scholarly journals Imaging-guided Percutaneous Large-Bore Suprapubic Cystostomy, a Safe Bladder Diversion Alternative

2018 ◽  
Vol 2 ◽  
pp. 10
Author(s):  
Jesse Chen ◽  
Elliot Landau ◽  
Noor Ahmad ◽  
Christopher Giordano ◽  
Jonathan Scheiner ◽  
...  
Keyword(s):  
Surgical Techniques ◽  
Catheter Placement ◽  
Common Method ◽  
Suprapubic Catheter ◽  
Suprapubic Cystostomy ◽  
Less Invasive ◽  
Image Guided ◽  
Procedural Complications

Suprapubic catheter placement is a common method of bladder diversion. To date, there are limited reports describing safe placement of large-bore (18–28 F) catheters as smaller catheters often clog and require upsizing procedures. We retrospectively evaluate the image-guided percutaneous placement of large-bore catheters by interventional radiologists in our institution, totaling 51 catheters in 51 patients over 5 years. We successfully placed a large-bore catheter in 96% (49/51) of first attempts with no post-procedural complications. This data demonstrates that percutaneous placement of large-bore suprapubic catheters by interventional radiologists is a safe and less-invasive bladder diversion alternative to traditional blind or open surgical techniques.

scholarly journals Suprapubic Cystostomy Site Incisional Hernia: A Complication of Suprapubic Catheter Placement

2019 ◽  
Vol 2 (1) ◽  
Author(s):  
Samarth Agarwal ◽  
Manoj Kumar ◽  
Deepanshu Sharma ◽  
Satya Narayan Sankhwar
Keyword(s):  
Incisional Hernia ◽  
Catheter Placement ◽  
Suprapubic Catheter ◽  
Suprapubic Cystostomy

Thinking ahead: gallbladder intussusception following transperitoneal percutaneous cholecystostomy tube placement

2021 ◽  
Vol 14 (2) ◽  
pp. e238885
Author(s):  
Ryan William England ◽  
Caleb Heiberger ◽  
Harjit Singh
Keyword(s):  
Tube Placement ◽  
Pigtail Catheter ◽  
Percutaneous Cholecystostomy ◽  
Transperitoneal Approach ◽  
Proper Position ◽  
Image Guided ◽  
Risk Patients ◽  
Procedural Complications ◽  
Cholecystostomy Tube ◽  
Percutaneous Cholecystostomy Tube

Percutaneous cholecystostomy (PC) is a common minimally invasive, image-guided procedure performed primarily on high-risk patients with acute cholecystitis for gallbladder decompression. Herein, we present a case of a patient undergoing PC placement using a transperitoneal approach. On subsequent upsizing attempts, the gallbladder fundus was found to invaginate during advancement of replacement drains, causing gallbladder intussusception. The use of a balloon and locked pigtail catheter were required to reposition the gallbladder to proper position. The patient’s planned percutaneous cholecystoscopy was delayed by 4 weeks until intended upsizing could be performed. This case demonstrates the advantage of achieving transhepatic gallbladder access to support tract formation and limit procedural complications.

Impact of Dose-Modified Protocols on Radiation Doses in Patients Undergoing CT Examinations following Image-Guided Catheter Placement

2015 ◽  
Vol 26 (9) ◽  
pp. 1339-1346.e1 ◽  
Author(s):  
Yasir Andrabi ◽  
Thomas S. Saadeh ◽  
Raul N. Uppot ◽  
Ronald S. Arellano ◽  
Dushyant V. Sahani
Keyword(s):  
Catheter Placement ◽  
Radiation Doses ◽  
Image Guided

scholarly journals Diagnosis and Planning in the Management of Musculoskeletal Tumors - A Review

2017 ◽  
Vol 11 (2) ◽  
pp. 81-85
Author(s):  
Md Hafizur Rahman ◽  
Md Maiyeen Uddin
Keyword(s):  
Soft Tissue ◽  
Imaging Techniques ◽  
Surgical Techniques ◽  
Soft Tissue Tumors ◽  
Chemotherapeutic Drugs ◽  
Prognostic Information ◽  
Image Guided ◽  
Musculoskeletal Tumors ◽  
The Past ◽  
Appropriate Treatment

The prognosis of patients with musculoskeletal tumors has improved markedly because of the advent of new chemotherapeutic drugs and regimens and as a result of advances in imaging and surgical techniques. Limb-salvage operations can currently be performed with better outcomes, while in the past; limbs with tumors were treated only with amputation. Accurate preoperative surgical staging of musculoskeletal tumors is currently possible because imaging techniques provide prognostic information and aid clinicians in choosing the most appropriate treatment option for the patient. The aim of this article is to outline the presentation, imaging, and staging of the primary and metastatic bone and soft tissue tumors. Some of the image-guided interventions for these tumors are also presented.Faridpur Med. Coll. J. Jul 2016;11(2): 81-85

scholarly journals Synostosis Between Pubic Bones due to Neurogenic, Heterotopic Ossification

2006 ◽  
Vol 6 ◽  
pp. 2486-2490 ◽  
Author(s):  
Subramanian Vaidyanathan ◽  
Peter L. Hughes ◽  
Bakul M. Soni
Keyword(s):  
Bone Formation ◽  
Heterotopic Ossification ◽  
Foley Catheter ◽  
Symphysis Pubis ◽  
Heterotopic Bone ◽  
Heterotopic Bone Formation ◽  
Suprapubic Catheter ◽  
Suprapubic Cystostomy ◽  
Urine Leak ◽  
Irregular Margin

Neurogenic, heterotopic ossification is characterised by the formation of new, extraosseous (ectopic) bone in soft tissue in patients with neurological disorders. A 33-year-old female, who was born with spina bifida, paraplegia, and diastasis of symphysis pubis, had indwelling urethral catheter drainage and was using oxybutynin bladder instillations. She was prescribed diuretic for swelling of feet, which aggravated bypassing of catheter. Hence, suprapubic cystostomy was performed. Despite anticholinergic therapy, there was chronic urine leak around the suprapubic catheter and per urethra. Therefore, the urethra was mobilised and closed. After closure of the urethra, there was no urine leak from the urethra, but urine leak persisted around the suprapubic catheter. Cystogram confirmed the presence of a Foley balloon inside the bladder; there was no urinary fistula. The Foley balloon ruptured frequently, leading to extrusion of the Foley catheter. X-ray of abdomen showed heterotopic bone formation bridging the gap across diastasis of symphysis pubis. CT of pelvis revealed heterotopic bone lying in close proximity to the balloon of the Foley catheter; the sharp edge of heterotopic bone probably acted like a saw and led to frequent rupture of the balloon of the Foley catheter. Unique features of this case are: (1) temporal relationship of heterotopic bone formation to suprapubic cystostomy and chronic urine leak; (2) occurrence of heterotopic ossification in pubic region; (3) complications of heterotopic bone formation viz. frequent rupture of the balloon of the Foley catheter by the irregular margin of heterotopic bone and difficulty in insertion of suprapubic catheter because the heterotopic bone encroached on the suprapubic track; (4) synostosis between pubic bones as a result of heterotopic ossification..Common aetiological factors for neurogenic, heterotopic ossification, such as forceful manipulation, trauma, or spasticity, were absent in this patient. Since heterotopic bone formation was observed in the pubic region after suprapubic cystostomy and chronic urine leak, it is possible that risk factors related to the urinary tract might have played a role in heterotopic bone formation, which resulted in synostosis between pubic bones.

scholarly journals USG-Guided Percutaneous Aspiration: an Effective Way for Managing Appendicular Abscess

2019 ◽  
Vol 9 (1) ◽  
pp. 41-45
Author(s):  
Tarafder Habibullah ◽  
Debasish Das ◽  
Deb Prasad Paul
Keyword(s):  
Local Anaesthesia ◽  
Fluid Collection ◽  
Percutaneous Aspiration ◽  
Average Hospital ◽  
Medical College ◽  
Image Guided ◽  
Interventional Radiological Procedure ◽  
Procedural Complications ◽  
Interval Appendicectomy ◽  
Surgery Department

Background: During last 2−3 decades image-guided drainage procedures have been developed complementing modern surgical drainage techniques. The development of interventional radiological procedure has made percutaneous puncture and drainage of abdominal fluid collection possible. Image-guided percutaneous drainage of appendicular abscess has become well-established because of its proven safety and efficacy. Objectives: To evaluate the safety and feasibility of USG-guided percutaneous aspiration for draining appendicular abscess with special attention to the need for conversion and to see the nature of complications after draining of abscess. Materials and Methods: Between May 2013 to May 2014, 25 cases of appendicular abscess were selected from the admitted patients (surgery department) in Enam Medical College & Hospital who underwent USG-guided percutaneous aspiration. Procedure was performed mostly under local anaesthesia. Patients were followed up for 6 months. Interval appendicectomy was not performed routinely. Results: USG-guided aspiration was successful in 23 (92%) patients and in 2 (8%) patients procedure failed. Single attempt was successful in 21 (84%) cases and 4 (16%) patients needed double attempt for draining appendicular abscess. In 23 (92%) patients, PCA was done under local anaesthesia and two (8%) patients needed general anaesthesia. Complications developed in 4 (16%) patients. Four (16%) patients needed follow-up USG. Average hospital stay was 5 days (2−8 days) and average duration of using I/V antibiotic was 3.5 days (2−5 days). Conclusion: USG-guided percutaneous aspiration is an easy and safe method for draining appendicular abscess with minimum procedural complications. J Enam Med Col 2019; 9(1): 41-45

Posterior Interhemispheric Precuneal Approach: Fundamental Principles and Case Illustration: 3-Dimensional Operative Video

2019 ◽  
Vol 17 (2) ◽  
pp. E58-E58 ◽  
Author(s):  
Devi Prasad Patra ◽  
Amey Rajan Savardekar ◽  
Rimal H Dossani ◽  
Nasser Mohammed ◽  
Vinayak Narayan ◽  
...  
Keyword(s):  
White Matter ◽  
Male Patient ◽  
Surgical Techniques ◽  
Case Illustration ◽  
Physiological Basis ◽  
White Matter Tracts ◽  
3 Dimensional ◽  
Complex Region ◽  
Less Invasive ◽  
Neurovascular Structures

Abstract Peritrigonal lesions are deeply seated and are surrounded by critical neurovascular structures. Traditional transcortical approaches carry the risk of damage to important surrounding white matter tracts. In this regard, a posterior interhemispheric approach gives a more direct and less invasive route and therefore is a reasonable alternative to transcortical approaches. The 3-dimensional video includes illustrations and animations showing the anatomy of the white matter tracts around the trigone and explains the physiological basis of posterior interhemispheric precuneal approach to this complex region. This also includes a 3-dimensional operative video of the same approach in a 50-yr-old male patient with left periatrial lesion describing surgical techniques and nuances. An informed written consent has been obtained from the patient.

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