scholarly journals Successful Surgical Treatment of an Infected Thoracoabdominal Aneurysm Accompanied with Leriche Syndrome

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Masato Furui ◽  
Hirohisa Hirata ◽  
Bunpachi Kakii ◽  
Gaku Uchino ◽  
Mai Asanuma ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Surgical Treatment ◽  
Emergency Surgery ◽  
Renal Arteries ◽  
Loss Of Consciousness ◽  
Aortoduodenal Fistula ◽  
Thoracoabdominal Aneurysm ◽  
Leriche Syndrome ◽  
Branched Graft ◽  
Two Stages

A 56-year-old man presenting with massive melena and loss of consciousness was diagnosed with an infected thoracoabdominal aneurysm, an aortoduodenal fistula, and Leriche syndrome following an evaluation by computed tomography. Emergency surgery for uncontrolled infection included the reconstruction of the superior mesenteric and bilateral renal arteries using a four-branched graft. The aortoduodenal fistula was resected after omental filling, and an enterostomy was performed for feeding. Intestinal reconstruction was performed in two stages. The patient was discharged on postoperative day 48 and was without evidence of recurrence at 23 months postoperatively.

Surgical treatment of extensive perianal hidradenitis

2020 ◽  
Vol 99 (9) ◽  
Keyword(s):  
Surgical Treatment ◽  
Hidradenitis Suppurativa ◽  
Soft Tissues ◽  
Case Reports ◽  
Radical Excision ◽  
Skin Flaps ◽  
Perianal Area ◽  
Apocrine Glands ◽  
Patient Preparation ◽  
Two Stages

Introduction: Perianal hidradenitis suppurativa is a chronic recurrent inflammatory, suppurative, and fistulising disease of apocrine glands, adjacent anal canal and soft tissues. Perianal area is the second most common affected area after axilla. There are three grades of the disease. Hidradenitis suppurativa represents a chronic, recurrent, deep-seated folliculitis resulting in abscesses, followed by the formation of sinus tracts and subsequent scarring. Perianal hidradenitis suppurativa is the last and the most serious grade of the disease and a specific access is needed for patient preparation and surgical treatment alone. The currently preferred method of treatment for patients with extensive perianal hidradentitis is excision and closure with combination of skin flaps, primary suture and skin graft in one or two stages. Case reports: There are three case reports of perianal hidradenitis suppurativa in this article. The local and overall initial treatment of patients followed by a radical excision and closure with a rotation skin flaps and skin grafts is described. The final results were satisfactory, with no recurrence or serious complication.

scholarly journals 668 The Consequences to Emergency Surgery During COVID19 Pandemic in a UK District General Hospital in The North East of England

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
R Evans ◽  
C Ng
Keyword(s):  
Surgical Treatment ◽  
General Hospital ◽  
Emergency Surgery ◽  
Early Identification ◽  
District General Hospital ◽  
Public Confidence ◽  
Surgical Services ◽  
North East ◽  
The North ◽  
Initial Reduction

Abstract Aim COVID19 pandemic has significantly affected surgical services. We aim to review its effects on our theatre output and risk of encountering COVID 19 cases. Method Serial record of operations performed locally were reviewed from start of UK COVID19 pandemic lockdown on 23rd March 2020 to 13th July 2020 after it was lifted. A weekly average by month of operations and the percentage of COVID19 cases diagnosed within 30 days of the procedure were noted. Results 733 operations performed through this period. In March, 33 operations/week performed, 88.4% emergency and 7% diagnosed with COVID19. April, 31 operations /week performed, 95.9% emergency and 10.6% diagnosed with COVID19. May 46 operations /week performed, 94.5% emergency and 3.3% diagnosed with COVID19. June 56 operations /week, 80.9% emergency and less than 0.01% diagnosed with COVID19. By July 80 operations/week, 59.4% emergency and none diagnosed with COVID 19. Since testing capacity increased, only 6 of the 27 operated were diagnosed with COVID19. Conclusions There was initial reduction to non-emergency workload. However, this has gradually shifted as protocols are in place improve public confidence to return for surgical treatment. Mandatory admission testing allows early identification and remains essential for planning of services and protecting the workforce.

Enthesopathy of the Bicipital Tuberosity of the Radius Treated Under Intraoperative Computed Tomography

2021 ◽  
Author(s):  
Ryosuke Ikeguchi ◽  
Takashi Noguchi ◽  
Maki Ando ◽  
Koichi Yoshimoto ◽  
Diachi Sakamoto ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Surgical Treatment ◽  
Surgical Resection ◽  
Tendon Rupture ◽  
Computed Tomography Scan ◽  
Forearm Rotation ◽  
Elbow Pain ◽  
Intraoperative Computed Tomography ◽  
Tomography Scan ◽  
Bicipital Tuberosity

Abstract There is no report of the application of intraoperative computed tomography to the extremities, and its usefulness is not mentioned. We present a case of a patient with the elbow pain and loss of the forearm rotation due to the prominent bicipital tuberosity of the radius, which was diagnosed as enthesopathy. Surgical treatment to excise the prominent part of the bicipital tuberosity of the radius was recommended. However, it is difficult to perform the appropriate excision of the abnormal prominent part because of complications such as bicipital tendon rupture. The patient was successfully treated by surgical resection under the control of intraoperative computed tomography. Intraoperative computed tomography scan is a useful tool to assess the remaining volume of the abnormal bones.

Intraoperative Cone-Beam Computed Tomography and Multi-Slice Computed Tomography in Temporal Bone Imaging for Surgical Treatment

2013 ◽  
Vol 150 (1) ◽  
pp. 107-114 ◽  
Author(s):  
Boban M. Erovic ◽  
Harley H. L. Chan ◽  
Michael J. Daly ◽  
David D. Pothier ◽  
Eugene Yu ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Surgical Treatment ◽  
Temporal Bone ◽  
Cone Beam Computed Tomography ◽  
Cone Beam ◽  
Bone Imaging ◽  
Temporal Bone Imaging

Computed Tomography Lung Volume Changes After Surgical Treatment for Early-Onset Scoliosis

2014 ◽  
Vol 2 (6) ◽  
pp. 460-466 ◽  
Author(s):  
Charles E. Johnston ◽  
Anna McClung ◽  
Salah Fallatah
Keyword(s):  
Computed Tomography ◽  
Surgical Treatment ◽  
Lung Volume ◽  
Early Onset ◽  
Early Onset Scoliosis ◽  
Volume Changes

scholarly journals Surgical treatment of mitral stenosis, complicated by massive thrombosis of the left atrium

2018 ◽  
Vol 85 (9) ◽  
pp. 19-23
Author(s):  
V. V. Popov
Keyword(s):  
Computed Tomography ◽  
Surgical Treatment ◽  
Mitral Valve ◽  
Left Atrium ◽  
Mitral Stenosis ◽  
Thromboembolic Complications ◽  
Abdominal Organs

Objective. To analyze the peculiarities of surgical treatment of a mitral stenosis, complicated by massive thrombosis of left atrium. Маterials and methods. The group analyzed, operated in the Institute, consisted of 344 patients. Thrombosis of left atrium was considered a massive, when thrombotic masses have occupied no less than one third of its volume, not mentioning an auricle of atrium. Results. Hospital lethality after change of a mitral valve have constituted 4.2% and directly depended on from a degree of the left atrium thrombosis (р < 0.05). After open mitral comissurotomy hospital lethality was not observed, witnessing the expediency of the thrombosis matrix extraction. Conclusion. During the operation for a massive thrombosis of left atrium it is important to remove a maternal base of thrombotic bed and to eliminate the left atrium auricle, what lowers essentially the risk for lethality and thromboembolic complications on a hospital stage. Doing preoperative computed tomography of head and abdominal organs constitutes obligatory condition for exclusion of a hidden thromboembolism occurrence.

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