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Ophthalmic Plast Reconstr Surg 2019 Mar 12. Epub 2019 Mar 12.

Department of Ophthalmology, New York University Langone Medical Center, New York, New York.

Purpose: To investigate the safety and efficacy of direct, intralesional doxycycline hyclate injection for improving the appearance of cosmetically significant lower eyelid festoons and malar edema.

Methods: An Institutional Review Board approved, retrospective review was performed of 15 consecutive patients with malar edema and/or festoons injected with doxycycline hyclate at a concentration of 10 mg/ml. Pre- and postinjection photographs were reviewed and graded on a scale of 0 to 3 (0: no festoon; 1: small festoon; 2: medium festoon; 3: large festoon) by 2 masked physician observers. Read More

Dermatol Surg 2019 Mar 14. Epub 2019 Mar 14.

Department of Burns and Plastic Surgery, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, Shandong, China.

Objective: To evaluate the efficacy and safety of combination therapy with sclerotherapy and dual-wavelength pulsed dye laser (PDL) & Nd:YAG for infantile hemangiomas (IHs).

Patients And Methods: Fifty-nine patients with IH received treatment with sclerotherapy and dual-wavelength PDL & Nd:YAG treatment at 4-week intervals. Observers assessed the size and color of IH using a size rating scale and color rating scale before and after treatments. Read More

Cureus 2018 Dec 28;10(12):e3793. Epub 2018 Dec 28.

Dermatology, San Diego Family Dermatology, San Diego, USA.

Penile angiokeratomas (peakers) are uncommon, benign vascular tumors typically presenting as multiple lesions on the corona of the glans penis. They have been observed in 21 men. They range from 0. Read More

Radiographics 2019 Mar-Apr;39(2):596-608

From the Department of Radiology, Mayo Clinic Rochester, 200 First St SW, Rochester, MN 55905.

Pelvic venous congestion syndrome (PVCS) is a challenging and complex cause of chronic pelvic pain in female patients. PVCS due to incompetent vein valves is the combination of gonadal vein reflux and pelvic venous engorgement in patients with chronic pelvic pain without other causes. However, pelvic venous engorgement and gonadal vein reflux can be seen in patients without pelvic pain, which makes obtaining a detailed history and physical examination important for workup and diagnosis. Read More

J Wound Care 2019 Mar;28(Sup3b):s25-s28

Selurl Philangio, 30 Place Louis Jouvet, Grenoble, France.

Side-effects occurring in patients treated by multilayer bandaging may be neurological, dermatological or arterial. We report on two cases of venous thrombosis involving outpatients treated for venous leg ulcers (VLU). In the first case, a lack of understanding of multilayer bandages and training on their use by the nursing staff was likely the cause of a superficial vein thrombosis (SVT) in a great saphenous vein tributary. Read More

J Clin Orthop Trauma 2019 Mar-Apr;10(2):414-417. Epub 2018 May 18.

Indraprastha Apollo Hospital, New Delhi, India.

Aneurysmal bone cysts (ABC) are expansile lytic lesions constituting around 1% of all benign bone tumors with an annual incidence of 1.4/100000. A variety of treatments are available ranging from curettage with or without bone grafting (autologous or allogeneic), curettage with use of adjuvants [Polymethylmethacrylate (PMMA) bone cement, high speed burr, phenol, liquid nitrogen], wide en-block excision with or without reconstruction, selective arterial embolization of the feeding vessels, radiation therapy, high precision megavoltage radiotherapy and percutaneous radio-nuclide ablation, sclerotherapy (ethibloc, aetoxisclerol, alcohol gel, polidocanol). Read More

Neurointervention 2019 Mar 28;14(1):61-62. Epub 2019 Feb 28.

Department of Radiology, School of Medicine, Kyungpook National University, 130 Dongdeok-ro, Jung-gu, Daegu 41944, Korea.

Neurointervention 2019 Mar 28;14(1):53-60. Epub 2019 Feb 28.

Department of Neuroradiology, Lahore General Hospital, Lahore, Pakistan.

Purpose: We analyzed results of percutaneous sclerotherapy for venous malformations (VMs) in head, neck and extremities.

Materials And Methods: Thirty-five patients with head and neck and extremities VM treated by sclerotherapy with bleomycin and sodium tetradecyl sulphate (STS) were retrospectively reviewed. A pre-treatment magnetic resonance imaging was done for all patients to diagnose the lesion. Read More

Dig Endosc 2019 Mar 1. Epub 2019 Mar 1.

Division of Gastroenterology and Hepatology, Graduate School of Medical and Dental Sciences, Niigata University.

Objective: This study aimed to compare the effectiveness of endoscopic injection sclerotherapy (EIS) and endoscopic variceal ligation (EVL) in managing esophageal varices (EVs) according to the diameter of para-esophageal varices (PEVs) on computed tomography (CT).

Methods: In this retrospective study, EIS and EVL were compared as initial and palliative treatments for patients with EVs who were treated at our hospital from 2012 to 2017. The PEV diameter was measured using CT, and EVL treatment was chosen for patients with PEVs >4 mm. Read More

Gynecol Obstet Fertil Senol 2019 Feb 25. Epub 2019 Feb 25.

Service d'assistance médicale à la procréation, centre médicochirurgical et obstétrical, hopitaux universitaires de Strasbourg, 19, rue Louis-Pasteur, 67300 Schiltigheim, France.

BMC Gastroenterol 2019 Feb 28;19(1):37. Epub 2019 Feb 28.

Liver Transplant Program, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan.

Background: Endoscopic injection sclerotherapy (EIS) is a life-saving procedure for pediatric patients with bleeding gastric varices (GV) associated with advanced liver cirrhosis and severe portal hypertension. Because of the lack of an endoscopic banding ligation device for pediatric patients, EIS is usually performed for bleeding esophageal varices (EV) in infants with congenital biliary atresia.

Case Presentation: We present a case of a 15-month-old female infant with type I biliary atresia with jaundice (total serum bilirubin, 22. Read More

J Int Med Res 2019 Feb 28:300060519830207. Epub 2019 Feb 28.

Department of Gastroenterology, Panzhihua Central Hospital, Sichuan, People's Republic of China.

Gastric varices are found in approximately 20% of patients with portal hypertension. Endoscopic procedures involving the injection of cyanoacrylate (CYA) have proven to be the therapies of choice for primary treatment of gastric varices and have resulted in higher hemostasis rates and lower recurrent bleeding rates compared with band ligation and sclerotherapy. Nevertheless, serious adverse events associated with CYA injection, including glue embolization, have been reported in numerous articles and have occasionally led to fatal adverse events. Read More

Pediatr Radiol 2019 Feb 27. Epub 2019 Feb 27.

Department of Radiology, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH, 43205, USA.

Background: Ranulas are salivary pseudocysts in the floor of the mouth adjacent to damaged salivary glands. Current surgical management is drainage of the ranula with removal of the offending gland. An analogous percutaneous procedure could potentially offer similar treatment efficacy in a more minimally invasive way. Read More

Phlebology 2019 Feb 26:268355519833229. Epub 2019 Feb 26.

1 Vascular Diseases Center - Translational Surgery Unit, University of Ferrara, Ferrara, Italy.

Objectives: Comparison of a flush sapheno-popliteal junction ligation versus a mini-invasive foam sclerotherapy-assisted ligation.

Methods: Forty-eight chronic venous disease patients underwent sapheno-popliteal junction flush ligation (group A). Forty-one patients underwent small saphenous vein ligation by means of mini-invasive incision with foam sclerotherapy of the popliteal stump (group B). Read More

Dermatol Surg 2019 Feb 13. Epub 2019 Feb 13.

Department of Dermatology, Venereology and Leprology, Pt. B. D. Sharma University of Health Sciences, Rohtak, India.

Ann Transl Med 2019 Jan;7(1):12

Department of Thoracic Surgery, The Affiliated Hospital of Qingdao University, Qingdao 266000, China.

Tracheal diverticulum is a rarely congenital or acquired tracheal benign entity, characterized by round or spherical out-pouching of the tracheal wall. Most of the tracheal diverticula are asymptomatic disease, and therefore surgical treatment has not been widely reported. Symptomatic diverticula can accept conservative treatment such as anti-inflammatory, postural drainage, etc. Read More

J Vasc Bras 2018 Oct-Dec;17(4):341-347

Pontifícia Universidade Católica de Goiás - PUC Goiás, Goiânia, GO, Brasil.

Sclerotherapy remains one of the procedures most frequently performed by Brazilian vascular surgeons. Knowledge of its complications is indispensable to enable us to avoid them. The severe side effects of this method of treatment for telangiectasias of the lower limbs are rare and are often associated with technical errors or the dose injected. Read More

J Vasc Bras 2018 Oct-Dec;17(4):333-336

Universidade do Oeste de Santa Catarina - UNOESC, Joaçaba, SC, Brasil.

Cerebral ischemia is a very rare and harmful complication of ultrasound-guided foam sclerotherapy for treatment of varicose veins. This case describes a documented cerebrovascular ischemia in Broca's area following ultrasound-guided foam sclerotherapy. Less than one hour after intravenous injection of 10 ml of sclerosing foam, an otherwise healthy woman experienced aphasia without any other signs of neurological changes. Read More

J Pediatr Surg 2019 Feb 3. Epub 2019 Feb 3.

Division of Pediatric Surgery, Department of Surgery, British Columbia Children's Hospital, Vancouver, BC, Canada. Electronic address:

Background: Sclerotherapy is a commonly utilized treatment for rectal prolapse in children. This study systematically evaluates the effectiveness and complications of various sclerosing agents in treating pediatric rectal prolapse.

Methods: After protocol registration (CRD-42018088980), multiple databases were searched. Read More

BMC Gastroenterol 2019 Feb 19;19(1):32. Epub 2019 Feb 19.

Department of Gastroenterology and Hepatology, Beijing You An Hospital affiliated to the Capital Medical University, 8 Xi Tou Tiao, Youanmen wai, Beijing, 100069, China.

Background: The recurrence of esophageal varices remains high in patients with hepatic portal hypertension after the endoscopic esophageal variceal eradication therapies, including endoscopic variceal band ligation (EVL), injection sclerotherapy (EIS) or EVL plus EIS. The aim of this study was to evaluate the endoscopic ultrasound probe examinations (EUP) findings in the prediction of recurrence following esophageal variceal eradication in a prospective cohort.

Methods: A total of 206 cirrhotic portal hypertension patients with esophageal variceal eradication, who underwent endoscopic variceal therapy (EVL or EIS or EVL plus EIS) were initially enrolled. Read More

J Vasc Surg Venous Lymphat Disord 2019 Feb 15. Epub 2019 Feb 15.

Department of Surgery, Division of Vascular Surgery, Duke University Health System, Durham, NC. Electronic address:

Background: Venous ulcers are painful, recurrent, and difficult to heal. Electronic medical records (EMRs) are often not optimized to track wounds. Specialized wound care programs may not interface with office-based records, creating a need to standardize the process of venous ulcer measurement and dressing documentation within existing systems. Read More

J Vasc Surg Venous Lymphat Disord 2019 Feb 15. Epub 2019 Feb 15.

Department of Surgery, Soonchunhyang University Seoul Hospital, Seoul, Korea. Electronic address:

Objective: Preoperative mapping of great saphenous vein (GSV) escape points to tributary veins (TVs) and targeted intervention of escape points may reduce recurrence rates of varicose veins (VVs) after endovascular treatment of saphenous veins and prevent saphenous nerve complications. The aim of this study was to perform an analysis of cartography after Doppler ultrasound mapping of escape points in patients with VVs and to suggest one point that may prevent recurrence and nerve complications.

Methods: Ultrasound assessment of VVs was performed from March 4, 2016, to July 15, 2016, specifically focusing on the locations of escape points from the saphenous vein to TVs. Read More

Eur J Radiol 2019 Mar 13;112:72-81. Epub 2018 Dec 13.

Bilddiagnostik, Paediatric Interventional Radiology, University Children's Hospital, Steinwiesstrasse 75, CH-8032, Zürich, Switzerland.

Paediatric interventional radiology is an evolving speciality which is able to offer numerous minimally invasive treatments for gastrointestinal tract pathologies. Here we describe interventions performed by paediatric interventional radiologists on the alimentary tract from the mouth to the rectum. The interventions include sclerotherapy, stricture management by dilation, stenting and adjunctive therapies such as Mitomycin C administration and enteral access for feeding, motility assessment and administration of enemas. Read More

J Craniomaxillofac Surg 2018 Sep 20. Epub 2018 Sep 20.

University of Parma, Department of Maxillo Facial Surgery (Head: Prof. Enrico Sesenna), Italy.

Vascular malformations are often found inside the orbit. Isolated venous malformations (frequently misnamed as cavernous hemangiomas) are the most frequent among these. However, also lymphatic and arteriovenous malformations can affect the orbit. Read More

PLoS One 2019 15;14(2):e0211122. Epub 2019 Feb 15.

Department of Gastroenterology and Hepatology, Musashino Red Cross Hospital, Tokyo, Japan.

Background And Aims: The present study aimed to report our real-life experience of the TPO receptor agonist lusutrombopag for cirrhotic patients with low platelet counts.

Methods: We studied platelet counts in 1,760 cirrhotic patients undergoing invasive procedures at our hospital between January 2014 and December 2017. In addition, we studied 25 patients who were administered lusutrombopag before invasive procedures between June 2017 and January 2018. Read More

Medicine (Baltimore) 2019 Feb;98(7):e14495

Department of Hepatobiliary and Pancreatic Surgery, Zhongnan Hospital of Wuhan University, Wuhan, China.

Background: Various procedures for the treatment of varicose veins have been shown to have long-term effectiveness, but research has yet to identify the most effective procedure. The aim of this study was to investigate the long-term efficacy of different procedures based on Bayesian network meta-analysis and to rank therapeutic options for clinical decision-making.

Methods: Globally recognized databases, namely, MEDLINE, Embase, and Cochrane Central, were searched for randomized controlled trials (RCTs). Read More

J Hand Surg Asian Pac Vol 2019 Mar;24(1):89-92

† Section of Vascular Surgery and Endovascular Therapy, Mexico City, Mexico.

Parkes Weber Syndrome (PWS) is a congenital disorder characterized by the presence of arteriovenous malformations (AVMs) in upper or lower extremities. We herein present a 35 year-old male with PWS with complex AVMs in the right upper extremity; he had been previously treated with multiple sessions of vessel embolization, sclerotherapy and AVM resections. The patient presented to our clinic with two month history of progressive hand ischemia, digit necrosis and infection. Read More

Endoscopy 2019 Feb 12. Epub 2019 Feb 12.

Department of Endoscopy and Gastroenterology, Pavillon L, Edouard Herriot Hospital, Lyon, France.

Acta Otorhinolaryngol Ital 2019 Jan 31. Epub 2019 Jan 31.

Department of Otorhinolaryngology-Head and Neck Surgery, Shanghai Children's Hospital, Shanghai Jiaotong University, Shanghai, China.

Retropharyngeal lymphatic malformations (LMs) are exceedingly rare and have rarely been reported in the literature. This condition can be life threatening, and its management is particularly challenging. Over a two-year period, two patients who presented with symptomatic (dyspnoea, snoring) retropharyngeal LMs were treated in our hospital. Read More

Dermatol Surg 2019 Feb 6. Epub 2019 Feb 6.

Park Avenue Dermatology, Orange Park, Florida.

Background: Sclerotherapy is used to treat varicosities and telangiectases. Glycerin is a sclerosing agent that has been used off-label for years with a favorable adverse effect profile. However, the treatment of facial telangiectases with sclerotherapy is controversial given the potential for necrosis and embolization in relation to the complex vascular anatomy of the face. Read More

Ann Otol Rhinol Laryngol 2019 Feb 9:3489419826135. Epub 2019 Feb 9.

1 Children's National Health System, Washington, DC, USA.

Objective:: Multidisciplinary vascular anomaly clinics (VACs) offer important value to pediatric patients with complex vascular anomalies whose care overlaps specialties. These clinics are labor intensive and costly to operate since providers see fewer patients compared to their individual specialty clinic. Our North American tertiary care institution's VAC specialists include a pediatric otolaryngologist, pediatric surgeon, pediatric plastic surgeon, pediatric dermatologist, and interventional radiologist. Read More

J Am Acad Dermatol 2019 Feb 4. Epub 2019 Feb 4.

Department of Pediatric Surgery, the Second Affiliated Hospital, Xi'an JiaoTong University, Xi'an 710004, China. Electronic address:

Ann Afr Med 2019 Jan-Mar;18(1):12-16

Oak Endoscopy Centre, Digestive Disease Unit, Port Harcourt, Nigeria.

Background: An engorgement and prolapse of the anal cushion lead to haemorrhoidal disease. There are different anatomical sites and presentation of this common pathology which affects the quality of life.

Aims: To study the predilection sites, presentation and treatment of haemorrhoidal disease. Read More

Oral Maxillofac Surg 2019 Mar 7;23(1):35-45. Epub 2019 Feb 7.

Oral and Maxillofacial Unit, St Vincent's Hospital Melbourne, Fitzroy, Australia.

Purpose: Recurrent temporomandibular joint (TMJ) dislocation can be challenging to treat and the current understanding regarding aetiology and management of this condition is limited. The aim of this paper was to conduct a systematic review regarding the management of recurrent TMJ dislocation.

Methods: A literature review was conducted using PRISMA guidelines to identify papers published between 2006 and 2016. Read More

J Ultrasound Med 2019 Feb 4. Epub 2019 Feb 4.

Department of Plastic Surgery, Orłowski Hospital, Center of Postgraduate Medical Education, Warsaw, Poland.

Objectives: To verify whether elastographically determined remodeling of venous obliterating material formed during sclerotherapy is influenced by patient-specific factors.

Methods: The study included 60 patients who underwent sclerotherapy for venous insufficiency. Elastographic parameters of obliterating material, including relative vascular cross sections (percent) with the highest (red), intermediate (green), and lowest elasticity (blue), determined 7 ± 1, 14 ± 2, and 21 ± 2 days after sclerotherapy, were analyzed against the patients' ages, sexes, physical activity levels, and pain severities. Read More

J Vasc Interv Radiol 2019 Feb;30(2):195-202.e1

Department of Radiology, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul, Korea.

Purpose: To compare the efficacy of lymph node (LN) embolization using N-butyl cyanoacrylate versus ethanol sclerotherapy in the management of symptomatic postoperative pelvic lymphorrhea.

Materials And Methods: Thirty-three patients with 40 instances of symptomatic postoperative lymphorrhea were treated with either LN embolization or sclerotherapy at Seoul National University Hospital from January 2009 to July 2017 and were retrospectively included (LN embolization group: 24 lymphoceles of 19 patients, mean age of 59.29 years; sclerotherapy group: 16 lymphoceles of 14 patients, mean age of 60. Read More

BMC Gastroenterol 2019 Feb 4;19(1):23. Epub 2019 Feb 4.

Tropical Medicine Department, Faculty of Medicine, Tanta University, Tanta, Egypt.

Background: The management of acute esophageal variceal bleeding remains a clinical challenge. Band ligation is the main therapeutic option, but it may be technically difficult to perform in active bleeders. This may necessitate an alternative therapy for this group of patients. Read More

Best Pract Res Clin Obstet Gynaecol 2019 Jan 5. Epub 2019 Jan 5.

Leuven Institute for Fertility & Embryology, Schipvaartstraat 4, 3000 Leuven, Belgium.

Formation of the ovarian endometrioma consists of implantation, invagination of the ovarian cortex, and adhesion formation. Progression is characterized by repeated injury and repair with degenerative changes. Already with a partially deprived ovarian reserve, resulting from the disease, surgical treatment carries a potential risk of further follicular deprivation. Read More

Lasers Med Sci 2019 Feb 1. Epub 2019 Feb 1.

Fundación Antoni de Gimbernat, Instituto Médico Vilafortuny, Av. Vilafortuny 31, Cambrils, E43850, Tarragona, Spain.

Sclerotherapy continues to be the treatment of choice for varicose veins in the legs. However, isolated treatment using microfoam or lasers requires a high number of sessions to eliminate them. In 2013, we published results about the efficacy and safety 3 years after the combined treatment with microfoam injections and subsequent application of Nd:YAG laser. Read More

BMJ Open 2019 Jan 30;9(1):e024813. Epub 2019 Jan 30.

Section for Clinical Epidemiology and Biostatistics, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.

Introduction: Endovenous ablations are the new standard procedures for treatment of great saphenous vein reflux including endovenous laser ablation (EVLA), radio frequency ablation (RFA), endovenous steam ablation (EVSA), mechanochemical ablation (MOCA), cyanoacrylate injection and ultrasound-guided foam sclerotherapy (UGFS). EVLA and RFA have demonstrated similar anatomical success for short-term outcome, but results are controversial for longer term (≥5 years). Additional evidences from randomised controlled trials have been published. Read More

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2019 Jan;54(1):33-37

Department of Endocrinology, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325015, China.

To investigate the efficacy and safety of percutaneous lauromacrogol injection (PLI) in treatment of cystic or predominantly cystic thyroid nodules. A total of 114 cystic thyroid nodules and 61 predominantly cystic thyroid nodules with pain or uncomfort or aesthetic complaints were offered PLI. Therapeutic success rates and side effects were evaluated. Read More

Phlebology 2019 Jan 28:268355519825894. Epub 2019 Jan 28.

2 Dermatology, Phlebology and Fluid Mechanics Research Laboratory, St Vincent's Centre for Applied Medical Research (AMR), St. Vincent's Hospital, Sydney, Australia.

Background: Livedo vasculopathy is a cutaneous thrombotic microangiopathy favouring the lower legs characterised by an intense reticulate pigmentation, atrophie blanche and recurrent painful stellate ulcerations. There is a strong association with antiphospholipid syndrome, thrombophilic abnormalities, factor V Leiden mutation and more recently, lipoprotein A. Thrombotic occlusion of the dermal venules is the key pathology in livedo vasculopathyand there is no associated vasculitis. Read More

Expert Rev Endocrinol Metab 2019 03 29;14(2):97-110. Epub 2019 Jan 29.

a Division of Gastroenterology, Hepatology and Endoscopy , Harvard Medical School, Brigham and Women's Hospital , Boston , MA , USA.

Introduction: With the cumulative increase in the number of patients undergoing bariatric surgery, postoperative weight regain has become a considerable challenge. Mechanisms for weight regain are not fully understood and the process is likely multifactorial in many cases. Endoluminal revisions that reduce gastric pouch size and diameter of the gastrojejunal anastomosis may offer an effective and less invasive management strategy for this population. Read More

Arch Plast Surg 2019 Jan 15;46(1):23-33. Epub 2019 Jan 15.

Department of Plastic and Reconstructive Surgery, School of Medicine, Kyungpook National University, Daegu, Korea.

Background: Venous malformations (VMs) are a common type of vascular malformation. However, their causes and management remain unclear, and few studies specific to VMs of the head and neck have been reported. This study describes our experiences with VMs of the head and neck. Read More

Exp Ther Med 2019 Feb 5;17(2):1276-1281. Epub 2018 Dec 5.

Department of Interventional Radiology, Affiliated South China Hospital, The Second School of Clinical Medicine, Southern Medical University, Guangzhou, Guangdong 510515, P.R. China.

The aim of the present retrospective study was to investigate the clinical safety and efficacy of absolute ethanol combined with n-butyl cyanoacrylate sclerotherapy in the treatment of Puig's classified advanced venous malformation. Sclerotherapy was performed in 121 children (52 males and 69 females; age range, 5 months to 16 years) with venous malformations under general anesthesia between April 2009 and October 2014 at the Department of Interventional Radiology and Vascular Anomalies, Guangzhou Women and Children's Medical Center, Guangzhou, China. The patients with venous malformations were diagnosed and classified according to the diagnostic criteria of the International Society for the Study of Vascular Anomalies. Read More

Exp Ther Med 2019 Feb 16;17(2):1106-1112. Epub 2018 Nov 16.

Department of Internal Medicine, Medical Center Dr. Ianosi, University of Medicine and Pharmacy of Craiova, 200000 Craiova, Romania.

Telangiectasias and reticular veins of the lower extremities are common lesions. Sclerotherapy is considered the gold standard for treatment. The aim of our prospective randomized study was to compare the efficacy and safety of hypertonic 20% saline/2% lignocaine (HS) versus polidocanol 0. Read More

J Arthroplasty 2018 Dec 22. Epub 2018 Dec 22.

Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN.

Background: Klippel-Trénaunay syndrome (KTS) is a severe vascular malformation that can lead to hypertrophic osteoarthritis. Total knee arthroplasty (TKA) performed in extremities affected with KTS is challenging given the high-risk vascular considerations and occasionally poor bone quality.

Methods: We identified 12 patients with KTS who underwent TKA between 1998 and 2017. Read More

Clin Endosc 2019 Jan 22;52(1):36-39. Epub 2019 Jan 22.

Division of Gastroenterology, Department of Medical Research, E-DA Hospital, Kaohsiung, Taiwan.

Vasoconstrictors are often used as the first line therapy for acute esophageal variceal hemorrhage. They might also be used for a few days after endoscopic therapy to prevent early rebleeding. International guidelines recommend the use of vasoconstrictor therapy when acute esophageal variceal hemorrhage is suspected and continuation of the therapy until 3 to 5 days after endoscopic treatment. Read More

Plast Reconstr Surg Glob Open 2018 Dec 13;6(12):e2059. Epub 2018 Dec 13.

Department of Plastic and Reconstructive Surgery, Juntendo University School of Medicine, Tokyo, Japan.

Mammary analogue secretory carcinoma (MASC) of salivary glands is a newly recognized tumor entity. We report a child who was initially diagnosed with lymphangioma and referred to our institute for sclerotherapy, only to find out that the tumor was in fact MASC after excision. This case of MASC is in a 7-year-old boy, the youngest case so far reported. Read More