Articles: surgery.
-
Retrospective review. ⋯ 3.
-
OBJECT The associations among global spinal alignment, patient-reported disability, and surgical outcomes have increasingly gained attention. The assessment of global spinal alignment requires standing long-cassette anteroposterior and lateral radiographs; however, spine surgeons routinely rely only on short-segment imaging when evaluating seemingly isolated lumbar pathology. This may prohibit adequate surgical planning and may predispose surgeons to not recognize associated pathology in the thoracic spine and sagittal spinopelvic malalignment. ⋯ Such imaging is necessary for the assessment of spinopelvic and global spinal alignment, which can be important in operative planning. Deformity, particularly positive sagittal malalignment, may go undetected unless one maintains a high index of suspicion and obtains long-cassette radiographs. It is recommended that spine surgeons recognize the prevalence and importance of such deformity when contemplating operative intervention.
-
Interact Cardiovasc Thorac Surg · Nov 2015
Case ReportsTransient limb ischaemia during extracorporeal membrane oxygenation: inappropriate venous cannula location.
Percutaneous placement of extracorporeal membrane oxygenation (ECMO) cannulas has many benefits. However, limb ischaemia still remains as an unresolved problem. We experienced an interesting case of limb ischaemia that was caused by external compression of the superficial femoral artery by the venous cannula. ⋯ The venous cannula, which was approaching the common femoral vein from the lateral side, was passing between the bifurcation area of the superficial and deep femoral arteries, directly compressing the superficial femoral artery from beneath. We rapidly removed the inappropriately placed venous cannula, and then re-inserted it at another location of the femoral vein. Although it was an unusual case where arterial occlusion was due to external compression of the venous cannula, successful limb reperfusion could be obtained through rapid identification and correction.
-
A retrospective cohort study. ⋯ 4.
-
Although hidradenitis suppurativa is a common and serious skin condition, its treatment is not well established. It is now accepted that the moderate and severe forms of the disease are associated with marked systemic inflammation. The goal of treatment in hidradenitis suppurative is therefore to achieve systemic control of inflammation. ⋯ Recent advances in our understanding of hidradenitis suppurativa have been accompanied by the emergence of novel approaches to its treatment, including the use of certain biologic drugs. Several clinical trials have been undertaken to test the effects of biologics (mainly adalimumab) in this setting. In this review, we analyze the different treatments available for hidradenitis suppurativa.