can address important clinical problems, increasing treatment also introduces risks. In this review, we assess risks pertaining to 6 domains: vascular access complications, infection, mortality, loss of residual kidney function, solute balance, and patient and care partner burden. In the Frequent Hemodialysis Network (FHN) trials, short daily and nocturnal schedules increased the incidence of access complications, although the incidence of access loss was not statistically higher...
November 2016: American Journal of Kidney Diseases: the Official Journal of the National Kidney Foundation
https://www.readbyqxmd.com/read/27768208/subscapular-abscess-associated-with-buttonhole-cannulation-technique-of-arteriovenous-fistula-for-hemodialysis-access
#13
Abhilash Koratala, Kawther F Alquadan, Volodymyr Chornyy, Irfan Qadri, Abutaleb Ahsan Ejaz
No abstract text is available yet for this article.
October 15, 2016: Journal of Vascular Access
https://www.readbyqxmd.com/read/27678339/buttonhole-cannulation-of-the-av-fistula-a-critical-analysis-of-the-technique
#14
REVIEW
Pierpaolo Di Nicolò, Marina Cornacchiari, Marco Mereghetti, Anna Mudoni
As a consequence of the central role of the arteriovenous fistula for dialysis (AVF) in the clinical management of the dialysis patient the necessity to limit the puncture-related complications to extend as much as possible the life of the vascular access. Accordingly, the AVF needling technique has gained growing attention. Alongside the traditional rope ladder (RL) puncture method, the buttonhole technique (BH) is increasingly popular; this technique employs the same cannulation sites of AVF in every dialysis associated with the use of dull needles to minimize vessels damage...
January 2017: Seminars in Dialysis
https://www.readbyqxmd.com/read/27648375/a-pink-papule-on-the-back-of-an-82-year-old-man-an-example-of-the-buttonhole-sign-on-reflectance-confocal-microscopy
#15
Syril Keena T Que, Naiara Fraga-Braghiroli, Jane M Grant-Kels, Harold S Rabinovitz, Margaret Oliviero, Alon Scope
No abstract text is available yet for this article.
July 2016: Dermatology Practical & Conceptual
https://www.readbyqxmd.com/read/27621782/intraoperative-flap-complications-in-lasik-surgery-performed-by-ophthalmology-residents
#16
Lorena Romero-Diaz-de-Leon, Juan Carlos Serna-Ojeda, Alejandro Navas, Enrique O Graue-Hernández, Arturo Ramirez-Miranda
PURPOSE: To report the rate of flap-related complications in LASIK surgery performed by in-training ophthalmology residents and to analyze the risk factors for these complications. METHODS: We analyzed 273 flap dissections in 145 patients from March 2013 to February 2014. We included all LASIK surgeries performed by 32 ophthalmology residents using a Moria M2 microkeratome. All the flap-related complications were noted. Comparison between both groups with and without complications was performed with an independent Student's t-test and relative risks were calculated...
July 2016: Journal of Ophthalmic & Vision Research
https://www.readbyqxmd.com/read/27502623/radial-head-button-holing-a-cause-of-irreducible-anterior-radial-head-dislocation
#17
Su-Mi Shin, Jee Won Chai, Ja Yeon You, Jina Park, Kee Jeong Bae
"Buttonholing" of the radial head through the anterior joint capsule is a known cause of irreducible anterior radial head dislocation associated with Monteggia injuries in pediatric patients. To the best of our knowledge, no report has described an injury consisting of buttonholing of the radial head through the annular ligament and a simultaneous radial head fracture in an adolescent. In the present case, the radiographic findings were a radial head fracture with anterior dislocation and lack of the anterior fat pad sign...
October 2016: Skeletal Radiology
https://www.readbyqxmd.com/read/27132491/large-pterygium-surgery-when-coverage-of-the-scleral-bed-justifies-graft-rotation
#18
A Gargallo-Benedicto, D Hernández Pérez, Á Olate-Pérez, E Betancur-Delgado, M Cerdà-Ibáñez, A Duch-Samper
OBJECTIVE: To perform a 12 month follow-up study to assess the safety and effectiveness of resection and conjunctival autograft fixed with Tissucol® in selected cases of large pterygium. The orientation of the graft was adapted to the morphology of the scleral bed for a better coverage free of traction, with limbal position being lost. METHODS: A prospective, non-comparative study of 10 cases of grade II or superior pterygium (7 primary, 3 recurrent) with at least 8mm of limbal extension...
October 2016: Archivos de la Sociedad Española de Oftalmología
https://www.readbyqxmd.com/read/26994295/con-buttonhole-cannulation-of-arteriovenous-fistulae
#19
REVIEW
Annie-Claire Nadeau-Fredette, David W Johnson
Successful cannulation of arteriovenous fistulas (AVFs) using a safe and effective technique that minimizes patient harm is a crucial aspect of haemodialysis treatment. Although the current standard of care for many years has been the rope-ladder technique (using sharp needles to cannulate rotating sites across the entire AVF), a number of enthusiasts have recently advocated for the alternative method of buttonhole cannulation (using blunt needles to repeatedly cannulate the same site via a healed track) on the basis of putative, as yet unproven benefits...
April 2016: Nephrology, Dialysis, Transplantation
https://www.readbyqxmd.com/read/26994294/moderator-s-view-buttonhole-cannulation-of-arteriovenous-fistulae-great-caution-is-warranted
#20
Laura Labriola, Michel Jadoul
Potential advantages of buttonhole (BH) cannulation over the standard rope-ladder technique have been claimed on the basis of small sized, potentially biased observational studies with a relatively short follow-up. On the contrary, randomized controlled trials (RCTs) show inconclusive or conflicting results. The uncertain benefit must thus be weighed against a definite increase in the infectious risk with the BH technique, which may not be completely abolished by preventative strategies. Awaiting the results of long-term studies (>2-3 years follow-up), the widespread use of the BH technique is not warranted, especially in busy in-centre haemodialysis (HD) settings with many rotating nurses...
April 2016: Nephrology, Dialysis, Transplantation
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