Unsedated transnasalvideogastroscopy in the routine practice: One year experience on 1327 patients

2001 ◽  
Vol 53 (5) ◽  
pp. AB128
Keyword(s):  
2010 ◽  
Vol 36 (5) ◽  
pp. 381-388 ◽  
Author(s):  
M. Buysschaert ◽  
V. Preumont ◽  
P.R. Oriot ◽  
I. Paris ◽  
M. Ponchon ◽  
...  

2020 ◽  
Author(s):  
Mohammad Naghi Tahmasebi ◽  
Arash Sharafat Vaziri ◽  
Fardis Vosoughi ◽  
Mohamad Tahami ◽  
Majid Khalilizad ◽  
...  

Abstract Background: Utilizing intrawound vancomycin powder in TKA surgery has yielded rather contrasting results in the current literature. Furthermore, CDC criteria, although effective in general, are not specifically designed for post-TKA infections. Here, we present a 7-year experience of vancomycin use in primary TKA in a high-volume tertiary knee center in Iran. Also, new criteria are proposed to detect suspected superficial post-TKA infections. Methods: This is a retrospective analysis of primary total knee arthroplasties performed in a tertiary knee center, from March 2007 to December 2018, by a single senior knee surgeon. All patients with follow-up periods of less than one year were excluded from the study. Since March 2011, all patient received vancomycin (powder, 1gr) before water-tight closure of the joint capsule. Comparison was made between this group and historical control subjects (operated from March 2007 to March 2011). Results: Altogether, 2024 patients were included in the study. The vancomycin and the control group included 1710 and 314 cases respectively. Patients were mostly women (male to female ratio: 1 to 4), with a mean age of 65.20 (SD=10.83) years. In the vancomycin group, the rate of suspected SII (1.87%) and PJI (0.41%) was significantly lower than the control group (P= 0.002). Conclusions: Our experience shows that by utilizing intrawound vancomycin as a routine practice along with other measures, we were able to reach relatively low rates of deep post-TKA infections. Howbeit, randomized controlled trials are required to clarify the effect of intrawound vancomycin on post-TKA infection rate.


2005 ◽  
Vol 61 (5) ◽  
pp. AB136 ◽  
Author(s):  
Elodie Lepoutre ◽  
Jean Boyer ◽  
Jean-Charles Grimaud ◽  
Jean-Christophe Letard ◽  
Jean Escourrou ◽  
...  

2018 ◽  
Vol 8 (2) ◽  
pp. 1341-1345
Author(s):  
Akanksha Kushwah ◽  
Narendra Bhattarai ◽  
Ajay Koirala

Background: Granulomas are the commonest lesions that the pathologists come across in routine practice. Granulomatous inflammation is a special type of chronic inflammation that is a manifestation of many infective, toxic, allergic, autoimmune and neoplastic diseases and also conditions of unknown etiology. The aim of this study is to analyze different granulomatous lesions and to find the frequency and etiology of all granulomatous lesions.Materials and Methods: The study included a total of 218 granulomatous lesions, received over a period of one year from July 2013 to June 2014 in the department of pathology, TUTH. Special stains like Ziehl-Neelsen, PAS and Wade- Fite- Faraco were done whenever required.Results: Granulomatous lesion accounted for 3% of all biopsies. The median age of the patients was 29 years and the majority of the patients were in the age group of 20-29 years with no sex predilection. Majority of granulomas were seen in lymph nodes (32.1%), followed by skin and subcutis (29.4%), and bones and joints (11%). Tuberculosis was the most common cause of granuloma with 143 (65.6%) cases, followed by leprosy, foreign body and fungal infection. The most common type of granuloma was epithelioid (87.2%), followed by epithelioid with suppuration, histiocytic, foreign body and mixed inflammatory.Conclusion: The granulomatous lesion is common in third decade of life with no sex predominance. The commonest site is lymph node with tuberculosis being the most common cause followed by leprosy. The epithelioid type was the most common type of granuloma.


2021 ◽  
Author(s):  
Tsung-Yu Ko ◽  
Hsien-Li Kao ◽  
Yi-Chang Chen ◽  
Chih-Fan Yeh ◽  
Ching-Chang Huang ◽  
...  

Abstract Background Trans-femoral transcatheter aortic valve replacement (TF-TAVR) performed under conscious sedation (LACS) is not yet become routine practice in Taiwan. We aimed to compared the results between patients received general anesthesia (GA) versus LACS. Methods Our cohort was divided into 3 groups: initial 48 patients received TF-TAVR under routine GA (GA group), subsequent 50 patients under routine LACS (LACS group 1), and recent 125 patients under LACS (LACS group 2). The baseline, procedural characteristics and all outcomes were prospectively collected and retrospectively compared. Results From Sep 2010 to July 2019, a total of 223 patients were included for The procedure time (157.6 ± 39.4 mins vs 131.6 ± 30.3 vs 95.2 ± 40.0, < 0.0001), contrast medium consumption (245.6 ± 92.6 ml vs 207.8 ± 77.9 vs 175.1 ± 64.6, < 0.0001), length of intensive care unit (2[1–5] days vs 2[1–3] vs 1[1–1], P = 0.0001) and hospital stay (9[7–13] days vs 8[6–11] vs 6 [5–9], P = 0.0001) decreased significantly with LACS, combined with a trend of less hospital acquired pneumonia (12.5% vs 6.0% vs 5.6%, P = 0.427). One-year survival rate were also different among 3 groups (83.3% vs 90.0% vs 93.6%, P = 0.053). Conclusion In our single center experience, a “minimalist” approach of TF-TAVR procedure resulted in less medical resources usage, along with more favorable clinical outcomes.


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