scholarly journals Penetrate injuries of colon: Our experience

2010 ◽  
Vol 57 (2) ◽  
pp. 65-69
Author(s):  
R. Lazovic ◽  
Z. Krivokapic ◽  
V. Dobricanin
Keyword(s):  
Primary Repair ◽  
Two Stage ◽  
Exclusion Criteria ◽  
Early Management ◽  
Trauma Severity ◽  
Randomized Clinical Study ◽  
Body Regions ◽  
Abdominal Organs ◽  
Colon Injuries ◽  
Impaired Circulation

In attempt to determine the place of primary repair in management of colon injuries, an open, non randomized clinical study was performed. Retrospective (RS) group of 62 patients according to exclusion criteria by Stone (S/F) and Flint (Fl) was managed by one or two stage surgical procedure. Prospective (PR) group of 34 patients was managed using one stage repair non-selectively: two stage procedures were performed in 3 cases of advanced peritonitis and multi-segmental lacerations with impaired circulation of colon. In RS group 36 patients were managed by primary repair and in PR group, 31 were managed by primary repair. Both groups were of similar age/sex. Indexes of trauma severity were similar (TS, ISS, PATI). The latent time was shorter in PR group. Associated injuries to other body regions and abdominal organs were similar in both groups. S/F criteria and Flint grading in both (RS vs. PR) groups were similar. Comparison of attempted and successful primary repairs justifies the more liberal use of primary repair in early management of colon injuries.

Adult-Onset Atopic Dermatitis: Presentations and Progress

2020 ◽  
Vol 24 (3) ◽  
pp. 267-272
Author(s):  
Airiss R. Chan ◽  
Vijay K. Sandhu ◽  
Aaron M. Drucker ◽  
Patrick Fleming ◽  
Charles W. Lynde
Keyword(s):  
Atopic Dermatitis ◽  
Immune Dysregulation ◽  
Upper Limbs ◽  
Adult Onset ◽  
Barrier Dysfunction ◽  
Childhood Onset ◽  
Exclusion Criteria ◽  
Body Regions ◽  
Chronic Skin ◽  
Chronic Skin Disease

Atopic dermatitis (AD) is a chronic skin disease characterized by barrier dysfunction and immune dysregulation that affects approximately 20% of children and 2-5% of adults worldwide. Traditionally, AD has been considered a disease of childhood with many cases resolving before adulthood. However, in recent years, the prevalence of adult AD is increasingly recognized to be substantial, but it is uncertain whether this increase is due to increased childhood-persistent or relapsed AD, or new adult-onset AD. This highlights a need for further investigation into the adult AD population and evaluation of phenotypes in the adult-onset cohort. In this literature review, we examine five studies focused on adult-onset AD phenotype, conducted between 2013 and 2017. The most commonly reported body regions affected in adult-onset AD were the hands, eyelids, neck, and flexural surfaces of the upper limbs. These vary from childhood-onset AD findings, which are less specific to body regions other than flexural areas. These findings have implications for diagnostic accuracy and treatment of AD, including considerations for therapeutic choices and inclusion and exclusion criteria in clinical trials.

The management of colon injuries by primary repair or colostomy

1985 ◽  
Vol 72 (11) ◽  
pp. 881-883 ◽  
Author(s):  
D. Demetriades ◽  
B. Rabinowitz ◽  
C. Sofianos ◽  
E. Prümm
Keyword(s):  
Primary Repair ◽  
Colon Injuries

Methylene blue is not contraindicated to treat hemodynamic instability in pediatric and neonate patient

2021 ◽  
Vol 17 ◽  
Author(s):  
Walusa A. Gonçalves-Ferri ◽  
Agnes A.S. Albuquerque ◽  
Patricia Martinez Evora ◽  
Paulo R.B. Evora
Keyword(s):  
Methylene Blue ◽  
Side Effects ◽  
Infusion Rate ◽  
Case Reports ◽  
Hemodynamic Instability ◽  
Exclusion Criteria ◽  
Old Patients ◽  
Randomized Clinical Study ◽  
Dose Infusion ◽  
Administration Timing

: The present review was carried out to describe publications on the use of methylene blue (MB) in pediatrics and neonatology, discussing dose, infusion rate, action characteristics and possible benefits for a pediatric patient group. The research was performed on the data sources PubMed, BioMed Central, and Embase (updated on Aug 31, 2020) by two independent investigators. The selected articles included human studies that evaluated MB use in pediatric or neonatal patients with vasoplegia due to any cause, regardless of the applied methodology. The MB use and 0 to18-years-old patients with vasodilatory shock were the adopted criteria. Exclusion criteria were the use of MB in patients without vasoplegia and patients ≥ 18-years-old. The primary endpoint was the increase in mean arterial pressure (MAP). Side effects and dose were also evaluated. Eleven studies were found of which 10 were case reports and 1 was a randomized clinical study. Only two of these studies were with neonatal patients (less than 28 days-old), reporting a small number of cases (1 and 6). All studies described positive action of MB on MAP, allowing the decrease of vasoactive amines in several of them. No severe side effects or death related to the use of the medication was reported. The maximum dose used was 2 mg/kg, but there was no consensus on the infusion rate and drug administration timing. Finally, no theoretical or experimental basis sustains the decision to avoid MB in children claiming it can cause pulmonary hypertension. The same goes for the concern of a possible deleterious effect on inflammatory distress syndrome.

Closed Avulsion of Both Flexor Tendons of the Ring Finger

1995 ◽  
Vol 20 (1) ◽  
pp. 78-79 ◽  
Author(s):  
K. M. C. CHEUNG ◽  
S. P. CHOW
Keyword(s):  
Primary Repair ◽  
Ring Finger ◽  
Flexor Digitorum Profundus ◽  
Two Stage ◽  
Flexor Tendons ◽  
Flexor Digitorum

Closed avulsion of both flexor digitorum profundus and superficialis from the same finger is rare. Only ten cases have been described in the literature. The majority were treated with a two stage reconstruction of the flexor digitorum profundus. We describe a case in which primary repair of both tendons was performed.

Primary Repair of Penetrating Colon Injuries

2002 ◽  
Vol 45 (12) ◽  
pp. 1579-1587 ◽  
Author(s):  
Marc A. Singer ◽  
Richard L. Nelson
Keyword(s):  
Primary Repair ◽  
Colon Injuries

Outcomes of Primary Repair and Primary Anastomosis in War-Related Colon Injuries

2009 ◽  
Vol 66 (5) ◽  
pp. 1286-1293 ◽  
Author(s):  
Amy Vertrees ◽  
Matthew Wakefield ◽  
Chris Pickett ◽  
Lauren Greer ◽  
Abralena Wilson ◽  
...  
Keyword(s):  
Primary Repair ◽  
Primary Anastomosis ◽  
Colon Injuries

scholarly journals Colonic injuries; is primary repair a safe option?

2016 ◽  
Vol 12 (2) ◽  
Author(s):  
Intesarur Rashid Khan ◽  
Khalid Irshad ◽  
Muhammad Akmal Shafiq ◽  
Bahzad Akram Khan ◽  
Abdul Majeed Cuahdhry
Keyword(s):  
Primary Repair ◽  
Fecal Diversion ◽  
Ileocolic Anastomosis ◽  
Inclusion Criteria ◽  
Exclusion Criteria ◽  
Safe Option

Objectives: This study was conducted at Mayo Hospital, Lahore from April 2004 to May 2005 to compare the results of primary repair and exteriorization in cases of large gut injuries .Materials and methods: :80 patients, presenting in emergency between Jan. 2004 and December 2005, were selected out of which 63 were males and 17 were females. Colonic injuries were divided into five categories and were dealt accordingly. Inclusion criteria: All colonic injuries presenting to emergency in study period except. Exclusion criteria: Injuries requiring ileocolic anastomosis, repair and proximal fecal diversion and distal colonic injuries requiring Hartmann`s procedure.

scholarly journals Management of the injured bowel: preserving bowel continuity as a gold standard

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Camille Tantardini ◽  
Gaëlle Godiris-Petit ◽  
Séverine Noullet ◽  
Mathieu Raux ◽  
Fabrice Menegaux ◽  
...  
Keyword(s):  
Small Bowel ◽  
Postoperative Morbidity ◽  
Primary Repair ◽  
High Volume ◽  
Traumatic Injuries ◽  
Abdominal Complications ◽  
Stoma Creation ◽  
Bowel Continuity ◽  
Fistula Rate ◽  
Colon Injuries

Abstract Background Management of bowel traumatic injuries is a challenge. Although anastomotic or suture leak remains a feared complication, preserving bowel continuity is increasingly the preferred strategy. The aim of this study was to evaluate the outcomes of such a strategy. Methods All included patients underwent surgery for bowel traumatic injuries at a high volume trauma center between 2007 and 2017. Postoperative course was analyzed for abdominal complications, morbidity and mortality. Results Among 133 patients, 78% had small bowel injuries and 47% had colon injuries. 87% of small bowel injuries and 81% of colon injuries were treated with primary repair or anastomosis, with no difference in treatment according to injury site (p = 0.381). Mortality was 8%. Severe overall morbidity was 32%, and abdominal complications occurred in 32% of patients. Risk factors for severe overall morbidity were stoma creation (p = 0.036), heavy vascular expansion (p = 0.005) and a long delay before surgery (p = 0.023). Fistula rate was 2.2%; all leaks occurred after repairing small bowel wounds. Conclusion Primary repair of bowel injuries should be the preferred option in trauma patient, regardless of the site—small bowel or colon—of the injury. Stoma creation is an important factor for postoperative morbidity, which should be weighed against the risk of an intestinal suture or anastomosis.

DOZ047.42: The value of rigid tracheobronchoscopy for the diagnosis of tracheomalacia in esophageal atresia patients

2019 ◽  
Vol 32 (Supplement_1) ◽  
Author(s):  
I P Aanen ◽  
B Pullens ◽  
J van Rosmalen ◽  
R M H Wijnen
Keyword(s):  
Sensitivity And Specificity ◽  
Esophageal Atresia ◽  
Surgical Intervention ◽  
Medical Center ◽  
Primary Repair ◽  
Demographic Data ◽  
P Value ◽  
Inclusion Criteria ◽  
Exclusion Criteria ◽  
Low Sensitivity

Abstract Aim of the Study The aim of this study is to evaluate routine airway endoscopy prior to the closure of the trachea-esophageal fistula (TOF) and esophageal atresia (EA) repair in a tertiary medical center concerning pre- and postoperative tracheomalacia. Methods We evaluated all patients with EA born between 2013 and 2016 who underwent routine rigid tracheobronchoscopy (TBS) before primary repair of the EA at our center. Inclusion criteria included peroperative rigid TBS performed by an otolaryngologist. Exclusion criteria included impossibility to determine pre- and or postoperative TM (because of logistic or medical reasons). Demographic data, comorbidities, surgical intervention, TBS findings, and subsequent surgical management were analyzed. Main Results Twenty-four patients with EA were included in this study. Eight of the 24 patients developed postoperative TM. Of these 8 patients with TM, 5 were diagnosed at the preoperative TBS (62.5%). Of the 16 patients without postoperative TM, there were 6 patients (37.5%) with peroperative diagnosed TM. So the sensitivity and specificity of routine airway endoscopy prior to EA-repair are, respectively, 62.5% (CI 30.4%–86.5%) and 62.5% (CI 38.5%–81.6%). Concerning postoperative TM, there is a significant higher appearance in females versus males (P-value 0.021). There was no significant causality between mean gestational age, birth weight, type of EA, type of surgery (open or thoracoscopic), presence of gastroesophageal reflux disease, and the appearance of postoperative TM. Conclusions Preoperative TBS can be useful for the evaluation of tracheoesophageal fistula but has a low sensitivity and specificity to detect postoperative TM.

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