Comprehensive treatment algorithm for atlanto-axial rotatory fixation (AARF) in children

2019 ◽  
Author(s):  
Daniel Mahr ◽  
Viola Freigang ◽  
Himanshu Bhayana ◽  
Maximilian Kerschbaum ◽  
Borys Frankewycz ◽  
...  
Keyword(s):  
Treatment Algorithm ◽  
Comprehensive Treatment ◽  
Rotatory Fixation

scholarly journals Comprehensive treatment algorithm of postoperative spinal implant infection

2020 ◽  
Vol 6 (4) ◽  
pp. 793-799
Author(s):  
Justus Bürger ◽  
Yannick Palmowski ◽  
Matthias Pumberger
Keyword(s):  
Treatment Algorithm ◽  
Comprehensive Treatment ◽  
Implant Infection ◽  
Spinal Implant

scholarly journals Multivariate Analysis of Early Surgical Management Factors Affecting Posttraumatic Penoscrotal Avulsion Injury: A Level I Trauma Center Study

2020 ◽  
Author(s):  
MIN JI KIM ◽  
Dong Hwan Lee ◽  
Dong HA Park ◽  
Il Jae Lee
Keyword(s):  
Surgical Treatment ◽  
Scale Score ◽  
Surgical Management ◽  
Trauma Center ◽  
High Speed ◽  
Treatment Algorithm ◽  
Institutional Review Board ◽  
Comprehensive Treatment ◽  
Institutional Review ◽  
Braden Scale

Abstract Background To conduct an accurate evaluation of patients presenting with posttraumatic penoscrotal injuries, and to formulate a treatment algorithm based on this assessment. Methods We conducted a retrospective chart review study. Patients with penoscrotal defects admitted to our level Ⅰ trauma center from 2017 to 2019 were evaluated. The Braden scale score was used for wound evaluation and the Korean patient classification system (KPCS) was used for assessment of severity. Univariate and multivariate analyses were performed for potential risk factors associated with early surgical management. Results In total, there were 58 male patients, and the average Braden scale score was 12.08 ± 2.54, with the scrotum (36.20%), and the penile shaft (32.76%) being popular sites for injuries. The wounds requiring surgical treatment were 20.68% (n=12), with local flaps (33.33%) being most commonly used. The significant predictors of advanced wounds which required surgical treatment were old age (p=0.026, Odds Ratio [OR] 8.238), orthopedic combined injuries (p=0.044, OR 1.088), intubation (p=0.018, OR 9.625), restrain (p=0.036, OR 0.157) and blood transfusion (p<0.001, OR 2.462).Conclusion In multiple trauma patients, penoscrotal defects caused by high-speed trauma are an important matter of concern. Specifically, patients with combined skeletal injuries or requiring respiratory care were prone to advanced wounds. We proposed a five-category algorithm to manage such patients, which included severity of the patient’s condition, respiration, hemodynamic status, comorbidity, and immobilization. Additionally, inter-departmental cooperation and active intervention by plastic surgeons is needed for the comprehensive treatment of such injuries. Trial registration This study was performed in line with the principles of the Declaration of Helsinki. The study and all its protocols were approved by the institutional review board of Ajou Medical Center (approval no. AJIRB-MED-MDB-17-254). The need for informed consent was waived by the institutional review board of our hospital due to the retrospective design of the study.

scholarly journals An Update on Surgical Treatment of Parkinson Disease

2019 ◽  
pp. 106-107
Author(s):  
Konstantin V. Slavin
Keyword(s):  
Surgical Treatment ◽  
Parkinson Disease ◽  
Preoperative Evaluation ◽  
Treatment Algorithm ◽  
Operative Management ◽  
Technological Innovations ◽  
Comprehensive Treatment ◽  
Disease Mechanisms ◽  
Medical Side ◽  
Deep Brain

Over the last several decades, surgery became an integral part of comprehensive treatment of advanced Parkinson disease (PD).  Better understanding of disease mechanisms and advancement of technological innovations resulted in universal acceptance of deep brain stimulation (DBS) as an important part of the PD treatment algorithm. Based on experience with thousands of operated patients, the criteria for patient selection, preoperative evaluation, procedural details, and nuances of post-operative management are now well established. As a matter of fact, surgery in general and DBS in particular are now included in every guideline of PD management making it an option to consider when disease progresses and medical side effects occur.

scholarly journals Needle fracture as a complication of dental local anesthesia: recommendations for prevention and a comprehensive treatment algorithm based on literature from the past four decades

2018 ◽  
Vol 23 (3) ◽  
pp. 1109-1119 ◽  
Author(s):  
Stephan Acham ◽  
Astrid Truschnegg ◽  
Petra Rugani ◽  
Barbara Kirnbauer ◽  
Knut Ernst Reinbacher ◽  
...  
Keyword(s):  
Local Anesthesia ◽  
Treatment Algorithm ◽  
Comprehensive Treatment ◽  
The Past

scholarly journals Multivariate analysis of early surgical management factors affecting posttraumatic penoscrotal avulsion injury: a level I trauma center study

BMC Urology ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Min Ji Kim ◽  
Dong Hwan Lee ◽  
Dong Ha Park ◽  
Il Jae Lee
Keyword(s):  
Surgical Treatment ◽  
Scale Score ◽  
Surgical Management ◽  
Trauma Center ◽  
Treatment Algorithm ◽  
Institutional Review Board ◽  
Comprehensive Treatment ◽  
Institutional Review ◽  
Braden Scale ◽  
Level I

Abstract Background To conduct an accurate evaluation of patients presenting with posttraumatic penoscrotal injuries, and to formulate a treatment algorithm based on this assessment. Methods We conducted a retrospective chart review study. Patients with penoscrotal defects admitted to our level I trauma center from 2017 to 2019 were evaluated. The Braden scale score was used for wound evaluation and the Korean patient classification system (KPCS) was used for assessment of severity. Univariate and multivariate analyses were performed for potential risk factors associated with early surgical management. Results In total, there were 58 male patients, and the average Braden scale score was 12.08 ± 2.54, with the scrotum (36.20%), and the penile shaft (32.76%) being popular sites for injuries. The wounds requiring surgical treatment were 20.68% (n = 12), with local flaps (33.33%) being most commonly used. The significant predictors of advanced wounds which required surgical treatment were old age (p = 0.026, odds ratio [OR] 8.238), orthopedic combined injuries (p = 0.044, OR 1.088), intubation (p = 0.018, OR 9.625), restraint (p = 0.036, OR 0.157) and blood transfusion (p < 0.001, OR 2.462). Conclusion In multiple trauma patients, penoscrotal defects caused by high-speed trauma are an important matter of concern. Specifically, patients with combined skeletal injuries or requiring respiratory care were prone to advanced wounds. We proposed a five-category algorithm to manage such patients, which included severity of the patient’s condition, respiration, hemodynamic status, comorbidity, and immobilization. Additionally, inter-departmental cooperation and active intervention by plastic surgeons is needed for the comprehensive treatment of such injuries. Trial registration This study was performed in line with the principles of the Declaration of Helsinki. The study and all its protocols were approved by the institutional review board of Ajou Medical Center (approval no. AJIRB-MED-MDB-17-254). The need for informed consent was waived by the institutional review board of our hospital due to the retrospective design of the study.

scholarly journals Multivariate Analysis of Early Surgical Management Factors Affecting Posttraumatic Penoscrotal Avulsion Injury: A Level I Trauma Center Study

2020 ◽  
Author(s):  
MIN JI KIM ◽  
Dong Hwan Lee ◽  
Dong HA Park ◽  
Il Jae Lee
Keyword(s):  
Surgical Treatment ◽  
Scale Score ◽  
Surgical Management ◽  
Trauma Center ◽  
High Speed ◽  
Treatment Algorithm ◽  
Institutional Review Board ◽  
Comprehensive Treatment ◽  
Institutional Review ◽  
Braden Scale

Abstract Background To conduct an accurate evaluation of patients presenting with posttraumatic penoscrotal injuries, and to formulate a treatment algorithm based on this assessment. Methods We conducted a retrospective chart review study. Patients with penoscrotal defects admitted to our level Ⅰ trauma center from 2017 to 2019 were evaluated. The Braden scale score was used for wound evaluation and the Korean patient classification system (KPCS) was used for assessment of severity. Univariate and multivariate analyses were performed for potential risk factors associated with early surgical management. Results In total, there were 58 male patients, and the average Braden scale score was 12.08 ± 2.54, with the scrotum (36.20%), and the penile shaft (32.76%) being popular sites for injuries. The wounds requiring surgical treatment were 20.68% (n=12), with local flaps (33.33%) being most commonly used. The significant predictors of advanced wounds which required surgical treatment were old age (p=0.026, Odds Ratio [OR] 8.238), orthopedic combined injuries (p=0.044, OR 1.088), intubation (p=0.018, OR 9.625), restrain (p=0.036, OR 0.157) and blood transfusion (p<0.001, OR 2.462).Conclusion In multiple trauma patients, penoscrotal defects caused by high-speed trauma are an important matter of concern. Specifically, patients with combined skeletal injuries or requiring respiratory care were prone to advanced wounds. We proposed a five-category algorithm to manage such patients, which included severity of the patient’s condition, respiration, hemodynamic status, comorbidity, and immobilization. Additionally, inter-departmental cooperation and active intervention by plastic surgeons is needed for the comprehensive treatment of such injuries. Trial registration This study was performed in line with the principles of the Declaration of Helsinki. The study and all its protocols were approved by the institutional review board of Ajou Medical Center (approval no. AJIRB-MED-MDB-17-254). The need for informed consent was waived by the institutional review board of our hospital due to the retrospective design of the study.

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