66,841 results match your criteria injuries bleeding

Robotics and minimally invasive esophageal surgery.

Ann Transl Med 2021 May;9(10):898

Department of Thoracic Surgery, Brigham and Women's Hospital, Boston, MA 02115, USA.

The robotic platform has permeated esophageal surgery both in the abdominal and thoracic approaches. The most widely studied entities include achalasia, gastroesophageal reflux disease, hiatal hernia and esophageal cancer. A literature review of robotic surgeries for the management of the above mentioned disorders is presented. Read More

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The contribution of TFPIα to the hemostatic response to injury in mice.

J Thromb Haemost 2021 Jun 23. Epub 2021 Jun 23.

Department of Medicine, Perelman School of Medicine, University of Pennsylvania.

Background: TFPI is an essential regulator of coagulation, limiting thrombin generation and preventing thrombosis. In humans and mice, TFPIα is the sole isoform present in platelets.

Objective: Here we asked whether TFPIα, because of its release from platelets at sites of injury, has a unique role in limiting the hemostatic response. Read More

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Review of Malpractice Lawsuits in the Diagnosis and Management of Aortic Aneurysms and Aortic Dissections.

Vasc Endovascular Surg 2021 Jun 23:15385744211026455. Epub 2021 Jun 23.

Division of Vascular Surgery, Department of Surgery, Mount Sinai Hospital, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Objective: Aortic aneurysms and dissections are prevalent causes of morbidity and mortality. The management of aortic pathologies may be called into question in malpractice suits. Malpractice claims were analyzed to understand common reasons for litigation, medical specialties involved, patient injuries, and outcomes. Read More

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Hydrostatic anorectal injury caused by fall from jet-ski.

BMJ Case Rep 2021 Jun 21;14(6). Epub 2021 Jun 21.

Bar-Ilan University Faculty of Medicine, Tzfat, Israel

A 14-year-old girl, a rear seat passenger on a jet-ski not wearing suitable protective gear, was 'jumping' waves at a low velocity when she was ejected backwards off the vehicle, suffering a complex and unusual hydrostatic perineal injury as a result of the high-pressure water stream propelling the jet-ski. She presented to the emergency room with rectal bleeding and perineal and abdominal pain. Initial investigations revealed signs of anorectal injury and both intraperitoneal and extraperitoneal free air and fluid, suggesting a possible rectal perforation. Read More

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Subdural false twins: concomitant appearance of subdural haematoma and spontaneous subdural empyema.

BMJ Case Rep 2021 Jun 21;14(6). Epub 2021 Jun 21.

Neurosurgery, Hospital and University Center of Coimbra EPE, Coimbra, Portugal.

A 55-year-old man was taken to the emergency department due to right arm weakness for the past 3 days and fever (39.5°C). There was no impaired consciousness, no history of trauma and meningeal signs were absent on physical examination. Read More

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Depacked patients who underwent a shortened perihepatic packing for severe blunt liver trauma have a high survival rate: 20 years of experience in a level I trauma center.

Surgeon 2021 Jun 18. Epub 2021 Jun 18.

Department of Digestive and Endocrine Surgery, Pitié Salpêtrière Hospital, Assistance Publique des Hôpitaux de Paris, Sorbonne Université, Paris, France. Electronic address:

Introduction: Non-operative management is currently the preferred approach in blunt liver trauma, including high grade liver lesions. However, hemodynamic instability imposes the need for an emergency laparotomy, with a perihepatic packing (PHP) to control liver bleeding in most cases. Our retrospective study aimed to assess the outcomes of liver trauma patients who underwent a shortened PHP. Read More

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Delayed aortoesophageal and tracheoesophageal fistulas secondary to foreign body ingestion: a case report.

Ann Palliat Med 2021 Jun 11. Epub 2021 Jun 11.

Department of Anesthesiology, Peking University Third Hospital, Beijing, China.

Ingestion of a foreign body (FB) is a common condition with a few potentially life-threatening complications, including esophageal perforation (EP), aortoesophageal fistula (AEF), mediastinal infection, and tracheoesophageal fistula (TEF). In this case, a patient who accidentally ingested a duck bone gradually experienced all of the above complications. To resolve the symptom of difficulty swallowing, the patient underwent emergency treatment for removal of the esophageal FB via endoscopic surgery. Read More

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Large traumatic vulvar hematoma managed with a simple incision: A case report.

Int J Surg Case Rep 2021 Jun 9;84:106080. Epub 2021 Jun 9.

Department of Obstetrics and Gynecology, Dr. Soetomo General Academic Hospital, Medical Faculty, Universitas Airlangga, Surabaya, Indonesia. Electronic address:

Introduction And Importance: Non-obstetric vulvar hematoma is a rare condition. With only few cases reported, no standard consensus exists on the best management of vulvar hematomas. Herein, we report the successful management of a large trauma-induced vulvar hematoma through a simple incision under local anesthesia. Read More

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Management and Outcomes after Upper Versus Lower Extremity Vascular Trauma.

Ann Vasc Surg 2021 Jun 18. Epub 2021 Jun 18.

Department of Surgery, Division of Vascular Surgery, Emory University, Atlanta, GA. Electronic address:

Objectives: While significant literature exists regarding peripheral vascular injury management, the vast majority focuses on lower extremity arterial injury. As a result, clinical management of arterial injury in the upper extremities is often guided by literature specific to lower extremity vessel injury. The purpose of this study is to use the largest series of patients reported in the literature to compare management and outcomes of upper and lower extremity traumatic vascular injuries. Read More

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High Mortality and Venous Thromboembolism Risk Following Major Penetrating Abdominal Venous Injuries.

Ann Vasc Surg 2021 Jun 18. Epub 2021 Jun 18.

Division of Vascular Surgery, University of Massachusetts Medical Center, Worcester, MA. Electronic address:

Introduction: Penetrating injuries to the inferior vena cava (IVC) and/or iliac veins are a source of hemorrhage but may also predispose patients to venous thromboembolism (VTE). We sought to determine the relationship between iliocaval injury, VTE and mortality.

Methods: The National Trauma Data Bank was queried for penetrating abdominal trauma from 2015-2017. Read More

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Uterine Artery Embolization for Primary Postpartum Hemorrhage.

Tech Vasc Interv Radiol 2021 Mar 16;24(1):100727. Epub 2021 Apr 16.

University of Colorado, Aurora, CO.

Postpartum hemorrhage (PPH) is a common source of morbidity and mortality for delivering mothers worldwide, resulting in greater than 100,000 deaths per annum. Pathologic postpartum hemorrhage is defined as blood loss greater than 500 mL for vaginal deliveries and 1,000 mL for caesarean births, which occurs in up to 10% of deliveries. Severe postpartum hemorrhage can progress to shock, disseminated intravascular coagulation (DIC) and death. Read More

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Effects of ginsenoside Rb1 on second-degree burn wound healing and FGF-2/PDGF-BB/PDGFR-β pathway modulation.

Chin Med 2021 Jun 19;16(1):45. Epub 2021 Jun 19.

School of Pharmaceutical Science & Yunnan Key Laboratory of Pharmacology for Natural Products, Kunming Medical University, 1168 West Chunrong Road, Chenggong, Kunming, Yunnan, 650500, PR China.

Background: Panax notoginseng (Burk.) F. H. Read More

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Scoping review of the risk factors and time frame for development of post-traumatic hydrocephalus.

Rev Neurosci 2021 Jun 18. Epub 2021 Jun 18.

Department of Neurosurgery, Upstate Medical University, Syracuse, NY13210, USA.

Post-traumatic hydrocephalus (PTH) following traumatic brain injury (TBI) may develop within or beyond the acute phase of recovery. Recognition and subsequent treatment of this condition leads to improved neurologic outcomes. In this scoping review, we identify statistically significant demographic, clinical, radiographic, and surgical risk factors as well as a predictive time frame for the onset of PTH in order to facilitate timely diagnosis. Read More

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Antithrombotic choice in blunt cerebrovascular injuries: Experience at a tertiary trauma center, systematic review, and meta-analysis.

J Trauma Acute Care Surg 2021 Jul;91(1):e1-e12

From the Division of Neurosurgery (J.C.K., S.M.P., F.M., S.T., C.R.P., V.X.D.Y., L.d.C.), Sunnybrook Health Sciences Centre, University of Toronto, Toronto; Health Sciences North, Division of Neurosurgery (S.M.P.), Northern Ontario School of Medicine, Sudbury, ON; Biomedical Engineering, Faculty of Engineering (F.A.Z.), Department of Anatomy and Cell Science, Rady Faculty of Health Sciences (F.A.Z.), and Centre on Aging (F.A.Z.), University of Manitoba, Winnipeg, MA, Canada; Division of Anaesthesia, Department of Medicine (F.A.Z.), Addenbrooke's Hospital, University of Cambridge, Cambridge, United Kingdom; and Sunnybrook Health Sciences Centre, Department of Medical Imaging (M.M.), Sunnybrook Health Sciences Centre, Department of Surgery (A.N.), and Department of Medical Imaging, Sunnybrook Health Sciences Centre (L.d.C.), University of Toronto, Toronto, ON, Canada.

Background: Blunt cerebrovascular injuries (BCVIs) may occur following trauma and lead to ischemic stroke if untreated. Antithrombotic therapy decreases this risk; however, the optimal agent has yet to be determined in this population. The aim of this study was to compare the risk-benefit profile of antiplatelet (AP) versus anticoagulant (AC) therapy in rates of ischemic stroke and hemorrhagic complications in BCVI patients. Read More

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The medicinal uses of the genus Bletilla in traditional Chinese medicine: A phytochemical and pharmacological review.

J Ethnopharmacol 2021 Jun 15:114263. Epub 2021 Jun 15.

TCM and Ethnomedicine Innovation & Development International Laboratory, Innovative Material Medical Research Institute, School of Pharmacy, Hunan University of Chinese Medicine, Changsha, 410208, P. R. China. Electronic address:

Ethnopharmacological Relevance: Different orchids are important in traditional medicine, and species belonging to the genus Bletilla are important. Bletilla species have been used for thousands of years in Traditional Chinese Medicine (TCM) for the treatment of several health disorders, such as gastrointestinal disorders, peptic ulcer, lung disorders, and traumatic bleeding etc. AIM OF THIS REVIEW: This review aims to provide a systematic overview and objective analysis of Bletilla species and to find the probable relationship between their traditional use, chemical constituents, and pharmacological activities, while assessing their therapeutic potential in treatment of different human diseases. Read More

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Proximal splenic embolisation versus distal splenic embolisation for management of focal distal arterial injuries of the spleen.

J Med Imaging Radiat Oncol 2021 Jun 17. Epub 2021 Jun 17.

Alfred Hospital, Melbourne, Victoria, Australia.

Introduction: To compare the outcomes of proximal (pSAE) versus distal (dSAE) splenic artery embolisation for management of focal distal arterial splenic injuries secondary to blunt splenic trauma.

Method: Ethical approval was granted by the hospital research and ethics committee, Project 389/19. All patients who underwent splenic artery embolisation secondary to blunt abdominal trauma from 1 January 2009 to 1 January 2019 were reviewed. Read More

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Retrospective Analysis on Traumatic Rupture of Intracranial Internal Carotid Artery in 11 Cases.

Fa Yi Xue Za Zhi 2021 Apr;37(2):206-210

Department of Forensic Medicine, Criminal Investigation Police University of China, Shenyang 110035, China.

Abstract: Objective To retrospectively analyze the characteristics of the traumatic rupture of intracranial internal carotid artery in order to provide reference for forensic expertise examination and identification. Methods A total of 11 autopsy cases of traumatic rupture of intracranial internal carotid artery were collected. The gender, age, cause of injury, blood loss on the scene, location of internal carotid artery rupture, hardening degree of the rupture of the wall, brain injury, blood ethanol content and cause of death were also recorded. Read More

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Macular hemorrhage after laser exposure and cannabinoid intake during a disco party.

Am J Ophthalmol Case Rep 2021 Sep 2;23:101129. Epub 2021 Jun 2.

Eye Clinic, Melegnano Hospital, Vizzolo Predabissi, Italy.

Purpose: To describe two cases of macular hemorrhage in young patients, both occurred after laser exposure and cannabinoid intake during a disco party.

Observations: Case 1: a 21-year-old man was evaluated at our Emergency Unit for sudden vision loss in the right eye (RE). Best-corrected visual acuity (BCVA) was count fingers in the RE and 20/20 in the left eye (LE). Read More

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September 2021

Delayed pseudoaneurysm formation of the carotid artery following the oral cavity injury in a child: A case report.

World J Clin Cases 2021 Jun;9(16):4104-4109

Department ofSurgery, Jeonbuk National University Hospital, Jeonju 54907, South Korea.

Background: An impalement injury of the oral cavity is a common traumatic injury in children. In most cases, it is not accompanied by sequelae, but if foreign body residues are not found due to a minor injury, they may result in inflammatory responses and delayed vascular injuries in the surrounding tissues. Without early diagnosis and appropriate initial management, residual foreign bodies can cause serious complications and even mortality in some cases. Read More

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[Reasons for Conversion to Thoracotomy in 83 Cases during Video-assisted Thoracic Surgery Lobectomy: A Summary of 1,350 Consecutive Operations by A Single Surgical Team].

Zhongguo Fei Ai Za Zhi 2021 Jun 17. Epub 2021 Jun 17.

The Fifth Department of Thoracic Surgery, the Fourth Hospital of Hebei Medical University, Shijiazhuang 050011, China.

Background: Video assisted thoracic surgery (VATS) is the main surgical method for lung cancer. The aim of this study was to analyze the reasons for conversion to thoracotomy in 83 cases among 1,350 consecutive cases who underwent video-assisted thoracic surgery (VATS) lobectomy by a single surgical team, in order to achieve a deeper understanding of the rules and the opportunity for conversion to thoracotomy in VATS lobectomy under normal conditions.

Methods: The clinical data of 1,350 patients who underwent VATS lobectomy between September 21, 2009 and June 1, 2020, by a single surgical team in the Fifth Department of Thoracic Surgery of the Fourth Hospital of Hebei Medical University were retrospectively analyzed. Read More

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A 5-year experience on perinatal outcome of placenta accreta spectrum disorder managed by cesarean hysterectomy in southern Iranian women.

BMC Womens Health 2021 06 15;21(1):243. Epub 2021 Jun 15.

Maternal-Fetal Medicine Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

Background: We aimed to investigate the risk factors of placenta accreta spectrum (PAS) disorder, management options and maternal and neonatal outcomes of these pregnancies in a resource-limited clinical setting.

Methods: All women diagnosed with placenta accreta, increta, and percreta who underwent peripartum hysterectomy using a multidisciplinary approach in a tertiary center in Shiraz, southern Iran between January 2015 until October 2019 were included in this retrospective cohort study. Maternal variables, such as estimated blood loss, transfusion requirements and ICU admission, as well as neonatal variables such as, Apgar score, NICU admission and birthweight, were among the primary outcomes of this study. Read More

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Analysis of Unintentional Falls in Pediatric Population and Predictors of Morbidity.

J Surg Res 2021 Jun 12;267:48-55. Epub 2021 Jun 12.

Division of Pediatric Surgery, Children's Hospital of Orange County, Orange, California.

Introduction: Unintentional falls are a leading cause of pediatric traumatic injury. This study evaluates clinical outcomes of fall-related injuries in children under the age of 10.

Methods: The National Trauma Database was queried for children who experienced an unintentional fall. Read More

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A study on head wounds in Kitāb al-'Umda fī Ṣinā'a al-Jirāḥa by Ibn al-Quff.

World Neurosurg 2021 Jun 12. Epub 2021 Jun 12.

Ankara University, Faculty of Languages, History and Geography, Department of Ancient Languages and Cultures, Sub-Department of Latin Language and Literature, Ankara, Turkey.

Objective: To investigate the knowledge on head wounds contained in the Kitāb al-'Umda fī Ṣinā'a al-Jirāḥa, written by Ibn al-Quff in the thirteenth century.

Materials And Methods: This study was based on a copy of the Kitāb al-'Umda fī Ṣinā'a al-Jirāḥa, printed in two volumes in Dā'ira al-Mā'ārif al-Uthmāniyya in Hyderabad in 1356/1937-38 and reprinted by the Institute for the History of Arabic-Islamic Science at the Johann Wolfgang Goethe University. This printed copy was compared with the manuscript of İstanbul University Rare Works Library, Arabic Manuscripts, A 4749. Read More

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Sphenoid sinus pseudoaneurysm with carotid cavernous fistula presenting with delayed subarachnoid hemorrhage: A case report.

Medicine (Baltimore) 2021 Jun;100(24):e26383

Department of Radiology.

Rationale: Sphenoid sinus pseudoaneurysm arising from the cavernous segment of the internal carotid artery (ICA) caused by traumatic vessel injury is rare, and rarer is a concomitant carotid-cavernous fistula (CCF). In particular, delayed subarachnoid hemorrhage (SAH) due to pseudoaneurysm rupture has not been reported to-date in literature. Here, we report a case of sphenoid sinus pseudoaneurysm with CCF presenting with delayed SAH. Read More

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Focusing on long-term complications of mid-urethral slings among women with stress urinary incontinence as a patient safety improvement measure: A protocol for systematic review and meta-analysis.

Medicine (Baltimore) 2021 Jun;100(24):e26257

Department of Obstetrics and Gynecology, Taoyuan General Hospital, Ministry of Health and Welfare, Tao-Yuan City, Taiwan.

Background: There are 3 different types of mid-urethral sling, retropubic, transobturator and single incision performed for women with stress urinary incontinence. Prior studies comparing these three surgeries merely focused on the successful rate or efficacy. But nevertheless, what is more clinically important dwells upon investigating postoperative complications as a safety improvement measure. Read More

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The Challenge of Managing Patients Suffering from TBI: The Utility of Multiparametric MRI.

CNS Spectr 2021 Apr;26(2):178-179

Western University of Health Sciences, Pomona, CA, USA.

Traumatic brain injury (TBI) is a complex phenomenon affecting multiple areas of the brain in multiple ways. Both right and left hemispheres are affected as well as supratentorial and infratentorial compartments. These multifocal injuries are caused by many factors including acute mechanical injury, focal intracranial hemorrhage, blunt and rotational forces, epidural and subdural hematoma, hypoxemia, hypotension, edema, axonal damage, neuronal death, gliosis and blood brain barrier disruption. Read More

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Red blood cell transfusion in animal models of acute brain injuries: a systematic review protocol.

Syst Rev 2021 Jun 14;10(1):177. Epub 2021 Jun 14.

CHU de Québec - Université Laval Research Center, Population Health and Optimal Health Practices Research Unit (Trauma-Emergency-Critical Care Medicine), Université Laval, Québec, QC, Canada.

Background: Anemia is common in neurocritically ill patients. Considering the limited clinical evidence in this population, preclinical data may provide some understanding of the potential impact of anemia and of red blood cell transfusion in these patients. We aim to estimate the association between different transfusion strategies and neurobehavioral outcome in animal models. Read More

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Upper gastrointestinal bleed in a toddler - an unusual encounter revealing foreign body ingestion.

J Pak Med Assoc 2021 Apr;71(4):1249-1251

Department of Paediatrics and Child Health, The Indus Hospital network, Karachi, Pakistan.

Foreign body (FB) ingestion is common in children; however, management varies based on the object ingested, its location and clinical presentation. Urgent intervention is needed if any warning signs are present. We describe the case of a four-year-old child who presented with acute onset of life-threatening upper gastro intestinal bleeding. Read More

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Assessment of postoperative discomfort and nerve injuries after surgical removal of mandibular third molar: A prospective study.

J Family Med Prim Care 2021 Apr 29;10(4):1712-1717. Epub 2021 Apr 29.

Department of Dentistry, Government Medical College and Hospital, Akola, Maharashtra, India.

Introduction: The surgical removal of mandibular third molar (M3) teeth may result in a number of complications including pain, swelling, bleeding, alveolar osteitis or nerve dysfunction. Most of these problems are temporary, but in some cases, nerve paresthesia may become permanent and lead to functional problems.

Aims And Objectives: This study aims at measuring the clinical severity of pain, swelling, muscle trismus, infection, dry socket and any nerve injury-related paresthesia after surgical removal of M3. Read More

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Shattered thyroid gland from blunt neck trauma in a child: A case report.

Nelson H Bansil

Am J Emerg Med 2021 Jun 8;49:163-165. Epub 2021 Jun 8.

Division of Pediatric Emergency Medicine, Children's Hospital of Orange County, Orange, CA, United States. Electronic address:

Thyroid gland rupture in a child secondary to blunt trauma is an extremely rare occurrence. The number of published cases of thyroid gland injuries in children is very limited in the research literature. A case report of shattered thyroid gland in a child is presented. Read More

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