Looking for chyle varix? Find out information about chyle varix. A conspicuous ridge across each whorl of certain univalves marking the ancestral position of the outer lip of the aperture. A dilated and tortuous vein,... Explanation of chyle varix
Chyle fistula is defined as a leakage of lymphatic fluid from the lymphatic vessels, typically accumulating in the thoracic or abdominal cavities but occasionally manifesting as an external fistula. Chyle fistula is a rare but potentially devastating and morbid condition.
Dıscussıon. Lymphatic ducts draining renal parenchyma and capsule which are rich in lymphatic ducts are drained via renal hilum into the lateral aortic and interaortacaval lymph nodes. Chyluria is a condition explained by Ackermans obstructive theory firstly in 1893 are generally benign but can cause serious morbidity. In this theory, it is proposed that lymphatic fluid is drained to urine by a fistula between renal lymphatics and pelvicaliceal system (1,2). Chyluria is occurred in Southeast Asia, South America and Asia because of parasitic infections like filariasis, and cysticercosis echinococcus. On the other hand in Europe, North Asia and North America granulomatos infection, neoplasia, lymphatic malformations and kidney surgery and trauma are reasons for chyluria. All of these diseases can cause chyluria by lymph calyceal fistula because of obstruction in lymphatic ducts (2). In chyluria cases which are treatment resistant or not treated for a long time, renal dysfunction, nephritic ...
Chyluria, also called chylous urine, is a medical condition involving the presence of chyle in the urine stream, which results in urine appearing milky white. The condition is usually classified as being either parasitic or non parasitic. It is a condition that is more prevalent among people of Africa and the Indian subcontinent. Chyluria appearance is irregular and intermittent. It may last several days, weeks or even months. There are several factors that trigger Chyluria recurrence. Chyluria is often caused by filariasis due to the parasite Wuchereria bancrofti, a thready nematode which lodges the lymph channels. The parasitic infection can lead to obstruction of peripheral lymphatic vessels and increased pressure within the vessels causing collateral flow of the lymph, redirecting the lymph flow from the intestinal lymphatic vessels into the lymphatic vessels of the kidney and ureter. Because of obstruction, subsequent local inflammation of the area leads to dilation of the lymph vessels and ...
TGLBF : Triglyceride concentration in body fluids is correlated to the presence of chylomicrons and can be useful when diagnosing chylous effusion or differentiating from pseudochylous effusion.(1) Chylous effusions are characterized by the presence of chyle which contains chylomicrons circulating through the lymphatic system. Pseudochylous effusions do not have chylomicrons. These fluids have a milky appearance and can be confused with chylous effusions. While chylous effusions often have elevated triglyceride concentrations and decreased cholesterol concentrations, identification of chylomicrons is considered the gold standard for the diagnosis. Pleural fluid: Chylothorax is the name given to pleural effusions containing chylomicrons. They develop when chyle accumulates from disruption of the lymphatic system, often the thoracic duct, caused mainly by malignancy or trauma.(1) Lymph contains chylomicron rich chyle characterized by high concentrations of triglycerides. Pseudochylous
Dr Lal PathLabs offers test service for Chyle Examination Test for checking Infections. View details of cost of test, pre-test information and report availability on Dr Lal PathLabs.
Chyluria is the passage of milky urine due to a lymphourinary fistula secondary to lymphatic stasis caused by obstruction of the lymphatic flow. This can be caused by parasitic or non-parasitic infections. Though chyluria is a commonly encountered en
Endopyelotomy and laparoscopic pyeloplasty are established procedures for ureteropelvic junction obstruction (UPJO) and historically a high failure rate has been observed in poorly functioning units with UPJ obstruction. The aim of this study is to compare the results of laparoscopic pyeloplasty with endopyelotomy in poorly functioning renal units, i.e., GFR under 25 ml/min. Materials and Methods: Retrospective analysis of all the patients who underwent either laparoscopic pyeloplasty or endopyelotomy for ureteropelvic junction obstruction in poorly functioning units between January 1998 and June 2005 was done. Follow-up renal scans, done at three, six, 12 months and yearly thereafter, were studied. Success was defined as symptomatic relief and/or improvement in function (10% over baseline) in renal scan. Results: There were 23 patients in the endopyelotomy group and 15 patients in the laparoscopic pyeloplasty group with mean age of 25.3 years (9-53) and 26 years (10-44), respectively. Mean ...
Chyluria: Another of the chronic filarial syndromes, Chyluria, is caused by the intermittent discharge of intestinal lymph (chyle) into the renal pelvis and subsequently into the urine. The mechanisms underlying this discharge have not been well defined, though the clinical course is known to be intermittent, sometimes remitting after treatment with DEC, sometimes after lymphangiography (owing to the scelerosing effects of the injected contrast material) or sometimes spontaneously. Nutritional compromise can, however, be severe in patients with chronic chyluria; special low-fat, high-protein diets supplemented with fluids that minimize the intake and subsequent loss of medium-chain triglycerides when possible can be helpful.. Non-invasive management of chyluria relies on nutritional support, especially substitution of foods fat-rich by high protein, high fluid diets supplemented where possible with medium- chain triglycerides. Correction of the lymphatic defect can be effected through surgery, ...
11/06/17 All things stable. Dr. Myron retired, so I met a new doctor today. He wore KU blue, but he brought the No Cancer Today, soI love him.. 05/01/17 Not a smidge of cancer. (This updates page is getting so beautifully boring.). 10/17/16 Another suspicion-free CT scan in the books. No cancer today.. 04/19/16 No cancer today!. 10/16/15 Ahh, the precious relief when Dr. Myron tells me theres no suspicion of recurrence. Six more months to worry about - you know - lots of things, but not cancer!. 04/16/2015 Another suspicion-free CT scan and the all-clear for six more months!. 10/27/2014 Check-up Day! Lab work looked fine. Nothing suspicious on the CT scan of my lungs. Dr. Myron released me for six months before the next check-up. We call this: You dont have cancer today!. 06/17/2014 A complication known as a chyle leak extends the hospital stay and requires a second procedure. After five hours in interventional radiology, we cross our fingers that the chyle leak has been sealed and in the ...
We are presenting a rare case of cardiogenic shock caused by chylopericardium. After the initial pericardial drainage and failed conservative treatment, thoracic duct ligation was performed with good long-term outcome. Literature on the subject is re
A. Syndrome differentiation (a) Differentiation of the type of stranguria, such has heat, stone, qi blood, chyle, overstrain, etc. b) Differentiation between asthenia-syndrome and sthenia-syndrome: Generally speaking, stranguria due to retention of dampness-heat, stagnated liver-qi or stones and marked by burning and painful urination with discharge of turbid and red urine is usually attributed to sthenia-syndrome, while that due to deficiency of spleen and kidney marked by less severe dysuria and discharge of clear and light-colored urine to asthenia-syndrome. (c) Identification of the primary and secondary syndromes: Since different types and syndromes of stranguria may be changeable or appear at the same time, the primary type and syndrome must be identified in order to establish a correct therapeutic principle. (d) Differentiation between stranguria and retention of urine, hematuria and chyluria: Although both stranguria and retention of urine are characterized by difficult urination, the ...
TissuePatch™ is a synthetic, self-adhesive surgical sealant for the avoidance and resolution of leaks in surgery. It is particularly effective in adjunctive closure of tissue to minimise blood, saliva and chyle leaks during ENT surgery procedures.. TissuePatch™ is fully synthetic, containing no human, bovine or porcine material.. It is multi-layered, incorporating structural and adhesive absorbable components.. The active component within TissuePatch™ is Tissuemeds proprietary TissueBond™ bioadhesive technology. This bonds the film to proteins on the tissue surface within a minute, providing immediate support and an effective airtight closure during the natural healing process.. ...
Humoral immune parameters like total immunoglobulins and specific antibody levels in serum were studied in filarial chyluria patients. Mean serum IgG was significantly reduced in this group compared to normal controls, while IgA and IgM levels remained comparable to controls. Anti-filarial antibody titre as measured by enzyme-linked immunosorbent assay also was significantly reduced. However, the total and specific IgE antibody titre was similar to that of controls. Specific IgE contents of the patients sera could be related to their microfilaraemic status.. ...
2) Milky urine: (1) Chyluria is rare. The urine contains lymph. It is associated with obstruction to lymph flow and rupture of lymphatic vessels into renal pelvis, ureters, bladder or urethra. Filariasis (late in the disease), abdominal lymphnode enlargement and tumours have been associated with chyluria. Pseudochyluria occurs with the the use of paraffin-based vaginal creams for treatment of Candida infection.. (2) Lipiduria is characterised by fat globules which appear in urine in nephrotic syndrome. These are neutral fats (triglycerides) and cholesterol. Lipiduria is also present in many patients who have major skeletal trauma and fractures to major long bones or pelvis.. ...
Lymph is a clear-to-white fluid made of: ·Fluid from the intestines called chyle, which contains proteins and fats ·Red blood cells ·White blood cells, especially lymphocytes, the cells that attack bacteria in the blood. First of all, lymph is important - as important as blood or oxygen. While loss of the lymph system would not be as immediately fatal, it would be fatal nonetheless - in less than 72 hours. Lymph is blood plasma after it has carried its nutrients into the bodys tissues, dropped them off for the cells, picked up our metabolic wastes, and re-entered our water reclamation plant, which is the lymph system. Once it has passed through a series of nodes, where it is filtered and detoxified, lymph empties back into the heart where it once again becomes blood plasma. Keeping the lymph system active is therefore extremely important - the faster we detoxify, the healthier we are. Lymph drainage is always indicated in cases of lymphedema. These can arise following surgery, trauma, or ...
The valves of the heart were discovered by a physician of the Hippocratean school around the 4th century BC. However their function was not properly understood then. Because blood pools in the veins after death, arteries look empty. Ancient anatomists assumed they were filled with air and that they were for transport of air. Herophilus distinguished veins from arteries but thought that the pulse was a property of arteries themselves. Erasistratus observed that arteries that were cut during life bleed. He ascribed the fact to the phenomenon that air escaping from an artery is replaced with blood that entered by very small vessels between veins and arteries. Thus he apparently postulated capillaries but with reversed flow of blood. Galen in the 2nd century AD knew that blood vessels carry blood and identified venous (dark red) and arterial (brighter and thinner) blood, each with distinct and separate functions. Growth and energy were derived from venous blood created in the liver from chyle, while ...
another portion of food takes its place, and being in turn digested, passes on, till the whole be consumed. This fact is very important, and we are surprised it should be unknown to Dr. Gregorie and his annotators. Again-Dr. Paris observes that the food is churned in the stomach, and that if it be not sufficiently churned, it cannot become perfect chyle. (p. 151.) Dr. Philip on the contrary, has shewn from actual experiment and dissection, that the food first taken, arranges itself round the stomach and the successive supplies within that, so that the last taken goes into the centre; and that if it becomes churned or mixed, as it sometimes is by violent exercise, digestion is impeded. So in the method of cure, all agree in the importance of a strict regimen, but differ toto cælo when they descend to particulars. One respectable class who are not deficient in sagacity, recommend a course of life agreeable to nature. They y, your disease springs from your disregard of the simple banquet prepared ...
The scrubbing with soap and water will cleanse the hands, except under the finger nails, and there may be germs under the canada skin. Roth claims that after incision the application of compresses of carbolic with acid days. Lehrbuch der Laryngoskopie und des localtherapeutischen reddit Verfahrens bei Kehlkopfkrankheiten. Among the many drugs that have been employed, morphin alone has given depression quite constantly good results, and particularly when administered hypodermically. The health care worker must listen for discrepancies capsules and be aware of ambivalence, lack of concern or anger. Its seat is in the here especially interests us, chyluria, oil the parasites are probably situated in the the lymph ensues in the lymphatics of the bladder, or perhaps, in some cases, of the pelvis of the kidney and the other urinary passages. As you fill the water glass to a level in a vape bathroom. The Lunacy Law; its defects and a Professor Schiff's experiments on the excitable Area of the ...
The authors present a 71-year-old woman who had a right chylothorax after right upper lobectomy for lung cancer. As the chylothorax was considered to be due to thoracic duct injury at the time of operation, lymphoscintigraphy was performed by oral administration of I-123 beta-methyl-iodophenyl pentadecanoic acid (BMIPP). After visualization of the stomach and intestine, abnormal accumulation of the radiotracer was found initially around the right pulmonary hilum and then spread laterally in the upper pleural cavity, indicating chyle leakage in the region of the right pulmonary hilum. Scintigraphic finding was well correlated with the subsequent thoracoscopic observation, showing chyle leakage from a lymphatic tributary near its confluence to the thoracic duct at the level of the azygos continuation. The disruption site was ligated by video-assisted-thoracoscopic-surgery procedure with successful termination of the chyle leakage. Lymphoscintigraphy by oral administration of I-123 BMIPP is thought to be a
Chylopericardium is a rare clinical entity in which chylous fluid accumulates in the pericardial cavity. This entity results from thoracic duct disruption or obstruction, with both inadequate collateral drainage and reflux of chylous lymph through the lymphatics draining the heart and pericardium [3]. Secondary chylopericardium is frequently caused by disruption or obstruction of the thoracic duct as a result of thoracic or cardiac surgery, chest trauma, mediastinal neoplasms, mediastinal tuberculosis, or mediastinal radiotherapy, and it is occasionally a consequence of thrombosis of the subclavian vein.. Hasebrock was the first to describe the presence of 22.6 ml of chyle in the pericardial cavity [4], detected during the autopsy of a man who had died from asphyxia secondary to constriction and tracheal ulceration. The term primary chylopericardium was first used by Groves and Effler [5], who described a case of isolated accumulation of chyle in a 31-year-old woman who was found to have ...
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TY - JOUR. T1 - Hypercoagulability in a patient with chronic chyluria, proteinuria and hypoalbuminaemia. AU - Golestaneh, Ladan. AU - Karam, Sabine. AU - Lawrence, Janis. AU - Yang, Sara. AU - Greenberg, Mark. N1 - Copyright: Copyright 2011 Elsevier B.V., All rights reserved.. PY - 2009/10. Y1 - 2009/10. N2 - We describe the case of a young man with prolonged and severe chyluria from a previous parasitic infection. He presented with an acute myocardial infarction most likely secondary to increased clotting tendency. He had a spontaneously formed blood clot in his left anterior descending coronary artery. In the setting of hypo-albuminemia (which has occurred because of obligate losses of protein from lymphuria), he has increased production of factor VIII levels and increased clotting tendency. In addition, because of obligate and unregulated fluid losses he has chronic dehydration, miscrovascular ischemia and secondary polycythemia. This polycythemia further increases his risk of ...
Chylous ascites is a rare finding that was shown in a study by Press and colleagues to occur with an incidence of approximately 1 in 20,000 admissions to a large university-based hospital over a 20-year period [4]. However, it is widely believed that the incidence of chylous ascites has increased because of more aggressive cardiothoracic and abdominal surgery as well as the longer survival of patients with cancer [5]. Chylous ascites can be caused by any of 3 mechanisms: obstruction of the major lymphatic channels at the base of the mesentery or the cisterna chyli, which causes leakage of chyle from dilated mesenteric lymphatic vessels; direct leakage of chyle through a lymphoperitoneal fistula created by abnormal or injured retroperitoneal lymphatic vessels; or the exudation of chyle through the retroperitoneal megalymphatic vessels without a visible fistula or obstruction of the thoracic duct [6]. Chylous ascites is caused by an abdominal malignacy or cirrhosis in more than two-thirds of all ...
Looking for chylothorax? Find out information about chylothorax. An accumulation of chyle in the pleural cavity Explanation of chylothorax
A chylothorax is a collection of fluid around the lungs that can occur after cardiac surgery. The fluid contains chyle, a milky fluid consisting of fat droplets. The standard treatment is to feed an infant with a specialized low fat formula for up to 6 weeks until the chest has time to heal. This formula is generally not well tolerated and mothers of our patients have expressed a desire to continue using breast milk. A few case reports have been published, but there have not been any studies to date looking at this. Data will be collected to include information about nutrition, weight gain, teaching needs, surgical, hospital, and discharge information ...
Lacteal, one of the lymphatic vessels that serve the small intestine and, after a meal, become white from the minute fat globules that their lymph contains (see chyle). The lacteals were described as venae albae et lacteae (white and milky veins) by their discoverer, Gaspare Aselli, an Italian physician and professor of anatomy and surgery of the late 16th and early 17th centuries.. https://www.britannica.com/science/lacteal DA: 18 PA: 16 MOZ Rank: 34 ...
Lacteal, one of the lymphatic vessels that serve the small intestine and, after a meal, become white from the minute fat globules that their lymph contains (see chyle). The lacteals were described as venae albae et lacteae (
Ayurveda is grounded in the physics of the five elements i.e. Prithvi (earth), Jala (water), Agni (fire), Vaayu (air) and Akasha (ether). All of which compose the Universe, including the human body. Chyle or plasma (called rasa dhatu), blood (rakta dhatu), flesh (mamsa dhatu), fat (medha dhatu), bone (asthi dhatu), marrow (majja dhatu), and semen or female reproductive tissue (shukra dhatu) are held to be the seven primary constituent elements i.e saptadhatu of the body. Ayurveda deals elaborately with measures of healthful living during the entire span of life and its various phases. Ayurveda stresses a balance of three elemental energies which are vata (air & space - wind), pittha (fire & water - bile) and kapha (water & earth - phlegm). According to Ayurveda, these three regulatory principles - Doshas are important for health, because when they are in a more balanced state, the body will function to its fullest, and when imbalanced, the body will be affected negatively in certain ...
Ayurveda is mainly focused in the three great terms viz. Vata, Pitta and Kapha; called Tridosha. These are the great physiological terms so to understand this properly is to understand all about Ayurveda. The general meaning of Vata, Pitta and Kapha may be air, bile and sputum respectively but its not that. These terms in Ayurveda has a great significance.. Vata may be understood as nerve force, electro-motor, physical activity or that, which is responsible for motion. It is commonly called air. The root, va means to spread. In Western terms, it is the electricity setting the organism into motion, maintaining the equilibrium between Pitta and Kapha (inerts). Vata relates to the nerve-force. It is responsible for all movement in the mind and body. The movement of Vata even regulates the balance of Pitta and Kapha. Pitta relates to internal fire, bile, body heat, digestive enzymes, physio-chemical, biological, metabolic and endocrine systems. It is responsible for digesting the chyle into a ...
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Cholesterol crystals typically appear as a great flat square plate with a characteristic notch in the corners (Fig. 24). They are colourless and transparent while observing with an optical microscope but show a multitude of shining colours with a polarization microscope. Interpretation. It was described for humans that cholesterol crystals were accompanied by tissue damage with the necrotic syndrome and chyluria. Veterinarian experience is too limited to formulate significant generalizations However they were observed in clinical unsuspicious dogs. ...
5. The symptoms of a few hyperlipidemia can also change the fundus of the cornea and lipidemia. The cornea arch, also known as the old ring, is associated with hyperlipidemia in the case of 40 years of age, with familial hypercholesterolemia, but not strong in specificity. The change of fundus in hyperlipidemia is due to the deposition of large triglyceride rich large lipoprotein in the fundus arterioles, which is caused by light refraction. It is usually characterized by severe hypertriglyceridemia and chyluria ...
If you are seeing white particles in urine that might be because of various reason such as UTI, bacterial vaginosis, yeast infection, kidney issues, chyluria etc. ⚡The appearance of your urine can indicate a lot about your health.
The cisterna chyli (or cysterna chyli, and etymologically more correct, receptaculum chyli) is a dilated sac at the lower end of the thoracic duct in most mammals into which lymph from the intestinal trunk and two lumbar lymphatic trunks flow. It receives fatty chyle from the intestines and thus acts as a conduit for the lipid products of digestion. It is the most common drainage trunk of most of the bodys lymphatics. The cisterna chyli is a retro-peritoneal structure. In humans, it is located posterior to the abdominal aorta on the anterior aspect of the bodies of the first and second lumbar vertebrae (L1 and L2). There it forms the beginning of the primary lymph vessel, the thoracic duct, which transports lymph and chyle from the abdomen via the aortic opening of the diaphragm up to the junction of left subclavian vein and internal jugular veins. In dogs, it is located to the left and often ventral to the aorta; in cats it is left and dorsal; in guinea pigs it runs to the left and drains into ...
Bedah Gastroenterology Abdomen Abdominal Angina Abdominal Hernias Acute Abdomen and Pregnancy Acute Mesenteric Ischemia Bariatric Surgery Benign Gastric Tumors Benign Neoplasm of the Small Intestine Bile Duct Tumors Cholecystocutaneous Fistula Chyle Fistula Enterocutaneous Fistula Gallbladder Mucocele Gallbladder Tumors Gallbladder Volvulus Gastric Outlet Obstruction Gastric Volvulus Hepatic Cysts Hepatocellular Carcinoma Inferior Vena Caval Thrombosis Intestinal Fistula…
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AbstractCHYLOTHORAX is produced by interruption of the thoracic duct above the aortic hiatus with fistulous communication into a thoracic space. Such a condition is serious and will prove fatal in a high percentage of cases unless adequate treatment is instituted. A review of medical literature suggests considerable variation in opinion as to clinical management of this complication.Etiology: Chylothorax is usually produced by direct trauma to the thoracic duct. Until recently the chief offenders have been penetrating wounds inflicted by bullet, steel fragment or knife. Fractures of the vertebral column and severe compression injuries of the thorax have resulted in interruption of the duct. Neoplasms involving the posterior mediastinum may be capable of producing chylothorax; care must be taken, however, to distinguish between chyle and a chyliform effusion. In recent years an increasing number of surgical procedures have been employed involving the posterior mediastinum; splanch-nicectomy,
Congenital chylothorax is an abnormal accumulation of chyle in the pleural space. Most are idiopathic, but it may be a characteristic of Down, Turner ..
Lymphatic Vessels Capillaries - Endothelial cells form minivalves - Inflammation increases permeability - Lacteals carry fat from intestines as chyle Collecting Vessels - Similar to veins - Varies between individuals Trunks - Lumbar - Bronchomediastinal - Subclavian - Jugular - Intestinal Ducts - Right lymphatic - Thoracic Cisterna chyli Dump to venous blood
Synonyms for anterior jugular lymph nodes in Free Thesaurus. Antonyms for anterior jugular lymph nodes. 8 words related to lymph: bodily fluid, body fluid, liquid body substance, humour, humor, chyle, cardiovascular system, circulatory system. What are synonyms for anterior jugular lymph nodes?
Synonyms for auricular lymph nodes in Free Thesaurus. Antonyms for auricular lymph nodes. 8 words related to lymph: bodily fluid, body fluid, liquid body substance, humour, humor, chyle, cardiovascular system, circulatory system. What are synonyms for auricular lymph nodes?
chirr chirt chiru chive chivy chock choir choke choli cholo chomp choof chook chops chord chore chose chuck chufa chuff chump chunk churl churn churr chute chyle chyme 6 letter words beginning with ch:. chacma chacra chadar chaeta chafer chaise chaksi chalet chalky chammy chance chancy chandi change chanty chapel charet charge charre chaser chaste chatty chaunt chazan checke checky cheder cheeky cheero cheery cheese cheesy cheken chelem chemin chemis chemmy cheque cherry cherub chesty chetah chevet chewer chiack chiasm chichi chicle chigoe chilis chilli. chilly chinch chintz chippy chirpy chirre chisel chitin chiton chiurm choice choicy choker choler cholla cholum choose choosy choppy choral chorea choric chorio chorus chosen chough chowse chrism chroma chrome chromo chubby chuffy chukar chummy chunky chupon church churns chyack chytra 7 letter words beginning with ch:. chacoes chaffer chagrin chaguar chaines chaises chaitra chakazi chalahs chalaza chalcid chalets chalice challah challis chalone ...
Middle lobe: lt;p|>||||| | | | | |Lungs| || | | || | | Detailed diagram of the lungs || | | |Latin| | | |p... World Heritage Encyclopedia, the aggregation of the largest online encyclopedias available, and the most definitive collection ever assembled.
Introduction. Chylous effusions, particularly chylothorax, are frequently reported in dogs and cats. Chyle is the term used to denote lymphatic fluid arising from the intestine and therefore containing a high quantity of fat. Chyle is normally transported to the venous system by a network of lymphatics in the mesentery (intestinal trunk). These lymphatics arborize in the cisterna chyli, a large dilated sac that lies adjacent to the aorta at L1-L4. The thoracic duct (TD) is the cranial continuation of the cisterna chyli and is generally said to begin between the crura of the diaphragm. In dogs (cats), the thoracic duct lies between the aorta and the azygous vein on the right side (left side) of the thorax and terminates in the venous system of the neck (left external jugular vein or jugulo-subclavian angle). Regardless of the etiology, chylothorax is a potentially devastating disease. Chylothorax results in both compromised respiration and debilitation because of loss of large amounts of ...
Surgical treatment is often recommended for traumatic iliopsoas hematoma. Open surgeries lead to severe surgical trauma, and minimally invasive surgeries cannot completely remove the hematoma. A new treatment protocol for traumatic iliopsoas hematoma by retroperitoneoscopic approach has been introduced. The goal of this study was to determine the safety and efficacy of retroperitoneoscopic approach used to remove iliopsoas hematoma. Between January 2009 and July 2012, 13 patients were diagnosed of traumatic iliopsoas hematoma. Retroperitoneoscopic surgeries were performed on all patients to remove the hematomas after admission. The size of hematoma, VASA score and neurologic status were dynamic evaluated before and after surgery. Soft tissue damage and complications caused by retroperitoneoscopic approach also were recorded and evaluated. We performed retroperitoneoscopic surgery to remove traumatic iliopsoas hematoma successfully on 13 patients without complications. The mean procedure time was 52.5 ±
The electron microscopic appearances of chylomicra and lipoproteins have been investigated. The particles were isolated from rat chyle by differential flotation in an ultracentrifuge. Various fixing and embedding media were used. The two kinds of particles were then identified in thin sections of the jejunum of rats. The chylomicra had diameters of from 1,000 A to 1 µ; the lipoproteins ranged from 100 to 1,000 A. They were identified by their sizes and their similarities to the isolated particles after the various fixing and embedding procedures. In addition, the relative amounts of the two kinds of particle varied greatly under different dietary conditions. The chylomicra had a thin rim, probably of phospholipid. Section B records the passage of the two kinds of particle into the lacteals in the villi of the jejunum. Both chylomicra and lipoproteins were seen passing through many open junctions. From permeability considerations it would seem that this is the most important route. These open ...
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PURPOSE: Computer-assisted laparoscopic surgery (CALS) in children is increasingly used and has proven to be feasible and safe. However, its full potential remains unclear and clinical comparative studies hardly exist. The aim of this study was to prospectively evaluate our experience with CALS for performing retroperitoneal nephrectomies in children when compared with controls undergoing open surgery in terms of safety, operative time, blood loss, opoid requirements, the duration of hospital stay and complications. CHILDREN AND METHODS: Computer-assisted retroperitoneoscopic nephrectomy was undertaken in ten consecutive children, mean age at the time of surgery 6.4 (SD ± 4.5) years, and compared with a retrospectively collected control group of all other children, mean age 3.9 (SD ± 4.6) years, who underwent the same procedure by conventional open surgery between the years 2005 and 2009. The endpoint of the study was 1 month postoperatively. RESULTS: Nephrectomies were performed in all the ...
The authors review their clinical experience with management of postoperative chylothorax among 97 patients. They favor duct ligation over embolization, and recommend intervention in patients with outputs greater than 1,100/day.. ...