operative technique in general surgery

... extending anteriorly to involve the inner layers of the abdominal wall or infe- riorly behind or through the inguinal ligament into the groin. 2. Tumors involving the iliac vessels requiring the in ... or in those with large substernal goiters. Incisions and exposure of the neck 65 The Abdominoinguinal Incision Constantine P. Karakousis, MD, PhD T he pivotal anatomical point in the abd...

Ngày tải lên: 13/08/2014, 23:54

... positive findings except for some * Correspondence: jimmyramdass@gmail.com Department of Surgery, General Hospital, Port of Spain, Charlotte Street, Port-of-Spain, Trinidad, West Indies Naraynsingh ... abdominal CT scan examination may show the presence of ascitic fluid and peritoneal thickening [5], and calretinin immu- nostaining of ascitic fluid can be done. This procedure has significa...

Ngày tải lên: 10/08/2014, 23:20

... role in mediating immunity and inflammation. [5] They have local effects of mediating and maintaining the inflammatory response to tissue injury and after major surgery the main cytochines ... activating factor, bradykinin, nitric oxide, neuropeptides and cytokines. The cytochines are a group of low molecular-weight proteins released in inflammatory and immune reactions which inclu...

Ngày tải lên: 14/03/2014, 20:20

... stratification models in patients undergoing heart valve surgery in a single center in China. Chin Med J. 2011;124(15):2254-9. [60] O’Brien SM. Cutpoint selection for categorizing a continuous predictor. ... heart surgery collection forms include sections for gathering key information for anesthesiology participation in the database—preoperative assessment, anesthetic techniq...

Ngày tải lên: 30/03/2014, 18:20

... (P-POSSUM) are in place to assess the risks involved for patients in various specialities. In contrast to APACHE 2, POSSUM and its modifications take operative findings into consideration [7]. Since it's first ... and electrocardiogram. Post -operative morbidity was subdi- vided into minor (delaying discharge), intermediate (requiring non-invasive intervention, such as starting...

Ngày tải lên: 09/08/2014, 07:21

... participated in its design, writing process and bibliography MS, KA, participated in its coordination and correction on the surgical part. RK participated in its coordination on the pre -operative ... reported in lung transplantation [2,3], but never reported in general thoracic surgery. Despite its potential risks [6], such a cannulation remains an effective alternative airway...

Ngày tải lên: 10/08/2014, 09:21

... both abdominal and chest injuries. Key point • Following stab wounds of the lower chest the incidence of abdominal visceral involvement is 15%. Following penetrating injury to ... by reduced glucose utilization in skeletal muscle because high adrenaline (epinephrine) levels inhibit insulin secretion. A relative intracellular insulin resistance develops, the mechanis...

Ngày tải lên: 12/08/2014, 00:22

... glucose-potassium-insulin sliding scale regimen Unless very minor procedure (omit insulin when nil by mouth) give glucose- potassium-insulin sliding scale regimen during surgery and until eating ... management. Most insulin now used is bioengineered human sequence insulin. Recently the first two artificial insulin analogues, lispro and insulin aspart, have been...

Ngày tải lên: 12/08/2014, 00:22

... cancer becoming increasingly valuable in identifying, monitoring and treating malignancy? References Kohler G, Milstein C 1975 Continuous cultures of fused cells secreting antibody ... level (or International Normalized Ratio (INR) in the case of warfarin). This monitoring should be more extensive (i.e. daily) when starting or stopping CYP450 inhibitors and i...

Ngày tải lên: 12/08/2014, 00:22