Surgical procedures and lymphedema of the upper and lower extremity

2006 ◽  
Vol 93 (2) ◽  
pp. 87-91 ◽  
Author(s):  
Constantine P. Karakousis
Keyword(s):  
Lower Extremity ◽  
Surgical Procedures

Anesthesia blocks of the lower extremity. Comparing the Biojector with needle and syringe

1996 ◽  
Vol 86 (5) ◽  
pp. 195-204 ◽  
Author(s):  
J Gerbert ◽  
S Burns ◽  
LA Liedtke
Keyword(s):  
Clinical Practice ◽  
Lower Extremity ◽  
Local Anesthesia ◽  
Surgical Procedures ◽  
If Technique

Podiatric surgical procedures frequently involve administration of preoperative local anesthesia, and because of the nature of these blocks, it is believed that needle-free injection could greatly enhance this aspect of clinical practice. The object of the study was to determine if needle-free injections with the Biojector were equivalent to needle and syringe injections for ankle, Mayo, neuroma, hallux, and digital anesthetic blocks. The results indicate that needle-free injection with the Biojector is equal to needle and syringe for some anesthesia blocks. More research in this area is needed to determine if technique with the Biojector has an impact on time of anesthesia onset or on level of discomfort and ecchymosis.

Heparin induced thrombocytopenia after lower extremity arterial surgical procedures

2004 ◽  
Vol 121 (2) ◽  
pp. 302-303
Author(s):  
S.W. Tucker ◽  
H. Liebman ◽  
V.L. Rowe ◽  
D.B. Hood ◽  
F.A. Weaver
Keyword(s):  
Lower Extremity ◽  
Surgical Procedures ◽  
Heparin Induced Thrombocytopenia

Trends in lower extremity surgical and endovascular revascularization in Germany

VASA ◽  
2011 ◽  
Vol 40 (5) ◽  
pp. 398-403 ◽  
Author(s):  
Eickmeyer ◽  
Moysidis ◽  
Nowak ◽  
Fifer ◽  
Santosa ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Surgical Procedures ◽  
Bypass Surgery ◽  
Endovascular Procedures ◽  
Incidence Rates ◽  
Cutting Balloon ◽  
The Usa ◽  
Almost All ◽  
Adjusted Incidence ◽  
Laser Recanalization

Background: We analyzed trends in lower extremity endovascular and open surgical procedures in hospitalized patients in Germany. Patients and methods: We used national statistics (DRG statistics) published by the Federal Statistical Office including data from almost all hospitals in Germany to calculate annual procedure rates of lower extremity endovascular and open surgical procedures in the years 2005 to 2008. Detailed lists of the OPS-codes 8 - 836, 5 - 381, 5 - 393 separated by the 6th number of the code were analyzed regarding procedures representing revascularization of peripheral arteries including the aorta. Results: Between 2005 and 2008 the total number of endovascular procedures increased from 73,584 to 98,664 and the number of surgical procedures from 74,789 to 86,172 a year. Age-adjusted incidence rates of endovascular procedures in people >= 65 years increased from 325 to 432 per 100,000 while the incidence rates of all open surgical procedures increased from 315 to 351 per 100.000. Looking only at bypass surgery the incidence remained unchanged with 177 and 176 per 100,000 in the same period. Endovascular procedures other than balloon angioplasty including percutaneous atherectomy, laser recanalization or usage of cutting balloon, account for less than 1 % in Germany. Conclusions: The numbers of endovascular procedures overweigh the numbers of open surgical procedures for treatment of lower extremity PAD in Germany today. In contrast to data from the USA we could not demonstrate a decrease of open surgical procedures in Germany in recent years.

scholarly journals Forearm Compartment Syndrome Caused by Reperfusion Injury

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Ufuk Sayar ◽  
Tanıl Özer ◽  
İlker Mataracı
Keyword(s):  
Lower Extremity ◽  
Reperfusion Injury ◽  
Compartment Syndrome ◽  
Surgical Procedures ◽  
Brachial Artery ◽  
Upper Extremities ◽  
Vascular Surgical Procedures ◽  
Forearm Compartment Syndrome ◽  
Lower Extremity Ischemia ◽  
Extremity Ischemia

Compartment syndrome is commonly seen following lower extremity ischemia. However, upper extremities’ compartment syndrome, especially after any vascular surgical procedures, is infrequent. Herein we report a case of an acute forearm compartment syndrome that was developed after delayed brachial artery embolectomy.

Lower Extremity Neuropathies Associated with Lithotomy Positions

2000 ◽  
Vol 93 (4) ◽  
pp. 938-942 ◽  
Author(s):  
Mark A. Warner ◽  
David O. Warner ◽  
C. Michel Harper ◽  
Darrell R. Schroeder ◽  
Pamela M. Maxson
Keyword(s):  
Risk Factor ◽  
Natural History ◽  
Confidence Interval ◽  
Lower Extremity ◽  
Surgical Procedures ◽  
Lithotomy Position ◽  
Neurologic Examination ◽  
General Anesthetics ◽  
Prospective Evaluation ◽  
History Of

Background The goal of this project was to study the frequency and natural history of perioperative lower extremity neuropathies. Methods A prospective evaluation of lower extremity neuropathies in 991 adult patients undergoing general anesthetics and surgical procedures while positioned in lithotomy was performed. Patients were assessed with use of a standard questionnaire and neurologic examination before surgery, daily during hospital stay in the first week after surgery, and by phone if discharged before 1 postoperative week. Patients in whom lower extremity neuropathies developed were observed for 6 months. Results Lower extremity neuropathies developed in 15 patients (1.5%; 95% confidence interval, 0.8-2.5%). Unilateral or bilateral nerves were affected in patients as follows: obturator (five patients), lateral femoral cutaneous (four patients), sciatic (three patients), and peroneal (three patients). Paresthesia occurred in 14 of 15 patients, and 4 patients had burning or aching pain. No patient had weakness. Symptoms were noted within 4 h of completion of the anesthetic in all 15 patients. These symptoms resolved within 6 months in 14 of 15 patients. Prolonged positioning in a lithotomy position, especially for more than 2 h, was a major risk factor for this complication (P = 0.006). Conclusions In this surgical population, lower extremity neuropathies were infrequent complications that were noted very soon after surgery and anesthesia. None resulted in prolonged disability. The longer patients were positioned in lithotomy positions, the greater the chance of development of a neuropathy. These findings suggest that a reduction of duration of time in lithotomy positions may reduce the risk of lower extremity neuropathies.

Educational assessment of the major lower limb amputations videos on YouTube

Vascular ◽  
2020 ◽  
Vol 28 (5) ◽  
pp. 536-541
Author(s):  
Kaissar Yammine ◽  
Chahine Assi
Keyword(s):  
Lower Extremity ◽  
Surgical Procedures ◽  
Lower Limb ◽  
Assessment Tool ◽  
Educational Assessment ◽  
Lower Extremity Amputation ◽  
Educational Quality ◽  
Knee Amputation ◽  
Low Exposure ◽  
Extremity Amputation

Objective Videos of surgical procedures are viewed by some as potential training resources for surgeons and residents. However, there is little evidence on the effectiveness of surgical videos on learning and understanding complex three-dimensional surgical procedures. Lower extremity amputation is a complex surgery, and many residents and surgeons have low exposure to this type of procedures. This paper investigates the educational quality of lower extremity amputation videos posted on YouTube. Methods The search was limited to the first 100 videos. Full-length videos of any major lower limb amputation or disarticulation were included. Key basic video data such as title, YouTube address (http://), country of origin, channel source, uploading date, video duration time, number of views, number of up-voters and number of down-voters were collected. An educational assessment tool has been developed specifically for limb amputations. It consists in 11 items: three general and eight amputation-specific, each having a maximum score of 2. Results In total, 13 videos met the inclusion criteria for final analysis. Four videos reported the surgical technique of above knee amputation, two reported that of knee disarticulation and the remaining seven videos described below knee amputation. The average score (±SD) was 12.77 ± 5.2 yielding an average grade close to “Fair.” A high level of concordance was found between the two assessors ( κ = 0.79). No correlation was found between educational assessment tool score and the pre-set variables (r = 0.6, R2 = 35.4%, F = 1.09, P = 0.4). Conclusions Most videos describing lower extremity amputation techniques were found to be of low-to-moderate quality. Only 4 out of 13 (30.7%) had an excellent educational and technical quality. Surgeons and surgical residents should be aware that not all posted videos on YouTube are beneficial. High educational quality videos are needed since many surgeons and residents have a low exposure to such surgeries.

An interactive graphics-based model of the lower extremity to study orthopaedic surgical procedures

1990 ◽  
Vol 37 (8) ◽  
pp. 757-767 ◽  
Author(s):  
S.L. Delp ◽  
J.P. Loan ◽  
M.G. Hoy ◽  
F.E. Zajac ◽  
E.L. Topp ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Surgical Procedures ◽  
Interactive Graphics

Chlorhexidine Cloth Overview for Surgical Infection Prevention

2021 ◽  
Author(s):  
Zhongming Chen ◽  
◽  
Michael Mont ◽  
Keyword(s):  
Lower Extremity ◽  
Surgical Procedures ◽  
Infection Prevention ◽  
Randomized Study ◽  
Deep Infection ◽  
Scientific Basis ◽  
Gram Negative Bacteria ◽  
Infection Rates ◽  
Surgical Infection ◽  
Joint Arthroplasties

Infections are one of the most devastating complications that occur after lower extremity total joint arthroplasty or any surgical procedure. As such, it has become a major priority to reduce them through various preoperative strategies. Popular prophylactic antimicrobials include alcohol-based solutions, povidone iodine, as well as combinations of chlorhexidine-based products to address an individual’s microbial load on the skin. Chlorhexidine is a broad-spectrum biocide with activity against Gram-positive and Gram-negative bacteria. The use of chlorhexidine cloths may be a choice over solutions, since some studies have shown that they can reduce lower extremity infection rates by greater than two-thirds. In this report, we will describe the scientific basis for the dual application technique of these cloths, as well as our general recommendations for usage for lower extremity arthroplasties and other surgical procedures. Multiple studies have demonstrated their efficacy, with a prospective randomized study of joint arthroplasties demonstrating a 2.9% deep infection rate without their use versus a reduction to 0.4%. In conclusion, we believe that these cloths are appropriate for use in all hip and knee lower extremity arthroplasties as well as other surgical procedures.

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