... time of surgery in most cases and did not notice any difference in rates of contamination with enteric organisms Beside preoperative antibiotics and bowel preparation, body temperature and oxygenation ... drainage is adequate and results in a high chance of anastomotic salvage.(46) Knowledge of appropriate treatment of the septic patient follow-ing colon and rectal surgery is mandatory for any surgeon ... principles and problems (e.g., leakage, ischemia, stenosis, and hem-orrhage) that can be identified and managed during the procedure PreanastomotIC ConsIderatIons Preoperative Discussion and Planning
Ngày tải lên: 05/07/2014, 16:20
... different intestinal anastomoses: standard, Gambee, and stapler Obstet Gynecol 1983; 62: 513–8 25 MacRae HM, McLeod RS Handsewn vs stapled anastomo-ses in colon and rectal surgery: a meta-analysis Dis ... FG Timmcke AE, eds Complications of Colon and Rectal Surgery Williams & Wilkins, Baltimore, 1996: 70–81 2 Goligher JC Surgery of the Anus, Rectum, and Colon 5th ed London: Balliere Tindall; ... experience and advances in instruinstru-ments have minimized the occurrence of these problems A prospective randomized multicenter study by Dochetry and colleagues described 652 patients who were randomized
Ngày tải lên: 05/07/2014, 16:20
Improved Outcomes in Colon and Rectal Surgery part 7 pps
... scavengers and allopurinol Surgery 1986; 99: 716–20 88 Hogstrom H, Haglund U, Zederfeldt B Suture technique and early breaking strength of intestinal anastomoses and laparotomy wounds Acta Chir Scand ... and distal to, but not through the tumor, is safe and reliable, and preferred in most centers (49, 50) (See Figure 6.7) Other adjuncts for localization include endoscopic placement of clips and ... et al Staged physiologic restoration and damage control surgery World J Surg 1998; 22: 1184–91 18 Loveland JA, Boffard KD Damage control in the abdomen and beyond Br J Surg 2004; 91(9): 1095–101
Ngày tải lên: 05/07/2014, 16:20
Improved Outcomes in Colon and Rectal Surgery part 8 doc
... the bowel and, in theory, to decrease the risks of anas- tomotic leak and surgical site infection. Bowel preparation, far from innocuous, is inconvenient and unpleasant for patients and is associated ... stoma.(19, 22) The Swedish rectal can- cer trial randomized 1,168 patients to short-course neoadjuvant radiation followed by surgery versus surgery alone and also dem- onstrated no significant difference ... preparation was 2.9% and 1.6%, respectively (p value not signifi- cant). The clinical leak rate in the low anterior resection group with and without bowel preparation was 9.8% and 7.5%, respec-
Ngày tải lên: 05/07/2014, 16:20
Improved Outcomes in Colon and Rectal Surgery part 9 ppt
... colon and rectal surgery That same group evalu-ated 558 studies, of which 19 met the inclusion criteria, and again found that unfractionated and fractionated heparin were equally effective, and ... Cochrane review by Andersen et al including 13 randomized controlled trials and over 1,100 patients, evaluated the use of early feeding and the development of complications and found early feeding ... rectal cancer and found that using a cutoff of levels above 140 mg/dl on postoperative days 3 and 4 was associated with a sensitivity of 80 and 54% respectively and specificities of 81 and 92%, respectively,
Ngày tải lên: 05/07/2014, 16:20
Improved Outcomes in Colon and Rectal Surgery part 10 ppt
... minimally invasive surgery, nonopiod pain management, no routine use of drains and nasogastric tubes, early removal of bladder catheters, standard laxatives and prokinetics, and early and enhanced ... fast tRaCk COlOn anD ReCtal sURgeRy Fast track surgery is an evolution in the care path approach that involves rapid progress from perioperative preparation, through surgery, and discharge from ... postoperative feeding and mobilization There are no randomized controlled trails comparing laparo-scopic, fast track, and standard approaches However, recently LAFA (laparoscopic and or fast track
Ngày tải lên: 05/07/2014, 16:20
Improved Outcomes in Colon and Rectal Surgery part 11 docx
... improved outcomes in colon and rectal surgery to more reliable and reproducible data, these catheters are more easily and reliably cleaned from patient to patient. Pressure ... com- paring five different catheters and techniques of manometry in both normal and incontinent patients.(6) Although their sample size was small, 10 normal and 11 patients with incontinence, ... awake, at our institution we obtain full informed consent and con- firmation of patient identity, condition being evaluated, and their understanding of the tests they are about to undergo. The patients
Ngày tải lên: 05/07/2014, 16:20
Improved Outcomes in Colon and Rectal Surgery part 12 ppsx
... arrow). 1 improved outcomes in colon and rectal surgery and submucoal edema results in the “accordion pattern” of dis- ease that is characteristic.(58) The edema and thickening of the colon may ... thickening and pericolic fat strand- ing confined to the radiation port area. Chronic radiation injury 6 to 24 months after treatment appears as mucosal thickening with prominent stranding in expanded ... reactions and renal dam- age. If the patient has a simple allergy to IV contrast, such as hives; a low osmolar, “nonionic” contrast should be used and the patient can be premedicated with steroids and
Ngày tải lên: 05/07/2014, 16:20
Improved Outcomes in Colon and Rectal Surgery part 13 pdf
... organs and fluid filled structures US is superb at differ-entiating between cystic and solid structures, and is frequently Figure 11.49 Appendicitis Axial view of the appendix reveals a thickened and ... seen on CT in the lung and bones Other Tumors of the Colon CT remains the imaging study of choice for detection of benign and malignant tumors of the colon other than adenoma and Figure 11.31 Appendix ... identification and exclusion of bowel obstruction.(167) Closed Loop Obstruction, Strangulation, and Intestinal Ischemia CT can diagnose closed loop obstruction of the small bowel and bowel ischemia
Ngày tải lên: 05/07/2014, 16:20
Improved Outcomes in Colon and Rectal Surgery part 14 pptx
... outcomes in colon and rectal surgery extension (Figure 11.55), and has an advantage over CT in the evaluation of tumoral invasion of the levator ani, mesorectal fascia, internal and external sphincter ... capitalizes on this principle and allows the determination of direction and veloc- ity of a mobile target.(250) The most frequent application for Doppler US is the detection and quantification of blood ... evaluate for regional and distant metastatic disease.(255) Nononcologic applications of EUS include the evaluation of the colon, rectum, and anus for strictures, fistulas, and abscesses. Transanal
Ngày tải lên: 05/07/2014, 16:20
Improved Outcomes in Colon and Rectal Surgery part 15 pps
... profile, coagulation studies, and type and cross for 4 units of packed RBC A nasogastric tube is placed and billous heme negative fluid is aspirated A proctoscopy reveals blood and clots in rectum, but ... transmission of such dis-eases as HIV and hepatitis Transmission of disease from patient to examiner can also be prevented by appropriate eye, facial, and hand protection and endoscopic suites should ... colorectal cancer: systematic review and meta-analysis of randomised trials BMJ 2002; 324: 813 211 Choi YJ, Park SH, Lee SS et al CT colonography for fol-low-up after surgery for colorectal cancer AJR
Ngày tải lên: 05/07/2014, 16:20
Otosclerosis and Stapes Surgery - part 3 docx
... undergone stapes surgery and had a positive family history were not ascertained during the study period The 35 individuals from the North of England that had undergone stapes surgery and had a ... nucleoprotein and matrix protein RNA were used in these reactions Edmonston- and Schwartze-type measles viruses served as positive controls and cortical bone fragments, stapes superstructures, cadaver stapes, ... on otosclerotic stapes footplate samples and controls Otosclerotic stapes footplates Controls1 MV positive MV negative cortical bone stapes superstructure incus malleus cadaver stapes 62 40 42...
Ngày tải lên: 10/08/2014, 18:21
Otosclerosis and Stapes Surgery - part 4 potx
... audiograms (preoperatively, and 30 days after surgery) , stapedial reflexes (preoperatively), and DPOAE recordings (preoperatively, at the end of surgery, and and 30 days after surgery) Changes in the ... Otorhinolaryngology, Head and Neck Surgery and Communication Disorders, and bDepartment of Genetics, University of Antwerp, Antwerp, c Department of Otorhinolaryngology, Head and Neck Surgery, Sint-Augustinus ... Overall hearing handicap and quality of life can be assessed using questionnaires, either as a single measurement after surgery, or as a repeated measurement before and after surgery A multitude...
Ngày tải lên: 10/08/2014, 18:21
Otosclerosis and Stapes Surgery - part 5 potx
... 2003;24:259–263 Fisch U (ed): Tympanoplasty, Mastoidectomy, and Stapes Surgery New York, Thieme, 1994 Thomas E Linder Department of Otorhinolaryngology, Head and Neck Surgery, Kantonsspital Luzern ... Marquet J: ‘Stapedectomy’ technique and results Am J Otol 1985;6:63–67 Fisch U: Tympanoplasty, Mastoidectomy, and Stapes Surgery Stuttgart, Thieme, 1994 Robinson M: Stapes prosthesis: stainless steel ... Otosclerosis and Stapes Surgery Adv Otorhinolaryngol Basel, Karger, 2007, vol 65, pp 179–183 Autogenic and Xenogenic Materials in Stapes Surgery – Retrospective Analysis of 350 Cases Marcin Durko Otosurgery...
Ngày tải lên: 10/08/2014, 18:21
Otosclerosis and Stapes Surgery - part 7 docx
... involving stapes (i.e fixation of stapes footplate as in otosclerosis, atrophy and/ or fractures of stapedial crura), it has been accepted that stapes surgery could be effective and successfully and ... evaluate the short- and long-term effectiveness of stapes surgery among them, and compare the success rate of stapes surgery in OI cases to that in patients with otosclerosis Materials and Methods Between ... hemorrhagic mucosa covering stapes footplate in 8/14 (57%), thickened and brittle stapes footplate in 6/14 (43%), and fixations of the malleus and incus in 2/14 (14%) Stapes Surgery in Japanese Patients...
Ngày tải lên: 10/08/2014, 18:21
Otosclerosis and Stapes Surgery - part 8 ppsx
... Somers/Vercruysse/Zarowski/Verstreken/Schatteman/Offeciers 272 Stapes Revision Surgery and Complications Arnold W, Häusler R (eds): Otosclerosis and Stapes Surgery Adv Otorhinolaryngol Basel, Karger, 2007, vol 65, pp 273–277 Revision Stapes Surgery ... Stapedotomy technique and results: ten years’ experience and comparative study with stapedectomy Laryngoscope 1990;100:1097–1099 Fisch U: Tympanoplasty, Mastoidectomy, and Stapes Surgery Stuttgart, ... Departments of aOtosurgery, and bCytophysiology, Histology and Embryology, Medical University of Lodz, Lodz, Poland Abstract Aim: Retrospective analysis of surgical findings in revision stapes surgery in...
Ngày tải lên: 10/08/2014, 18:21
Otosclerosis and Stapes Surgery - part 9 pptx
... Sensorineural Complications of Stapes Surgery 313 Arnold W, Häusler R (eds): Otosclerosis and Stapes Surgery Adv Otorhinolaryngol Basel, Karger, 2007, vol 65, pp 314–319 Revision Stapes Surgery Klaus Jahnke, ... on bone conduction, and achieved excellent results Others would carry out primary stapes surgery and retain the option of implantation for those whose outcome from stapes surgery was poor [13] ... group showed significant differences between pre- and postcochleostomy at the time of surgery and on days 1, 3, and 14, but no longer on days 21, and 28, whereas in the control group, statistically...
Ngày tải lên: 10/08/2014, 18:21
Otosclerosis and Stapes Surgery - part 10 ppt
... Teaching of Stapes Surgery Arnold W, Häusler R (eds): Otosclerosis and Stapes Surgery Adv Otorhinolaryngol Basel, Karger, 2007, vol 65, pp 353–360 Teaching Stapes Surgery Pierre B Montandon Geneva, ... (Switzerland) Fax ϩ41 22 346 55 10 Montandon 360 Arnold W, Häusler R (eds): Otosclerosis and Stapes Surgery Adv Otorhinolaryngol Basel, Karger, 2007, vol 65, pp 361–369 The Learning Curve in Stapes Surgery ... reported complete remission and reported significant improvement Two patients had no change and none reported worsening of tinnitus after stapes surgery We conclude that stapes surgery can improve SDT...
Ngày tải lên: 10/08/2014, 18:21
Regenerative Medicine Reconstruction of Tracheal and Pharyngeal Mucosal Defects in Head and Neck Surgery
... the urinary tract [162] and the cornea [163] and for teeth regeneration [164], the development of mucosal reconstruction in head and neck surgery except for the salivary gland tissue [165–167] is ... Wendlandt, M., Neuenschwander, P., and Suter, U.W (2007) Surface-textured PEG-based hydrogels with adjustable elasticity: synthesis and characterization Biomaterials, 28, 567–575 Tang, Z.G and ... cartilage and equipped with an endoluminal epithelium in 2003 Cartilage and epithelial cells were harvested from the septal cartilage of sheep and grown in vitro After proliferation and cultivation...
Ngày tải lên: 25/10/2013, 08:20
Tài liệu SOCIAL REPRESENTATIONS OF FEMALE-MALE BEAUTY AND AESTHETIC SURGERY: A CROSS-CULTURAL ANALYSIS ppt
... socioeconomic and mentality factors, but also by ideological and even religious belief systems, as shown for example in the article by Atiyeh, Kadry, Hayek and Musharafieh (2008) on aesthetic surgery and ... beauty standards and fashionable criteria can change over time and culture, “beauty” has undoubtedly a positive bias compared to “ugliness” everywhere and at any time “To say that beauty and ugliness ... students and judge them as smarter Attractive adults get paid more for their work and have better success in dating and mating And juries are less likely to find attractive people guilty and recommend...
Ngày tải lên: 19/02/2014, 17:20
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