scholarly journals Catheter knotting in a neonate

2021 ◽  
Vol 2 (6) ◽  
Author(s):  
Rong Huang ◽  
◽  
Jia-ying Chen ◽  
Ying Zhang ◽  
Chang-mei Chen ◽  
...  
Keyword(s):  
Preterm Neonate ◽  
Urethral Meatus ◽  
Anal Atresia ◽  
Plain Films ◽  
Gentle Traction ◽  
Foley’S Catheter

A 36-week preterm neonate with anal atresia and rectoperineal fistula was catheterized with a size 6F Foley’s catheter when she underwent anoplasty on the second day after birth. When the patient recovered from anesthesia, it was decided to remove the catheter. While the catheter was being removed, resistance was felt halfway through the procedure. Abdominal plain films revealed a catheter coiled in the pelvis. With copious lubricant injected into the bladder through the catheter and patient sedated, it was removed by manipulation alone using gentle traction (Figure 1). The infant had no bleeding at the urethral meatus and no obvious abnormality in urination during the 3-month of follow-up.

159 The Need Of Six Monthly Follow Up X-Rays Post Total Knee Replacement(TKR)

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
N Baig ◽  
M Ferrari ◽  
A Lukaszewicz
Keyword(s):  
Total Knee Replacement ◽  
Knee Replacement ◽  
Trauma Centre ◽  
X Rays ◽  
Data Set ◽  
X Ray ◽  
Major Trauma Centre ◽  
Plain Films ◽  
Total Knee

Abstract Background There is a longstanding culture of repeat x-rays after total knee replacement (TKR) as part of follow up, often combined with a clinic review. This is to check that the prosthesis is in a satisfactory position. There are inherently a number of issues with this historic approach including exposure of patients to further radiation who may be asymptomatic, time delays in busy clinics or x-ray departments and costs. Objectives The aim of this audit was to assess whether follow up plain films after TKR are methodically undertaken and of benefit to confirm satisfactory appearance if immediate post -operative x-rays were unremarkable. The findings of a six month follow up x-ray was specifically evaluated. The secondary aim was to establish the timing of further follow up x-rays within the department. Method 200 patients were included within the analysis, they all received a TKR at a major trauma centre, over a one-year period between December 2017 and December 2018. Results It was found that 100% of those patients having a post-operative film had a satisfactory appearance. 78% of patients had at least one further follow op x-ray of which 99.4% were satisfactory. Up to five follow up x-rays were taken with 53.5% of patients having a follow up x-ray at 6 months. Conclusions From the above results there is minimal, if any, evidence within the data set to support routine, additional follow up imaging if initial post-operative films are satisfactory, and the patient is asymptomatic.

Metastatic Colon Cancer to the Hand

2006 ◽  
Vol 72 (1) ◽  
pp. 98-100 ◽  
Author(s):  
T. Clark Gamblin ◽  
Ricardo S. Santos ◽  
Mark Baratz ◽  
Rodney J. Landreneau
Keyword(s):  
Solitary Pulmonary Nodule ◽  
Index Finger ◽  
Colon Resection ◽  
Lytic Lesion ◽  
Metastatic Colon Cancer ◽  
Colonic Metastasis ◽  
Presumptive Diagnosis ◽  
Plain Films ◽  
Ray Amputation

A 72-year-old male presented with a painful index finger 18 months after sigmoid colon resection for T2 N1 adenocarcinoma. A presumptive diagnosis of gout was made but directed therapy failed to alleviate symptoms. A bone scan was positive for the index finger only and plain films demonstrated a lytic lesion of the distal phalanx. The patient underwent ray amputation of the involved digit and shortly later resection of a solitary pulmonary nodule consistent with colonic metastasis. At 18-month follow-up from these surgeries, the patient was doing well, without evidence of recurrent disease.

scholarly journals Treatment of urethral strictures in balanitis xerotica obliterans (BXO) using circular buccal mucosal meatoplasy: Experience of 15 cases

2014 ◽  
Vol 86 (1) ◽  
pp. 23 ◽  
Author(s):  
Abdulmuttalip Simsek ◽  
Sinasi Yavuz Onol ◽  
Omer Kurt
Keyword(s):  
Erectile Dysfunction ◽  
Urethral Catheter ◽  
Cosmetic Outcome ◽  
Urinary Flow ◽  
Urethral Meatus ◽  
Balanitis Xerotica Obliterans ◽  
Recurrent Stricture ◽  
Urethral Strictures ◽  
Included Patient

Objectives: Balanitis xerotica obliterans (BXO) related strictures involving the external urethral meatus. We reviewed our result with the use of circular mucosal graft in the reconstruction of strictures. Methods: Between March 1997 and January 2012, 15 patients underwent circular buccal mucosal urethroplasy for BXO related anterior urethral strictures. Urethral catheter was removed within 2 weeks. Follow-up included patient symptoms assessment, cosmetic outcome and uroflowmetry. Results: Median follow-up was 20.5 months (range 4 to 96). Mean postoperative peak urinary flow rate obtained 1 month after catheter removal was 22.4 ml per second. All patients had a normal meatus and none had recurrent stricture, chordee or erectile dysfunction. A functional and cosmetic outcome was achieved in 100% of the patients. Conclusions: Circular mucosal graft technique for treatment of meatal strictures is an efficient method for the restoration of a functional and cosmetic penis.

scholarly journals Neonatal COVID-19 Pneumonia: Report of the First Case in a Preterm Neonate in Mayotte, an Overseas Department of France

Children ◽  
2020 ◽  
Vol 7 (8) ◽  
pp. 87
Author(s):  
Soumeth Abasse ◽  
Laila Essabar ◽  
Tereza Costin ◽  
Voninavoko Mahisatra ◽  
Mohamed Kaci ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Case Report ◽  
Respiratory Distress ◽  
Neonatal Intensive Care ◽  
Preterm Neonate ◽  
Chest Ct ◽  
First Case ◽  
Chest Ct Scan

We report the first case of COVID-19 pneumonia in a preterm neonate in Mayotte, an overseas department of France. The newborn developed an acute respiratory distress by 14 days of life with bilateral ground glass opacities on a chest CT scan and a 6-week-long stay in the neonatal intensive care unit (NICU). This case report emphasizes the need for a cautious and close follow-up period for asymptomatic neonates born to mothers with COVID-19 infection. Vertical transmission cannot be excluded in this case.

scholarly journals The Utility of Plain Films for Nonoperative Fifth Metacarpal Fractures: Are Follow-up Radiographs Necessary?

Hand ◽  
2017 ◽  
Vol 13 (6) ◽  
pp. 646-651
Author(s):  
Nathanael Heckmann ◽  
Marie N. Dusch ◽  
William C. Pannell ◽  
Michael Bauschard ◽  
Ram K. Alluri ◽  
...  
Keyword(s):  
Clinical Management ◽  
Operative Management ◽  
Initial Management ◽  
Metacarpal Fractures ◽  
Metacarpal Shaft ◽  
Plain Films ◽  
Surgical Fixation ◽  
Level I ◽  
Extremity Injuries

Background: Fifth metacarpal fractures are often treated nonoperatively with serial radiographs; however, the utility of these radiographs in altering clinical management has not been investigated. We hypothesize that follow-up plain films will not alter clinical management and are therefore unnecessary for most patients. Methods: Between 2007 and 2014, patients with a fifth metacarpal fracture at our level I trauma center were retrospectively reviewed. Patients with inadequate documentation or imaging, ipsilateral upper extremity injuries, or who underwent initial surgical fixation were excluded. Initial and postreduction radiographs were reviewed by 4 board-certified attending hand surgeons and 2 hand fellows who indicated their preferred management. At a later date, blinded to their initial management, the reviewers assessed follow-up films taken at least 2 weeks later and indicated their preferred management. Results: In total, 60 patients met inclusion criteria, and of those, 30 were randomly selected. There were 9 base, 7 shaft, and 14 neck fractures. Initially, reviewers opted for nonoperative management in 72.2% of base, 71.4% of shaft, and 91.7% of neck fractures. After reviewing follow-up films, reviewers changed from nonoperative to operative management in 0.0% of base, 9.5% of shaft, and 1.2% of neck fractures. Conclusions: Follow-up radiographs may not be indicated for most fifth metacarpal base and neck fractures. Follow-up radiographs may change management in select fifth metacarpal shaft fractures as these fractures may displace. Follow-up radiographs should be performed at the discretion of the treating surgeon on an as-needed basis for fractures at risk for displacement.

Stackable Carbon Fiber Cages for Thoracolumbar Interbody Fusion After Corpectomy: Long-term Outcome Analysis

Neurosurgery ◽  
2011 ◽  
Vol 68 (3) ◽  
pp. 810-819 ◽  
Author(s):  
Robert F Heary ◽  
Arvin Kheterpal ◽  
Antonios Mammis ◽  
Sanjeev Kumar
Keyword(s):  
Computed Tomography ◽  
Carbon Fiber ◽  
Vertebral Body ◽  
Additional Patient ◽  
Preoperative Imaging ◽  
Plain Films ◽  
Computed Tomography Scans ◽  
The Mean

Abstract BACKGROUND: Reconstruction of the thoracolumbar spine after corpectomy is a challenge for fractures, infections, and tumors. OBJECTIVE: To analyze fusion rates, clinical outcomes, and the percent of vertebral body coverage achieved by using stackable carbon fiber–reinforced polyetheretherketone cages in thoracolumbar corpectomies, and to measure the actual size of the cages and compare this measurement with the size of the vertebra(e) replaced by the cage. METHODS: A retrospective study of 40 patients who underwent thoracolumbar corpectomies was performed. Preoperative imaging included plain films, computed tomography scans, and magnetic resonance imaging. Postoperatively, plain films and computed tomography scans were obtained, and the width of decompression and cross-sectional area of the cage were measured. The ratio of the area of the cage to the calculated area of the replaced vertebral body was used to determine the percent of vertebral body coverage. RESULTS: The mean follow-up period was 43 months. Successful fusion was observed in 39 patients. One patient experienced cage subsidence with kyphosis. One additional patient incurred a neurological complication that was corrected without long-term consequence. The mean correction of sagittal alignment was 10°, and the mean width of bony decompression was 20 mm. The mean ratio of the area of the carbon fiber cage to the area of the resected vertebral body was 60%. CONCLUSION: Stackable carbon fiber cages are effective devices for achieving thoracolumbar fusions. No failures of the cages occurred over long-term follow-up. Excellent clinical and radiographic results were achieved by covering a mean of 60% of the vertebral body with the cage.

Radiological Evaluation of Abdominal Endovascular Aortic Aneurysm Repair

2015 ◽  
Vol 66 (3) ◽  
pp. 277-290 ◽  
Author(s):  
Avnesh S. Thakor ◽  
James Tanner ◽  
Shao J. Ong ◽  
Ynyr Hughes-Roberts ◽  
Shahzad Ilyas ◽  
...  
Keyword(s):  
Aortic Aneurysm ◽  
Imaging Modality ◽  
Aortic Aneurysms ◽  
Stent Grafts ◽  
Mortality And Morbidity ◽  
Endovascular Aortic Aneurysm Repair ◽  
Plain Films ◽  
Aneurysm Repair ◽  
Aortic Aneurysm Repair

Endovascular aortic aneurysm repair (EVAR) is an alternative to open surgical repair of aortic aneurysms offering lower perioperative mortality and morbidity. As experience increases, clinicians are undertaking complex repairs with hostile aortic anatomy using branched or fenestrated devices or extra components such as chimneys to ensure perfusion to visceral branch vessels whilst excluding the aneurysm. Defining the success of EVAR depends on both clinical and radiographic criteria, but ultimately depends on complete exclusion of the aneurysm from the circulation. Aortic stent grafts are monitored using a combination of imaging modalities including computed tomography angiography (CTA), ultrasonography, magnetic resonance imaging, plain films, and nuclear medicine studies. This article describes when and how to evaluate aortic stent grafts using each of these modalities along with the characteristic features of several of the main stent grafts currently used in clinical practice. The commonly encountered complications from EVAR are also discussed and how they can be detected using each imaging modality. As the radiation burden from serial follow up CTA imaging is now becoming a concern, different follow-up imaging strategies are proposed depending on the complexity of the repair and based on the relative merits and disadvantages of each imaging modality.

scholarly journals The burden of hyaline membrane disease, mortality and its determinant factors among preterm neonates admitted at Debre Tabor General Hospital, North Central Ethiopia: A retrospective follow up study

PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0249365
Author(s):  
Binyam Minuye Birihane ◽  
Wubet Alebachew Bayih ◽  
Abebaw Yeshambel Alemu ◽  
Demeke Mesfin Belay ◽  
Asmamaw Demis
Keyword(s):  
Gestational Age ◽  
Neonatal Intensive Care ◽  
Preterm Neonate ◽  
Hyaline Membrane Disease ◽  
Preterm Neonates ◽  
P Value ◽  
North Central ◽  
Disease Mortality ◽  
Hyaline Membrane

Background Hyaline membrane disease (HMD) is a leading cause of morbidity and mortality in preterm newborn babies. Though, there are studies related to Hyaline membrane disease inclusive of all neonates, studies related to the burden among preterm neonates were limited. In addition, increasing neonatal mortality in Ethiopia could be related to increase in the burden of hyaline membrane disease among preterm neonates. Therefore, this study was aimed to assess the burden of hyaline membrane disease, mortality and its associated factors among preterm neonate admitted at neonatal intensive care unit, North Central Ethiopia. Methodology An institution-based retrospective follow-up study was conducted among 535 preterm neonates admitted at neonatal intensive care unit from January 1, 2014-December 30, 2017. Data were entered into EPi-data 4.2.0.0 and transferred to STATA version 14 statistical software for statistical analysis. Binary logistic regression was used for the analysis. All variables with P-value < 0.25 during bi-variable analysis were considered for multivariable logistic regression. Level of statistical significance was declared at P value ≤0.05. Results In the current study, proportion of hyaline membrane disease was 40% (95% CI; 35.8, 44.3) of which 49.5% died. Preterm neonate born with Gestational age of less than 34 weeks of age (Adjusted odd ratio (AOR = 2.64; 95 CI: 1.49, 4.66)), 5th minute Apgar score less than 7 (AOR = 2.2; 95% CI: 1.20, 4.07), and newborn with birth weight of less than 1500 gram (AOR = 2.4, 95% CI: 1.3, 4.3) were predictors of hyaline membrane disease. Conclusions The mean gestational age (±) was 33.46 (±2.55) weeks. The incidence of hyaline membrane disease among preterm admissions was high. Preterm neonate born with gestational age of less than 34 weeks of age, asphyxiated newborns and newborn with birth weight of less than 1500 gram were predictors of hyaline membrane disease. So, emphasis should be given on early screening, follow up and timely interventions for preterm neonate.

Snare salvage technique for deformed WEB device after deployment

2020 ◽  
pp. neurintsurg-2020-016696
Author(s):  
Zaid Aljuboori ◽  
Dale Ding ◽  
Robert F James
Keyword(s):  
Lupus Erythematosus ◽  
Longitudinal Axis ◽  
Forward Movement ◽  
Content Type ◽  
Bifurcation Aneurysm ◽  
Aneurysm Embolization ◽  
Gentle Traction ◽  
Woven Endobridge ◽  
Web Device

The Woven EndoBridge (WEB) device is a new endovascular technology that allows safe and effective treatment of wide-neck bifurcation aneurysms without the need for dual antiplatelet therapy.1–4 The case is presented of a patient in their 50 s with a history of systemic lupus erythematosus and receiving warfarin for recurrent deep venous thrombosis and an unruptured right middle cerebral artery bifurcation aneurysm. The aneurysm was treated with a WEB SL aneurysm embolization device (MicroVention, Tustin, California, USA). After the final deployment, a technical error (inadvertent forward movement of the pusher) led to the deformation of the device along its longitudinal axis, leaving the aneurysm partially untreated. An Amplatz Goose Neck Microsnare was used to capture the proximal detachment marker and used gentle traction to restore the original shape of the device (video 1).5–7 A follow-up angiogram revealed a restoration of the device’s shape with a similar result during the 4- month follow-up angiogram.Video 1

Gram-Negative Neonatal Osteomyelitis: Two Case Reports

2011 ◽  
Vol 30 (2) ◽  
pp. 81-88 ◽  
Author(s):  
Jinping Zhang ◽  
Ben H. Lee ◽  
Chao Chen
Keyword(s):  
Late Onset ◽  
Case Reports ◽  
Bone Lesions ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Plain Films ◽  
Onset Period ◽  
Single Bone

AbstractNeonatal osteomyelitis is a rare and challenging diagnosis, particularly in the early onset period. Neonatal osteomyelitis is predominantly caused by Staphylococcus aureus with single bone involvement. Here, we report two cases of neonatal osteomyelitis in premature infants caused by Klebsiella pneumoniae with multiple bone lesions. Both cases presented with sepsis and meningitis and were initially diagnosed by incidental findings on plain films, with follow-up bone scan imaging. In both cases, diagnosis was timely and treatment was successful. These cases highlight the need to include neonatal osteomyelitis in the differential diagnosis when late-onset or prolonged neonatal sepsis is present, particularly because long-term outcome is dependent on rapid diagnosis and initiation of treatment.

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