scholarly journals Nonimmune Hydrops Fetalis—Prenatal Diagnosis, Genetic Investigation, Outcomes and Literature Review

2020 ◽  
Vol 9 (6) ◽  
pp. 1789
Author(s):  
Przemyslaw Kosinski ◽  
Pawel Krajewski ◽  
Miroslaw Wielgos ◽  
Aleksandra Jezela-Stanek
Keyword(s):  
Intrauterine Infection ◽  
Hydrops Fetalis ◽  
Single Centre ◽  
Family Counselling ◽  
Single Centre Study ◽  
Genetic Evaluations ◽  
Twin Pregnancies ◽  
Nonimmune Hydrops ◽  
Singleton Pregnancies

The aim of this paper is to review the outcomes and discuss the genetic and non-genetic aetiology of nonimmune hydrops fetalis in order to support differential ultrasound and genetic evaluations and family counselling. This single-centre study includes all cases of nonimmune hydrops fetalis diagnosed prenatally from 2009 to 2019. Two sources of data were used for this study (prenatal and neonatal) to compare and summarise the findings. Data from genetic testing and ultrasound scans were collected. In total, 33 pregnant women with prenatally diagnosed nonimmune hydrops fetalis were studied. The data included 30 cases of singleton (91%) and three cases (9%) of twin pregnancies. There were 14 survivors (43%), seven cases of postnatal deaths (21%), four cases of intrauterine foetal demises (12%), four cases of termination of pregnancy (12%), and four women without a follow up (12%). The total number of chromosomally normal singleton pregnancies was 29 (88%), and 14 foetuses had an anatomical abnormality detected on the ultrasound scan. The chance of survival was the highest in cases of isolated, idiopathic hydrops fetalis, which in most cases was due to an undetectable intrauterine infection. In many cases, the diagnosis could not be established throughout pregnancy. Each case of nonimmune hydrops fetalis should thus be analysed individually.

scholarly journals 755 Elective Surgery in the COVID-19 Pandemic: Outcomes of 100 Consecutive Cases

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
R Fisher ◽  
C Hadjittofi ◽  
Z Ali ◽  
P Antonas ◽  
K Parekh ◽  
...  
Keyword(s):  
Pain Management ◽  
Oral Surgery ◽  
Elective Surgery ◽  
University Hospital ◽  
Single Centre ◽  
Median Length ◽  
Microsoft Excel ◽  
Single Centre Study ◽  
Green Zone

Abstract Introduction The COVID-19 pandemic halted elective surgical activity. Basildon University Hospital established an elective Green Zone for COVID-19 swab negative patients who isolated for 14 days. This study reviewed the outcomes of the first 100 patients. Method A single-centre study was performed. Demographic and perioperative electronic data were supplemented with telephone follow-up for the first 100 Green Zone patients and analysed in Microsoft Excel. Results One hundred Green Zone patients underwent surgery between 21/05/2020 and 16/06/2020. The median age was 55 (14-88) years. 52% were female. Their operations were performed by General Surgery (39%), Gynaecology (17%), Vascular Surgery (14%), Oral Surgery (12%), ENT (9%), Urology (8%), and Pain Management (1%). Preoperatively, 100% had a negative SARS-CoV-2 swab and one had CT evidence of mild resolving COVID-19. Two patients had postoperative SARS-CoV-2 swabs, both negative. Median length of stay was 0 (0-7) days. 84% responded to telephone follow-up at a median 25 (13-54) postoperative days, 69% of whom were asymptomatic There were no 30-day major complications (>Clavien-Dindo IIIa) or 90-day mortality. Conclusions Elective surgery can be safe during the COVID-19 pandemic, with appropriate measures in place. This has significant implications in the context of an ever-expanding NHS waiting list during a pandemic of uncertain duration.

Premature structural failure of Trifecta bioprosthesis in midterm follow-up: A single-centre study

2020 ◽  
Author(s):  
Hassan Kattach ◽  
Benoy N. Shah ◽  
Stephen Harden ◽  
Clifford W. Barlow ◽  
Szabolcs Miskolczi ◽  
...  
Keyword(s):  
Structural Failure ◽  
Single Centre ◽  
Centre Study ◽  
Single Centre Study

The ‘shark mouth’ flap approach for digital glomus tumours in 24 patients: technique and clinical outcomes

2019 ◽  
Vol 45 (2) ◽  
pp. 153-159
Author(s):  
Ghada Asmar ◽  
Tahar Mati ◽  
Ioana Anastasia Pop ◽  
Marc-Olivier Falcone
Keyword(s):  
Clinical Outcomes ◽  
Nail Plate ◽  
Easy Access ◽  
Postoperative Phase ◽  
Single Centre ◽  
Level Of Evidence ◽  
Germinal Matrix ◽  
Single Centre Study ◽  
Subperiosteal Approach

This retrospective, single-centre study was carried out on patients with digital subungual glomus tumours. We describe a subperiosteal approach with a ‘shark mouth’ flap containing the nail plate and nail bed as a single unit, providing ideal exposure and easy access to the tumour. It combines the advantages of the transungual and lateral approaches, whether the subungual tumours are located centrally, peripherally or under the germinal matrix. The ‘shark mouth’ flap approach was used by the same surgeon in 24 patients with solitary glomus tumours of the fingers. Clinical outcomes at the early postoperative phase and at the last follow-up were satisfactory. Pain relief and wound healing were quickly achieved. No complications, such as fingertip numbness or nail deformities, were observed, and there was only one recurrence. This approach is reliable, nail-sparing and less time-consuming than other techniques. Level of evidence: IV

scholarly journals Surgical ablation for atrial fibrillation as a concomitant cardiac surgery procedure. A single-centre study with 1-year follow-up

Cor et Vasa ◽  
2015 ◽  
Vol 57 (4) ◽  
pp. e323-e328
Author(s):  
Lukáš Mach ◽  
Vladimír Horváth ◽  
Eva Jakubcová ◽  
Katarína Kovačičová ◽  
Zdenko Kasáč ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Cardiac Surgery ◽  
Single Centre ◽  
Surgical Ablation ◽  
Centre Study ◽  
Single Centre Study
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