Outcome of delayed hemorrhage following surgical hemorrhoidectomy

1993 ◽  
Vol 36 (8) ◽  
pp. 743-746 ◽  
Author(s):  
Les Rosen ◽  
Paul Sipe ◽  
John J. Stasik ◽  
Robert D. Riether ◽  
Howard D. Trimpi
Keyword(s):  
Delayed Hemorrhage

scholarly journals Current surgical results with low-grade brain arteriovenous malformations

2015 ◽  
Vol 122 (4) ◽  
pp. 912-920 ◽  
Author(s):  
Matthew B. Potts ◽  
Darryl Lau ◽  
Adib A. Abla ◽  
Helen Kim ◽  
William L. Young ◽  
...  
Keyword(s):  
Randomized Trial ◽  
Functional Outcomes ◽  
Arteriovenous Malformations ◽  
Preoperative Embolization ◽  
Low Grade ◽  
Cure Rate ◽  
Brain Arteriovenous Malformations ◽  
First Line Therapy ◽  
Delayed Hemorrhage ◽  
Martin Grade

OBJECT Resection is an appealing therapy for brain arteriovenous malformations (AVMs) because of its high cure rate, low complication rate, and immediacy, and has become the first-line therapy for many AVMs. To clarify safety, efficacy, and outcomes associated with AVM resection in the aftermath of A Randomized Trial of Unruptured Brain AVMs (ARUBA), the authors reviewed their experience with low-grade AVMs—the most favorable AVMs for surgery and the ones most likely to have been selected for treatment outside of ARUBA's randomization process. METHODS A prospective AVM registry was searched to identify patients with Spetzler-Martin Grade I and II AVMs treated using resection during a 16-year period. RESULTS Of the 232 surgical patients included, 120 (52%) presented with hemorrhage, 33% had Spetzler-Martin Grade I, and 67% had Grade II AVMs. Overall, 99 patients (43%) underwent preoperative embolization, with unruptured AVMs embolized more often than ruptured AVMs. AVM resection was accomplished in all patients and confirmed angiographically in 218 patients (94%). There were no deaths among patients with unruptured AVMs. Good outcomes (modified Rankin Scale [mRS] score 0–1) were found in 78% of patients, with 97% improved or unchanged from their preoperative mRS scores. Patients with unruptured AVMs had better functional outcomes (91% good outcome vs 65% in the ruptured group, p = 0.0008), while relative outcomes were equivalent (98% improved/unchanged in patients with ruptured AVMs vs 96% in patients with unruptured AVMs). CONCLUSIONS Surgery should be regarded as the “gold standard” therapy for the majority of low-grade AVMs, utilizing conservative embolization as a preoperative adjunct. High surgical cure rates and excellent functional outcomes in patients with both ruptured and unruptured AVMs support a dominant surgical posture for low-grade AVMS, with radiosurgery reserved for risky AVMs in deep, inaccessible, and highly eloquent locations. Despite the technological advances in endovascular and radiosurgical therapy, surgery still offers the best cure rate, lowest risk profile, and greatest protection against hemorrhage for low-grade AVMs. ARUBA results are influenced by a low randomization rate, bias toward nonsurgical therapies, a shortage of surgical expertise, a lower rate of complete AVM obliteration, a higher rate of delayed hemorrhage, and short study duration. Another randomized trial is needed to reestablish the role of surgery in unruptured AVM management.

Delayed Hemorrhage After Percutaneous Liver Biopsy

1994 ◽  
Vol 19 (1) ◽  
pp. 50-53 ◽  
Author(s):  
Kris V. Kowdley ◽  
Avanish M. Aggarwal ◽  
Peter B. Sachs
Keyword(s):  
Liver Biopsy ◽  
Percutaneous Liver Biopsy ◽  
Delayed Hemorrhage

Ultrasound-guided stereotaxic biopsy using a new apparatus

1986 ◽  
Vol 65 (4) ◽  
pp. 550-554 ◽  
Author(s):  
Mitchel S. Berger
Keyword(s):  
Tissue Sample ◽  
Near Field ◽  
Ct Scanner ◽  
Ultrasound Guided ◽  
Content Type ◽  
Delayed Hemorrhage ◽  
Stereotaxic Biopsy ◽  
Time Required ◽  
Immunodeficiency Syndrome ◽  
Burr Holes

✓ A skull-mounted apparatus is described for use with ultrasound probes 16 mm in diameter (5.0-MHz probes for near-field and 7.5-MHz probes for far-field lesions). The system permits ultrasound-guided stereotaxic biopsy of intracranial lesions through a burr hole in awake or anesthetized patients. This apparatus has been used in 19 patients for biopsy of central nervous system lesions 1.5 to 5 cm in diameter and for drainage of abscess cavities and cysts. The time required to obtain a tissue sample after incision of the skin ranged from 25 to 40 minutes. The only complication was a delayed hemorrhage in a patient with acquired immunodeficiency syndrome. The advantages of this method over those guided by computerized tomography (CT) include less time required for the entire procedure, immediate confirmation of the biopsied target by imaging the echogenic needle track, assessment of cyst or abscess drainage, and detection of hemorrhage within minutes after biopsy. The apparatus may be especially useful in pediatric patients because it obviates the need for general anesthesia during transport to and from the CT scanner. This ultrasound-guided system does not require a craniotomy, craniectomy, or two separate burr holes.

1305 Ureteral Stenting in Conservative Management of Grade IV Blunt Renal Injury

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
A. Mukhtar A Mukhtar ◽  
M. Gareeballah Yousif Hijazi ◽  
B.A. Abdalaziz Alshareif ◽  
M. Yahia Ibrahim
Keyword(s):  
Ct Scan ◽  
Conservative Management ◽  
Renal Injury ◽  
Motor Vehicle ◽  
Nonoperative Management ◽  
Fluid Collection ◽  
Dramatic Improvement ◽  
Ureteric Stenting ◽  
Delayed Hemorrhage ◽  
The Right

Abstract Post-traumatic urinomas are well-described complications associated with the nonoperative management of major blunt renal injuries. A 16-year-old male sustained a motor vehicle accident. Brought after 30 minutes to emergency department, upon arrival he was fully conscious, complaining of severe right hypochondrial and loin pain, abdomen was tender and guarded over the right side, urinary catheter inserted revealed gross haematuria, the patient was resuscitated accordingly, fast ultrasound scan showed minimal fluid collection in the Morison's pouch, the right kidney was swollen with perinephric fluid collection and poor cortico-medullary differentiation. Urgent CT scan findings were deep avulsion of the right kidney. The Patient was planned for conservative management, admitted to high dependency ward, CT scan repeated, and the size of urinoma increased compared to the initial CT, so he was planned for retrograde pyelography and ureteric stenting. Intra-operatively the right ureter was canulated, contrast injected. The pelvi-ureteric junction was intact, extravasation of contrast in the upper pole of the kidney. The right ureter was stented using a size 6 multiloop stent, with the tip directed into the upper pole calyx. The Patient showed dramatic improvement, haematuria cleared and the patient was discharged well after 12 days and the stent was removed after 6 weeks. Despite the improvements with nonoperative management, complications are described and include delayed hemorrhage, delayed massive hematuria and renal scaring with loss of function. Ureteric stenting is playing a major part in the conservative management of high-grade renal injury particularly grade IV type.

Characteristics of delayed hemorrhage after endoscopic sphincterotomy

2010 ◽  
Vol 25 (3) ◽  
pp. 532-538 ◽  
Author(s):  
Kyeong Ok Kim ◽  
Tae Nyeun Kim ◽  
Sung Bum Kim ◽  
Jun Young Lee
Keyword(s):  
Endoscopic Sphincterotomy ◽  
Delayed Hemorrhage

Delayed Hemorrhage After Treatment of Brain Arteriovenous Malformations (AVMs)

2016 ◽  
Vol 87 ◽  
pp. 98-109 ◽  
Author(s):  
Wuyang Yang ◽  
Alice L. Hung ◽  
Justin M. Caplan ◽  
Maria Braileanu ◽  
Joanna Y. Wang ◽  
...  
Keyword(s):  
Arteriovenous Malformations ◽  
Brain Arteriovenous Malformations ◽  
Delayed Hemorrhage

477 DELAYED HEMORRHAGE AFTER COLD SNARE POLYPECTOMY IN PATIENTS RECEIVING ANTITHROMBOTIC THERAPY: AN OBSERVATIONAL STUDY OF 2152 PATIENTS

2019 ◽  
Vol 89 (6) ◽  
pp. AB87 ◽  
Author(s):  
Masato Aizawa ◽  
Kenichi Utano ◽  
Daiki Nemoto ◽  
Noriyuki Isohata ◽  
Tetsutaro Nemoto ◽  
...  
Keyword(s):  
Observational Study ◽  
Antithrombotic Therapy ◽  
Delayed Hemorrhage ◽  
Cold Snare Polypectomy ◽  
Snare Polypectomy
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