General surger

Nerea Sanchis-Lopez, Carolina Romero-Garcia, Jose De Andres-Ibanez, Ruth Martinez-Plumed, Pablo Rodriguez-Gimillo, Maria Jose Hernandez-Cadiz, Vincente Abril-Lopez de Medrano
BACKGROUND: Chronic back pain is a prevalent disease and has a high impact in daily life. Implantable devices (IDs) for chronic pain management include spinal cord stimulation (SCS) systems and intrathecal drug delivery (ITDD) pumps. The number of ITDD implants have increased exponentially in the last decade. The number of complications, such as infections, are also more prevalent. Infection management guidelines are needed to standarize our clinical practice and define protocols of explantation...
May 2018: Pain Physician
F Traina, F Perna, A Ruffilli, A Mazzotti, R Meliconi, L Berti, C Faldini
Insertional Achilles tendinopathy is a frequent cause of pain and performance impairment of the ankle. It is more common in runners, but may also affect general population. Conservative treatment is the gold standard in the early phases but 10% to 30% of patients require surgery. The aim of this study is to review the current literature in order to evaluate current surgical strategies for Insertional Achilles tendinopathy and to analyze the effectiveness of the available techniques. We performed a systematic review of the literature, to identify studies reporting clinical outcome after surgical treatment for Insertional Achilles tendinopathy in any population group with at least 6 months follow-up...
October 2016: Journal of Biological Regulators and Homeostatic Agents
G Töppler, H Röper, S Cameron, L Füzesi, A Beham, G Ramadori
140 Background: Staging of the primary tumor in patients with advanced adenocarcinoma of the stomach or the esophagogastric junction under chemotherapy is not generally recommended [ESMO clinical recommendations; Ann Oncol 2009]. RECIST criteria do not detect local tumor regression adequately. Standards for endoscopic staging throughout therapy have not yet been established. METHODS: Here we report on20 consecutive patients with locally advanced esophago or gastric adenocarcinoma which were treated with EOX or EOF (epirubicin, oxaliplatin, capecitabine or 5-FU)...
February 2011: Journal of Clinical Oncology
Paul Legendre, Valérie Lalande, Catherine Eckert, Fréderic Barbut, Laurence Fardet, Jean-Luc Meynard, Laure Surgers
INTRODUCTION: Extra-gastro-intestinal tract manifestations associated with Clostridium difficile infection (CDI), including reactive arthritis (ReA), are uncommon. METHOD: We report a case of ReA associated with a relapse of CDI in a 46-year-old woman. A toxigenic C. difficile strain was isolated from stools and characterized as PCR-ribotype 014/020/077. We conducted a comprehensive literature review of ReA associated with CDI (ReA-CDI). Diagnostic criteria for ReA-CDI were: (i) evidence of aseptic synovitis (confirmed by culture) developing during or immediately after colitis, (ii) presence of a toxigenic C...
April 2016: Anaerobe
Jun Wu, Zhihong Wang, Weiju Han, Ping Lv, Pu Dai, Yihui Zou
OBJECTIVE: To investigate the sources of foreign bodies in the middle ear, and to analyze experience and lessons of clinical diagnosis and therapy. METHOD: Five cases of foreign bodies in the middle ear with general information presenting to our department and receiving surgerical treatment were reviewed retrospectively. RESULT: The foreign bodies of 4 cases were inserted by trauma, while 1 case by iatrogenic injury. The remain of foreign bodies result in symptoms such as otorrhea and hearing loss, and long-term foreign bodies in the middle ear might cause mental effects...
April 2013: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
Freya K R Swinnen, Els M R De Leenheer, Paul J Coucke, Cor W R J Cremers, Ingeborg J M Dhooge
OBJECTIVES/HYPOTHESIS: To provide data on the outcome of stapes surgery in patients with osteogenesis imperfecta (OI). The audiometric results of 15 ears (12 patients), in which a stapes operation was performed, are presented and compared with results from literature. STUDY DESIGN: Retrospective study. METHODS: In 12 patients with genetically confirmed OI, intraoperative findings and audiometric evaluations were recorded. RESULTS: In all patients the genetic mutation was located in the COL1A1 gene...
June 2009: Laryngoscope
Bruno Coulier, Marc-Henry Tancredi, Adrien Ramboux
The aim of this retrospective study was to emphasize the performances of spiral CT (HCT) and multidetector-row CT (MDCT) as very effective imaging modalities for the diagnosis of intestinal perforations caused by calcified alimentary foreign bodies. Eight sites of perforations of the ileum by ingested foreign bodies were found in seven patients--one patient presenting with two separate sites of perforation. The diagnosis was successfully made by HCT in four patients and MDCT in the remaining three. Involuntarily and generally unconsciously ingested chicken and fish bones were the implicated calcified foreign bodies...
October 2004: European Radiology
A M Almeida, T M Almeida, A M Gollner
BACKGROUND: A very popular modality with the media is psychic surgery which has received little scientific evaluation though. Such phenomena always raise the issues of fakery and deceit. Research has been scarce. METHODS: We report an investigation on one of the most famous psychic surgeons in Brazil, João Teixeira de Farias. 30 surgical interventions with cutting were studied, 6 patients undergoing history-taking, physical examination and analysis of the materials supposedly extracted from them...
July 2000: Revista da Associação Médica Brasileira
J de Bournonville, G de Granges, G de Surgeres
Beginning with a very vulgar symptomatology evoking with an adult, free from traumatic antecedents, a left ethmoido-maxillo-choanal polyp, the anatomo-pathologic survey of the lump, cutted out without incident, by the maxillary sinus (Caldwell-Luc), revealed the presence of zone of cerebral texture. The complaints of aqueous rhinorrhea increased and aggraved with diverse neuro-radiologic investigations enabled to state diagnostic of meningoencephalocele through ethmoidal left forepart osseous breach that was found and stopped up after by intracranial way...
1975: Acta Oto-rhino-laryngologica Belgica
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