Surgical Treatment of Early Acute Thrombosis of Mechanical Mitral Prosthesis

2010 ◽  
Vol 13 (5) ◽  
pp. E322-E323
Author(s):  
Shengli Jiang ◽  
Tao Zhang ◽  
Chonglei Ren ◽  
Yao Wang
Keyword(s):  
Surgical Treatment ◽  
Acute Thrombosis ◽  
Mitral Prosthesis

scholarly journals Simultaneous surgical treatment of ruptured abdominal aortic aneurysm and acute carotide occlusive disease

2009 ◽  
Vol 56 (1) ◽  
pp. 101-103
Author(s):  
Z.V. Maksimovic ◽  
N. Jakovljevic ◽  
S. Putnik ◽  
D. Jadranin ◽  
D. Markovic ◽  
...  
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Surgical Treatment ◽  
Aortic Aneurysm ◽  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Good Condition ◽  
Ruptured Abdominal Aortic Aneurysm ◽  
Acute Thrombosis ◽  
Abdominal Aortic

Combined rupture of abdominal aortic aneurysm and acute thrombosis of internal carotid artery is extremely rare but fatal combination resulting in high mortality rate. Presented case, shows successfully performed simultaneous surgery of ruptured abdominal aortic aneurysm and acute cerebrovascular insult caused by thrombosis of carotid artery in 81 year-old male. Post operative course was uneventfull. At 24 months follow up patient was in good condition, with full neurological recovery. Simultaneous surgical treatment of acute occlusive carotid disease and ruptured abdominal aortic aneurysm (RAAA) seems to be the only life saving procedure for this rare, but very complicated condition. To our knowledge, this is the first reported successful simultaneous surgical treatment of RAAA and acute thrombosis of internal carotid artery.

scholarly journals SURGICAL TREATMENT OF ACUTE THROMBOSIS ARTERIES OF INFRAPOPLITEAL SEGMENT

2021 ◽  
Vol 4 (18) ◽  
pp. 10-17
Author(s):  
Y. Hupalo ◽  
O. Nabolotnyi ◽  
B. Kulikovskyi ◽  
O. Shved ◽  
V. Shaprynskyi ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Popliteal Artery ◽  
Lower Limb ◽  
Arterial Thrombosis ◽  
Artery Aneurysm ◽  
Surgical Interventions ◽  
Popliteal Artery Aneurysm ◽  
Acute Thrombosis ◽  
Endovascular Interventions ◽  
Catheter Directed Thrombolysis

Aim of the study. Aim of the study was to analyze the outcomes of surgical treatment of acute thrombosis of the popliteal-tibial segment arteries with various etiological factors of its occurrence. The analysis of the surgical treatment of 40 patients with acute thrombosis of the popliteal-tibial segment arteries was carried out for the period from 2014 to 2020. Depending on the pathogenesis of acute thrombosis of the popliteal-tibial segment arteries, the patients were divided into three groups: Group 1 – 17 (42.5%) patients with acute arterial thrombosis of the popliteal-tibial segment caused by embolism or thrombosis in the background of stenotic-occlusive diseases of the lower extremitiesvessels; Group 2 – 15 (37.5%) patients with acute arterial thrombosis of the popliteal-tibial segment in the background of thromboangiitisobliterans of the lower extremities (Buerger's disease); Group 3 – 8 (20%) patients with acute arterial thrombosis of the popliteal-tibial segment in the background of popliteal artery aneurysm. During the follow-up period of 2 months, the incidence of rethrombosis and amputation of the lower limb in the patients of Group A was 5.9% and 5.9%, respectively. In Group B, the incidence of rethrombosis and amputation of the lower limb was 73.3% and 40.0%, respectively. In group C, the incidence of rethrombosis and amputation of the lower limb was 12.5% and 12.5%, respectively. Conclusions. In patients with acute arterial thrombosis of the popliteal-tibial segment in the background of embolism or stenotic-occlusive diseases, combined endovascular or hybrid surgical interventions showed better results compared to open thrombectomy, in which rethrombosis was diagnosed in 14.3% of cases. In patients with thromboangiitis obliterans of the lower extremities, regional catheter-directed thrombolysis showed better (p=0,04) results compared to open thrombectomy and endovascular interventions, in which rethrombosis was diagnosed in 90% and 100% of cases, respectively. In patients with popliteal artery aneurysm, open surgical interventions or regional catheter-directed thrombolysis showed better results compared to endovascular interventions, in which rethrombosis was diagnosed in 50% of cases.

Successful surgical treatment of Nicolau’s syndrome combined with intravenous iloprost

VASA ◽  
2009 ◽  
Vol 38 (4) ◽  
pp. 378-381
Author(s):  
Gormus ◽  
Tanyeli ◽  
Senaran ◽  
Duman ◽  
Solak Görmüs ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Doppler Ultrasonography ◽  
Surgical Intervention ◽  
Distal Phalanx ◽  
Venous Thrombectomy ◽  
Acute Thrombosis ◽  
The Third ◽  
Standard Management ◽  
Iloprost Infusion ◽  
Early Surgical Intervention

A 4 year-old boy was admitted to our clinic with symptoms of pain and ecchymosis in his right leg and foot after injection of benzathine penicilline. There was a localized gangrenous area at the femoral injection site. Doppler ultrasonography showed no arterial flow in the femoral artery and clear evidence of acute thrombosis of the superficial femoral and popliteal veins. Femoral arterial and venous thrombectomy and fasciotomy were performed immediately. After surgery the boy was treated by Iloprost infusion and enoxaparine. One week later necrotic changes had regressed, fasciotomies were closed and only the distal phalanx of the third toe needed amputation. Early surgical intervention and standard management combined with Iloprost infusion may help in healing the lesions by increasing extremity perfusion and may prevent extremity loss.

scholarly journals ГОСТРИЙ ТРОМБОЗ ГЕМОРОЇДАЛЬНИХ ВУЗЛІВ: КЛІНІЧНИЙ ПРОФІЛЬ ПАЦІЄНТА ТА ЛІКУВАЛЬНА ТАКТИКА

2019 ◽  
pp. 33-38
Author(s):  
Ю. Б. Кіндракевич ◽  
В. І. Пилипчук ◽  
А. Л. Шаповал
Keyword(s):  
Surgical Treatment ◽  
Length Of Stay ◽  
Conservative Therapy ◽  
Narcotic Analgesics ◽  
Acute Thrombosis ◽  
Surgical Tactics ◽  
Conservative And Surgical Treatment ◽  
The Relationship ◽  
Degrees Of Severity ◽  
Degree Of Severity

Мета дослідження – визначити клінічний профіль пацієнта та порівняти результати консервативного та хірургічного лікування гострого тромбозу гемороїдальних вузлів. Методи. Протягом 2014-2018 рр. в проктологічному відділенні Івано-Франківської обласної клінічної лікарні лікувались 98 пацієнтів з гострим тромбозом гемороїдальних вузлів. Серед них 60 (61,2 %) чоловіків,  38 (38,8 %) жінок. Вивчали скарги пацієнтів при поступленні, можливі причини виникнення захворювання, тривалість захворювання до звернення за допомогою, дані об’єктивного обстеження. Зв’язок між скаргами та даними об’єктивного обстеження визначали за допомогою коефіцієнтів асоціації та контингенції. Оцінювали вплив консервативного та хірургічного лікування гострого тромбозу гемороїдальних вузлів на тривалість застосування ненаркотичних анальгетиків та терміни перебування у стаціонарі. Результати дослідження. Тривалість прийому ненаркотичних анальгетиків та терміни перебування у стаціонарі скорочуються у 1,8 та 1,7 рази відповідно, при проведенні тромбектомії, та тромбектомії в поєднанні з некректомією, у пацієнтів з гострим тромбозом гемороїдальних вузлів І степені тяжкості. Тривалість прийому ненаркотичних анальгетиків скорочується у 1,4 рази при відтермінуванні гемороїдектомії по Мілігану-Моргану до 5,3±1,0 днів при ІІ степені тяжкості. Висновки. При гострому тромбозі гемороїдальних вузлів І степені тжкості потрібно дотримуватись активної хірургічної тактики, при ІІ-ІІІ степені тяжкості проводити хірургічне лікування після зменшення набряку, ознак запалення та курсу консервативної терапії   The purpose of the study is to determine the clinical profile of the patient and compare the results of conservative and surgical treatment of acute hemorrhoid thrombosis. Methods. During 2014-2018, 98 patients with acute thrombosis of hemorrhoids were treated at the proctologic department of the Ivano-Frankivsk Regional Clinical Hospital. Among them, 60 (61.2%) men, 38 (38.8%) women. Studied the complaints of patients upon admission, the possible causes of the disease, the duration of the disease before treatment, the data of objective examination. The relationship between complaints and the objective survey data was determined using association and contingency ratios. The influence of conservative and surgical treatment of acute thrombosis of hemorrhoids on the duration of use of non-narcotic analgesics and the length of stay in hospital were evaluated. Research results. The duration of admission of non-narcotic analgesics and the terms of stay in the hospital decreases by 1.8 and 1.7 times, respectively, during thrombectomy, and thrombectomy in combination with necrectomy, in patients with acute thrombosis of hemorrhoids I degrees of severity. The duration of admission of non-narcotic analgesics is reduced by 1.4 times when delayed hemorrhoidectomy by Miligan-Morgan to 5.3 ± 1.0 days with II degree of severity. Conclusions. In acute thrombosis of hemorrhoidal nodes of the I degree of severity, one must adhere to active surgical tactics, with II-III degree of severity, surgical treatment after reduction of edema, signs of inflammation and course of conservative therapy.    

Human Stapes Crura: Normal Ultrastructure. Scanning Electron Microscopic Findings

1975 ◽  
Vol 33 ◽  
pp. 528-529
Author(s):  
M.D. Graham
Keyword(s):  
Electron Microscope ◽  
Surgical Treatment ◽  
Scanning Electron Microscope ◽  
Osmic Acid ◽  
Human Cadaver ◽  
Electron Microscopic ◽  
Scanning Electron Microscopic ◽  
Normal Human ◽  
Microscopic Findings ◽  
Scanning Electron

The recent development of the scanning electron microscope has added great impetus to the study of ultrastructural details of normal human ossicles. A thorough description of the ultrastructure of the human ossicles is required in order to determine changes associated with disease processes following medical or surgical treatment.Human stapes crura were obtained at the time of surgery for clinical otosclerosis and from human cadaver material. The specimens to be examined by the scanning electron microscope were fixed immediately in the operating room in a cold phosphate buffered 2% gluteraldehyde solution, washed with Ringers, post fixed in cold 1% osmic acid and dehydrated in graded alcohol. Specimens were transferred from alcohol to a series of increasing concentrations of ethyl alcohol and amyl acetate. The tissue was then critical point dried, secured to aluminum stubs and coated with gold, approximately 150A thick on a rotating stage in a vacuum evaporator. The specimens were then studied with the Kent-Cambridge S4-10 Scanning Electron Microscope at an accelerating voltage of 20KV.

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