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International Journal of Ophthalmology(English edition) 2016年第6期9卷 843-847页

作者： Jun Du Guang-Ying Zheng Cheng-Lin Wen Xiao-Fang Zhang Yu Zhu Department of Ophthalmology the First Affiliated Hospital of Zhengzhou University Department of Ophthalmology People's Hospital of Zhengzhou

AIM： To evaluate the clinical value of wedge resection at corneal limbus in patients with traumatic corneal scarring and high irregular astigmatism. METHODS： Patients with traumatic corneal astigmatism received wedge resection at least 6mo after suture removal from corneal wound. The uncorrected distance visual acuities （UCVA） and best corrected distance visual acuities （BCVA）, pre- and post-operation astigmatism, spherical equivalent （SE）, safety and complications were evaluated. RESULTS： Ten eyes （10 patients） were enrolled in this study. Mean follow-up time after wedge resection was 37.8±15.4mo （range, 20-61mo）. The mean UCVA improved from ＋1.07±0.55 IogMAR to ＋0.43±0.22 IogMAR （P=0.000） and the mean BCVA from ＋0.50±0.30 IogMAR to ＋0.15± 0.17 IogMAR （P=0.000）. The mean astigmatism power measured by retinoscopy was -2.03±2.27 D postoperatively and -2.83±4,52 D preoperatively （P=0.310）. The mean SE was -0.74±1.61 D postoperatively and -0.64±1.89 D preoperatively （P=0.601）. Two cases developed mild pannus near the sutures. No corneal perforation, infectious keratitis or wound gape occurred. CONCLUSION： Corneal-scleral limbal wedge resection with compression suture is a safe, effective treatment for poor patients with high irregular corneal astigmatism after corneal-scleral penetrating injury. Retinoscopy can prove particularly useful for high irregular corneal astigmatism when other measurements are not amenable.

关键词： wedge resection irregular cornealastigmatism ocular trauma

Primary repair of ear laceration with wedge resection

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Plastic and Aesthetic Research 2015年第1期2卷 38-39页

作者： Bhupinder Singla Inderjit Chawla Prasant Gautam Anupam Goyal Jalaj Rathi Department of General Surgery Rajindra HospitalPatiala 147001PunjabIndia

Although major contributions have been made in the field of reconstructive surgery,reconstructive surgery of the auricle is a daunting prospect even for the most experienced ***,we present a case who presented to us in the emergency surgical ward with a history of an accidental laceration of right *** repair of the ear laceration after wedge resection of the avulsed part was *** cosmesis achieved by this technique is discussed.

关键词： Ear laceration primary repair wedge resection

Gastric inflammatory myofibroblastic tumor, a rare mesenchymalneoplasm: A case report

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World Journal of Gastrointestinal Surgery 2023年第11期15卷 2657-2662页

作者： Manuel Fernandez Rodriguez Pedro Joaquin Artuñedo Pe Alejandro Callejas Diaz Gala Silvestre Egea Cristián Grillo Marín Eva Iglesias Garcia Jose Luis Lucena de La Poza Department of General and Digestive Surgery Hospital Universitario Puerta de HierroMajadahondaMadrid 28222Spain Department of Internal Medicine Hospital Universitario Puerta de HierroMajadahondaMadrid 28222Spain Department of Pathologycal Anatomy Hospital Universitario Puerta de HierroMajadahondaMadrid 28222Spain

BACKGROUND The inflammatory myofibroblastic tumor(IMT)is a rare mesenquimal tumor of doubtful biological ***’s characterised for affecting mainly children and young adults,although it can appear at any age,being the lungs the primary affected organ(in children it represents 20%of all primary pulmonary tumors).CASE SUMMARY We present the case of a 45 year old woman,with a computed tomography(CT)finding of injury on the anterior surface of the fundus/gastric body and a solid perigastric injury of 12 mm in the *** case is presented in the tumor committee deciding to perform a laparoscopic wedge *** histological diagnosis was a *** diagnosis is based on imaging tests like the abdominal CT,abdominal ecography and the ecoendoscopy but to confirm the diagnosis a pathological study is *** Due to the unpredictable nature of this tumor,surgical resection is the best therapeutic option.

关键词： Inflammatory myofibroblastic tumor Gastric wedge resection ALK-mutation Case report

Characteristics and efficacy of modified adenomyomectomy in the treatment of uterine adenomyoma

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Chinese Medical Journal 2011年第9期124卷 1322-1326页

作者： SUN Ai-jun LUO Min WANG Wei CHEN Rong LANG Jing-he Department of Obstetrics and Gynecology Peking Union Medical College Hospital Peking Union Medical College Chinese Academy of Medical Sciences Beijing 100730 China

Background Adenomyoma is a very serious disease which influence the quality of life and leads to the infertility, and hysterectomy at the end. Unfortunetly, we still have no effective way to treat this kind of diseases. This study was aimed to evaluate the efficacy and surgical characteristics of modified adenomyomectomy. Methods This is a retrospective study and the subjects were collected in the past 5 years. We divided the subjects by the two different surgical procedures. Cases of adenomyoma patients who underwent conservative surgery, modified adenomyomectomy or wedge resection of the adenomyoma lesion were distributed to two groups retrospectively. Surgical characteristics, symptom relief, and recurrence were analysed in each group. Results General characteristics, including operation time, blood loss, and postoperative complication were similar in both groups. In the modified adenomyometomy group, the median follow-up time was 27.6 months and the rate of relief of dysmenorrhea and menorrhagia symptoms were 91.2% and 40.0%, respectively. In the wedge resection group, the rate of reliefe of dysmenorrhea and menorrhagia symptoms were 88.9% and 50.0%, respectively. Patients in both groups had statistically significant symptom relief, but there was no statistical difference between them. During the following time, ultrasonography relapse rate in modified modified adenomyomectomy group is significantly lower than the wedge resection group 15.0% vs. 69.2% （P 〈0.001）. The relapse rate, in terms of symptoms, was 5.0% in the modified adenomyomectomy group, which was similar to the relapse rate in the wedge resection group. In terms of reproductive outcome, 33.3% of the patients with infertility complications in the modified adenomyomectomy group became pregnant. Among them, the rate of pregnancy by assisted reproductive techniques was 45.5%, which was significantly higher than the rate of natural pregnancy, 23.1% （P =0.039）. Conclusion Modified adenomyomectomy appears

关键词： adenomyomectomy wedge resection adenomyoma lesion efficacy pregnancy relapse