septal and turbinate surgery in revision sinus surgery
báo cáo hóa học:" Stem diameter and rotational stability in revision total hip arthroplasty: a biomechanical analysis" ppt
... distal flutes to minimize the bending stiffness associated with larger sizes Two stem diameters, 15 mm and 18 mm, were chosen for testing in order to eliminate the confounding variable introduced by ... was mounted in an Instron servohydraulic testing machine (Model 1321, Instron, Canton, Massachusetts) so the long axis of the femoral stem, the rotational axis of the Instron machine and the femoral ... fixation and biologic ingrowth has not been conclusively determined Our understanding of bypass fixation in the periprosthetic femur with deficient bone stock has come largely from studies involving...
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Regenerative Medicine Reconstruction of Tracheal and Pharyngeal Mucosal Defects in Head and Neck Surgery
... against infection and invading connective tissue There are still very few studies applying the methods of tissue engineering to produce tracheal replacements and to examine these in vitro and in ... this technique and bearing in mind the contraindications, more than 90% of the children can nowadays be extubated without problems In spite of the progress, in children undergoing single-step surgical ... intubation over several days as an intratracheal splinting An external splinting by metallic microplates in the surgical tracheal reconstruction was described first time by Zalzal and Deutch in...
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báo cáo sinh học:" Postoperative outcome of caesarean sections and other major emergency obstetric surgery by clinical officers and medical officers in Malawi" docx
... methodology and contributed with the design in collaboration with SB FK, AC and EM contributed in preparing the documents and the protocol for implementing the study CP, GCC, SB and EM prepared and completed ... licensed to practice independently and perform major emergency and elective surgery Unlike in Mozambique [9,10] and Tanzania [11], the delegation of major surgery to non-doctors in Malawi has not ... maternal mortality ratios and perinatal mortality rates is endemic in most low-income countries Multiple factors are involved in this sustained scenario Such factors include unavailability of...
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Improved Outcomes in Colon and Rectal Surgery part 43 ppt
... gastrointestinal (GI) bleeding 122 gastrointestinal obstruction 341 gastrointestinal scintigraphy 121–2 Gastrointestinal Tumor Study Group and North Central Cancer Treatment Group 308 Gatrointestinal ... percutaneous abscess drainage (PAD) 122–3 radiofrequency ablation (RFA) 123 intestinal stomas 349 intraabdominal hemorrhage 323–4 intraabdominal infections 29 percutaneous drainage 29 intraoperative anastomosis ... Lee index leucovorin 300 levamisole 300 lidocaine 19 life-threatening injuries 389 LigaSure™ Vessel Sealing System 291 LigaSure™ 172 Ligation of Intersphincteric Fistula Tract (LIFT) 189 linaclotide...
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Improved Outcomes in Colon and Rectal Surgery part 1 ppsx
... xi Preexisting conditions Eric L Marderstein, Siyamek Neragi-Miandoab, and Conor P Delaney Preoperative bowel preparation David A Margolin and Sean Mayfield 14 Anesthesia and intraoperative ... conditions M Benjamin Hopkins and Alan E Timmcke 154 16 Quality and outcome measures Janak A Parikh, Sushma Jain, Marcia L McGory, and Clifford Y Ko 159 17 Hemorrhoidal surgery Dan R Metcalf and Anthony ... L Bohl and Alan J Herline 199 21 Surgery for pilonidal disease and hidradenitis suppurativa Paula I Denoya and Eric G Weiss 215 22 Surgical treatment of fecal incontinence Ann C Lowry and Dimitrios...
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Improved Outcomes in Colon and Rectal Surgery part 2 ppt
... is indicated in patients having intermediate risk surgery with one or more clinical risk factors or any patient having vascular surgery It is not indicated in patients for low-risk surgery or intermediate ... hypoalbuminemia and anemia resulting in poor wound healing and increased risk of complications Krysa et al describe a high instance of anastamotic leak in these patients (70) Decreased leukocyte and ... anecdotally, suggesting that a surgeon’s general feeling and personal experience are a good indicator of subsequent outcome.(14) Scoring systems can be helpful in counseling the patient and setting their...
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Improved Outcomes in Colon and Rectal Surgery part 3 pptx
... preparation in elective colon and rectal surgery include decreasing the bacterial count in the colon, decreasing the wound infection rate, decreasing the rate of anastomotic leaks, improving interoperative ... unfortunately, there was no real improvement in infectious complications.(6) Dearing in 1951 and Poth in 1960 tied tetracycline and neomycin respectively with only minimal improvement.(7, 8) It was not ... than 150 randomized controlled trials performed (Table 2.1 and 2.2) Finally in 1998, Song and colleagues, in a landmark review in the British Journal of Surgery, codified modern practice and confirmed...
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Improved Outcomes in Colon and Rectal Surgery part 5 potx
... exclude mesenteric blood vessels within the intestinal clamp Gingerly inserting appropriately sized intraluminal staplers prevents inadvertent splitting and tearing of bowel ends to be anastomosed ... outcomes in colon and rectal surgery Figure 4.3 Treatment algorithm for dealing with intraabdominal and pelvic abscesses therapy, the presence of adverse intraoperative events, and male sex were independent ... exist: making decisions based upon intraoperative findings versus tailoring treatment based upon clinical condition and improvement of the patient One prospective randomized trial looked at minimum...
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Improved Outcomes in Colon and Rectal Surgery part 6 potx
... bleeding time include garlic, ginkgo, ginseng, capsaicin, fish oil, ginger, and vitamin E.(2) In general, these agents other intraoperative challenges are adequate exposure, working suction, and ... and result in profuse bleeding The veins retract into the sacral foramen, which is problematic In contrast to injury to the iliac vein, packing the pelvis in the case of presacral vein injury may ... sacrum and injuring the underlying presacral vein These avalvular veins communicate with the internal vertebral venous system through the basivertebral vein This system can attain high pressures and...
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Improved Outcomes in Colon and Rectal Surgery part 7 pps
... Clary E et al Safety and efficacy of India ink and indocyanine green as colonic tattooing agents Gastrointest Endosc 2000; 51: 438–42 improved outcomes in colon and rectal surgery 56 Park JW, ... with definitive intraoperative localization Techniques that have been described to minimize this occurrence include injecting saline to develop the submucosal plane before injection of ink.(56) ... is failure of complete abdominal wall healing following abdominal surgery, resulting in a myofascial defect The reported incidence of incisional hernias in the literature varies from 9–19% They...
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Improved Outcomes in Colon and Rectal Surgery part 8 doc
... failure and chest pain Leaking patients may also fail to clinically progress or recover within a usual timeframe, have increasing narcotic demands, or have decreased urine output requiring fluid ... recurrent cancer, inflammatory bowel disease, and radiation injury and must be thoroughly investigated diagnosis and treatment While most strictures are likely incidental findings, certain patients ... reversal in the future.(4, 6, 17) The main criticism of leaving a leaking anastomosis in place is that luminal contents proximal to the anastomosis may provide an ongoing source of contamination and...
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Improved Outcomes in Colon and Rectal Surgery part 9 ppt
... nursing support, and surgical intervention contribute to driving up overall healthcare system costs In simple terms, our skin and mucosal lining remain the p rimary defense mechanisms against infectious ... demonstrating no decrease in infectious complications, while increasing the rates of nausea, pain, and noncompliance.(34, 35) Yet, other authors including a large prospective randomized trial and metaanalysis ... drainage In a study comparing catheter removal at and days following rectal resection, Benoist and colleagues found urinary tract infections to be increased in those patients with catheters in...
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Improved Outcomes in Colon and Rectal Surgery part 10 ppt
... explicit and well-defined standards for care They support introduction of evidence-based medicine and use of clinical guidelines thus reducing variations in patient care and improving clinical ... pathway involved mobilization of patients on the day of surgery, administering cisapride and magnesium, and allowing free fluid intake on evening of surgery, among numerous other inter entions instituted ... short incisions, minimally invasive surgery, nonopiod pain management, no outine use of drains and nasogastric tubes, early removal of r bladder catheters, standard laxatives and prokinetics, and...
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Improved Outcomes in Colon and Rectal Surgery part 11 docx
... fecal incontinence scores, and quality of life.(35–37) These benefits were seen in both the treatment and control groups indicating the role of patient motivation and ongoing medical involvement in ... outcomes in colon and rectal surgery Global deficiencies or thinning of the sphincters rather than defects are more difficult to define with AUS The internal sphincter is normally between to mm Since ... of symptoms In a large prospective study Lieberman et al evaluated 90 incontinent patients, including males with a specific goal at determining what impact physiology testing including manometry...
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Improved Outcomes in Colon and Rectal Surgery part 12 ppsx
... thickening and pericolic fat stranding confined to the radiation port area Chronic radiation injury to 24 months after treatment appears as mucosal thickening with prominent stranding in expanded ... shows wall thickening and marked irregularity of the remaining mucosa in the ascending and descending colon (arrows) an acute inflammatory condition is less likely Fat stranding that is disproportionately ... thickening (>3 cm) that is asymmetric, nodular, and lobulated in contour with narrowing of the intestinal lumen The combination of a paucity of pericolonic fat stranding with the short segment of involvement...
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Improved Outcomes in Colon and Rectal Surgery part 13 pdf
... thickening, “thumbprinting”, inflammation of pericolic fat, and pneumatosis (air in the bowel wall).(152) Small Bowel Obstruction Accuracy of Diagnosis and Causes of SBO CT has gained favor as the initial ... Studies Examination Technique Benefits and Limitations Small Bowel Follow Through (SBFT) Patient drinks barium while a series of supine abdominal films are obtained until the terminal ileum and cecum ... fibrosis and progressive thickening of the bowel wall that narrows the terminal ileum, producing the “string sign” in the submucosa As the ulcerations enlarge, inflammatory psuedopolyps (islands...
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Improved Outcomes in Colon and Rectal Surgery part 14 pptx
... detecting gastrointestinal bleeding interventional radiology Figure 11.58 A and 11.58B Lower Gastrointestinal Bleeding Figure 11.58A shows a single image of a Tc-99m red blood cell scintigram ... the skin and the lesion.(277) Disadvantages of CT include increased cost, ionizing radiation, and longer procedure times Complications of abdominal, liver, or lung biopsy include bleeding, introducing ... accurate imaging modality in determining the extent of local invasion of rectal cancer.(253) EUS can delineate the components of the intestinal wall Images typically consist of five rings of different...
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Improved Outcomes in Colon and Rectal Surgery part 15 pps
... & Rectal Surgery Lippincott Williams & Wilkins, 1996: 69–70 268 Darcy M Clinical management of gastrointestinal bleeding In: Murphy TP, Benenati JF, Kaufman JA, eds Patient Care in Interventional ... decrease the incidence of postpolypectomy bleeding.(27) During the technique of taking a large polyp, some endoscopists use a saline intermucosal lift or an epinephrine solution injection into the ... preparation are known as saline laxatives and include those containing magnesium cations or phosphate anions Salt-based agents work by exerting a hyperosmotic effect in the intestines The poorly absorbed...
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Improved Outcomes in Colon and Rectal Surgery part 16 pot
... principles, just as in open surgery, is paramount, and the dangers of sacrificing these principles in the name of a minimally invasive approach are obvious The importance of rigorously testing ... minimizing morbidity and mortality and maximizing outcomes in laparoscopic colorectal surgery centers around a number of technical considerations, including trocar placement, use of instruments, and ... prospective, randomized trials, including the Colon carcinoma Laparoscopic or Open (COLOR), Conventional versus Laparoscopic-Assisted Surgery in Colorectal Cancer (CLASICC), and Clinical Outcomes in Surgical...
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Improved Outcomes in Colon and Rectal Surgery part 17 pps
... debridement, unroofing of ulcerative cavities, and steroid injection into the cavity Complications of surgery include prolonged drainage, poor wound healing, incontinence, and superinfections Treatment ... screening in women Screening should include identifying risk factors such as human immunodeficiency virus (HIV) status, history of anal warts, and history of anal pain and bleeding Pap testing using ... the data in light of your formal training and clinical experience in considering or making a diagnosis Patient signs and symptoms are innumerable You must have s pecifics For example, in one...
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