4,031 results match your criteria Malposition of the Uterus


Exposure, entropion, and bilateral corneal ulceration in a newborn as a manifestation of chromosome 22 q11.2 duplication syndrome.

Am J Ophthalmol Case Rep 2019 Mar 4;13:16-19. Epub 2018 Nov 4.

Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, Boston, MA, USA.

Purpose: Chromosome 22q11.2 micro-duplication syndrome (MDS), is a rare autosomal dominant condition, with a highly variable phenotype that ranges from unremarkable and asymptomatic, to fatal due to cardiovascular defects. Hypertelorism, downslanting palpebral fissures, superior displacement of the eyebrows, and ptosis are the most commonly reported ocular manifestations. Read More

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X-ray indices of chest drain malposition after insertion for drainage of pneumothorax in mechanically ventilated critically ill patients.

J Thorac Dis 2018 Oct;10(10):5695-5701

Department of Anesthesiology and Intensive Care, 1 Faculty of Medicine, Charles University and General University Hospital in Prague, Prague, Czech Republic.

Background: Chest drain (CD) migration in the pleural cavity may result in inadequate drainage of pneumothorax. The aim of this study was to assess several parameters that might help in diagnosing CD migration on chest X-ray (CXR).

Methods: Patients with a CD inserted from the safe triangle with a subsequent supine CXR and CT scan performed less than 24 hours apart were assessed for CD foreshortening, angle of inclination of the CD, and CD tortuosity. Read More

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October 2018

Safety and Efficacy of Intraoperative Computer-Navigated Versus Non-Navigated Shoulder Arthroplasty at a Tertiary Referral.

Orthop Clin North Am 2019 Jan 25;50(1):95-101. Epub 2018 Oct 25.

Department of Orthopedic Surgery, Stanford University, 450 Broadway Street, Redwood City, CA 94062, USA.

Emerging technologies in shoulder arthroplasty, such as 3-dimensional planning software and real-time intraoperative navigation, are now available for surgeons to perform more accurate placement of the glenoid component without malposition or perforation. Using these tools, the surgeon can visualize the version, inclination, and containment of the implant and determine whether augmented components would be necessary. This review provides an updated investigation of the present literature to elucidate the role of computer navigation in modern shoulder arthroplasty. Read More

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January 2019

Compression with the ultrasound probe to prevent malposition of central venous catheter in the ipsilateral internal jugular vein during axillary vein cannulation.

J Clin Ultrasound 2018 Nov 25. Epub 2018 Nov 25.

Department of Anaesthesiology, Pain Medicine, and Critical Care, All India Institute of Medical Sciences, New Delhi, India.

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November 2018

Efficacy and Adverse Event Profile of the iStent and iStent Inject Trabecular Micro-bypass for Open-angle Glaucoma: A Meta-analysis.

J Curr Glaucoma Pract 2018 May-Aug;12(2):67-84. Epub 2018 Aug 1.

Ophthalmologist, Department of Ophthalmology and Vision Sciences, University of Toronto, Mississauga, Ontario, Canada.

Aim: This meta-analysis explores the efficacy and adverse event profile of the iStent, an ab interno implant for the treatment of open-angle glaucoma.

Methods: A systematic literature search of Ovid MEDLINE and EMBASE was used to identify peer-reviewed original studies that provided efficacy data on the first or second generation iStent for at least five eyes. Intraocular pressure (IOP) was the primary efficacy endpoint, while the number of medication classes was the secondary outcome. Read More

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August 2018
4 Reads

Potential intraoperative factors of screw-related complications following posterior transarticular C1-C2 fixation: a systematic review and meta-analysis.

Eur Spine J 2018 Nov 22. Epub 2018 Nov 22.

Sklifosovsky Research Institute of Emergency Care, B. Suharevskaya Pl. 3, Moscow, Russia, 107945.

Purpose: This study aimed to evaluate the impact of several factors, including patients' intraoperative position, intraoperative visualization technique, fixation method, and type of screws and their parameters, on the frequency of intraoperative screw-associated complications in posterior transarticular C1-C2 fixation.

Methods: A systematic review of the PubMed database between January 1986 and March 2018 was performed. The key inclusion criteria comprised detailed descriptions of the surgical technique and post-operative screw-associated complications. Read More

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November 2018
3 Reads

Utilizing the Retrograde Descending Internal Mammary Vein in DIEP Flap Anastomosis.

Eplasty 2018 29;18:ic23. Epub 2018 Oct 29.

Division of Plastic Surgery, Department of Surgery, Morsani College of Medicine, University of South Florida, Tampa.

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October 2018

Impact of training level on Postplacental Levonorgestrel 52mg intrauterine device expulsion.

Contraception 2018 Nov 16. Epub 2018 Nov 16.

Department of Obstetrics and Gynecology, MetroHealth Medical Center, Case Western Reserve University, Cleveland, OH 44109. Electronic address:

Objective: To determine the association between provider training level and postplacental intrauterine device (IUD) outcomes following insertion instruction by email only.

Study Design: We conducted a single-center chart review of demographics, insertion, and clinical outcomes within six months of delivery for 116 patients who underwent postplacental levonorgestrel 52mg IUD placement from October 1, 2016 to March 31, 2017.

Results: We confirmed IUD retention, removal, or expulsion in 87 of 116 (75. Read More

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November 2018
1 Read

Direct Anterior Approach Total Hip Arthroplasty Using a Morphometrically Optimized Femoral Stem, a Conventional Operating Table, Without Fluoroscopy.

J Arthroplasty 2018 Oct 26. Epub 2018 Oct 26.

Rothman Institute, Thomas Jefferson University, Philadelphia, PA.

Background: Our experience with direct anterior approach total hip arthroplasty (THA) suggests that it can be performed successfully with a morphometrically optimized metaphyseal-diaphyseal engaging femoral stem (NOT a short stem), a regular operating room table (NOT a special custom table), and WITHOUT intraoperative fluoroscopy. We report our minimum 2-year results.

Methods: A retrospective review of a single-surgeon series of primary direct anterior approach THAs was performed. Read More

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October 2018
1 Read

Operative complications with and without image-guidance: A systematic review and meta-analysis of the Ommaya reservoir literature.

World Neurosurg 2018 Nov 14. Epub 2018 Nov 14.

Department of Clinical Neurological Sciences, Western University, London, Ontario, Canada; Department of Pathology, Western University, London, Ontario, Canada.

Background: The use of image guidance (IG) in neurosurgery is ubiquitous, even though evidence from patient outcome data has remained limited to smaller, mostly observational, studies. Ommaya reservoir insertion (ORI) has been available as a treatment option for targeted intraventricular pharmacotherapy since the 1960's, far preceding the modern neuronavigation era. We conducted a systematic review and meta-analysis investigating the impact of IG on surgical outcome from ORI. Read More

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November 2018
2 Reads

Use of an Evidence-Based Guideline for Management of Side Effects from Long-Acting Reversible Contraceptives: A Quality Improvement Report.

J Midwifery Womens Health 2018 Nov 16. Epub 2018 Nov 16.

Introduction: Many health care providers believe that women who initiate long-acting reversible contraceptives (LARC) discontinue the method because of side effects too soon for the method to be economical. The purpose of this quality improvement project was to implement and evaluate an evidence-based telephone triage nursing guideline for management of side effects of LARC with an ultimate goal of reducing the number of early discontinuations.

Process: A telephone triage guideline was adapted from the Contraceptive Choice Project's Clinician Call Back System, supplemented with evidence-based resources, and approved by clinicians at 2 community women's health and midwifery offices. Read More

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November 2018
1 Read

Femoral Cortical Button Malposition Rates in Anterior Cruciate Ligament Reconstruction: A Retrospective Review.

Orthopedics 2018 Nov 13:1-5. Epub 2018 Nov 13.

The purpose of this study was to determine the rate of malposition of the femoral cortical button during anterior cruciate ligament reconstruction and to present a classification system of femoral cortical button positioning that is both accurate and reproducible. A total of 361 patients undergoing primary anterior cruciate ligament reconstruction during a 5-year period were identified, and postoperative button position was graded as follows: reduced and congruent (entirety of button <2 mm from cortex); reduced and incongruent (part of button <2 mm from cortex, part of button >2 mm from cortex); displaced (entirety of button >2 mm from cortex); intraosseous (all or part of button remains within bone); or ungradable. Radiographs were evaluated by 2 orthopedic surgeons at 2 time points to define interrater and intrarater reliability. Read More

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November 2018
4 Reads

Uterine Structural Abnormality and IUD Malposition: Analysis of Ultrasonographic and Demographic Variables of 517 Patients.

Am J Obstet Gynecol 2018 Nov 9. Epub 2018 Nov 9.

Department of Obstetrics and Gynecology, Jackson Memorial Hospital/University of Miami, Miami, FL 33136.

Background: Intrauterine devices are currently one of the leading forms of reversible contraception in the world. However, in approximately 10 to 25% of women, intrauterine devices can become malpositioned, leading to consequences including pain, bleeding, as well as possible decreased contraceptive efficacy.

Objective: We sought to determine if certain reproductive and uterine characteristics are associated with an increased risk of intrauterine device malposition. Read More

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November 2018
6 Reads

Transcatheter perimembranous ventricular septal defect closure under transthoracic echocardiographic guidance without fluoroscopy.

J Thorac Dis 2018 Sep;10(9):5222-5231

Department of Cardiovascular Surgery, National Center for Cardiovascular Disease, China & Fuwai Cardiovascular Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100037, China.

Background: Transcatheter device closure has become an alternative therapy for ventricular septal defect (VSD). This study aimed to investigate the feasibility and safety of transcatheter perimembranous VSD (pm-VSD) closure under transthoracic echocardiography (TTE) guidance alone.

Methods: Between October 2012 and July 2016, 118 patients with pm-VSD underwent an attempt of transcatheter device closure for pm-VSD through the femoral artery under TTE guidance alone. Read More

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September 2018
1 Read

Hinged versus CCK revision arthroplasty for the stiff total knee.

Knee 2018 Nov 8. Epub 2018 Nov 8.

Department of Orthopaedics, Hospital Genk, University of Hasselt, Belgium.

Background: Total knee arthroplasty (TKA) remains the gold standard for end-stage knee osteoarthritis. The prevalence of stiffness after this procedure described in literature varies from 1.3% to 5. Read More

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November 2018

Tuberous Breast Deformity Correction: 12-year Experience.

Aesthetic Plast Surg 2018 Nov 8. Epub 2018 Nov 8.

St. Petersburg State Pediatric Medical University, Saint Petersburg, Russia.

Background: This article shows our 12-year experience in application of the technique of breast parenchyma modification with simultaneous augmentation on the tuberous breast. We undertook the study, and with the results of this study we can say that tuberous breast deformation is a common pathology that is caused not only by a thickening of the superficial fascia but also by breast parenchyma fibrosis. When traditional techniques without parenchyma modification are used during the surgery, it is often that patients come back to treat complications. Read More

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November 2018
9 Reads

Complications Following Burr Hole Craniostomy and Closed-System Drainage for Subdural Lesions.

Korean J Neurotrauma 2018 Oct 31;14(2):68-75. Epub 2018 Oct 31.

Department of Neurosurgery, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea.

Objective: Burr hole craniostomy and closed-system drainage (BCD) is a common surgical procedure in the field of neurosurgery. However, complications following BCD have seldom been reported. The purpose of this study was to report our experiences regarding complications following BCD for subdural lesions. Read More

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October 2018
6 Reads

Late Dislocation Following Total Hip Arthroplasty: Spinopelvic Imbalance as a Causative Factor.

J Bone Joint Surg Am 2018 Nov;100(21):1845-1853

Department of Orthopaedic Surgery, Keck Medical Center of the University of Southern California, Los Angeles, California.

Background: Late dislocations after total hip arthroplasty (THA) are challenging for the hip surgeon because the cause is often not evident and recurrence is common. Recently, decreased spinopelvic motion has been implicated as a cause of dislocation. The purpose of this study was to assess the mechanical causes of late dislocation, including the influence of spinopelvic motion. Read More

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November 2018
2 Reads

Decompressive laparotomy for a patient on VA-ECMO for massive pulmonary embolism that suffered traumatic liver laceration after mechanical CPR.

J Surg Case Rep 2018 Oct 31;2018(10):rjy292. Epub 2018 Oct 31.

Department of Surgery, University of New Mexico School of Medicine, 2211 Lomas Blvd NE, Albuquerque, NM, USA.

Massive pulmonary embolism (PE) is an embolus sufficiently obstructing pulmonary blood flow to cause right ventricular (RV) failure and hemodynamic instability. We have utilized veno-arterial extracorporeal membrane oxygenation (VA-ECMO) for early and aggressive intervention for massive PE patients. We present a case of a 61-year-old female placed on VA-ECMO for a massive PE while presenting in cardiac arrest and receiving mechanical cardiopulmonary resuscitation (CPR) via the LUCAS 2. Read More

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October 2018
9 Reads

Lead Extraction Imaging.

Card Electrophysiol Clin 2018 Dec;10(4):625-636

United Heart & Vascular Clinic, Allina Health System, 225 North Smith Avenue, Suite 400, St Paul, MN 55102, USA.

Lead extraction procedures have a low but real risk of major complications, such as superior vena cava tear and cardiac tamponade. Complications during lead removal are commonly related to lead binding sites, lead malposition, and lead perforation. Lead extraction imaging may indicate lead vascular binding sites, lead position, and perforation. Read More

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December 2018
2 Reads

Unexpected dislocation following accurate total hip arthroplasty caused by excessive hip joint laxity during myasthenic crisis: a case report.

J Med Case Rep 2018 Nov 6;12(1):331. Epub 2018 Nov 6.

Department of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University, Shogoin, Kawahara-cho 54, Sakyo-ku, Kyoto, 606-8507, Japan.

Background: Dislocation following total hip arthroplasty is mainly caused by malposition. However, the coexistence of neuromuscular disorders is also considered a risk for dislocation due to excessive hip joint laxity. To minimize risk of dislocation, preoperative planning using combined anteversion has been widely used. Read More

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November 2018
4 Reads

Surgical Techniques for Implanting the EVAHEART 2 Double Cuff Tipless Inflow Cannula.

ASAIO J 2018 Oct 31. Epub 2018 Oct 31.

From the Evaheart, Inc., Houston, Texas.

The EVAHEART 2 (Sun Medical Technology Research Corporation, Nagano, Japan) is an investigational centrifugal ventricular assist device in the United States, introduced a new type inflow, named "double cuff tipless" inflow cannula intended to mitigate the risks of cannula malposition and subsequent ischemic stroke events associated with thrombi around the inflow cannula. To achieve these performance benefits of the "tipless" design, however, it is crucial to adhere to the recommended surgical procedure. We introduced a polymer-based patient model that mimics a dilated cardiomyopathy apex for inflow cannula implantation training. Read More

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October 2018
5 Reads

Stenting of patent ductus arteriosus in low birth weight newborns less than 2kg- procedural safety, feasibility and results in a retrospective study.

Indian Heart J 2018 Sep - Oct;70(5):709-712. Epub 2018 Feb 3.

Department of Cardiac Surgery, Max Superspeciality Hospital, Shalimar Bagh, New Delhi, India.

Objective: Retrospective analysis of the feasibility, safety and results of patent ductus arteriosus (PDA) stenting in low birth weight babies weighing < 2kg.

Background: Stenting of patent ductus arteriosus is a well known palliative technique for several years as an alternative to shunt surgery in babies weighing > 2.5-3kg. Read More

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February 2018
2 Reads

Reoperation Rate After Primary Augmentation With Smooth, Textured, High Fill, Cohesive, Round Breast Implants (RANBI-I Study).

Aesthet Surg J 2018 Nov 1. Epub 2018 Nov 1.

Medical Research, Allergan plc, Markham, ON, Canada.

Background: Reoperation after primary breast augmentation remains an important clinical issue.

Objective: Evaluate incidence and causes of reoperation in patients who underwent primary augmentation.

Methods: This retrospective, noninterventional study conducted at 16 Canadian sites reviewed medical records and subject-completed questionnaires of women who underwent primary breast augmentation with smooth or textured Natrelle® Inspira® implants containing TruForm 1 or TruForm 2 gel. Read More

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November 2018
1 Read

Caesarean Section at Full Dilatation and Risk of Major Obstetric Haemorrhage.

Ir Med J 2018 03 14;111(3):708. Epub 2018 Mar 14.

Rotunda hospital, Parnell Square, Dublin 1, Ireland.

The purpose of the study was to examine the risk factors for caesarean section (CS) at full dilatation and to assess the risk and management of haemorrhage. The study took place in a tertiary referral maternity hospital. Women who had a CS at full dilatation were included. Read More

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March 2018
2 Reads

The superiority of point of care ultrasound in localizing central venous line tip position over time.

Eur J Pediatr 2018 Oct 29. Epub 2018 Oct 29.

Department of Pediatrics, Division of Neonatology, Cohen Children's Medical Center, New Hyde Park, NY, USA.

The primary objective was to study agreement between X-rays and point of care ultrasound (POC-US) in determining central venous line (CVL) tip position. The secondary objective was to examine malposition rates over time using POC-US. Fifty-six neonates were enrolled who had a CVL placed. Read More

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October 2018
4 Reads

Valgus position of the femoral component causes abnormal kinematics in the presence of medial looseness in total knee arthroplasty: a computer simulation model of TKA for valgus knee osteoarthritis.

Knee Surg Sports Traumatol Arthrosc 2018 Oct 29. Epub 2018 Oct 29.

Department of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University, 54 Shogoin-Kawahara-Cho, Sakyo, 606-8507, Kyoto, Japan.

Purpose: Total knee arthroplasty (TKA) for valgus knee osteoarthritis is challenging. Although overcorrection in TKA for valgus knee osteoarthritis is recommended, supportive data based on biomechanics have rarely been reported. The purpose of this study was to elucidate whether coronal rotation of the femoral compartment causes abnormal kinematics with or without medial looseness. Read More

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October 2018
13 Reads

Revisiting Prepectoral Breast Augmentation: Indications and Refinements.

Authors:
Hyung-Bo Sim

Aesthet Surg J 2018 Oct 29. Epub 2018 Oct 29.

Department of Plastic Surgery, Soonchunhyang University Hospital, Seoul, Korea.

Background: Prepectoral breast reconstruction is receiving renewed attention as a viable alternative to retropectoral reconstruction. Prepectoral breast augmentation needs to be reappraised, as patients increasingly demand safer and less invasive procedures with a shorter recovery period.

Objective: This study aimed to evaluate prepectoral breast augmentation combined with a microtextured prosthesis to determine whether it could be a useful alternative to retropectoral augmentation. Read More

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October 2018
7 Reads

Deviation of cup alignment from target angle during press-fit insertion.

Comput Assist Surg (Abingdon) 2018 Dec 28;23(1):53-56. Epub 2018 Oct 28.

a Department of Orthopedic Surgery , Maharat Nakhon Ratchasima Hospital , Nakhon Ratchasima , Thailand.

Background: Several factors lead to cup malalignment including preoperative pelvic tilt, inaccurate pelvic position on the operating table, pelvic movement during the operation and alignment change after screw fixation of the cup. There are few studies about the deviation of cup alignment from target angle during press-fit insertion, which may be the other cause of cup malalignment. The purpose of this study was to evaluate the deviation of cup alignment from target angle during press-fit insertion by using imageless navigation and to define any influential factors, including gender, age and side of operation. Read More

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December 2018

Emerging complications following alternative reservoir placement during inflatable penile prosthesis placement: a 5-year multi-institutional experience.

J Urol 2018 Oct 23. Epub 2018 Oct 23.

University of Texas Health Science Center- McGovern Medical School at Houston, Texas; University of Texas MD Anderson Cancer Center, Houston, Texas. Electronic address:

Purpose: Alternative, or ectopic, reservoir placement (ARP) has recently gained popularity among prosthetic surgeons in order to avoid injury to pelvic structures during inflatable penile prosthesis (IPP) implantation. However, the true incidence of complications associated with these new techniques remain understudied. We carried out a 5-year multi-center retrospective study with the aim to evaluate complications related to alternative reservoir placement. Read More

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October 2018
1 Read

Root perforations: a review of diagnosis, prognosis and materials.

Braz Oral Res 2018 Oct 18;32(suppl 1):e73. Epub 2018 Oct 18.

Universidade de Cuiabá, Faculdade de Odontologia, Departamento de Endodontia, Cuiabá, MT, Brasil.

Root perforation results in the communication between root canal walls and periodontal space (external tooth surface). It is commonly caused by an operative procedural accident or pathological alteration (such as extensive dental caries, and external or internal inflammatory root resorption). Different factors may predispose to this communication, such as the presence of pulp stones, calcification, resorptions, tooth malposition (unusual inclination in the arch, tipping or rotation), an extra-coronal restoration or intracanal posts. Read More

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October 2018
9 Reads

Laryngeal mask airway Unique™ position in paediatric patients undergoing magnetic resonance imaging (MRI): prospective observational study.

BMC Anesthesiol 2018 Oct 24;18(1):153. Epub 2018 Oct 24.

Department of Paediatric Anaesthesia and Intensive care, University Hospital Brno, Faculty of medicine, Brno, Czech Republic.

Background: Laryngeal mask UNIQUE® (LMAU) is supraglottic airway device with good clinical performance and low failure rate. Little is known about the ideal position of the LMAU on the magnetic resonance imaging (MRI) and whether radiological malposition can be associated with clinical performance (audible leak) in children. The primary aim of the study was to evaluate incidence of the radiologic malposition of the LMAU according to size. Read More

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October 2018
4 Reads

Sengstaken-Blakemore tube malposition with esophageal rupture.

Acta Gastroenterol Belg 2018 Jul-Sep;81(3):447-448

Division of Gastroenterology and Hepatology, Department of Internal Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.

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October 2018

Combined association of liver and renal injury by intra-aortic balloon pump malposition.

ARYA Atheroscler 2018 May;14(3):142-144

Kermanshah Cardiovascular Research Centre, Kermanshah University of Medical Sciences, Kermanshah, Iran.

Background: We report an unusual visceral complication of intra-aortic balloon pump (IABP) due to the malpositioning of the catheter in the aorta.

Case Report: A 55-year-old man with severe left ventricular dysfunction underwent coronary artery bypass grafting (CABG) with the preoperative use of an intra-aortic balloon pump. Postoperative course was complicated by renal and hepatic failure. Read More

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May 2018
1 Read

Does ultrasound guidance for peripherally inserted central catheter (PICC) insertion reduce the incidence of tip malposition? - a randomized trial.

J Perinatol 2018 Oct 22. Epub 2018 Oct 22.

Division of Neonatology, Department of Pediatrics, All India Institute of Medical Sciences (AIIMS), New Delhi, India.

Objective: The aim of the study was to evaluate the incidence of peripheral inserted central catheter (PICC) tip malposition when the catheter is inserted under real-time ultrasound (RTUS) guidance when compared with conventional landmark (CL) technique in neonates. Additional objectives were to evaluate the PICC longevity and central line associated blood stream infections (CLABSI).

Study Design: In this randomised controlled trial, neonates were randomised to 'RTUS' (n = 40) or 'CL' (n = 40) groups. Read More

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October 2018
13 Reads

Intraoperative CT Scan Verification of Pedicle Screw Placement in AIS to Prevent Malpositioned Screws: Safety Benefit and Cost.

Spine Deform 2018 Nov - Dec;6(6):662-668

Nemours/AI duPont Hospital for Children, 1600 Rockland Rd, Wilmington, DE 19803, USA.

Study Design: Prospective database review.

Objectives: Determine if use of intraoperative 3D imaging of pedicle screw position provides clinical and cost benefit.

Summary Of Background: Injury or reoperation from malpositioned pedicle screws in adolescent idiopathic scoliosis (AIS) surgery occurs but is increasingly considered to be a never-event. Read More

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December 2017
6 Reads

Comparison of CFR-PEEK and conventional titanium locking plates for proximal humeral fractures: a retrospective controlled study of patient outcomes.

Musculoskelet Surg 2018 Oct 20;102(Suppl 1):49-56. Epub 2018 Oct 20.

Shoulder and Elbow Unit, Cervesi Hospital, Cattolica - AUSL della Romagna, Ambito Territoriale di Rimini, Cattolica, Italy.

Background: Metal plates are the fixation devices used most frequently to proximal humeral fractures (PHFs). However, in recent years carbon fiber-reinforced polyetheretherketone (CFR-PEEK) plates have become increasingly common. This study compares the clinical and radiographic outcomes of 42 Neer three- and four-part PHFs treated with CFR-PEEK or metal (titanium) plates. Read More

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October 2018
6 Reads

Isolated Congenital Cleft of the Nose.

J Craniofac Surg 2018 Nov;29(8):e812-e814

School of Medicine, Plastic, Reconstructive and Aesthetic Surgery, Kahramanmaraş Sütçüimam University, Kahramanmaraş, Turkey.

The intrauterine growth of the face is formed by appropriate fusion of frontonasal, maxillary, and mandibular protrusions. These anomalies are very rare and there may be differences between individuals according to cleft types. In this article, a very rare condition of isolated alar cleft and its treatment method were presented. Read More

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November 2018
8 Reads

Comparative Study Between Laparoscopic and Open Techniques for Insertion of Ventriculperitoneal Shunt for Treatment of Congenital Hydrocephalus.

J Laparoendosc Adv Surg Tech A 2018 Oct 10. Epub 2018 Oct 10.

1 General Surgery Department, Faculty of Medicine, Assiut University , Assiut, Egypt .

Introduction: Different methods and devices have been developed to regulate cerebrospinal fluid flow for the treatment of congenital hydrocephalus (HC). In addition, progress in shape and materials of catheters and also valves has been achieved. Although many studies in literature have evaluated the benefits of a laparoscopic approach, few researches have compared the two techniques used for the insertion of the ventriculoperitoneal shunt (VPS). Read More

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October 2018

Clinical Application of Navigation in the Surgical Treatment of a Pelvic Ring Injury and Acetabular Fracture.

Adv Exp Med Biol 2018 ;1093:289-305

Department of Orthopaedic Medical Engineering, Osaka University Graduate School of Medicine, Suita, Japan.

The purpose of this chapter is to review current evidence on indications, techniques, and outcomes of computer-navigated surgical treatment of pelvic ring injuries and acetabular fractures, particularly computer-navigated screw fixation.Iliosacral screw fixation of pelvic ring injury using navigation is attracting attention because the biomechanical stabilization of posterior pelvic ring disruption is of primary importance and is widely indicated because it does not require complete reduction of the fracture site. A cadaver study with a simulated zone II sacral fracture demonstrated a substantial compromise in the space available for iliosacral screws with displacements greater than 10 mm. Read More

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January 2018
1 Read

Endoscopic Ultrasound-Directed Transgastric ERCP (EDGE): a Single-Center US Experience with Follow-up Data on Fistula Closure.

Obes Surg 2018 Oct 10. Epub 2018 Oct 10.

Division of Gastroenterology and Hepatology, University of North Carolina, 130 Mason Farm Road, CB 7080, Chapel Hill, NC, 27599, USA.

Background: Endoscopic ultrasound-directed transgastric ERCP (EDGE) by creating an anastomosis from the gastric pouch or jejunum to the excluded stomach allows performance of ERCP in Roux-en-Y gastric bypass (RYGB) anatomy. Concern for persistent fistula following stent removal and sparse data limit adoption.

Methods: Retrospective review of consecutive patients undergoing EDGE over a 2-year period. Read More

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October 2018
6 Reads

Ascites with hepatic extravasation of total parenteral nutrition (TPN) secondary to umbilical venous catheter (UVC) malposition in an extremely preterm baby.

BMJ Case Rep 2018 Oct 8;2018. Epub 2018 Oct 8.

Division of Neonatology, Department of Pediatrics, Regina General Hospital, Regina, Saskatchewan, Canada.

The ease of access and advantages of a secure central line makes use of umbilical venous catheter (UVC) and umbilical artery catheters a part of the standard of care in the extremely premature babies in the neonatal intensive care unit. However, there are complications associated with their use. One of the uncommon complications reported is total parenteral nutrition (TPN) ascites secondary to vessel perforation or hepatic erosion by the tip of the catheter due to malposition of a UVC. Read More

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October 2018
2 Reads

Diagnostic Value of Contrast-Enhanced Ultrasound in a 12-Year-Old Girl with Suspected Malposition of a Bladder Catheter and Ambiguous Findings on B-Mode Ultrasound - A Case Report.

Ultraschall Med 2018 10 9;39(5):559-561. Epub 2018 Oct 9.

Department of Clinical Radiology, Ludwig-Maximilians-University of Munich-Grosshadern Campus, Munich, Germany.

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October 2018
1 Read

Transcatheter Aortic Valve Replacement for Severe Aortic Stenosis Complicated by Sigmoid Septum.

Circ J 2018 Nov 5;82(12):3090-3099. Epub 2018 Oct 5.

Department of Cardiac Surgery, National Cerebral and Cardiovascular Center.

Background: In patients undergoing transcatheter aortic valve replacement (TAVR) for severe aortic stenosis (AS), a sigmoid septum, characterized by subaortic interventricular hypertrophy, often results in the need for new pacemaker implantation (PMI). In this study, we reviewed the feasibility and treatment efficacy of TAVR for AS in patients with a sigmoid septum. Methods and Results: Between 2011 and 2016, 48 patients (25. Read More

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November 2018
2 Reads

[Positioning of external pelvic stabilization devices in patients with multiple injuries : Retrospective computed tomographic evaluation].

Anaesthesist 2018 Nov 8;67(11):837-849. Epub 2018 Oct 8.

Evangelisches Klinikum Bethel, Burgsteig 13, 33617, Bielefeld, Deutschland.

Background: Severe hemorrhage is a dreaded complication of pelvic fractures. It has a significant impact on early trauma-associated mortality. Hemorrhage that is secondary to pelvic fractures can be reduced by external stabilization devices. Read More

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November 2018
1 Read

Delayed Malposition of Central Venous Catheter Induced Mediastinum Hematoma With Innominate Vein Perforation.

Asian J Anesthesiol 2018 Jun;56(2):66-69

College of Medicine, National Cheng Kung University, Tainan, Taiwan.

Central venous catheterization (CVC) is a common invasive procedure. Although it is a relatively safe procedure, severe complications occurred sometimes. One of the most serious complications is large vessel perforation. Read More

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June 2018
3 Reads

Troubleshooting a dialysis line: when blue runs red.

BMJ Case Rep 2018 Oct 2;2018. Epub 2018 Oct 2.

Pulmonary and Critical Care Medicine, University of Maryland School of Medicine, Baltimore, Maryland, USA.

We present the case of a critically ill woman whose dialysis line was noted to be circulating bright red blood. Located in the right internal jugular vein, the line had previously been working normally with the change occurring shortly after the patient was liberated from positive pressure mechanical ventilation. An arterial malposition was ruled out and subsequent investigations revealed the presence of a left-sided partial anomalous pulmonary venous connection (PAPVC) that had been previously undiagnosed. Read More

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October 2018
2 Reads

TPNoma: an unusual complication of umbilical venous catheter malposition.

Arch Dis Child Fetal Neonatal Ed 2018 Sep 29. Epub 2018 Sep 29.

Department of Neonatology, Sunderland Royal Hospital, Sunderland, UK.

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September 2018
1 Read

[Long-Term Results of Computer-Navigated Total Knee Arthroplasties Performed by Low-Volume and Less Experienced Surgeon].

Acta Chir Orthop Traumatol Cech 2018 ;85(3):219-225

PURPOSE OF THE STUDY The study aims to evaluate the long-term results of computer-navigated total knee arthroplasties performed by less experienced surgeon performing a small number of procedures per year. MATERIAL AND METHODS In the prospective randomised study functional and radiological results, rate of revision and probability of clinical and radiological survival were compared in 30 computer-navigated (in 28 patients: 19 women, 9 men, with the mean age of 66.9 years) and 31 conventionally implanted (in 30 patients: 27 women, 3 men, with the mean age of 66. Read More

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January 2018

[Osteotomy after Distal Radius Fractures - Five-Year Clinical and Radiological Outcomes].

Acta Chir Orthop Traumatol Cech 2018 ;85(4):254-260

Ortopedická klinika Univerzitnej nemocnice a Jesseniovej lekárskej fakulty v Martine Univerzity Komenského v Bratislave.

PURPOSE OF THE STUDY The purpose of our retrospective study is to evaluate 5-year functional and radiological outcomes in patients following corrective osteotomy of the distal radius and ulnar osteotomy for malposition after a distal radius fracture, to identify differences in the outcomes of corrective osteotomies depending on the type of the original fracture according to the AO classification, the grade of arthritis of radiocarpal (RC) joint, surgical approach and the way of stabilisation of the osteotomy. MATERIAL AND METHODS The followed-up group of 22 patients (8 men and 14 women) underwent osteotomy for malposition of distal radius in the period 2007-2011. The age of patients in the followed-up group ranged from 21 to 72 years, with the mean age of 51 years at the time of surgery. Read More

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January 2018
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