Seromas: How to Prevent and Treat Them: Our 20 Year Experience

Author(s):  
David M Turer ◽  
Al Aly

Abstract Seromas are a common complication in plastic surgery. In this article we describe our approach to the prevention and treatment of seromas and include a discussion of the evolution of our techniques. We provide specific technical details for many body contouring operations, including abdominoplasty, belt lipectomy, brachioplasty, and thighplasty. Many of our techniques question the traditional dictums of plastic surgery and we hope to encourage others to consider novel techniques for the treatment and prevention of seromas.

2020 ◽  
Vol 17 (4) ◽  
pp. 448-456 ◽  
Author(s):  
Victor B. Oti

The use of Antiretroviral drugs in treating HIV/ AIDS patients has enormously increased their life spans with serious disadvantages. The virus infection still remains a public health problem worldwide with no cure and vaccine for the viral agent until now. The use of nanoparticles (NPs) for the treatment and prevention of HIV/AIDS is an emerging technology of the 21st century. NPs are solid and colloid particles with 10 nm to <1000 nm size range; although, less than 200 nm is the recommended size for nanomedical usage. There are NPs with therapeutic capabilities such as liposomes, micelles, dendrimers and nanocapsules. The particle enters the body mainly via oral intake, direct injection and inhalation. It has been proven to have potentials of advancing the prevention and treatment of the viral agent. Certain NPs have been shown to have selftherapeutic activity for the virus in vitro. Strategies that are novel are emerging which can be used to improve nanotechnology, such as genetic treatment and immunotherapy. In this review, nanoparticles, the types and its characteristics in drug delivery were discussed. The light was furthermore shed on its implications in the prevention and treatment of HIV/AIDS.


Healthcare ◽  
2021 ◽  
Vol 9 (5) ◽  
pp. 611
Author(s):  
Aitana Guanche-Sicilia ◽  
María Sánchez-Gómez ◽  
María Castro-Peraza ◽  
José Rodríguez-Gómez ◽  
Juan Gómez-Salgado ◽  
...  

The objective of this work was to identify available evidence on nursing interventions for the prevention and treatment of phlebitis secondary to the insertion of a peripheral venous catheter. For this, a scoping systematic review was carried out following the guidelines in the PRISMA declaration of documents published between January 2015 and December 2020. The search took place between December 2020 and January 2021. Scielo, Pubmed, Medline, Scopus, WOS, CINHAL, LILACS, and Dialnet databases were consulted, and CASPe, AGREE, and HICPAC tools were used for the critical reading. A total of 52 studies were included to analyze nursing interventions for treatment and prevention. Nursing interventions to prevent phlebitis and ensure a proper catheter use included those related to the maintenance of intravenous therapy, asepsis, and choosing the dressing. With regard to the nursing interventions to treat phlebitis, these were focused on vigilance and caring and also on the use of medical treatment protocols. For the prevention of phlebitis, the highest rated evidence regarding asepsis include the topical use of >0.5% chlorhexidine preparation with 70% alcohol or 2% aqueous chlorhexidine, a proper hygienic hand washing, and the use clean gloves to handle connections and devices. Actions that promote the efficacy and safety of intravenous therapy include maintenance of venous access, infusion volume control, verification of signs of phlebitis during saline solution and medication administration, and constant monitoring. It is recommended to remove any catheter that is not essential. Once discharged from hospital, it will be necessary to warn the patient about signs of phlebitis after PVC removal.


2018 ◽  
Vol 2 (5) ◽  
pp. 154-158
Author(s):  
Евгений Ким ◽  
Evgenij Kim ◽  
Владимир Горбачев ◽  
Vladimir Gorbachev ◽  
Виталий Унжаков ◽  
...  

One of the most serious complications of modern anesthesia is malignant hyperthermia, which is a pharmacogenetic disease phenotype manifested by skeletal muscle hypermetabolism and rhabdomyolysis during or after general anesthe- sia with the use of inhaled anesthetics and succinylcholine. In Russia, the problem of malignant hyperthermia remains unresolved. This is mainly due to the fact that the only specific drug dantrolene created for the effective treatment of malignant hyperthermia is still not legalized and thus formally prohibited to import, disseminate and apply on the domestic pharmaceutical market. This article deals with the regulatory framework of specific treatment of malignant hyperthermia in Russia, allowing the possibility to legally import to the territory of the Russian Federation dantrolene as an unregistered drug, if it is a question of rendering medical assistance on vital indications to a particular patient, or its unauthorized use for vital indications in a situation of extreme necessity. The article presents the recommendations of domestic experts on the treatment of malignant hyperthermia. In this case, as a possible alternative to dantrolene, magnesium preparations are considered, whose role in the treatment of the crisis of malignant hyperthermia continues to be specified. Thus, given the increasing use of inhalation anesthesia by Russian anesthetists, to ensure the safety of patients with regard to the development of malignant hyperthermia, it is possible only in the case of official registration in the do- mestic dantrolene market. Also, in the territory of Russia, a network of relevant consultative and diagnostic centers should be established. These measures will undoubtedly increase the effectiveness of treatment and prevention of severe consequences of this disease in our country.


Author(s):  
Tyler Safran ◽  
Hillary Nepon ◽  
Carrie K. Chu ◽  
Sebastian Winocour ◽  
Amanda Murphy ◽  
...  

AbstractOver 400,000 women in the United States alone will have breast implant surgery each year. Although capsular contracture represents the most common complication of breast implant surgery, surgeons continue to debate the precise etiology. General agreement exists concerning the inflammatory origin of capsular fibrosis, but the inciting events triggering the inflammatory cascade appear to be multifactorial, making it difficult to predict why one patient may develop capsular contracture while another will not. Accordingly, researchers have explored many different surgical, biomaterial, and medical therapies to address these multiple factors in an attempt to prevent and treat capsular contracture. In the current paper, we aim to inform the reader on the most up-to-date understanding of the pathophysiology, prevention, and treatment of capsular contracture.


1999 ◽  
Vol 80 (3) ◽  
pp. 219-221
Author(s):  
I. S. Aron ◽  
A. M. Potemkin

Allergic diseases account for 20-25% in the overall structure of all morbidity in Russia [5]. The problem of prevention and treatment of allergic diseases in children is especially urgent, because allergic diseases occupy a leading place in the structure of childhood diseases. According to A.M. Potemkina, treatment and prevention of allergic diseases in children are most effective in the first three years of life. In children of the first year of life, monoallergy prevails, that is, one allergic disease (85%).


The second edition of Operative Plastic Surgery is a fully updated, comprehensive text that discusses the most common plastic surgery procedures in great detail. It covers the classic techniques in plastic surgery, as well as the most recent technical advances while maintaining a systematic approach to patient care within each chapter. Traversing the entirety of the human body, each chapter addresses assessment of defects, preoperative factors, pathology, trauma, operative indications and procedures, and more. Also covered is the operative room setup, with special consideration given to the operative plan, patient positioning and markings, and technique for each type of surgery. Detailing more than 90 specific surgical techniques, this book covers both reconstructive and aesthetic plastic surgery. A new section addresses noninvasive techniques such as Botox, injectables, lasers, and skin care. New chapters throughout the book also include anterolateral thigh (ALT) flaps, nasal cleft deformities, zygomaticomaxillary complex (ZMC) fractures, augmentation mastoplexy, body contouring for the massive weight loss patient, and endoscopic carpal tunnel repair. Led by Gregory R. D. Evans, this volume assembles thought leaders in plastic surgery to present operative surgery in a clear, didactic, and comprehensive manner and lays the groundwork for ideas that we have just scratched the surface of, such as translational research, fat grafting, stem cells, and tissue engineering.


Med Phoenix ◽  
2017 ◽  
Vol 2 (1) ◽  
pp. 52-62
Author(s):  
Mohammad Ahmad ◽  
Anuradha Mishra ◽  
Afreen Usmani ◽  
Md. Parwez Ahmad

Amongst all types of primary liver cancers, hepatocellular carcinoma (HCC) is the commonest form of liver cancer in the world. Cancer chemoprevention using dietary supplements and phytochemicals has attracted increasing attention in recent years. Numerous study reports suggest the role of phytochemicals and dietary compounds in the prevention and treatment of liver cancer. Certain dietary agents and related phytochemicals present in grapes, pomegranate, vegetables, beans, turmeric, soy, rice bran, and fish oils are reported to have chemopreventive potentials against hepatocellular carcinoma. Phytochemicals such as Carotenoids, Epigallocatechin gallate (EGCG), Curcumin, Resveratrol, Rutoside, Quercetin, Chrysin and Silibinin have possible therapeutic importance in tumor suppression during the initial phases of carcinogenesis. Many phytochemicals which are still under investigation lack the scientific data in support of anticancer properties of these compounds rather than anti-oxidant mechanism. So, emphasis should be given on the investigation of plausible molecular mechanism behind anticancer activity. This review summarizes the use of these dietary agents and phytochemicals in the treatment and prevention of HCC and also highlights the mechanisms responsible for their effects.Med Phoenix Vol.2(1) July 2017, 52-62


2017 ◽  
Vol 30 (3) ◽  
pp. 811-825 ◽  
Author(s):  
Kawthar Bouchemal ◽  
Christian Bories ◽  
Philippe M. Loiseau

SUMMARY The last estimated annual incidence of Trichomonas vaginalis worldwide exceeds that of chlamydia and gonorrhea combined. This critical review updates the state of the art on advances in T. vaginalis diagnostics and strategies for treatment and prevention of trichomoniasis. In particular, new data on treatment outcomes for topical administration of formulations are reviewed and discussed.


2015 ◽  
Vol 35 (8) ◽  
pp. NP279-NP280
Author(s):  
Sepehr Egrari

Sign in / Sign up

Export Citation Format

Share Document