scholarly journals EXPERIENCE OF HALOPELVIC TRACTION IN THE TREATMENT OF SEVERE SPINE DEFORMITY: A CASE SERIES

2016 ◽  
Vol 21 (4) ◽  
pp. 295
Author(s):  
Syed Asif Ali ◽  
Asad Ali Ch ◽  
Ahmad Sarfraz Humayun ◽  
Usman Zafar Dar ◽  
Syed Muhammad Awais
Keyword(s):  
Treatment Outcome ◽  
Case Series ◽  
Descriptive Study ◽  
Spine Deformity ◽  
Operative Techniques ◽  
Curve Correction ◽  
Severe Scoliosis ◽  
Traction Device ◽  
Medical University ◽  
Severe Spinal Deformity

AbstractBackground:Severe and rigid scoliosis and kyphosis are difficult to treat but with the advent of new spinal operative techniques and implants, it has become man-ageable in expert hands. However these implants are too expensive for developing countries like us. The Halo-pelvic traction is a relatively cheaper device sys-tem used to treat such deformities. Moreover, rapid curve correction and one stage surgery may lead to permanent neurological deficit.Objective:To evaluate treatment outcome of Halo-pelvic Traction in the treatment of severe scoliosis and kyphosis.Methodology:This descriptive study was conducted in the department of Orthopedics surgery and traumatology unit I, King Edward Medical University, Mayo Hospital Lahore from September 2010 to August 2012. The patients with severe spinal deformity which could not be corrected at a single stage were included. A Performa was made for each patient and results were statistically analyzed by using SPSS version 20.Results:Total no. of 07 patients were treated, out of them 04 scoliosis patients having mean Cobbs angle of 77.25 5.31 before treatment, improved significantly to 45 5.35 after surgery (p?0.0001), 03 kyphosis patients with mean Kyphus angle of 96.67 24.66 improved to 58.33 17.56 (p?0.0001). Two major complications i.e. one paraplegia which recovered incompletely and one had CSF discharge from cranial pin that was also revived thoroughly after changing the position of the pin.Conclusion:Halopelvic traction device can help in treating the patients of severe scoliosis and kyphosis.Keywords:Kyphosis, Halo-Pelvic, Kyphus angle, Cobbs angle.

scholarly journals RUPTURED UTERUS

2010 ◽  
Vol 17 (02) ◽  
pp. 314-317
Author(s):  
YASMEEN AKHTAR
Keyword(s):  
Tertiary Care ◽  
Case Series ◽  
Descriptive Study ◽  
Risk Category ◽  
Cesarean Sections ◽  
High Risk Category ◽  
Trained Personnel ◽  
Design Case ◽  
Tertiary Care Centers ◽  
Ruptured Uterus

Objective: To analyze the risk factors for uterine rupture and to share the 5 years experience of ruptured uterus with other colleagues of the specialty. Study design: Case series descriptive study. Settings: Gynae /Obstetrics Unit -I Lady Willingdon Hospital Lahore. Study Duration: Five years i.e Ist May 2004 to 30th April 2009. Material and Methods: Obstetric patients who presented with ruptured uteri. Results: Results showed that risk factor for ruptured uteri include cesarean sections (61.11%), grand multiparty (16.6%), Instrumentaldeliveries (4.44%) and undetected perforation (1.11%). Conclusion: Ruptured uterus is a high risk category of patients. The patients with previous scar, grand multiparas, obstructed prolonged labour must be managed by proper trained personnel and in tertiary care centers in order to avoid the morbidity or mortality due to ruptured uterus. 

613 The Floating Hip: A Distinct Injury Pattern? A Descriptive Study and Case-Control Analysis

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
M Wong ◽  
M Ghobrial ◽  
W M Han ◽  
J Alsousou ◽  
D Chou ◽  
...  
Keyword(s):  
Case Series ◽  
Femoral Fractures ◽  
Descriptive Study ◽  
Case Control ◽  
Injury Pattern ◽  
Pelvic Fractures ◽  
Control Group ◽  
Control Analysis ◽  
Hip Injury ◽  
Case Control Analysis

Abstract Aim A “Floating Hip” injury describes a simultaneous ipsilateral fracture of the femur and pelvis. We performed a descriptive study of the injury patterns, management, and outcomes of floating hip patients, and compared these patients to those with similar pelvic fractures without femoral involvement. Method This was a retrospective case-series review with secondary case-control analysis. Medical records of patients presenting with a floating hip injury to our tertiary orthopaedics department between 2015 and 2020 were reviewed. The control group comprised of patients with pelvic fractures but without associated femoral fractures, matched by age, sex, pelvic fracture classification, and mechanism of injury. Results 46 Floating Hip cases were identified (34 males), of average age 39 (15-86) years. 20 had acetabular fractures, 21 had pelvic ring fractures and 5 had both fractures, concomitant with ipsilateral femoral fractures. The most common site of femoral fracture was mid-shaft (21.7%), followed by distal (19.6%). 69.6% of P/A fractures were managed surgically, with ORIF (43%) the most common option. 4 (12.50%) patients suffered complications, including 2 infections and 1 DVT. Compared to controls, Floating Hip patients were more likely to require surgical management (67.6% vs 47.8%, p = 0.03), and had higher rates of surgical complications (12.5% vs 4.6%), though not statistically significant (p = 0.3). Conclusions Our study describes the patterns, management, and outcomes of Floating Hip injuries, and observes differences in the management and complications compared to similar pelvic fractures without femoral involvement. These findings suggest Floating Hip cases may warrant consideration as a distinct injury pattern.

Operative Technique and Lessons Learned From Surgical Implantation of the NeuroPace Responsive Neurostimulation® System in 57 Consecutive Patients

2020 ◽  
Author(s):  
Max O Krucoff ◽  
Thomas A Wozny ◽  
Anthony T Lee ◽  
Vikram R Rao ◽  
Edward F Chang
Keyword(s):  
Operative Technique ◽  
Focal Epilepsy ◽  
Intraoperative Imaging ◽  
Case Series ◽  
Lessons Learned ◽  
Seizure Freedom ◽  
Operative Techniques ◽  
Surgical Positioning ◽  
Intracerebral Hemorrhages

Abstract BACKGROUND The Responsive Neurostimulation (RNS)® System (NeuroPace, Inc) is an implantable device designed to improve seizure control in patients with medically refractory focal epilepsy. Because it is relatively new, surgical pearls and operative techniques optimized from experience beyond a small case series have yet to be described. OBJECTIVE To provide a detailed description of our operative technique and surgical pearls learned from implantation of the RNS System in 57 patients at our institution. We describe our method for frame-based placement of amygdalo-hippocampal depth leads, open implantation of cortical strip leads, and open installation of the neurostimulator. METHODS We outline considerations for patient selection, preoperative planning, surgical positioning, incision planning, stereotactic depth lead implantation, cortical strip lead implantation, craniotomy for neurostimulator implantation, device testing, closure, and intraoperative imaging. RESULTS The median reduction in clinical seizure frequency was 60% (standard deviation 63.1) with 27% of patients achieving seizure freedom at last follow up (median 23.1 mo). No infections, intracerebral hemorrhages, or lead migrations were encountered. Two patients experienced lead fractures, and four lead exchanges have been performed. CONCLUSION The techniques set forth here will help with the safe and efficient implantation of these new devices.

P1365HEMODIALYSIS CATHETER-RELATED BLOODSTREAM INFECTIONS : A CASE SERIES

2020 ◽  
Vol 35 (Supplement_3) ◽  
Author(s):  
Ouni Amal ◽  
Meriem Ben salem ◽  
Malek Mojaat ◽  
Hadj Brahim Mayssa ◽  
Ben salah Manel ◽  
...  
Keyword(s):  
Case Series ◽  
Bloodstream Infections ◽  
Descriptive Study ◽  
Venous Access ◽  
University Hospital ◽  
Risk Of Infection ◽  
Hemodialysis Catheter ◽  
The Creation ◽  
Catheter Related Bloodstream Infection ◽  
Bacteriological Parameters

Abstract Background and Aims the recourse to catheter among patients on hemodialysis is frequent due to many reasons. It is highly associated to a risk of infection in comparison to AVF. The aim of our study was to determine the clinical and bacteriological parameters in patients hospitalized for dialysis catheter related bloodstream infections. Method We conducted a retrospective descriptive study based on the data of patients hospitalized for hemodialysis catheter-related bloodstream infection in the department of nephrology in Fattouma Bourguiba University hospital between January 2013 and February 2018. Data concerning the bacteriological exams were obtained from our bacteriology laboratory. Results 50 patients were included with a mean-age of 56 years old. 74% were women, 30% diabetic and 18% considered immunodepressed. The indications for the placement of catheter were: 21 patients waiting for the creation of AVF, 16 patients with a dysfunction of AVF, 6 patients with AKI and 7 patients with inadequate veins for the creation of AFV. The IJV was the site of insertion in 74% of patients (with 4 % of tunneled catheters). 26 % of patients developed a septic choc, and 74 % developed a sepsis. The culture of the specimen of catheters was positive in 32 patients (64%). Staphylococcus aureus was isolated in 14 patients (28%) with MSSA among 8 patients and enterobacteria among 8 patients. Hemoculture was only positive in 13 patients. The catheter was removed in the majority of cases except in 6 patients in whom there was no other venous access. The evolution was favourable in 80 % of patients. 5 patients developed an infective endocarditis as a secondary localization. Conclusion The AVF remains the best vascular access for hemopadialysis patients. The recourse to catheters must be considered as a last choice because of the risk of infections which frequently necessitates the hospitalization with an increase in mortality.

Nevus Lipomatosus Superficialis Unseen or Unrecognized: A Report of Eight Cases

2013 ◽  
Vol 17 (5) ◽  
pp. 335-339 ◽  
Author(s):  
Muthu Sendhil Kumaran ◽  
Tarun Narang ◽  
Sunil Dogra ◽  
Uma Nahar Saikia ◽  
Amarinder Jit Kanwar
Keyword(s):  
Treatment Outcome ◽  
Health Care Providers ◽  
Case Reports ◽  
Case Series ◽  
Care Providers ◽  
Reticular Dermis ◽  
Disease Characteristics ◽  
Long Term Follow Up

Background: Nevus lipomatosus superficialis (NLS) is a unique developmental anomaly or nevoid form of lipoma characterized by the ectopic presence of mature adipocytes in reticular dermis. The condition is rare; apart frrom isolated case reports, there are no large case series dealing with the clinicoepidemiologic characteristics and posttreatment long-term follow-up in patients with NLS and little published information on treatment outcome. Objective: To study the clinicoepidemiologic characteristics and long-term posttreatment follow-up in patients with NLS. Methods: This was an 11-year retrospective study analyzing disease characteristics and treatment outcome in eight patients with NLS. Results: There were eight (six males, two females) patients with NLS, of whom three were children. The classic variant of NLS was the predominant presentation. One patient demonstrated a combination of both classic and solitary variants. Most patients, especially those with solitary variants, were commonly misdiagnosed before presenting to us. Four patients, including two with the solitary variant, one each with the classic and the combined type, underwent surgical resection without any recurrence over 8 years of follow-up. Conclusions: The rare nature of the disorder, which is commonly misdiagnosed, and the absence of long-term follow-up data prompted us to share our experience about NLS to increase its awareness among health care providers.

scholarly journals Acquired FXIII inhibitor: Patient characteristics and treatment outcome, a case series in Taiwan

2021 ◽  
Vol 120 (1) ◽  
pp. 411-414
Author(s):  
Sheng-Chieh Chou ◽  
Ching-Yeh Lin ◽  
Ching-Tzu Yen ◽  
Han-Ni Hsieh ◽  
Ying-Chih Huang ◽  
...  
Keyword(s):  
Treatment Outcome ◽  
Case Series ◽  
Patient Characteristics ◽  
Inhibitor Patient
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