Endovascular Treatment of Atherosclerotic Iliac Stenosis: Local and Systemic Complications of the Open Brachial Access

2016 ◽  
Vol 33 ◽  
pp. 45-54
Author(s):  
Bahaa Nasr ◽  
Bénédicte Albert ◽  
Charles-Henri David ◽  
Ahmed Khalifa ◽  
Layal El Aridi ◽  
...  
Keyword(s):  
Endovascular Treatment ◽  
Systemic Complications ◽  
Local And Systemic Complications

Geriatric distal femur fracture: Are we underestimating the rate of local and systemic complications?

Injury ◽  
2016 ◽  
Vol 47 (8) ◽  
pp. 1732-1736 ◽  
Author(s):  
Gele B. Moloney ◽  
Tiffany Pan ◽  
Carola F. Van Eck ◽  
Devan Patel ◽  
Ivan Tarkin
Keyword(s):  
Distal Femur ◽  
Femur Fracture ◽  
Systemic Complications ◽  
Distal Femur Fracture ◽  
Local And Systemic Complications

EP.FRI.537 Post-operative antibiotics for cutaneous abscess after incision and drainage: Variations in Clinical Practice or lack of guidelines

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Sarah Zhao ◽  
Ahmad Najdawi ◽  
Aggelios Laliotis ◽  
Rhys Thomas ◽  
Michael El Boghdady
Keyword(s):  
Clinical Practice ◽  
Treatment Protocol ◽  
University Teaching ◽  
Systemic Complications ◽  
Incision And Drainage ◽  
Evidence Based Treatment ◽  
Superficial Skin ◽  
Retrospective Data Collection ◽  
Local And Systemic Complications ◽  
Surgical Condition

Abstract Aims Acute cutaneous abscess is a common surgical condition which mostly require incision and drainage. Despite this, there is no standardised national or international guidance on the post-operative antibiotics prescription. Traditionally, antibiotics are not indicated unless complications and/or risk factors such as immunocompromisation, diabetes or cellulitis exist. We aimed to study the local practice of the post-operative antibiotics prescription for cutaneous abscesses in a University teaching hospital in London. Methods A retrospective data collection of emergency general surgical admissions for a period of six months from July to December 2020 was carried out. All patients with superficial skin abscess were included in this analysis. Scrotal, breast and limb abscesses were excluded. Patients’ demographics, Co-morbidities, local and systemic complications were studied. Results A total of 149 patients presented during this period. Mean age was 40 (54% were male). Most common site of abscess was perianal (24%), followed by pilonidal, axilla, back, gluteal, neck, abdominal wall and groin. At total of 108 (72.5%) were managed surgically with incision and drainage, 70 (65%) got antibiotics and only 23 (33%) had indications for it (i.e. diabetic, immunocompromised, sepsis, cellulitis, MRSA carriage) = (χ2[1] =22.03, p<.0001). Co-amoxiclav was the most common post-operative empirical antibiotic prescribed in 61% of the patients.  Conclusions This study has identified significant variation in clinical practice regarding post-operative antibiotic usage in superficial abscesses. Further research is required in cooperation with microbiologists to develop standardised evidence-based treatment protocol for management of such common surgical condition.  

CROHN’S DISEASE IN CHILDREN: THE CURRENT STATE OF THE PROBLEM

2021 ◽  
Vol 100 (6) ◽  
pp. 78-85
Author(s):  
A.S. Bekin ◽  
◽  
E.Yu. Dyakonova ◽  
A.N. Surkov ◽  
A.P. Fisenko ◽  
...  
Keyword(s):  
Crohn’S Disease ◽  
Surgical Treatment ◽  
Crohn's Disease ◽  
Granulomatous Inflammation ◽  
Unknown Etiology ◽  
Systemic Complications ◽  
Current State ◽  
Conservative And Surgical Treatment ◽  
Scientific Ideas ◽  
Local And Systemic Complications

Crohn's disease (CD) is chronic recurrent bowel disease of unknown etiology, characterized by segmental transmural granulomatous inflammation, mainly with the development of local and systemic complications. Despite the active development of conservative therapy methods, the number of drug-resistant forms of CD and complications of the disease requiring surgical treatment continues to increase. The article reflects modern scientific ideas about the methods of diagnosis, conservative and surgical treatment of CD in children.

scholarly journals SP582VASCULAR ACCESS IN ELDERLY PATIENTS ON HEMODIALYSIS: BALANCING BETWEEN LOCAL AND SYSTEMIC COMPLICATIONS. WHERE IS THE COMPROMISE?

2017 ◽  
Vol 32 (suppl_3) ◽  
pp. iii330-iii331 ◽  
Author(s):  
Alexey Zulkarnaev ◽  
Andrey Vatazin ◽  
Natalia Fominikh ◽  
Zurab Kardanahishvili
Keyword(s):  
Elderly Patients ◽  
Systemic Complications ◽  
Local And Systemic Complications

scholarly journals Blindness! A Terrible Aftermath of Dental Treatment

2014 ◽  
Vol 02 (02) ◽  
pp. 064-073
Author(s):  
Vandana Chhabra ◽  
Ajay Chhabra
Keyword(s):  
Local Anesthesia ◽  
Tooth Extraction ◽  
Dental Treatment ◽  
Tissue Preparation ◽  
Systemic Complications ◽  
Significant Impairment ◽  
Time Extension ◽  
Dental Infections ◽  
Local And Systemic Complications ◽  
Preoperative Patient

AbstractLocal anesthetics are the most commonly used drugs in dentistry. Despite preoperative patient evaluation, proper tissue preparation and meticulous administration techniques many local and systemic complications with the local anesthesia or tooth extraction have been reported from time to time. Extension of dental infections from maxillary teeth and other nearby structures to orbital spaces and tissues surrounding the eye present a rare but serious problem with the potential for causing significant impairment. The practioner should be aware of the severe consequences that may result from tooth extraction or local anesthesia.

scholarly journals PANC 3 score as a simple cost-effective scoring system in predicting severity of acute pancreatitis

2017 ◽  
Vol 4 (12) ◽  
pp. 4066
Author(s):  
Charan Panda ◽  
Niranjan Kumar Nayak ◽  
Manas Ranjan Behera ◽  
Sanjit Kumar Nayak
Keyword(s):  
Acute Pancreatitis ◽  
Predictive Value ◽  
Scoring System ◽  
Inflammatory Process ◽  
Cost Effective ◽  
Systemic Complications ◽  
Complex Calculation ◽  
Stratification System ◽  
Time Of Admission ◽  
Local And Systemic Complications

Background: Acute pancreatitis presents as acute abdomen, is an inflammatory process of the pancreas associated with local and systemic complications requiring, in such cases, an intensive care. At present, there are lots of scores (such as Ranson’s, APACHE II, bedside index for severity in acute pancreatitis) that help us in predicting severity at the time of admission, but these are time consuming or require complex calculation and are costly. Our aim here is to analyse the simplified stratification system of the PANC 3 score, and its assessment in Predicting Severity of Acute Pancreatitis as decided by modified Marshals score.Methods: It is a prospective analytical observational study in which 74 patients were evaluated with PANC 3 scoring, who were diagnosed with acute pancreatitis and admitted to Dept. Of General Surgery, MKCG.Results: The results showed that PANC3 score had a 95.91% specificity, 68% sensitivity, 89.47% positive predictive value, and 85.45% negative predictive value, 86.48% diagnostic accuracy.Conclusions: PANC3 scoring system is one of the better systems because the three criteria used (haematocrit, body mass index, and pleural effusion) are simple, easy to assess, readily available, and economic Hence, the PANC3 score is a cost-effective, promising score that helps in predicting the severity of acute pancreatitis and triaging the patient, leading to prompt management.

scholarly journals Methicillin Resistant Staphylococcus Aureus Shoulder Pyomyositis with Multifocal Lung Infiltrations

2020 ◽  
Vol 12 (3) ◽  
pp. 127-129
Author(s):  
Angela Troisi ◽  
Giulia Graziani ◽  
Alessandra Macaluso ◽  
Lorenzo Mambelli ◽  
Federico Marchetti
Keyword(s):  
Staphylococcus Aureus ◽  
Antibiotic Therapy ◽  
Methicillin Resistant Staphylococcus Aureus ◽  
Rare Condition ◽  
Systemic Complications ◽  
Methicillin Resistant ◽  
Low Threshold ◽  
Shoulder Motion ◽  
Local And Systemic Complications ◽  
Prompt Diagnosis

Pyomyositis is a rare condition in temperate climates. We present a case of Methicillin Resistant Staphylococcus aureus pyomyositis of the shoulder complicated by multifocal lung infiltrations, treated successfully with antibiotic therapy. After excluding shoulder septic arthritis, a low threshold of suspicion for the diagnosis of shoulder pyomyositis should be applied to patients with persistent fever, pain, and decreased range of shoulder motion. A prompt diagnosis and a rapid rise in antibiotic therapy are important to avoid local and systemic complications.

scholarly journals Magnetic Resonance Imaging for the Normal Mesostenium and Involvement of the Mesostenium in Acute Pancreatitis

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Xiao Xiao Chi ◽  
Xiao Ming Zhang ◽  
Tian Wu Chen ◽  
Wei Tang ◽  
Bo Xiao ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Acute Pancreatitis ◽  
Clinical Practice ◽  
Magnetic Resonance ◽  
Severity Index ◽  
Resonance Imaging ◽  
Mri Findings ◽  
Systemic Complications ◽  
The Relationship ◽  
Local And Systemic Complications

The main point of this paper is to study MRI findings of the normal mesostenium and the involvement of the mesostenium in acute pancreatitis and to discuss the relationship between the involvement of the mesostenium and the severity of acute pancreatitis. In clinical practice, the mesenterical involvement in acute pancreatitis was often observed on MRI in daily works, which was little recorded in the reported studies. We conducted the current study to assess the mesenterical involvement in acute pancreatitis with MRI. We found that the mesenterical involvement of acute pancreatitis patients is common on MRI. The mesenterical involvement has a positive correlation with the MR severity index and the Acute Physiology and Chronic Healthy Evaluation II scoring system. It has been shown that MR can be used to visualize mesenterical involvement, which is a supplementary indicator in evaluating the severity of acute pancreatitis and local and systemic complications.

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