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  • Lumbar Sympathectomy

    The sympathetic nervous system appears to contribute few, if any, axons to the total population of unmyelinated axons in this cutaneous nerve.[] […] sympathectomy (PCLS) under radiographic guidance is minimally invasive and has decreased the need for open surgical sympathectomy, inadvertent damage to neighbouring structures is a matter[] METHODS: Thirty-six patients with peripheral arterial occlusive disease or chronic pain syndrome were treated using fluoroscopic CT-guided percutaneous lumbar sympathectomy[] We conclude that single-stage lumbar sympathectomy and omentopexy is an effective new surgical approach towards patients with Buerger's disease.[] The hospital stay ranged from 2 to 5 days.[] The 30-day morbidity and mortality rates of laparoscopic, standard open and endovascular abdominal aorta aneurysm repair were compared.[] A previous article on penile reflex sympathetic dystrophy (4) is supported by this case report.[] BACKGROUND: The aim of this study was to evaluate the results of endoscopic lumbar sympathectomy for plantar hyperhidrosis.[] Relative advantages and disadvantages of either medium have not been proven so far; hence, it is a matter of personal choice.[] Abstract Percutaneous chemical lumbar sympathectomy with alcohol (PCLSA) using computed tomography (CT) control was performed in 8 patients suffering from advanced peripheral[]

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  • Cholecystectomy

    Neuroma and suture granuloma Traumatic neuroma is an exuberant non-neoplastic proliferation of a nerve that occurs after injury or surgery.[] People undergoing a laparoscopic cholecystectomy may be able to go back to work in a matter of days.[] OBJECTIVE: To retrospectively compare the clinical outcomes of percutaneous cholecystostomy (PC) and cholecystectomy in patients with acute cholecystitis admitted to an urban[] New minimally invasive approaches for cholecystectomy: Review of literature.[] When you initially wake up from surgery, you may feel a variety of symptoms from the pain and the anesthesia.[] Abstract Abdominal actinomycosis is a rare disease caused by Gram-positive anaerobic Actinomyces bacteria.[] Cholecystectomy was performed, and the pseudoaneurysm of the cystic artery was extirpated. There were no serious postoperative complications.[] They are usually ventricular ectopy or tachyarrhythmias as a result of hypercarbia, acidosis, and increased sympathetic stimulation.[] We excluded other endoscopic or surgical methods of intraoperative clearance of the bile duct, e.g. non-aided intraoperative endoscopic retrograde cholangiopancreatography[] BACKGROUND: Controversy surrounding the role of percutaneous cholecystostomy (PC) is fed by the absence of large amounts of data concerning its outcomes, and many authors[]

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  • Pancreatic Pseudocyst

    […] at community hospitals, including: Internal gallbladder drainage and stone extraction Complex billiary and pancreatic duct therapy (ERCP) EUS-guided tissue sampling and nerve[] No matter what costumes your children — or maybe even your ghoulfriends — wear, when the Halloween candy comes out, everyone becomes a goblin. Blame it on the sugar.[] KEYWORDS: Drain; Endoscopic ultrasound; Migrated Stent; Pancreas; Percutaneous; Pseudocyst; Removal; Snaring[] AIM: The aim of this study is to introduce recent progress in the treatment of pancreatic pseudocyst, abscess and necrosis using the endoscopic approach.[] […] disease he badly suffered from severe pain and indigestion,” explained Dr Sreenivasa Devasetty, Consultant Gastroenterologist, Fortis Hospital.[] CONCLUSION: Ischemic pancreatitis is a rare condition but should be considered in a patient with upper abdominal pain and elevated amylase in the context of an abdominal aortic[] On the other hand, pancreatic cystic tumors, which usually require extirpation, may disguise as pseudocysts.[] Large pancreatic cysts can cause abdominal pain and back pain presumably by exerting pressure on the surrounding tissues and nerves.[] Heterogeneous appearance of the matter within the pseudocyst is consistent with a recent hemorrhage.[] Percutaneous trans-hepatic pseudocyst drainage. Figure 5. Percutaneous trans-hepatic pseudocyst drainage.[]

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  • Ureteral Injury

    There were, however, five bladder injuries (0.25%) and three nerve pareses (0.15%).[] We were pleased that we were able to obtain a relatively quick settlement of this matter to offer our client who fortunately did not lose her kidney function, some relief[] A percutaneous iliosacral screwing was performed to stabilize the right iliac wing fracture.[] No difference in ureteral injury was found in relation to surgical approach in colon cancer patients.[] Abstract Injuries to the ureter from blunt trauma occur most often at the ureteropelvic junction.[] Abstract Ureteral injury is usually due to abdominal penetrating trauma or surgical insult. It has seldom been reported in patients with blunt abdominal trauma.[] In a small percentage of cases involving surgical extirpation in a woman who has severe pelvic pathology, ureteral injury may be inevitable.[] Thus, urine volume, diuresis and distention are the main modulators of peristalsis along with the sympathetic and parasympathetic nervous system; however, prostaglandins and[] We present a case of ureteral injury during a cesarean section in which endoscopic techniques were employed successfully to establish kidney drainage and allow ureteral healing[] Lymphatic and venous drainage mostly parallels that of the arterial supply. [2] Nerve supply [ edit ] The ureters are richly innervated by nerves that travel alongside the[]

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  • Pneumoperitoneum

    BACKGROUND: CO2-pneumoperitoneum can cause sympathetic nerve activity increased and is likely to causes severe stress-related homeostatic disorders.[] Conservative versus operative treatment is currently a matter of debate generally regarding timing, patient's condition and fistula's size.[] Early pneumoperitoneum after percutaneous endoscopic gastrostomy in intensive care patients: sign of possible bowel injury.[] BACKGROUND: The laparoscopic approach is becoming increasingly frequent for many different surgical procedures.[] Definitive fascial closure was achieved through separation of his two rectus muscles from their posterior sheaths.[] Thirteen patients were studied by abdominal CT within 24 h after DPL. Upright chest radiography was performed prior to abdominal CT or less than 4 h after abdominal CT.[] By retrospectively reviewing all videotapes, we defined pneumoperitoneum time as being from the infusion of pressurized CO2 gas with a pressure of 10-12 mmHg to extirpation[] Surgical intervention based on the mere presence of pneumoperitoneum alone is still a matter of debate.[] This adds to the world literature on non-surgical pneumoperitoneum from oro-genital intercourse.[] KEYWORDS: Intraoperative monitoring; Non invasive intracranial pressure; Optic nerve sheet diameter; Pneumoperitonaeum[]

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  • Appendicitis

    Because the visceral nerve fibers associated with the appendix typically become inflamed first, there is often vague and referred symptoms to the periumbilical region through[] Therefore, appendectomy is a matter of significant interest in that field.[] CONCLUSION: Approximately a quarter of patients will fail management of appendiceal abscess with percutaneous drain placement alone.[] This article presents an update on the diagnostic approach to appendicitis through an evidence-based review.[] Some content from MEDLINE /PubMed , a database of the U.S. National Library of Medicine.[] Intestinal injury and hollow viscus injury following blunt abdominal trauma are well reported in the literature but traumatic appendicitis is much less common.[] Not everyone was sympathetic.[] Abstract We present a case of acute appendicitis as a complication after an Endoscopic Submucosal Resection of a colonic polyp. [Indexed for MEDLINE] Free full text[] […] fundoplication Omphalocele Pyloromyotomy for pyloric stenosis Small bowel atresias Splenic cysts Chest Disorders Achalasia Congenital diaphragmatic hernia Diaphragm (phrenic nerve[] From 15p 0.18 0.18 USD 0.27 a day, more exclusives, analysis and extras. 1915: Tear gas is first used in warfare, by the Germans fighting the Russians in Poland. 1961: The[]

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  • Pelvic Pain in Women

    Pudendal neuralgia The pudendal nerve is one of the nerves of the pelvic floor muscles.[] For instance, some situations causing sudden, severe pelvic pain, like ectopic pregnancy or appendicitis, need to be dealt with as a matter of urgency, as they can be life-threatening[] Percutaneous Treatment of Pelvic Congestion Syndrome. Radiology Med 2003:105 (1-2); 76-82 9. Stones R W, Mountfield J.[] A multidisciplinary approach can be beneficial.[] When more and more women with fibromyalgia began seeking care for pelvic pain syndromes, researchers from Oregon Health & Science University set out to examine the connection[] Table 103.1 Lower abdominal and pelvic pain in women: diagnostic strategy model View Table Favorite Table Download (.pdf) Table 103.1 Lower abdominal and pelvic pain in women[] ., oral contraceptives, continuous medroxyprogesterone), psychotherapy of an insight-oriented or behavioral nature, and finally extirpative surgery if all else fails and significant[] PURPOSE: To show that chronic fatigue syndrome can be mistakenly attributed to Lyme disease rather than considering sympathetic neural hyperalgesia edema syndrome.[] […] direct look at the structures in the pelvis and abdomen ) Hysteroscopy (procedure to examine the uterus) Stool test (checking a stool sample for microscopic blood) Lower endoscopy[] Magnetic resonance imaging (MRI) has shown grey matter changes in a range of pain conditions including PPP. 8 The psychological sequelae of persistent pain A woman with PPP[]

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  • Ganglioneuroma

    The histological diagnosis was ganglioneuroma originating from the second division of the trigeminal nerve in the middle cranial fossa.[] […] significantly increased perfusion on perfusion imaging; isointense on diffusion-weighted imaging, whorled appearance within the tumor and no significant signs of damage to the white matter[] Percutaneous biopsy is an option. Although benign, usually requires surgical excision for treatment.[] In our case, a core needle biopsy preceding complete resection was helpful to prevent too extensive surgical approach.[] BACKGROUND: Ganglioneuromas are benign tumors that rarely develop from adrenal glands.[] Retroperitoneal ganglioneuroma, a rare cause of abdominal pain.[] Ganglioneuroma is a rare and benign tumor of the autonomic nerve fibers arising from neural crest sympathogonia, which are completely undifferentiated cells of the sympathetic[] Endoscopic findings in Cowden syndrome. Endoscopy. 2011 Aug;43(8):723-6. doi: 10.1055/s-0030-1256342. Epub 2011 Mar 24. Erratum in: Endoscopy. 2011 Dec;43(12):1096.[] (a) T1-weighted image shows a large, thin-walled cyst that is isointense to CSF in the white matter of the left parietal lobe.[] Only in presence of a suspected metastasis is percutaneous biopsy warranted.[]

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  • Pelvic Abscess

    Injury to the femoral nerve is a recognized complication during abdominal, pelvic , inguinal and hip operations.[] […] filling required) or transvaginal sonography (bladder filling not required) is performed first and whether the complementary examination is needed for a final diagnosis is a matter[] The technology and expertise needed to perform percutaneous abscess drainage are widely available and readily adapted for use in the pediatric population.[] These approaches were used in drainage of pelvic abscesses after cystectomy using the transrectal, transurethral, transperineal, and transabdominal routes under US guidance[] Computerized tomography (CT) scan was helpful in localizing the infection and its origin from the pelvis.[] BACKGROUND: Abdominal pregnancy with lithopedion formation is rare and its presentation as a pelvic abscess has not been reported.[] Diagnosis was made on pathologic examination of the extirpated specimen. Genital tract verrucous carcinoma and genitocutaneous fistulae are reviewed.[] The rectal stump was opened using transanal endoscopic microsurgery (TEM) instruments.[] The pathogenesis requires a polymicrobial infection, with the presence of foreign matter facilitating the development of progressive infection.[] We performed the drainage by a transsacral approach because it was considered the safest and most feasible approach.[]

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  • Pelvic Pain

    INTRODUCTION AND HYPOTHESIS: The objective of this video is to describe the technique for laparoscopic implantation of electrodes for bilateral neuromodulation of S3 and pudendal nerves[] Patients with widespread UCPPS displayed increased brain gray matter volume and functional connectivity involving sensorimotor and insular cortices (P 0.05 corrected).[] Neuromodulation techniques, such as percutaneous tibial nerve stimulation and transcutaneous electrical stimulation, have limited but favorable preliminary data in patients[] Pelvic pain is often multidimensional due to the overlap between lumbo-hip-pelvic diagnoses and may require a multidisciplinary approach to evaluation and management.[] I suffered from pelvic pain for 14 years and eventually recovered from pelvic pain through a bio mechanics movement programme called Restorative Exercise.[] Abstract Chronic abdominal and pelvic pain is a common condition that has significant impact on quality of life, and causes billions of dollars in direct and indirect costs[] ., oral contraceptives, continuous medroxyprogesterone), psychotherapy of an insight-oriented or behavioral nature, and finally extirpative surgery if all else fails and significant[] It is the gynecologist (who is more familiar with the condition of sympathetic neural hyperalgesia edema syndrome because it is the most common cause of pelvic pain) who may[] Previously, a small bowel endoscopy had been performed to evaluate the pain.[] […] journals from 2005 through 2015, included measures of pain and symptoms related to PR-LBPP, and evaluated treatment modalities that used a physical exercise or yoga-based approach[]

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