scholarly journals Management of iatrogenic full thickness electrical burn in a preterm neonate using W-plasty technique combined with a median sternotomy incision

2012 ◽  
Vol 94 (8) ◽  
pp. e1-e3 ◽  
Author(s):  
E Chipp ◽  
H Duncan ◽  
R Papini
Keyword(s):  
Cardiac Surgery ◽  
Surgical Management ◽  
Preterm Neonate ◽  
Neonatal Period ◽  
Median Sternotomy ◽  
Full Thickness ◽  
Surgical Decision ◽  
Individual Basis ◽  
Temporary Pacing ◽  
Complex Cases

Burns in the neonatal period are rare and most commonly due to iatrogenic causes. We report a case of a preterm neonate who sustained a full thickness electrical burn following the use of a temporary pacing pad. The case was complicated by significant co-morbidities and the need for cardiac surgery. We describe the surgical management of the case, using excision and closure in the form of a W-plasty. We discuss the reasons for this surgical decision and the importance of managing complex cases such as this on an individual basis.

Surgical management of CHD in the adult population: the role of humanitarian cardiac surgery mission in Nigeria

2018 ◽  
Vol 29 (1) ◽  
pp. 11-15 ◽  
Author(s):  
Ikechukwu A. Nwafor ◽  
John C. Eze
Keyword(s):  
Information Technology ◽  
Cardiac Surgery ◽  
Retrospective Study ◽  
Surgical Management ◽  
Neonatal Period ◽  
Adult Population ◽  
Clinical Effects ◽  
Microsoft Excel ◽  
Using Data

AbstractBackgroundThe clinical effects of CHD can occur during the neonatal period, childhood, adolescent, and even adulthood. Some CHD in the adult population have indications for surgical management.ObjectiveThe objective of this study was to review the role of humanitarian cardiac surgery missions in the surgical management of CHD in the adult population in a developing country.Materials and methodOver a 5.5-year period – June, 2003, February, 2013–October, 2017 – five different humanitarian cardiac surgery teams visited National Cardiothoracic Center of Excellence, Nigeria. During the period, they operated on adults with CHD. A retrospective study of the patients treated was performed using data obtained from our Hospital Information Technology Department. The demography of the patients, types of CHD, operative modalities, as well as the outcome was analysed using Microsoft Excel. The results were presented in arithmetic of percentages using tables.ResultsDuring the period, a total of 18 CHD patients were treated.

Surgical Management of Patients With 22q11.2 Deletion Syndrome

2019 ◽  
Vol 4 (5) ◽  
pp. 857-869
Author(s):  
Oksana A. Jackson ◽  
Alison E. Kaye
Keyword(s):  
Surgical Management ◽  
Preoperative Evaluation ◽  
Preoperative Assessment ◽  
22Q11.2 Deletion Syndrome ◽  
Deletion Syndrome ◽  
22Q11.2 Deletion ◽  
Surgical Decision ◽  
Obstructive Sleep ◽  
Spine Abnormalities ◽  
Speech Assessment

Purpose The purpose of this tutorial was to describe the surgical management of palate-related abnormalities associated with 22q11.2 deletion syndrome. Craniofacial differences in 22q11.2 deletion syndrome may include overt or occult clefting of the palate and/or lip along with oropharyngeal variances that may lead to velopharyngeal dysfunction. This chapter will describe these circumstances, including incidence, diagnosis, and indications for surgical intervention. Speech assessment and imaging of the velopharyngeal system will be discussed as it relates to preoperative evaluation and surgical decision making. Important for patients with 22q11.2 deletion syndrome is appropriate preoperative screening to assess for internal carotid artery positioning, cervical spine abnormalities, and obstructive sleep apnea. Timing of surgery as well as different techniques, common complications, and outcomes will also be discussed. Conclusion Management of velopharyngeal dysfunction in patients with 22q11.2 deletion syndrome is challenging and requires thoughtful preoperative assessment and planning as well as a careful surgical technique.

Diaphragmatic paralysis after cardiac surgery in children: incidence, prognosis and surgical management

2006 ◽  
Vol 22 (4) ◽  
pp. 341-346 ◽  
Author(s):  
Tankut Hakki Akay ◽  
Süleyman Ozkan ◽  
Bahadir Gultekin ◽  
Emrah Uguz ◽  
Birgul Varan ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Surgical Management ◽  
Diaphragmatic Paralysis

Liposomal bupivacaine infiltration after median sternotomy incision in pediatric cardiac surgery

2021 ◽  
Author(s):  
Christopher F. Tirotta ◽  
Richard G. Lagueruela ◽  
Daria Salyakina ◽  
Apeksha Gupta ◽  
Frank Alonso ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Median Sternotomy ◽  
Pediatric Cardiac Surgery ◽  
Liposomal Bupivacaine

scholarly journals Vitamin D for prevention of sternotomy healing complications: REINFORCE-D trial

Trials ◽  
2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Michal Čečrle ◽  
Dalibor Černý ◽  
Eva Sedláčková ◽  
Barbora Míková ◽  
Vlasta Dudková ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Cardiac Surgery ◽  
Heart Surgery ◽  
Soft Tissues ◽  
Healing Process ◽  
Hospital Readmissions ◽  
Open Heart Surgery ◽  
Median Sternotomy ◽  
Complication Rates ◽  
Mechanical Lung Ventilation

Abstract Background Most cardiac surgery patients undergo median sternotomy during open heart surgery. Sternotomy healing is an arduous, very complex, and multifactorial process dependent on many independent factors affecting the sternum and the surrounding soft tissues. Complication rates for median sternotomy range from 0.5 to 5%; however, mortality rates from complications are very variable at 7–80%. Low calcidiol concentration below 80 nmol/L results in calcium absorptive impairment and carries a risk of bone loss, which is considered as a risk factor in the sternotomy healing process. The primary objective of this clinical trial is to compare the incidence of all postoperative sternotomy healing complications in two parallel patient groups administered cholecalciferol or placebo. The secondary objectives are focused on general patient recovery process: sternal bone healing grade at the end of the trial, length of hospitalization, number of days spent in the ICU, number of days spent on mechanical lung ventilation, and number of hospital readmissions for sternotomy complications. Methods This clinical trial is conducted as monocentric, randomized, double-blind, placebo-controlled, with planned enrollment of 600 patients over 4 years, approximately 300 in the placebo arm and 300 in the treatment arm. Males and females from 18 to 95 years of age who fulfill the indication criteria for undergoing cardiac surgery with median sternotomy can be included in this clinical trial, if they meet the eligibility criteria. Discussion REINFORCE-D is the first monocentric trial dividing patients into groups based on serum calcidiol levels, and with dosing based on serum calcidiol levels. This trial may help to open up a wider range of postoperative healing issues. Trial registration EU Clinical Trials Register, EUDRA CT No: 2016-002606-39. Registered on September 8, 2016.

The Diagnosis and Surgical Management of Intracardiac Quill Foreign Body in a Dog

2016 ◽  
Vol 52 (1) ◽  
pp. 73-76 ◽  
Author(s):  
Daniel Joseph Santiago Nucci ◽  
Julius Liptak
Keyword(s):  
Computed Tomography ◽  
Foreign Body ◽  
Right Ventricle ◽  
Surgical Management ◽  
Foreign Bodies ◽  
Cardiac Injury ◽  
Median Sternotomy ◽  
Good Prognosis ◽  
Bilateral Pneumothorax ◽  
The Right

A dog was referred to Alta Vista Animal Hospital with a porcupine quill penetrating the right ventricle. The presenting complaint was tachypnea and dyspnea secondary to bilateral pneumothorax. Computed tomography revealed bilateral pneumothorax without evidence of quills. A median sternotomy was performed and the quill was removed. The dog recovered uneventfully. Quill injuries are common in dogs; however, intracardiac quill migration is rare. Dogs without evidence of severe cardiac injury secondary to intracardiac foreign bodies may have a good prognosis.

Nonlinear FEA Simulation of Thorax Considering Transient CPR Forces and Sternotomy

2012 ◽  
Author(s):  
Omar Awad ◽  
Mohamed Harfoush ◽  
Yahia M. Al-Smadi
Keyword(s):  
Stainless Steel ◽  
Cardiac Surgery ◽  
Median Sternotomy ◽  
Real Life ◽  
The Real ◽  
Fea Simulation ◽  
Modern Era

The median sternotomy has become the desired incision in the modern era of cardiac surgery. The objective of this study is to investigate the sternum loading due to daily forces after sternotomy and during healing. Two models of thorax were built. The first is to simulate the healthy thorax and the second is to simulate the thorax after sternotomy and got closure using stainless steel stitches. In this paper, ANSYS was used to build the throax model. The results that have been collected after solving the model were analyzed. The analysis was promising and proved that the model was working properly and its ability to simulation what happens in the real life.

Sign in / Sign up

Export Citation Format

Share Document