scholarly journals Dual Type (Type I, Type IIIa) Ileal Atresia with Minor Omphalocele

2020 ◽  
Vol 5 (4) ◽  
Author(s):  
Nasser Shukri ◽  
Hanan Taher ◽  
Ahmad Al Shabasi ◽  
Omar Al Matari ◽  
Ohoud Al Amoudi ◽  
...  
Keyword(s):  
Type I ◽  
Ileal Atresia ◽  
Type Iiia

scholarly journals Unusual Case Of Jejunal Atresia: A Mixture Of Type I And Type IIIa

2012 ◽  
Vol 2 (3) ◽  
pp. 1
Author(s):  
Metin Gunduz ◽  
Ilhan Ciftci ◽  
Zeynel Gokmen ◽  
Yasar Unlu
Keyword(s):  
Unusual Case ◽  
Type I ◽  
Jejunal Atresia ◽  
Type Iiia

scholarly journals Electrophysiological properties of maxillary trigeminal Aβ-afferent neurons of rats

2021 ◽  
Vol 17 ◽  
pp. 174480692110212
Author(s):  
Yuya Okutsu ◽  
Akihiro Yamada ◽  
Sotatsu Tonomura ◽  
Ryan J Vaden ◽  
Jianguo G Gu
Keyword(s):  
Type I ◽  
Type Ii ◽  
Afferent Neurons ◽  
Success Rates ◽  
Fast Kinetics ◽  
Electrophysiological Properties ◽  
Type Iiia ◽  
Type Iiib ◽  
Slow Kinetics ◽  
Conduction Velocities

Aβ-afferents in maxillary or V2 trigeminal ganglion (TG) neurons are somatosensory neurons that may be involved in both non-nociceptive and nociceptive functions in orofacial regions. However, electrophysiological properties of these V2 trigeminal Aβ-afferent neurons have not been well characterized so far. Here, we used rat ex vivo trigeminal nerve preparations and applied patch-clamp recordings to large-sized V2 TG neurons to characterize their electrophysiological properties. All the cells recorded had afferent conduction velocities in the range of Aβ-afferent conduction speeds. However, these V2 trigeminal Aβ-afferent neurons displayed different action potential (AP) properties. APs showed fast kinetics in some cells but slow kinetics with shoulders in repolarization phases in other cells. Based on the derivatives of voltages in AP repolarization with time (dV/dt), we classified V2 trigeminal Aβ-afferent neurons into four types: type I, type II, type IIIa and type IIIb. Type I V2 trigeminal Aβ-afferent neurons had the largest dV/dt of repolarization, the fastest AP conduction velocities, the shortest AP and afterhyperpolarization (AHP) durations, and the highest AP success rates. In contrast, type IIIb V2 trigeminal Aβ-afferent neurons had the smallest dV/dt of AP repolarization, the slowest AP conduction velocities, the longest AP and AHP durations, and the lowest AP success rates. The type IIIb cells also had significantly lower voltage-activated K+ currents. For type II and type IIIa V2 trigeminal Aβ-afferent neurons, AP parameters were in the range between those of type I and type IIIb V2 trigeminal Aβ-afferent neurons. Our electrophysiological classification of V2 trigeminal Aβ-afferent neurons may be useful in future to study their non-nociceptive and nociceptive functions in orofacial regions.

scholarly journals Congenital Hernia of the Umbilical Cord associated with type IIIa Ileal Atresia

2016 ◽  
Vol 5 (4) ◽  
pp. 64
Author(s):  
Rahul Gupta ◽  
Praveen Mathur ◽  
Pradeep Kumar Gupta
Keyword(s):  
Umbilical Cord ◽  
Ileal Atresia ◽  
Type Iiia ◽  
Congenital Hernia

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scholarly journals Atresia of the Colon: Etiological Aberrations, Clinical Observations, and Challenges in Management

2018 ◽  
Vol 7 (2) ◽  
pp. 22 ◽  
Author(s):  
Nitin Pant ◽  
Sudhir Singh ◽  
Jiledar Rawat ◽  
Shiv Narayan Kureel ◽  
Ashish Wakhlu
Keyword(s):  
Sigmoid Colon ◽  
Primary Anastomosis ◽  
Care Center ◽  
Hepatic Flexure ◽  
Type I ◽  
Type Ii ◽  
Ascending Colon ◽  
Health Care Center ◽  
Colonic Atresia ◽  
Type Iiia

Objective: The objective of this study is to review the clinicoradiological profile, scheme of management and the outcome in cases of colonic atresia (CA), and ascertain an optimal approach for the treatment of CA to minimize morbidity and mortality. Design and Setting: This was a retrospective observational study carried out at a tertiary health‑care center. Duration: Total of 6 years duration (January 2011–December 2016).Materials and Methods: A retrospective analysis of 10 patients of CA managed over a 6- year period. Data related to demographics, clinical presentation, associated anomalies, radiologic, intraoperative findings, postoperative stay, complications, and outcome were analyzed.Results: There were three cases of Type II atresia involving terminal ileum, cecum, and adjacent colon. Three cases had proximal ascending colon atresia (Type IIIa [n = 2]; Type I [n = 1]) Type I [n=1], and two cases of type IIIa atresia of the hepatic flexure. Two babies had atresia involving the sigmoid colon; one had Type II atresia, while we were unable to assign a type to the other within the prevailing classification. Seven babies were initially treated with a stoma either in the ileum (n = 3), hepatic flexure (n = 2), and sigmoid colon (n = 2), whereas three were treated with a primary anastomoses. Cases treated with a primary anastomoses had lesser morbidity and a better outcome than those with an ileal or ascending colon stoma.Conclusion: Contrary to the theory of an acute antenatal vascular accident, CA may rarely result from a gradual, sequential obliteration of mesenteric vasculature. Primary anastomosis should be contemplated in proximal CA wherever possible as stomal complications, especially high stoma output can result in considerable morbidity.

Posterior laryngeal clefts

2021 ◽  
Vol 20 (3) ◽  
pp. 70-76
Author(s):  
P. V. Pavlov ◽  
◽  
M. L. Zakharova ◽  
M. R. Abubakarova ◽  
A. P. Ivanov ◽  
...  
Keyword(s):  
Congenital Malformation ◽  
Clinical Symptoms ◽  
Pathological Process ◽  
Type I ◽  
Results Of Treatment ◽  
Type Iiia ◽  
Laryngeal Cleft ◽  
Medical University ◽  
Neurological Pathology ◽  
Positive Results

The posterior laryngeal cleft is a rare congenital malformation of the larynx, with an estimated incidence of 1 in 10,000–20,000 children born alive. Despite the apparent obviousness of the pathology, the diagnosis of the posterior cleft of the larynx often causes difficulties, which is associated with a variety of clinical symptoms, primarily due to the varying prevalence of the pathological process. Objective: To analyze the results of treatment of patients with congenital laryngeal cleft. Materials and methods: A retrospective analysis of case histories of children in the department of otolaryngology of the clinic of the St. Petersburg State Pediatric Medical University, from 2003 to 2018, diagnosed with congenital malformation of the larynx, posterior laryngeal cleft, was performed. Results: Normal respiration and nutrition through the natural pathways was achieved in 13 children with type I cleft and in 2 with type IIIa. Three patients with IIIa and IIIb types of clefts could not be rehabilitated due to severe concomitant somatic and neurological pathology, for which they continue treatment with relevant specialists at the present time. Conclusions: Rehabilitation of patients with laryngeal cleft of type IIIa and IIIb, especially in the presence of severe concomitant somatic and neurological pathology, does not always give positive results.

Glenoid Rim Lesions Associated with Recurrent Anterior Dislocation of the Shoulder

1998 ◽  
Vol 26 (1) ◽  
pp. 41-45 ◽  
Author(s):  
Louis U. Bigliani ◽  
Peter M. Newton ◽  
Scott P. Steinmann ◽  
Patrick M. Connor ◽  
Stephen J. McIlveen
Keyword(s):  
Anterior Dislocation ◽  
Type I ◽  
Type Ii ◽  
Recurrent Instability ◽  
Fracture Fragment ◽  
Type Iiia ◽  
Type Iiib ◽  
Anterior Glenoid ◽  
Bony Fragment ◽  
The One

Twenty-five shoulders with recurrent instability and associated anterior glenoid rim lesions were reviewed to 1) develop a classification system of the lesions, 2) evaluate radiographic techniques in detecting the lesions, and 3) analyze the outcome of surgery. Lesions were classified into three types: Type I, a displaced avulsion fracture with attached capsule; Type II, a medially displaced fragment malunited to the glenoid rim; and Type III, erosion of the glenoid rim with less than 25% (Type IIIA) or greater than 25% (Type IIIB) deficiency. Lesions were detected by plain radiographs (19 shoulders) or supplemental CT-arthrograms (12 shoulders) or both. In 16 Type I fractures, both the bony fragment and capsule were reattached to the glenoid rim. In five Type II and three Type IIIA lesions, only the capsule was repaired to the remaining glenoid rim. In the one Type IIIB lesion, a coracoid transfer was performed. At an average followup of 30 months, 22 shoulders (88%) had satisfactory results without recurrent instability, whereas three shoulders (12%) had postoperative redislocations. The majority of recurrent anterior dislocations with associated glenoid rim lesions can be treated by suturing the fracture fragment or capsule or both to the glenoid rim and addressing associated capsular laxity.

INTRAUTERINE INTUSSUSCEPTION AS CAUSE OF SMALL BOWEL ATRESIA – REPORT OF SERIES OF RARE CLINICAL CASES

2021 ◽  
Vol 100 (1) ◽  
pp. 233-239
Author(s):  
Yu.A. Kozlov ◽  
◽  
A.A. Rasputin ◽  
K.A. Kovalkov ◽  
S.S. Poloyan ◽  
...  
Keyword(s):  
Small Intestine ◽  
Surgical Treatment ◽  
Enteral Nutrition ◽  
Intestinal Anastomosis ◽  
Intestinal Atresia ◽  
Good Prognosis ◽  
Long Term Results ◽  
Type I ◽  
Type Iiia ◽  
Clinical Cases

Intestinal invagination is a disease that is most commonly found in children from 3 months to 3 years old. Invagination has also been described as the intrauterine cause of intestinal atresia. Objective of the research: to demonstrate 3 clinical cases when intrauterine invagination caused congenital intestinal obstruction of the small intestine. The study describes the experience of surgical treatment of 3 patients with atresia of the small intestine type I and type IIIA due to intussusception that occurred during the prenatal period. Two patients underwent intestinal anastomosis using laparotomy. In one patient, the intestinal anastomosis was performed in a laparoscopic manner. The early and long-term results of operations are investigated. Successful surgical treatment of atresia of the small intestine due to intrauterine invagination was possible in all 3 patients. Two patients had type IIIA atresia (separation of segments with a V-shaped defect of the mesentery), one – type I (membranous form) of this anomaly. The gender composition of the patients is represented by 2 girls and 1 boy. The weight of patients was in the range of 1280–2800 grams. Surgical treatment for all patients was performed on the 2nd day of life. The duration of the operation ranged from 60 to 65 minutes. Start enteral nutrition was possible in the range from 2 to 3 days after surgery. Full enteral nutrition is restored within 5 to 8 days after surgery. In the early follow up period after surgery, there were no signs of failure of the anastomosis. During the observation of patients from 6 months to 1 year, there were no signs of impaired intestinal transit. Intrauterine invagination is a rare cause of intestinal atresia. This disease has a good prognosis provided timely intervention and the absence of associated abnormalities. Laparoscopy in an expert children's surgical center can be an alternative in the treatment of patients with jejuno-ileal atresia caused by intrauterine invagination.

scholarly journals Ultrasonographic characteristics and outcome of Type III umbilical-portal-systemic venous shunt

2021 ◽  
Author(s):  
Linlin Zhu ◽  
Haifang Wu ◽  
Xiang Cong ◽  
Zhe Ma ◽  
Guowei Tao
Keyword(s):  
Portal Vein ◽  
Type I ◽  
Partial Closure ◽  
Vein System ◽  
Type Iii ◽  
Type Iiia ◽  
Type Iiib ◽  
Venous Shunt ◽  
Portal Systemic Shunt ◽  
Left Portal Vein

Aims: According to a novel in-utero classification termed “umbilical-portal-systemic venous shunt (UPSVS)” recently proposed for an abnormal umbilical, portal and ductal venous system, the portal-systemic shunt belongs to type III UPSVS. This study was designed to examine the ultrasonographic characteristics and outcome of type III UPSVS.Material and methods: All cases of Type III UPSVS diagnosed at our department from April 2016 to December 2020 were retrospectively studied.Results: Seventeen patients with type III UPSVS including 12 type IIIa and 5 IIIb cases were identified. Sonography showed a shunt between the inferior left portal vein and the left hepatic vein in all type IIIa cases. Three cases of type IIIb had a combination of another shunt (2 with type I and one with type IIIa). Integrate intrahepatic portal vein system was not seen in those 2 cases of type IIIb combined with type I UPSVS, leading to termination of pregnancy (TOP). TOP occurred in 4 patients with type IIIa as requested by the parents. Two cases (type IIIa and type IIIb each) underwent surgical procedure for the closure of the shunt. Spontaneous complete closure in 4 type IIIa cases and partial closure in one type IIIb case occurred during a period of 3-16 months.Conclusions: The majority of patients had type IIIa UPSVS presenting a good outcome. The lack of integrate intrahepatic portal vein system was the main reason for TOP in patients with type IIIb UPSVS. These data suggest the UPSVS classification is a useful tool for a prognosis prediction of type III UPSVS.

scholarly journals Primary interlocking nailing for open fractures of tibial shaft: a clinical study

2019 ◽  
Vol 5 (5) ◽  
pp. 811
Author(s):  
Talluri V. G. Krishna
Keyword(s):  
Intramedullary Nailing ◽  
Open Fractures ◽  
Type I ◽  
Type Ii ◽  
Tibial Shaft ◽  
Non Union ◽  
Interlocking Nailing ◽  
Type Iiia ◽  
Open Injury ◽  
Closed Intramedullary Nailing

<p class="abstract"><strong>Background:</strong> The excellent method for treating fractures of the tibial shaft was the closed intramedullary nailing technique. But because of limited references related to the results, incidence of infection, non-union of open injury. Hence, it was decided to analyse open tibial fractures treatment by primary interlocking nailing.</p><p class="abstract"><strong>Methods:</strong> 50 Patients with open fractures of the tibial shaft which were treated with primary interlocking nail were studied in the period of 14 months.<strong></strong></p><p class="abstract"><strong>Results:</strong> In present study 18 (36%) type I, 22 (44%) type II and 10 (20%) type IIIA Gustilo open fractures were treated. The average duration of time between injury and nailing was 3.5 hours (range was 1.5 hours to 4 hours). After reaming, 40 (80%) fractures were fixed, without reaming, 10 (20%) of fractures were fixed. The average time to union was 27 weeks for type I fractures, 30 weeks for type II fractures and 33 weeks for type IIIA fractures. There was 1 non-union. There were 4 deep infections.</p><p class="abstract"><strong>Conclusions:</strong> The best mode of therapy was primary interlocking intramedullary nailing for open fractures.</p>

Heat-Etching with a Bullivant Type II Simple Freeze-Cleave Device

1970 ◽  
Vol 28 ◽  
pp. 106-107 ◽  
Author(s):  
Ronald S. Weinstein ◽  
N. Scott McNutt
Keyword(s):  
New Zealand ◽  
General Hospital ◽  
Massachusetts General Hospital ◽  
Type I ◽  
Type Ii ◽  
Collaborative Effort ◽  
Temperature And Pressure ◽  
The University

The Type I simple cold block device was described by Bullivant and Ames in 1966 and represented the product of the first successful effort to simplify the equipment required to do sophisticated freeze-cleave techniques. Bullivant, Weinstein and Someda described the Type II device which is a modification of the Type I device and was developed as a collaborative effort at the Massachusetts General Hospital and the University of Auckland, New Zealand. The modifications reduced specimen contamination and provided controlled specimen warming for heat-etching of fracture faces. We have now tested the Mass. General Hospital version of the Type II device (called the “Type II-MGH device”) on a wide variety of biological specimens and have established temperature and pressure curves for routine heat-etching with the device.

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