scholarly journals Role of Ayurved in the Management of Wound Dehiscence - A Case Report

2021 ◽  
Vol 12 (2) ◽  
pp. 395-397
Author(s):  
Kiran Pundlikrao Mendhekar ◽  
Sanjay Babar ◽  
Ashwin Shete
Keyword(s):  
Case Report ◽  
Hospital Stay ◽  
Surgical Procedure ◽  
Fluid Collection ◽  
Fatal Outcome ◽  
Wound Dehiscence ◽  
Wound Management ◽  
Invasive Technique ◽  
Team Approach ◽  
Obese People

Wound dehiscence is the common problem which is faced by most of the surgeons in case of obese people. As we know, in case of post-operative wound management, avascularity and excessive adipose tissue lysis can lead to fluid collection which leads to gapping of sutured wound. This may also cause Dushta vrana i.e. secondary infection to the wound. Wound dehiscence in surgical field leads to most fatal outcome which can lead to cause local as well as systemic sepsis in the patient. Present case report reveals a treatment modality which involves multidisciplinary team approach such as management of wound as well as obesity by using Ayurvedic perspective. Whereas modern technique of resuturing the gapped wound exposes patient to another surgical procedure which is expensive and increases the hospital stay. The local and oral drugs formulations were proven effective in reducing excessive wound discharge as well as they stimulate the wound healing mechanism when administered in both local and systemic ways. The cost and benefit ratio was found high as there is no re-exposure to the surgical procedure and patient will get benefitted with non-invasive technique along with minimal expenses and hospital stay.

Fatal outcome in dichorionic twin pregnancy with velamentous cord insertion – case report

2019 ◽  
Vol 4 (67) ◽  
pp. 194
Author(s):  
Aida Petca ◽  
Oana Calo ◽  
Florica Şandru ◽  
Răzvan Petca ◽  
Nicoleta Măru ◽  
...  
Keyword(s):  
Case Report ◽  
Twin Pregnancy ◽  
Fatal Outcome ◽  
Velamentous Cord Insertion

scholarly journals Hydrops fetalis with isolated massive ascites in a preterm neonate with rhesus disease

2021 ◽  
Author(s):  
Nasenien Nourkami-Tutdibi ◽  
Martina Geipel ◽  
Gabriele Meyberg-Solomayer ◽  
Zoltan Takacs ◽  
Sascha Meyer
Keyword(s):  
Intensive Care ◽  
Case Report ◽  
Neonatal Intensive Care ◽  
Preterm Neonate ◽  
Fluid Collection ◽  
Hemolytic Disease ◽  
Massive Ascites ◽  
Rhesus Incompatibility ◽  
Trained Staff ◽  
Clinical Stabilization

SummarySignificant progress in prenatal care has decreased the incidence of rhesus incompatibility, which may result in hemolytic disease of the fetus and newborn (HDFN). This case report describes an unusual presentation of HDFN in a preterm infant delivered by caesarean section with isolated massive abdominal fluid collection as the leading clinical sign in addition to severe anemia. The immediate drainage of ascites provided transient clinical stabilization with improved pulmonary function in the delivery suite. After admission to the neonatal intensive care unit (NICU), HDFN treatment was initiated. This case report shows the importance of adequately trained staff including neonatologists, pediatricians and NICU nurses in the delivery suite to provide neonatal intensive care for HDFN.

scholarly journals Anesthetic management for cesarean delivery in a woman with congenital atlantoaxial dislocation and Chiari type I anomaly: a case report and literature review

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yuyan Nie ◽  
Weimin Zhou ◽  
Shaoqiang Huang
Keyword(s):  
Case Report ◽  
Cesarean Delivery ◽  
Anesthetic Management ◽  
Neurological Complications ◽  
Atlantoaxial Dislocation ◽  
Epidural Needle ◽  
Team Approach ◽  
Anesthetic Techniques ◽  
Type I ◽  
Combined Spinal Epidural Anesthesia

Abstract Background The preferable choice of anesthesia for the patients with congenital atlantoaxial dislocation (CAAD) and type I Arnold Chiari malformations (ACM-I) has been a very confusing issue in clinical practice. We describe the successful administration of combined spinal-epidural anesthesia for a woman with CAAD and ACM-1 accompanied by syringomyelia. Case presentation Our case report presents the successful management of a challenging obstetric patient with CAAD and ACM-1 accompanied by syringomyelia. She had high risks of difficult airway and aspiration. The injection of bolus drugs through the spinal or epidural needle may worsen the previous neurological complications. The patient was well evaluated with a multidisciplinary technique before surgery and the anesthesia was provided by a skilled anesthesiologist with slow spinal injection. Conclusions An interdisciplinary team approach is needed to weigh risks and benefits for patients with CAAD and ACM-1 undergoing cesarean delivery. Therefore, an individual anesthetic plan should be made basing on the available anesthetic equipments and physicians’ clinical experience on anesthetic techniques.

scholarly journals Canine pyometra associated with Bacillus species: a case report

2018 ◽  
Vol 63 (No. 3) ◽  
pp. 143-149 ◽  
Author(s):  
MK Kim ◽  
HY Yoon ◽  
MH Lee ◽  
JH Kim
Keyword(s):  
Mammary Gland ◽  
Case Report ◽  
Bacillus Megaterium ◽  
Fatal Outcome ◽  
Bacillus Species ◽  
Bacterial Isolation ◽  
Sonographic Examination ◽  
First Time ◽  
Gland Tumour ◽  
Unilateral Mastectomy

An 11-year-old, female Maltese was presented for evaluation of a mammary gland tumour. An abdominal sonographic examination showed an echogenic, fluid-filled, dilated uterus; pyometra was also diagnosed. Ovariohysterectomy and unilateral mastectomy was performed and the dog recovered uneventfully. However, 11 h later, the dog’s condition suddenly deteriorated and it died on the day after the surgery. Bacillus circulans and Bacillus megaterium were isolated from its uterine content; these species had not been reported previously in canine pyometra. The two species were resistant to various antibiotics, including cefazolin used during the treatment. We describe for the first time the presentation, diagnosis, bacterial isolation and fatal outcome of B. circulans and B. megaterium infection in a Maltese dog with pyometra.

A Nephron-Sparing Surgical Procedure for Fraley's Syndrome. A Case Report

2002 ◽  
Vol 12 (5) ◽  
pp. 341-344 ◽  
Author(s):  
M. Biočić ◽  
M. Saraga ◽  
J. Mašković ◽  
Đ. Vukić-Košuljandić ◽  
M. Saraga-Babić ◽  
...  
Keyword(s):  
Case Report ◽  
Surgical Procedure ◽  
Nephron Sparing

Overdose of Dologesic with a Fatal Outcome: A Case Report

2001 ◽  
Vol 8 (4) ◽  
pp. 207-211 ◽  
Author(s):  
CY Man
Keyword(s):  
Emergency Department ◽  
Cardiac Arrest ◽  
Case Report ◽  
Drug Overdose ◽  
Fatal Outcome ◽  
Common Cause ◽  
Accident And Emergency ◽  
Accident And Emergency Department

Dologesic is a commonly prescribed analgesic in accident and emergency department. Yet report of overdose with this drug is not common. We report a case in which the patient developed cardiac arrest within an hour of ingestion. Dextropropoxyphene, a component of the drug Dologesic, used to be a common cause of fatalities after drug overdose in the seventies. It is highly toxic in overdose and therefore caution should be exercised when prescribing this drug.

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