scholarly journals Learning from the radiological findings of dropped gall stone and/or appendicolith (its complication and management strategy)

2019 ◽  
Vol 5 (2) ◽  
pp. 20180096
Author(s):  
Yasir Jamil ◽  
Dr Nicholas Reading
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Management Strategy ◽  
Gall Stone ◽  
Abdominal Abscess ◽  
Radiological Findings ◽  
Management Options ◽  
Surgical Interventions ◽  
The Past ◽  
Surgical History ◽  
History Of

This case report the patient presented with intra-abdominal abscess with the past surgical history of laparoscopic cholecystectomy and appendectomy. Being a radiologist, it is important to keep patient’s previous surgical interventions in mind as it can change the management options.

The Prevalence and Clinical Profile of Angiographic Coronary Ectasia

2003 ◽  
Vol 11 (2) ◽  
pp. 122-126 ◽  
Author(s):  
Peter Nyamu ◽  
Mullasari S Ajit ◽  
Peter K Joseph ◽  
Lakshmi Venkitachalam ◽  
Nancy A Sugirtham
Keyword(s):  
Coronary Artery ◽  
Clinical Presentation ◽  
Review Of Literature ◽  
Management Options ◽  
The Past ◽  
Left Anterior Descending Artery ◽  
Coronary Ectasia ◽  
High Prevalence ◽  
History Of ◽  
The Right

Coronary artery ectasia, a variant of coronary atherosclerosis, is a relatively rare entity. Review of literature did not reveal an exclusive study on isolated ectasia. We decided to analyse the clinical presentation and angiographic prevalence of this subset. A retrospective study of patients who underwent coronary angiogram in our institute over the past six years was carried out and the epidemiological, clinical and angiographic characteristics of patients with isolated ectasia were analysed. Distribution of ectasia was with a modification of the Markis classification. Among 6938 angiograms analysed, 134 (2%) had isolated ectasia. Of the 118 symptomatic patients, 34 (25%) had a history of or presented with infarction, with correlation between the territory of infarction and the ectatic vessel in 32 patients. Of 62 patients with lipid abnormality, Hypertriglyceridemia in 42 (65%) was the most common. The left anterior descending artery was the most common vessel involved. Diffuse ectasia most commonly involved the right coronary artery. One patient had spontaneous coronary dissection. There is a relatively high prevalence of isolated coronary ectasia with predominant involvement of the right coronary vessel when diffuse and the left anterior descending artery when discrete. This entity is not innocuous and warrants a detailed study on the available management options.

Caring for Gendered Bodies

2013 ◽  
Author(s):  
Monica Green
Keyword(s):  
Driving Force ◽  
Major Part ◽  
The Body ◽  
Biological Entity ◽  
Gender Analysis ◽  
Surgical Interventions ◽  
Slow Pace ◽  
The Past ◽  
History Of ◽  
Gendered Bodies

Given the comparatively slow pace of human evolution, the body, as a biological entity, may be taken more or less as a historical constant during the past 1500 years. But every interaction with that body was mediated by culture, and thus gender analysis is a driving force in the expanding field of the history of health. This essay looks at how changing expectations of gender and knowledge shaped medical and surgical interventions in three circumstances: pregnancy; childbirth emergencies; and the care of intersexed persons. The field of the history of health is still rapidly expanding, and the perspectives of gender analysis are a major part of what is driving that expansion forward.

FACILITIES MANAGEMENT STRATEGY FOR HERITAGE BUILDING CONSERVATION

2015 ◽  
Vol 3 (1) ◽  
pp. 69-76
Author(s):  
Maimunah Sapri ◽  
Suhanis Suffian
Keyword(s):  
Management Strategy ◽  
Facility Management ◽  
Heritage Conservation ◽  
Facilities Management ◽  
The Past ◽  
Human Value ◽  
Heritage Building ◽  
History Of ◽  
Building Conservation ◽  
Common Understanding

AbstrakAlam bina merupakan sejarah kehidupan manusia pada zaman dahulu, nilai semasa dan halatujumasa depan. Konservasi bangunan merupakan sebahagian dari nilai kemanusiaan. Namun begitu,dalam sesetengah kes, nilai warisan telah hilang dalam masyarakat. Kajian ini mencadangkan ideakonsep bagi pembentukan strategi pengurusan kemudahan sebagai asas dalam konservasi bangunan.Pengurusan kemudahan dikenali sebagai pendekatan berpusatkan manusia yang menghargai penggunadalam mengendalikan proses organisasi. Adalah dijangkakan bahawa pemahaman yang sama olehpihak berkepentingan menghasilkan rangka kerja yang lebih baik kepada konservasi warisan. Terdapatbeberapa perkara di mana strategi pengurusan kemudahan akan menyumbang dalam pemuliharaanwarisan. Ia akan memfokuskan pendekatan dalam menganalisa dan menilai persepsi sosial bagi warisanbudaya dan warisan semulajadi. Abstract Built environment is the history of the life of man in the past, the present of value and the directions forthe future. Building conservation is a part of human value. However in some cases the value of heritagehas been absent in the community. This paper postulates that the conceptual idea on the emergenceof facility management strategy as a basis in dealing with building conservation. Facility Management(FM) is recognized as human or people centered approach that appreciates users in dealing with theorganizational process. It is anticipated that common understanding of the stakeholders can lead to abetter framework of heritage building conservation.There are several points where facility managementstrategy will contribute in conserving heritage. It will focus on the approach of analysing and assessing thesocial perception of both cultural and natural of heritage conservation.

scholarly journals Nassar operative grade and ultrasonography prediction for difficult laparoscopic cholecystectomy

2021 ◽  
Author(s):  
Samir Paruthy ◽  
Shivani B. Paruthy
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Gall Stone ◽  
Stone Disease ◽  
Surgical Interventions ◽  
Open Method ◽  
Early Return ◽  
Gall Stone Disease ◽  
Difficult Cholecystectomy ◽  
Grade 3 ◽  
Challenging Situation

Background: ‘Gold standard’ for symptomatic cholelithiasis is laparoscopic cholecystectomy (LC) with advantagesof minimal access surgery, early return to activity with cosmetic scar. However, this may not always holdtrue in all cases. Conversion to open procedure in challenging circumstances would be in better interest of the patient even after the learning curve of the surgeon has surpassed several years. Methods: Forty patients undergoing symptomatic gall stone disease without any acute episode in past six weeks were investigated. All cases were evaluated with clinical examinations, biochemical parameters and preoperative ultrasonography done a day prior for prediction of difficult LC. All cases correlated with preoperative USG parameters and Nassar per operative grade (1-4 and 5) and analyzed for prediction to open method in difficult challenging situations. Complications associated with in 30 day of surgical interventions were also recorded. Results: Difficult cholecystectomy was anticipated with USG parameters in 20 cases, and Nassar operative grading of difficulty (Grade-3, 4 and 5) predicted in 13 cases; the latter was correlated with conversion to open methods. p<0.05 in USG parameters and Nassar grading of operative difficulty was considered significant. There were no complications nor any surgical interventions required during 30 days interval.Conclusions: Per operative Nassar grading and prior USG parameters for prediction of likelihood of difficult cholecystectomy helps in guiding surgeon in challenging situation to safely proceed to complete cholecystectomy procedure either by laparoscope or open method in the better interest of the patient.  

scholarly journals Current trends in routine myocardial revascularization

2021 ◽  
Vol 10 (2) ◽  
pp. 25-35
Author(s):  
S. V. Ivanov ◽  
A. N. Sumin
Keyword(s):  
Perioperative Complications ◽  
Myocardial Revascularization ◽  
Fold Increase ◽  
Perioperative Mortality ◽  
Surgical Interventions ◽  
The Past ◽  
Number Of Patients ◽  
History Of ◽  
The Mean ◽  
Artery Disease

Highlights. A 12-year experience of myocardial revascularization at the Research Institute of Complex Issues of Cardiovascular Diseases is reported. An increase in the number of patients with comorbidities resulted in more complex surgeries. Perioperative mortality and complication rates are consistent with the reported global data.Aim. To assess the temporal changes in baseline characteristics of patients with coronary artery disease (CAD), the range of surgical interventions, and the structure of significant in-hospital complications following coronary artery bypass grafting (CABG).Methods. 9,043 patients who underwent CABG between 2006 and 2018 were identified from a prospective CABG registry. 1,847 (20.4%) were women (the mean age of 63.11±7.4 years) and 7,196 (79.6%) were men (the mean age of 59.0±7.9 years). The main parameters on the underlying cardiovascular disease and comorbidities, the prevalence and extent of non-cardiac atherosclerosis, the type of CABG, and the volume of associated surgical interventions as well as the structure of perioperative complications were included in the statistical analysis.Results. We determined several trends characterizing the temporal changes in the clinical, morphological, and functional status of patients. The number of women undergoing CABG has increased 2.7-fold. The mean age of patients undergoing CABG has increased by 7.3 years. Patients are present with higher rates of comorbidities, including AF, diabetes (a 2.5-fold increase), hypertension (a 12% increase), as well as severe BCA stenoses (a 2.7-fold increase), a positive history of stroke, or TIA (a 2.1-fold increase). The number of combined surgical procedures during CABG has increased by 2.9. The prevalence of perioperative neurological and hemorrhagic complications requiring revision surgery, and deep wound infection have increased 4.3-fold. Waiting time for elective CABG has significantly reduced. The number of patients with a history of myocardial infarction (a 14.5% decrease) and severe peripheral artery disease has decreased. In-hospital mortality has decreased over the past decade.Conclusion. Over the past decade, the number of patients with comorbidities who require more complex surgeries has increased at the Research Institute for Complex Issues of Cardiovascular Diseases. Perioperative mortality tends to decrease. However, an increase in the number of neurological, hemorrhagic, and infectious perioperative complications requires the initiation of new preventive measures.

Successful management of subglottic stenosis in pregnancy

2021 ◽  
Vol 14 (3) ◽  
pp. e236466
Author(s):  
Shenghao Fang ◽  
Poonam Pai B H
Keyword(s):  
Multidisciplinary Approach ◽  
Postoperative Management ◽  
Subglottic Stenosis ◽  
Routine Practice ◽  
Shortness Of Breath ◽  
Successful Management ◽  
The Past ◽  
Surgical History ◽  
History Of ◽  
In Pregnancy

Evaluation and management of subglottic stenosis in pregnancy is challenging. It often is not only a multidisciplinary approach between obstetricians, otolaryngologists (ENT surgeons) and anesthesiologists, but also requires a thorough understanding of possible foreseen complications by the patient as well. Hence, whenever we are presented with a challenging case requiring multidisciplinary approach involving team of physicians from different specialties, it is routine practice to huddle regarding the preoperative, intraoperative and postoperative management and care. We present a case of a 37-year-old woman with a known history of idiopathic subglottic stenosis, 16 weeks’ pregnant, G4P1, with a surgical history significant for two previous subglottic dilations in the past and who now presented with an audible stridor and shortness of breath on activity. We highlighted the unique challenges encountered and the corresponding management adopted. This is a case of successful management of symptomatic worsening of subglottic stenosis managed during pregnancy.

Treatment efficacy of infertility due to recurrent external genital endometriosis

GYNECOLOGY ◽  
2019 ◽  
Vol 21 (1) ◽  
pp. 38-43 ◽  
Author(s):  
Mekan R Orazov ◽  
Viktor E Radzinskiy ◽  
Marina B Khamoshina ◽  
Elena V Kavteladze ◽  
Irina F Pukhalskaya ◽  
...  
Keyword(s):  
Treatment Efficacy ◽  
Management Strategy ◽  
Modern Science ◽  
Treatment Method ◽  
Reproductive Technology ◽  
Surgical Interventions ◽  
Surgical Methods ◽  
Personal Approach ◽  
History Of ◽  
A Current

Relevance. Despite lots of studies, issues on a choice of the most effective treatment method for patients with recurrent external genital endometriosis (EGE) as well as a role and features of assisted reproductive technology programs and ways to improve their performance are still unresolved. Aim. To provide a current understanding on etiopathogenesis and management strategy for patients with recurrent EGE and infertility according to Russian and foreign literature date. Materials and methods. In order to write this review, domestic and foreign publications were searched in Russian and international search systems (PubMed, eLIBRARY, etc.) for the last 2-15 years. The review includes articles from peer-reviewed literature. Results. The article provides risk factors for EGE development, disease pathogenesis and clinical manifestation as well as drug and surgical methods for a treatment of endometriosis. Conclusion. Endometriosis remains still to be a mysterious disease for modern science. An individual approach given an age, ovarian reserve and a history of surgical treatment (numbers of surgical interventions for EGE) will allow you to elaborate a personal approach for each woman with subfertility.

scholarly journals Surgical treatment of benign prostatic hyperplasia: the past and the present

2019 ◽  
Vol 9 (1) ◽  
pp. 47-56
Author(s):  
Ali T. Mustafaev ◽  
Pavel S. Kyzlasov ◽  
Maksim P. Dianov ◽  
Aleksej G. Martov ◽  
Dmitrij V. Ergakov ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Benign Prostatic Hyperplasia ◽  
Minimally Invasive ◽  
Prostatic Hyperplasia ◽  
Surgical Interventions ◽  
The Past ◽  
Minimally Invasive Surgical ◽  
History Of

The article reflects the history of treatment of benign prostatic hyperplasia from the age of antiquity to the present day. Approaches to surgical treatment have undergone significant changes in the last century – from traumatic open operations to minimally invasive surgical interventions using innovative endoscopic technologies. However, some issues in the treatment of benign prostatic hyperplasia remain unresolved which leads to the search for new, safer and more effective methods of surgical treatment of the disease.

scholarly journals Pre-operative factors for predicting a difficult laparoscopic cholecystectomy

2018 ◽  
Vol 5 (9) ◽  
pp. 2991 ◽  
Author(s):  
Rajni Bhardwaj ◽  
Rajandeep Singh Bali ◽  
Yawar Zahoor
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Acute Cholecystitis ◽  
Wall Thickness ◽  
Gall Stone ◽  
Gallbladder Wall ◽  
Biliary Colic ◽  
P Value ◽  
Safe Procedure ◽  
Gall Stones ◽  
History Of

Background: Laparoscopic cholecystectomy is a very safe procedure yet there are instances where serious complications can be avoided and better managed if the surgeon is forewarned or prepared in advance for them. So, a need is felt to identify pre-operative parameters for anticipating a difficult cholecystectomy.Methods: This study was carried over a period of two years (2007- 2009). Patients having symptomatic cholelithiasis willing to undergo laparoscopic cholecystectomy were enrolled in the study. The following pre-operative parameters were evaluated in the study: age, sex, body mass index, history of previous abdominal surgery, history of acute cholecystitis, history of biliary colic, palpable lump in right hypochondrium, experience of the surgeon and abdominal ultrasonogram (following parameters were noted increased gallbladder wall thickness, number of stones, size of largest stone and its location).Results: Acute cholecystitis, palpable gall bladder, increased gallbladder wall thickness, biliary colic, gall stones >2 cm in size, gall stone impacted at gallbladder neck and BMI >30 kg/m2 had a significant p-value in a difficult laparoscopic cholecystectomy.Conclusions: Further research is needed to formulate a score based on the variables mentioned above to predict a difficult laparoscopic cholecystectomy and hence letting the surgeon be better prepared for any eventualities that he encounters whilst performing laparoscopic cholecystectomy.

Sign in / Sign up

Export Citation Format

Share Document