Experience of using Lifusol in vascular catheterization

1986 ◽  
Vol 67 (5) ◽  
pp. 378-378
Author(s):  
V. E. Grigoriev ◽  
V. P. Pankova ◽  
A. G. Khisamutdinov ◽  
R. I. Tuishev
Keyword(s):  
Random Sampling ◽  
Subclavian Vein ◽  
Pediatric Surgery ◽  
Maxillofacial Surgery ◽  
Usual Method ◽  
Adhesive Plaster ◽  
Vascular Catheterization ◽  
Antiseptic Agent ◽  
Group 2 ◽  
Group 1

In order to prevent complications in the department of anesthesiology and intensive care, we conducted a clinical trial of the above drug as a local antiseptic agent for fixation of the catheter located in the subclavian vein. Two identical groups of patients from different departments were formed by random sampling: neurosurgical, surgical, traumatological, pediatric surgery, ENT, and maxillofacial surgery. Group 1 consisted of 177 patients in whom the drug Lifusol was used for catheterization of the subclavian vein; 187 patients in Group 2 received catheter fixation by the usual method using adhesive plaster.

scholarly journals Is the simple webbed penis a contraindication to circumcision?

2021 ◽  
Vol 27 (1) ◽  
Author(s):  
Osama Abdullah Bawazir ◽  
Obada Alladh Alhallaq ◽  
Bashair Albayhani ◽  
Abdullah Bawazir
Keyword(s):  
Retrospective Study ◽  
Local Anesthesia ◽  
Pediatric Surgery ◽  
Corrective Surgery ◽  
Procedure Time ◽  
Cylindrical Shaft ◽  
Male Patients ◽  
Group 2 ◽  
Group 1

Abstract Background Surgical correction of the webbed penis is challenging. We presented the safety and feasibility of webbed penis correction for neonates under local anesthesia using a simple principle of leaving equal cylindrical shaft skin. Methods This retrospective study included 530 patients who presented for circumcision to three pediatric surgery centers between May 2017 and January 2020. We included male patients aged less than four weeks old who had circumcision with a minimum of 6 months follow-up. We compared patients with normal penile anatomy (n = 451, Group 1) to a simple webbed penis (n = 79, Group 2). Results There were no differences in age and weight between groups. The procedure time was significantly longer in Group 2 (8.05 ± 3.11 vs. 7.48 ± 2.07 min; P = 0.04). There were no differences in bleeding (P = 0.38), redundant foreskin (P > 0.99), need for corrective surgery (P = 0.38), and re-suturing (P = 0.28) between groups. The procedure success was significantly higher in Group 1 (449 (99.56%) vs. 70 (88.6%); P < 0.001). Parents' satisfaction was measured at two weeks with no difference between both groups. Conclusion Simple penoscrotal web is not a contraindication for neonatal circumcision. Circumcision of the penoscrotal web had good esthetic results with comparable outcomes to those with a normal penis without a web.

scholarly journals Computed tomography-assisted morphological assessment of the components of the temporomandibular joint – a pilot study

New Medicine ◽  
2020 ◽  
Vol 24 (1) ◽  
Author(s):  
Maja Stańczyk ◽  
Ronald Lukashevich ◽  
Aleksandra Gorzkowska ◽  
Paulina Urbańska ◽  
Piotr Laskowski ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Temporomandibular Joint ◽  
Oral Surgery ◽  
Maxillofacial Surgery ◽  
Accurate Analysis ◽  
Asymptomatic Patients ◽  
Mandibular Fossa ◽  
Group 2 ◽  
Medical University ◽  
Group 1

Introduction. Temporomandibular joint (TMJ) disorders are a common diagnostic problem. No universal radiological parameter of the analysis was introduced. Aim. Comparison of values of selected radiological parameters between asymptomatic patients and those with the TMJ arthropathy. Material and methods. Retrospective analysis of CT scans of patients of the Department of Dental and Maxillofacial Radiology and the Department of Cranio-Maxillofacial Surgery, Oral Surgery and Implantology, Medical University of Warsaw. Patients were divided into two groups: 1. without TMJ disorders, 2. with TMJ dysfunction symptoms. Following parameters of heads of mandible were analyzed bilaterally: shape, anteroposterior and lateromedial dimensions, the distance between lateral points of both heads (HL-HR), distance between a head and the mandibular fossa. The angle between the horizontal axis of the head of mandible and the line drawn by posterior points of heads of mandible was measured. Results. The most common type of the head of mandible in group 1 (40 patients; 13 women, 27 men) was convex (14 patients), in group 2 (16 patients; 14 women, 2 men) – plane (8 patients). Significant differences between groups were obtained for: GL-GP (group 1 – 120.35 mm, group 2 – 115.4 mm), dimensions of heads of mandible: lateromedial – 19.7 mm, 18.14 mm, anteroposterior – 8.03 mm, 7.04 mm for group 1 and 2, respectively. Conclusions. Computed tomography allowed for an accurate analysis of the TMJ components. Measurements of structures discussed in this work should be a part of the diagnosis of patients with TMJ dysfunction.

scholarly journals Readiness Factor Identification on Kabupaten Karawang SMEs towards Industry 4.0 Era

2020 ◽  
Vol 22 (1) ◽  
pp. 65-74 ◽  
Author(s):  
Rianita Puspa Sari ◽  
Deri Teguh Santoso
Keyword(s):  
Random Sampling ◽  
Industry 4.0 ◽  
Research Model ◽  
Technological Readiness ◽  
Structural Test ◽  
Use Of Technology ◽  
Group 2 ◽  
Multigroup Sem ◽  
Medium Businesses ◽  
Group 1

This study aims to explore the readiness of SMEs Karawang in terms of Technology, Organization, Environment (TOE) Framework and technological readiness (TRI) for benefits of industry 4.0 (BOI) in the dimension of industry 4.0 (DOI), viewed from different business scale groups; micro-businesses (group 1) and small-medium businesses (group 2), with a random sampling of 300 SMEs samples using the multigroup-SEM method. The results showed that the feasibility of the research model was quite good from the results of the structural test of the multigroup-SEM. In the micro business (group 1), managerial (TOE) and technology (TRI) MSME readiness factors influence the use of technology pillars in the industry dimension (DOI). In contrast, in small and medium business groups (group 2), the managerial (TOE) and technology (TRI) readiness of MSMEs influence the use of (DOI) and the benefits of the industrial era 4.0 (BOI).

scholarly journals CONDYLAR FRACTURE;

2019 ◽  
Vol 26 (03) ◽  
Author(s):  
Usman Ashraf ◽  
Shaheen Ahmed ◽  
Abdul Hafeez Shaikh ◽  
Noureen Iqbal ◽  
Syed Jaffar Abbas Zaidi ◽  
...  
Keyword(s):  
Treatment Outcomes ◽  
Single Case ◽  
Maxillofacial Surgery ◽  
Mouth Opening ◽  
Health Sciences ◽  
Oral And Maxillofacial Surgery ◽  
Plate Bending ◽  
Condylar Fracture ◽  
Group 2 ◽  
Group 1

Background: This study was conducted tocompare treatment outcomes of condylar fracture fixation usingeither single or double non-compressive mini plates. Study Design: Interventional study. Setting:  Department of Oral and Maxillofacial Surgery, Dr. IshratulIbad Khan Institute of Oral Health Sciences, Dow University of Health Sciences. Period: July 2017 till December 2017. Materials and Methods: A total of 30 participants were selected and randomly divided into 2 groups, each consisting of 15 participants.Patients treated with a single non-compression miniplate were placed in group 1, while those patients whose fractures were reduced and fixed by double non-compression mini plates were placed in group 2. Outcomes assessed were intraoperative time, deviation on mouth opening, malocclusion, plate bending, function of facial muscles and the relative cost of implants. Results: Out of a total of thirty patients, it was observed that those patients who were randomly assigned group 2 had better treatment outcomes and less complications as compared to the other group. Three patients with malocclusion were seen in group 1 compared with only a single case seen in group 2. Greater number of plate bending with susceptibility to plate fracture was also observed in Group 1. Conclusion: It can thus be concluded that using two plates for condylar fracture represents a more stable and sustainable solution with less complications in providing osteosynthesis.

scholarly journals Single-Stage Surgical Correction of Anorectal Malformation Associated with Rectourinary Fistula in Male Neonates

2013 ◽  
Vol 2 (1) ◽  
pp. 3 ◽  
Author(s):  
Ernesto Leva ◽  
Francesco Macchini ◽  
Rossella Arnoldi ◽  
Antonio Di Cesare ◽  
Valerio Gentilino ◽  
...  
Keyword(s):  
Birth Weight ◽  
Pediatric Surgery ◽  
Primary Repair ◽  
Surgical Correction ◽  
Urinary Fistula ◽  
Perineal Approach ◽  
College Hospital ◽  
Group 2 ◽  
Group 1

Introduction: The treatment of children affected by anorectal malformations (ARM) is characterized by some unsolved problems. The three-stage surgical correction has been known to be most effective in preventing complications, but recently new approaches have been proposed. We describe our experience with the newer approaches.Methods: Twenty three male newborns, affected by ARM and recto-urinary fistula, were treated in 2 different centers in 8 years. Nineteen neonates (birth weight 2.4 - 3.5 kg) received a primary posterior sagittal anorectoplasty (PSARP) at the Department of Pediatric Surgery of the Chittagong Medical College Hospital (group 1). Four term neonates (birth weight 2.9 - 3.4 kg) received a primary pull-through with combined abdomino-perineal approach at the Pediatric Surgery Department of Fondazione Cà Granda of Milan (group 2).Results: Among patients of Group 1, 11 patients had a recto-bulbar fistula and 8 a recto-prostatic fistula. Among the Group 2, 2 had a recto-bulbar fistula and 2 a recto-prostatic fistula. The site of fistula was decided at the time of surgery. In Group 1, 5 post-surgical complications were recorded (26%); 1 child died of sepsis, 3 had dehiscence and 1 stenosis, which resolved with dilatation. In Group 2, the only post-operative complication of small rectal prolapse resolved spontaneously after a few months on follow-up. Group 2 patients were followed-up in a dedicated multidisciplinary colorectal center.Conclusions: Primary repair of ARMs with recto-urinary fistula is a feasible, safe and effective technique in the neonatal period. A combined abdominal and perineal approach seems to guarantee better results. A dedicated team is mandatory, both for the surgical correction and for a long-term follow-up.

Ultrasound-guided tip location of midline catheters

2020 ◽  
Vol 21 (5) ◽  
pp. 764-768
Author(s):  
Stefano Elli ◽  
Mauro Pittiruti ◽  
Valentina Pigozzo ◽  
Luigi Cannizzo ◽  
Luciano Giannini ◽  
...  
Keyword(s):  
Venous Thrombosis ◽  
Subclavian Vein ◽  
Control Group ◽  
Study Group ◽  
Axillary Vein ◽  
Ultrasound Guided ◽  
Catheter Tip ◽  
Group 2 ◽  
And Control ◽  
Group 1

Introduction: Midline catheters are widely used in clinical practice. Proper placement of midline catheter tip is usually assessed only by aspirating blood and flushing with normal saline without resistance. Purpose: To describe the ultrasound-guided tip location for midline catheters and its feasibility and to compare incidence of catheter-related venous thrombosis associated with or without ultrasound tip localization. Methods: The ultrasound-guided tip location is described step by step. Feasibility of the technique and incidence of catheter-related venous thrombosis were measured (study group) and compared with two historical groups: study group, 20-cm midline catheters inserted with ultrasound-guided tip location; group 1, 25-cm midline catheters inserted without ultrasound-guided tip location and group 2, 20-cm midline catheters inserted without ultrasound-guided tip location. Results: In the study group, ultrasound-guided tip location was easily feasible in 98.9% of patients. Incidence of catheter-related venous thrombosis was 2.42% in control group 1, 9% in control group 2 and 2.62% in the study group. Discussion: In the study group and control group 1, the tip was placed in the axillary vein, about 3 cm distal to the clavicle and in the subclavian vein. In control group 2, the tip was probably located at the transition between the axillary and the subclavian vein. It is possible that such position may have been associated with an increased incidence of catheter-related venous thrombosis. Conclusion: The ideal position of the tip of a midline catheter might be inside the axillary vein, about 3 cm distal to the axillary-subclavian transition or inside the subclavian vein. Ultrasound-guided tip location is safe, inexpensive, easy and potentially useful during midline catheters insertion.

scholarly journals Comparison of ketamine-diazepam with ketamine-xylazine anesthetic combinations in sheep spontaneously breathing and undergoing maxillofacial surgery

2010 ◽  
Vol 10 (4) ◽  
pp. 297-302 ◽  
Author(s):  
Fatih Özkan ◽  
Nilüfer Çakır-Özkan ◽  
Ahmet Eyibilen ◽  
Tamer Yener ◽  
Ünal Erkorkmaz
Keyword(s):  
Surgical Procedures ◽  
Maxillofacial Surgery ◽  
Anesthesia Induction ◽  
Respiratory Parameters ◽  
Drug Regimens ◽  
Group 2 ◽  
Short Time ◽  
Spontaneously Breathing ◽  
Group 1

The objective of this study was to choose a suitable anesthetic combination for use in experimental surgical models by comparing the anesthetic and cardio-respiratory changes. Fourteen healthy male sheep were randomly assigned to two different drug regimens. In Group 1 the sheep were anesthetized with ketamine + xylazine (22 mg/kg im. + 0.2 mg/kg i.m., respectively). Anesthetic combination of ketamine + diazepam (22 mg/kg im. + 0.4 mg/kg i.m., respectively) was used in Group 2. Heart rate, respiratory rate and mean arterial pressures were evaluated before anesthesia, after induction of anesthesia up to 30 minutes in 5 minute intervals and during recovery. In all sheep, duration of anesthesia induction, duration of anesthesia and duration of recovery were recorded. Quality of induction, anesthesia, analgesia and recovery were evaluated. Cardio-respiratory parameters decreased below baseline values after anesthesia induction in both groups. However, no profound effects on cardio-respiratory functions were observed during study. In Group 2, it was observed that; anesthesia induction time was longer, the depth of anesthesia was inadequate during the osteotomy stage of the surgical procedure and recovery time was longer in comparison to Group 1. Otherwise the quality of anesthesia induction, anesthesia, analgesia and recovery was better in Group 1 than Group 2. These findings indicate that both drug combinations can provide short time anesthesia for minor surgical procedures. Ketamine+xylazine combination can be used as a more suitable anesthetic combination in experimental surgical procedures such as maxillofacial surgery than ketamine+diazepam combination, in sheep.

Comparative Study between IMF and Pure Conservation in Management of Condylar Head Fracture in Children

2018 ◽  
Vol 3 (2) ◽  
Keyword(s):  
Closed Reduction ◽  
Surgical Intervention ◽  
Maxillofacial Surgery ◽  
Mouth Opening ◽  
Clinical Results ◽  
Number Of Patients ◽  
Condylar Head ◽  
Group 2 ◽  
Group 1

Background: The purpose of the present study was to compare IMF and pure conservation in management of condylar head fracture in children treated at the Department of Maxillofacial Surgery, Faculty of Medicine, Assiut University, Egypt, between 2011G - 2016G. Methods: Twenty four patients with condylar head fractures were included in this study, 14 males and 10 females ranging in ages from 5 – 15 years. They were divided into two equal groups. In group 1, twelve patients were treated by closed reduction for 2-3 weeks followed by physiotherapy, while group 2 patients were managed by pure conservation only for the same period. Outcome results on clinical and radiological parameters were evaluated during the follow up period. Results: In group 1, the maximum mouth opening after 2 months was ranged from 28-36 mm (average 32mm),while signs of development of ankylosis were reported in 3 patients. In group 2, the maximum interincisal opening was ranged from 28-37 mm (average 32.5mm) with absence of ankylosis. Pain in TMJ was noted in 3 cases of bilateral condylar head fractures of this group, but subsided gradually on the follow up. Conclusions: This study concluded that treatment of patients by closed reduction give satisfactory clinical results, though the condyle is not anatomically normal in radiographs. Whereas management of patients by pure conservation only without any surgical intervention showed excellent results clinically as well as radiographically. Perhaps a study conducted on larger number of patients with longer post operative follow up will throw more light on this subject.

scholarly journals A randomized, prospective trial to assess the safety and efficacy of hilotherapy in patients after orthognathic surgery

2021 ◽  
Author(s):  
Lars Bonitz ◽  
Adrian El-Karmi ◽  
Johannes Linssen ◽  
Dietmar Abel ◽  
Stefan Hassfeld ◽  
...  
Keyword(s):  
Maxillofacial Surgery ◽  
Prospective Trial ◽  
Reference Value ◽  
Oral And Maxillofacial Surgery ◽  
Post Operative Pain ◽  
Study Results ◽  
Group 2 ◽  
Operative Assessment ◽  
C 78 ◽  
Group 1

Abstract Purpose A post-operative cooling method in oral and maxillofacial surgery is the cooling with hilotherapy. The aim of this study was the post-operative comparison of cooling temperatures of 18°C and 22°C. The parameters of this trial were swelling and the post-operative pain levels. Methods This study included 156 patients, divided into two groups among whom a mono-one, bignathic osteotomy or genioplasty was indicated. The post-operative assessment of swelling was performed using a 3D optical scanner. This examination was repeated on post-operative days 1, 2, 3, 7, 14, 30, and 90. The examination on day 90 served as a reference value in respect of swelling and pain. Results Group 1 (18°C, 78 patients) showed an increase in post-operative swelling on the 1st post-OP day of 52.06 ± 35.41ml. The maximum was reached on the 2nd post-OP day with 75.82 ± 38.97ml. On the 30th post-OP day, residual swelling measured 11.60 ± 12.62ml. Group 2 (22 °C, 78 patients) showed an increase in postoperative swelling on the 1st post-OP day of 76.07 ± 63.15ml. The maximum was reached on the 2nd post-OP day with 106.97 ± 69.63 ml. On the 30th post-OP day, residual swelling measured 14.36 ± 32.26ml. The differences between the two groups and between different visits were statistically significant. Conclusion The study results indicate less residual swelling in group 1 on the 30th post-OP day, possible based on the lower cooling temperature. The post-operative pain exhibits a comparable level of pain intensity between the two groups. In overall terms, a subjectively more agreeable treatment was observed in group 1.

In-vivo evaluation of the effect of cyanoacrylate on prosthetic vascular graft infection – does cyanoacrylate increase the severity of infection?

VASA ◽  
2020 ◽  
Vol 49 (4) ◽  
pp. 281-284
Author(s):  
Atıf Yolgosteren ◽  
Gencehan Kumtepe ◽  
Melda Payaslioglu ◽  
Cuneyt Ozakin
Keyword(s):  
Vascular Graft ◽  
Graft Infection ◽  
Vascular Graft Infection ◽  
Group 4 ◽  
Significant Difference ◽  
Group 3 ◽  
Group 2 ◽  
Prosthetic Vascular Graft Infection ◽  
Group 1

Summary. Background: Prosthetic vascular graft infection (PVGI) is a complication with high mortality. Cyanoacrylate (CA) is an adhesive which has been used in a number of surgical procedures. In this in-vivo study, we aimed to evaluate the relationship between PVGI and CA. Materials and methods: Thirty-two rats were equally divided into four groups. Pouch was formed on back of rats until deep fascia. In group 1, vascular graft with polyethyleneterephthalate (PET) was placed into pouch. In group 2, MRSA strain with a density of 1 ml 0.5 MacFarland was injected into pouch. In group 3, 1 cm 2 vascular graft with PET piece was placed into pouch and MRSA strain with a density of 1 ml 0.5 MacFarland was injected. In group 4, 1 cm 2 vascular graft with PET piece impregnated with N-butyl cyanoacrylate-based adhesive was placed and MRSA strain with a density of 1 ml 0.5 MacFarland was injected. All rats were scarified in 96th hour, culture samples were taken where intervention was performed and were evaluated microbiologically. Bacteria reproducing in each group were numerically evaluated based on colony-forming unit (CFU/ml) and compared by taking their average. Results: MRSA reproduction of 0 CFU/ml in group 1, of 1410 CFU/ml in group 2, of 180 200 CFU/ml in group 3 and of 625 300 CFU/ml in group 4 was present. A statistically significant difference was present between group 1 and group 4 (p < 0.01), between group 2 and group 4 (p < 0.01), between group 3 and group 4 (p < 0.05). In terms of reproduction, no statistically significant difference was found in group 1, group 2, group 3 in themselves. Conclusions: We observed that the rate of infection increased in the cyanoacyrylate group where cyanoacrylate was used. We think that surgeon should be more careful in using CA in vascular surgery.

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