scholarly journals Retained Textile Foreign Bodies: Experience of 27 Years

2015 ◽  
Vol 28 (4) ◽  
pp. 494 ◽  
Author(s):  
Soykan Arikan ◽  
Ahmet Kocakusak
Keyword(s):  
Foreign Bodies ◽  
Abdominal Cavity ◽  
Patient Characteristics ◽  
Colon Resection ◽  
The Body ◽  
Treatment Modalities ◽  
Time Interval ◽  
Surgical Wound ◽  
Strict Adherence ◽  
Surgical Interventions

<p><strong>Introduction and Aim:</strong> Retained intracorporeal textile products (gossypiboma-textiloma) are undesired and accidental surgical results for both patients and surgeons, which are underreported because of medicolegal remifications. Fourteen textiloma cases, who had been treated or whose treatment procedures had been followed-up personally by two general surgeons in a period of 27 years almost during their whole professional lives were presented to describe and define the clinical and pathological characteristics.<br /><strong>Material and Methods:</strong> Patient characteristics including gender and age, areas of location within the body, time intervals until diagnosis, clinical presentations and complaints, treatment modalities, complications, causative surgical interventions, and diagnostic approaches were retrospectively evaluated.<br /><strong>Results:</strong> Nine female and five male patients with a mean age of 43.07 ± 15.23 (median: 45) years at diagnosis were enrolled in the study. Cesarean section in three, inguinal hernioraphy in four, explorative laparotomy because of acute abdomen in one, sigmoid colon resection in one, appendectomy and right salpingoophorectomy in one, etrangulated incisional hernia after a previous surgical intervention because of an ovarian mass in one, thyroidectomy in one, epigastric hernioraphy in one, and bilateral segmental mastectomy with bilateral axillary sentinal lymph node dissection in one were the causative surgical interventions. Locations of textilomas were the abdominal cavity in seven, inguinal surgical wound in four, epigastric surgical wound in one, thyroidectomy lodge in one, and bilateral axillary cavities in one patient. The mean time interval until diagnosis was 14.48 (median: 5.5) months.<br /><strong>Dıscussıon:</strong> Earlier recognition of foreign bodies can provide a better outcome.<br /><strong>Conclusion:</strong> Gossypibomas are preventable iatrogenic faults which create severe problems. Strict adherence to the rules of the operation room is a must to keep the tip of the iceberg shut in the Pandora’s box.</p>

scholarly journals Endoscopic removal of metal foreign bodies by magnet: case report

2020 ◽  
Vol 10 (4) ◽  
pp. 467-472
Author(s):  
Vladimir I. Petlakh ◽  
Vladimir A. Borovitsky ◽  
Alexander K. Konovalov ◽  
Natalya N. Strogova
Keyword(s):  
Case Report ◽  
Conservative Therapy ◽  
Foreign Bodies ◽  
Intestinal Wall ◽  
The Body ◽  
Surgical Interventions ◽  
Number Of Children ◽  
The Past ◽  
A Chain ◽  
The Right

The number of children swallowing magnetic foreign bodies has been a significantly high for the past decades, increasingly needing endoscopic or surgical interventions. Case report. In our observation, a 12-year-old girl swallowed magnetic balls from childrens designer 10 days prior to hospital admission. Foreign bodies (5 balls) were found during X-ray examination in the projection of the cecum. Conservative therapy carried out for 4 days had no success, thus colonoscopy was performed to remove foreign bodies. Foreign bodies were fixed to the intestinal wall, and attempts to separate them were unsuccessful. When a medical magnet was placed outside the body in the right iliac region, a chain of magnetic balls detached from the intestinal wall and made it possible to be captured in a trap loop and be removed. The girl avoided a laparotomy with an opening of the colon. Conclusion. External use of a medical magnet is effective for navigation and assistance during colonoscopic extraction when magnetic foreign bodies are found in the colon.

scholarly journals THE CASE TREATMENT OF CYSTADENOMA OF THE PANCREAS

2020 ◽  
pp. 104-109
Author(s):  
M. G. Gnatyuk ◽  
S. Yu. Shevchenko ◽  
D. Yu. Kryvoruchko ◽  
V. Yu. Bodyak ◽  
Yu. P. Petruk ◽  
...  
Keyword(s):  
Histopathological Examination ◽  
Abdominal Cavity ◽  
Outer Wall ◽  
The Body ◽  
Caudal Part ◽  
Adequate Treatment ◽  
Surgical Interventions ◽  
Peritoneal Space ◽  
Resection Of The Pancreas ◽  
Surgery Department

Summary. Introduction. Cystadenoma of the pancreas is a benign tumor in the form of a cyst of epithelial origin, which in the absence of adequate treatment disrupts the function of the pancreas, due to compression on nearby tissues, and in 3 % of cases regenerates into cystadenocarcinoma. Aim. Present a clinical case of surgical treatment of cystadenoma of the body of the pancreas, while preserving the caudal part of the latter to prevent the possible development of diabetes. Material and methods. Patient M., 72 years old, who was hospitalized in the infectious department of the central district hospital, during ultrasound of the abdominal cavity and peritoneal space revealed a neoplasm of the retroperitoneal space in the body and tail of the pancreas, in connection with which she was transferred to the surgery department. After the appropriate examination, the patient underwent surgery — laparotomy. Removal of a neoplasm of the body of the pancreas. Distal pancreatojejunoanastomosis, entero-enteroanastomosis. Abdominal drainage. Results. The postoperative period was without complications, drainage was removed, sutures were removed for 9-10 days, the wound healed with primary tension. In the section of the drug, there is a capsule with a wall thickness of up to 2.0 mm, which contains mucopurulent masses in the form of flakes. The outer wall of the capsule is covered with joints and vessels, and the inner has a shiny matte surface. The histopathological examination indicates cystadenoma of the pancreas. The choice to form a distal pancreatojejunostomy in contrast to the distal resection of the pancreas was due to the patient’s age and high probability of developing diabetes because it is in the caudal part of the pancreas is the lion’s number of islets of Langerhans. Conclusion. When performing radical surgical interventions on the pancreas in elderly and senile patients, it is necessary to preserve the tissues of the latter, especially the tail, to prevent the development of diabetes.

scholarly journals Assessment of Risk Factors in the Causation & Outcomes of Diabetic Foot

2021 ◽  
pp. 264-270
Author(s):  
Chava Aravind Kumar ◽  
Chandrashekhar Mahakalkar ◽  
Meenakshi Yeola (Pate)
Keyword(s):  
Risk Factors ◽  
Diabetic Foot ◽  
The Body ◽  
Treatment Modalities ◽  
Foot Ulcers ◽  
Tissue Destruction ◽  
Metabolic Complications ◽  
Surgical Interventions ◽  
Peripheral Arterial Diseases ◽  
Peripheral Arterial

Background: Diabetic foot identifies   a Diabetic patient foot that has a potential risk of pathological risk effects that includes inflammation, ulceration and deep tissue destruction consistent with neurological   disorders, differing degrees of Peripheral arterial disease , and lower limb with  metabolic complications. An ulcer is a breach of the continuity of skin, epithelium of mucous membrane in the body which is caused by removal of necrotic tissue . Foot ulcers may be caused by numerous medical conditions. The key to treatment is daily sterile dressing till the formation of healthy granulation tissue, infection control by appropriate use of antibiotics, surgical interventions such as debridement or amputation if needed. Methods: It will be a observational study, done on the patients with Diabetic foot . It will be conducted at Dept. of General Surgery, J.N.M.C. and AVBRH, Sawangi (Meghe), Wardha of DMIMS (DU). The study will be conducted on patients of foot ulcers. Objectives: To evaluate the microbiological and clinical characteristics of diabetic foot infection To analyze the outcomes of a patient with diabetic foot with underlying risk factors HBA1c, Hypertension, Smoking, Diabetic Neuropathy, Recurrence, Obesity, Peripheral arterial diseases. To analyze the association of Risk factors in the causation of Diabetic foot. To predict outcome parameters based on Risk factors and its treatment modalities. Results: The results will be analyzed after data collection in SPSS software. Conclusion: Conclusion will be drawn on findings of study.

scholarly journals Multiple gastrointestinal magnetic foreign bodies in children

2022 ◽  
pp. 62-64
Author(s):  
A. N. Shapkina ◽  
E. S. Shmireva ◽  
E. P. Yakovleva ◽  
M. V. Kozlova ◽  
T. S. Chernyshenko
Keyword(s):  
Foreign Bodies ◽  
Surgical Intervention ◽  
Bowel Resection ◽  
Surgical Removal ◽  
Time Interval ◽  
Surgical Interventions ◽  
Foreign Objects ◽  
And Gender ◽  
Different Parts ◽  
Comprehensive Study

Objective: To introduce the analysis of the clinical picture, treatment strategy and complications among children having multiple foreign magnetic bodies (FB).Methods: Retrospective analysis of the treatment of 796 children from 2013 to September 2021 having stomach and intestine FB. Comprehensive study included plan radiography of the abdomen, fiberoptic gastroduodenoscopy, etc.Results: Magnets were detected in 33 (4.15%) out of 796 cases. 9 patients swallowed multiple foreign magnetic bodies (FB) within time interval. The parts fixed in different parts of gastrointestinal tract (GIT) and required surgical removal. All patients had multiple perforations of different GIT parts. It required suturing gut wall, bowel resection applying gastrointestinal anasto mosis and celiogrhaphy, resection applying anastomosis and by leaving the programmed laparostomy. Every patient recovered. Algorithm of supervision of children having FB GIT.Conclusions: Multiple foreign magnetic bodies of GIT among children in the current moment are the most dangerous foreign objects accompanied with big amount of complications. They are observed among children of any age and gender and require complicated and long surgical interventions. Multiple foreign magnetic bodies of GIT can be suspected in case of severe surgical pathology along with the lack of passage of radiopaque FB in GIT. Urgent surgical intervention is required in case of detecting it.

scholarly journals Complications of ventral hernia alloplasty: treatment and prevention

2020 ◽  
pp. 292-293
Author(s):  
Ya.P. Feleshtynskyi
Keyword(s):  
Antibiotic Prophylaxis ◽  
Abdominal Wall ◽  
Abdominal Cavity ◽  
Foley Catheter ◽  
Wound Complications ◽  
Skin Defect ◽  
Surgical Wound ◽  
Surgical Interventions ◽  
Ultrasound Monitoring ◽  
Treatment And Prevention

Background. Postoperative ventral hernias (PVH) account for 22.4-25.0 % of the total number of abdominal hernias. Complications of PVH alloplasty are divided into general (abdominal compartment syndrome (ACS), acute intestinal obstruction, pneumonia, pulmonary embolism) and local (seroma, hematoma, suppuration, marginal skin defect, calcification, fistula). Objective. To describe the treatment and prevention of complications of PVH alloplasty. Materials and methods. Analysis of literature data on this topic. Results and discussion. ACS occurs after alloplasty of giant PVG as a result of a steady increase in intra-abdominal pressure (IAP) >12 mm Hg within 6-12 hours after surgery. ACS is caused by the excessive tension of the supporting structures of the abdominal wall and a decrease in the volume of the abdominal cavity. The growth of IAP leads to compression of large vessels, kidneys, increased intrathoracic pressure with the development of heart and lung failure, so during and after surgery it is necessary to monitor this parameter with the help of Foley catheter. Prevention of ACS is carried out by the optimal choice of the method of compartment separation. In the postoperative period, anesthesia (paracetamol – Infulgan, “Yuria-Pharm”), oxygen therapy, abdominal bandaging, nonsteroidal anti-inflammatory drugs (NSAID), medications for the correction of water-electrolyte metabolism (Reosorbilact, “Yuria-Pharm”) are prescribed. Among wound complications seroma is the most common (30.8-60.4 %). Methods of its treatment include vacuum drainage, puncture, antibiotics and NSAID. In presence of localized limited infection in the tissues of the abdominal wall around the mesh, excision of the mesh area with granulomas within healthy tissues, washing of the wound with Dekasan solution (“Yuria-Pharm”) and defect plastics are indicated. Antibiotic therapy is performed according to sensitivity. In the presence of a widespread infection in the tissues of the abdominal wall along the perimeter of the mesh, its explantation is indicated. Repeated direct alloplasty in such cases is contraindicated. Prevention of wound complications includes antibiotic prophylaxis (ceftriaxone 2 g), adequate choice of alloplasty, washing of the surgical wound with Dekasan solution at the different stages of surgery, vacuum drainage and ultrasound monitoring. Conclusions. 1. Optimization of prevention of wound complications during non-purulent surgical interventions is reached by washing of the surgical wound with Dekasan solution. 2. Optimization of prevention of wound complications during conditionally clean (non-purulent) surgical interventions is reached by antibiotic prophylaxis and washing of the surgical wound with Dekasan solution at various stages of surgical dissection.

Preparation and In Vitro Evaluation of Resealed Erythrocytes as A New Trend in Treatment of Asthma

2016 ◽  
Vol 6 (3) ◽  
Author(s):  
Mohammed Ibrahim ◽  
Alaa Zaky ◽  
Mohsen Afouna ◽  
Ahmed Samy
Keyword(s):  
In Vitro Release ◽  
Human Erythrocytes ◽  
The Body ◽  
Blood Levels ◽  
Time Interval ◽  
Burst Release ◽  
Prolonged Release ◽  
Nocturnal Asthma ◽  
Carrier Erythrocytes

Carrier erythrocytes are emerging as one of the most promising biological drug delivery systems investigated in recent decades. Beside its biocompatibility, biodegradability and ability to circulate throughout the body, it has the ability to perform extended release system of the drug for a long period. The ultimate goal of this study is to introduce a new carrier system for Salbutamol, maintaining suitable blood levels for a long time, as atrial to resolve the problems of nocturnal asthma medication Therefore in this work we study the effect of time, temperature as well as concentration on the loading of salbutamol in human erythrocytes to be used as systemic sustained release delivery system for this drug. After the loading process is performed the carrier erythrocytes were physically and cellulary characterized. Also, the in vitro release of salbutamol from carrier erythrocytes was studied over time interval. From the results it was found that, human erythrocytes have been successfully loaded with salbutamol using endocytosis method either at 25 Co or at 37 Co . The highest loaded amount was 3.5 mg/ml and 6.5 mg/ml respectively. Moreover, the percent of cells recovery is 90.7± 1.64%. Hematological parameters and osmotic fragility behavior of salbutamol loaded erythrocytes were similar that of native erythrocytes. Scanning electron microscopy demonstrated that the salbutamol loaded cells has moderate change in the morphology. Salbutamol releasing from carrier cell was 43% after 36 hours in phosphate buffer saline. The releasing pattern of the drug from loaded erythrocytes showed initial burst release in the first hour followed by a very slow release, obeying zero order kinetics. It concluded that salbutamol is successfully entrapped into erythrocytes with acceptable loading parameters and moderate morphological changes, this suggesting that erythrocytes can be used as prolonged release carrier for salbutamol.

Biocompatible Nanovesicular Drug Delivery Systems with Targeting Potential for Autoimmune Diseases

2020 ◽  
Vol 26 (42) ◽  
pp. 5488-5502 ◽  
Author(s):  
Yub Raj Neupane ◽  
Asiya Mahtab ◽  
Lubna Siddiqui ◽  
Archu Singh ◽  
Namrata Gautam ◽  
...  
Keyword(s):  
Drug Delivery ◽  
Autoimmune Diseases ◽  
Lupus Erythematosus ◽  
Drug Delivery Systems ◽  
Drug Carriers ◽  
Immunological Tolerance ◽  
Delivery Systems ◽  
The Body ◽  
Autoimmune Response ◽  
Treatment Modalities

Autoimmune diseases are collectively addressed as chronic conditions initiated by the loss of one’s immunological tolerance, where the body treats its own cells as foreigners or self-antigens. These hay-wired antibodies or immunologically capable cells lead to a variety of disorders like rheumatoid arthritis, psoriatic arthritis, systemic lupus erythematosus, multiple sclerosis and recently included neurodegenerative diseases like Alzheimer’s, Parkinsonism and testicular cancer triggered T-cells induced autoimmune response in testes and brain. Conventional treatments for autoimmune diseases possess several downsides due to unfavourable pharmacokinetic behaviour of drug, reflected by low bioavailability, rapid clearance, offsite toxicity, restricted targeting ability and poor therapeutic outcomes. Novel nanovesicular drug delivery systems including liposomes, niosomes, proniosomes, ethosomes, transferosomes, pharmacosomes, ufasomes and biologically originated exosomes have proved to possess alluring prospects in supporting the combat against autoimmune diseases. These nanovesicles have revitalized available treatment modalities as they are biocompatible, biodegradable, less immunogenic and capable of carrying high drug payloads to deliver both hydrophilic as well as lipophilic drugs to specific sites via passive or active targeting. Due to their unique surface chemistry, they can be decorated with physiological or synthetic ligands to target specific receptors overexpressed in different autoimmune diseases and can even cross the blood-brain barrier. This review presents exhaustive yet concise information on the potential of various nanovesicular systems as drug carriers in improving the overall therapeutic efficiency of the dosage regimen for various autoimmune diseases. The role of endogenous exosomes as biomarkers in the diagnosis and prognosis of autoimmune diseases along with monitoring progress of treatment will also be highlighted.

Embodiment in Ezekiel

2020 ◽  
Author(s):  
Rhiannon Graybill
Keyword(s):  
Foreign Bodies ◽  
The Body ◽  
The People ◽  
Female Bodies ◽  
Constructing Meaning ◽  
The Relationship

This chapter shows how embodiment plays an important role in constructing meaning in the book of Ezekiel. The text contains a number of bodies, including human bodies (Ezekiel, the people of Judah), supernatural or divine bodies (Yahweh, the cherubim, various divine messengers), metaphorical bodies (the female bodies in Ezekiel 16 and 23), foreign bodies (various foreign nations), and animate “dry bones” in Ezekiel 37. The body is central to the practice of prophecy in the book. It is likewise fundamental to performances of gender and to the negotiation of the relationship between Yahweh and the people, including Ezekiel himself. Focusing on the body also highlights the significance of masculinity in the text, as well as its instability.

Clinical and occupational rehabilitation of patients after removal of foreign bodies from the abdominal cavity

1986 ◽  
Vol 67 (3) ◽  
pp. 176-178
Author(s):  
N. G. Gataullin ◽  
A. F. Vlasov
Keyword(s):  
Foreign Bodies ◽  
Abdominal Cavity ◽  
Occupational Rehabilitation ◽  
Intestinal Lumen ◽  
Case Histories ◽  
Bashkir Assr

We studied case histories of 125 patients with various foreign bodies in the abdominal cavity left during surgeries according to materials from the Bashkir ASSR from 1938 to 1981. 88 patients had foreign bodies extracted during repeated surgeries, 11 patients - through a wound or a fistula at bandages, 21 patients - at autopsy. In 5 patients gauze foreign bodies due to bedsores penetrated from the abdominal cavity into the intestinal lumen and came out during defecation.

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