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Sternocleidomastoid flap for reconstruction of tongue small cell carcinoma: A case report

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World Journal of surgical Procedures 2024年第2期14卷 8-14页

作者： Hendry Irawan Made Bagus Sastrapramaya Bharata surgical Oncology Division Department of SurgeryMedical Faculty Universitas UdayanaDenpasar 80113BaliIndonesia General Surgery resident Department of SurgeryMedical Faculty Universitas UdayanaProf.Dr.I.G.N.G.Ngoerah General HospitalDenpasar 80113BaliIndonesia

BACKGROUND The management of tongue carcinoma is excision and radical neck dissection followed with *** is a case report of a patient with tongue squamous cell carcinoma(SCC)who underwent the procedure with sternocleidomastoid(SCM)flap *** SUMMARY A 52-year-old woman without smoking history complained tongue ulcer since 3 years *** on the histopathological examination,the patient was diagnosed with T2N2M0 right tongue SCC and underwent wide excision of tumor;right mandibular;neck dissection and were reconstructed with SCM *** SCC of the tongue requires wide excision and dissection of the neck and mandible if infiltration into the surrounding lymph nodes has been *** SCM flap reconstruction could be used post-surgery.

关键词： Sternocleidomastoid flap Neck dissection Mandibular dissection Squamous cell carcinoma of the tongue Case report

Anterior tibiofemoral dislocation after total knee arthroplasty:A case report and literature review

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Chinese Journal of Traumatology 2022年第4期25卷 237-241页

作者： Alejandro Almoguera-Martinez Catarina Godinho-Soares Valentín Calcedo Bernal Jose-Antonio Pareja Esteban Marta Garcia-Lopez Miguel Angel Plasencia Arriba Orthopaedic and Traumatology resident at Príncipe de Asturias Hospital Alcala de HenaresMadridSpain

Anterior tibiofemoral dislocation after total knee arthroplasty is an extremely rare and serious *** English-published papers,we found only 15 relevant cases,3 of which presented vascular *** manuscript aims to present a 77-year-old woman with a TC-Plus(Smith&Nephew)cruciate-retaining type in first time of knee prosthesis,who suffered an anterior tibiofemoral dislocation and were admitted to our *** clinical management and outcome were ***,a review of literature was *** concluded that early detection and surgical intervention of vascular injury is the key in the survival of the *** there is still knee instability after acute recovery,it seems that revision surgery with constrained total knee arthroplasty can bring about good clinical and functional results.

关键词： Arthroplasty Knee dislocation Knee replacement Popliteal artery Risk factors

The Use of the V.A.C. RX-4 for Multiple Soft Tissue Wound Application in the Single Patient: A Case Report

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surgical Science 2022年第3期13卷 155-163页

作者： Emily R. Kindal Kaitlin J. Larson Luis G. Fernandez Sean F. O’Keefe Marc R. Matthews Medical Student IV Royal College of Surgeons in Ireland Dublin Ireland surgical resident The Arrowhead Surgical Residency Glendale Arizona Department of Surgery University of Texas Health Science Center Tyler USA Trauma Wound Care UT Health East Tyler USA Department of Surgery University of Texas Medical Branch Galveston USA Business Development Manager Saint Paul US University of Arizona & Creighton University Schools of Medicine The Arizona Burn Center Phoenix Arizona

Contact burn injuries account for a considerable proportion of admissions that frequently require debridement. Such debridements of these multiple open wounds might benefit from the application of negative pressure wound therapy (NPWT) for the removal of proinflammatory mediators and to promote granulation tissue with macrostrain and microstrain. Having four or more Vacuum Assist Closure (V.A.C.) Ulta devices connected to the same patient for adequate wound coverage is cumbersome in the management of the patient’s wound care and tethers the patient to the bed. The V.A.C. RX-4 is a multichannel device that can deliver NPWT with a smaller footprint. In addition, the V.A.C. RX-4 has a weight of 16 lbs. versus one V.A.C Ulta which is 7.4 lbs. Therefore, collectively, four V.A.C. Ultas would equal 29.6 lbs. or almost double the weight of a single V.A.C. RX-4. Use of the V.A.C. RX-4 by healthcare providers can mean greater mobility for the patient and easier transport between patient destinations within the hospital. This case report demonstrates the utility of the V.A.C. RX-4 for open and freshly debrided, large soft tissue wounds in a burn patient.

关键词： V.A.C. RX-4 Negative Pressure Wound Therapy Wounds V.A.C. Ulta Footprint Burns

Chronic Pain Review Following Lichtenstein Hernia Repair: A Personal Series

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surgical Science 2012年第9期3卷 430-435页

作者： Maurice Brygel Luke J. Bonato Sam S. Farah surgical Assistant Master of Surgery Student Monash University Melbourne Australia surgical resident Southern Health Melbourne Australia The Melbourne Hernia Clinic Masada Hospital Melbourne Australia

Introduction: Chronic groin pain is both a topical subject and important outcome measurement following inguinal hernia repair. It has been suggested its incidence is related to the management of the nerves of the inguinal canal as well as the type of mesh used and methods of fixation for both open and laparoscopic surgery. The level of pre-operative and post operative pain, its duration as well as complications may all be factors in predicting whether chronic pain could develop. The method of measurement of chronic pain is itself a contentious issue. It is now apparent that the qualitative measurement of activity and functional status as well as quantitative is important. As a result several uniform methods of assessing chronic post-operative pain have been designed, validated and implemented. One of these is used here. Methods: A study reviewing a consecutive series of Lichtenstein repairs performed by a single experienced hernia surgeon was carried out. 248 inguinal hernia patients operated on in 2005 were reviewed. Patients were contacted via telephone at a median of 50 months. Franneby’s recently validated inguinal pain questionnaire was used to assess the incidence of chronic pain. Results: 185 (75%) patients were able to be contacted for follow-up, making a total of 213 inguinal hernia repairs (including bilateral and recurrent hernias). At the time of review 3% of patients reported having pain. No patients reported that pain or discomfort was limiting their work, exercise or activities of daily living. No patients had disabling pain. Conclusion: Chronic pain did not appear to be a major problem within this cohort of patients. The Lichtenstein technique can produce favourable results in terms of chronic pain for unilateral, bilateral and recurrent inguinal hernias in an unselected group of patients with the usual mix of risk factors and complications.

关键词： Inguinal Hernia Lichtenstein Local Anaesthesia Chronic Pain Bilateral Inguinal Hernia Recurrent Inguinal Hernia

Super-resolution immunohistochemistry study on CD4 and CD8 cells and the relation to macrophages in human cochlea

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Journal of Otology 2019年第1期14卷 1-5页

作者： Wei Liu Helge Rask-Andersen Department of surgical Sciences Section of OtolaryngologyUppsala University Hospital

Recently, the human cochlea has been shown to contain numerous resident macrophages under steady-state. The macrophages accumulate in the stria vascularis, among the auditory nerves, and are also spotted in the human organ of Corti. These macrophages may process antigens reaching the cochlea by invasion of pathogens and insertion of CI electrode. Thus, macrophages execute an innate, and possibly an adaptive immunity. Here, we describe the molecular markers CD4 and CD8 of T cells, macrophage markers MHCⅡ and CD11b, as well as the microglial markers TEME119 and P2Y12, in the human cochlea. Immunohistochemistry and the advantageous super-resolution structured illumination microscopy(SR-SIM) were used in the study. CD4^+ and CD8^+ cells were found in the human cochleae. They were seen in the modiolus in a substantial number adjacent to the vessels, in the peripheral region of the Rosenthal's canal, and occasionally in the spiral ligament. While there are a surprisingly large number of macrophages in the stria vascularis as well as between the auditory neurons,CD4^+ and CD8^+ cells are hardly seen in these areas, and neither are seen in the organ of Corti. In the modiolus,macrophages, CD4^+ and CD8^+ cells appeared often in clusters. Interaction between these different cells was easily observed with SR-SIM, showing closely placed cell bodies, and the processes from macrophages reaching out and touching the lymphocytes. Otherwise the CD4^+ and CD8^+ cells in human cochlear tissue are discretely scattered. The possible roles of these immune cells are speculated.

关键词： Macrophage Human cochlea CD4 CD8 Lymphocyte T cell

Necrotizing Fasciitis Secondary to Emphysematous Cholecystitis and Cholecystocutaneous Fistula: A Rare Case Report Presentation

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surgical Science 2023年第5期14卷 388-397页

作者： Alexandra N. Dominianni Samantha A. Delapena Luis G. Fernandez Mostaffa T. Jabassini Sean F. O’Keefe Rachel L. Villanueva Marc R. Matthews College of Medicine-Phoenix University of Arizona Phoenix AZ USA Creighton University Arizona Health Education Alliance Phoenix AZ USA Department of Surgery Division of Trauma Surgery/Surgical Critical Care The University of Texas Health Science Center Tyler TX USA The University of Texas-Tyler School of Medicine Bill Barrett Endowed Chair in Trauma Surgery Tyler TX USA Trauma Wound Care UT Health East Tyler TX USA Department of Surgery University of Texas Medical Branch Galveston TX USA Adjunct Clinical Professor of Medicine and Nursing University of Texas Arlington TX USA Past Commanding General TXSG Medical Brigade Austin TX USA surgical resident Abrazo Health Network General Surgery Residency Glendale AZ USA Area Sales Manager Miach Orthopedics surgical Acute Account Manager 3M Minneapolis MN USA Clinical Professor of Surgery Banner University of Arizona/University Medical Center Tucson AZ USA

Emphysematous cholecystitis is a rare subtype of acute cholecystitis characterized by the presence of gas in the gallbladder wall secondary to ischemia. Typically, this is a result of cystic artery vascular compromise with a concomitant infection from gas-forming organisms such as Clostridium species, Klebsiella species, or Escherichia coli. The mortality rate of acute emphysematous cholecystitis is 15% - 20% compared with 1.4% in uncomplicated acute cholecystitis. The subsequent development of a cholecystocutaneous fistula, an abnormal connection between the gallbladder and the skin, is also a rare complication of gallbladder disease. We describe a case of a 77-year-old male who presented with right flank necrotizing fasciitis which developed from a cholecystocutaneous fistula secondary to emphysematous cholecystitis. Once the necrotic tissues were adequately debrided, the large open wound was treated with negative pressure wound therapy with instillation (NPWT-i) utilizing hypochlorous acid (HOCL). The wound was closed with a split-thickness skin graft.

关键词： Emphysematous Cholecystitis Gangrenous Cholecystitis Cholecystocutaneous Fistula Necrotizing Fasciitis Sepsis

硫喷妥钠引起的淋巴细胞凋亡不依赖CD95的激活

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国外医学（麻醉学与复苏分册） 2005年第5期26卷 318-320,I0001页

作者： Marius Keel Ladislav Mica John Stover Reto Stocker Otmar Trentz Luc Ha(?)rter 钟敏 General Trauma Surgeon and Consultant Division of surgical Intensive Care resident in Surgery resident in Intensive Care Medicine Professor and Chairman Biologist and Postdoctoral Fellow 中国医科大学

背景:当脑外伤病人颅内压升高对其他治疗措施反应不佳时,常常应用巴比妥酸盐.然而,巴比妥酸盐介导的神经保护作用可能会导致淋巴细胞减少,使发生感染的危险性增加.巴比妥酸盐引起淋巴细胞减少的机制还不清楚.

关键词：淋巴细胞凋亡 CD95 硫喷妥钠淋巴细胞减少巴比妥酸盐激活神经保护作用颅内压升高治疗措施外伤病人

A Concise Review of surgical exposures for Revision Knee Arthroplasty

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surgical Science 2012年第5期3卷 256-260页

作者： Ashish Anand Raviraj Adala Manish Kumar J. Vijay Kumar Srinivas Gautam Kodikal Consultant Orthopedic Surgeon Center for Joint Replacement Fortis Hospitals Bangalore India Junior resident Center for Joint Replacement Fortis Hospitals Bangalore India Senior resident Center for Joint Replacement Fortis Hospitals Bangalore India

Revision knee arthroplasty is fraught with complications such as delayed wound healing, arthrofibrosis, increased chances of infection, instability and extensor mechanism disruption. The key to avoiding these complications is to handle the soft tissue with care and to have an adequate surgical exposure at the same time. As the number of revisions has gone up, there has been a renewed interest in getting the basics right to have an adequate surgical exposure. Numerous surgical approaches have been proposed and subsequently modified. We present a concise review of the various surgical approaches for a revision knee replacement.

关键词： Knee Arthroplasty Revision Exposures

The “July Effect” in the intensive care units revisited:A bi-institutional 6-year experience of 57,160 patients

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World Journal of Emergency Medicine 2022年第3期13卷 215-218页

作者： Leon Naar Ander D.Gallastegi Raghu R.Seethala B.Christian Renne Michael E.Billington Jasmine Kannikal Haytham M.A.Kaafarani Jarone Lee Division of Trauma Emergency Surgery&Surgical Critical CareDepartment of SurgeryMassachusetts General HospitalHarvard Medical SchoolBoston 02114-2696USA Division of Emergency Critical Care Medicine Department of Emergency MedicineBrigham and Women's HospitalHarvard Medical SchoolBoston 02115-6195USA Department of Emergency Medicine Massachusetts General HospitalHarvard Medical SchoolBoston 02115-6195USA

July coincides with the beginning of the academic year in teaching hospitals across the United States of America (USA).The increased responsibility assumed by trainees transitioning to a higher role in the healthcare team is hypothesized to lead to poorer patient outcomes,termed the“July Effect”.The consequence of a“July Effect”might be more severe in critical care settings,where the complexity of patients requires a higher level of experience and *** only studies evaluating the“July Effect”in the ICU were published in the early 2000’s.;Since that time,several resident work-hour regulations have been implemented by the Accreditation Council for Graduate Medical Education (ACGME).;These regulations have resulted in more frequent sign-outs,reduced continuity of care,and less clinical time for trainees,which in theory could increase the risk of errors among young trainees at the time they are most vulnerable.

关键词： sized academic assumed