oalib

Publish in OALib Journal

ISSN: 2333-9721

APC: Only $99

Submit

Any time

3 ( 1 )

2020 ( 23 )

2019 ( 88 )

2018 ( 168 )

Custom range...

Search Results: 1 - 10 of 8664 matches for " primary repair "
All listed articles are free for downloading (OA Articles)
Page 1 /8664
Display every page Item
Penetrate injuries of colon: Our experience
Lazovi? R.,Krivokapi? Z.,Dobri?anin V.
Acta Chirurgica Iugoslavica , 2010, DOI: 10.2298/aci1002065l
Abstract: In attempt to determine the place of primary repair in management of colon injuries, an open, non randomized clinical study was performed. Retrospective (RS) group of 62 patients according to exclusion criteria by Stone (S/F) and Flint (Fl) was managed by one or two stage surgical procedure. Prospective (PR) group of 34 patients was managed using one stage repair non-selectively: two stage procedures were performed in 3 cases of advanced peritonitis and multi-segmental lacerations with impaired circulation of colon. In RS group 36 patients were managed by primary repair and in PR group, 31 were managed by primary repair. Both groups were of similar age/sex. Indexes of trauma severity were similar (TS, ISS, PATI). The latent time was shorter in PR group. Associated injuries to other body regions and abdominal organs were similar in both groups. S/F criteria and Flint grading in both (RS vs. PR) groups were similar. Comparison of attempted and successful primary repairs justifies the more liberal use of primary repair in early management of colon injuries.
PENETRATING COLONIC INJURIES
AFSAR ALI BHATTI
The Professional Medical Journal , 2004,
Abstract: Introduction: The management of colonic injuriescontinues to arouse lively debate. Objectives: To assess the efficacy of primary repair of penetrating colonicinjuries. Study Design: Prospective study. Setting: Surgical Unit No. IV Jinnah Hospital, Lahore Period:one year from (Ist Jan 2002 to 31 Dec 2002). Patients & Methods: A study of 30 cases of penetratingcolonic injuries were managed with primary repair. Results: Most of the patients were male (80%). Stabwas the commonest mode of injury. The commonest sites were right colon & transverse colon (40% each).The leg period was 1-5 (mean 3h). The commonest associated. Injury was liver (33%). The hospital stay was7-13 days (mean10 days). Morbidity was 26%. No patient develop faucal fistula. Mortality remains nil.Conclusion: Primary repair of penetrating colonic injury is recommended.
Uso de colgajos musculares en las perforaciones traumáticas del esófago
ANDRADE-ALEGRE,RAFAEL; JIMéNEZ,CARLOS; LIAO GUEVARA,ENRIQUE;
Revista chilena de cirugía , 2009, DOI: 10.4067/S0718-40262009000400009
Abstract: the management of esophageal perforations is variable, ranging from conservative management to esophageal excision. muscular flaps are used specially when there are associated lesions in trachea or aorta. we report two patients managed using this last technique. a 31 years old woman that received a gun shot in the neck that was operated, repairing two tracheal and two esophageal perforations. the patient had to be reoperated 28 days later, due to a dehiscence of the esophageal suture. a muscular flap was used to repair the lesion with a good postoperative evolution. a 17 years old male that received a gunshot in the left supraclavicular region. eight days later, he was operated, draining a right empyema and repairing an esophageal perforation using a muscular flap. the patient had a good postoperative evolution.
Concomitant Symptomatic Aneurysms of Celiac Trunk and Superior Mesenteric Artery
Zlatko Fiolic, Andrea Gregorek, Irena Snajdar, Narcis Hudorovic
Macedonian Journal of Medical Sciences , 2010, DOI: 10.3889/MJMS.1857-5773.2010.0081
Abstract: A 64-year old man with intermittent, paraumbilical pain which is lasting for 6 months, radiating to the back with no other symptoms underwent resection of the celiac trunk and superior mesenteric artery aneurysms. According to their size and location the aneurysms were not suitable for radiological embolisation or stentnig. Elective surgical procedure was performed. End-to-end anastomosis was created between the origin of the celiac trunk and splenic artery and the vascular continuity of the superior mesenteric artery was achieved using great saphenous vein interpositum. Intraoperative samples and histological findings were consistent with atherosclerosis. The patient made a good recovery and remained well after 2 years.
Concomitant Symptomatic Aneurysms of Celiac Trunk and Superior Mesenteric Artery
Zlatko Fiolic,Andrea Gregorek,Irena Snajdar,Narcis Hudorovic
Macedonian Journal of Medical Sciences , 2010,
Abstract: A 64-year old man with intermittent, paraumbilical pain which is lasting for 6 months, radiating to the back with no other symptoms underwent resection of the celiac trunk and superior mesenteric artery aneurysms. According to their size and location the aneurysms were not suitable for radiological embolisation or stentnig. Elective surgical procedure was performed. End-to-end anastomosis was created between the origin of the celiac trunk and splenic artery and the vascular continuity of the superior mesenteric artery was achieved using great saphenous vein interpositum. Intraoperative samples and histological findings were consistent with atherosclerosis. The patient made a good recovery and remained well after 2 years.
Bilateral cleft lip nasal deformity
Singh Arun,Nandini R
Indian Journal of Plastic Surgery , 2009,
Abstract: Bilateral cleft lip nose deformity is a multi-factorial and complex deformity which tends to aggravate with growth of the child, if not attended surgically. The goals of primary bilateral cleft lip nose surgery are, closure of the nasal floor and sill, lengthening of the columella, repositioning of the alar base, achieving nasal tip projection, repositioning of the lower lateral cartilages, and reorienting the nares from horizontal to oblique position. The multiplicity of procedures in the literature for correction of this deformity alludes to the fact that no single procedure is entirely effective. The timing for surgical intervention and its extent varies considerably. Early surgery on cartilage may adversely affect growth and development; at the same time, allowing the cartilage to grow in an abnormal position and contributing to aggravation of deformity. Some surgeons advocate correction of deformity at an early age. However, others like the cartilages to grow and mature before going in for surgery. With peer pressure also becoming an important consideration during the teens, the current trend is towards early intervention. There is no unanimity in the extent of nasal dissection to be done at the time of primary lip repair. While many perform limited nasal dissection for the fear of growth retardation, others opt for full cartilage correction at the time of primary surgery itself. The value of naso-alveolar moulding (NAM) too is not universally accepted and has now more opponents than proponents. Also most centres in the developing world have neither the personnel nor the facilities for the same. The secondary cleft nasal deformity is variable and is affected by the extent of the original abnormality, any prior surgeries performed and alteration due to nasal growth. This article reviews the currently popular methods for correction of nasal deformity associated with bilateral cleft lip, it′s management both at the time of cleft lip repair and also secondarily, at a later date. It also discusses the practices followed at our centre.
Notch-free vermillion after unilateral cleft lip repair: The Charles Pinto centre protocol
Narayanan P,Adenwalla H
Indian Journal of Plastic Surgery , 2008,
Abstract: A notch on the vermillion is one of the most common complications following the repair of a unilateral cleft lip. Several methods have been described for the secondary correction of a notch. However, there are only a few reports on how the notch can be prevented during primary lip repair. Causes of a vermillion notch were analysed at the Charles Pinto Centre for Cleft Lip and Palate and each possible cause addressed by an appropriate procedure. This protocol was then followed in every patient. In this manner, we have been able to avoid notches in unilateral cleft lips altogether and more significantly, junior trainees in our department have also been able to consistently avoid a notch in their repairs.
Single-Stage Surgical Correction of Anorectal Malformation Associated with Rectourinary Fistula in Male Neonates
Ernesto Leva,Francesco Macchini,Rossella Arnoldi,Antonio Di Cesare
Journal of Neonatal Surgery , 2013,
Abstract: Introduction: The treatment of children affected by anorectal malformations (ARM) is characterized by some unsolved problems. The three-stage surgical correction has been known to be most effective in preventing complications, but recently new approaches have been proposed. We describe our experience with the newer approaches. Methods: Twenty three male newborns, affected by ARM and recto-urinary fistula, were treated in 2 different centers in 8 years. Nineteen neonates (birth weight 2.4 - 3.5 kg) received a primary posterior sagittal anorectoplasty (PSARP) at the Department of Pediatric Surgery of the Chittagong Medical College Hospital (group 1). Four term neonates (birth weight 2.9 - 3.4 kg) received a primary pull-through with combined abdomino-perineal approach at the Pediatric Surgery Department of Fondazione Cà Granda of Milan (group 2). Results: Among patients of Group 1, 11 patients had a recto-bulbar fistula and 8 a recto-prostatic fistula. Among the Group 2, 2 had a recto-bulbar fistula and 2 a recto-prostatic fistula. The site of fistula was decided at the time of surgery. In Group 1, 5 post-surgical complications were recorded (26%); 1 child died of sepsis, 3 had dehiscence and 1 stenosis, which resolved with dilatation. In Group 2, the only post-operative complication of small rectal prolapse resolved spontaneously after a few months on follow-up. Group 2 patients were followed-up in a dedicated multidisciplinary colorectal center. Conclusions: Primary repair of ARMs with recto-urinary fistula is a feasible, safe and effective technique in the neonatal period. A combined abdominal and perineal approach seems to guarantee better results. A dedicated team is mandatory, both for the surgical correction and for a long-term follow-up.
Primary and Delayed Repair and Nerve Grafting for Treatment of Cut Median and Ulnar Nerves
Mohammad-Ali Mohseni,Jaafar Soleyman Pour,Jaafar Ganj Pour
Pakistan Journal of Biological Sciences , 2010,
Abstract: Traumatic cutting of peripheral nerves of median and ulnar in forearm and wrist can cause disablating sensory and motor disorders in patients’ hands. We conducted the present study to compare the results of three surgical methods for repair of injured median and ulnar nerves. We studied 85 patients aged 12-59 years (average, 34±18 years) with 105 cut median and ulnar nerves at forearm and wrist presenting to Tabriz Shohada hospital from 1994 to 2003. The patients followed for 2-10 years. Sixty patients (65 nerves) underwent primary repair, 16 (25 nerves) treated with delayed method and 9 (15 nerves) received nerve graft. Success was obtained in all patients underwent primary repair. The excellent results were common in younger patients. Of 65 nerves (60 patients) repaired by primary method, 25 had excellent result. Of 16 patients 25 nerves (16 patients) underwent delayed repair, 7 was unsuccessful. Of 15 nerves (9 patients) underwent delayed repair, 5 was unsuccessful. It is concluded that the recovery following primary repair was faster than other methods. For reaching excellent results in repairing peripheral nerves, it is important to considering all rules needed for repairing cut peripheral nerves, as well as accurate evaluation and correct repair of injured surrounding soft tissue such as tendons and their synovium and injured vessels.
局麻下腹股沟疝无张力修补术58例分析
Analysis of the Curative Effect of Non-Tension Neoplasty on Inguinal Hern of 58 Cases
 [PDF]

朱浩, 赵洪良
Hans Journal of Surgery (HJS) , 2016, DOI: 10.12677/HJS.2016.53010
Abstract:
目的:探讨农村基层医院在局麻下施行无张力疝修补术治疗腹股沟疝的可行性和安全性。方法:回顾性分析2012年9月至2015年12月间,在我院局麻下所施行的58例无张力疝修补术。结果:手术全部成功,平均手术时间45 min,10~30 min即可下床活动。术后阴囊积液1例,术后1~2 d出院,随访7~36个月无复发病例。结论:在局麻下施行腹股沟疝无张力修补术具有术后疼痛轻、恢复快、复发率低等优点,适合在农村基层医院广泛开展。
Objective: To investigate the feasibility and safety of the implementation of non-tension neoplasty for inguinal hernia under local anesthesia in rural primary hospital. Methods: A retrospective study was finished, which was about the results of non-tension neoplasty for inguinal hernia under local anesthesia of 58 cases in a rural primary hospital from September, 2012 to December, 2015. Results: All the operations of 58 cases were finished successfully. The average operation time was 45 min. They could get out of bed after operation from 10 to 30 min. One case with scrotum effusion after operation was recorded. They were discharged after surgery from 1 to 2 days. They were discharged after surgery from 1 to 2 days without recurrence and a follow-up from 7 to 36 months. Conclusion: Implementation of inguinal hernia non-tension neoplasty under local anesthesia has the advantages of less postoperative pain, quicker recovery, low recurrence rate, etc. It is suitable for cases with inguinal hernia in the rural primary hospitals.
Page 1 /8664
Display every page Item


Home
Copyright © 2008-2017 Open Access Library. All rights reserved.