Surgical Exploration and Manipulation

2009 ◽  
pp. 467-488
Keyword(s):  
Surgical Exploration

Indications for Surgical Exploration in the Diagnosis of Intrahepatic Obstructive Jaundice

1952 ◽  
Vol 22 (2) ◽  
pp. 232-243
Author(s):  
Leonard A. Stine ◽  
Richard M. Bendix ◽  
Jerome M. Swarts
Keyword(s):  
Obstructive Jaundice ◽  
Surgical Exploration

Simple bone cyst: Uncommon cyst of jaw

2020 ◽  
Vol 5 (3) ◽  
pp. 1252-1254
Author(s):  
Gopal Gurung ◽  
Laxmi Prasad Chapagain ◽  
Yagya Bahadur Rokaya
Keyword(s):  
Orthodontic Treatment ◽  
Bone Cyst ◽  
Definitive Treatment ◽  
Simple Bone Cyst ◽  
Jaw Cysts ◽  
Surgical Exploration ◽  
X Ray ◽  
Dental Examination ◽  
Distal Surface ◽  
Hollow Cavity

Simple bone cyst (SBC) of the jaws is uncommon, representing approximately 1% of all jaw cysts. It is often accidentally discovered on routine dental examination as it is asymptomatic in most of cases. In this report, we discuss a case of SBC in a 16 years old female who presented in our department for correction of her mal-aligned teeth. On routine x-ray for orthodontic treatment, a well defined, unilocular radiolucent area approximately 3x1cm in size with scalloped borders on the left body of mandible expanding from distal surface of 34 to distal surface of 37 was discovered. Surgical exploration was required for both diagnostic and definitive treatment. The operative finding was hollow cavity without any epithelial lining.

An Attempted Homicidal Cut Throat Injury: A Case Study

2020 ◽  
Vol 3 (2) ◽  
pp. 147-151
Author(s):  
Mukesh Kumar Sah ◽  
Madhu Thakur
Keyword(s):  
Physical Examination ◽  
Blood Vessels ◽  
Management Practice ◽  
Limited Time ◽  
Optimal Management ◽  
Surgical Exploration

Homicidal cut throat is an injury over the front of neck by sharp instruments with an intent of murder. The neck contains vital structures (nerves, blood vessels, airway and pharyngeal conduit) in a compact fashion that may be difficult to access for physical examination or surgical exploration in a limited time. That is why these cases create panic and pose great challenges in the management. Here is a case of an attempted homicidal cut throat injury that highlights some of the challenges encountered in the management along with discussion on the evolving knowledge of the optimal management practice.

Fascicular torsions of the anterior and posterior interosseous nerve in 4 cases: neuroimaging methods to improve diagnosis

2020 ◽  
Vol 132 (6) ◽  
pp. 1925-1929 ◽  
Author(s):  
Jennifer Kollmer ◽  
Paul Preisser ◽  
Martin Bendszus ◽  
Henrich Kele
Keyword(s):  
Magnetic Resonance ◽  
Surgical Intervention ◽  
Case Series ◽  
Diagnostic Methods ◽  
Posterior Interosseous Nerve ◽  
Nerve Ultrasound ◽  
Magnetic Resonance Neurography ◽  
Surgical Exploration ◽  
Hyperintense Signal ◽  
Emergency Surgical Intervention

Diagnosis of spontaneous fascicular nerve torsions is difficult and often delayed until surgical exploration is performed. This case series raises awareness of peripheral nerve torsions and will facilitate an earlier diagnosis by using nerve ultrasound (NUS) and magnetic resonance neurography (MRN). Four patients with previously ambiguous upper-extremity mononeuropathies underwent NUS and 3T MRN. Neuroimaging detected proximal torsions of the anterior and posterior interosseous nerve fascicles within median or radial nerve trunks in all patients. In NUS, most cases presented with a thickening of affected nerve fascicles, followed by an abrupt caliber decrease, leading to the pathognomonic sausage-like configuration. MRN showed T2-weighted hyperintense signal alterations of fascicles at and distal to the torsion site, and directly visualized the distorted nerves. Three patients had favorable outcomes after being transferred to emergency surgical intervention, while 1 patient with existing chronic muscle atrophy was no longer eligible for surgery. NUS and MRN are complementary diagnostic methods, and both can detect nerve torsions on a fascicular level. Neuroimaging is indispensable for diagnosing fascicular nerve torsions, and should be applied in all unclear cases of mononeuropathy to determine the diagnosis and if necessary, to guide surgical therapies, as only timely interventions enable favorable outcomes.

Surgical exploration of the head, neck and chest

2010 ◽  
Vol 2010 (7) ◽  
pp. 24-24
Author(s):  
Daniel Brockman
Keyword(s):  
Surgical Exploration ◽  
Head Neck

Causes of delayed exploration of the acute scrotum in a regional tertiary centre

2020 ◽  
pp. 205141582098119
Author(s):  
Benjamin Storey ◽  
Nathan Shugg ◽  
Alison Blatt
Keyword(s):  
Retrospective Review ◽  
Testicular Torsion ◽  
Tertiary Hospital ◽  
Adverse Outcomes ◽  
Acute Scrotum ◽  
Tertiary Institution ◽  
Level Of Evidence ◽  
Scrotal Pain ◽  
Surgical Exploration ◽  
Significant Difference

Background: Testicular torsion is an organ-threatening surgical emergency with a limited timeframe for intervention. Objective: To identify the delays to surgical exploration of patients with an acute scrotum in a tertiary hospital to prevent adverse outcomes associated with this time critical emergency. Methods: A retrospective review of medical records for all patients who underwent scrotal exploration for acute scrotal pain in a tertiary hospital in regional New South Wales between January 2008 to December 2018 was performed. Results: Retrospective review identified 242 patients, of whom 161 had testicular torsion and 56 resultant orchidectomies. No statistically significant difference in pre-hospital delays between paediatric or adult populations was found. The average time from presentation to theatre was 4 h 36 min. Patients who were delayed > 6 h from presentation to surgical exploration had significantly increased rates of orchidectomy. Delays that significantly affected rates of orchidectomy were transfer from peripheral sites, late presentation, misdiagnosis and representation after discharge. Conclusion: The most common reason for delay was diagnostic error with the patient later re-presenting to hospital. Patient transfer from the primary hospital to a tertiary institution and subsequent delayed surgical exploration also contributed to significantly higher rates of orchidectomy. Level of Evidence: 3

Neurosurgical intervention in penetrating spinal trauma with associated visceral injury

1989 ◽  
Vol 70 (4) ◽  
pp. 514-518 ◽  
Author(s):  
Benjamin H. Venger ◽  
Richard K. Simpson ◽  
Raj K. Narayan
Keyword(s):  
Neurological Outcome ◽  
Cauda Equina ◽  
Neurological Deficits ◽  
Neurological Injury ◽  
Infection Prophylaxis ◽  
Associated Injuries ◽  
Visceral Injury ◽  
Surgical Exploration ◽  
Significant Difference ◽  
Neurosurgical Intervention

✓ Associated injuries to the neck, chest, or abdomen are found in approximately one-quarter of all civilians with penetrating spinal cord or cauda equina injuries. While the value of and indications for general surgical exploration and repair of these injuries are fairly self-evident, the value of neurosurgical intervention in terms of neurological outcome and infection prophylaxis remains the subject of debate. To study this issue, 160 civilian patients with penetrating spinal injuries and neurological deficits were retrospectively reviewed. Associated injuries of the esophagus, trachea, bronchi, or bowel were seen in 107 individuals (67%); 33 (31%) of these patients had abdominal injuries, 25 (23%) had neck injuries, 23 (21%) had thoracic injuries, and 26 (24%) had injuries occurring at multiple sites. Of these 107 patients, 67 (63%) had complete neurological injuries and the remaining 40 (37%) demonstrated incomplete deficits. All 107 patients underwent surgical exploration and repair of their visceral injuries; in 19 of them a neurosurgical procedure was also performed for decompression of the neural elements and/or debridement of the wound. Regardless of the presence of associated visceral injuries, the mechanism of injury, and the extent of the neurological deficit, no statistically significant difference in neurological outcome was found in patients with or without neurosurgical intervention. Complications associated with neurological injury were reported in 17 (11%) of the total group of 160 patients. Four (21%) of the 19 patients who had neurosurgical intervention suffered a related complication, compared to only six (7%) of the 88 patients who were managed conservatively (p < 0.05). Within the limitations of a retrospective review, the results of this study do not clearly support the value of routine neurosurgical intervention as an adjunct to general surgical repair in cases of spinal injury associated with penetrating visceral trauma.

scholarly journals A Rare Case of Localised Isolated Penile Fournier’s Gangrene and a Short Review of the Literature

2018 ◽  
Vol 2018 ◽  
pp. 1-3 ◽  
Author(s):  
Antonios Katsimantas ◽  
Nikolaos Ferakis ◽  
Panagiotis Skandalakis ◽  
Dimitrios Filippou
Keyword(s):  
Enterococcus Faecalis ◽  
Fluid Resuscitation ◽  
Rare Case ◽  
Short Review ◽  
Fournier’S Gangrene ◽  
Rare Clinical Entity ◽  
Review Of The Literature ◽  
Fournier's Gangrene ◽  
Surgical Exploration ◽  
Prevotella Melaninogenica

Penile Fournier’s gangrene (FG) is very rare clinical entity, which is also known as penile necrotizing fasciitis or wet gangrene of the penis. It is associated with increased morbidity and mortality and in the majority of the described cases it affects not only penis but also the adjacent organs and tissues (e.g., bladder, muscles, rectum, testis, and scrotum). We report a rare case of a previously healthy 68-year-old male, who presented with acute isolated penile Fournier’s gangrene. Pus culture was identified with pathogens Enterococcus faecalis, Streptococcus gordonii, and Prevotella melaninogenica. Prompt surgical exploration, fluid resuscitation, antibiotic treatment, and diligent postoperative care are the cornerstone in the successful treatment of this emergency with high mortality.

Transverse Volar Skin Laceration of the Finger: A Sign of Volar Plate Injury

HAND ◽  
1979 ◽  
Vol os-11 (2) ◽  
pp. 213-216 ◽  
Author(s):  
Elvin G. Zook ◽  
Allen L. Van Beek ◽  
Paul Wavak
Keyword(s):  
Surgical Repair ◽  
Volar Plate ◽  
Surgical Exploration

Transverse tears of the volar skin of a finger with a hyper-extension injury is associated with frequent volar plate tears or avulsions. Recognition is essential for surgical exploration of the volar plate and supporting joint structures and, if injured, surgical repair should be carried out at the time of skin suturing.

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