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Puncture Wound

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https://www.readbyqxmd.com/read/29731409/penetrating-anorectal-injury-caused-by-a-wild-boar-attack-a-case-report
#1
Ichiro Okano, Yuki Midorikawa, Nobumasa Kushima, Yui Watanabe, Takuya Sugiyama, Katsutaka Mitachi, Kazuaki Shinohara, Takatoshi Sawada, Katsunori Inagaki
Wild boar attacks have rarely been reported in the medical literature. This is the case of an 83-year-old male farmer who was assaulted from behind by an injured adult wild boar. He presented with hemorrhagic shock after sustaining injuries to the right profunda femoris artery and right sciatic nerve as well as significant soft-tissue injuries, bilateral iliac wing fractures, an open pneumothorax, and an anorectal injury. The anorectal injury was treated with fecal diversion but was complicated by soft-tissue infection in the surrounding dead space...
May 3, 2018: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/29718845/secondary-pregnancy-by-an-implant-in-a-laparoscopic-trocar-site-a-case-report
#2
Zhihua Ma, Lanbo Zhao, Na Xu, Chao Sun, Qi Wang, Yueling Wang, Qiling Li, Qinrui Lu
RATIONALE: For nearly 20 years, laparoscopy has been generally regarded as the gold standard for the surgical treatment of ectopic pregnancy and its application is very widespread. According to our knowledge, secondary pregnancy at the laparoscopic trocar site has not yet been reported until now. PATIENT CONCERNS: A 24-year-old Chinese female patient is reported herein. Her left fallopian tube was removed via laparoscopy due to a first ectopic pregnancy. Her postoperative blood β-human chorionic gonadotropin (β-hCG) was increasing with irregular vaginal bleeding...
May 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29706741/surgical-treatment-of-a-catfish-spine-puncture-wound-in-the-hand
#3
Ji H Son, Christina Pindar, Hooman Soltanian
No abstract text is available yet for this article.
April 2018: Journal of Hand and Microsurgery
https://www.readbyqxmd.com/read/29667629/-the-characteristic-of-the-injuries-inflicted-by-a-zelinka-speargun-shot
#4
N M Krupnov, A L Shkutenko, A V Fedotov, A V Sashin
The available literature reports only rare cases of injuries inflicted by the speargun shots. The last publication of this sort of which we are aware dates back to 1960. This article describes an example from the expert practice concerning the accident involving a wound caused by the speargun shot to a member of an amateur fishing party. The authors examined the weapon of injury (a 'Zelinka' speargun), the harpoon, its head, and fragments of the skin with the traces of the punctured wound obtained from the corpse of the victim...
2018: Sudebno-meditsinskaia Ekspertiza
https://www.readbyqxmd.com/read/29625901/megalopyge-opercularis-caterpillar-stings-reported-to-texas-poison-centers
#5
Mathias B Forrester
INTRODUCTION: The Megalopyge opercularis caterpillar is covered with spines that break off and release venom on contact, resulting in severe pain, erythema, rash, and other adverse effects. In Texas, these caterpillars are abundant and of potential health threat. This study describes M opercularis caterpillar stings reported to Texas poison centers. METHODS: Cases were M opercularis caterpillar stings reported to Texas poison centers during 2000-2016. The distribution of stings was determined related to exposure circumstances and management...
April 3, 2018: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/29609277/-analysis-of-distribution-and-drug-resistance-of-pathogens-of-burn-patients-during-9-years
#6
Y Dou, Q Zhang
Objective: To investigate distribution and drug resistance of pathogens of burn patients. Methods: A total of 3 357 strains were cultured and isolated from 25 286 specimens of wounds excretion, deep venous catheters, venous blood, stool, mid-stream urine, sputum, puncture fluid, and throat swab of 11 510 burn patients hospitalized in our burn wards from January 2007 to December 2015. After being identified by API bacteria identification panels and automatically bacteria identification equipment, drug-resistances of Staphylococcus aureus, Pseudomonas aeruginosa, Acinetobacter baumannii, and Klebsiella pneumoniae to 28 common antibiotics were tested by drug sensitivity test with K-B paper disk diffusion method...
March 20, 2018: Zhonghua Shao Shang za Zhi, Zhonghua Shaoshang Zazhi, Chinese Journal of Burns
https://www.readbyqxmd.com/read/29571810/the-unusual-presence-of-gas-from-a-puncture-wound-a-case-report
#7
Eric J Roberts, John A Martucci, Daniel Wu
The presence of gas within soft tissues as suggested by plain film radiographs and magnetic resonance imaging is usually sufficient evidence for a gas-producing bacterial infection. A thorough clinical examination and history and tissue culture are necessary to better determine the source of the gas. However, despite the unremarkable physical examination findings, the present case of a plantar puncture wound rapidly developed gas in the tissues and warranted surgical exploration and repair. Delaying treatment in any case of potential gas gangrene can be limb- and life-threatening...
March 21, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29557158/minimization-of-skin-incisions-at-stripping-by-mayo-of-large-diameter-veins
#8
Yu Tsukanov
BACKGROUND: To study the possibility of minimization of the skin incisions up to a puncture size at stripping by Mayo with the use of the stripper with an oval-ring head for large-diameter veins. METHODS: The problem is solved due to the geometrical changing of the stripper head from a round to an oval one. The laboratory experiment showed that with a vein diameter of 10-20 mm the total cross-sectional area of its walls constituted 13.61 mm2, with a diameter of more than 20 mm it was 19...
March 15, 2018: International Angiology: a Journal of the International Union of Angiology
https://www.readbyqxmd.com/read/29529630/can-aortic-balloon-occlusion-reduce-blood-loss-during-resection-of-sacral-tumors-that-extend-into-the-lower-lumber-spine
#9
Yidan Zhang, Wei Guo, Xiaodong Tang, Rongli Yang, Taiqiang Yan, Sen Dong, Shidong Wang, Nikolas Zaphiros
BACKGROUND: Although aortic balloon occlusion has been shown to reduce blood loss during sacral tumor resections, it has not been validated in larger sacral tumors involving the lower lumbar spine. If such an approach were shown to be associated with less blood loss, it might aid the tumor surgeon in resecting these difficult tumors. QUESTIONS/PURPOSES: (1) Is the use of aortic balloon occlusion associated with reduced blood loss in sacral tumor resections when the lower lumbar spine is also involved? (2) Does the use of the aortic balloon prolong total operating time? (3) What complications are associated with the use of a balloon? METHODS: We retrospectively studied all 56 patients diagnosed with sacral tumors involving the lower lumbar spine (L4, L5) who were treated surgically between 2004 and 2015 at our institute...
March 2018: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/29526262/a-comparison-of-penetration-and-damage-caused-by-different-types-of-arrowheads-on-loose-and-tight-fit-clothing
#10
Nichole MacPhee, Anne Savage, Nikolas Noton, Eilidh Beattie, Louise Milne, Joanna Fraser
Bows and arrows are used more for recreation, sport and hunting in the Western world and tend not to be as popular a weapon as firearms or knives. Yet there are still injuries and fatalities caused by these low-velocity weapons due to their availability to the public and that a licence is not required to own them. This study aimed to highlight the penetration capabilities of aluminium arrows into soft tissue and bones in the presence of clothing. Further from that, how the type and fit of clothing as well as arrowhead type contribute to penetration capacity...
March 2018: Science & Justice: Journal of the Forensic Science Society
https://www.readbyqxmd.com/read/29487867/reduction-of-pulmonary-air-leaks-with-a-combination-of-polyglycolic-acid-sheet-and-alginate-gel-in-rats
#11
Mari Matoba, Toshitaka Takagi, Hiroyuki Tsujimoto, Yuki Ozamoto, Jo Ueda, Akeo Hagiwara
Postoperative air leaks remain a major cause of morbidity after lung resection. This study evaluated the effect of a combination of polyglycolic acid (PGA) sheet and alginate gel on pulmonary air leaks in rats. Four pulmonary sealing materials were evaluated in lung injury: fibrin glue, combination of PGA sheet and fibrin glue, alginate gel, and combination of PGA sheet and alginate gel. With the airway pressure maintained at 20 cmH2 O, a 2 mm deep puncture wound was created on the lung surface using a needle...
2018: BioMed Research International
https://www.readbyqxmd.com/read/29481925/arterial-injury-in-the-upper-limb-resulting-from-dog-bite
#12
Oliver Vincent Cawley, Anna S Walsh, Imran Asghar, Hans U Desmarowitz, George A Antoniou
Dog bites in the upper limbs have particular significance, because despite the small size of the puncture wounds, penetration is deep, causing serious injuries to deeper structures. There is currently very little data relating to upper extremity dog bite arterial injury. We present the case of a 32-year-old man who sustained a dog bite injury to his right arm, leading to direct puncture and spasm of the brachial artery. He was successfully treated with a jump bypass graft to the right brachial artery, with the use of the reversed ipsilateral cephalic vein as a conduit...
May 2018: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/29405194/-the-significance-of-student-competitions-for-the-development-of-motivation-for-education-and-the-acquisition-of-professional-competences-in-the-students-the-department-of-forensic-medical-expertise-of-the-sechenovsky-university
#13
Yu I Pigolkin, Yu V Lomakin, E N Leonova
Russia joined the Bologna process in 2003 and since that time has become integrated into the unified European educational space. The key element of the new form of the higher education process is the self-guided unsupervised work of the students. Motivation is needed to promote the involvement of the students in the educational process which implies the necessity of the goal-oriented initiative for the acquisition of professional knowledge and practical experience in the field of forensic medicine. To achieve this goal, the Department of Forensic Medicine of I...
2018: Sudebno-meditsinskaia Ekspertiza
https://www.readbyqxmd.com/read/29371050/laparoscopic-transabdominal-preperitoneal-approach-for-giant-inguinal-hernias
#14
Ryosuke Fujinaka, Takeshi Urade, Eiji Fukuoka, Koichi Murata, Yasuhiko Mii, Hidehiro Sawa, Mariko Man-I, Shigeteru Oka, Yoshiteru Iwatani, Daisuke Kuroda
BACKGROUND: Many surgical techniques have been developed to treat inguinal hernia. In recent years, the laparoscopic transabdominal preperitoneal (TAPP) approach has been widely performed to repair inguinal hernia. Giant inguinal hernia (GIH) is an extremely rare disease that is a challenge for general surgeons. GIH appears when patients neglect the treatment for many years and it is defined as an inguinal hernia that extends below the midpoint of inner thigh in standing position. According to previous publications, the Lichtenstein tension-free hernioplasty is recommended to repair GIH...
January 20, 2018: Asian Journal of Surgery
https://www.readbyqxmd.com/read/29325429/a-novel-method-for-repositioning-suboptimally-preoperatively-placed-nephrostomy-tubes-for-percutaneous-nephrolithotomy-without-renal-repuncture
#15
Yazeed Barghouthy, Vasileios Kourmpetis, Snir Dekalo, Yuval Bar-Yosef, Simon Conti, Alexander Greenstein, Mario Sofer
OBJECTIVE: Nephrostomy tubes (NTs) inserted in emergency settings by interventional radiologists are frequently unsuitable for subsequent percutaneous nephrolithotomy (PCNL). We report a novel method of adjusting these NTs to be used as PCNL tracts and avoid renal repuncture. PATIENTS AND METHODS: A retrospective search of 981 consecutive PCNLs performed in our institution between 2002 and 2017 identified all patients with preoperatively inserted NTs. The NTs unsuitable for PCNL were adjusted by a novel approach in which a 5-mm incision was made at the ideal puncture location (IPL) as indicated under fluoroscopic guidance...
February 6, 2018: Journal of Endourology
https://www.readbyqxmd.com/read/29295765/absolute-ethanol-embolization-combined-with-surgical-resection-of-scalp-arteriovenous-malformations-interim-results
#16
Yifeng Han, Xindong Fan, Lixin Su, Zhenfeng Wang
PURPOSE: To assess treatment methods, interim results, and complications of absolute ethanol embolization combined with surgical resection of scalp arteriovenous malformations (AVMs). MATERIALS AND METHODS: From September 2012 to January 2015, 15 consecutive patients (8 male and 7 female) with scalp AVMs underwent staged ethanol embolizations. Ethanol embolization was performed using transcatheter and/or direct puncture techniques. Ten patients with scalp AVMs with a dominant outflow vein (DOV) also underwent coil deployment before ethanol embolization...
March 2018: Journal of Vascular and Interventional Radiology: JVIR
https://www.readbyqxmd.com/read/29262416/consensus-on-wound-antisepsis-update-2018
#17
Axel Kramer, Joachim Dissemond, Simon Kim, Christian Willy, Dieter Mayer, Roald Papke, Felix Tuchmann, Ojan Assadian
Wound antisepsis has undergone a renaissance due to the introduction of highly effective wound-compatible antimicrobial agents and the spread of multidrug-resistant organisms (MDROs). However, a strict indication must be set for the application of these agents. An infected or critically colonized wound must be treated antiseptically. In addition, systemic antibiotic therapy is required in case the infection spreads. If applied preventively, the Wounds-at-Risk Score allows an assessment of the risk for infection and thus appropriateness of the indication...
2018: Skin Pharmacology and Physiology
https://www.readbyqxmd.com/read/29260920/potent-hemostatic-efficacy-of-a-novel-recombinant-fibrin-sealant-patch-ktf-374-in-rabbit-bleeding-models
#18
Sumika Miyabashira Tanaka, Takayuki Imamura, Miho Fujimoto, Akitoshi Ohno, Tsunefumi Kobayashi, Noriko Shinya
PURPOSE: Fibrin sealants are used for hemostasis during surgery. Commercially available fibrin sealants are made of materials of human or animal origin. We developed a novel recombinant fibrin sealant patch (KTF-374) that has thin and flexible properties. This study evaluated the hemostatic efficacy of KTF-374 for various patterns of bleeding in rabbits, as compared with that of the existing fibrin-coated collagen fleece (FCCF). MATERIALS AND METHODS: Test hemostats used were KTF-374 and FCCF...
December 20, 2017: Journal of Investigative Surgery: the Official Journal of the Academy of Surgical Research
https://www.readbyqxmd.com/read/29194262/application-of-yl-1-needle-in-chronic-subdural-hematoma-treatment-for-super-aged-patients
#19
Xifeng Fei, Yi Wan, Zhimin Wang, Hanchun Chen, Dongyi Jiang
OBJECTIVE: The proportion of the super-aged population (at the age of 80 or above) in patients with chronic subdural hematoma (CSDH) and the incidence of CSDH of the population have been increasing. Since it is widely accepted that YL-1 needle is effective in CSDH treatment, this paper aimed to probe into the efficacy of YL-1 needle in minimally invasive surgery for super-aged (at the age of 80-90) CSDH patients. METHODS: A retrospective analysis on the clinical information of 17 super-aged CSDH patients having received the YL-1 needle puncture treatment provided by the hospital from May 2012 to December 2016 was performed...
January 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29123914/persistent-pit-viper-envenomation-in-a-cat
#20
Igor Yankin, Michael Schaer, Matthew Johnson, Tessa Meland, Leonel A Londoño
Case summary: A 4-year-old female spayed, indoor/outdoor domestic mediumhair cat presented with multiple bleeding puncture wounds and hemorrhagic shock. The cat was diagnosed with suspected pit viper envenomation based on the location and appearance of the bite wounds, as well as the presence of severe coagulopathy with prolonged activated coagulation time (762 s), which responded to antivenom administration. The clinical course of the cat was unique owing to the prolonged clinical signs of envenomation that appeared as intermittent coagulopathy and hemorrhage over a 2 week period...
July 2017: JFMS Open Reports
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