scholarly journals Hemispherectomy: historical review and recent technical advances

2013 ◽  
Vol 34 (6) ◽  
pp. E11 ◽  
Author(s):  
Alexandra D. Beier ◽  
James T. Rutka
Keyword(s):  
Surgical Techniques ◽  
Historical Review ◽  
Seizure Freedom ◽  
The Novel ◽  
Surgical Strategies ◽  
Noninvasive Diagnostics ◽  
Technical Advances ◽  
History Of ◽  
Surgical Options ◽  
Initial Description

The surgical options available for intractable hemispheric epilepsy have evolved since their initial description in the early 20th century. Surgical techniques have advanced, as has the ability to predict good surgical outcomes with noninvasive diagnostics. The authors review the history of hemispherectomy and detail the novel imaging and surgical strategies used to confer seizure freedom.

scholarly journals Surgical Treatment of Ebstein's Anomaly

2017 ◽  
Vol 65 (08) ◽  
pp. 639-648 ◽  
Author(s):  
Rüdiger Lange ◽  
Melchior Burri
Keyword(s):  
Surgical Treatment ◽  
Right Ventricular ◽  
Surgical Repair ◽  
Surgical Techniques ◽  
Right Ventricular Failure ◽  
Ebstein’S Anomaly ◽  
Ventricular Failure ◽  
Ebstein's Anomaly ◽  
History Of ◽  
Surgical Options

AbstractSurgical repair of the tricuspid valve is a milestone in the medical history of patients with Ebstein's anomaly. The timely alleviation of the insufficiency has an important impact on the prognosis. In this review, we describe features of the disease relevant to surgical correction and the evolution of surgical techniques over six decades. We compare the results of different repair and replacement techniques. Additionally, we discuss concomitant antiarrhythmic surgery and bailout strategies for postoperative right ventricular failure. Finally, we review the surgical options in symptomatic neonates with Ebstein's disease.

Surgical Management of Choroidal Diseases

2021 ◽  
Author(s):  
Lars-Olof Hattenbach ◽  
Silvia Bopp ◽  
Marc Strobel ◽  
Argyrios Chronopoulos
Keyword(s):  
Treatment Success ◽  
Surgical Techniques ◽  
Vitreoretinal Surgery ◽  
Visual Outcome ◽  
Therapeutic Approaches ◽  
Surgical Strategies ◽  
Surgical Measures ◽  
Suprachoroidal Space ◽  
Technical Advances ◽  
Uveal Effusion

AbstractAccumulation of serous fluid in the suprachoroidal space, known as uveal effusion, and choroidal or suprachoroidal haemorrhage (SCH) following rupture of ciliary blood vessels are considered rare, but serious, events with extremely poor functional prognosis. As a result, uveal effusion, and expulsive suprachoroidal haemorrhage in particular, continue to be considered as more or less fatal complications. However, clinical experience demonstrates that both clinical entities can be managed by conservative as well as surgical strategies, depending on their severity and localisation, with sometimes surprisingly favourable visual outcome. In addition to prognostic factors, timely recognition and prompt, if possible preventive, acute care, as well as carefully considered timing of adequate surgical measures taking advantage of the specific characteristics of the choroidal tissue, are crucial to treatment success. Along with technical advances in the field of vitreoretinal surgery, numerous variants of therapeutic approaches to the treatment of choroidal effusion and suprachoroidal haemorrhage have been proposed to date. This review presents some of the most important surgical techniques and strategies in the field.

scholarly journals Pediatric functional hemispherectomy: operative techniques and complication avoidance

2020 ◽  
Vol 48 (4) ◽  
pp. E9 ◽  
Author(s):  
Christopher C. Young ◽  
John R. Williams ◽  
Abdullah H. Feroze ◽  
Margaret McGrath ◽  
Ali C. Ravanpay ◽  
...  
Keyword(s):  
Surgical Techniques ◽  
Internal Capsule ◽  
Surgical Approaches ◽  
Seizure Freedom ◽  
Operative Techniques ◽  
Surgical Morbidity ◽  
Anatomical Structures ◽  
Functional Hemispherectomy ◽  
Temporal Structures ◽  
History Of

Functional hemispherectomy/hemispherotomy is a disconnection procedure for severe medically refractory epilepsy where the seizure foci diffusely localize to one hemisphere. It is an improvement on anatomical hemispherectomy and was first performed by Rasmussen in 1974. Less invasive surgical approaches and refinements have been made to improve seizure freedom and minimize surgical morbidity and complications. Key anatomical structures that are disconnected include the 1) internal capsule and corona radiata, 2) mesial temporal structures, 3) insula, 4) corpus callosum, 5) parietooccipital connection, and 6) frontobasal connection. A stepwise approach is indicated to ensure adequate disconnection and prevent seizure persistence or recurrence. In young pediatric patients, careful patient selection and modern surgical techniques have resulted in > 80% seizure freedom and very good functional outcome. In this report, the authors summarize the history of hemispherectomy and its development and present a graphical guide for this anatomically challenging procedure. The use of the osteoplastic flap to improve outcome and the management of hydrocephalus are discussed.

“What Freedom?”

2019 ◽  
Vol 74 (3) ◽  
pp. 305-331
Author(s):  
John Owen Havard
Keyword(s):  
South America ◽  
French Revolution ◽  
The Political ◽  
The Novel ◽  
Free Condition ◽  
Narrative Design ◽  
Economic Liberalism ◽  
History Of ◽  
Ways Of Thinking ◽  
John Owen

John Owen Havard, “‘What Freedom?’: Frankenstein, Anti-Occidentalism, and English Liberty” (pp. 305–331) “If he were vanquished,” Victor Frankenstein states of his monstrous creation in Mary Shelley’s Frankenstein (1818), “I should be a free man.” But he goes on: “Alas! what freedom? such as the peasant enjoys when his family have been massacred before his eyes, his cottage burnt, his lands laid waste, and he is turned adrift, homeless, pennyless, and alone, but free.” Victor’s circumstances approximate the deracinated subject of an emergent economic liberalism, while looking to other destitute and shipwrecked heroes. Yet the ironic “freedom” described here carries an added charge, which Victor underscores when he concludes this account of his ravaged condition: “Such would be my liberty.” This essay revisits the geographic plotting of Frankenstein: the digression to the East in the nested “harem” episode, the voyage to England, the neglected episode of Victor’s imprisonment in Ireland, and the creature’s desire to live in South America. Locating Victor’s concluding appeal to his “free” condition within the novel’s expansive geography amplifies the political stakes of his downfall, calling attention to not only his own suffering but the wider trail of destruction left in his wake. Where existing critical accounts have emphasized the French Revolution and its violent aftermath, this obscures the novel’s pointed critique of a deep and tangled history of English liberty and its destructive legacies. Reexamining the novel’s geography in tandem with its use of form similarly allows us to rethink the overarching narrative design of Frankenstein, in ways that disrupt, if not more radically dislocate, existing rigid ways of thinking about the novel.

Sustainability Failure in the Antimicrobial Stewardship Program in a Secondary Care Hospital from Cuba: A Historical Review of 30 Years and 3 Shots

2020 ◽  
Vol 18 ◽  
Author(s):  
Humberto Guanche Garcell ◽  
Juan José Pisonero Socias ◽  
Gilberto Pardo Gómez
Keyword(s):  
Antimicrobial Stewardship ◽  
Historical Review ◽  
Original Data ◽  
Care Hospital ◽  
Antimicrobial Stewardship Program ◽  
Continuous Quality ◽  
Stewardship Program ◽  
History Of ◽  
Health Organization

Background: During the last 30 years an antimicrobial stewardship program (ASP) was implemented in a facility with periods of weakness. We aim to describe the history of the sustainability failure in the local ASP. Methods: A historical review was conducted using original data from the facility library and papers published. An analysis of factors related to the failure was conducted based on the Doyle approach. Results: The first ASP was implemented from 1989 to 1996 based on the international experiences and contributes to the improvement in the quality of prescription, reduction of 52% in cost and in the incidence of nosocomial infection. The second program restarts in 2008 and decline in 2015, while the third program was guided by the Pan-American Health Organization from 2019. This program, in progress, is more comprehensive than previous ones and introduced as a novel measure the monitoring of antibiotic prophylaxis in surgery. The factors related to the sustainability were considered including the availability of antimicrobials, the leader´s support, safety culture, and infrastructure. Conclusions: The history behind thirty years of experiences in antimicrobial stewardship programs has allowed us to identify the gaps that require proactive strategies and actions to achieve sustainability and continuous quality improvement.

Reading Statelessness

2018 ◽  
Author(s):  
Lyndsey Stonebridge
Keyword(s):  
Human Rights ◽  
Political Theory ◽  
The Novel ◽  
History Of The Novel ◽  
Political Sovereignty ◽  
History Of

Hannah Arendt’s analysis of the failure of human rights to address statelessness is well known. Less commented upon is how important literature was to her thought. This chapter shows how Arendt’s 1940s essays on Kafka connect the history of the novel to shifting definitions of legal and political sovereignty. Arendt reads The Castle as a blueprint for a political theory that is also a theory of fiction: in the novel K, the unwanted stranger, demolishes the fiction of the rights of man, and with it, the fantasy of assimilation. In a parallel move, Kafka also refuses to assimilate his character into the conventions of fiction. Arendt’s reading changes the terms for how we might approach the literature of exile and of human rights.

V.S. Naipaul, Caribbean Writing, and Caribbean Thought

2020 ◽  
Author(s):  
William Ghosh
Keyword(s):  
Intellectual Development ◽  
Public Intellectual ◽  
Historical Narrative ◽  
Derek Walcott ◽  
The Novel ◽  
Kamau Brathwaite ◽  
Political Debates ◽  
History Of ◽  
Principal Subject ◽  
Intellectual Formation

This book presents a new portrait of V.S. Naipaul, one of the twentieth-century’s most controversial writers about colonialism and its aftermath, by looking at his relationship with the Caribbean, the region of his birth. It argues that whilst Naipaul presented himself as a global public intellectual—a citizen of nowhere—his writing and thought was shaped by his Caribbean intellectual formation, and his investment in Caribbean political debates. Focusing on three key forms of Caribbean writing—the novel, the historical narrative, and the travel narrative—it shows how the generic, stylistic, and formal choices of writers had great political significance. Telling the story of his creative and intellectual development at three crucial points in Naipaul’s career, it offers a new intellectual biography of its principal subject. By showing Naipaul’s crucial place in the history of Caribbean ideas, it also provides new perspectives on a number of major writers and thinkers from the region, including C.L.R. James, Eric Williams, Kamau Brathwaite, Sylvia Wynter, George Lamming, Derek Walcott, Maryse Condé, and David Scott.

The Oxford History of the Novel in English

2018 ◽  
Keyword(s):  
World War Ii ◽  
English Language ◽  
Book History ◽  
World Order ◽  
The United States ◽  
The Novel ◽  
History Of The Novel ◽  
Post Colonial ◽  
The World ◽  
History Of

Volume Nine of this series traces the development of the ‘world novel’, that is, English-language novels written throughout the world, beyond Britain, Ireland, and the United States. Focusing on the period up to 1950, the volume contains survey chapters and chapters on major writers, as well as chapters on book history, publishing, and the critical contexts of the work discussed. The text covers periods from renaissance literary imaginings of exotic parts of the world like Oceania, through fiction embodying the ideology and conventions of empire, to the emergence of settler nationalist and Indigenous movements and, finally, the assimilations of modernism at the beginnings of the post-imperial world order. The book, then, contains chapters on the development of the non-metropolitan novel throughout the British world from the eighteenth to the mid twentieth centuries. This is the period of empire and resistance to empire, of settler confidence giving way to doubt, and of the rise of indigenous and post-colonial nationalisms that would shape the world after World War II.

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