When is it too late? Ovarian preservation and duration of symptoms in ovarian torsion

Abstract. Background: The aim of this prospective single-centre study was to analyse the immediate results, failures and complications of percutaneous mechanical thrombectomy using the Rotarex catheter in the treatment of acute and subacute occlusions of peripheral arteries and bypasses, as well as to evaluate long-term outcomes of this method. Patients and methods: Patients with acute (duration of symptoms < 14 days) or subacute (duration of symptoms > 14 days and < 3 months) occlusions of peripheral arteries and bypasses were selected consecutively for treatment. The cohort consisted of 113 patients, aged 18 - 92 years (median 72 years). In all, 128 procedures were performed. Results: Angiographic success was obtained in 120 interventions (93.8 %). Reasons for failures were rethrombosis of a partially recanalised segment in six procedures, and embolism into crural arteries in one intervention - percutaneous aspiration thromboembolectomy (PAT) and/or thrombolysis were ineffective in all these cases. Breakage of the Rotarex catheter happened in one procedure. Embolisation into crural arteries as a transitory complication solvable with PAT and/or thrombolysis occurred in four cases. Rethrombosis was more frequent in bypasses than in native arteries (p = 0.0069), in patients with longer occlusions (p = 0.026) and those with poorer distal runoff (p = 0.048). Embolisation happened more often in patients with a shorter duration of symptoms (p = 0.0001). Clinical success was achieved in 82.5 %. Major amputation was performed in 10 % of cases. Cumulative patency rates were 75 % after one month, 71 % after six months, 38 % after 12 months, 33 % after 18 months and 30 % after 24, 30, 36 and 42 months. Conclusions: Rotarex thrombectomy has excellent immediate results with a low rate of failures and complications. In comparison to thrombolysis, it enables the fast and efficient treatment of acute and subacute occlusions of peripheral arteries in one session.

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Serum Magnesium Levels in Exacerbation of COPD: A Single Centre Prospective Study from Kashmir, India.

JMS SKIMS ◽

10.33883/jms.v13i1.38 ◽

2010 ◽

Vol 13 (1) ◽

pp. 15-19

Author(s):

Bashir Ahmed Shah ◽

Muzafar Ahmed Naik ◽

Sajjad Rajab ◽

Syed Muddasar ◽

Ghulam Nabi Dhobi ◽

...

Keyword(s):

Acute Exacerbation ◽

Serum Magnesium ◽

Stage Iii ◽

Advanced Stage ◽

Copd Exacerbation ◽

Post Discharge ◽

Duration Of Symptoms ◽

Copd Patients ◽

Exacerbation Of Copd ◽

Time Of Admission

Objective: To study the significance of serum magnesium levels during COPD exacerbation and stability.Materials & Methods: The patient population consisted of all patients of COPD admitted as acute exacerbation as defined by the Anthonisens criteria, from June 2006 to may 2008. Same patients one month post discharge presenting to the OPD for routine check up as stable COPD served as controls. Results: A total number of 77 patients of COPD presenting as acute exacerbation were included in the study. The incidence of Hypomagnesaemia was 33.8% at admission; 5% at discharge and 4% at one month of post discharge in COPD patients. The mean serum magnesium levels were significantly lower in cases than controls (1.88±0.67mg/ dl V/S 2.3±0.36mg/dl; p<0.0001). Also, hypomagnesemia was present in higher number of cases (22/77, 33.8%) compared to controls, 3/75, 4.0%; (p<0.0001). Patients of COPD with acute exacerbation and hypomagnesemia, had longer duration of symptoms and had advanced stage III of COPD (p<0.001); and had raised mean corpuscle volume (p<0.045) and longer hospital stay (p<0.008). Conclusion: We conclude COPD exacerbation is associated with hypomagnesemia. The duration of symptoms of more than 8 days, advanced stage of COPD (stage III) and raised MCV were associated with hypomagnesemia. We recommend to monitor serum magnesium levels in COPD patients with acute exacerbation at the time of admission and during their stay in the hospital.J Med Sci.2010;13(1);15-19

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Ovarian Reserve After Ovarian Torsion

Case Medical Research ◽

10.31525/ct1-nct03852615 ◽

2019 ◽

Author(s):

Keyword(s):

Ovarian Reserve ◽

Ovarian Torsion

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Faculty Opinions recommendation of Safety of ovarian preservation in premenopausal women with endometrial cancer.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.1158523.618701 ◽

2009 ◽

Author(s):

Gary Leiserowitz ◽

Susannah Mourton

Keyword(s):

Endometrial Cancer ◽

Premenopausal Women ◽

Ovarian Preservation

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Faculty Opinions recommendation of Pediatric ovarian malignancy presenting as ovarian torsion: incidence and relevance.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.6546958.6678058 ◽

2010 ◽

Author(s):

Piotr Czauderna

Keyword(s):

Ovarian Torsion ◽

Ovarian Malignancy

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Diagnostic and Treatment of Ovarian Cystic Lesions in Premenarcheal Girls: a 3 Year Study

Revista de Chimie ◽

10.37358/rc.20.2.7950 ◽

2020 ◽

Vol 71 (2) ◽

pp. 460-464

Author(s):

Ioana Anca Stefanopol ◽

Zina Tiron ◽

Anca Iulia Neagu ◽

Liliana Lacramioara Pavel ◽

Vasile Sarbu ◽

...

Keyword(s):

Multidisciplinary Team ◽

Cystic Lesions ◽

Hormonal Influence ◽

Ovarian Preservation

Ovarian cystic lesions, once considered uncommon in children, represent nowadays subject for many studies. Controversies regarding the diagnostic and treatment still exist. Unspecific symptoms and difficulties in performing an accurate ultrasound in children, sometimes led to misdiagnose this condition. Ovarian cystic lesions in premenarcheal girls may have hormonal influence, changing the biochemical balance, so an endocrinologist should be consulted. The main goal is to preserve the adnexal tissue. The purpose of this study is to analize the diagnostic and treatment of ovarian cystic lesions in premenarcheal girls, highlighting the opportunity of a multidisciplinary team and the necessity of the ovarian preservation.

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