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  1 / 1778 MEDLINE  
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[PMID]:28746255
[Au] Autor:Hirabayashi KE; Kalin-Hajdu E; Bever GJ; Vagefi MR; de Alba Campomanes AG; Cooke DL; Dowd CF; Kersten RC
[Ti] Título:Normalization of Congenital Venous Stasis Retinopathy Following Sclerotherapy of a Macrocystic Lymphatic Malformation.
[So] Source:Ophthal Plast Reconstr Surg;34(1):e19-e21, 2018 Jan/Feb.
[Is] ISSN:1537-2677
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The authors describe, for the first time to their knowledge, a case of a congenital macrocystic lymphatic malformation of the orbit with associated venous stasis retinopathy that acutely normalized after drainage and sclerotherapy of the lesion. Prenatal ultrasound revealed prominence of the left orbital soft tissue, and at birth, the patient was noted to have unilateral proptosis, tortuous retinal vessels, and intraretinal hemorrhages in all 4 quadrants in the left eye. MRI demonstrated a primarily intraconal, multiloculated, T2-hyperintense mass consistent with a lymphatic malformation. Ultrasound-guided cyst aspiration and sclerotherapy was performed, with subsequent improvement of the proptosis and resolution of the vessel tortuosity and intraretinal hemorrhages. Although venous stasis retinopathy is usually related to central retinal vein occlusion or carotid artery occlusive disease, any entity that increases orbital venous resistance can generate retinal venous dilation and intraretinal hemorrhages, including an orbital lymphatic malformation.
[Mh] Termos MeSH primário: Anormalidades Linfáticas/tratamento farmacológico
Doenças Orbitárias/tratamento farmacológico
Recuperação de Função Fisiológica
Doenças Retinianas/induzido quimicamente
Veia Retiniana/fisiopatologia
Soluções Esclerosantes/efeitos adversos
Escleroterapia/efeitos adversos
[Mh] Termos MeSH secundário: Dexametasona/administração & dosagem
Feminino
Seguimentos
Glucocorticoides/administração & dosagem
Seres Humanos
Recém-Nascido
Injeções Intravenosas
Anormalidades Linfáticas/diagnóstico
Anormalidades Linfáticas/cirurgia
Imagem por Ressonância Magnética
Doenças Orbitárias/congênito
Doenças Orbitárias/cirurgia
Paracentese/métodos
Fluxo Sanguíneo Regional/fisiologia
Doenças Retinianas/diagnóstico
Doenças Retinianas/tratamento farmacológico
Cirurgia Assistida por Computador/métodos
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
0 (Glucocorticoids); 0 (Sclerosing Solutions); 7S5I7G3JQL (Dexamethasone)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180219
[Lr] Data última revisão:
180219
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170727
[St] Status:MEDLINE
[do] DOI:10.1097/IOP.0000000000000975


  2 / 1778 MEDLINE  
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[PMID]:28468141
[Au] Autor:Wan Y; Fei X; Jiang D; Chen H; Shi L; Wang Z
[Ad] Endereço:*Department of Neurosurgery, Suzhou Kowloon Hospital Affiliated With Shanghai Jiao Tong University School of Medicine †Department of Neurosurgery, The First People's Hospital of Kunshan Affiliated With Jiangsu University, Suzhou, China.
[Ti] Título:Clinical Observation of Treatment of Chronic Subdural Hematoma With Novel Double Needle Minimally Invasive Aspiration Technology.
[So] Source:J Craniofac Surg;28(3):646-649, 2017 May.
[Is] ISSN:1536-3732
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The aim of the present study was to explore the clinical effects, including the prevention of complications, of the treatment of chronic subdural hematoma with double needle aspiration. METHODS: The clinical data of 31 patients with chronic subdural hematoma treated by double YL-1 needle double skull drilling and 31 controls treated by traditional drilling and drainage were analyzed retrospectively. RESULTS: In the YL-1 needle group, only 1 patient was with hematoma recurrence, 1 patient was with intracranial pneumocephalus, and the remaining patients who were followed up for 3 months achieved a clinical cure. In the traditional drilling and drainage group, 13 patients were with hematoma recurrence within 3 months after the operation and 7 patients were with postoperative intracranial pneumocephalus. CONCLUSIONS: The method of double YL-1 needle is better than the traditional drilling and drainage method for the treatment of chronic subdural hematoma because it reduces the postoperative recurrence rate and complications.
[Mh] Termos MeSH primário: Hematoma Subdural Crônico/cirurgia
Procedimentos Cirúrgicos Minimamente Invasivos/instrumentação
Agulhas
Paracentese/normas
Trepanação/instrumentação
Trepanação/normas
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Drenagem/métodos
Feminino
Seguimentos
Seres Humanos
Masculino
Meia-Idade
Pneumocefalia/etiologia
Complicações Pós-Operatórias/etiologia
Recidiva
Resultado do Tratamento
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180126
[Lr] Data última revisão:
180126
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE
[do] DOI:10.1097/SCS.0000000000003462


  3 / 1778 MEDLINE  
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[PMID]:29226410
[Au] Autor:Stirnimann G; De Gottardi A
[Ad] Endereço:University Clinic for Visceral Surgery and Medicine, University Hospital and University of Bern, Inselspital Universitätsspital Bern, Bern, Switzerland.
[Ti] Título:Editorial: alfapump-an alternative to large-volume paracentesis for patients with refractory ascites? Authors' reply.
[So] Source:Aliment Pharmacol Ther;47(1):140-141, 2018 01.
[Is] ISSN:1365-2036
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Ascite
Paracentese
[Mh] Termos MeSH secundário: Seres Humanos
Cirrose Hepática
Derivação Portossistêmica Transjugular Intra-Hepática
[Pt] Tipo de publicação:EDITORIAL; COMMENT
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171220
[Lr] Data última revisão:
171220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171212
[St] Status:MEDLINE
[do] DOI:10.1111/apt.14415


  4 / 1778 MEDLINE  
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[PMID]:29226396
[Au] Autor:Macdonald S; Jalan R
[Ad] Endereço:Liver Failure Group, Institute for Liver and Digestive Health, University College London, London, UK.
[Ti] Título:Editorial: alfapump-an alternative to large-volume paracentesis for patients with refractory ascites?
[So] Source:Aliment Pharmacol Ther;47(1):139-140, 2018 01.
[Is] ISSN:1365-2036
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Ascite
Paracentese
[Mh] Termos MeSH secundário: Seres Humanos
Cirrose Hepática
Derivação Portossistêmica Transjugular Intra-Hepática
[Pt] Tipo de publicação:EDITORIAL; COMMENT
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171220
[Lr] Data última revisão:
171220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171212
[St] Status:MEDLINE
[do] DOI:10.1111/apt.14390


  5 / 1778 MEDLINE  
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[PMID]:28460424
[Au] Autor:Scott J; Singh A; Monnet E; Coleman KA; Runge JJ; Case JB; Mayhew PD
[Ad] Endereço:Department of Clinical Studies, Ontario Veterinary College, University of Guelph, Guelph, Ontario, Canada.
[Ti] Título:Video-assisted thoracic surgery for the management of pyothorax in dogs: 14 cases.
[So] Source:Vet Surg;46(5):722-730, 2017 Jul.
[Is] ISSN:1532-950X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To report the perioperative findings and outcome of dogs undergoing video-assisted thoracic surgery (VATS) for the management of pyothorax. DESIGN: Multi-institutional, retrospective study. ANIMALS: Client-owned dogs (n = 14). METHODS: Medical records of dogs with pyothorax managed via VATS were reviewed for signalment, history, clinical signs, clinicopathological findings, diagnostic imaging results, surgical variables, bacterial culture and sensitivity results, post-operative management and outcome. VATS was performed after placing a paraxyphoid endoscopic portal and 2-3 intercostal instrument portals. VATS exploration was followed by one or more of the following: mediastinal debridement, tissue sampling, pleural lavage, and placement of a thoracostomy tube. RESULTS: Two dogs (14%) required conversion from VATS to an open thoracotomy to completely resect proliferative mediastinal tissue. These dogs had severe pleural effusion on preoperative thoracic radiographs and one had severely thickened contrast-enhancing mediastinum on preoperative computed tomography (CT). The cause of pyothorax was identified as a penetrating gastric foreign body (n = 2), migrating plant material (n = 2), and idiopathic (n = 10). The median follow-up time was 143 days (range, 14-2402 days). All dogs were discharged from the hospital and their clinical signs resolved. One patient had recurrence of a pyothorax requiring revision surgery 17 months postoperatively. CONCLUSION: VATS allows minimally invasive treatment of uncomplicated canine pyothorax. Preoperative thoracic CT may help identify candidates for VATS among dogs with pyothorax.
[Mh] Termos MeSH primário: Doenças do Cão/cirurgia
Empiema Pleural/veterinária
Cirurgia Torácica Vídeoassistida/veterinária
[Mh] Termos MeSH secundário: Animais
Cães
Empiema Pleural/cirurgia
Feminino
Masculino
Paracentese/veterinária
Derrame Pleural/cirurgia
Reoperação
Estudos Retrospectivos
Toracotomia/veterinária
Tomografia Computadorizada por Raios X
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171128
[Lr] Data última revisão:
171128
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE
[do] DOI:10.1111/vsu.12661


  6 / 1778 MEDLINE  
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[PMID]:28704084
[Au] Autor:Tan M; Menon S; Black D
[Ad] Endereço:Senior Sister/Ward Manager for Gastroenterology, Royal Wolverhampton NHS Trust.
[Ti] Título:The impact on patients of a nurse-led clinical service in gastroenterology.
[So] Source:Br J Nurs;26(13):734-738, 2017 Jul 13.
[Is] ISSN:0966-0461
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Higher rates of chronic liver disease have resulted in a significant increase in the number of patients needing regular abdominal paracentesis for ascites. Waiting times for admission at the Royal Wolverhampton NHS Trust had become longer and delays in intervention and treatment became inevitable. In 2014, the Trust developed a nurse-led abdominal paracentesis day-case service. A qualitative evaluation of the service was conducted using in-depth patient interviews and surveys to determine the impact of the service, including how the new nursing role affected the patient experience. The results show that the nurse-led clinical service in gastroenterology positively impacts patients' experiences. Following this innovation, the service was extended to provide intravenous infusions for gastroenterology patients via the day-case unit. With appropriate training and competency assessments, nurses can now perform selected medical procedures safely and effectively, thereby facilitating nursing staff to expand and develop their roles. This development has substantial implications for nursing and is an important contribution to the debate on the future direction of the nursing profession.
[Mh] Termos MeSH primário: Assistência Ambulatorial
Paracentese/enfermagem
Padrões de Prática em Enfermagem
[Mh] Termos MeSH secundário: Ascite/enfermagem
Seres Humanos
Avaliação de Programas e Projetos de Saúde
Garantia da Qualidade dos Cuidados de Saúde
Reino Unido
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170919
[Lr] Data última revisão:
170919
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170714
[St] Status:MEDLINE
[do] DOI:10.12968/bjon.2017.26.13.734


  7 / 1778 MEDLINE  
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[PMID]:28650779
[Au] Autor:Hegde S; Bubna K; Rao D
[Ti] Título:Management of Ranula in a Child by Modified Micro-Marsupialization Technique: A Case Report.
[So] Source:J Clin Pediatr Dent;41(4):305-307, 2017.
[Is] ISSN:1053-4628
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Ranulas pose a challenging situation, both clinically and surgically, because of their location on the floor of the mouth, an area that exhibits tightly-netted vital structures. Several treatments have been proposed, including excision with or without removal of the sublingual gland, marsupialization with or without cauterization of the roof of the lesion, drainage of the lesion, and micro-marsupialization. It has been suggested that a modified micro-marsupialization technique can establish drainage of saliva and formation of new permanent epithelized tracts along the path of sutures, thereby reducing the recurrence. This paper presents a report of a ranula in a 12 year-old child that was successfully managed using a modified micro-marsupialization procedure.
[Mh] Termos MeSH primário: Microcirurgia/métodos
Paracentese/métodos
Rânula/cirurgia
Técnicas de Sutura
[Mh] Termos MeSH secundário: Criança
Feminino
Seres Humanos
Rânula/diagnóstico
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170914
[Lr] Data última revisão:
170914
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:170627
[St] Status:MEDLINE
[do] DOI:10.17796/1053-4628-41.4.305


  8 / 1778 MEDLINE  
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[PMID]:28578713
[Au] Autor:Low WK; Xu S
[Ad] Endereço:Department of Otolaryngology,Singapore General Hospital,Singapore.
[Ti] Título:Delayed-onset haematoma formation after cochlear implantation.
[So] Source:J Laryngol Otol;131(8):684-687, 2017 Aug.
[Is] ISSN:1748-5460
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: This paper presents our experience on delayed-onset haematoma formation after cochlear implantation, a topic which has not been well discussed in the literature. METHOD: Retrospective case review study. RESULTS: Five children who had undergone cochlear implant surgery at 1.5 to 4 years of age (median, 2.5 years) were studied. The haematoma episodes occurred 2-12 years (median, 6 years) after cochlear implantation. Two patients had recurrent episodes. Two of the seven haematoma episodes were managed by needle aspiration alone, four by incision and drainage alone, and one by both needle aspiration and incision and drainage. Other than one patient with coagulopathy, there were no obvious predisposing factors, including trauma. CONCLUSION: The majority of delayed-onset haematomas occurred without obvious predisposing factors. Needle aspiration can differentiate a haematoma from an abscess or cerebrospinal fluid leakage, and it provides an effective immediate therapeutic solution. However, aseptic techniques are emphasised to minimise the chances of an uncomplicated haematoma converting into a septic one.
[Mh] Termos MeSH primário: Doenças Cocleares/etiologia
Implante Coclear/efeitos adversos
Implantes Cocleares/efeitos adversos
Hematoma/etiologia
Hemorragia Pós-Operatória/etiologia
[Mh] Termos MeSH secundário: Pré-Escolar
Doenças Cocleares/cirurgia
Drenagem/métodos
Feminino
Hematoma/cirurgia
Seres Humanos
Lactente
Masculino
Paracentese/métodos
Hemorragia Pós-Operatória/cirurgia
Estudos Retrospectivos
Fatores de Tempo
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170831
[Lr] Data última revisão:
170831
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170606
[St] Status:MEDLINE
[do] DOI:10.1017/S0022215117001165


  9 / 1778 MEDLINE  
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[PMID]:28570095
[Au] Autor:Çekiç B; Toslak IE; Sahintürk Y; Cekin AH; Koksel YK; Koroglu M; Demos TC
[Ad] Endereço:1 Department of Radiology, Antalya Training and Research Hospital, Antalya, Turkey.
[Ti] Título:Differentiating Transudative From Exudative Ascites Using Quantitative B-Mode Gray-Scale Ultrasound Histogram.
[So] Source:AJR Am J Roentgenol;209(2):313-319, 2017 Aug.
[Is] ISSN:1546-3141
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The purpose of this article is to differentiate exudative from transudative ascites using B-mode gray-scale ultrasound histogram analysis. SUBJECTS AND METHODS: Sixty-two consecutive patients with ascites were prospectively studied from June 2014 through June 2015. All underwent ultrasound (US) and paracentesis in the radiology department. Five patients were excluded (three with hemorrhage and two with peritoneal carcinomatosis). The remaining 57 patients were divided into those with exudative and transudative ascites according to results of paracentesis. Electronically recorded US images were transferred to a workstation, and gray-scale histograms were generated. The ascites-to-rectus abdominis muscle echogenicity ratio (ARAER) was obtained from ascites adjacent to the rectus abdominis muscle. ROC curves were used to evaluate the sensitivity and specificity of this method in differentiating exudative from transudative ascites. RESULTS: ARAERs for exudative ascites were significantly higher than those for transudative ascites (p < 0.001). ROC was done to evaluate ARAERs for exudative ascites. The best cutoff value for ARAER histogram was 0.002. The sensitivity and specificity of ARAER were 87.5% and 79.2% (AUC = 0.843), respectively. CONCLUSION: ARAER is an easily applicable noninvasive quantitative sonographic method with high sensitivity and specificity in differentiating exudative from transudative ascites.
[Mh] Termos MeSH primário: Neoplasias Abdominais/complicações
Ascite/diagnóstico por imagem
Ascite/etiologia
Neoplasias do Sistema Digestório/complicações
Exsudatos e Transudatos
Hipertensão Portal/complicações
Ultrassonografia/métodos
[Mh] Termos MeSH secundário: Idoso
Diagnóstico Diferencial
Feminino
Seres Humanos
Masculino
Meia-Idade
Paracentese
Estudos Prospectivos
Ultrassonografia de Intervenção
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170803
[Lr] Data última revisão:
170803
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170602
[St] Status:MEDLINE
[do] DOI:10.2214/AJR.16.16509


  10 / 1778 MEDLINE  
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[PMID]:28512052
[Au] Autor:Zhang L; Zhang Z; Yang W; Jia W; Xu Y; Yang J
[Ad] Endereço:Beijing Neurosurgical Institute, Beijing Tiantan Hospital, Capital Medical University No. 6, Tiantan Xili, Beijing, People's Republic of China.
[Ti] Título:Cystic Dilation of the Ventriculus Terminalis: Report of 6 Surgical Cases Treated with Cyst-Subarachnoid Shunting Using a T-Catheter.
[So] Source:World Neurosurg;104:522-527, 2017 Aug.
[Is] ISSN:1878-8769
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Cystic dilation of the ventriculus terminalis (CDVT) is a rare anatomic variation that and may become symptomatic. Literature regarding CDVT is limited, and thus the clinical characteristics and management strategy of CDVT are unclear. Here we report 6 cases of CDVT seen in our institution, and provide a review of the current literature. METHODS: The study cohort comprised 6 patients with CDVT seen at Beijing Tiantan Hospital between September 2010 and June 2015. All 6 patients were managed surgically. Data on age, sex, clinical presentation, radiologic features, operative methods, and surgical outcomes were reviewed retrospectively. We evaluated the clinical outcomes and postoperative radiologic changes of these patients and compared them with findings of similar previous reports. RESULTS: All 6 patients were female, with a median age of 50.0 years (interquartile range [IQR], 25.8-54.0 years). Surgical management of cyst-subarachnoid shunting using T-catheter after myelotomy was successfully performed in all patients. During an average follow-up of 41 months, relief of clinical symptoms, especially low-back pain and sciatica, were observed in all 6 patients. No patients experienced symptom recurrence during follow-up, and postoperative magnetic resonance imaging revealed no regrowth of the lesion. Patients with focal neurologic deficits and sphincter disorders also achieved symptom relief from the procedure. CONCLUSIONS: CDVT is an extremely rare cause of conus medullaris syndrome with an unclear treatment strategy. Our successful surgical management of 6 cases through cystic-subarachnoid shunting using a T-catheter for CDVT drainage provides a potential option for treating CDVT.
[Mh] Termos MeSH primário: Dor Lombar/etiologia
Dor Lombar/cirurgia
Vértebras Lombares/anormalidades
Vértebras Lombares/cirurgia
Defeitos do Tubo Neural/diagnóstico
Defeitos do Tubo Neural/cirurgia
Ciática/etiologia
Ciática/cirurgia
Canal Vertebral/anormalidades
Canal Vertebral/cirurgia
Compressão da Medula Espinal/etiologia
Compressão da Medula Espinal/cirurgia
Vértebras Torácicas/anormalidades
Vértebras Torácicas/cirurgia
Ventriculostomia/métodos
[Mh] Termos MeSH secundário: Adulto
Derivações do Líquido Cefalorraquidiano
Diagnóstico Diferencial
Dilatação Patológica
Feminino
Seguimentos
Seres Humanos
Dor Lombar/diagnóstico por imagem
Vértebras Lombares/diagnóstico por imagem
Imagem por Ressonância Magnética
Meia-Idade
Paracentese
Estudos Retrospectivos
Ciática/diagnóstico por imagem
Canal Vertebral/diagnóstico por imagem
Medula Espinal/diagnóstico por imagem
Medula Espinal/cirurgia
Compressão da Medula Espinal/diagnóstico por imagem
Vértebras Torácicas/diagnóstico por imagem
Escala Visual Analógica
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170928
[Lr] Data última revisão:
170928
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170518
[St] Status:MEDLINE



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