Surgical repair and subsequent stent placement following traumatic trans‐rectal urethral transection in a dog

2021 ◽  
Author(s):  
Claudia Davila ◽  
Elizabeth Rozanski ◽  
Emmanuelle Marie Butty ◽  
David D. R. Krucik ◽  
Raymond K. Kudej
Keyword(s):  
Stent Placement ◽  
Surgical Repair ◽  
Urethral Transection

scholarly journals Risk factors for persistent epiphora following successful canalicular laceration repair

2021 ◽  
Vol 14 (1) ◽  
pp. 106-111
Author(s):  
Ying-Yan Qin ◽  
◽  
Feng-Bin Lin ◽  
Yu Jia ◽  
Jun Mao ◽  
...  
Keyword(s):  
Risk Factors ◽  
Stent Placement ◽  
Severity Score ◽  
Surgical Repair ◽  
Demographic Data ◽  
Case Series ◽  
Timing Of Surgery ◽  
Medial Canthus ◽  
Severity Scores ◽  
Type Of Injury

AIM: To identify the risk factors of epiphora in patients with anatomical patency after surgical repair of canalicular laceration. METHODS: This retrospective case series included 178 cases of canalicular laceration repair from 2005 to 2012. Demographic data collected from each patient included age, sex, type of injury, distance from the distal lacerated end of the canaliculus to the punctum, the severity score for the structural abnormity of the medial canthus, the duration of stent placement, and the timing of surgery. The risk factors for epiphora were evaluated using Logistic regression models. RESULTS: Among the 178 cases, 45 (25.3%) with lacrimal patency after irrigation had symptomatic epiphora at the final follow-up. Patients’ sex, age, type of injury, duration of stent placement, timing of surgery, and concurrent trauma were not found to be signi?cantly associated with symptomatic epiphora after surgical repair of the lacerated canaliculus (P>0.05). A distance of more than 5 mm from the distal cut end to the punctum was closely and significantly associated with symptomatic epiphora after surgical repair of the lacerated canaliculus (P<0.01). Symptomatic epiphora was significantly more frequent in patients with higher severity scores for structural abnormities of the medial canthus (P<0.01). CONCLUSION: Our results indicate that the risk factors for postoperative symptomatic epiphora include a further distance between the distal cut end and the lacrimal punctum and a higher severity score for structural abnormities of the medial canthus. These findings could be used to prognosticate postoperative symptomatic epiphora.

scholarly journals Hybrid Surgical Repair for Recurrent Coarctation of the Transvers Arch: Case Report

2021 ◽  
Author(s):  
Kıvanc ATILGAN ◽  
Alper TOSYA ◽  
Fahri YEŞİL ◽  
Pinar Koksal Coskun ◽  
Burak ONUK ◽  
...  
Keyword(s):  
Stent Placement ◽  
Carotid Arteries ◽  
Surgical Repair ◽  
Median Sternotomy ◽  
Coarctation Of The Aorta ◽  
Complete Relief ◽  
Hybrid Technique ◽  
Transcatheter Intervention ◽  
Transverse Arch ◽  
Common Carotid Arteries

The incidence of postoperative recurrent coarctation of the aorta ranges from 5% to 50%, and largely depends on the age at initial repair. Due to the increased fibrosity and rigidity of the aorta in older age, stent placement is preferred instead of balloon angioplasty, resulting in an almost complete relief of the gradient in >95% of the patients. In patients with transverse arch hypoplasia, transcatheter intervention with further surgical intervention may be needed, and the use of stenting was shown to be effective in the treatment of patients with hypoplastic isthmus, arch or tubular coarctation. In this case of a late re-coarctation, we preferred to apply a hybrid technique for treatment. The first step of the treatment was debranching of the brachiocephalic and left common carotid arteries with upper mini median sternotomy. On the following day, the patient underwent a successful stent placement to the transvers arch.

Acute pancreatitis in children with idiopathic vs neuromuscular scoliosis post surgical repair

2001 ◽  
Vol 120 (5) ◽  
pp. A643-A644 ◽  
Author(s):  
D MEHTA ◽  
C FESTA ◽  
K DABNEY ◽  
M THEROUX ◽  
F MILLER
Keyword(s):  
Acute Pancreatitis ◽  
Surgical Repair ◽  
Neuromuscular Scoliosis

Open surgical repair versus EVAR: How much is enough?

VASA ◽  
2012 ◽  
Vol 41 (4) ◽  
pp. 239-239 ◽  
Author(s):  
Goodney
Keyword(s):  
Surgical Repair ◽  
Open Surgical Repair

State-of-the-art aortic imaging: Part II - applications in transcatheter aortic valve replacement and endovascular aortic aneurysm repair

VASA ◽  
2014 ◽  
Vol 43 (1) ◽  
pp. 6-26 ◽  
Author(s):  
Fabian Rengier ◽  
Philipp Geisbüsch ◽  
Paul Schoenhagen ◽  
Matthias Müller-Eschner ◽  
Rolf Vosshenrich ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Transcatheter Aortic Valve Replacement ◽  
Surgical Repair ◽  
Imaging Modality ◽  
Open Surgical Repair ◽  
Cross Sectional ◽  
Transcatheter Aortic Valve ◽  
Cross Sectional Imaging ◽  
Sectional Imaging

Transcatheter aortic valve replacement (TAVR) as well as thoracic and abdominal endovascular aortic repair (TEVAR and EVAR) rely on accurate pre- and postprocedural imaging. This review article discusses the application of imaging, including preprocedural assessment and measurements as well as postprocedural imaging of complications. Furthermore, the exciting perspective of computational fluid dynamics (CFD) based on cross-sectional imaging is presented. TAVR is a minimally invasive alternative for treatment of aortic valve stenosis in patients with high age and multiple comorbidities who cannot undergo traditional open surgical repair. Given the lack of direct visualization during the procedure, pre- and peri-procedural imaging forms an essential part of the intervention. Computed tomography angiography (CTA) is the imaging modality of choice for preprocedural planning. Routine postprocedural follow-up is performed by echocardiography to confirm treatment success and detect complications. EVAR and TEVAR are minimally invasive alternatives to open surgical repair of aortic pathologies. CTA constitutes the preferred imaging modality for both preoperative planning and postoperative follow-up including detection of endoleaks. Magnetic resonance imaging is an excellent alternative to CT for postoperative follow-up, and is especially beneficial for younger patients given the lack of radiation. Ultrasound is applied in screening and postoperative follow-up of abdominal aortic aneurysms, but cross-sectional imaging is required once abnormalities are detected. Contrast-enhanced ultrasound may be as sensitive as CTA in detecting endoleaks.

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