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Puncture Wound

Dong Ha Park, Soo Han Yoon
OBJECTIVE: Among shunt complications, the post-shunt slit ventricle (PSSV) and the post-shunt craniosynostosis (PSCS) may be managed by shunt valve upgrade and/or cranial expansion surgery. Here, we analyzed 26 children with PSSV and/or PSCS who received simple generalized cranial expansion, i.e., total calvarial trans-sutural distraction osteogenesis (TC-TSuDO). METHODS: Among 254 children with shunt surgery, 26 children received TC-TSuDO. These 26 children included of 14 with PSSV, 4 with PSCS, and 8 with both PSSV and PSCS...
October 3, 2016: World Neurosurgery
A Larcher, M Sun, P Dell'Oglio, V Trudeau, K Boehm, J Schiffmann, Z Tian, N Fossati, U Capitanio, A Briganti, F Montorsi, P Karakiewicz
BACKGROUND: Local tumour ablation (LTA) may yield better perioperative outcomes than partial nephrectomy (PN), however the impact of each treatment on perioperative mortality and health care expenditures is unknown. The aim of the study was to compare mortality, morbidity and health care expenditures between LTA and PN. PATIENTS AND METHODS: A population-based assessment of 2471 patients with cT1a kidney cancer treated with either LTA or PN, between 2000 and 2009, in the SEER-Medicare database was performed...
September 17, 2016: European Journal of Surgical Oncology
Animesh Rathore, Peter Gloviczki, Haraldur Bjarnason
Persistent pain after iliac vein stenting is rare. Surgical removal of two oversized (20-mm) iliac vein stents was performed in a 36-year-old woman because of severe back pain of 2½ years' duration. Clamping or venotomy were not required for stent removal, which was done by extraction of each wire of the stent through small puncture wounds in the vein wall. Duplex scanning confirmed residual pseudointima obstructing the orifice of the right common iliac vein. The pseudointima was surgically removed. The patient recovered without complications, and her pain completely resolved...
October 2016: Journal of Vascular Surgery. Venous and Lymphatic Disorders
Ebenezer K Mensah, Kwaku Karikari, Moses Aikins, Linda Vanotoo, Samuel Sackey, Chima Ohuabunwo, Fred Wurapa, Tweneboah K Sifah, Edwin Afari
BACKGROUND: A snake bite is an injury caused by a bite from a snake, often resulting in puncture wounds, amputations and sometimes envenomation. Envenoming resulting from snake bite is a particularly important public health problem in rural areas of tropical and sub-tropical countries in Africa. This paper reports the incidence of snake bites and its associated mortality in the Western Region of Ghana. METHOD: The study was a descriptive cross-sectional review of 2006 - 2010 snake bite secondary data generated by the Western Regional Health Information Office in Ghana...
June 2016: Ghana Medical Journal
Daniel Popa, Karen Van Hoesen
BACKGROUND: Shark bites are rare but sensational injuries that are covered in the lay press but are not well described in the medical literature. CASE REPORT: We present the case of a 50-year-old man who sustained two deep puncture wounds to his thigh from a great white shark in the waters surrounding Isla de Guadalupe off the coast of Baja California, Mexico, during a caged SCUBA dive. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: We discuss our strategy of closing the wounds in a delayed primary fashion 24 hours after injury, our antibiotic choices, and the patient's course and review marine pathogens and appropriate antibiotic coverage...
September 9, 2016: Journal of Emergency Medicine
Ömer Faik Ersoy, Namık Özkan, Zeki Özsoy, Hüseyin Ayhan Kayaoğlu, Erdinç Yenidoğan, Alper Çelik, Aziz Fikret Özuğurlu, Ebru Arabacı Çakır, Neşe Lortlar
BACKGROUND: The present objective was to identify effects of early melatonin application on healing of anastomotic wound and inflammation in an experimental sepsis model. METHODS: A total of 60 Wistar albino rats were divided into 2 groups. Cecal ligation puncture (CLP) and colonic resection anastomosis were performed on both the control group and the melatonin treatment group. Both groups were divided into 3 subgroups consisting of 10 rats each. One subgroup from each group underwent re-laparotomy at the 16th hour, the next on the 3rd day, and the final subgroup on the 7th day...
July 2016: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
Adolfo Rafael de Roodt, Leslie Victoria Boyer, Laura Cecilia Lanari, Lucia Irazu, Rodrigo Daniel Laskowicz, Paula Leticia Sabattini, Carlos Fabián Damin
The amount of venom that a snake can inject is related to its body size. The body size is related to head size and to the distance between fangs. To correlate snake body size, distance between fangs and distance between puncture wounds with the venom yield (and consequently with the venom dose potentially injected in a single snakebite), we studied these variables in two species of public health importance in South America, Bothrops (Rhinocerophis) alternatus, and Crotalus durissus terrificus. In all cases a positive correlation was observed between body length, fang separation distance, distance between puncture wounds and venom yield, with a regression coefficient over 0...
October 2016: Toxicon: Official Journal of the International Society on Toxinology
Mehmet Yaşar, Altan Kaya, Hatice Karaman, Mustafa Kavugudurmaz, Halil Polat, Mustafa Sağıt, İbrahim Özcan
OBJECTIVE: Our aim was to investigate the curative role of topical Hypericum perforatum (HP) in a rat model of tympanic membrane perforation in a histopathological manner. MATERIALS AND METHODS: This study was conducted on 30 female Sprague-Dawley rats. An HP extract was prepared as a suspension in pure olive oil. In all rats, the right and left tympanic membranes were perforated by a fine puncture under a microscope. Rats were randomly assigned to three groups...
August 3, 2016: Journal of International Advanced Otology
Turgut Donmez, Adnan Hut, Huseyin Avaroglu, Sinan Uzman, Dogan Yildirim, Sina Ferahman, Erdinc Cekic
PURPOSE: The 2-port laparoscopic appendectomy technique (TLA) is between the conventional 3-port and single-port laparoscopic appendectomy surgeries. We compared postoperative pain and cosmetic results after TLA with conventional laparoscopic appendectomy (CLA) by a 3-port device. METHODS: Patients undergoing TLA were matched with patients undergoing CLA between February 2015 and November 2015 at the same institution. Thirty-two patients underwent TLA with a needle grasper...
August 2016: Annals of Surgical Treatment and Research
Mathias B Forrester
BACKGROUND: Xylazine is a sedative, analgesic, anesthetic, and central muscle relaxant approved for animals but not humans. Although xylazine is an emerging drug of abuse, there are limited data on potentially adverse exposures to the drug. OBJECTIVES: The intent of this study was to describe potentially adverse xylazine exposures reported to a large poison center system. METHODS: All xylazine exposures reported to Texas poison centers between 2000 and 2014 were included...
October 2016: Journal of Emergency Medicine
Jay J Shen, Christopher R Cochran, Olena Mazurenko, Charles B Moseley, Guogen Shan, Robin Mukalian, Scott Neishi
OBJECTIVE: To examine the association between patient race/ethnicity, insurance status, and their interaction with patient safety indicators among hospitalized patients. METHODS: Cross-sectional study was conducted. Data were extracted from the 2009 National Inpatient Sample. A total of 3,052,268 patient safety indicator-related discharges were identified. Dependent variables were 11 patient safety indicators (PSI) whereas independent variables included race/ethnicity and insurance status...
2016: Ethnicity & Disease
Matthew B Dowling, Apurva Chaturvedi, Ian C MacIntire, Vishal Javvaji, John Gustin, Srinivasa R Raghavan, Thomas M Scalea, Mayur Narayan
INTRODUCTION: Alginate is a biocompatible polysaccharide that is commonly used in the pharmaceutical, biomedical, cosmetic, and food industries. Though solid dressings composed of alginate can absorb water and promote wound healing, they are not effective hemostatic materials, particularly against massive hemorrhage. The purpose of this study is to attempt to increase the hemostatic capabilities of alginate by means of hydrophobic modification. Previous studies have illustrated that modifying a different polysaccharide, chitosan, in this way enhances its hemostatic efficacy as well as its adhesion to tissue...
May 16, 2016: Injury
Yusuke Tomoi, Yoshimitsu Soga, Masahiko Fujihara, Osamu Iida, Yoshiaki Shintani, Kan Zen, Kenji Ando
PURPOSE: To investigate the clinical outcomes of endovascular therapy (EVT) for upper extremity peripheral artery disease (PAD) with critical hand ischemia (CHI). METHODS: A subanalysis was performed of multicenter registry data on 36 consecutive patients (mean age 65.7±10.3 years; 19 men) who underwent EVT from January 2003 to December 2013 for angiographically diagnosed de novo upper limb PAD with CHI in 40 limbs. Fifty percent of patients had diabetes, and two-thirds were on hemodialysis...
October 2016: Journal of Endovascular Therapy
Alexander Sauer, Alexander Dierks, Franziska Wolfschmidt, Nicole Hassold, Thorsten A Bley, Ralph Kickuth
PURPOSE: To present the results of a prospective single-center study that evaluated the safety and efficacy of a hemostatic dressing following femoral artery access. METHODS: Within a 9-month period, 80 patients (mean age 68±14 years; 55 men) were treated with a hemostatic dressing patch (Hematrix Active Patch) containing aminocaproic acid, calcium chloride, and thrombin after endovascular procedures via a 6- to 8-F femoral artery access. After removing the sheath, the wound dressing was placed on the puncture site followed by constant manual compression adapted to the sheath size (specified pressure times: 8 minutes for 6-F, 9 minutes for 7-F, and 10 minutes for 8-F)...
October 2016: Journal of Endovascular Therapy
Jintao Guo, Beibei Sun, Siyu Sun, Xiang Liu, Sheng Wang, Nan Ge, Guoxin Wang, Wen Liu
BACKGROUND AND STUDY AIMS: Closure of gastric wall defects after endoscopic full-thickness resection remains a clinical challenge. We aimed to introduce an endoscopic puncture-suture device (EPSD) for the closure of such defects. We evaluated the safety, efficacy, and outcomes of EPSD in gastric wall defect closure after endoscopic full-thickness resection, compared with the metallic clips closure method. METHODS: Twenty-four Bama mini pigs (20-25 kg) were randomly divided into 2 groups...
June 27, 2016: Gastrointestinal Endoscopy
B Balakrishnan, Z Noor, C L Curran
INTRODUCTION: Venous air embolism (VAE) due to central venous catheter (CVC) placement is a rare but preventable complication which is potentially fatal. We describe a case highlighting unique patient characteristics which increase the risk of developing VAE. CASE DESCRIPTION: A sixty-year-old gentleman was admitted to the hospital with dyspnea and altered mental status. His comorbidities include cancer of the neck and tongue, currently in remission, and schizophrenia...
2016: Respiratory Medicine Case Reports
Manoj Bhausaheb Parchake, Vikas Kumre, Rajesh V Kachare
Strangulation is generally considered as homicidal death and in accidental strangulation circumstantial evidence alone can point toward the accidental nature of incidence. In present case, a 71-year-old woman, wearing a saree (garment worn by traditional women in India) working in agricultural field, got entangled in the crop thrasher machine and got strangled. Immediately, she was taken to the nearest hospital, where she survived for 6 to 8 hours and then died. The autopsy reveals cross ribbon-shaped ligature mark on neck and anterior chest along with 1 puncture wound at the right lateral aspect of the neck...
September 2016: American Journal of Forensic Medicine and Pathology
P Welpe
Cerebrospinal fluid leak, with its typical postdural puncture headache, occurs in 8-25 % of patients after insertion of a spinal catheter for treatment with an intrathecal pain pump. Symptoms are usually self-limiting; only rarely is an epidural blood patch used. In this case of a 49-year-old woman, we assumed a postdural puncture headache after replacement of the spinal catheter. Because of the persistence of symptoms and serous wound secretion around the paravertebral incision, we decided to test the catheter under radiological control with a contrast agent...
June 7, 2016: Der Schmerz
J Chase McNeil, Andrea R Forbes, Jesus G Vallejo, Anthony R Flores, Kristina G Hultén, Edward O Mason, Sheldon L Kaplan
BACKGROUND AND OBJECTIVE: Acute hematogenous osteomyelitis (AHO) is a severe infection in children. Drainage of purulent collections in bones provides specimens for culture as well as therapeutic benefit. Interventional radiology (IR)-guided procedures may serve as a less invasive means of culture in select patients. We examined the impact of IR and surgically obtained cultures in the diagnosis and management of AHO. METHODS: A retrospective review of cases of AHO was performed from 2011 to 2014...
May 2016: Pediatrics
Tatsuya Shiraki, Osamu Iida, Kotaro Suemitsu, Yoriko Tsuji, Masaaki Uematsu
We here report a successful angioplasty for tibial artery occlusion using direct tibial puncture and subsequent retrograde approach under surgical cutdown technique. An 82-year-old man with ulcer/gangrene in first and second digits was referred to our hospital for endovascular therapy (EVT) of lower extremity ischemia. Diagnostic angiogram revealed anterior tibial artery (ATA) occlusion with severe calcification. Subintimal angioplasty was attempted using a 0.014-inch hydrophilic guidewire but was unsuccessful...
May 2016: Vascular and Endovascular Surgery
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