surgical management of leiomyoma and extramucosal cysts of the esophagus

... within the entirety of the specimen The lesion was composed of back to back mature Brunner's glands Discussion Brunner's glands are alkaline-secreting glands located in the submucosal layer of the ... broad-based lesions [12] The benign nature of BGH, and in most cases the lack of significant symptoms, makes endoscopic management of these patients the preferred initial mode of therapy However, if ... layer of the duodenum The majority of Brunner's glands are located in the first portion of the duodenum, with decreasing prevalence in the second and third portions of the duodenum BGH follow...

Ngày tải lên: 09/08/2014, 04:21

... of the right breast The mass measured 36 × 30 cm at the time of presentation The skin of the breast was blue at the apex of the mass, and the nipple was massively enlarged and excoriated (Fig ... close margins, the surgeon is often faced with the need for mastectomy for phyllodes tumors that are greater than 10 cm Depending on the size of the breast and the location of the phyllodes tumor, ... branches of the internal mammary, lateral thoracic, acromio-thoracic arteries, and branches of the axillary artery [36] We found that the giant tumors in the present report derived the majority of their...

Ngày tải lên: 09/08/2014, 07:22

... plantar and medial calcaneal branches of the tibial nerve (Figures and 2) The anterior lateral dorsum of the foot and the dorsal web-space between the first and second toe – the usual distribution of ... Baltimore, in thenerve with of the of the Pressurenerve branch of the Measurement of the use discrimination inSpecified Sensory is Measurement of point discrimination in great toe which is in the distribution ... Figure in Baltimore, the distribution of the use in the medial heel fied Sensory Device™ branch of Maryland) (Sensory Management Services, LLC, which is2 the of nerve withthe medial the Pressure SpeciMeasurement...

Ngày tải lên: 10/08/2014, 10:20

... between these entities in the pre-operative setting The best surgical management of a patient with an appendiceal mucocele remains a subject of controversy There is little consensus on the optimal ... Long-term follow-up of our patient will help to ascertain the safety profile of the approach we employed Systematic work-up and follow-up of patients with mucinous cystadenoma of the appendix should ... helped in the interpretation of the data, drafted the manuscript and provided overall supervision in the project All authors read and approved the final manuscript Author Details 1Section of General...

Ngày tải lên: 11/08/2014, 12:20

... However, the major source of morbidity is associated with the management and complications of the open abdomen Management of the open abdomen In view of the complicated and often fatal outcome of patients ... readily available and inexpensive, and maintain the abdominal domain In addition, the preservation of the accessibility to the abdominal cavity and the feasibility of gradual closure of the abdominal ... no randomized studies comparing different surgical decompression techniques, the selection of the technique has to be individualized and based on common sense and weighing the pros and cons of...

Ngày tải lên: 13/08/2014, 23:20

... treatment and incision and/ or surgical removal of the abscesses and fistulas are usually futile.1,14 The success of medical therapies, however, often is limited because of the indolent and recurrent ... region were selected for excision and primary closure if the skin and soft tissue could be mobilized adequately The size of the defects created after excision of the lesions ranged from 15 cm2 up ... most of the patients 18 of the 21 (85%) male patients and of the (37%) female patients were smokers patients (2 female, male) had insulin-dependent diabetes mellitus (See Table 1) Most of the...

Ngày tải lên: 26/10/2012, 08:57

... proliferation, migration, and differentiation of the epithelial cells [2,12,18,19] Following the surgical treatment of adult periodontitis, the epithelial regeneration of the periodontal attachment ... of bone graft in the damaged site and on the other hand, it creates an environment with a rich content of HA, with all the advantages deriving from the phenomenon The present study’s clinic and ... demonstrated a gingivitis grade of or Thanks to the bacteriostatic properties of the tested polymer, a more effective control of the surgical wound no bacterial contamination of the surgical site was observable...

Ngày tải lên: 03/11/2012, 11:35

... function and amyotrophy Comparing the results of stimulation of the distal and proximal parts of the resected fibres proved useful in controlling the effects of the operation on muscular contraction The ... consists of sectioning the branches to the forearm pronators, wrist flexors and extrinsic finger flexors, is indicated for spasticity in the wrist and the hand – the aim being to open the hand and improve ... Skin incision on the right forearm from the medial aspect of the biceps brachii at the level of the elbow to the midline above the wrist Centre: First stage of the dissection; the pronator teres...

Ngày tải lên: 01/11/2013, 10:20

... summary of assessment, classification, and treatment approaches for managing both the MS disease p ­ rocess and ­ ssociated conditions, and to discuss these a approaches in the context of the aging ... characteristic of the disease The new criteria simplify the diagnostic work-up and allow a more rapid diagnosis of MS while maintaining the specificity and/ or sensitivity ultimately resulting in the need ... 55 and a majority of patients over the age of 70 have some evidence of disease Joints including the knees, hips, spine, and hands are subject to degenerative changes secondary to overuse and...

Ngày tải lên: 22/03/2014, 14:20

... Evaluation, and Management of the Hypertensive Disorders of Pregnancy This guideline has been reviewed and approved by the Hypertension Guideline Committee and approved by the Executive and Council of the ... on the diagnosis, evaluation, and management of the hypertensive disorders of pregnancy The resulting guidelines, published in the CMAJ in 19974–6 and endorsed by the Society of Obstetricians and ... Diagnosis, Evaluation, and Management of the Hypertensive Disorders of Pregnancy Table Key to evidence statements and grading of recommendations, using the ranking of the Canadian Task Force...

Ngày tải lên: 28/03/2014, 14:20

... publish reliable data and information, but the author and the publisher cannot assume responsibility for the validity of all materials or for the consequences of their use No part of this book may ... results of surgery, and the complication rate of these procedures Our goal was to summarize the current status of the field as well as make projections for the next few years Gordon H Baltuch Matthew ... with the basic anatomy and functional organization of the basal ganglia 2.1 Structure and Function of the Basal Ganglia A detailed discussion of basal ganglia anatomy and function is beyond the...

Ngày tải lên: 28/03/2014, 22:20

... congestion and to help in the long-term management of the inflammatory sinus disease Patients are frankly apprised of the high likelihood that further medical therapy will still be required to manage their ... and are available in various angles ranging from to 30, 45, and 70 degrees They also afford surgeons the opportunity to handle instruments with their free hand while maintaining the view of the ... assessment of the cavities can also determine the effectiveness of healing and the need for further medical therapy in an effort to optimize outcome.9 Examples of this medical care include the need...

Ngày tải lên: 08/08/2014, 20:23

... (a) indicates the position of the esophagus and (b) indicates the position of the trachea Conclusions Despite the complex nature of the anatomy surrounding mediastinal liposarcomas, surgical intervention ... following resection of well differentiated mediastinal liposarcoma (a) indicates the position of the innominate vein and (b) indicates the position of the trachea/larynx Postoperatively the patient was ... TLG-J helped draft the manuscript CRM and NRE reviewed and edited the manuscript All authors read and approved the final manuscript Competing interests The authors declare that they have no competing...

Ngày tải lên: 09/08/2014, 03:21

... behind the ascending colon and adherent to the right psoas muscle We performed a complete excision of the tumor with part of the psoas muscle and part of the adherent nerve Postoperatively, the ... retroperitoneal space and concern mainly the GI tract and the urinary system Our patients were symptomatic and the tumors were displacing the rectosigmoid, the ureter, the uterus and the psoas muscle ... cells of nerve sheaths and belong to the category of neural sheath tumors They can be found in any nerve trunk, except for cranial nerves I and II, and their usual location is the head, neck, the...

Ngày tải lên: 09/08/2014, 07:21

... [10,11] Despite the apparent advantages of Linezolid in the treatment of MRSA infections, concerns about safety and costs of therapy often limit its use Popov et al Journal of Cardiothoracic ... effective in the treatment of bacteremia and endocarditis caused by MRSA and several case reports about its effectiveness in the field of cardiac surgery exist in the literature [13-17] Based on these ... graphics, and wrote the paper TT, CB, AE, SM, MF and CW helped with data interpretation and helped to draft the manuscript FS co-wrote the manuscript and added important comments to the paper...

Ngày tải lên: 10/08/2014, 09:22

... motion of the left cusp, preventing it from opening completely and adhering to the wall of the left sinus of Valsalva Following the operation, there was minimal stenosis at the level of the aortic ... (sides) of the cusp projecting slightly into the aorta, such that flow enters the sinus during systole at the center of the cusp, and exits the sinus on both sides of the cusp [2,3] The vortex ... of systole, the pressure created by the vortex transiently exceeds that of the linear flow in the aorta, and the valve begins to close If flow does not enter the sinus at the cusp tip, then the...

Ngày tải lên: 10/08/2014, 09:22

... characterized by the uncontrolled growth of inflammatory cells [4] The exact etiology of this inflammatory reaction is unknown and many hypotheses have been raised The hypothesis of an immune disorder ... Page of (62%) and lung masses (maximum diameter >3 cm) in patients (37%) In patients the CT scan showed findings of parenchymal tumors without signs of infiltration; in the other patients there ... to others, PIP represents a true neoplasm, benign or of low-grade malignancy, in consideration of the slow and localized growth [8,9] This opinion is supported by the detection of cases of PIP...

Ngày tải lên: 10/08/2014, 09:23

... anteriorly along the leading edge of the trapezius until the SAN was identified In most of the cases adhesions were identified between the nerve and the underlying fascia The patient was then awakened ... spinal nerves C3 and C4 [19] before traversing the posterior triangle In order to minimize the risk of surgical complications during exploration of the ventral aspect of the trapezius, the nerve must ... typically with the shoulder elevated on the side of greatest pain; (2) decreased and painful range of motion in neck and shoulder(s); (3) tenderness to palpation along the horizontal portion of the upper...

Ngày tải lên: 10/08/2014, 10:20

... recur in a different segment of the small bowel which was unaffected by them at the time of the operation [6] Other surgical techniques used in the past for the treatment of perforated jejunal diverticula ... segmental intestinal resection and primary anastomosis [12] The extent of the bowel resection depends upon the length of the bowel which is affected by the diverticula and the patient’s perioperative ... mesenteric border of the bowel and readily allow the small bowel mesentery to wall them off [5,7] If the perforation of a jejunal diverticulum causes only localised peritonitis and the patient remains...

Ngày tải lên: 11/08/2014, 17:21

... presented with a fracture of the surgical neck of the right humerus following a fall whilst under the influence of alcohol On that occasion, sensory and motor function of the limb had been recorded ... rare [1,4-7] The majority affect the third part of the artery, due to its position of relative immobility, being tethered by the subscapular and thoracromial arteries [1,8] Most of these injuries ... bypass grafting The insertion of the Javid™ shunt served to confirm the viability of the limb and adequacy of distal thrombo-embolectomy The use of temporary shunting of peripheral vasculature in...

Ngày tải lên: 11/08/2014, 21:22