scholarly journals Postoperative Therapy for Metacarpophalangeal Arthroplasty

10.5772/25749 ◽  
2012 ◽  
Author(s):  
Nicola Massy-Westropp
Keyword(s):  
Postoperative Therapy

Life after Heart Transplantation

2002 ◽  
Vol 7 (4) ◽  
pp. 285-294 ◽  
Author(s):  
Lucia Savadori ◽  
Lorella Lotto ◽  
Rino Rumiati
Keyword(s):  
Heart Transplantation ◽  
Frame Of Reference ◽  
Physician Communication ◽  
Risk Averse ◽  
Medical Team ◽  
Perceived Knowledge ◽  
Surgical Technology ◽  
Postoperative Therapy ◽  
Life Expectation ◽  
Risk Judgments

Progress in surgical technology and in postoperative therapy has remarkably increased life expectation after heart transplantation. Nevertheless, patients still show a resistance to resume a normal life after transplantation, for example, to return to work. In this study we assume that after surgery patients become risk averse because they achieve a positive frame of reference. Because of this propensity toward risk aversion, they withhold from engaging in behavior that their physical condition would allow them in principle. Coherent with this assumption we found that compared to the medical team patients overestimate the degree of risk for routine activities. The study also showed that the representation of risk by the patients could be captured by a dreadfulness factor and a voluntariness factor. Patients' risk judgments were strongly and specifically predicted by the perceived degree of dreadfulness of the activity and, to a lesser extent, by the perceived knowledge of the consequences. Implications for patient-physician communication were explored.

scholarly journals Definitive single-stage posterior surgical correction of complete traumatic spondyloptosis at the thoracolumbar junction

2015 ◽  
Vol 22 (6) ◽  
pp. 653-657 ◽  
Author(s):  
Lee Sandquist ◽  
Alexander Paris ◽  
Daniel K. Fahim
Keyword(s):  
Motor Vehicle ◽  
Spinal Injury ◽  
Single Stage ◽  
Thoracolumbar Junction ◽  
Surgical Reconstruction ◽  
Rare Occurrence ◽  
Postoperative Therapy ◽  
Hand Control ◽  
Solid Fusion

Complete dislocation at the thoracolumbar junction is a rare occurrence, with only 4 previously reported cases in 3 separate series. Surgical procedures in the reported cases of spondyloptosis at the thoracolumbar junction have been described using instrumentation, reduction, decompression, and stabilization techniques. In this report the authors' patient presented with spondyloptosis at the thoracolumbar junction, resulting in a T-11 American Spinal Injury Association Grade A injury. The authors corrected the patient's thoracolumbar spondyloptosis with surgical reconstruction without the use of leveraged instrumented reduction. They describe a single-stage, posterior-only spinal realignment, reconstruction, and stabilization. Within months of beginning postoperative therapy, the patient enrolled and attended courses at a local college and regained personal independence by learning to drive a motor vehicle with a hand control. Two-year radiographic and clinical follow-up confirms solid fusion across the reconstruction.

Intramuscular Tenotomy of Flexor Digitorum Superficialis in the Distal Forearm After Surgical Excision of Dupuytren’s Disease

2003 ◽  
Vol 28 (1) ◽  
pp. 37-39 ◽  
Author(s):  
V. BARR ◽  
R. BHATIA ◽  
P. HAWKINS ◽  
R. SAVAGE
Keyword(s):  
Surgical Excision ◽  
Proximal Interphalangeal Joint ◽  
Dupuytren’S Disease ◽  
Distal Forearm ◽  
Flexor Digitorum Superficialis ◽  
Dupuytren's Disease ◽  
Postoperative Therapy ◽  
Finger Extension ◽  
Flexor Digitorum ◽  
Loss Of Strength

Contracture of the proximal interphalangeal joint after surgery to excise Dupuytren’s disease, despite release of the contributory structures within the finger, can be caused by flexor digitorum superficialis (FDS) contracture. We describe five cases where FDS contracture was released by intramuscular tenotomy in the distal forearm. Standard postoperative therapy for Dupuytren’s fasciectomy was used and clinical review showed improved finger extension with no loss of strength. We suggest that intramuscular tenotomy of FDS in the forearm can be used safely where indicated after excision of the Dupuytren’s disease.

scholarly journals Dornase Alfa as Postoperative Therapy in Cystic Fibrosis Sinonasal Disease

2005 ◽  
Vol 131 (12) ◽  
pp. 1097 ◽  
Author(s):  
Mariano Cimmino ◽  
Massimiliano Nardone ◽  
Matteo Cavaliere ◽  
Angela Plantulli ◽  
Angela Sepe ◽  
...  
Keyword(s):  
Cystic Fibrosis ◽  
Postoperative Therapy ◽  
Dornase Alfa ◽  
Sinonasal Disease

Disparate histologic responses in simultaneously resected primary and metastatic osteosarcoma following intravenous neoadjuvant chemotherapy.

1987 ◽  
Vol 5 (8) ◽  
pp. 1185-1190 ◽  
Author(s):  
J Nachman ◽  
M A Simon ◽  
L Dean ◽  
D Shermeta ◽  
P Dawson ◽  
...  
Keyword(s):  
Neoadjuvant Chemotherapy ◽  
Primary Tumor ◽  
Metastatic Tumor ◽  
Cell Heterogeneity ◽  
Newly Diagnosed ◽  
Histologic Response ◽  
Postoperative Therapy ◽  
Metastatic Osteosarcoma ◽  
Tumor Cell Heterogeneity ◽  
Response To Neoadjuvant Chemotherapy

Seven patients with newly diagnosed metastatic osteosarcoma underwent simultaneous resection of the primary tumor and metastases following intravenous (IV) neoadjuvant chemotherapy. Histologic response was assessed in all tumor specimens. Disparate responses were noted between primary tumor and metastases and, in some cases, between two or more metastatic tumor deposits. The diverse histologic response to neoadjuvant chemotherapy suggests tumor cell heterogeneity. Changing postoperative therapy on the basis of the histologic response induced in the primary tumor may not be appropriate.

Relationship of acute gastrointestinal toxicity and the volume of irradiated small bowel in patients receiving combined modality therapy for rectal cancer.

1995 ◽  
Vol 13 (6) ◽  
pp. 1409-1416 ◽  
Author(s):  
B D Minsky ◽  
J A Conti ◽  
Y Huang ◽  
K Knopf
Keyword(s):  
Rectal Cancer ◽  
Small Bowel ◽  
Radiation Field ◽  
Combined Modality Therapy ◽  
High Dose ◽  
Pelvic Radiation ◽  
Postoperative Therapy ◽  
Combined Modality ◽  
Gi Toxicity ◽  
Experienced Grade

PURPOSE To determine the relationship between acute gastrointestinal (GI) toxicity during the combined modality segment and the volume of small bowel in the pelvic radiation field in patients who receive either preoperative or postoperative therapy for rectal cancer. PATIENTS AND METHODS The patient population was derived from four consecutive phase I dose-escalation trials. Combined modality therapy included fluorouracil (5-FU), leucovorin ([LV] bolus daily x 5, days 1 and 29), and pelvic radiation. RESULTS Twenty patients who received postoperative therapy had a larger volume of small bowel in the pelvic radiation field as compared with 60 who received preoperative therapy (462 +/- 129 v 212 +/- 44 cm3, P = .002). The most significant relationship between acute GI toxicity and volume of small bowel was seen in 12 patients who were treated on the preoperative sequential low-dose LV trial, all of whom received the maximum-tolerated dose (MTD) of 5-FU. The volume of small bowel in patients who experienced grade 3+ toxicity was 731 +/- 274 cm3, as compared with 145 +/- 58 in those who experienced grade 0 to 2 toxicity (P = .005). Likewise, logistic regression analysis showed that 26 patients who received the MTD of 5-FU had the most significant association between GI toxicity and volume of small bowel (P = .036). CONCLUSION Our data suggest that the volume of small bowel in the pelvic radiation field may be dose-limiting in the delivery of high-dose 5-FU when combined with LV and radiation therapy.

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