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https://www.readbyqxmd.com/read/29670226/analysis-for-patient-survival-after-open-abdomen-for-torso-trauma-and-the-impact-of-achieving-primary-fascial-closure-a-single-center-experience
#1
Yu-Pao Hsu, Yon-Cheong Wong, Chih-Yuan Fu, Shang-Yu Wang, Chien-Hung Liao, Chun-Hsiang Ou Yang, Kuo-Ching Yuan
Open abdomen indicates the abdominal fascia is unclosed to abbreviate surgery and to reduce physiological stress. However, complications and difficulties in patient care are often encountered after operation. During May 2008 to March 2013, we performed a prospective protocol-directed observation study regarding open abdomen use in trauma patients. Bogota bag is the temporary abdomen closure initially but negative pressure dressing is used later. A goal-directed ICU care is applied and primary fascial closure is the primary endpoint...
April 18, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29668774/effect-of-ozone-oxidative-preconditioning-on-inflammation-and-oxidative-stress-injury-in-rat-model-of-renal-transplantation
#2
Zhishun Wang, Qi Han, Yong-Lian Guo, Xiu-Heng Liu, Tao Qiu
PURPOSE: To investigate the effect of ozone oxidative preconditioning (OzoneOP) on inflammation and oxidative stress injury in rat model of renal transplantation. METHODS: Thirty six male Sprague Dawley (SD) rats were randomly divided into three groups. Sham group: rats were treated with opening and closing abdomen. Kidney transplantation group (KT group): SD rat received the donor's left kidney derived from another SD rat. Ozone oxidative preconditioning and kidney transplantation (OOP+KT group): donor SD rats received OzoneOP treatments by transrectal insufflations before kidney transplantation...
March 2018: Acta Cirúrgica Brasileira
https://www.readbyqxmd.com/read/29661462/donor-derived-candida-dubliniensis-resulting-in-perigraft-abscesses-in-a-liver-transplant-recipient-proven-by-whole-genome-sequencing-a-case-report
#3
Y E Teh, M L T Ang, M V La, V Gunalan, C K Tan, A L Tan, R T P Lin, T T Tan, P R Jeyaraj, S Cumaraswamy, B H Tan
BACKGROUND: The transmission of fungi via transplant, although well-known, has not often been molecularly proven. We describe a case of donor-derived candidiasis verified by whole genome sequencing. CASE DESCRIPTION: The multiorgan donor was a 42-year-old woman with subdural hemorrhage. Procurement of the thoracic organs was performed followed by the abdominal organs. Tissue from the left bronchus grew Candida dubliniensis. The liver recipient was a 63-year-old woman with cryptogenic liver cirrhosis...
April 2018: Transplantation Proceedings
https://www.readbyqxmd.com/read/29661366/a-systematic-review-of-venous-aneurysms-by-anatomic-location
#4
REVIEW
Katherine A Teter, Thomas M Maldonado, Mark A Adelman
OBJECTIVE: Venous aneurysms are uncommon vascular abnormalities that may be identified anywhere in the body. Historically, they were often misdiagnosed as soft tissue lesions, but with the advent of readily available noninvasive imaging (such as duplex ultrasound), they can now be easily identified. Our aim was to review the presentation of venous aneurysms, available imaging modalities for defining them, and management. METHODS: The English-language literature before March 2017 was reviewed, and only reports of primary venous aneurysms of the deep veins were included...
May 2018: Journal of Vascular Surgery. Venous and Lymphatic Disorders
https://www.readbyqxmd.com/read/29617447/increased-visceral-tissue-perfusion-with-heated-humidified-carbon-dioxide-insufflation-during-open-abdominal-surgery-in-a-rodent-model
#5
Jonathan P Robson, Pavlo Kokhanenko, Jean K Marshall, Anthony R Phillips, Jan van der Linden
Tissue perfusion during surgery is important in reducing surgical site infections and promoting healing. This study aimed to determine if insufflation of the open abdomen with heated, humidified (HH) carbon dioxide (CO2) increased visceral tissue perfusion and core body temperature during open abdominal surgery in a rodent model. Using two different rodent models of open abdominal surgery, visceral perfusion and core temperature were measured. Visceral perfusion was investigated using a repeated measures crossover experiment with rodents receiving the same sequence of two alternating treatments: exposure to ambient air (no insufflation) and insufflation with HH CO2...
2018: PloS One
https://www.readbyqxmd.com/read/29616320/trauma-patients-with-an-open-abdomen-following-damage-control-laparotomy-can-be-extubated-prior-to-abdominal-closure
#6
Joseph A Sujka, Karen Safcsak, Michael L Cheatham, Joseph A Ibrahim
BACKGROUND: The open abdomen (OA) is commonly utilized as a technique during damage control laparotomy (DCL). We propose that a selected group of these OA patients can be extubated prior to abdominal closure to decrease ventilator days and risk of pneumonia. METHODS: A retrospective chart review was performed at a Level I trauma center on all adult trauma patients with an OA following DCL. Patients were stratified into two groups: extubated prior to (PRE) and extubated after (POST) abdominal closure...
April 3, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/29601081/outcome-of-open-abdominal-management-following-military-trauma
#7
S Pengelly, J E A Berry, S E Herrick, D M Bowley, G L Carlson
BACKGROUND: Temporary abdominal closure (TAC) is increasingly common after military and civilian major trauma. Primary fascial closure cannot be achieved after TAC in 30 per cent of civilian patients; subsequent abdominal wall reconstruction carries significant morbidity. This retrospective review aimed to determine this morbidity in a UK military cohort. METHODS: A prospectively maintained database of all injured personnel from the Iraq and Afghanistan conflicts was searched from 1 January 2003 to 31 December 2014 for all patients who had undergone laparotomy in a deployed military medical treatment facility...
March 30, 2018: British Journal of Surgery
https://www.readbyqxmd.com/read/29595660/sealing-of-the-cystic-and-appendix-arteries-with-monopolar-electrocautery-during-laparoscopic-combined-cholecystectomy-and-appendectomy
#8
Gui-Bao Liu, Yuan-Yuan Mao, Chang-Ping Yang, Jin-Lin Cao
The best method to ligate the arteries during laparoscopic cholecystectomy or appendectomy remains controversy. The aim of this study is to introduce a new approach during laparoscopic combined cholecystectomy and appendectomy using a monopolar electrocautery to seal the cystic and appendix arteries. We retrospectively reviewed data from 57 patients who underwent laparoscopic combined cholecystectomy and appendectomy between December 2006 and June 2016. Each laparoscopic combined cholecystectomy and appendectomy was performed by coagulating and sealing the cystic and appendix arteries...
March 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29594348/study-of-a-seventeenth-century-french-artificial-mummy-autopsical-native-and-contrast-injected-ct-investigations
#9
Rozenn Colleter, Fabrice Dedouit, Sylvie Duchesne, Patrice Gérard, Laurent Dercle, Pierre Poilpré, Véronique Gendrot, Hervé Rousseau, Éric Crubézy, Norbert Telmon, Fatima-Zohra Mokrane
BACKGROUND: A lead coffin was fortuitously discovered in a church called "Eglise des Toussaints" in Rennes (French Brittany). A collaborative taskforce investigated this extraordinary discovery. A multi-disciplinary team of experts from the National Institute for Preventive Archeological Research (INRAP) and Rangueil University Hospital of Toulouse was created, including anthropologists, archeologists, forensic pathologists, radiologists, and pathologists. The inscription on the lead coffin specified that the body belonged to "Messer Louys de Bruslon, Lord of Plessis," a nobleman who died on November 1, 1661...
March 28, 2018: International Journal of Legal Medicine
https://www.readbyqxmd.com/read/29581695/extreme-small-bowel-enteroatmospheric-fistula
#10
Narendra Pandit, Lokesh Shekher Jaiswal
Small bowel enteroatmospheric fistula is a serious and devastating complication of open abdomen. We present an interesting image of a 40-year-old gentleman who developed multiple small bowel enteroatmospheric fistulae following open abdomen management for complicated intra-abdominal peritonitis.
February 2018: Indian Journal of Surgery
https://www.readbyqxmd.com/read/29581691/transmural-migration-of-gossypiboma-a-rare-cause-of-acute-abdomen
#11
Himanshu Agrawal, Nikhil Gupta, Umesh Krishengowda, Arun Kumar Gupta, Dipankar Naskar, C K Durga
Gossypiboma is the retained foreign body which is generally a cotton sponge/gauze after surgery. Incidence of gossypiboma is around one in 3000 to 5000 surgeries. This low incidence is mainly attributed to a low case reporting due to an associated medicolegal aspect. We are reporting a case of a 38 years old male, who presented with signs and symptoms of peritonitis. The patient had a history of open cholecystectomy 2 years back. A working diagnosis of perforation peritonitis was made, and the patient underwent exploratory laparotomy...
February 2018: Indian Journal of Surgery
https://www.readbyqxmd.com/read/29577830/robotic-colorectal-resection-with-and-without-the-use-of-the-new-da-vinci-table-motion-a-case-matched-study
#12
Matteo Palmeri, Desirée Gianardi, Simone Guadagni, Gregorio Di Franco, Luca Bastiani, Niccolò Furbetta, Tommaso Simoncini, Cristina Zirafa, Franca Melfi, Piero Buccianti, Andrea Moglia, Alfred Cuschieri, Franco Mosca, Luca Morelli
BACKGROUND: The da Vinci Table Motion (dVTM) is a new device that enables patients to be repositioned with instruments in place within the abdomen, and without undocking the robot. The present study was designed to compare operative and short-term outcomes of patients undergoing colorectal cancer surgery with the da Vinci Xi system, with or without use of the dVTM. METHODS: Ten patients underwent robotic colorectal resection for cancer with the use of dVTM (Xi-dVTM group) between May 2015 and October 2015 at our center...
March 1, 2018: Surgical Innovation
https://www.readbyqxmd.com/read/29575840/-analysis-of-17-cases-underwent-laparoscopic-rectal-cancer-surgery-with-transanal-natural-orifice-specimen-extraction-and-resection
#13
H T Zhou, H Su, Z X Zhou, Q Liu, J W Liang, Y Shan, W Pei, Z Wang, P Wang, L Shi, X S Wang
Objective: To study the feasibility, safety and short-term efficacy of total laparoscopic rectal cancer surgery with transanal natural orifice specimen extraction and resection. Methods: From May 2014 to March 2016, 17 patients with rectal carcinoma were treated by total laparoscopic rectal cancer surgery with transanal natural orifice specimen extraction and resection. The clinical data of these patients was collected and retrospectively analyzed to assess the impact of the operation on postoperative recovery time and the incidence of complications...
March 23, 2018: Zhonghua Zhong Liu za Zhi [Chinese Journal of Oncology]
https://www.readbyqxmd.com/read/29573962/natural-history-and-management-of-splanchnic-artery-aneurysms-in-a-single-tertiary-referral-center
#14
Young Erben, Adam J Brownstein, Sareh Rajaee, Yupeng Li, John A Rizzo, Hamid Mojibian, Bulat A Ziganshin, John A Elefteriades
OBJECTIVE: Splanchnic artery aneurysms (SAAs) are rare, and little is known about their natural history and management. We reviewed our single-center experience in managing this population of patients. METHODS: A retrospective review of the Yale radiologic database from January 1999 to December 2016 was performed. Only patients with an SAA and a computed tomography scan of the abdomen were selected for review. Demographics of the patients, aneurysm characteristics, management, postoperative complications, and follow-up data were collected...
March 21, 2018: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/29567901/mixed-epithelial-and-stromal-tumor-a-solid-cystic-renal-neoplasm-undergoing-malignant-transformation-a-rare-case-report
#15
Urmila N Khadilkar, Sridevi H Basavaiah, G G Laxman Prabhu, Rohit Tapadia, B H Rakesh
We present a case of 53-year-old female who came with the complaints of mass on the right side of the abdomen noticed 3 weeks back. There was no history of localized swelling or rise of temperature, no history of weight loss, or evening rise of temperature. On examination, there was a flank mass which was bimanually palpable and tender. Routine laboratory investigations were within normal limits, except for the presence of hematuria in routine urinalysis. Computed tomography scan abdomen revealed a large multiloculated solid-cystic mass lesion with septation in the right-sided kidney...
January 2018: Indian Journal of Pathology & Microbiology
https://www.readbyqxmd.com/read/29563022/open-abdomen-in-liver-transplantation
#16
Peter Kim
No abstract text is available yet for this article.
March 7, 2018: American Journal of Surgery
https://www.readbyqxmd.com/read/29562626/pressure-distribution-during-negative-pressure-wound-therapy-of-experimental-abdominal-compartment-syndrome-in-a-porcine-model
#17
Adrienn Csiszkó, Klaudia Balog, Zoltán Attila Godó, Gyula Juhász, Katalin Pető, Ádám Deák, Mariann Berhés, Norbert Németh, Zsolt Bodnár, Zsolt Szentkereszty
(1) Introduction: Negative pressure wound therapy (NPWT) is a frequently applied open abdomen (OA) treatment. There are only a few experimental data supporting this method and describing the optimal settings and pressure distribution in the abdominal cavity during this procedure. The aim of our study was to evaluate pressure values at different points in the abdominal cavity during NPWT in experimental abdominal compartment syndrome (ACS) animal model; (2) Methods: In this study (permission Nr. 13/2014/UDCAW), 27 Hungahib pigs (15...
March 17, 2018: Sensors
https://www.readbyqxmd.com/read/29553114/-efficacy-pharmacokinetics-and-safety-of-icatibant-for-the-treatment-of-japanese-patients-with-an-acute-attack-of-hereditary-angioedema-a-phase-3-open-label-study
#18
Michihiro Hide, Atsushi Fukunaga, Junichi Maehara, Kazunori Eto, James Hao, Moshe Vardi, Yuji Nomoto
BACKGROUND: Hereditary angioedema (HAE) is characterized by paroxysmal edema of the skin, gastrointestinal mucosa, and upper respiratory tract. PURPOSE: This study investigated icatibant, a selective bradykinin B2 receptor antagonist, as treatment for Japanese patients with an acute HAE attack. METHODS: This was an open-label, single-arm, Phase 3 study of Japanese adults with HAE type I or II. Icatibant (30 mg) was administered (by a healthcare professional [HCP] or self-administered) as a subcutaneous injection in the abdomen...
2018: Arerugī, [Allergy]
https://www.readbyqxmd.com/read/29549683/retroperitoneal-or-mesenteric-primary-liposarcoma-clinical-and-prognostic-evaluations-on-five-cases
#19
L Rosato, L Panier Suffat, L Bertotti, P Perino, E Comello, G Mondini
BACKGROUND: Retroperitoneal or mesenteric primary liposarcoma is a malignant neoplasia whose prognosis depends on the biological variants, the radical resection surgery and the histological subtypes, as well as on local and remote recurrences. Liposarcoma is the most common variant of this tumour among tumours of soft retroperitoneal tissue. The purpose of this study is to evaluate whether the treatment of this disease, carried out at the Ivrea Hospital for urgent reasons, may be considered in line with the experience of high-volume Centres...
January 2018: Il Giornale di Chirurgia
https://www.readbyqxmd.com/read/29547700/a-combined-methodology-to-eliminate-artifacts-in-multichannel-electrogastrogram-based-on-independent-component-analysis-and-ensemble-empirical-mode-decomposition
#20
S Sengottuvel, Pathan Fayaz Khan, N Mariyappa, Rajesh Patel, S Saipriya, K Gireesan
Cutaneous measurements of electrogastrogram (EGG) signals are heavily contaminated by artifacts due to cardiac activity, breathing, motion artifacts, and electrode drifts whose effective elimination remains an open problem. A common methodology is proposed by combining independent component analysis (ICA) and ensemble empirical mode decomposition (EEMD) to denoise gastric slow-wave signals in multichannel EGG data. Sixteen electrodes are fixed over the upper abdomen to measure the EGG signals under three gastric conditions, namely, preprandial, postprandial immediately, and postprandial 2 h after food for three healthy subjects and a subject with a gastric disorder...
March 1, 2018: SLAS Technology
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