Effect Observation on Vascular Puncture Map in Puncture of Arteriovenous Internal Fistula

2021 ◽  
Keyword(s):  
Internal Fistula

scholarly journals Internal fistula leakage due to a road traffic accident: A fortuitous diagnosis of Crohn's disease

2012 ◽  
Vol 6 (5) ◽  
pp. 603-605 ◽  
Author(s):  
Mathilde Wagner ◽  
Jeremie H. Lefevre ◽  
Benoit Royer ◽  
Magali Svrcek ◽  
Clément Pradel ◽  
...  
Keyword(s):  
Crohn’S Disease ◽  
Crohn's Disease ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Internal Fistula

scholarly journals Repeated endoscopic balloon dilation for an ileocecal stricture with an internal fistula for a patient with Crohn's disease

2019 ◽  
Vol 95 (1) ◽  
pp. 72-74
Author(s):  
Yusuke Sakurai ◽  
Hirotsugu Sakamoto ◽  
Tomonori Yano ◽  
Keijiro Sunada ◽  
Hironori Yamamoto
Keyword(s):  
Crohn’S Disease ◽  
Crohn's Disease ◽  
Balloon Dilation ◽  
Endoscopic Balloon Dilation ◽  
Internal Fistula ◽  
Endoscopic Balloon

Treatment for Horseshoe Fistulas-In-Ano with Primary Closure of the Internal Fistula Opening: A Clinical and Manometric Study

2004 ◽  
Vol 47 (11) ◽  
pp. 1874-1882 ◽  
Author(s):  
Andreas Koehler ◽  
Angelika Risse-Schaaf ◽  
Sotirios Athanasiadis
Keyword(s):  
Primary Closure ◽  
Internal Fistula ◽  
Manometric Study

Systematic Analysis of the Impact of Diagnostic Delay on Bowel Damage in Paediatric Versus Adult Onset Crohn’s Disease

2019 ◽  
Vol 13 (10) ◽  
pp. 1334-1342 ◽  
Author(s):  
Alain Schoepfer ◽  
Jessica Santos ◽  
Nicolas Fournier ◽  
Susanne Schibli ◽  
Johannes Spalinger ◽  
...  
Keyword(s):  
Crohn’S Disease ◽  
Crohn's Disease ◽  
Diagnostic Delay ◽  
Perianal Fistula ◽  
Adult Patients ◽  
Adult Onset ◽  
Systematic Analysis ◽  
Internal Fistula ◽  
The Impact

Abstract Background and Aims Length of diagnostic delay is associated with bowel strictures and intestinal surgery in adult patients with Crohn’s disease [CD]. Here we assessed whether diagnostic delay similarly impacts on the natural history of paediatric CD patients. Methods Data from the Swiss IBD Cohort Study were analysed. Frequency of CD-related complications [bowel stenosis, perianal fistula, internal fistula, any fistula, resection surgery, fistula/abscess surgery, any complication] at diagnosis and in the long term [up to 30 years after CD diagnosis] was compared between paediatric patients [diagnosed <18 years] and adult patients [diagnosed ≥18 years] using multivariate Cox proportional hazard regression modelling. Results From 2006 to 2016, 387 paediatric and 1163 adult CD patients were included. Median [interquartile range: IQR] diagnostic delay was 3 [1–9] for the paediatric and 6 [1–24] months for the adult group, respectively. Adult onset CD patients presented at diagnosis more frequently with bowel stenosis [p <0.001] and bowel surgery [p <0.001] compared with paediatric CD patients. In the long term, length of diagnostic delay was significantly associated with bowel stenosis [p = 0.001], internal fistula [p = 0.038], and any complication [p = 0.024] in the adult onset CD population. No significant association between length of diagnostic delay and CD-related outcomes in the long term was observed in the paediatric population. Conclusions Adult CD patients have longer diagnostic delay compared with paediatric CD patients and present at diagnosis more often with bowel stenosis and surgery. Length of diagnostic delay was found to be predictive for CD-related complications only in the adult but not in the paediatric CD population.

Conversion of external arteriovenous hemodialysis shunt to internal fistula

JAMA ◽  
1978 ◽  
Vol 239 (17) ◽  
pp. 1782-1783 ◽  
Author(s):  
A. B. Schwartz
Keyword(s):  
Internal Fistula

scholarly journals A NEW DIRECTOR FOR BLIND INTERNAL FISTULA.

The Lancet ◽  
1906 ◽  
Vol 167 (4317) ◽  
pp. 1477
Author(s):  
CecilH. Leaf
Keyword(s):  
Internal Fistula

scholarly journals FISTLUA-IN-ANO;

2019 ◽  
Vol 26 (02) ◽  
Author(s):  
Mohammad Zarin ◽  
Muhammad Asim Khan ◽  
Syed Asad Maroof Shah
Keyword(s):  
General Surgery ◽  
Endoscopic Treatment ◽  
Fistula Tract ◽  
Internal Opening ◽  
Internal Fistula ◽  
Surgical Wounds ◽  
Sphincter Saving ◽  
One Year ◽  
Key Steps ◽  
Age Range

Objectives:To determine the frequency ofhealing in patients with high lying fistlua in ano undergoing video assisted anal fistula treatment.Study Design:Descriptive cross sectional.Setting: Department of General Surgery, Khyber Teaching Hospital, Peshawar. Period: One year (1stApril 2014 to 31stMarch 2015). Materials and Methods:Total of 153 patients were observed.Karl Storz Video equipment including MeineroFistuloscope is used. Key steps are visualization of the fistula tract, correct localization of the internal fistula opening under direct vision and endoscopic treatment of the fistula. This is followed by an operative phase of fulguration of the fistula tract with cautery and using glycine solution mixed with manitol, curetting the tract with curette and fistula brush. Internal opening is closed with a Vicryl 1 suture.Results:Our study shows 80% patients were in age range 30-40 years, 17% patients were in age range 41-50 years, 3% patients were in age range 51-60 years. Mean age was 38 years with SD ± 2.03. Seventy seven percent patients were male and 23% patients were female. Seventy percent patients had healing while 30% patients didn’t had healing in the specified duration.Conclusion:The main feature of the VAAFT technique is that the procedure is performed entirely under direct endoluminal vision. Moreover, fistuloscopy helps to identify any possible secondary tracts or chronic abscesses. The VAAFT technique is sphincter-saving, and the surgical wounds are extremely small. Our preliminary results are very promising.

scholarly journals Эндоректальное ультразвуковое исследование неполных внутренних свищей заднего прохода (стандартная методика в сравнении с внутриполостным контрастированием)

2020 ◽  
pp. 26-39
Keyword(s):  
Anal Fistula ◽  
Endorectal Ultrasound ◽  
Fistula In Ano ◽  
Internal Fistula ◽  
Contrast Enhanced ◽  
Orifice Opening

Цель исследования: сравнительный анализ применения эндоректального ультразвукового исследования без контрастирования и с контрастированием в оценке топических характеристик свищевого хода при свищах заднего прохода. Материал и методы исследования: обследовано 49 пациентов с диагнозом “свищ заднего прохода”, из них 34 (69,4%) мужчины, 15 (30,6%) женщин. Средний возраст пациентов - 41,2 ± 13,8 года (M ± σ) (27-54 года). Всем пациентам выполнены различные оперативные вмешательства. Эндоректальные ультразвуковые исследования (без контрастирования и с контрастированием 1,5%-м раствором перекиси водорода) выполнялись одним врачом на ультразвуковом аппарате Hi Vision Preirus (Hitachi, Япония) с использованием внутриполостного линейного датчика с частотой 5-10 МГц. Результаты исследования: чувствительность, специфичность, предсказательная ценность положительного теста, предсказательная ценность отрицательного теста и точность эндоректального ультразвукового исследования с контрастированием в выявлении затеков составляют 95,2, 71,4, 95,2, 71,4 и 91,8% против 76,2, 57,1, 91,4, 28,6 и 73,5% при эндоректальном ультразвуковом исследовании без контрастирования. В выявлении внутреннего свищевого отверстия и определении его локализации достоверных различий между эндоректальным ультразвуковым исследованием без контрастирования и с контрастированием не выявлено (P > 0,05). В определении типа свища по отношению к наружному сфинктеру заднего прохода и его взаимоотношения с порциями наружного сфинктера (при транссфинктерных свищах) достоверных различий между эндоректальным ультра звуковым исследованием безконтрастирования и с контрастированием также не выявлено (P > 0,05). Однако чувствительность диагностики вовлечения поверхностной и глубокой порций наружного сфинктера при контрастировании увеличилась до 100,0% (с 66,7 и 71,4% соответственно). Заключение: результаты исследования свидетельствуют о целесообразности применения эндоректального ультразвукового исследования с контрастированием при оценке топических характеристик свища заднего прохода в сложных диагностических ситуациях, в частности для выявления высоких и (или) комбинированных затеков. Ключевые слова: эндоректальное ультразвуковое исследование без контрастирования, эндоректальное ультразвуковое исследование с контрастированием, свищ заднего прохода, внутреннее свищевое отверстие, наружное свищевое отверстие, conventional endorectal ultrasound, intracavitary contrast-enhanced endorectal ultrasound, anal fistula (fistula-in-ano), internal fistula orifice (opening), external (cutaneous) fistul

scholarly journals Evolution of Needling: Preliminary Results of Microinvasive Antiglaucoma Reoperation

2021 ◽  
Vol 18 (1) ◽  
pp. 36-45
Author(s):  
I. B. Alekseev ◽  
A. K. Aylarova ◽  
G. Sh. Arzhimatova ◽  
A. V. Dobroserdov ◽  
A. I. Samoylenko
Keyword(s):  
Surgical Treatment ◽  
Clinical Case ◽  
Ultrasound Biomicroscopy ◽  
Main Group ◽  
Control Group ◽  
Ophthalmological Examination ◽  
Efficacy And Safety ◽  
Internal Fistula ◽  
Dynamic Observation ◽  
Experimental Group

Purpose: to assess the efficacy and safety of needling performed by the new scleroconjunctival dissector according to our specific technique.Patients and methods. The study included 60 patients diagnosed with operated subcompensated or decompensated glaucoma. Thirty patients underwent microinvasive reoperation with the help of a sclero-conjunctival dissector. The control group consisted of 30 patients; they underwent repeated sinustrabeculectomy with iridectomy. A standard ophthalmological examination and ultrasound biomicroscopy were performed before the operation and in dynamics (after 1, 3, 6, 9 months).Results: 76.7 % of the experimental group had IOP less than or equal to 15 mm Hg six months after microinvasive reoperation. In the control group, the same mark was 70 %. Hyphema occurred in 23.3 % of the main group, it was stopped by conservative treatment. 10 % of patient developed choroid detachment, it did not require surgical treatment. Hyphema was formed in 36.7 % in the control group and choroid detachment — in 53.3 % of patients. The complications were more manifested and required surgical treatment in the control group. According to the data of ultrasound biomicroscopy, the acoustic density in the control group steadily increased, while the height of the filtration bleb first increased and then decreased. This may indicate significant tissue induration, probably as a result of fibrosis after an operating injury. The intrascleral «lake» height does not differ between the groups when comparing dynamic observations, and the volume of the intrascleral cavity is significantly greater in the main group than in the control group (p < 0.0001) at admission and during dynamic observation. The text of the article describes a clinical case of a patient who underwent microinvasive reoperation.Conclusion. When there are indications for re-surgery, an adequate and thorough diagnosis of the preservation of the surgically created outflow tract, namely gonioscopy and ultrasound biomicroscopy, is important. In patients with intact internal fistula and without pronounced fibrosis of the intrascleral drainage pathways, it is possible to carry out microinvasive reoperation according to our technique using a scleroconjunctival dissector, this allows to reduce the risk of postoperative complications and achieve hypotensive efficacy comparable to repeated filtering surgery.

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