Top PDF New method of surgical treatment of patients with recurrent ingrown nail

New method of surgical treatment of patients with recurrent ingrown nail

New method of surgical treatment of patients with recurrent ingrown nail

The research goal is to state possibility of virtual colonoscopy and to determine the localization and nature of neoplasms in the large intestine. Materials and methods: 38 patients have been examined by the method of virtual colonoscopy. The preceding stage of diagnosis by total ibrocolonoscopy has not been a success. Results: Virtual colonoscopy has been performed in 94.7 % of patients. The same tumors have been identiied in the proximal colon, direct examination of which has not been possible. Conclusion: Virtual colonoscopy is the method of choice for topical diagnosis of tumors of the colon.
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Results of Partial Matrixectomy  for Ingrown Toenail

Results of Partial Matrixectomy for Ingrown Toenail

Ingrown toenail is a clinical condition that progresses with pain, redness, swelling, granulation tissue and purulent drainage due to the growth of an edge of the toenail into the skin of the toe [1]. Although it is considered to be a simple discomfort, the fact that it is a frequent condition which causes workforce loss and afects daily life negatively increases its signiicance. The reasons for ingrown toenail are mistrimming of the nail, wear- ing tight shoes, standing for long periods of time and genetic predisposition [2]. Because of these risk factors, the nail grows into the skin of the toe and edema and redness appear on the sot tissue. This in turn causes disruption of the integrity of the skin and infection. The infection that is formed drains on the one hand and tries to limit with granulation tissue on the other hand. Thus, a vicious circle forms. While medical treatment is preferred for mild cases, surgical treatments are recommended for advanced cases. Although there are many treatment meth- ods, new treatments are being tried every day because of loss of workforce and frequency of recurrence. This study examines the methods of partial nail removal and percutaneous matricec- tomy for ingrown toenail.
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J. bras. pneumol.  vol.34 número6 en v34n6a15

J. bras. pneumol. vol.34 número6 en v34n6a15

We present a protocol to test a new surgical procedure for the treatment of patients with diffuse lung emphysema who, after having received the golden standard treatment (pulmonary rehabilitation), continue to present respiratory failure with disabling dyspnea. Ten patients with severe lung hyperinflation will be evaluated. The method proposed is designed to create alternative expiratory passages for air trapped in the emphysematous lung by draining the lung parenchyma, thereby establishing communication between the alveoli and the external environment. The ten patients selected will be required to meet the inclusion criteria and to give written informed consent. Those ten patients will be included in the study pending the approval of the Ethics in Research Committee of the São Paulo Santa Casa School of Medicine, São Paulo, Brazil. The protocol we will employ in order to evaluate the proposed procedure is feasible and will show whether debilitated patients suffering from diffuse pulmonary emphysema can benefit from this procedure, which could represent an alternative to lung transplant or lung volume reduction surgery, the only options currently available.
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J. bras. pneumol.  vol.37 número1 en v37n1a02

J. bras. pneumol. vol.37 número1 en v37n1a02

1. Strutton DR, Kowalski JW, Glaser DA, Stang PE. US prevalence of hyperhidrosis and impact on individuals with axillary hyperhidrosis: Results from a national survey. J Am Acad Dermatol. 2004;51(2):241-8. 2. De Campos JR, Kauffman P, Werebe EC, Andrade

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PDF EN Jornal Brasileiro de Pneumologia 1 2 english

PDF EN Jornal Brasileiro de Pneumologia 1 2 english

condition for many years, undergoing the surgical procedure in adulthood, and, in some cases, at an advanced age, certainly because they had been unaware of the fact that there is a simple, effective, and widely accepted treatment: video-assisted thoracic sympathectomy. This minimally invasive technique, developed in the late 1980s, came to be more widely employed and disseminated in scientific studies, as well as in the lay press, in the 1990s. As an alternative to surgical treatment, the use of low doses of anticholinergic drugs has shown encouraging results for the primary treatment of patients with hyperhidrosis, as well as for alleviating postoperative compensatory hyperhidrosis, without significant side effects, in preliminary studies conducted at the Hyperhidrosis Outpatient Clinic of the Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HC-FMUSP, University of São Paulo School of Medicine Hospital das Clínicas), located in the city of São Paulo, Brazil. (5)
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Surgical Clipping versus Endovascular Intervention for the Treatment of Subarachnoid Hemorrhage Patients in New York State.

Surgical Clipping versus Endovascular Intervention for the Treatment of Subarachnoid Hemorrhage Patients in New York State.

Our study has several limitations common to administrative databases. Residual confound- ing could account for some of the observed associations. However, this is minimized to the extent that we are using a good instrument for coiling. The F statistic in our analysis suggests a strong instrument. In addition, coding inaccuracies will undoubtedly occur and can affect our estimates. However, several reports have demonstrated that coding for aneurysm and cerebro- vascular disease has shown nearly perfect association with medical record review [19, 20]. Although SPARCS includes all hospitals from the entire New York State, the generalization of this analysis to the entire US population is uncertain. SPARCS does not provide any clinical information on the structure, size, or location of the aneurysms, which are important factors in cerebrovascular neurosurgery. However, the use of the instrumental variable analysis is attempting to control for unknown confounders such as these.
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Methodological features of the physical rehabilitation in the surgical treatment of vertebral pathology for patients with kyphosis

Methodological features of the physical rehabilitation in the surgical treatment of vertebral pathology for patients with kyphosis

Lazarieva О.В. Methodological features of the physical rehabilitation in the surgical treatment of vertebral pathology for patients with kyphosis. The associate system is considered a spine – a pelvis – extremities. The program of physical rehabilitation of patients is presented. Maintenance and methodical features of leadthrough of procedure of medical gymnastics and massage in after operating and restoration periods is certain. The most informing indexes of biogeometrical type of carriages are exposed, characterizing kyphotic deformation of spine for patients. The special exercises for forming of dynamic stereotype and correction of deformations of locomotorium are offered. Directions the correction of biotgeometrical type of carriage are shown.
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Arq. Bras. Cardiol.  vol.82 número5

Arq. Bras. Cardiol. vol.82 número5

In making a detailed analysis of our sample, it can be noted that only the patients with an unsatisfactory response to clinical treatment underwent surgery. Thus, these patients possibly had a more reserved prognosis in relation to those who had better evolution when approached in the same way. It is possible that the patients studied here had arterial margins that were more compromised, disease of a more aggressive character or muscle conditions that were less favorable than those in the patients who improved with clinical treatment. In this way, considering the good results obtained with this sample, we may infer that the surgical treatment of patients who do not necessarily experience improvement with clinical treatment will possibly bring results that are equal to or even more promising than clinical treatment. We believe that the role of surgery in the treatment of IC must be reconsidered in the sense of expanding its coverage.
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Int. braz j urol.  vol.30 número3

Int. braz j urol. vol.30 número3

Results: We performed 100 procedures on 47 renal units (17 bilateral, 7 with recurrent stones). Urinary tract infection/colonization was seen in 21 of 23 patients, most of whom had more than one organism. The stone-free rate was 96%. Six patients required three or more procedures, each had a complete staghorn calculus. In an average of 36 months of follow-up, 10 patients (46%) had recurrent stone disease requiring intervention, and 5 patients (23%) underwent repeat PNL. The stone composition analysis revealed mainly infection-related stones.
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Detection Of Hepatitis B Virus DNA In Moroccan Patients With Epithelial Ovarian Carcinoma EOC By Polymerase Chain Reaction

Detection Of Hepatitis B Virus DNA In Moroccan Patients With Epithelial Ovarian Carcinoma EOC By Polymerase Chain Reaction

Abstract: Epithelial ovarian cancer (EOC) is the most common type of ovarian cancer; representing 90% of all ovarian cancers. The viruses are known as human malignancies agents. We tried to analyze the presence of Hepatitis B Virus infection in women with epithelial ovarian carcinoma. PCR-based detection of HBV infections was carried out on 50 tissue samples from patients with histologically proven EOC using consensus primers. The samples analyzed showed 8% (4/50) positivity for HBV-DNA in cancerous ovarian tissues. All of the positive patients had serous adenocarcinoma and advanced stage disease. The results of this study suggest that hepatitis B could play a major role in the etiology of ovarian cancer.
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Outcomes of Six Patients Who were Treated with Selective Embolisation Due to Arteriovenous Fistula Following Percutaneous Nephrolithotomy

Outcomes of Six Patients Who were Treated with Selective Embolisation Due to Arteriovenous Fistula Following Percutaneous Nephrolithotomy

Of the 6 patients who received selective embolisation for AVF, 4 (67%) were male and 2 (33%) were female. Mean age was 52 years (range: 42-57). There was no urinary anomaly identiied among the patients. All patients had complex ‘staghorn’ stones. Mean operation time was 138 minutes (range: 50-300). Four patients (67%) had two accesses and two patients (33%) had one access. Entry to the lower pole was performed via subcostal puncture. Secondary entries were made into the middle and upper poles. Punctures into the middle and upper poles were always performed above the 12 th rib.
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Rev. bras. ortop.  vol.52 número1

Rev. bras. ortop. vol.52 número1

Exclusion criteria were patients who were operated using the Essex-Lopresti technique or those in whom a minimally invasive surgery was performed; fractures treated conser- vatively due to patient’s own reasons or lack of surgical indication; associated fractures; lack of adequate skin con- dition, edema, and blisters in the lateral aspect of the foot, not resolved by the date of the surgery; absence of clini- cal conditions due to vascular disorders, heart disease, or decompensated diabetes; severe traumatic brain injury; psy- chosocial problem; heavy smoking; refusal to undergo surgical
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Braz. J. Cardiovasc. Surg.  vol.32 número1

Braz. J. Cardiovasc. Surg. vol.32 número1

Several aspects justified this research, namely: difficulties in establishing drug treatment or other drugs indicated to eliminate CAF; complications caused by CAF, especially thromboembolism with increasing morbidity and mortality; presence of previous heart disease, most often injury of the mitral valve; advances in the study of the electrophysiological mechanisms of arrhythmia; description of the focal origin mechanism of AF in the pulmonary veins, as well as foci located in the vena cava; and demonstration that the ablations performed with US systems, through both endocardial and epicardial, are likely to cause transmural lesion. Thus, the aim of this study was to evaluate the surgical treatment of CAF with US in patients with mitral valve disease, considering preoperative clinical characteristics of patients undergoing surgical treatment for CAF and follow-up in the immediate postoperative period, at hospital discharge, and late postoperative of up to 60 months.
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The surgical treatment of patients with ulcerative colitis from an university hospital at Natal, Brazil

The surgical treatment of patients with ulcerative colitis from an university hospital at Natal, Brazil

When the disease has indication for surgery, the intervention is selected from a number of surgical op- tions. The beneits of a more extensive procedure that enhances the disease cure, reduces the long-term risk of cancer and improves the functional result should be analyzed versus a less extensive procedure, which may be safer in speciic clinical situations. It is impor- tant to emphasize that most patients want to avoid a deinitive ileostomy. In addition, the development of an intestinal restorative technique with ileal pouch- anal anastomosis (IPAA) is the procedure of choice to treat patients with UC 4 .
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Int. braz j urol.  vol.29 número4

Int. braz j urol. vol.29 número4

The diagnosis of urinary retention was done when the residual volume, obtained by post micturi- tion urethral catheterization, was higher than 100 ml. Patients which could not present spontaneous mictu- rition in the immediate post-operative period were maintained in a clear intermittent catheterization pro- gram until 4 weeks post-operatively when a loosen- ing procedure was performed if retention had per- sisted. All of the patients that presented spontaneous micturition in early post-operative period showed post-void residual less than 100 ml and were consid- ered without retention. Following the above criteria, postoperative urinary retention occurred in 3 patients (6.7%) that had not presented spontaneous micturi- tion after 4 weeks post-operatively. All underwent sling tension loosening under local anesthesia and voided spontaneously, with completed relief of irri- tative symptoms and with a mean post void residual volume of 60 ml after the procedure.
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Surgical treatment of pheochromocytoma metastasis.

Surgical treatment of pheochromocytoma metastasis.

Tanto os casos de persistência de doença (residual) como recidiva local ou metastática tiveram beneficio em sobrevida, ten- do sido realizados múltiplos tipos de ressecção.. Devido a sua[r]

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Synthesis of nanoparticeles in ductile iron with small additions of vanadium and niobium and its mechanical properties

Synthesis of nanoparticeles in ductile iron with small additions of vanadium and niobium and its mechanical properties

mechanical grinding and polishing. Back scattered electrons (BSE) were utilized in SEM in order to reveal difference in chemical compositions of microcomponents present in particular samples. The SEM investigations were used to reveal the distribution of graphite and other big particles. Transmission electron microscopy (TEM), on the other hand, was applied for examination of nanosized secondary precipitates, i.e. vanadium or niobium carbides and/or nitrides (or carbonitrides). The thin foil technique was implemented for this purpose. The 3 mm disks were ground down on sand papers and then dimpled to about 0.1 mm thickness. Afterwards the disks were further thinned in an ion mill until a perforation had appeared. The TEM investigation was carried out by means of a JEOL 2010 ARP analytical scanning transmission electron microscope operating at acceleration voltage of 200 kV. Imaging was performed by conventional transmission mode while for chemical analysis (X-ray Energy Dispersive Spectroscopy - EDS) the nanoprobe mode was utilized. The nanoprobe mode enabled to obtain electron probes approaching a few nanometers in diameter (practically about 10 nm because at smaller electron probes the number of X-ray counts is usually too low for analysis). The EDS analysis was performed by Oxford-Link system attached to the microscope. The Oxford- Link system was equipped with Si(Li) detector. This system detects all elements down to boron. In order to examine the crystallography of precipitates the Selected Area Diffraction (SAD) patterns analysis was also performed.
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A Method To Find The Area Of Sector Without The Usage Of Angle Made By The Chord

A Method To Find The Area Of Sector Without The Usage Of Angle Made By The Chord

As we know that to find the area of sector the angle made by the chord (that is chord which divides the circle) is required. But in the below method we find the ratio of the segments of the circle. Thus by relating the area of segment to the area of sector the area of sector could be found. The ratio of area of segments is related to tangents that are drawn through diameter on either side.

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Profilaxia intermitente com diazepam via oral na convulsão febril: estudo de 82 casos.

Profilaxia intermitente com diazepam via oral na convulsão febril: estudo de 82 casos.

Prevention of recurrent febrile seizures: intermittent prophylaxis with diazepam compared with continuous treatment. with phenobarbital[r]

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Surgical treatment of tracheal schwannoma.

Surgical treatment of tracheal schwannoma.

Schwannoma is a rare benign tumor of the proximal tracheobronchial tree. The aim of the present study is to report a case of tracheal schwannoma causing airway obstruction. A 16-year-old woman complained of cough, wheezing and dyspneia. Bronchoscopy and computerized tomography showed a polypoide intratracheal mass obstructing approximately 80% of the lumen. The treatment consisted of tracheal resection and primary anastomosis. Histological analysis revealed a tracheal schwannoma. The postoperative course was uneventful and the patient remains well twelve months after surgery.
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