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congenial surgery

Zhi-Qin Lin, Qiang Chen, Hua Cao, Liang-Wan Chen, Gui-Can Zhang, Dao-Zhong Chen, Qin-Min Wang, Han-Fan Qiu, Dong-Shan Liao, Feng Lin
BACKGROUND To summarize our clinical experience in performing transthoracic balloon pulmonary valvuloplasty for the treatment of patients suffering from congenial pulmonary atresia with intact ventricular septum (PA/IVS). MATERIAL AND METHODS Between April 2009 and April 2016, 38 patients with PA/IVS underwent transthoracic balloon pulmonary valvuloplasty in our hospital. All of them were combined with patent ductus arteriosus, tricuspid insufficiency, and atrial septal defect or patent foramen ovale. The valvuloplasty was performed from the right ventricular outflow tract through a median sternotomy incision under TEE guidance for all cases...
October 11, 2017: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
Holly Wei, Cecelia I Roscigno, Kristen M Swanson
BACKGROUND: Parents of children with congenial heart disease (CHD) face frequent healthcare encounters due to their child's care trajectory. With an emphasis on assuring caring in healthcare, it is necessary to understand parents' perceptions of healthcare providers' actions when their child undergoes heart surgery. OBJECTIVES: To describe parents' perceptions of healthcare providers' actions when their child is diagnosed with CHD and undergoes heart surgery. METHODS: This is a qualitative study with in-depth interviews...
May 2017: Heart & Lung: the Journal of Critical Care
Ze-Bang Lin, Hong-Bo Ci, Yan Li, Tian-Pu Cheng, Dong-Hong Liu, Yan-Sheng Wang, Jun Xu, Hao-Xiang Yuan, Hua-Ming Li, Jing Chen, Li Zhou, Zhi-Ping Wang, Xi Zhang, Zhi-Jun Ou, Jing-Song Ou
BACKGROUND: We previously demonstrated that endothelial microparticles (EMPs) are increased in mitral valve diseases and impair valvular endothelial cell function. Perioperative systemic inflammation is an important risk factor and complication of cardiac surgery. In this study, we investigate whether EMPs increase in congenital heart diseases to promote inflammation and endothelial dysfunction. METHODS: The level of plasma EMPs in 20 patients with atrial septal defect (ASD), 23 patients with ventricular septal defect (VSD), and 30 healthy subjects were analyzed by flow cytometry...
January 4, 2017: Journal of Translational Medicine
Xin-Jie Bao, Xue-Yuan Li, Qi-Pu Wang, Xin-Yu Ren, Zhi-Yong Liang, Wen-Bin Ma, Ren-Zhi Wang, Jun-Ji Wei
BACKGROUND: Endodermal cysts (EC) are rare but well-known congenial lesions of the central nervous system mainly located in the spinal subdural space. Intracranial ECs are rare and commonly encountered in the posterior cranial fossa as extra-axial lesions; an intraparenchymal location is exceedingly rare. A complete removal is the best surgical strategy and any residue can cause recurrence. It is necessary to exclude EC in patients with intracranial cystic lesions. We present a case of intraparenchymal EC with spontaneous intracystic hemorrhage in the temporal lobe of an adult...
November 2016: Medicine (Baltimore)
Grant Morris, Alfred Kennedy, William Cochran
The small intestine is a complex organ system that is vital to the life of the individual. There are a number of congenital anomalies that occur and present most commonly in infancy; however, some may not present until adulthood. Most congenital anomalies of the small intestine will present with obstructive symptoms while some may present with vomiting, abdominal pain, and/or gastrointestinal bleeding. Various radiologic procedures can aid in the diagnosis of these lesions that vary depending on the particular anomaly...
April 2016: Current Gastroenterology Reports
Ramesh Teegala
Intracranial dermoid cysts commonly present as a discharging sinus, local swelling, mass lesion, or abscess formation. These can sometimes be found in association with congenital anomalies. The author presents two original cases of infected posterior fossa dermoid associated with congenital heart diseases (CHDs) that is very rare. The embryologic basis for this unique occurrence is reviewed, and a new hypothesis proposed. Two infants with CHD presented with infected midline posterior fossa dermoid. Excision of the dermoid cyst with the sinus tract was performed...
July 2015: Journal of Pediatric Neurosciences
Man Mohan Harjai
Although sliding indirect inguinal hernias containing the ipsilateral ovary and fallopian tube are not uncommon in infant girls, sliding hernias containing uterus with both ovaries and fallopian tubes are extremely rare. At surgery, a 5-month-old infant girl was found to have an indirect hernia in which the uterus and fallopian tubes were sliding components with a wide deep inguinal ring.
October 2014: Journal of Indian Association of Pediatric Surgeons
F Corsi, L Sorrentino, D Bossi, A Sartani, D Foschi
Breast-conserving surgery (BCS) is the treatment of choice for early breast cancer. The adequacy of surgical margins (SM) is a crucial issue for adjusting the volume of excision and for avoiding local recurrences, although the precise definition of an adequate margins width remains controversial. Moreover, other factors such as the biological behaviour of the tumor and subsequent proper systemic therapies may influence the local recurrence rate (LRR). However, a successful BCS requires preoperative localization techniques or margin assessment techniques...
2013: International Journal of Surgical Oncology
Douglas A Husmann
INTRODUCTION: To review the incidence and risks of bladder cancer following gastrointestinal augmentations done for congenial anomalies in childhood. MATERIALS AND METHODS: A literature search using PubMed and Ovid Medline search engines was performed. MeSH terms evaluated were; bladder augmentations, enterocystoplasty, gastrocystoplasty, spina bifida, spinal dysraphism, myelodysplasia, neural tube defects, posterior urethral valves and bladder exstrophy were cross referenced with the terms, bladder cancer and urinary bladder neoplasm...
April 2009: Therapeutic Advances in Urology
Snehlata Oberoi, Pawandeep Gill, Radhika Chigurupati, William Y Hoffman, David C Hatcher, Karin Vargervik
OBJECTIVE: To evaluate the eruption path of the permanent maxillary canine during a 1-year period after secondary alveolar bone grafting and to (1) compare the canine eruption path on the cleft and noncleft side, (2) examine the number of congenially missing lateral incisors and the rate of canine impaction, and (3) examine the relationship between the eruption status of the canine and timing of alveolar bone grafting relative to age and canine root development using cone beam computed tomography (CBCT)...
September 2010: Cleft Palate-craniofacial Journal
Stanley E Thawley
Otolaryngology and ophthalmology have a long and congenial professional relationship in the development of their mutual specialties over many years. In the early years they were one professional society, but later split into their separate specialties. Some problems involve both specialties because of the shared common anatomic areas. These problems include: orbital complications of sinusitis, management of exopthalmus, silent sinus syndrome, lacrimal apparatus problems, tumor and trauma problems, optic nerve decompression, and complications of endoscopic sinus surgery...
October 2006: Otolaryngologic Clinics of North America
Jiansen Gu, Hong Yu, Xiaotian Zhao, Tan Changqing
OBJECTIVE: To discuss the diagnosis and the therapy methods of congenital temporal bone cholesteatoma. METHOD: Reviewing and analyzing the clinical data and information about 16 cases of congenital temporal bone patients from 1980 to 2002. RESULT: The surgery were proceeded for removing cholesteatoma focus in all patients and the diagnosing were made by histopathologic investigation. Following for half to three years, 6 cases of facial nerve paralysis got partially or totally healing, hearing function improved in 5 cases, 2 cases relapsed and operation were made again for resecting, recrudescent cholesteatoma...
April 2004: Lin Chuang Er Bi Yan Hou Ke za Zhi, Journal of Clinical Otorhinolaryngology
M A Muthusethupathi, S Rajendran, M Jayakumar, R Vijayakumar
In a state-funded, live related-donor kidney transplantation programme, 616 eligible end stage renal failure (ESRF) patients were seen over a four-year period. 73% of them had potential related donors, 64% of whom were willing to donate. Fear of surgery, non-congenial pre-morbid relationships and discouragement by family members were the most common reasons for unwillingness to donate. After investigations, 76% of the willing donors were found to be fit. ABO incompatibility, lymphocyte cross-match positivity and anatomic abnormalities were the most common grounds for non-acceptance...
June 1998: Journal of the Association of Physicians of India
R Saetti, E Emanuelli, C Cutrone, U Barion, A Rimini, F Giusti, F Derosas, S Narne, A Staffieri
Choanal atresia occurs in approximately 1 out of every 8000 live births. In about 60% of these cases it is unilateral and is often associated with other major craniofacial anomalies or visceral malformations such as the so-called CHARGE syndrome (i.e. Choloboma, Heart defects, choanal Atresia, Retarded growth and development, Genital anomaly, and Ear defect with deafness) first described by Pagon in 1981. In newborns the clinical manifestations of choanal atresia consist of respiratory distress strictly related to the entity of nasal obstruction...
October 1998: Acta Otorhinolaryngologica Italica
M G Alpigiani, G Franzone, M G Puleo, A Carpi, A Iester
We report one case of WS, who came at our first observation at age of eight for mental retardation and congenial cardiopathy of unknown origin. Echocardiography and Doppler examination showed immediately isthmic aortic stenosis, and therefore aortic plastic surgery was performed, with a good post-operative result. The case aroused the interest of the Authors, owing to the late diagnosis of aortic coarctation, which, however, did not produce hemodynamic alteration.
January 1994: La Pediatria Medica e Chirurgica: Medical and Surgical Pediatrics
E Pisani, E Austoni, A Trinchieri, A Ceresoli, F Mantovani, F Colombo, G Mastromarino, D Vecchio, L Canclini, O Fenice
The Authors try to show the possibility to combine radical excision with minimal invasiveness in the surgery of penile cancer. The focal point of every therapeutic decision is correct clinical staging. Unfortunately there's some confusion in the two international staging systems (TNM and Jackson's classification). In fact it's not clear the anatomical difference between epithelioma of the glans infiltrating corpus spongiosum and subcoronary epithelioma of the shaft infiltrating the corpora cavernosa. It's obvious that the infiltration of the corpora cavernosa is a far more aggressive oncological manifestation than that of tumour infiltrating the corpus spongiosum...
February 1994: Archivio Italiano di Urologia, Andrologia
H Doi, I Toyoda, K Matsumoto, S Imai, M Sekimizu
A 32-year-old female presented with a history of intermittent, severe lower back pain, exacerbated by pregnancy and persisting for several years. Magnetic resonance (MR) imaging showed a sacral mass as a low signal intensity area on the T1-weighted image and a high signal intensity area on the T2-weighted image, consistent with a cystic structure containing cerebrospinal fluid. A tethered cord attached to the thecal sac was also confirmed. Sacral laminectomy revealed thinned sacral vertebral laminae, but no neuronal elements existed within the cyst...
May 1995: Neurologia Medico-chirurgica
E Wolner
The reputation of surgery is not only based on manual skill, though in the light of history the surgeon belonged rather to craft-gilds than to hippocratism. Not until the evolution of the whole medical science a new status of the surgeon was created. Today in a high degree he is a devoted servant to science, despite the priority of manual skill. An artist is praised for his brilliant abilities to manage problems by intuition, to improvise successfully, thus the surgeon can be designated as of congenial spirits...
March 19, 1982: Wiener Klinische Wochenschrift
M Varesi
After considering the physiopathology of senescence, the Author, on the basis of his own experience, describes two anaesthesiologic modalities, congenial to the geriatric surgery: general anaesthesia by microdoses and peripherical anaesthesia, yet preferring the latter in the operative areas pertaining hereto.
December 1982: Chirurgia Italiana
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