Mayara De Cassia Cunha Cheade, Alan Grupioni Lourenço, Plauto Christopher, A. Watanabe
{"title":"Correlation between the Bone Densities Jaws and Cervical Spine through the HU Scale Measured in Multislice Computed Tomography: Opportunistic Screening for Osteoporosis","authors":"Mayara De Cassia Cunha Cheade, Alan Grupioni Lourenço, Plauto Christopher, A. Watanabe","doi":"10.22259/2639-3611.0202003","DOIUrl":"https://doi.org/10.22259/2639-3611.0202003","url":null,"abstract":"Osteoporosis is a skeletal disease characterized by low bone mass, deterioration of the bone structure and an increased risk of fracture that also affects the bones of the jaws. Causes an increase in porosity that reflects the integration of quality and bone mineral density, hindering rehabilitation treatment with implants. Cervical osteoporosis affects the spinal vertebrae bones of the neck in particular the vertebrae bodies which form the spinal column. Your cervical vertebrae surround the spinal cord to protect it from damage. Cervical osteoporosis is a silent and gradual condition that emits no symptoms. The gold standard diagnostic tool is bone densitometry by dual energy x-ray absorptiometry (DXA), but the computed tomography (CT) also proves very effective in assessing bone quality through Hounsfield unit (HU). In this study, we evaluated the bone density of mandibular heads, regions of the teeth 13, 23, 36 and 46 and cervical vertebrae C1, C2 and C3, through Hounsfield scale CT scans, and correlated their values for diagnosis for possible evaluation of osteoporosis. We evaluated multi-slice CTs of patients who underwent both examinations of the maxilla and mandible. We use software to analyze and Efilm-investigated regions. The results show that the bone densities of the cervical spine (C1 and C3) were positively correlated with the mandibular heads (r = 0.2246, Pearson correlation coefficient), posterior region of the mandible (r = 0.2348,) and correlation with the anterior region of the maxilla (r = 0.40). Therefore we can conclude that there is a positive correlation between the cervical vertebrae and buccal sites, but this correlation is weak. Being that we found a moderate correlation of the cervical vertebrae with the anterior region of the maxilla was finded.","PeriodicalId":90668,"journal":{"name":"Open journal of cardiovascular surgery","volume":"45 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76490396","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}
Olga Caridad Leon Gonzalez, Pedro Rolando Lopez Rodriguez, Luis Manuel Danta Fundora, Jorge Agustin Satorre Rocha, Eduardo Garcia Castillo, Lais Angelica Ceruto Ortiz
{"title":"Repair of Inguinal Hernias by Laparascopy","authors":"Olga Caridad Leon Gonzalez, Pedro Rolando Lopez Rodriguez, Luis Manuel Danta Fundora, Jorge Agustin Satorre Rocha, Eduardo Garcia Castillo, Lais Angelica Ceruto Ortiz","doi":"10.22259/2639-3611.0202001","DOIUrl":"https://doi.org/10.22259/2639-3611.0202001","url":null,"abstract":"Introduction: a series of 78 laparoscopic hernioplasties performed in the General Teaching Hospital “Enrique Cabrera”. Objective: to determine perioperative events, surgical complications and the evaluation of the pain referred by the operated patients. Methods: between January 2012 and December 2018, 78 hernioplasties were performed laparoscopic in 60 patients; 18 had bilateral inguinal hernias. He collected the variables: age, sex, type of hernia, perioperative events and complications, and a pain scale was applied. A database was filled andprocessed statistically. Results: the male sex predominated in a 5:1 ratio, the surgical time average was 53.5 minutes for unilateral hernias and 71.3 minutes for the bilateral ones. The most frequent complication in the transoperative period was bleeding lower in 27.0%, and in the postoperative period the hematoma was in 15.3%, it recurred two hernias (2.5%). At 15 days after surgery, 93.3% of the operated did not complain of pain, but the social and labor reintegration was of only 34% of patients. Conclusions: laparoscopic inguinal hernioplasty is a therapeutic option more, mainly in patients with bilateral and reproduced hernias.","PeriodicalId":90668,"journal":{"name":"Open journal of cardiovascular surgery","volume":"92 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79984593","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}
Justine Mafalda Ravaux, Thami Guennaoui, Christian Mélot, Peter Schraverus
{"title":"Bilateral Internal Mammary Artery Bypass Grafting: Sternal Wound Infection in High-Risk Population. Should Sternal Infection Scare Us?","authors":"Justine Mafalda Ravaux, Thami Guennaoui, Christian Mélot, Peter Schraverus","doi":"10.1177/1179065218789375","DOIUrl":"https://doi.org/10.1177/1179065218789375","url":null,"abstract":"<p><strong>Background: </strong>Bilateral internal mammary arteries (BIMAs) remain underused in coronary artery bypass grafting (CABG), especially in elderly, diabetic, and obese patients. This study investigated incidence of sternal wound infection (SWI), sternal instability (SI), and reintervention for bleeding (RIB) in this high-risk population.</p><p><strong>Methods: </strong>A single-center retrospective observational study was performed in \"Grand Hôpital de Charleroi, Gilly, Belgium.\" A total of 319 patients undergoing CABG from December 2011 to December 2015 were included. Three main outcome measures (SWI, SI, and RIB) were investigated in obese vs nonobese, diabetic vs nondiabetic, and elderly vs younger patients.</p><p><strong>Results: </strong>In all, 14 SWI, 11 SI, and 6 RIB were discounted. Death rate was as follows: SWI: 2/14 vs 17/305 (<i>P</i> = .178), SI: 2/11 vs 17/308 (<i>P</i> = .081), and RIB: 2/6 vs 17/313 (<i>P</i> = .004). In obese (n = 113) vs nonobese (n = 206) patients, there was no difference for SWI (<i>P</i> = .263), SI (<i>P</i> = .565), and RIB (<i>P</i> = .332). In diabetic (n = 118) vs nondiabetic (n = 201) patients, there was no difference for SWI (<i>P</i> = .642), SI (<i>P</i> = .497), and RIB (<i>P</i> = .298). In elderly (n = 62) vs younger (n = 257) patients, there was no difference for SWI (<i>P</i> = .619), SI (<i>P</i> = .915), and RIB (<i>P</i> = .385).</p><p><strong>Conclusions: </strong>Obesity, age, and diabetes treated by insulin (or not) do not seem to be risk factors for developing SWI, SI, or RIB in patients receiving a CABG using BIMA. Nevertheless, mortality was higher in RIB group.</p>","PeriodicalId":90668,"journal":{"name":"Open journal of cardiovascular surgery","volume":"10 ","pages":"1179065218789375"},"PeriodicalIF":0.0,"publicationDate":"2018-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1179065218789375","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36344976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Surgical Case of Venous Aneurysm of the Cephalic Vein with Unique Clinicopathological Findings for Venous Dissection: A Possible New Entity.","authors":"Takashi Kobata, Sohsuke Yamada, Ken-Ichi Mizutani, Nozomu Kurose, Sho Takagi, Yuichiro Machida, Tsugiyasu Kanda","doi":"10.1177/1179065218785126","DOIUrl":"https://doi.org/10.1177/1179065218785126","url":null,"abstract":"<p><p>We presented an extremely rare case of a 38-year-old female's venous aneurysm of left cephalic vein with unique histopathological features, displaying variably thinned medial wall with focal, markedly reduced or absent smooth muscle cells and elastic fibers, most likely leading to the venous dissection with an intimal tear and many medial blood-filled vascular channels. We propose that those venous dissection-like findings would be a new feature especially from the clinicopathological viewpoints and might be considered in the classification of venous aneurysm. Further prospective studies are needed to validate the presence and significance of venous dissecting aneurysm as a new histopathological entity, after collecting and investigating a larger number of venous aneurysm cases examined. This short report could interest the scientific community, taken together with potentially specific findings of new entity, venous dissecting aneurysm.</p>","PeriodicalId":90668,"journal":{"name":"Open journal of cardiovascular surgery","volume":"10 ","pages":"1179065218785126"},"PeriodicalIF":0.0,"publicationDate":"2018-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1179065218785126","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36382426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jérémy Bardet, Dominique Fabre, Philippe Brenot, Claire Watkins, Elie Fadel
{"title":"Kissing Stents for Superior Vena Cava Syndrome Due to Mediastinal Fibrosis.","authors":"Jérémy Bardet, Dominique Fabre, Philippe Brenot, Claire Watkins, Elie Fadel","doi":"10.1177/1179065218771900","DOIUrl":"https://doi.org/10.1177/1179065218771900","url":null,"abstract":"<p><strong>Purpose: </strong>To report the endovascular reconstruction of the superior vena cava (SVC), innominate and internal jugular veins following stenosis due to mediastinal fibrosis.</p><p><strong>Case report: </strong>A 36-year-old female with mediastinal fibrosis was referred for symptomatic SVC syndrome (SVCS). A covered stent was inserted in the SVC with 2 kissing stents in the innominate and jugular veins via anterograde right femoral vein access with sandwich technique. She exhibited near-immediate relief of debilitating symptoms. Computed tomographic scan demonstrated patent vessels at 1 year.</p><p><strong>Conclusions: </strong>Extensive endovascular venous reconstruction is an effective treatment for SVCS due to mediastinal fibrosis.</p>","PeriodicalId":90668,"journal":{"name":"Open journal of cardiovascular surgery","volume":"10 ","pages":"1179065218771900"},"PeriodicalIF":0.0,"publicationDate":"2018-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1179065218771900","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36197275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abdulaziz A Sadeq, Nasser A Abdelall, Mohammad AlGhadhban, Farah Z Al-Kilani
{"title":"Laparoscopic Repair of Intersigmoid Hernia: A Case Report","authors":"Abdulaziz A Sadeq, Nasser A Abdelall, Mohammad AlGhadhban, Farah Z Al-Kilani","doi":"10.22259/2639-3611.0102007","DOIUrl":"https://doi.org/10.22259/2639-3611.0102007","url":null,"abstract":"","PeriodicalId":90668,"journal":{"name":"Open journal of cardiovascular surgery","volume":"51 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76553070","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}
{"title":"Intimate Findings Post Abdominoplasty","authors":"O. Jorge","doi":"10.22259/2639-3611.0101002","DOIUrl":"https://doi.org/10.22259/2639-3611.0101002","url":null,"abstract":"After an Abdominoplasty, regardless of aesthetic changes to reduce significantly all abdominal diameters, remove the grease of abdominal flanks, molding them, how to delineate and decrease the diameter of the waist, it also presents important physiological alterations since the physiological changes are evident in the process of post-surgical evolution that are not commented on by the patient.","PeriodicalId":90668,"journal":{"name":"Open journal of cardiovascular surgery","volume":"45 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88192089","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}
Muhammad Tayyab Shera, Syeda Sana Samar, Syed Ijlal Ahmed, Syeda Beenish Bareeqa, Zain Ali Sattar
{"title":"Impact of Cataract Surgery in Restoration of Vision among Patients with Poor Pre-Operative Vision; A Tertiary Care Experience from Developing Country","authors":"Muhammad Tayyab Shera, Syeda Sana Samar, Syed Ijlal Ahmed, Syeda Beenish Bareeqa, Zain Ali Sattar","doi":"10.22259/2639-3611.0101003","DOIUrl":"https://doi.org/10.22259/2639-3611.0101003","url":null,"abstract":"","PeriodicalId":90668,"journal":{"name":"Open journal of cardiovascular surgery","volume":"17 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72446782","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}