scholarly journals The Effectiveness of Catheter Aspiration in the Treatment of Spontaneous Pneumothorax

2002 ◽  
Vol 9 (1) ◽  
pp. 18-22 ◽  
Author(s):  
Syh Tang ◽  
Hl Lau ◽  
Jts Chan
Keyword(s):  
Spontaneous Pneumothorax ◽  
Case Series ◽  
Uneventful Recovery ◽  
Seldinger Technique ◽  
High Recurrence Rate ◽  
British Thoracic Society ◽  
Chest Drain ◽  
X Rays ◽  
Initial Attempt ◽  
Case Series Study

Catheter aspiration is a simple and minimal invasive method to treat spontaneous pneumothorax. It was recommended by British Thoracic Society in 1993 as the treatment for spontaneous pneumothorax. This study was designed to evaluate the effectiveness of catheter aspiration in the treatment of spontaneous pneumothorax. The protocol involved catheter placement by using Seldinger technique and serial chest X-rays were used to document the degree of lung re-expansion. We report a case series study in which eight patients were recruited into the study. All patients' pneumothorax re-expanded well after the initial attempt of aspiration. However, during the observation period, 5 patients had recurrence of pneumothorax requiring further aspiration. Despite that, these 5 patients finally required chest drain insertion. The remaining 3 patients were discharged after aspiration and were followed up on the following day. Two patients had recurrent pneumothorax and required further intervention. One patient had uneventful recovery. Conclusion catheter aspiration was effective in relieving spontaneous pneumothorax but with a high recurrence rate.

scholarly journals A Case Series of Using Aspiration Catheter for the Management of Spontaneous Pneumothorax

2003 ◽  
Vol 10 (4) ◽  
pp. 233-237 ◽  
Author(s):  
AYC Siu ◽  
CH Chung
Keyword(s):  
Spontaneous Pneumothorax ◽  
Case Series ◽  
Airway Disease ◽  
Seldinger Technique ◽  
Chronic Obstructive ◽  
Chest Drain ◽  
X Rays ◽  
Initial Experience ◽  
Local Experience ◽  
History Of

Introduction Catheter aspiration is a relatively new treatment for spontaneous pneumothorax in emergency departments in Hong Kong. It causes less pain and shortens hospitalisation. However, there is limited local experience especially in regard to the target group that can be benefited. We reported on the initial experience of catheter aspiration in the management of spontaneous pneumothorax in our emergency department. Method Patients (age >=16 years) presenting with spontaneous pneumothorax were recruited. Patients with history of asthma or chronic obstructive airway disease were excluded. History of smoking, previous pneumothorax and pleurodesis were recorded. The aspiration catheter was inserted by the Seldinger technique. The extent of pneumothorax was assessed from the chest X-ray and initial aspirated volume. Successful patients were observed in the department and discharged if chest X-rays were reassuring after 12 hours. Factors associated with the outcome of patients were analysed. Result Seventeen patients were recruited from October 1999 to September 2000. Their age ranged from 16 to 40 years (mean 22.6). The overwhelming majority (16) was male. Twelve cases (70.6%) occurred on the left side. Five patients had previous pneumothorax and one had previous pleurodesis. Fifteen succeeded in immediate re-expansion, but seven re-collapsed during observation. The overall success rate was 47.1%. Initial aspiration volume >2,000 ml was associated with early failure (p=0.01). Conclusion Our initial experience did not support catheter aspiration to completely replace chest drain in the initial management of spontaneous pneumothorax. The procedure is likely to fail if the initial aspirated volume is greater than 2,000 ml. Further study is needed to identify the subgroup that may be benefited.

High recurrence rate after posterior component separation and keyhole mesh reconstruction for complex parastomal hernia: a case series study.

2021 ◽  
Author(s):  
Alvaro Robin Valle de Lersundi ◽  
Niccolo Ruppealta ◽  
Carlos San Miguel Mendez ◽  
Joaquin Muñoz Rodriguez ◽  
Marina Pérez Flecha ◽  
...  
Keyword(s):  
Recurrence Rate ◽  
Parastomal Hernia ◽  
Case Series ◽  
Component Separation ◽  
High Recurrence Rate ◽  
Posterior Component Separation ◽  
Case Series Study ◽  
Mesh Reconstruction ◽  
Series Study

scholarly journals Bacterial infection in wheezy children.

2021 ◽  
Vol 28 (02) ◽  
pp. 176-180
Author(s):  
Maria Saleem ◽  
Asim Khurshid ◽  
Waqas Imran Khan ◽  
Amna Wajdan
Keyword(s):  
Bacterial Infection ◽  
Absolute Neutrophil Count ◽  
Neutrophil Count ◽  
Leukocyte Count ◽  
Tertiary Care ◽  
Case Series ◽  
Total Leukocyte Count ◽  
X Rays ◽  
Differential Leukocyte Count ◽  
Case Series Study

Objective: To determine the frequency of bacterial infection in children less than five years of age presenting with respiratory wheeze to Tertiary care centre. Study Design: Descriptive Case Series study. Setting: Department of Pediatrics, The Children’s Hospital and The Institute of Child Health, Multan. Period: November 2019 to April 2020. Material & Methods: A total of 130 children, presenting with respiratory symptoms were examined for presence of respiratory wheeze. After confirmation of chest auscultation, patients were enrolled. Information regarding duration of wheeze, axillary temperature, presence of chest in drawing and respiratory rate were recorded. Appropriate blood sample were drawn for total leukocyte count and differential leukocyte count from which absolute neutrophils count was calculated. Children were evaluated for the presence of bacterial infection as per operational definition. Results: There were 38 (29.23%) female and 92 (70.76%) male patients. Overall, mean age was13.17±5.49 with age range of 1-57 months. Bacterial infection was noted in 33 (25.38%) patients. Out of 130 patients presenting with wheeze, 50 patients (38.46%) had temperature range of 98.1-990F. Absolute neutrophil count was more than 5000/dl in 42(32.30%) patients, out of these 33(78.6%) had bacterial infection. Chest X-rays were showing infiltrates in 110 (84.6%) patients. Conclusion: Children suffering from wheeze have bacterial infection if age is less than five years and there is fever, crepitations, elevated absolute neutrophil count and radiographic evidence of pneumonia.

scholarly journals Management of soft tissue defects of hand with local (posterior interosseous) flaps

2016 ◽  
Vol 11 (3) ◽  
Author(s):  
Sujaat Hussain ◽  
Muhammad Ishaque Khan ◽  
Muhammad Ayub Khan ◽  
Tariq Hassan Chaudhry ◽  
Zulfiqar Ahmed
Keyword(s):  
Soft Tissue ◽  
Tendon Repair ◽  
Case Series ◽  
Uneventful Recovery ◽  
Skin Closure ◽  
Large Defect ◽  
Study Objective ◽  
Female Ratio ◽  
Skin Defects ◽  
Case Series Study

Design:-Observational case series study Objective: - To evaluate the role of Local Flaps in the management of the soft tissue injuries of hand. Suit & Period: -. Study was conducted at BV Hospital, Bahawalpur from June 2002 to May 2003. Material & Method: - In this study, we selected cases in which direct skin closure was not possible due to large defect or skin grafting was contraindicated for example in cases where bones and tendons were exposed, or in certain conditions where some secondary procedures may have to be carried out like tendon repair, tendon grafting nerve repair or fixation of fracture. Patients with severely crushed, non-salvageable hands, manageable with primary suturing & skin grafts & Patients with peripheral vascular disease, Elderly diabetic & Patients medically unfit for anesthesia. Results: A total of 10 patients were treated between June 2002 and May 2003. There were 8 males and 2 females (male to female ratio 4:1). Mean age of the patients was 26.26 years with range between 10 and 60 years. Most common cause of skin defects was agriculture machine injury (6 cases) followed by roadside accidents (2 cases), blast injury (I cases), and electric burn (1 cases). In 7 patients there was an uneventful recovery. One flap was lost completely, partial flap loss occurred in one case, marginal necrosis and infection noted in one case. Conclusion: -Local (posterior interosseous island) flaps are useful for coverage of the skin defects over the hand when applied with proper indications.

scholarly journals Surgical Treatment Using Sinus Tarsi Approach with Anterolateral Fragment Open-Door Technique in Sanders Type 3 and 4 Displaced Intraarticular Calcaneal Fracture

2021 ◽  
Vol 18 (19) ◽  
pp. 10400
Author(s):  
Jaeho Cho ◽  
Jahyung Kim ◽  
Eun Myeong Kang ◽  
Jeong Seok Lee ◽  
Tae-Hong Min ◽  
...  
Keyword(s):  
Facet Joint ◽  
Case Series ◽  
Wound Complications ◽  
X Rays ◽  
Open Door ◽  
Sinus Tarsi ◽  
Case Series Study ◽  
Sinus Tarsi Approach ◽  
Type 3

Although various outcomes of the sinus tarsi approach have been reported, these are limited to the Sanders type 2 displaced intraarticular calcaneal fractures (DIACF) because of the limited visibility of the posterior facet joint. In this study we aimed to (1) introduce a sinus tarsi approach combined with an anterolateral fragment open-door technique that enables adequate visibility of the innermost and middle portion of the posterior facet joint, and (2) evaluate the radiographic and clinical outcomes of the patients treated with that technique. This is a retrospective case-series study performed on medical records of 25 patients who presented with the Sanders type 3 or 4 DIACF and were treated with the sinus tarsi approach. The radiologic measurements showed significant corrections of the Bohler’s angle, calcaneal width, length, height, and articular step-off in both X-rays and CTs in the last follow-up period. The mean AOFAS score was 90.08 ± 6.44 at the last follow-up. Among all the follow-up patients, two cases (8%) had acute superficial infections, and no other wound complications occurred. Therefore, we suggest that the Sanders type 3 or 4 DIACF could be successfully treated with the proposed technique with low complications and bring out effective clinical and radiologic outcomes.

scholarly journals Periodontal Plastic Surgery to Improve Aesthetics in Patients with Altered Passive Eruption/Gummy Smile: A Case Series Study

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Francesco Cairo ◽  
Filippo Graziani ◽  
Lorenzo Franchi ◽  
Efisio Defraia ◽  
Giovan Paolo Pini Prato
Keyword(s):  
Plastic Surgery ◽  
Case Series ◽  
X Rays ◽  
Crown Length ◽  
Case Series Study ◽  
Natural Teeth ◽  
Periodontal Plastic Surgery ◽  
Series Study ◽  
Stable Improvement ◽  
Gummy Smile

Altered passive eruption/gummy smile is a common challenge in patients requiring aesthetic treatment. A specific surgical protocol was designed and tested in patients with altered passive eruption. Standardized preoperative X-rays were used to assess crown length at baseline and to place submarginal incisions. Osseous respective therapy was performed to achieve biological width. Clinical outcomes were recorded 6 months after surgery. Eleven patients with a total of 58 teeth were treated with flap surgery and osseous resective therapy at upper anterior natural teeth. At the last followup, a significant and stable improvement of crown length was obtained when compared to the baseline (P<0.0001). All patients rated as satisfactory in the final outcomes (final VAS value = 86.6). In conclusion, this study showed that periodontal plastic surgery including osseous resection leads to predictable outcomes in the treatment of altered passive eruption/gummy smile: A careful preoperative planning avoids unpleasant complications and enhances postsurgical stability of the gingival margin.

scholarly journals Complications after Thoracocentesis and Chest Drain Insertion: A Single Centre Study from the North East of England

2021 ◽  
Vol 1 (2) ◽  
pp. 135-140
Author(s):  
Karl Jackson ◽  
Opeyemi Kafi ◽  
Dilraj Bhullar ◽  
Jordan Scott ◽  
Claire Storey ◽  
...  
Keyword(s):  
Pleural Cavity ◽  
Case Series ◽  
Categorical Variables ◽  
British Thoracic Society ◽  
Chest Drain ◽  
Complication Rates ◽  
Continuous Variables ◽  
Retrospective Case ◽  
North East ◽  
The North

Introduction: There are no prospective studies looking at complications of pleural procedures. Previous British Thoracic Society Pleural audits and retrospective case series inform current practice. Incidence of any complication is between 1–15%. We sought to add to the existing literature and inform local practice with regards to intercostal drains and thoracocenteses. Methods: Local Caldicott approval was sought for a review of all inpatient adult pleural procedures coded as ‘T122 drainage of pleural cavity’ and ‘T124 insertion of tube drain into pleural cavity’. Those undergoing thoracocentesis (all with a Rocket 6 Fg catheter) and intercostal drain insertion (ICD, all with Rocket 12 Fg drain) were identified. Continuous variables are presented as mean (±range) and categorical variables as percentages where appropriate. Results: 1159 procedures were identified. A total of 199 and 960 were done for pneumothorax and effusions respectively. Mean age was 68.1 years (18–97). There were 280 thoracocenteses and 879 ICDs. Bleeding occurred in 6 (0.5%), all ICDs (clotting and platelets were within normal range; one patient was on aspirin and one on aspirin and clopidogrel). All settled except for one who had intercostal artery rupture needing cardiothoracic intervention (no anti-coagulation). Nine pneumothoraces occurred (0.78%) in seven ICDs and two aspirations). There were three definite pleural space infections (0.3%) with three ICDs. Fall out rates for ICDs were 35 (3%). Nine were not sutured, and out of those, seven inserted in the Accident and Emergency department, out of hours. All others ‘came out’ due to patient factors (previous quoted rates up to 14%). Surgical emphysema occurred in 43 (41 ICDs), 3.7%. Eight were due to fall outs and three required surgical intervention. There was no re-expansion pulmonary oedema nor direct deaths. Conclusions: Complication rates of ICD and thoracocenteses are low. Checklists might help to remind operators of the need for suturing. Limitations of this study are its retrospective nature and reliance on correct hospital coding. We are currently contributing to a prospective observational study on pleural complications.

Chest tubes

2021 ◽  
pp. 331-337
Author(s):  
Giulio Maurizi ◽  
Camilla Vanni ◽  
Erino Angelo Rendina
Keyword(s):  
Chest Tube ◽  
Spontaneous Pneumothorax ◽  
Malignant Pleural Effusion ◽  
Pleural Space ◽  
British Thoracic Society ◽  
Chest Drain ◽  
Evidence Based ◽  
Thoracic Cavity ◽  
Guideline Group ◽  
Selection Of

The insertion of a chest tube is a common therapeutic procedure routinely employed to restore the natural negative pressure in the pleural space and ensure complete pulmonary reexpansion through the drainage of a pathologic collection of fluid and/or air from the thoracic cavity. The method for inserting the tube, as well as management and withdrawal of the drain unit, should be guided by clinical judgement and amended depending on different circumstances. Similarly, the selection of the appropriate size and type of chest tube to be placed varies according to indications. Despite their widespread use, just a few evidence based guidance on insertion and management of chest drains are currently available. Among these, the British Thoracic Society (BTS) stated in 2003 clinical practice guidelines for the insertion of a chest drain; moreover, the BTS Pleural Disease Guideline Group recently reviewed indications on management of spontaneous pneumothorax and malignant pleural effusion.

scholarly journals Predictability of a New Orthodontic Extrusion Technique for Implant Site Development: A Retrospective Consecutive Case-Series Study

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
E. Conserva ◽  
M. Fadda ◽  
V. Ferrari ◽  
U. Consolo
Keyword(s):  
Soft Tissues ◽  
Case Series ◽  
Rank Test ◽  
X Rays ◽  
Consecutive Case ◽  
Average Value ◽  
Case Series Study ◽  
Orthodontic Extrusion ◽  
Bone Gain ◽  
Series Study

In clinical daily practice, there are situations in which implant sites have vertical and/or horizontal bone defects and often we must improve their morphology and dimensions before fixture insertion. It is crucial to carefully evaluate the surgical site as regards the characteristics of both hard and soft tissues. The orthodontic extrusion technique can be used for nonsurgical augmentation of the implant site as an alternative to traditional regenerative/reparative surgical therapies. The orthodontic extrusion is based on a biological mechanism that uses the portion of periodontal ligament, still present on the root before the tooth extraction, for the increase of hard and soft tissues. In the literature, there is no evidence of common guidelines for this technique but only tips based on personal experience and/or previous studies. The aim of this study was to investigate and to validate the reliability of a new orthodontic extrusion technique (MF Extrusion Technique, by Dr. Mauro Fadda) by means of a retrospective consecutive case-series study. After we have done a review of the literature, we evaluated the X-rays of twelve consecutively treated patients before the orthodontic extrusion (T0) and after the stabilization period (T1), in order to quantify, by two different measurements, area and linear, the bone gain obtained by the application of the new technique. All the patients examined showed a significant increase in bone areas with an average value of 31.575 mm2. The linear bone gain had an average value of 4.63 mm. Data collected were statistically analysed by the Wilcoxon signed-rank test. The results obtained both from area and linear measurements at T0 and at T1 times showed that there was a statistically significant bone gain with p<0.01.

scholarly journals Porous Titanium Granules for Sinus Floor Augmentation: A Case Series Study

2019 ◽  
Vol 13 (1) ◽  
pp. 339-345
Author(s):  
Hamid Reza Arab ◽  
Hamid Reza Boostani ◽  
Amir Moeintaghavi ◽  
Farid Shiezadeh
Keyword(s):  
Maxillary Sinus ◽  
Case Series ◽  
Primary Stability ◽  
Porous Titanium ◽  
Osteogenic Potential ◽  
Autogenous Bone ◽  
X Rays ◽  
Implant Placement ◽  
Case Series Study ◽  
Bone Biopsies

Background: Sinus grafting with autogenous bone and other bone substitutes has been shown to be a safe technique with high predictability of success, but it has not been determined which of these materials provide better osteogenic potential. The aim of the present study was to clinically and radiographically evaluate the use of Natix™ grafting material in maxillary sinus elevation procedures with simultaneous implant placement in humans. Materials and Methods: Fifteen patients (6 women and 9 men) requiring augmentation of the maxillary sinus before implant placement were voluntarily enrolled in this study. After the sinus graft procedure, a bone augmentation material of porous titanium granules (Natix™, TigranTecnologies, Malmö, Sweden) was placed into the sinus cavity. The primary stability of the fixtures was measured at baseline and 6 months following the implantation. Panoramic x-rays for objective measurements of bone height at the floor of sinus were repeated at 18 months, and 36 months postoperatively. Results: The 15 patients had in total 20 implants installed. Panoramic radiographs made 6 months post-insertion showed a radio-opaque area around the implants.Also at 6 months post-placement, all 18 implants were clinically stable and abutments were connected. Bone biopsies were taken from 1 grafted site in 1 patient. Excluding the one implant failing to achieve primary stability at baseline, the cumulative implant survival rate in this pilot study was 94.7%. Conclusion: The results of the study showed that maxillary sinus augmentation with porous titanium granules provided predictable survival of implants in 36 months.

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