Case studies in surgery最新文献_第2页

Traumatic tension pneumothorax caused by Sylvester Palm frond 西尔维斯特棕榈叶引起的创伤性紧张性气胸

Case studies in surgery Pub Date : 2019-04-23 DOI: 10.5430/CSS.V5N1P24

H. Zhoba, Wesley B. Vanderlan

引用次数: 0

Bilateral Preiser’s disease in a patient with hypercoagulability 高凝患者双侧Preiser病1例

Case studies in surgery Pub Date : 2019-04-15 DOI: 10.5430/CSS.V5N1P20

J. McMurtry, J. Frankenhoff

引用次数: 0

The complications associated with guidewire use in spine surgeries involving pedicle screw placement: A comprehensive literature review 椎弓根螺钉置入脊柱手术中使用导丝的并发症:综合文献综述

Case studies in surgery Pub Date : 2018-12-06 DOI: 10.5430/CSS.V5N1P14

J. Pracyk, N. Ferko, Adrian P Turner, Sara N. Root, Heather Cannon, M. Erb, Ann M. Menzie

{"title":"The complications associated with guidewire use in spine surgeries involving pedicle screw placement: A comprehensive literature review","authors":"J. Pracyk, N. Ferko, Adrian P Turner, Sara N. Root, Heather Cannon, M. Erb, Ann M. Menzie","doi":"10.5430/CSS.V5N1P14","DOIUrl":"https://doi.org/10.5430/CSS.V5N1P14","url":null,"abstract":"Guidewires (Kirschner or “K” wires) are often required during minimally invasive spine surgery to facilitate percutaneous pedicle screw placement. The use of guidewires involves a multi-step process that carries the risk of complications and their associated consequences. To date, the reporting of such information has been limited, and the literature has not been thoroughly evaluated. The objective of this study was to conduct a narrative review and assess the burden associated with guidewire use in spine surgeries. Databases searched included PubMed and Embase between the years of 1988 and 2017. In addition to databases, recent data from relevant trade journals were hand-searched. Inclusion criteria were broad to avoid potential exclusion of relevant publications. In total, 31 articles were included. This review found that the risk of complications associated with guidewire use in spine procedures ranged from 0.4% to 14.8%. Complication types included guidewire fracture, cerebrospinal fluid leakage, post-operative ileus, infection, and other spinal hardware failure (e.g., pedicle screw pull-out). Causes of complications typically included breakage and migration of the guidewire (metal fatigue), inexperience with guidewire use, or lack of tactile or visual feedback. Specific surgery types or patient populations may be more susceptible to guidewire-related complications (e.g., L5-S1 level operations). Complications associated with guidewire use may also lead to healthcare resource utilization, including additional operating time, radiation exposure, and re-operations. Solutions to help minimize the risk of such complications and associated consequences are required.","PeriodicalId":91667,"journal":{"name":"Case studies in surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/CSS.V5N1P14","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44149640","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: 1

Necrotizing fasciitis: A review of three clinical encounters 坏死性筋膜炎:三个临床遭遇的回顾

Case studies in surgery Pub Date : 2018-11-28 DOI: 10.5430/CSS.V5N1P5

J. Pettis, Neelam J. Mulji, F. Navarro

{"title":"Necrotizing fasciitis: A review of three clinical encounters","authors":"J. Pettis, Neelam J. Mulji, F. Navarro","doi":"10.5430/CSS.V5N1P5","DOIUrl":"https://doi.org/10.5430/CSS.V5N1P5","url":null,"abstract":"Background: Necrotizing fasciitis is a potentially lethal soft tissue infection characterized by rampant necrosis and destruction of subcutaneous tissues. Current estimates of necrotizing soft tissue infections in the United States are 4.3 infections per 100,000 of the population. Although the incidence of necrotizing soft tissue infections has decreased in the last decade, the toxic and lethal nature of the disease process lends utmost importance to accurate diagnosis and immediate management. The purpose of this review article is to report three cases of necrotizing fasciitis and provide literature review in regards to hallmark characteristics, predisposing risk factors and treatment optimization.Case: The first case depicts a newly diagnosed 43-year-old male HIV patient with necrotizing fasciitis infection characterized by Klebsiella, Serratia and anaerobic bacteria cultures. The second case describes the course of a 71-year-old male diagnosed with necrotizing fasciitis in the setting of a complicated anal fistula characterized by B. fragilis, S. anginosus and Prevotella species. The third and final case describes the course of a 44-year-old female diagnosed with necrotizing fasciitis in the setting of Ludwig’s Angina characterized by Klebsiella and Dubliensis species. Treatment was initiated with extensive wound debridement, multiple washouts and broad antibiotic regimens in all three cases. Additional hyperbaric oxygen therapy was administered in the third case.Conclusions: These case reports illustrate the range of severity and settings in which necrotizing fasciitis can occur. Significant morbidity and mortality rates are associated with a delay in treatment initiation. Given this, it is of utmost importance to develop and maintain a high clinical acumen for necrotizing soft tissue infections.","PeriodicalId":91667,"journal":{"name":"Case studies in surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/CSS.V5N1P5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48839332","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: 1

A rare complication of Port-A-Catheter fracture A口导管骨折的罕见并发症

Case studies in surgery Pub Date : 2018-10-22 DOI: 10.5430/CSS.V5N1P1

A. Milyani, S. Al-Harbi, Nasser Bustanji, W. Asaad, A. Al-Agha

引用次数: 0

Dermatofibrosarcoma protuberans of the breast: A rare diagnosis requiring aggressive initial surgical therapy 乳腺隆起性皮肤纤维肉瘤：一种罕见的诊断，需要积极的初步手术治疗

Case studies in surgery Pub Date : 2018-09-17 DOI: 10.5430/CSS.V4N2P25

N. Sookar, J. Bisnath, Jameel Ali

引用次数: 0

Residual cholesteatoma of the mastoid cavity presenting with radiologic signal of a cholesterol granuloma: A case report 乳突腔残留胆脂瘤伴胆固醇肉芽肿的影像学信号1例

Case studies in surgery Pub Date : 2018-09-03 DOI: 10.5430/CSS.V4N2P21

M. Isabel, J. Chénard, M. Aron

{"title":"Residual cholesteatoma of the mastoid cavity presenting with radiologic signal of a cholesterol granuloma: A case report","authors":"M. Isabel, J. Chénard, M. Aron","doi":"10.5430/CSS.V4N2P21","DOIUrl":"https://doi.org/10.5430/CSS.V4N2P21","url":null,"abstract":"Introduction: Cholesteatoma and cholesterol granuloma can both occur in the temporal bone. Their distinct magnetic resonance imaging (MRI) signals are generally used to help differentiate one from the other to plan appropriate treatment, which differs based on the pathology.Case presentation: We present a patient with recent-onset facial paralysis whose mastoid cavity was filled with tissue radiologically resembling cholesterol granuloma but that turned out to be cholesteatoma upon surgical exploration. Complete disease extirpation was thus completed rather than simple marsupialization, the latter of which would have been sufficient in the case of cholesterol granuloma.Discussion: Cholesteatoma, although usually hypointense on T1-weighted imaging (T1WI) MRI, hyperintense on T2-weighted imaging (T2WI) MRI and showing diffusion restriction on diffusion-weighted imaging can occasionally present with an atypical MRI signal, for example, one suggestive of cholesterol granuloma.Conclusions: The clinician should keep in mind the possible diagnosis of cholesteatoma despite an atypical MRI signal in the temporal bone.","PeriodicalId":91667,"journal":{"name":"Case studies in surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/CSS.V4N2P21","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49562748","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

Improvement of pulmonary dysfunction in patients with severe adult spinal deformity after corrective spinal fusion surgery 矫正脊柱融合术后严重成人脊柱畸形患者肺功能障碍的改善

Case studies in surgery Pub Date : 2018-08-13 DOI: 10.5430/CSS.V4N2P15

Yuki Mihara, T. Hasegawa, Yu Yamato, G. Yoshida, Sho Kobayashi, Tatsuya Yasuda, T. Banno, H. Arima, Shin Oe, Hiroki Ushirozako, Tomohiro Yamada, D. Togawa, Y. Matsuyama

{"title":"Improvement of pulmonary dysfunction in patients with severe adult spinal deformity after corrective spinal fusion surgery","authors":"Yuki Mihara, T. Hasegawa, Yu Yamato, G. Yoshida, Sho Kobayashi, Tatsuya Yasuda, T. Banno, H. Arima, Shin Oe, Hiroki Ushirozako, Tomohiro Yamada, D. Togawa, Y. Matsuyama","doi":"10.5430/CSS.V4N2P15","DOIUrl":"https://doi.org/10.5430/CSS.V4N2P15","url":null,"abstract":"In some cases of adolescent idiopathic scoliosis, corrective surgery can improve pulmonary function. However, the effectiveness of corrective surgery in improving pulmonary function in adult spinal deformity (ASD) has not been reported. Therefore, the purpose of our study was to investigate the recovery of pulmonary function after corrective fusion surgery in 4 patients with severe ASD and associated pulmonary dysfunction. The first patient was a 42-year-old woman with spondylo-epiphyseal dysplasia, whose main presenting complaint was dyspnea. As a result of her respiratory dysfunction, associated with her severe spinal deformity, she required Home Oxygen Therapy (HOT). Prior to surgery, her %vital capacity (VC) was 25%, with a kyphosis angle of 170°. The second patient was a 55-year-old woman with a history of acromegaly, who presented with low back pain. Prior to surgery, she had a %VC of 48% and a Cobb angle of 85°. The third patient was a 59-year-old woman with adolescent idiopathic scoliosis, which had been previously treated, and who was now experiencing increasing low back pain. Prior to surgery, she had a %VC of 58% and a Cobb angle of 87°. The fourth patient was a 60-year-old man, with a history of tuberculous spine, who presented with low back pain. Prior to surgery, his %VC of 75% and Cobb angle of 100°. Pulmonary function improved after corrective fusion surgery in all cases. Halo traction with respiratory rehabilitation should be recommended before corrective spinal fusion surgery for patients with severe ASD and pulmonary dysfunction.","PeriodicalId":91667,"journal":{"name":"Case studies in surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/CSS.V4N2P15","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46855987","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

Peroneal nerve palsy caused by a synovial cyst of the proximal tibiofibular joint: A case report 胫腓关节近端滑膜囊肿引起腓神经麻痹1例

Case studies in surgery Pub Date : 2018-08-06 DOI: 10.5430/CSS.V4N2P11

Swantje Kruspi, M. Dietrich

引用次数: 3

An incidental finding of pneumatosis intestinalis: Conservative management without oxygen therapy 肠道积气的一个偶然发现：在没有氧气治疗的情况下保守治疗

Case studies in surgery Pub Date : 2018-08-01 DOI: 10.5430/CSS.V4N2P6

Ranjeet Kalsi, B. Raymond, Pablo Giuseppucci, Christopher Esper

{"title":"An incidental finding of pneumatosis intestinalis: Conservative management without oxygen therapy","authors":"Ranjeet Kalsi, B. Raymond, Pablo Giuseppucci, Christopher Esper","doi":"10.5430/CSS.V4N2P6","DOIUrl":"https://doi.org/10.5430/CSS.V4N2P6","url":null,"abstract":"Pneumatosis intestinalis can be identified radiographically incidentally in an asymptomatic patient, or it may be present in its fulminant form with peritonitis. Although multiple mechanisms have been postulated, most believe it arises from mechanical or infectious factors. Respiratory factors have also been described as possible causes for this condition. Clinically, it is important to differentiate among patients whom require surgical intervention from those who would benefit from conservative management, such as hyperbaric oxygen, changes in diet, and/or antibiotic administration. Although supplemental oxygen has become the standard of care for the treatment of benign pneumatosis intestinalis, we question whether all patients require oxygen therapy as a treatment. Although oxygen may be beneficial, the literature suggests there may be detrimental effects from oxygen toxicity and the free radicals formed during hyper-oxygenation. Furthermore, given the rising epidemic of antibiotic resistance and the various toxicities associated with usage of antibiotics, do all patients really require antibiotics? We present a case of a patient with complaints of hematuria, but no other gross abdominal complaints and was incidentally found to have pneumatosis intestinalis and pneumoperitoneum without any evidence of vascular compromise or ischemia. This patient was managed successfully with conservative treatment without oxygen therapy or antibiotics.","PeriodicalId":91667,"journal":{"name":"Case studies in surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/CSS.V4N2P6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49474182","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