Twenty Four Thumb Replantations

Of 40 patients with amputated thumbs referred for replantation to the Manchester Microsurgical Unit over five and a half years, 10 (25%) were not considered to be feasible replants, 6(15%) were abandoned at the primary operation, and 24 were replanted. Mode of selection of patients for replantation and operative methods are considered. The 14 thumb replants that survived were studied in detail and functional results are presented. Only one patient had a result that prevented normal activities, the remainder having returned to former occupations.

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Functional results after surgery for obstructed defecation

Acta chirurgica iugoslavica ◽

10.2298/aci1202025x ◽

2012 ◽

Vol 59 (2) ◽

pp. 25-29 ◽

Cited By ~ 3

Author(s):

Evaghelos Xynos

Keyword(s):

Rectal Wall ◽

Obstructed Defecation ◽

Rectal Mucosa ◽

Functional Results ◽

Rectal Intussusception ◽

Anterior Rectal Wall ◽

Anterior Rectocele ◽

Suture Rectopexy ◽

Selection Of Patients ◽

Selection Of

Obstructed defecation (OD) syndrome is associated with several abnormalities of the pelvic organs, namely anterior rectal mucosa prolapse, anterior rectocele, recto-anal intussusception, and a deep Douglas pouch which predisposes to enterocele or rectocele. Surgical repair of the anatomical deformities should be attempted, only after thorough selection of patients and conservative treatment has been exhausted. Transperineal procedures include resection-plication of the anterior rectal wall and stapled transanal rectal resection, and are indicated for the treatment of anterior rectocele and internal rectal prolapse. Functional results are satisfactory in approximately 75 percent of the cases. Transabdominal procedures include posterior prosthesis rectopexy, resection suture-rectopexy and ventral prosthesis colporectopexy. These procedures are indicated in patients with large rectocele and rectal intussusception and enterocele or sigmoidocele. The rate of repair of anatomical deformities is very high and improvement of symptoms is accounted in more than 80 percent of the cases. Ventral prosthesis colporectopexy seems a very promising approach, but further evidence is mandatory.

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Scintigraphic Evaluation of Intrathecal Infusion Systems: Selection of Patients for Surgical or Medical Management

Yearbook of Anesthesiology and Pain Management ◽

10.1016/s1073-5437(08)70222-5 ◽

2007 ◽

Vol 2007 ◽

pp. 247

Author(s):

S.E. Abram

Keyword(s):

Medical Management ◽

Infusion Systems ◽

Selection Of Patients ◽

Intrathecal Infusion ◽

Selection Of

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Selection of patients for portal-systemic shunts

JAMA ◽

10.1001/jama.196.12.1039 ◽

1966 ◽

Vol 196 (12) ◽

pp. 1039-1044 ◽

Cited By ~ 1

Author(s):

R. E. Hermann

Keyword(s):

Selection Of Patients ◽

Selection Of

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Perioperative acute internal carotid thrombosis after general surgery

Perspectives in Surgery ◽

10.33699/pis.2020.99.3.136-140 ◽

2020 ◽

Vol 99 (3) ◽

pp. 136-140

Keyword(s):

Cardiac Surgery ◽

Internal Carotid ◽

Right Hemicolectomy ◽

Diagnostic Assessment ◽

Left Carotid Artery ◽

Perioperative Stroke ◽

Internal Carotid Occlusion ◽

Acute Brain Ischemia ◽

Selection Of Patients ◽

Selection Of

Introduction: The average incidence of perioperative stroke during major non-cardiac surgery is less than 1%, suggesting that it is rarely a major problem for the vast majority of patients. Methods: In our paper we present a 46-year-old patient undergoing acute right hemicolectomy who developed right-sided hemiparesis in the perioperative setting. Immediate CTAg examination showed an ischemic stroke in the left hemisphere as a result of left internal carotid thrombosis. A surgical procedure to recanalize the left carotid artery was performed 14 hours from the onset of neurological symptomatology and the neurological deficit gradually recovered fully. Conclusion: Our case report supports studies showing that a thorough diagnostic assessment allows the selection of patients who may benefit from urgent revascularization of acute internal carotid occlusion during the phase of acute brain ischemia.

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