Surgical management protocol during the COVID-19 pandemic in an Italian non-referral center

2021 ◽  
Vol 76 (3) ◽  
Author(s):  
Andrea BALLA ◽  
Antonio DE CARLO ◽  
Daniele AGUZZI ◽  
Sergio PETROCCA ◽  
Anna GUIDA ◽  
...  
Keyword(s):  
Surgical Management ◽  
Referral Center ◽  
Management Protocol

scholarly journals Interventional and surgical management of abdominal compartment syndrome in severe acute pancreatitis

Medicina ◽  
2010 ◽  
Vol 46 (4) ◽  
pp. 249 ◽  
Author(s):  
Žilvinas Dambrauskas ◽  
Audrius Paršeliūnas ◽  
Almantas Maleckas ◽  
Antanas Gulbinas ◽  
Giedrius Barauskas ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Compartment Syndrome ◽  
Abdominal Compartment Syndrome ◽  
Surgical Management ◽  
Severe Acute Pancreatitis ◽  
Open Abdomen ◽  
Ultrasound Guided ◽  
Management Protocol ◽  
Fluid Collections ◽  
Abdominal Compartment

Background and objective. Management of the abdominal compartment syndrome during severe acute pancreatitis by the open abdomen method is associated with considerable morbidity and resource utilization. Thus, the aim of this study was to evaluate the safety and efficacy of the ultrasound-guided percutaneous interventions and/or minimally invasive surgery in the treatment of abdominal compartment syndrome. Material and methods. Forty-four patients with severe acute pancreatitis were enrolled into a prospective study and treated according to the standard management protocol. Interventional and/ or surgical management of abdominal compartment syndrome was employed in 6 (13.6%) cases. In the context of this study, we assessed the feasibility and effectiveness of subcutaneous fasciotomy of the anterior m. rectus abdominis sheath, as well as the role of ultrasound-guided drainage of intra-abdominal and peripancreatic fluid collections in the management of abdominal compartment syndrome. Results. Subcutaneous fasciotomy of the anterior m. rectus sheath and ultrasound-guided drainage of intra-abdominal and peripancreatic fluid collections seem to be safe (minor risk of bleeding or infection, closed abdomen, and easy care for the patient) and effective (resulted in a sustained decrease of intra-abdominal pressure to 13–16 mm Hg and regression of organ failures after intervention). Subcutaneous anterior m. rectus fasciotomy may appear to be beneficial in case of refractory abdominal compartment syndrome avoiding morbidity associated with the open abdomen technique. Conclusions. Both the subcutaneous fasciotomy and ultrasound-guided drainage of intra-abdominal and/or peripancreatic fluid collections seem to be safe and effective alternatives in the management of abdominal compartment syndrome; however, prospective studies are needed to further evaluate their clinical role.

scholarly journals Hematoma Following Periodontal Surgery with a Torus Reduction: A Case Report

2007 ◽  
Vol 8 (3) ◽  
pp. 72-80 ◽  
Author(s):  
Katherine Mantzikos ◽  
Stuart L. Segelnick ◽  
Robert Schoor
Keyword(s):  
Case Report ◽  
Oral Cavity ◽  
Surgical Management ◽  
Patient Management ◽  
Case Reports ◽  
Periodontal Surgery ◽  
Best Management ◽  
Hematoma Formation ◽  
Floor Of The Mouth ◽  
Management Protocol

Abstract Background There are no published case reports that hematomas occur on the floor of the mouth as a result of periodontal surgery. Report These three case reports document post surgical hematoma formation on the floor of the mouth that pose problems with the diagnosis, prognosis, and patient management. All cases involved periodontal surgery where extensive reduction of tori and bony exostoses were required. Two cases resulted in hematomas in the floor of the mouth. However, a change in the post surgical management for a third case demonstrated possible prevention of hematoma formation. Summary Hematomas in the floor of the mouth can be a resolving post surgical phenomenon or a serious vascular insult to this region of the oral cavity. This report clarifies the diagnosis, prognosis, and the best management protocol through the presentation of three cases. Citation Mantzikos K, Segelnick SL, Schoor R. Hematoma Following Periodontal Surgery with a Torus Reduction: A Case Report. J Contemp Dent Pract 2007 March;(8)3:072-080

scholarly journals Contusion Index is an Important Tool for the Management of Traumatic Intracerebral Hematoma

2021 ◽  
Author(s):  
Adnan Khaliq ◽  
Mumtaz Ali ◽  
Farooq Azam ◽  
Nayab Gul ◽  
Bipin Chaurasia
Keyword(s):  
Surgical Management ◽  
Descriptive Study ◽  
Intracerebral Hematoma ◽  
Extradural Hematoma ◽  
Male And Female ◽  
Number Of Patients ◽  
Management Protocol ◽  
Intracranial Hematomas ◽  
Enhanced Computed Tomography ◽  
Traumatic Intracerebral Hematoma

Abstract Objective This article evaluates outcome of traumatic intracerebral hematomas in terms of Glasgow Coma Scale (GCS) after medical or surgical management according to contusion index. Materials and Methods This descriptive study was conducted in the Department of Neurosurgery, Lady Reading Hospital, Peshawar, Pakistan from January 2017 to December 2018. Total number of patients with traumatic intracerebral contusions included in this study was 60 with age between 5 and 75 years. Both male and female were included. Patients with other coexisting traumatic intracranial hematomas like extradural hematoma, subdural hematoma, and polytrauma were excluded from this study. Contusion index of patients were calculated by noncontrast-enhanced computed tomography brain. On arrival patient GCS was documented. The management protocol, that is, conservative or surgical, was provided to individual patient according to contusion index as calculated. Outcome of management was assessed in terms of GCS. Results Patients with contusion index of 0 to 4 were managed conservatively. Patients with contusion index of 6 were offered surgical management. Patients with contusion index of 9 had poor outcome with both conservative and surgical management. Conclusion Contusion index can be used reliably as a tool for management of isolated traumatic intracerebral hematomas

scholarly journals Chakramarda Ghrita & Go-Ghrita in the management of Parikartika (fissure in ano): An Ayurvedic management protocol for the treatment of fissure

2020 ◽  
Vol 11 (SPL4) ◽  
pp. 1162-1165
Author(s):  
Alok Kumar Diwedi ◽  
Kiran Khandare
Keyword(s):  
Prospective Study ◽  
Anal Fissure ◽  
Surgical Management ◽  
Prospective Studies ◽  
Fissure In Ano ◽  
Anal Region ◽  
Management Protocol ◽  
Bleeding Per Rectum ◽  
The Impact ◽  
Single Blind

Anal Fissure is one of the significant causes of pain in the anal region. The two primary signs of this disease are pain and bleeding, and pain is often unbearable. In males, anal fissure typically occurs in the midline posterior- 90 %, and 10 % midline anterior. Subsequently, female fissures on the midline anteriorly are significantly more frequent than posteriorly (60:40). In contemporary sciences, Parikartika can be correlated with Fissure in Ano. The objective of the prospective study is to find the effectiveness of Chakramarda Ghrita  & GoGhrita in the management of Parikartika. The present study is designed as a randomized, single-blind parallel in which 30 patients will be enrolled. Ghrita will be applied for local application twice a day. Assessment will be done 0th, 7th day, 14thday, and 28th day. The changes are expected to be observed in subjective parameters such as pain bleeding per rectum with itching as well as with objective parameters such as Parikartika Healing and tenderness. The study is expecting the non-surgical management of fissure in ano concerning the impact of Chakramarda Ghrita & GoGhrita.  The research is expecting to be baseline and benchmark of the prospective studies in Parikartika.

scholarly journals Abdominal tuberculosis: a surgical emergency

2017 ◽  
Vol 5 (9) ◽  
pp. 3847
Author(s):  
Rajandeep Singh Bali ◽  
Rahul Jain ◽  
Yawar Zahoor ◽  
Ankul Mittal
Keyword(s):  
Small Bowel ◽  
Intestinal Obstruction ◽  
Surgical Management ◽  
Surgical Intervention ◽  
Tertiary Care ◽  
Acute Intestinal Obstruction ◽  
Care Hospital ◽  
Number Of Patients ◽  
Management Protocol ◽  
Operative Findings

Background: To study and assess the clinico-pathologic profile, intra-operative findings, surgical intervention performed and outcome in terms of morbidity and mortality of the patients included in the study group.Methods: This study was carried out at Lok Nayak Hospital and Maulana Azad Medical College, New Delhi, a tertiary care hospital between November 2011 to March 2015. It was a retrospective study in which the records of the patients operated upon in the emergency department as peritonitis or acute intestinal obstruction and whose diagnosis was later confirmed as tuberculosis on histopathology were analysed with regards clinic-pathologic profile, intra-operative findings, surgical intervention performed and outcome in terms of morbidity and mortality.Results: The mean age of our study group was 28.7 years. 70% of our patients were found to be in the underweight category and 30% were in the normal category. Fourty three (56.6%) presented to the hospital with features suggestive of peritonitis and thirty-three (43.4) were suffering from acute intestinal obstruction. The commonest intra-operative finding encountered was ileal perforation followed by multiple small bowel perforations, solitary stricture of the small bowel with perforation, ileo-cecal mass, adhesions or bands, single or multiple strictures, stricture with impending small bowel perforation and jejunal perforation. The frequently performed surgical procedures were ilesotomy, resection and anastamosis of the involved bowel, primary repair of thr perforation, right hemicolectomy, adhesiolysis, stricturoplasty (done in case of single stricture, mostly), jejunostomy and peritoneal and omental biopsy.Conclusions: Tuberculosis is a very grave disease, studies with larger number of patients need to be conducted to standardise its surgical management as at present there is no standardised surgical management protocol.

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