Mis20070904為恭紀念醫院
•Download as PPT, PDF•
1 like•1,543 views
1) Minimally invasive surgery techniques are becoming more common in pediatric surgery, including laparoscopic and thoracoscopic procedures for conditions like appendicitis, hernia repair, and pectus excavatum. 2) Some advantages of minimally invasive pediatric surgeries include less pain and scarring for patients, shorter hospital stays, and preservation of tissue and organs where possible. 3) New techniques discussed include single-incision laparoscopic appendectomy, submucosal injection of Deflux for vesicoureteric reflux, and the Nuss procedure using a metal bar for funnel chest repair instead of open cartilage removal.
Report
Share
Report
Share
Recommended
Congenital pseudarthrosis of tibia (CVT)
Congenital pseudarthrosis of the tibia is a rare bone condition where the tibia fails to heal after fractures. It most commonly occurs in children under 2 years old and has been associated with neurofibromatosis type 1. Surgical treatment aims to achieve bone union, prevent re-fracture, correct limb length inequality and ankle deformities. Common procedures include intramedullary nailing, vascularized fibular grafting, external fixation, and the use of bone morphogenetic proteins. Complications can include ankle stiffness, re-fracture, valgus ankle deformity, and tibial shortening. The goal of treatment is to obtain long-term bone healing and functional restoration of the
Developmental dysplasia of the hip (DDH)
Developmental dysplasia of the hip (DDH) is a spectrum of hip abnormalities that develop prenatally or in infancy. Risk factors include female gender, first born status, breech positioning, and family history. Diagnosis involves physical exam maneuvers like the Ortolani and Barlow tests as well as ultrasound or radiography. Treatment depends on age and severity, ranging from Pavlik harness for mild cases to closed or open reduction and casting for more severe cases. Surgical treatment aims to reduce the hip in a concentric and stable position but carries risks of osteonecrosis, nerve injury, and failure of reduction.
Complications after THR
1. Common complications of hip replacement surgery include dislocation (1-2%), nerve injury (1-2% for primary, 3-4% for revision, 5-6% for developmental dysplasia of the hip), infection (<1%), pulmonary embolism (fatal in 0.1-0.5% without prophylaxis), and heterotopic ossification.
2. Risk factors for complications include component malposition, soft tissue imbalance, central nervous system disorders affecting gait and balance, and peripheral nerve or muscle disorders.
3. Long term complications include aseptic loosening due to osteolysis from histiocytic response to wear debris, pseudotumors from metal-on-metal
Rotator cuff disorders, bicipital tendinopathies
The presentation includes new insight to rotator cuff anatomy, rotator cable, concept of force couple, different classifications of rotator cuff tear, signs and symptoms, special tests, non operative and operative management of rotator cuff tear, comparison of recent surgical modalities, management of irreparable cuff tears, post operative rehabilitation protocols, SLAP lesion, Parsonage Turner Syndrome
Neck Of femur fracture.pptx
- Fractures of the femoral neck are common and serious injuries that are increasing in incidence. They can occur from low or high-energy mechanisms.
- Treatment depends on patient age and fracture characteristics. Younger patients generally undergo open reduction and internal fixation while elderly patients may be treated with hemiarthroplasty or total hip arthroplasty.
- Factors like time to surgery, quality of reduction, and implant positioning influence outcomes like avascular necrosis and nonunion. Special considerations exist for stress fractures and nonunions.
Scaphoid non union- by Hussain Algawahmed
In this presentation, we review the current evidence of scaphoid fracture non union based on a book review of the current evidence. Options such as vascularized vs traditional bone grafting are discussed
Scaphoid fractures
The document discusses scaphoid fractures, which constitute 60-70% of carpal bone fractures. The scaphoid is important for wrist mechanics and links the proximal and distal carpal rows. Scaphoid fractures are often caused by falls on an outstretched hand and result from compression or bending forces. Diagnosis involves history, clinical exam including provocative tests, and imaging like x-rays, CT, MRI. Treatment depends on fracture displacement and chronicity, ranging from cast immobilization to surgical fixation with screws or plates. Complications include non-union, malunion, and avascular necrosis.
Scaphoid journal
This document summarizes a study on the use of an adjustable plate for treating nonunion fractures of the scaphoid bone. 11 patients were treated using a 3D titanium plate fixed with screws to stabilize the scaphoid fragments. The bone defect was filled with bone graft. All fractures united within 4 months on average. Patients reported improved symptoms and function, with most regaining full wrist mobility. The plate provides stable fixation and minimal impingement for scaphoid fracture healing.
Recommended
Congenital pseudarthrosis of tibia (CVT)
Congenital pseudarthrosis of the tibia is a rare bone condition where the tibia fails to heal after fractures. It most commonly occurs in children under 2 years old and has been associated with neurofibromatosis type 1. Surgical treatment aims to achieve bone union, prevent re-fracture, correct limb length inequality and ankle deformities. Common procedures include intramedullary nailing, vascularized fibular grafting, external fixation, and the use of bone morphogenetic proteins. Complications can include ankle stiffness, re-fracture, valgus ankle deformity, and tibial shortening. The goal of treatment is to obtain long-term bone healing and functional restoration of the
Developmental dysplasia of the hip (DDH)
Developmental dysplasia of the hip (DDH) is a spectrum of hip abnormalities that develop prenatally or in infancy. Risk factors include female gender, first born status, breech positioning, and family history. Diagnosis involves physical exam maneuvers like the Ortolani and Barlow tests as well as ultrasound or radiography. Treatment depends on age and severity, ranging from Pavlik harness for mild cases to closed or open reduction and casting for more severe cases. Surgical treatment aims to reduce the hip in a concentric and stable position but carries risks of osteonecrosis, nerve injury, and failure of reduction.
Complications after THR
1. Common complications of hip replacement surgery include dislocation (1-2%), nerve injury (1-2% for primary, 3-4% for revision, 5-6% for developmental dysplasia of the hip), infection (<1%), pulmonary embolism (fatal in 0.1-0.5% without prophylaxis), and heterotopic ossification.
2. Risk factors for complications include component malposition, soft tissue imbalance, central nervous system disorders affecting gait and balance, and peripheral nerve or muscle disorders.
3. Long term complications include aseptic loosening due to osteolysis from histiocytic response to wear debris, pseudotumors from metal-on-metal
Rotator cuff disorders, bicipital tendinopathies
The presentation includes new insight to rotator cuff anatomy, rotator cable, concept of force couple, different classifications of rotator cuff tear, signs and symptoms, special tests, non operative and operative management of rotator cuff tear, comparison of recent surgical modalities, management of irreparable cuff tears, post operative rehabilitation protocols, SLAP lesion, Parsonage Turner Syndrome
Neck Of femur fracture.pptx
- Fractures of the femoral neck are common and serious injuries that are increasing in incidence. They can occur from low or high-energy mechanisms.
- Treatment depends on patient age and fracture characteristics. Younger patients generally undergo open reduction and internal fixation while elderly patients may be treated with hemiarthroplasty or total hip arthroplasty.
- Factors like time to surgery, quality of reduction, and implant positioning influence outcomes like avascular necrosis and nonunion. Special considerations exist for stress fractures and nonunions.
Scaphoid non union- by Hussain Algawahmed
In this presentation, we review the current evidence of scaphoid fracture non union based on a book review of the current evidence. Options such as vascularized vs traditional bone grafting are discussed
Scaphoid fractures
The document discusses scaphoid fractures, which constitute 60-70% of carpal bone fractures. The scaphoid is important for wrist mechanics and links the proximal and distal carpal rows. Scaphoid fractures are often caused by falls on an outstretched hand and result from compression or bending forces. Diagnosis involves history, clinical exam including provocative tests, and imaging like x-rays, CT, MRI. Treatment depends on fracture displacement and chronicity, ranging from cast immobilization to surgical fixation with screws or plates. Complications include non-union, malunion, and avascular necrosis.
Scaphoid journal
This document summarizes a study on the use of an adjustable plate for treating nonunion fractures of the scaphoid bone. 11 patients were treated using a 3D titanium plate fixed with screws to stabilize the scaphoid fragments. The bone defect was filled with bone graft. All fractures united within 4 months on average. Patients reported improved symptoms and function, with most regaining full wrist mobility. The plate provides stable fixation and minimal impingement for scaphoid fracture healing.
Operative Management of Achilles Tendon Disorders
This document summarizes the operative management of Achilles tendon disorders. It discusses the surgical principles and various pathologic conditions including acute and chronic ruptures, paratenonitis, and tendinosis. For acute ruptures, open repair remains the gold standard but percutaneous repairs are gaining popularity due to smaller wounds and less pain. Chronic ruptures require reconstructive options like V-Y lengthening or tendon transfers depending on the defect size. Paratenonitis is generally treated non-operatively while tendinosis may require resection of degenerated tendon and augmentation. The document emphasizes surgical pearls like avoiding tight closures to prevent hematoma and infection.
Disfunzioni uretro-vescicali dopo sling: quale approccio?
The document discusses voiding dysfunctions after sling surgery for stress urinary incontinence. It notes that voiding dysfunctions occur in 2-20% of patients after various sling procedures. The causes can include excessive tension on the sling, displacement of the sling, or external compression of the urethra. Diagnosis involves evaluating the patient history and symptoms, as well as urodynamics testing and imaging exams. Treatment options include conservative measures like clean intermittent catheterization, or surgical interventions like sling loosening or incision if conservative options fail. Early sling loosening or incision within 2 weeks of surgery appears to effectively resolve voiding dysfunction in many patients without compromising continence.
Scaphoid fracture and hcs
This document discusses scaphoid fractures, including the anatomy and blood supply of the scaphoid bone, mechanisms and epidemiology of scaphoid fractures, methods of diagnosis including x-rays, CT scans and MRI, classification systems, nonunion risks, and management approaches including casting, percutaneous screw fixation, and plate fixation. It focuses on the role of headless compression screw fixation for acute scaphoid fractures and its advantages over casting for earlier return to function and lower nonunion rates. Complications of screw fixation and salvage options for failed screw fixation using a scaphoid plate are also reviewed.
Arthroscopic Meniscus Surgery: Resect or Repair 2014
Meniscal injuries are common; decision to resect or repair is important. Then comes how to repair and what device to choose.
Orthopaedic Trauma - The Basics
This document provides an overview of orthopaedic trauma and fracture management. It defines the golden hour of trauma and describes the ATLS protocol. It discusses the primary and secondary surveys for trauma patients. Key aspects of fracture assessment and basic fracture mechanics are reviewed. The stages of fracture healing and factors affecting healing are outlined. Methods for maintaining fracture reduction both externally (casts, traction, external fixators) and internally (wires, pins, plates, nails, screws) are summarized.
Intraoperative challenges in thr
The document discusses common intraoperative challenges that may occur during total hip replacement surgery and strategies for managing them. It describes how to anticipate and address potential problems with exposure, acetabular component positioning and fixation, femoral fractures, hip stability, and limb length discrepancies. The key is for surgeons to be prepared for likely issues based on a patient's history and anatomy, and to have a thorough understanding of treatment techniques to optimize outcomes when complications arise.
Chirurgia protesica e compartimento posteriore: un connubio possibile?
This document summarizes evidence on surgical treatments for posterior compartment prolapse. It finds that posterior fascial duplication has better objective outcomes than site-specific repair. There is no evidence of benefit from using mesh or biological grafts. While symptoms improve in most patients, elevatormuscle suturing can increase dyspareunia. The transvaginal approach is superior to the transanal approach. Overall, the literature provides no evidence that mesh or biological patches provide any added benefit over traditional non-mesh surgery for posterior compartment prolapse repair.
Arthroscopic treatment of scaphoid fractures & nonunions
This document discusses arthroscopic treatment of scaphoid fractures and nonunions. It notes that scaphoid fractures make up 70% of all carpal fractures, most common in males aged 15-30, and are often sports-related injuries. Nonoperative treatment results in healing within 6-8 weeks for undisplaced fractures, but longer for displaced fractures. Operative treatment is recommended for displaced fractures, fractures over 1mm displaced, fractures over 35 degrees angulated, or fractures with associated soft tissue injuries. Arthroscopically assisted percutaneous fixation allows for direct visualization of fracture reduction and guide wire placement, helping ensure central screw placement which results in better fixation and union rates. This technique is described for both acute
Scaphoid fractures
This document discusses the nonunion of scaphoid fractures, including causes, diagnosis, consequences, and management approaches. It notes that the incidence of scaphoid fracture nonunion ranges from 5-50% depending on studies. Diagnosis involves clinical examination, repeat x-rays, bone scans, and MRI. Consequences include degenerative changes and avascular necrosis. Management depends on fracture stability and can include prolonged immobilization, electrical stimulation, osteosynthesis using K-wires, screws, or plates, bone grafting, and salvage procedures like proximal row carpectomy. The author advocates early surgical fixation and vascularized bone grafting in some cases to improve healing outcomes.
Ortho Journal Club 2 by Dr Saumya Agarwal
Ortho Journal Club 2 by Dr Saumya AgarwalCentral Institute of Orthopaedics, Safdarjang Hospital and VMMC, New Delhi
This document summarizes the technique for arthroscopic osteocapsular arthroplasty of the elbow. The procedure involves reshaping bones, removing loose bodies, and performing a capsulectomy to restore motion, function, and reduce pain. Key steps include preoperative planning with imaging, positioning the patient laterally, limited open ulnar nerve decompression, establishing portals while managing fluid, removing osteophytes and reshaping bones, performing a complete capsulectomy, and closing wounds. The procedure aims to improve visualization and outcomes while minimizing risks like nerve injury through careful technique.Cerebral palsy management
Brief discussion regarding management of physiotherapy, pharmacotherapy, orthosis, principles of orthopedic surgical managements, addressing problems at hip, knee and ankle, soft tissue release procedures, osteotomies, timing of surgery, complications, prognosis, hip at risk signs, birthday syndrome, role of botulinum toxin, upper extremity involvement, contracture release.
Ortho Conference Scaphoid Fracture
The document summarizes an orthopedic case conference discussing a 25-year-old male patient who injured his right wrist when a cabinet fell on it. The patient has a laceration wound on his right wrist with a torn flexor tendon and suspected closed fracture of the scaphoid bone. The conference discusses the epidemiology, anatomy, presentation, imaging, and treatment options for scaphoid fractures. Common treatment approaches include thumb spica casting for stable fractures or open reduction internal fixation surgery for unstable fractures.
RECONSTRUCTION OF EXTENSOR MECHANISM IN TKA
Stavros Alevrogiannis presentation in European Knee Associates (EKA) Closed meeting in Istanbul, Nov 27-28, 2015.
SASH : 101 ways to fix a cruciate by Dr Stephen M. Fearnside
This document discusses the anatomy, biomechanics, pathogenesis, diagnosis and treatment of cranial cruciate ligament disease in dogs. It provides details on the cruciate ligaments and menisci, how injury typically occurs from trauma or degeneration, common clinical signs, and traditional surgical techniques for repair or reconstruction. Current trends focus on techniques that better restore normal joint kinematics, such as intra-articular reconstruction and use of isometric graft placement. Meniscal injury often accompanies cruciate ligament rupture and removal can accelerate osteoarthritis.
PROLASSO E CHIRURGIA FASCIALE - Compartimento posteriore
The document discusses surgical techniques for repairing posterior compartment prolapse, including traditional posterior colporrhaphy, site-specific defect repair, and transanal vs transvaginal approaches. It reviews studies comparing success rates, anatomical outcomes, and rates of dyspareunia, constipation, and other functional outcomes between techniques. Key points emphasized are the importance of levatorplasty for advanced prolapse and aggressive reattachment of the posterior vaginal wall to the uterosacral ligaments for high rectoceles or those with an enterocele.
Limb salvage surgery
This document discusses principles of limb salvage surgery for bone and soft tissue tumors. Key points include defining limb salvage as resection of tumor with acceptable oncological, functional and cosmetic results while preserving the limb. Patient selection, historical background, surgical principles for different tumor stages and sites are covered. Reconstruction options including allografts, prostheses and arthrodesis are summarized for different skeletal defects involving joints, the diaphysis and epiphysis.
Vertebroplasty
1) Vertebroplasty involves injecting PMMA into compressed vertebrae to relieve pain and strengthen bone by increasing load bearing and stiffness.
2) It was first performed in 1984 and widely used in the 1990s in the US to treat painful osteoporotic fractures.
3) Indications include painful new or progressive osteoporotic fractures refractory to medical therapy, after conservative treatment fails, and for certain high risk cases.
4) Clinical outcomes data from observational studies shows moderate to marked pain relief in 75-95% with long term efficacy supported.
Scaphoid fracture and non union
The document discusses scaphoid fractures, including:
- Anatomy of the scaphoid bone and its blood supply.
- Mechanisms of injury typically involve falls on an outstretched hand causing hyperextension and radial deviation of the wrist.
- Classification systems for scaphoid fractures include Russe's, Mayo, Herbert's, and AO.
- Treatment depends on fracture displacement and stability, ranging from cast immobilization for nondisplaced fractures to surgery for displaced or unstable fractures.
Vertebroplasty Grand Rounds
Vertebroplasty is an effective, minimally invasive spine procedure where acrylic bone cement is injected into a painful pathologically compressed vertebral body.
HyProCure Verse Calcaneo-Stop
This document compares the HyProCure device to the Calcaneo-stop device for treating foot disorders. HyProCure is an extra-osseous device that stabilizes the talus bone at the subtalar joint axis without blocking motion, while Calcaneo-stop is an intra-osseous screw that blocks talus motion. HyProCure has advantages of allowing normal motion, lower removal rates, and no reports of bone fractures. In contrast, Calcaneo-stop blocks motion, has removal rates up to 100%, and complications of bone fractures. Studies show HyProCure decreases strain on soft tissues compared to no effect shown for Calcaneo-stop.
Appendix Removal Surgery In Bangalore | Laparoscopic Appendicitis Surgery In ...
The document discusses appendicitis and appendectomy surgery. The appendix is a small tube attached to the large intestine that can become inflamed or infected, causing appendicitis with symptoms like abdominal pain, fever, and digestive issues. An appendectomy is the surgical removal of the inflamed appendix, which can be performed laparoscopically by making small incisions and inserting instruments to examine the appendix and remove it minimally invasively, resulting in a faster recovery than open surgery.
Incidental appendectomy
Incidental appendectomy is the removal of the appendix during another operation when there is no evidence of appendicitis. It may be performed during operations for malrotation to prevent future diagnostic confusion, as well as during hernia repairs and gynecologic or trauma surgeries. While it prevents future appendicitis, it increases operative time and risk of contamination. The appendix can also be useful for urologic reconstruction like ureteral repairs or the Mitrofanoff procedure to create a continent urinary stoma. It is also used in some cases of biliary reconstruction or for a Malone antegrade continence enema procedure to allow bowel evacuation through an abdominal stoma. The decision to remove the appendix
More Related Content
What's hot
Operative Management of Achilles Tendon Disorders
This document summarizes the operative management of Achilles tendon disorders. It discusses the surgical principles and various pathologic conditions including acute and chronic ruptures, paratenonitis, and tendinosis. For acute ruptures, open repair remains the gold standard but percutaneous repairs are gaining popularity due to smaller wounds and less pain. Chronic ruptures require reconstructive options like V-Y lengthening or tendon transfers depending on the defect size. Paratenonitis is generally treated non-operatively while tendinosis may require resection of degenerated tendon and augmentation. The document emphasizes surgical pearls like avoiding tight closures to prevent hematoma and infection.
Disfunzioni uretro-vescicali dopo sling: quale approccio?
The document discusses voiding dysfunctions after sling surgery for stress urinary incontinence. It notes that voiding dysfunctions occur in 2-20% of patients after various sling procedures. The causes can include excessive tension on the sling, displacement of the sling, or external compression of the urethra. Diagnosis involves evaluating the patient history and symptoms, as well as urodynamics testing and imaging exams. Treatment options include conservative measures like clean intermittent catheterization, or surgical interventions like sling loosening or incision if conservative options fail. Early sling loosening or incision within 2 weeks of surgery appears to effectively resolve voiding dysfunction in many patients without compromising continence.
Scaphoid fracture and hcs
This document discusses scaphoid fractures, including the anatomy and blood supply of the scaphoid bone, mechanisms and epidemiology of scaphoid fractures, methods of diagnosis including x-rays, CT scans and MRI, classification systems, nonunion risks, and management approaches including casting, percutaneous screw fixation, and plate fixation. It focuses on the role of headless compression screw fixation for acute scaphoid fractures and its advantages over casting for earlier return to function and lower nonunion rates. Complications of screw fixation and salvage options for failed screw fixation using a scaphoid plate are also reviewed.
Arthroscopic Meniscus Surgery: Resect or Repair 2014
Meniscal injuries are common; decision to resect or repair is important. Then comes how to repair and what device to choose.
Orthopaedic Trauma - The Basics
This document provides an overview of orthopaedic trauma and fracture management. It defines the golden hour of trauma and describes the ATLS protocol. It discusses the primary and secondary surveys for trauma patients. Key aspects of fracture assessment and basic fracture mechanics are reviewed. The stages of fracture healing and factors affecting healing are outlined. Methods for maintaining fracture reduction both externally (casts, traction, external fixators) and internally (wires, pins, plates, nails, screws) are summarized.
Intraoperative challenges in thr
The document discusses common intraoperative challenges that may occur during total hip replacement surgery and strategies for managing them. It describes how to anticipate and address potential problems with exposure, acetabular component positioning and fixation, femoral fractures, hip stability, and limb length discrepancies. The key is for surgeons to be prepared for likely issues based on a patient's history and anatomy, and to have a thorough understanding of treatment techniques to optimize outcomes when complications arise.
Chirurgia protesica e compartimento posteriore: un connubio possibile?
This document summarizes evidence on surgical treatments for posterior compartment prolapse. It finds that posterior fascial duplication has better objective outcomes than site-specific repair. There is no evidence of benefit from using mesh or biological grafts. While symptoms improve in most patients, elevatormuscle suturing can increase dyspareunia. The transvaginal approach is superior to the transanal approach. Overall, the literature provides no evidence that mesh or biological patches provide any added benefit over traditional non-mesh surgery for posterior compartment prolapse repair.
Arthroscopic treatment of scaphoid fractures & nonunions
This document discusses arthroscopic treatment of scaphoid fractures and nonunions. It notes that scaphoid fractures make up 70% of all carpal fractures, most common in males aged 15-30, and are often sports-related injuries. Nonoperative treatment results in healing within 6-8 weeks for undisplaced fractures, but longer for displaced fractures. Operative treatment is recommended for displaced fractures, fractures over 1mm displaced, fractures over 35 degrees angulated, or fractures with associated soft tissue injuries. Arthroscopically assisted percutaneous fixation allows for direct visualization of fracture reduction and guide wire placement, helping ensure central screw placement which results in better fixation and union rates. This technique is described for both acute
Scaphoid fractures
This document discusses the nonunion of scaphoid fractures, including causes, diagnosis, consequences, and management approaches. It notes that the incidence of scaphoid fracture nonunion ranges from 5-50% depending on studies. Diagnosis involves clinical examination, repeat x-rays, bone scans, and MRI. Consequences include degenerative changes and avascular necrosis. Management depends on fracture stability and can include prolonged immobilization, electrical stimulation, osteosynthesis using K-wires, screws, or plates, bone grafting, and salvage procedures like proximal row carpectomy. The author advocates early surgical fixation and vascularized bone grafting in some cases to improve healing outcomes.
Ortho Journal Club 2 by Dr Saumya Agarwal
Ortho Journal Club 2 by Dr Saumya AgarwalCentral Institute of Orthopaedics, Safdarjang Hospital and VMMC, New Delhi
This document summarizes the technique for arthroscopic osteocapsular arthroplasty of the elbow. The procedure involves reshaping bones, removing loose bodies, and performing a capsulectomy to restore motion, function, and reduce pain. Key steps include preoperative planning with imaging, positioning the patient laterally, limited open ulnar nerve decompression, establishing portals while managing fluid, removing osteophytes and reshaping bones, performing a complete capsulectomy, and closing wounds. The procedure aims to improve visualization and outcomes while minimizing risks like nerve injury through careful technique.Cerebral palsy management
Brief discussion regarding management of physiotherapy, pharmacotherapy, orthosis, principles of orthopedic surgical managements, addressing problems at hip, knee and ankle, soft tissue release procedures, osteotomies, timing of surgery, complications, prognosis, hip at risk signs, birthday syndrome, role of botulinum toxin, upper extremity involvement, contracture release.
Ortho Conference Scaphoid Fracture
The document summarizes an orthopedic case conference discussing a 25-year-old male patient who injured his right wrist when a cabinet fell on it. The patient has a laceration wound on his right wrist with a torn flexor tendon and suspected closed fracture of the scaphoid bone. The conference discusses the epidemiology, anatomy, presentation, imaging, and treatment options for scaphoid fractures. Common treatment approaches include thumb spica casting for stable fractures or open reduction internal fixation surgery for unstable fractures.
RECONSTRUCTION OF EXTENSOR MECHANISM IN TKA
Stavros Alevrogiannis presentation in European Knee Associates (EKA) Closed meeting in Istanbul, Nov 27-28, 2015.
SASH : 101 ways to fix a cruciate by Dr Stephen M. Fearnside
This document discusses the anatomy, biomechanics, pathogenesis, diagnosis and treatment of cranial cruciate ligament disease in dogs. It provides details on the cruciate ligaments and menisci, how injury typically occurs from trauma or degeneration, common clinical signs, and traditional surgical techniques for repair or reconstruction. Current trends focus on techniques that better restore normal joint kinematics, such as intra-articular reconstruction and use of isometric graft placement. Meniscal injury often accompanies cruciate ligament rupture and removal can accelerate osteoarthritis.
PROLASSO E CHIRURGIA FASCIALE - Compartimento posteriore
The document discusses surgical techniques for repairing posterior compartment prolapse, including traditional posterior colporrhaphy, site-specific defect repair, and transanal vs transvaginal approaches. It reviews studies comparing success rates, anatomical outcomes, and rates of dyspareunia, constipation, and other functional outcomes between techniques. Key points emphasized are the importance of levatorplasty for advanced prolapse and aggressive reattachment of the posterior vaginal wall to the uterosacral ligaments for high rectoceles or those with an enterocele.
Limb salvage surgery
This document discusses principles of limb salvage surgery for bone and soft tissue tumors. Key points include defining limb salvage as resection of tumor with acceptable oncological, functional and cosmetic results while preserving the limb. Patient selection, historical background, surgical principles for different tumor stages and sites are covered. Reconstruction options including allografts, prostheses and arthrodesis are summarized for different skeletal defects involving joints, the diaphysis and epiphysis.
Vertebroplasty
1) Vertebroplasty involves injecting PMMA into compressed vertebrae to relieve pain and strengthen bone by increasing load bearing and stiffness.
2) It was first performed in 1984 and widely used in the 1990s in the US to treat painful osteoporotic fractures.
3) Indications include painful new or progressive osteoporotic fractures refractory to medical therapy, after conservative treatment fails, and for certain high risk cases.
4) Clinical outcomes data from observational studies shows moderate to marked pain relief in 75-95% with long term efficacy supported.
Scaphoid fracture and non union
The document discusses scaphoid fractures, including:
- Anatomy of the scaphoid bone and its blood supply.
- Mechanisms of injury typically involve falls on an outstretched hand causing hyperextension and radial deviation of the wrist.
- Classification systems for scaphoid fractures include Russe's, Mayo, Herbert's, and AO.
- Treatment depends on fracture displacement and stability, ranging from cast immobilization for nondisplaced fractures to surgery for displaced or unstable fractures.
Vertebroplasty Grand Rounds
Vertebroplasty is an effective, minimally invasive spine procedure where acrylic bone cement is injected into a painful pathologically compressed vertebral body.
HyProCure Verse Calcaneo-Stop
This document compares the HyProCure device to the Calcaneo-stop device for treating foot disorders. HyProCure is an extra-osseous device that stabilizes the talus bone at the subtalar joint axis without blocking motion, while Calcaneo-stop is an intra-osseous screw that blocks talus motion. HyProCure has advantages of allowing normal motion, lower removal rates, and no reports of bone fractures. In contrast, Calcaneo-stop blocks motion, has removal rates up to 100%, and complications of bone fractures. Studies show HyProCure decreases strain on soft tissues compared to no effect shown for Calcaneo-stop.
What's hot (20)
Disfunzioni uretro-vescicali dopo sling: quale approccio?
Disfunzioni uretro-vescicali dopo sling: quale approccio?
Arthroscopic Meniscus Surgery: Resect or Repair 2014
Arthroscopic Meniscus Surgery: Resect or Repair 2014
Chirurgia protesica e compartimento posteriore: un connubio possibile?
Chirurgia protesica e compartimento posteriore: un connubio possibile?
Arthroscopic treatment of scaphoid fractures & nonunions
Arthroscopic treatment of scaphoid fractures & nonunions
SASH : 101 ways to fix a cruciate by Dr Stephen M. Fearnside
SASH : 101 ways to fix a cruciate by Dr Stephen M. Fearnside
PROLASSO E CHIRURGIA FASCIALE - Compartimento posteriore
PROLASSO E CHIRURGIA FASCIALE - Compartimento posteriore
Viewers also liked
Appendix Removal Surgery In Bangalore | Laparoscopic Appendicitis Surgery In ...
The document discusses appendicitis and appendectomy surgery. The appendix is a small tube attached to the large intestine that can become inflamed or infected, causing appendicitis with symptoms like abdominal pain, fever, and digestive issues. An appendectomy is the surgical removal of the inflamed appendix, which can be performed laparoscopically by making small incisions and inserting instruments to examine the appendix and remove it minimally invasively, resulting in a faster recovery than open surgery.
Incidental appendectomy
Incidental appendectomy is the removal of the appendix during another operation when there is no evidence of appendicitis. It may be performed during operations for malrotation to prevent future diagnostic confusion, as well as during hernia repairs and gynecologic or trauma surgeries. While it prevents future appendicitis, it increases operative time and risk of contamination. The appendix can also be useful for urologic reconstruction like ureteral repairs or the Mitrofanoff procedure to create a continent urinary stoma. It is also used in some cases of biliary reconstruction or for a Malone antegrade continence enema procedure to allow bowel evacuation through an abdominal stoma. The decision to remove the appendix
2016_MACLES_APPENDECTOMY_Linkedin
This document discusses laparoscopic appendectomy techniques and results from United Family Intermed Hospital and Gurvan Gal Hospital. It begins with a brief introduction of laparoscopic appendectomy history and the key steps of the procedure. It then summarizes results from 101 patients, noting common appendicitis types, low complication rates, and short hospital stays. It concludes with a literature review comparing laparoscopic and open appendectomy outcomes, risks for obese patients, and emerging minimally invasive techniques.
Mike Davidge & Anna Lipp: The challenge of day case surgery
In this slideshow, Mike Davidge, Head of Measurement, NHS Institute for Innovation and Improvement and Anna Lipp, President Elect for the British Association of Day Surgery, outline the challenges faced in improving performance in day case surgery, focusing on the strategies used at Norfolk and Norwich University Hospital to increase efficiency and productivity in this area.
Mike Davidge and Anna Lipp presented at How can hospitals do more with less? in October 2012.
Day surgery
This document summarizes a policy brief on increasing day surgery (ambulatory surgery where patients are discharged the same day). It discusses the history and growth of day surgery as a cost-effective alternative to inpatient surgery. While day surgery accounts for nearly 90% of surgeries in some countries, rates vary widely between countries and hospitals. The brief examines how expanding day surgery could benefit healthcare systems by increasing throughput, reducing costs and wait times. However, barriers still exist in some countries that prevent day surgery from reaching its full potential. Overcoming these barriers may require changes to policies, regulations, healthcare facilities and staffing.
Intra-abdominal Infection Guidelines 2010
Diagnosis and Management of Complicated Intra-abdominal Infection in Adults and Children: Guidelines by the Surgical Infection Society and the Infectious Diseases Society of America
Clinical Infectious Diseases 2010; 50:133–64
Tumors of the Appendix.
Tumors of the appendix are rare. They pose both a diagnostic and therapeutic dilemma to the surgeon. The paper discusses the various intricacies of these lesions.
Appendicitis PPT By Dr Anil Kumar,Assist Prof( Gen Surgery) AIIMS, Patna
This document provides an overview of the anatomy, pathology, clinical presentation, diagnosis, and treatment of acute appendicitis. It discusses the typical location and size of the appendix. It describes the causes, signs, and symptoms of appendicitis, as well as diagnostic tools like the Alvarado score. Treatment involves antibiotics, analgesia, and an appendectomy within 24 hours if indicated. Complications of appendicitis and appendectomy are also reviewed.
Apendicectomia 2015
Este documento describe los pasos de una apendicectomía. Incluye la posición del paciente, asepsia, marcado de la incisión, colocación de campos, instrumental quirúrgico requerido y técnica quirúrgica que involucra realizar una incisión, explorar el apéndice, ligar el mesoapéndice y arteria apendicular, realizar tripsia, seccionar el apéndice e invaginar el muñón, y cerrar por planos. También menciona las diferentes incisiones que se pueden
Appendectomy
The document outlines the procedure for an appendectomy. It discusses the definition, indications, types of procedure, pre-operative preparation including investigations and positioning of the patient. It describes the exposure and steps of the procedure in detail. It discusses post-operative management and potential complications. Key steps involve delivering the cecum, identifying and ligating the appendix, and closing the abdominal wall.
Appendectomy
Laparoscopic appendectomy is a surgical procedure to remove the appendix through small incisions using an instrument with a camera, instead of one large incision. It has several advantages over traditional open appendectomy, including lower risk of infection, faster recovery, smaller scars, and shorter hospital stay. The surgeon makes small incisions and inserts surgical tools and a laparoscope to see the appendix and remove it.
Appendicitis
This document discusses appendicitis, a condition where the appendix becomes inflamed or infected. The appendix is a small, tube-like structure attached to the large intestine. While its function is unknown, appendicitis occurs when the appendix becomes blocked and bacteria grow, causing swelling. Common symptoms include abdominal pain, nausea, and fever. Untreated appendicitis can lead to the appendix rupturing, resulting in a serious infection of the abdominal cavity. Standard treatment is surgical removal of the appendix to prevent rupture and further complications.
Appendicitis
The document discusses appendicitis, including what the appendix is, what causes appendicitis, symptoms of appendicitis, diagnosis and treatment options. The appendix is a small tube-like structure attached to the large intestine that has no known function. Appendicitis is inflammation of the appendix and is considered a medical emergency. Common causes include blockage of the appendix, infections, and genetics. Symptoms include abdominal pain, nausea, vomiting and fever. Treatment involves surgery to remove the appendix.
Appendicitis
This document summarizes appendicitis, including the anatomy of the appendix, aetiology, clinical presentation, diagnosis, and treatment. Key points include:
- The appendix is a tubular structure located in the lower right abdomen that can become inflamed (appendicitis).
- Appendicitis is caused by obstruction of the appendix lumen, often by a fecolith. Common symptoms include abdominal pain that starts around the navel and moves lower.
- Diagnosis is usually clinical but can be supported by blood tests showing leukocytosis and imaging like CT scans. Treatment involves intravenous fluids, antibiotics, and an appendectomy to remove the appendix.
Acute appendicitis
Thank you for the summary. Acute appendicitis is a common surgical emergency that requires timely diagnosis and management to prevent complications. A high index of suspicion is needed given its varied presentations.
A P P E N D I C I T I S
The document provides information about appendicitis, including its definition, pathophysiology, clinical features, diagnosis, differential diagnosis, and treatment. It states that appendicitis is caused by obstruction of the appendix lumen, most commonly by a faecalith. It describes the progression from obstruction to infection and perforation. It outlines the typical symptoms of abdominal pain that migrates to the right lower quadrant, anorexia, vomiting, and low-grade fever. It provides details on various clinical examination signs used in diagnosis like rebound tenderness and McBurney's point tenderness.
Viewers also liked (17)
Appendix Removal Surgery In Bangalore | Laparoscopic Appendicitis Surgery In ...
Appendix Removal Surgery In Bangalore | Laparoscopic Appendicitis Surgery In ...
Mike Davidge & Anna Lipp: The challenge of day case surgery
Mike Davidge & Anna Lipp: The challenge of day case surgery
Appendicitis PPT By Dr Anil Kumar,Assist Prof( Gen Surgery) AIIMS, Patna
Appendicitis PPT By Dr Anil Kumar,Assist Prof( Gen Surgery) AIIMS, Patna
Similar to Mis20070904為恭紀念醫院
5 dr daya-thirumala-rao-ambulatory-spine-surgery_ncas_2011
Percutaneous Endoscopic Lumbar Disectomy (PELD) is a minimally invasive spine surgery technique used to remove herniated disc material. Nucleoplasty is a safe outpatient procedure for contained disc herniations, while kyphoplasty repairs osteoporotic fractures in a minimally invasive manner. Pe-TLIF is an advanced fusion technique for severe degenerative disc disease that can be performed on an outpatient basis.
5 dr daya-thirumala-rao-ambulatory-spine-surgery_ncas_2011
Nova Medical Centers provides ambulatory spine surgery, also known as day care spine surgery, in Bangalore, Delhi, and Mumbai, India. Advances in surgical techniques and technology have allowed many spinal procedures that previously required long hospital stays to now be routinely performed on an outpatient basis. Key procedures discussed include percutaneous endoscopic lumbar discectomy (PELD) for herniated discs, nucleoplasty for contained disc herniations, kyphoplasty for osteoporotic vertebral fractures, and percutaneous endoscopic transforaminal lumbar interbody fusion (Pe-TLIF) for severe degenerative lumbar disc disease.
Minimally Invasive Surgery in Orthopaedics.
This document provides an overview of minimally invasive surgery techniques in orthopedics. It discusses the history and basic principles of minimally invasive surgery. Key areas where minimally invasive techniques are used include minimally invasive spine surgery using tubular retractors, arthroscopy of joints like the shoulder, knee, hip and ankle, minimally invasive surgeries for fracture management using techniques like IM nailing and MIPO, and minimally invasive joint replacements like knee and hip arthroplasty. Benefits of minimally invasive surgeries include minimal tissue trauma, reduced pain and morbidity, shorter hospital stays and faster recovery.
Classification & conservative surgeries for prolapse
This document discusses various classifications and conservative surgical treatments for pelvic organ prolapse. It begins by describing the normal anatomical supports that prevent prolapse, including the bony scaffolding, endopelvic fascia, and pelvic musculature. It then covers several classification systems for prolapse, including the Baden-Walker and POP-Q systems. Conservative surgeries discussed include abdominal sling operations, various sling procedures, anterior and posterior colporrhaphies, paravaginal defect repairs, and perineorrhaphies. Newer procedures like vaginal sacrospinous cervico-colpopexy and posterior intravaginal slingplasty are also mentioned. The document emphasizes that hyster
prospects & constraints in vety Laparoscopy in surgery
Laparoscopy is a minimally invasive surgical technique that uses small incisions and specialized instruments to visualize the abdominal cavity. It has several advantages over open surgery, including less pain, shorter recovery times, and fewer adhesions. Common veterinary laparoscopic procedures include ovariohysterectomy, hernia repair, and biopsy. While laparoscopy provides benefits, it also faces constraints such as technical challenges, costs, and long learning curves. However, with advances in technology and skills, laparoscopy is projected to replace many traditional open surgeries.
Vypro mesh presentation today1
This document discusses a study that evaluated the sublay retromuscular technique for ventral incisional hernia repair using lightweight Vypro mesh versus standard heavyweight Prolene mesh. 30 patients with moderate sized hernias were divided into two groups, with one group receiving Vypro mesh and the other receiving Prolene mesh via the sublay retromuscular technique. The study aims to compare postoperative complications, chronic pain, and recurrence rates between the two mesh types.
MANAGEMENT OF VAULT PROLAPSE BY DR SHASHWAT JANI
This document discusses the management of vault prolapse, which is the descent of the vaginal cuff after a hysterectomy. It defines vault prolapse and lists risk factors. Conservative management includes pessaries but surgery is often needed. Surgical options include vaginal approaches like sacrospinous ligament fixation or abdominal approaches like sacral colpopexy. The document compares techniques and factors to consider in surgical planning like prolapse severity and patient factors. Prevention techniques like culdoplasty at time of hysterectomy are also discussed.
Periapical surgery
This document discusses endodontic surgical procedures and considerations for periapical surgery. It describes various endodontic surgical procedures including incision and drainage, periapical curettage, apicoectomy, retrograde endodontic treatment, perforation repair, root resection, hemisection, exploratory surgery, and intentional replantation. It also discusses possible indications for periapical surgery, considerations for surgery, flap designs including semi-lunar, gingival crest, triangular, trapezoidal, and Luebke-Oschenbein flaps. Potential post-operative sequelae and the lack of an ideal retrograde filling material are also covered.
Notes presentation
This document discusses Natural Orifice Transluminal Endoscopic Surgery (NOTES), a new surgical technique. NOTES involves performing surgery using an endoscope inserted through natural openings like the mouth, vagina, or anus without external incisions. The document provides a brief history of NOTES, describes some procedures that have been performed, and discusses potential advantages as well as challenges to further development and acceptance of the technique.
Shoulder dystocia.pdf
This document discusses shoulder dystocia, which refers to difficulty delivering the fetal shoulders during birth. It occurs in 0.2-2% of births and can cause fetal asphyxia or physical injury if not managed properly. The document defines shoulder dystocia and reviews risk factors, signs, the HELPERR pneumonic for management, and potential complications for both mother and baby. It also discusses techniques like the McRoberts maneuver, internal rotation maneuvers, and in rare cases procedures like clavicle fracture or cephalic replacement.
Hip anatomy, approaches & AVN
This document provides an overview of hip anatomy, approaches to the hip joint, and the treatment of avascular necrosis (AVN) of the hip. It discusses various surgical approaches to the hip including anterior, anterolateral, lateral, posterior, and medial. It also describes the classification systems for AVN and reviews nonsurgical and surgical treatment options such as core decompression, bone grafting, osteotomies, and hip replacement. The goal of hip preserving surgeries is to redistribute weight bearing while total hip arthroplasty is recommended for late-stage AVN.
Hip Joint anatomy, surgical approches & AVN review
This document provides an overview of hip anatomy, approaches to the hip, and the treatment of avascular necrosis (AVN) of the hip. It describes various surgical approaches to the hip including anterior, anterolateral, lateral, posterior, and medial. It also discusses the causes of AVN and classifications including Ficat & Arlet and ARCO. Surgical management of AVN including core decompression with and without bone grafting, vascularized grafts, and osteotomies are explained.
OPERATION THEATURE MANAGEMENT FOR NURSES
This document provides an overview of the role and responsibilities of a scrub nurse in the operating room. It discusses welcoming patients, preoperative assessments, scrubbing in using sterile technique, assisting the surgeon by passing instruments and supplies, maintaining sterile fields and patient safety, and concluding procedures. It also provides orientations on common surgical needles, sutures, and instruments that scrub nurses must be familiar with to properly support surgeons during operations.
Partial penile disassembly for single stage repair of male epispadias
This document describes techniques for repairing epispadias, a congenital anomaly where the urethra opens on the dorsal surface of the penis. It discusses partial penile disassembly for isolated male epispadias repair, which involves mobilizing the urethral plate and lengthening the penis to correct curvature. For incontinent penopubic epispadias, it describes double breasting the bladder neck and posterior urethra. It also presents a single-stage perineal urethroplasty technique for achieving continence in female epispadias cases by creating a new continence zone through tubularizing the urethral strip and double breasting the urethral wall
presentation1-140615135842-phpapp02.pptx
This document provides an overview of the role and responsibilities of a scrub nurse in the operating room. It discusses welcoming patients, preoperative assessments, scrubbing in using sterile technique, assisting the surgeon by passing instruments and supplies, maintaining sterile fields and patient safety, and concluding procedures. It also provides orientations on common surgical needles, sutures, and instruments that scrub nurses must be familiar with to effectively support surgeons during operations.
Avn hip
This document discusses surgical procedures for osteonecrosis of the femoral head, including both joint preserving and replacing options. Key joint preserving procedures described are core decompression, various bone grafting techniques using vascularized and nonvascularized grafts, and proximal femoral osteotomies. Total hip arthroplasty and hip resurfacing are mentioned as joint replacing options.
Vaginal Hysterectomy
Vaginal hysterectomy is a procedure to remove the uterus through the vagina. It has advantages over abdominal hysterectomy like earlier recovery, less pain, and lower morbidity. The key steps involve exposing and clamping the uterine vessels and ligaments, then removing the uterus. The vaginal cuff and pelvic floor are repaired with sutures to prevent prolapse. Post-operative care involves bladder drainage, antibiotics, pain relief, and monitoring for potential complications like bleeding or infection.
NCCT OR CECT PELVIS BONE.pptx, INDICATIONS OF PELVIS BONE
This document provides information about CT scans of the pelvis bone, including indications, contraindications, patient preparation, positioning, and imaging protocol. It describes the pelvis bone anatomy and functions. CT scanning is described as a fast, non-invasive imaging method that provides 3D images of the pelvis bone to evaluate fractures, hip abnormalities, and other conditions. The protocol involves topograms, axial imaging from the iliac crest to hips pre-and post-contrast administration, with parameters like slice thickness, interval, and reconstruction algorithms provided. Patient care after the scan is also outlined.
Stress urinary incontinence dr. kawita bapat
This document discusses stress urinary incontinence (SUI), including its definition, prevalence, clinical testing, investigation, and classification systems. It then covers both conservative and surgical treatment options for SUI, with an emphasis on the various surgical procedures. Key points discussed include midurethral sling procedures being the current first-line surgical approach, with transobturator tapes preferred over retropubic or transvaginal needle suspensions. Factors in choosing the appropriate procedure include the presence of other pelvic organ prolapse and the severity of incontinence.
Difficult vaginal hysterectomy
This document discusses techniques for performing a difficult vaginal hysterectomy. It identifies 5 keys to success: 1) ensuring adequate surgical experience, 2) obtaining adequate exposure through proper retraction and lighting, 3) entering the anterior cul-de-sac first to avoid bladder injury, 4) gaining uterine mobility through ligating supporting structures if needed, and 5) using proper morcellation techniques once the uterus is detached. The document emphasizes the importance of surgical experience and proper technique to overcome challenges and perform vaginal hysterectomy even in more difficult cases.
Similar to Mis20070904為恭紀念醫院 (20)
5 dr daya-thirumala-rao-ambulatory-spine-surgery_ncas_2011
5 dr daya-thirumala-rao-ambulatory-spine-surgery_ncas_2011
5 dr daya-thirumala-rao-ambulatory-spine-surgery_ncas_2011
5 dr daya-thirumala-rao-ambulatory-spine-surgery_ncas_2011
Classification & conservative surgeries for prolapse
Classification & conservative surgeries for prolapse
prospects & constraints in vety Laparoscopy in surgery
prospects & constraints in vety Laparoscopy in surgery
Hip Joint anatomy, surgical approches & AVN review
Hip Joint anatomy, surgical approches & AVN review
Partial penile disassembly for single stage repair of male epispadias
Partial penile disassembly for single stage repair of male epispadias
NCCT OR CECT PELVIS BONE.pptx, INDICATIONS OF PELVIS BONE
NCCT OR CECT PELVIS BONE.pptx, INDICATIONS OF PELVIS BONE
More from calaf0618
96091164 Slice Ct And Cerebral Atherosclerosis02
1. Carotid endarterectomy reduces the risk of stroke compared to medical therapy alone in patients with symptomatic moderate (50-69%) carotid stenosis, with an absolute risk reduction of about 5-10% over 5 years.
2. For asymptomatic carotid stenosis ≥60%, carotid endarterectomy provides a relative risk reduction of 53% compared to aspirin alone, but medical therapy is still usually recommended due to the low baseline risk.
3. Carotid artery stenting is recommended for patients who are not suitable for surgery due to high surgical risk from conditions like severe cardiac or pulmonary disease.
為恭醫院 20070913
1. A new handheld ECG device has been developed to allow users to easily record their electrocardiogram (ECG) data anywhere and anytime without the help of medical technicians.
2. Clinical studies show the handheld ECG provides accurate ECG measurements and reliable wireless data transmission capabilities.
3. The handheld ECG can be used for clinical screening and health monitoring as part of a new telemedicine system, allowing physicians to remotely monitor patients' heart function.
0914
The most common cerebral vascular malformations are venous angiomas, which are usually asymptomatic. Arteriovenous malformations (AVMs) are the most common symptomatic cerebral vascular malformations, presenting most often with hemorrhage or seizures in individuals between 20-40 years of age. A vein of Galen malformation is a rare type seen in neonates presenting with high-output heart failure or older individuals with subarachnoid hemorrhage.
Cpc.0921presentation
This document summarizes the case of a woman who presented with nausea, respiratory failure, and hypotension. She was found to have signs of cardiogenic and septic shock. Imaging and testing revealed she had suffered an anterior myocardial infarction with rupture of the anterior papillary muscle, causing mitral regurgitation. She underwent surgery to repair the valve and bypass the coronary artery. Her postoperative recovery was complicated but she was eventually discharged and made a full recovery.
Gyn Uro
1. A 31-year-old pregnant woman experienced acute fetal distress during labor and underwent an emergency cesarean section, delivering a healthy baby girl.
2. Postpartum, the woman developed hematuria and left flank pain. Imaging revealed a tear in her left renal pelvis causing hydronephrosis.
3. She underwent left percutaneous nephrostomy and cystoscopy, which identified a bladder injury possibly related to stitches from the cesarean section. The injuries were successfully treated without need for nephrectomy.
Tumor Lysis Syndrome2
The document discusses tumor lysis syndrome (TLS), a potentially fatal metabolic complication that can result from spontaneous or treatment-related tumor cell death. TLS is characterized by hyperuricemia, hyperkalemia, hyperphosphatemia and hypocalcemia. It defines TLS and outlines its frequency, etiology, risk factors, pathophysiology, prevention, diagnosis, and management, emphasizing the importance of identifying high-risk patients and initiating preventive treatment to avoid complications like acute renal failure.
0928 Bt
The document discusses various types of brain tumors categorized by location, age of patient, and other distinguishing features. It provides details on meningiomas, epidermoid tumors, glioblastomas, oligodendrogliomas, hemangioblastomas, and medulloblastomas including typical locations, appearances on imaging, and other characteristics. Example cases are presented and differential diagnoses are discussed.
膽道系統炎症之影像診斷
The document discusses various topics related to biliary anatomy and gallbladder disease:
1) It describes common gallbladder conditions like cholecystitis, gallstones, porcelain gallbladder, and Mirizzi syndrome.
2) Imaging findings for evaluating these conditions are provided, including ultrasound, CT, and ERCP findings.
3) Treatment options are summarized for various gallbladder diseases and complications.
Mixed Connective Tissure Disease
Mixed connective tissue disease (MCTD) is an overlap syndrome with features of systemic lupus erythematosus, scleroderma, and polymyositis/dermatomyositis. It is defined by the presence of high-titer antibodies against U1 ribonucleoprotein. Common clinical manifestations include Raynaud's phenomenon, arthritis, myositis, interstitial lung disease, gastrointestinal involvement, and vascular abnormalities. Prognosis is generally good, though pulmonary hypertension can sometimes lead to death within a few weeks if not properly managed. Treatment focuses on conventional therapies for the overlapping conditions.
Vns Therapy™ System For Weikong For Print
The document discusses VNS Therapy, a treatment for epilepsy patients who have difficulty controlling seizures through medications alone. It provides information on:
- How VNS Therapy works by electrically stimulating the vagus nerve to impact brain regions involved in seizure activity.
- Clinical evidence that VNS Therapy can significantly reduce seizure frequency in refractory epilepsy patients and improve quality of life factors like mood and alertness.
- Safety data showing the risks of VNS Therapy are low, with most side effects being mild and transient.
- High patient and clinician satisfaction rates with VNS Therapy as an effective alternative or addition to medications for difficult-to-treat epilepsy.
重症病患抗生素使用961113
The document discusses principles for antibiotic use in critically ill patients, including:
1) Starting with broad-spectrum empiric therapy based on local microbiological data and guidelines.
2) Reassessing and de-escalating treatment based on culture results and the patient's clinical response.
3) Factors that increase the risk of resistant pathogens like hospital-acquired infections require broader initial coverage.
96 11 30 Vhl Final
1. A 36-year-old man presented with a mass in his right adrenal gland and was found to have a pheochromocytoma, retinal hemangioma, kidney cysts, and liver lesions.
2. He was diagnosed with Von Hippel-Lindau disease based on his family history and multiple tumors.
3. Autopsy found brainstem and spinal cord hemangioblastomas consistent with VHL disease and catecholamine toxicity as the cause of death. Genetic testing identified a mutation in the VHL gene confirming the diagnosis.
More from calaf0618 (17)
Recently uploaded
NVBDCP.pptx Nation vector borne disease control program
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Identification and nursing management of congenital malformations .pptx
Identification and nursing management of congenital malformations .pptxMGM SCHOOL/COLLEGE OF NURSING
Identification and nursing management of congenital malformations Efficacy of Avartana Sneha in Ayurveda
Avartana Sneha is a unique method of Preparation of Sneha Kalpana in Ayurveda, mainly it is indicated for the Vataja rogas.
Journal Article Review on Rasamanikya
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
Top Effective Soaps for Fungal Skin Infections in India
Swisschem Dermacare has mentioned the List of The Best Antifungal Soap In India 2022. All of these soaps are trusted by various Dermatology Experts.
Dehradun #ℂall #gIRLS Oyo Hotel 8107221448 #ℂall #gIRL in Dehradun
Dehradun #ℂall #gIRLS Oyo Hotel 8107221448 #ℂall #gIRL in Dehradun
Phone Us ❤8107221448❤ #ℂall #gIRLS In Dehradun By Dehradun @ℂall @Girls Hotel...
Phone Us ❤8107221448❤ #ℂall #gIRLS In Dehradun By Dehradun @ℂall @Girls Hotel...chandankumarsmartiso
Phone Us ❤8107221448❤ #ℂall #gIRLS In Dehradun By Dehradun @ℂall @Girls Hotel With 100% Satisfaction
Top 10 Best Ayurvedic Kidney Stone Syrups in India
we have mentioned the best 10 ayurvedic Kidney Stone Syrups. You can check all these products and choose the best one for yourself.
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
The Best Ayurvedic Antacid Tablets in India
Treat the symptoms of indigestion, heartburn and stomach reflux with the 10 Best Ayurvedic Antacid Tablets in India.
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
It includes regulation of combination products and medical devices. FDA and industry liaisons.
Hemodialysis: Chapter 4, Dialysate Circuit - Dr.Gawad
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Recently uploaded (20)
NVBDCP.pptx Nation vector borne disease control program
NVBDCP.pptx Nation vector borne disease control program
Identification and nursing management of congenital malformations .pptx
Identification and nursing management of congenital malformations .pptx
Top Effective Soaps for Fungal Skin Infections in India
Top Effective Soaps for Fungal Skin Infections in India
Dehradun #ℂall #gIRLS Oyo Hotel 8107221448 #ℂall #gIRL in Dehradun
Dehradun #ℂall #gIRLS Oyo Hotel 8107221448 #ℂall #gIRL in Dehradun
Phone Us ❤8107221448❤ #ℂall #gIRLS In Dehradun By Dehradun @ℂall @Girls Hotel...
Phone Us ❤8107221448❤ #ℂall #gIRLS In Dehradun By Dehradun @ℂall @Girls Hotel...
Muscles of Mastication by Dr. Rabia Inam Gandapore.pptx
Muscles of Mastication by Dr. Rabia Inam Gandapore.pptx
Top 10 Best Ayurvedic Kidney Stone Syrups in India
Top 10 Best Ayurvedic Kidney Stone Syrups in India
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
Hemodialysis: Chapter 4, Dialysate Circuit - Dr.Gawad
Hemodialysis: Chapter 4, Dialysate Circuit - Dr.Gawad
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
Mis20070904為恭紀念醫院
- 1. Minimally Invasive Surgery in Pediatric Surgery 三軍總醫院 小兒外科 朱志純 為恭紀念醫院 2007.9.4
- 2. Fewer and fewer kids ---Quantity and Quality 1 2 3 4 5 民國 50 年 60 70 80 90 每 一 婦 女 平 均 生 育 數 2.46 3.71 1.72 5.59 人 6 1 2 3 4 5 91 每 一 婦 女 平 均 生 育 數 1.40 2.46 3.71 1.72 5.59 人 6 1.34 人 1.24 人 92 年
- 3. 微創手術 Minimally invasive surgery
- 6. Minimally invasive surgery—hernia repair
- 7. Minimally invasive surgery— pyloromyotomy for hypertrophic infantile pyloric stenosis
- 8. 傳統切口及微創切口
- 10. All-in-1 Laparoscope with working channel, air-inflation, irrigation & suction
- 16. Single umbilical-punctured laparoscope-assisted appendectomy Low cost Low infection rate No visible scar Short LOS
- 18. Anti-reflux procedure--- Intravesicle approach
- 19. Anti-reflux procedure--- Extravesicle approach
- 20. Submucosal injection of Deflux
- 21. Submucosal injection of Deflux
- 22. Submucosal Deflux injection Gr. VI No reflux
- 24. Preserve the perichondrum and remove all the deformed cartilage
- 25. Ravitch Procedure (removal deformed cartilage, fracture of the sternum)
- 27. Ravitch 手術 1943~ Ossification of the cartilage Scarring Blood loss
- 28. Scars
- 30. After sternum turn-over (Wada)
- 31. Dr. Donald Nuss
- 32. Nuss Procedure
- 33. Dr. Park Hyung Joo
- 34. The pectus bar is supported by the ribs and the intercostal soft tissue.
- 36. (Park, et al., 2004) saucer- shaped Asymmetric II funnel-shaped Symmetric I eccentric unbalanced
- 37. Dr. Park
- 41. Nuss procedure
- 44. Crane Technique
- 48. STERNUM SUPPORTING RIB
- 49. Stabilizer: avoids flipping of the bar
- 51. Funnel-shaped depression 手術前 手術後
- 53. Asymmetric
- 54. Female
- 58. Lung entrapment