Prolonged Therapeutic External Ventricular Drainage: A Prospective Study

Neurosurgery ◽  
1988 ◽  
Vol 23 (4) ◽  
pp. 436-438 ◽  
Author(s):  
Kwan-Hon Chan ◽  
Kirpal S. Mann
Keyword(s):  
Prospective Study ◽  
External Ventricular Drainage ◽  
Ventricular Catheter ◽  
Ventricular Drainage ◽  
Ventriculoperitoneal Shunts ◽  
The Mean ◽  
A Prospective Study

Abstract Over a 2½-year period, 34 patients underwent therapeutic external ventricular drainage with a valve-regulated system. The mean duration of drainage was 16 days. There was no incidence of ventricular infection, nor was there blockage of the ventricular catheter requiring revision. Eventually, 13 patients required ventriculoperitoneal shunts. All survivors remained free from complications after more than 6 months of follow-up. The system proved safe and reliable in patients requiring prolonged ventricular drainage.

Giant Cell Tumours of Tendon Sheath: Classification and Recurrence Rate

2001 ◽  
Vol 26 (1) ◽  
pp. 72-75 ◽  
Author(s):  
M. M. AL-QATTAN
Keyword(s):  
Prospective Study ◽  
Giant Cell ◽  
Giant Cell Tumour ◽  
Tendon Sheath ◽  
Type I ◽  
Type Ii ◽  
Giant Cell Tumours ◽  
The Mean ◽  
A Prospective Study

Forty-three consecutive cases of giant cell tumour of tendon sheath were included in a prospective study. The tumours were classified into two main types, depending on whether the entire tumour was, or was not, surrounded by one pseudocapsule as assessed by the surgeon during surgery. Each type was then sub-classified according to the thickness of the capsule, lobulation of the tumour, the presence of satellite lesions, and the diffuse or multicenteric nature of the tumour: these factors were also assessed by the surgeon. The mean follow-up period was 4 (range, 2–6) years. None of the type I tumours ( n=30) recurred, but recurrence occurred in five out of 13 type II tumours. Second recurrences were seen with type II B and C, but not type II A tumours.

Dual mobility trapeziometacarpal prosthesis: a prospective study of 107 cases with a follow-up of more than 3 years

2021 ◽  
pp. 175319342110245
Author(s):  
Bruno Lussiez ◽  
Cyril Falaise ◽  
Pascal Ledoux
Keyword(s):  
Prospective Study ◽  
Functional Outcomes ◽  
Pinch Strength ◽  
Level Of Evidence ◽  
Dual Mobility ◽  
The Mean ◽  
The Stability ◽  
A Prospective Study ◽  
Score Index

We report the results of a prospective study using a dual mobility trapeziometacarpal prosthesis (Touch®) in 107 patients with a minimum follow-up of 3 years. One-hundred and two patients (95%) were very satisfied or satisfied with the functional outcomes and the mean pain intensity in visual analogue scale decreased from 7.4 to 0.8 ( p < 0.001). Thumb opposition (Kapandji score) index increased from an average of 8.0 to 9.4, while the mean QuickDASH score improved from 38 preoperatively to 20 at follow-up ( p < 0.01). Key-pinch strength improved from 3.5 kg (range 0.5–9.5) to 5.5 kg (range 3.0–11.5). There was a 4.6% rate of complications, including cup loosening and wear of polyethylene, which required revision, but no cases of prosthetic dislocation were seen. Applying the dual mobility principle to trapeziometacarpal arthroplasty may significatively improve the stability of these prostheses. Radiolucent zones around the components of the prostheses are not systematic predictors of future loosening. Level of evidence: IV

scholarly journals Reinforced Aortic Root Reconstruction in Type A Aortic Dissection: A Prospective Study

2021 ◽  
Vol 24 (5) ◽  
pp. E828-E832
Author(s):  
Ahmed Elsharkawy ◽  
Ashraf El Midany ◽  
Ahmed Elwakeel ◽  
Eman Mahmoud ◽  
Ahmed Mohammed ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Prospective Study ◽  
Coronary Sinus ◽  
Aortic Root ◽  
Type A ◽  
Type A Aortic Dissection ◽  
Early Results ◽  
The Mean ◽  
A Prospective Study

Background: Type A aortic dissection is a challenging surgical emergency associated with high morbidity and mortality. Many techniques have evolved to repair the dissected sinus segments and restore aortic valve dynamics. Herein, we evaluate the early outcome of a novel technique for reconstruction of dissected aortic root. Methods: A prospective study was conducted on 300 patients to evaluate the early results of repair of dissected root in type A aortic dissection. The mean age was 59.65±8.52 years, and 76% of patients were males. All patients had four standard steps for aortic reconstruction: 1) commissural resuspension; 2) right coronary sinus reinforcement with pericardial and Dacron bands; 3) non-coronary sinus reinforcement using external Dacron patch; 4) circumferential inversion of adventitial layer of the root. Patients were followed up clinically, echocardiographically, and by CT scan. Results: The in-hospital mortality was 8%. The mean cross-clamp time was 120±30 minutes, and circulatory arrest time was 25+10 minutes. Twenty-seven patients (9%) experienced postoperative complications, including bleeding and acute kidney injury. During a mean follow-up time of 48±12 months, there were no recurrent aortic dissection, aortic dilatation, pseudoaneurysm, or progression of aortic regurgitation during the entire study period. Conclusions: This reconstructive technique technically is undemanding, feasible, safe, and durable with good early results. A larger cohort of patients with longer period of follow up should generate a more powerful evaluation of this technique.

scholarly journals Role of Biplane Double Supported Screw Fixation For Fracture Neck Femur In Elderly Population: A Prospective Study

2018 ◽  
Vol 12 (1) ◽  
pp. 514-524
Author(s):  
Anoop Kalia ◽  
Jagdeep Singh ◽  
Nasir Ali
Keyword(s):  
Total Hip Arthroplasty ◽  
Prospective Study ◽  
Hip Arthroplasty ◽  
Screw Fixation ◽  
Harris Hip Score ◽  
Total Hip ◽  
Fracture Neck Femur ◽  
The Mean ◽  
A Prospective Study

Introduction: The treatment of fracture neck femur varies according to the age of patient, the displacement of fracture fragments and the duration of the fracture. Various treatment options available for elderly are screw fixation, hemiarthroplasty and total hip arthroplasty. Materials and Methods: This is a prospective study done at authors institutes between January 2014- December 2016. 30 patients aged more than 50 years who sustained fracture neck femur were included in the study. 3 patients were lost to follow up and 2 patients died due to medical comorbidities. Out of the 25 remaining patients, 17 were males and 8 were females and they were operated by the biplane double supported screw fixation method (BDSF TECHNIQUE) and were followed up for a period of two years. The final Harris Hip Score at the last follow up was calculated. Results: Out of the 25 patients, the union was achieved in all the patients. The mean duration of union was 10 weeks. 1 patient had progressive femoral head resorption due to chondrolysis resulting in antalgic gait and unbearable pain and underwent total hip arthroplasty. The mean harris hip score was 81.2 Conclusion: In elderly patients with osteoporosis and in those patients who can not afford arthroplasty or in those patients where arthroplasty is contraindicated, BDSF method is an alternate method for fixing fracture neck femur.

Therapeutic Horticulture in Clinical Depression: A Prospective Study

2009 ◽  
Vol 23 (4) ◽  
pp. 312-328 ◽  
Author(s):  
Marianne Thorsen Gonzalez ◽  
Terry Hartig ◽  
Grete Grindal Patil ◽  
Egil W. Martinsen ◽  
Marit Kirkevold
Keyword(s):  
Prospective Study ◽  
Beck Depression Inventory ◽  
Depression Severity ◽  
Attentional Capacity ◽  
Attentional Function ◽  
Clinically Depressed ◽  
The Mean ◽  
Therapeutic Horticulture ◽  
A Prospective Study

Clinically depressed persons suffer from impaired mood and distortion of cognition. This study assessed changes in depression severity and perceived attentional capacity of clinically depressed adults (N = 18) during a 12-week therapeutic horticulture program. The Beck Depression Inventory (BDI) and Attentional Function Index (AFI) were administered at baseline, twice during (4 and 8 weeks), and immediately after the intervention (12 weeks), and at a 3-month follow-up. Experiences of being away and fascination related to the intervention were measured at 4, 8, and 12 weeks. The mean BDI score declined 9.7 points from pretest (27.3) to posttest (p < .001) and were clinically relevant (ΔBDI ≥ 6) for 72% of the cases. The mean AFI score increased 10.2 points from pretest (68.8) to posttest (p = .06). The greatest change in BDI and AFI scores occurred in the initial weeks of the intervention. The reduction in BDI scores remained significant and clinically relevant at the 3-month follow-up (N = 16). The decline in depression severity during the intervention correlated strongly with the degree to which the participants found that it captured their attention. Therapeutic horticulture may decrease depression severity and improve perceived attentional capacity by engaging effortless attention and interrupting rumination.

scholarly journals Influence of long-term Airflow Deprivation on the Dimensions of the Nasal Cavity: A Study of Laryngectomy Patients using Acoustic Rhinometry

2007 ◽  
Vol 86 (8) ◽  
pp. 488-492 ◽  
Author(s):  
Ozan Bagis Ozgursoy ◽  
Gursel Dursun
Keyword(s):  
Prospective Study ◽  
Nasal Cavity ◽  
Total Laryngectomy ◽  
Acoustic Rhinometry ◽  
Nasal Airflow ◽  
Left And Right ◽  
The Mean ◽  
A Prospective Study

We conducted a prospective study to investigate the long-term effect of nasal airflow deprivation on nasal dimensions after total laryngectomy. We evaluated 48 patients who had an initial diagnosis of laryngeal cancer; 6 were disqualified during follow-up, leaving us with data on 42 patients for our final analysis. Acoustic rhinometry was used to measure the minimum cross-sectional area (MCSA) and the volume of the nasal cavity on both the left and right sides before and after laryngectomy. In addition, patients underwent endoscopic nasal examinations and answered questionnaires pre- and postoperatively. At both the 1- and 2-year follow-ups, the mean MCSAs and the mean nasal volumes of both the left and right nostrils were significantly smaller than the preoperative values (p < 0.001). The endoscopic examinations revealed only a mild deterioration in the appearance of the nasal mucosa over the long term. Questionnaire responses obtained at the 2-year follow-up visit revealed that all 42 evaluable patients were experiencing a moderate degree of nasal obstruction while inhaling through the nose. Our data indicate that the dimensions of the nasal cavity appear to be substantially and permanently reduced after total laryngectomy. Our study had two important advantages over other similar studies. First, because ours was a prospective study, we were able to obtain preoperative data and use it to make postoperative comparisons of the same patients rather than using healthy controls as comparators. Second, we used acoustic rhinometry, while most other studies relied on anterior rhinoscopy or rhinomanometry, which are inferior methods of making the evaluations in question. We believe that our findings represent a substantial contribution to our knowledge of the physiologic and functional alterations of the nasal cavity that occur as a result of a complete cessation of nasal airflow.

scholarly journals A Prospective Study on Functional Outcome of Open Reduction and Internal Fixation of Acetabular Fractures

2020 ◽  
pp. 174-183
Author(s):  
Venkata Kiran Pillella ◽  
J. Lionel John
Keyword(s):  
Prospective Study ◽  
Internal Fixation ◽  
Functional Outcome ◽  
Open Reduction ◽  
Acetabular Fractures ◽  
Medical College ◽  
The Mean ◽  
One Year ◽  
A Prospective Study

The current study is a prospective study on the functional outcome of open reduction and internal fixation of acetabular fractures. About 30 patients were analyzed for the functional outcome of acetabular fractures treated by open reduction and internal fixation over a period of one year and eight months from March 2017 to October 2018 with a minimum follow up period of 9 months at Sree Balaji Medical College & Hospital, Chromepet, Chennai. The mean age of the patient was 37.96 year ranging from 20 - 60 years. The Joel Matta score was used for calculation of radiological outcome of 30 patients. The results were excellent in 19 (66.3%), good in 8 (26.6%), fair in 3 (10%), and poor in 0 (0%) patients. Functional outcome of displaced acetabular fractures more than 2 mm displacement was found to have excellent results on open reduction and internal fixation.

Marcher's Digitalgia Paresthetica Among Recruits

Foot & Ankle ◽  
1989 ◽  
Vol 9 (6) ◽  
pp. 312-313 ◽  
Author(s):  
M. Stein ◽  
N. Shlamkovitch ◽  
A. Finestone ◽  
C. Milgrom
Keyword(s):  
Prospective Study ◽  
Military Recruits ◽  
Running Shoes ◽  
The Mean ◽  
A Prospective Study ◽  
Mean Time ◽  
Early Phases

In a prospective study of 30 male Israeli military recruits a 47% incidence of digitalgia paresthetica was found. The mean time of onset of symptoms was in the fourth week of training. The numbness was bilateral in 11 of 14 of the cases and the mean number of toes involved was 4.5. The first toe was the most commonly involved (11 of 14 patients). No correlation between shoe type (either 3/4 running shoes or standard military boots) was found. At 9-month follow-up, 7 of 9 affected recruits reviewed were asymptomatic. This finding suggests that marcher's digitalgia paresthetica is a neuropraxia. In this study, it developed during the early phases of march training when recruits are adapting to marching with heavy pack and rifle.

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