scholarly journals Complex Perineal Trauma with Anorectal Avulsion

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Adelina Maria Cruceru ◽  
Ionut Negoi ◽  
Sorin Paun ◽  
Sorin Hostiuc ◽  
Ruxandra Irina Negoi ◽  
...  
Keyword(s):  
Trauma Surgery ◽  
High Volume ◽  
Perineal Trauma ◽  
Emergency Laparotomy ◽  
Tissue Destruction ◽  
Abdominal Ultrasonography ◽  
Pelvic Packing ◽  
Intraperitoneal Rupture ◽  
Pelvic Hematoma

Introduction. The objective of this case report is to illustrate a severe perineal impalement injury, associated with anorectal avulsion and hemorrhagic shock.Results. A 32-year-old male patient was referred to our hospital for an impalement perineal trauma, associated with complex pelvic fracture and massive perineal soft tissue destruction and anorectal avulsion. On arrival, the systolic blood pressure was 85 mm Hg and the hemoglobin was 7.1 g/dL. The patient was transported to the operating room, and perineal lavage, hemostasis, and repacking were performed. After 12 hours in the Intensive Care Unit, the abdominal ultrasonography revealed free peritoneal fluid. We decided emergency laparotomy, and massive hemoperitoneum due to intraperitoneal rupture of pelvic hematoma was confirmed. Pelvic packing controlled the ongoing diffuse bleeding. After 48 hours, the relaparotomy with packs removal and loop sigmoid colostomy was performed. The postoperative course was progressive favorable, with discharge after 70 days and colostomy closure after four months, with no long-term complications.Conclusions. Severe perineal injuries are associated with significant morbidity and mortality. Their management in high volume centers, with experience in colorectal and trauma surgery, allocating significant human and material resources, decreases the early mortality and long-term complications, offering the best quality of life for patients.

1002: Long Term Outcomes for Patients with High Volume Retroperitoneal Teratoma Undergoing Post Chemotherapy Surgery

2007 ◽  
Vol 177 (4S) ◽  
pp. 331-331 ◽  
Author(s):  
Stephen D.W. Beck ◽  
Richard S. Foster ◽  
Richard Bihrle ◽  
John P. Donohue
Keyword(s):  
High Volume ◽  
Long Term Outcomes ◽  
Retroperitoneal Teratoma

23: High Volume Hospitals do not have Better Long Term Outcomes Following Cystectomy for Bladder Cancer

2006 ◽  
Vol 175 (4S) ◽  
pp. 8-9 ◽  
Author(s):  
Brent K. Hollenbeck ◽  
Yongliang Wei ◽  
John D. Birkmeyer
Keyword(s):  
Bladder Cancer ◽  
High Volume ◽  
Long Term Outcomes

Long term mechanical performance of nano-engineered high volume fly ash concrete

2021 ◽  
pp. 103168
Author(s):  
Charith Herath ◽  
Chamila Gunasekara ◽  
David W. Law ◽  
Sujeeva Setunge
Keyword(s):  
Fly Ash ◽  
Mechanical Performance ◽  
High Volume ◽  
Fly Ash Concrete ◽  
High Volume Fly Ash

Management of breast infections in primary care

2021 ◽  
pp. 175573802199282
Author(s):  
Serena Rose Strickland ◽  
Rishabha Deva Sharma
Keyword(s):  
Primary Care ◽  
Abscess Formation ◽  
Tissue Destruction ◽  
Inflammatory Mass ◽  
Skin Changes ◽  
Lactating Women ◽  
Common Presentation ◽  
Systemic Sepsis ◽  
Inappropriate Treatment

Breast infections are a common presentation globally. Symptoms can range from mild discomfort and erythema of the skin to systemic sepsis and abscess formation with associated long-term physical and psychological morbidity. Although more common in the puerperium, non-lactating women, in particular, those between the ages of 18 and 50 years can be affected by the condition. Prompt recognition and treatment in primary care can reduce the incidence of abscess formation. Delayed or inappropriate treatment can lead to chronic infection with associated tissue destruction. In a minority of cases an inflammatory mass and skin changes can be a presenting feature of breast cancer.

scholarly journals Mesentero-axial gastric volvulus after removal of laparoscopic adjustable gastric band

2017 ◽  
Vol 99 (2) ◽  
pp. e58-e59
Author(s):  
N Pirmadjid ◽  
DJ Pournaras ◽  
S Huan ◽  
V Sujendran
Keyword(s):  
Gastric Banding ◽  
Gastric Band ◽  
Gastric Volvulus ◽  
Laparoscopic Adjustable Gastric Band ◽  
Adjustable Gastric Band ◽  
Emergency Laparotomy ◽  
Band Removal ◽  
Number Of Patients

Despite the decreasing popularity of gastric banding, a large number of patients still have a band in situ. Although immediate postoperative complications are relatively rare, long-term complications of gastric banding are more common but are not reported to occur after band removal. We report a case of gastric volvulus and subsequent ischaemic perforation in a patient shortly after band removal, resulting in emergency laparotomy and total gastrectomy. Severe continuing pain persisting after band deflation and even gastric band removal should be treated as an emergency and urgent investigation should not be delayed.

scholarly journals Short- and long-term subjective medical treatment outcome of trauma surgery patients: the importance of physician empathy

2014 ◽  
pp. 1239 ◽  
Author(s):  
Simone Steinhausen ◽  
Oliver Ommen ◽  
Sunya-Lee Antoine ◽  
Thorsten Koehler ◽  
Holger Pfaff ◽  
...  
Keyword(s):  
Treatment Outcome ◽  
Medical Treatment ◽  
Trauma Surgery ◽  
Short And Long Term ◽  
Physician Empathy

scholarly journals Evaluating the Safety and Efficacy of a Highly Viscous 33-mg/mL Hyaluronic Acid Volumizing Filler in the Treatment of Facial Wrinkles: An Open-Labeled, Clinical Trials

2019 ◽  
Vol 8 ◽  
pp. e1148
Author(s):  
Elnaz Razavian ◽  
Setareh Tehrani
Keyword(s):  
Hyaluronic Acid ◽  
High Volume ◽  
Soft Tissue Augmentation ◽  
Nodule Formation ◽  
Safety And Efficacy ◽  
Significant Correction ◽  
Clinically Significant ◽  
One Year ◽  
First Time

Background: The 33-mg/mL hyaluronic acid (HA) formulation is a highly concentrated, cross-linked, cohesive, smooth, and completely reversible volumizing filler approved by Conformité Européene. For the first time, we aimed to evaluate the long-term efficacy and safety of the 33-mg/mL HA filler for soft tissue augmentation in the treatment of facial wrinkles. Materials and Methods: After optimal wrinkle correction was achieved in the patients undergoing treatment by injecting the 33-mg/mL HA filler at the injection site plus one touch-up at a 2-week interval, the safety and efficacy of the filler were assessed on the 5-point Facial Volume Loss Scale through the 1-year study period. Patients were evaluated daily for 14 days and after 6 and 12 months post-treatment. Results: A total of 86 subjects were treated. The mean wrinkle scores of the patients were 3.95+0.79 (range of 3-5) before treatment, 2.3+0.94 (range 1-5) six months after treatment, and 2.93+1.29 (range of 1-5) one year after treatment. Clinically significant mean wrinkle correction (P=0.001) was still evident at>12 months of treatment through 33-mg/mL HA formulation. A clinically significant correction at>12 months after treatment was maintained by 79% of patients. Nodule formation and swelling were more frequent when the 33-mg/mL HA filler was used compared with the use of less concentrated HA fillers. One patient developed angioedema-like swelling and induration last few months. Conclusion: The 33-mg/mL HA filler can provide long-term correction lasting for one year or more. Adverse effects, especially swelling and nodule formation were more common in this filler compared with less concentrated HA fillers. The side effects were correlated with the volume of the injected filler. We recommend using this concentration with low volume or combining high volume with lower concentration. [GMJ.2019;8:e1148]

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