Folia medica最新文献_第3页

Fluid resuscitation dilemma: anticipating massive blood loss in hysterectomy. 液体复苏困境：预测子宫切除术中大量失血。

Folia medica Pub Date : 2025-02-26 DOI: 10.3897/folmed.67.e137668

I Wayan Suranadi, I Gede Prima Julianto, Bianca Jeanne

{"title":"Fluid resuscitation dilemma: anticipating massive blood loss in hysterectomy.","authors":"I Wayan Suranadi, I Gede Prima Julianto, Bianca Jeanne","doi":"10.3897/folmed.67.e137668","DOIUrl":"https://doi.org/10.3897/folmed.67.e137668","url":null,"abstract":"Massive bleeding during obstetric surgeries, such as hysterectomy, is a significant cause of maternal mortality and morbidity worldwide. In such cases, fluid resuscitation is imperative. However, intraoperative guidelines and fluid requirements cannot be universally standardized to accommodate every patient, surgical procedure, or condition. The debate between restrictive and liberal fluid resuscitation during massive intraoperative bleeding has persisted for a long time. Both approaches have been associated with side effects that impact patient morbidity and mortality. Despite the fact that there have been extensive studies on fluid and hemodynamic optimization, results remain inconsistent due to the varying definitions of \"restrictive\" and \"liberal\" fluid management and the differing monitoring protocols across studies. The present study describes a case of a 28-year-old woman in her third pregnancy who was scheduled to undergo a cesarean section and hysterectomy due to placenta accreta. The patient experienced significant intraoperative bleeding, prompting the administration of substantial intravenous fluids and blood products to maintain hemodynamic stability. She was closely monitored for signs of fluid overload. The resuscitation efforts proved successful, and the patient was discharged without complications.","PeriodicalId":12415,"journal":{"name":"Folia medica","volume":"67 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143996022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Anatomical variation of the superficial branch of the radial nerve and brachioradialis tendon: a case report with embryological and clinical insights. 桡神经浅支和肱桡肌肌腱的解剖变异：一例具有胚胎学和临床见解的报告。

Folia medica Pub Date : 2025-02-26 DOI: 10.3897/folmed.67.e134607

Anand Verma, Seema Singh, Dibakar Borthakur, Harisha Kusuma

引用次数: 0

Evaluating perceived advantages and funding needs to enhance emergency medical services: insights from patients and staff. 评估加强紧急医疗服务的感知优势和资金需求：来自患者和工作人员的见解。

Folia medica Pub Date : 2025-02-26 DOI: 10.3897/folmed.67.e142943

Valentin Dimitrov, Diana Pantileeva Dimitrova, Alexandrina Vodenicharova, Samir Dzhafer, Jannis Papathanasiou, Nigyar Dzhafer

引用次数: 0

Treatment of chronic refractory coccydynia with peripheral nerve field stimulation: a novel case. 外周神经野刺激治疗慢性难治性尾骨痛一例。

Folia medica Pub Date : 2025-02-26 DOI: 10.3897/folmed.67.e127238

George Tokas, Ioannis Mavridis, Theodossios Birbilis

{"title":"Treatment of chronic refractory coccydynia with peripheral nerve field stimulation: a novel case.","authors":"George Tokas, Ioannis Mavridis, Theodossios Birbilis","doi":"10.3897/folmed.67.e127238","DOIUrl":"https://doi.org/10.3897/folmed.67.e127238","url":null,"abstract":"Coccydynia or coccyx pain is a rare form of low back pain located below the sacrum and above the anus. The causes of this condition vary, including previous trauma, underlying conditions (such as infection or neoplasm), and idiopathic causes. Our purpose was to describe the successful treatment of chronic refractory coccydynia with the application of sacral area neuromodulation. A 54-year-old female patient had a 9-year history of chronic drug-resistant coccydynia associated with low back pain and right-sided sciatica. Her clinical examination revealed bilateral pain on palpation of the sacroiliac joint areas. Following a successful trial, the patient underwent implantation of a peripheral nerve field stimulation (PNFS) system under local anesthesia. The electrodes were placed bilaterally at the sacroiliac joint area (S1-S2 level), which was the optimal position at the site of maximal pain, and the implantable pulse generator was placed in a subcutaneous pocket at the right gluteal area. She showed significant pain relief immediately postoperatively, became pain-free a few days later, and remained pain-free at 6-month follow-up. Data regarding neuromodulation, and particularly PNFS, as a treatment for coccydynia and other non-specified kinds of low back pain are still limited. Our case is therefore useful to depict this minimally invasive technique as a modern option in the armamentarium of specialists who treat patients suffering from chronic refractory pain syndromes. PNFS seems to be a promising therapeutic option for chronic refractory coccydynia and larger studies are necessary to confirm the value of this finding.","PeriodicalId":12415,"journal":{"name":"Folia medica","volume":"67 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143977767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Adrenocortical carcinoma with dual androgen and cortisol secretion. 肾上腺皮质癌伴雄激素和皮质醇双重分泌。

Folia medica Pub Date : 2025-02-26 DOI: 10.3897/folmed.67.e130505

Areti Kalfoutzou, Pantelis Petroulakis, Adam Mylonakis, Asimina Restemi, Nikolaos Chaleplidis, Eleni Anagnou, Georgios Tsikalakis, Margaritis Tsantopoulos, Eleni Mostratou

引用次数: 0

Enhanced methods fulfilling early discharge criteria for total hip and knee arthroplasty patients. 增强方法满足全髋关节和膝关节置换术患者早期出院标准。

Folia medica Pub Date : 2025-02-25 DOI: 10.3897/folmed.67.e140079

Ioannis Kougioumtzis, Efthymios Iliopoulos, Stylianos Tottas, Konstantinos Tilkeridis, Athanasios Ververidis, Georgios Drosos

引用次数: 0

The recurrent laryngeal nerve and extralaryngeal branches in relation to the inferior thyroid artery, Berry's ligament, tracheal groove, and Zuckerkandl tubercle: an experience of 60 thyroidectomies. 喉返神经和喉外分支与甲状腺下动脉、Berry韧带、气管沟和Zuckerkandl结节的关系：60例甲状腺切除术的经验。

Folia medica Pub Date : 2025-02-25 DOI: 10.3897/folmed.67.e142497

Zoi Nitsa, Marianna Mpolianidou, Stelios Faltsetas, Michael Katsamakas

引用次数: 0

The effect of the presence of Hashimoto's thyroiditis on the frequency of papillary thyroid carcinoma subtypes. 桥本甲状腺炎对甲状腺乳头状癌亚型发生频率的影响。

Folia medica Pub Date : 2025-02-25 DOI: 10.3897/folmed.67.e138135

Zekiye Büşra Şahin, Zeynel Abidin Sayiner, Ersin Akarsu