Surgical Procedures, Operative
Lower Extremity
Intermittent Claudication
Bence Jones Protein
New England
Soaps
Deodorants
Off-Label Use
Hand Disinfection
Hygiene
Non-cardiogenic pulmonary oedema in vascular surgery. (1/2821)
Non-cardiogenic pulmonary oedema, an early manifestation of the adult respiratory disease syndrome, is a serious complication following major vascular surgery. Hypovolaemia, ischaemia-reperfusion injury, massive blood transfusion, transient sepsis and transient endotoxaemia are insults responsible for initiating the process in vascular surgical patients. Free radicals, cytokines and humoral factors released secondary to the above insults activate neutrophils and facilitate their interaction with the endothelium. Activated neutrophils marginate through the endothelium where they are responsible for tissue injury by the release of free-radicals and proteases. The lungs are a large reservoir of neutrophils and bear a significant part of the injury. Conventional therapy includes treating the underlying condition and providing respiratory support. A better understanding of the pathophysiology of this process has led to new experimental treatment options. Novel therapeutic interventions have included the use of compounds to scavenge free radicals, anti-cytokine antibodies, extracorporeal lung support, nitric oxide and artificial surfactant therapy. The multifactorial nature of this process makes it unlikely that a single "magic bullet" will solve this problem. It is more likely that a combination of preventative, prophylactic and therapeutic modalities may reduce the mortality of this condition. (+info)The endovascular management of blue finger syndrome. (2/2821)
OBJECTIVES: To review our experience of the endovascular management of upper limb embolisation secondary to an ipsilateral proximal arterial lesion. DESIGN: A retrospective study. MATERIALS AND METHODS: Over 3 years, 17 patients presented with blue fingers secondary to an ipsilateral proximal vascular lesion. These have been managed using transluminal angioplasty (14) and arterial stenting (five), combined with embolectomy (two) and anticoagulation (three)/anti-platelet therapy (14). RESULTS: All the patients were treated successfully. There have been no further symptomatic embolic episodes originating from any of the treated lesions, and no surgical amputations. Complications were associated with the use of brachial arteriotomy for vascular access. CONCLUSIONS: Endovascular techniques are safe and effective in the management of upper limb embolic phenomena associated with an ipsilateral proximal focal vascular lesion. (+info)Atherosclerosis of the ascending aorta is an independent predictor of long-term neurologic events and mortality. (3/2821)
OBJECTIVES: This study was undertaken to determine whether atherosclerosis of the ascending aorta is a predictor of long-term neurologic events and mortality. BACKGROUND: Atherosclerosis of the thoracic aorta has been recently considered a significant predictor of neurologic events and peripheral embolism, but not of long-term mortality. METHODS: Long-term follow-up (a total of 5,859 person-years) was conducted of 1,957 consecutive patients > or =50 years old who underwent cardiac surgery. Atherosclerosis of the ascending aorta was assessed intraoperatively (epiaortic ultrasound) and patients were divided into four groups according to severity (normal, mild, moderate or severe). Carotid artery disease was evaluated (carotid ultrasound) in 1,467 (75%) patients. Cox proportional-hazards regression analysis was performed to assess the independent effect of predictors on neurologic events and mortality. RESULTS: A total of 491 events occurred in 472 patients (neurologic events 92, all-cause mortality 399). Independent predictors of long-term neurologic events were: hypertension (p = 0.009), ascending aorta atherosclerosis (p = 0.011) and diabetes mellitus (p = 0.015). The independent predictors of mortality were advanced age (p < 0.0001), left ventricular dysfunction (p < 0.0001), ascending aorta atherosclerosis (p < 0.0001), hypertension (p = 0.0001) and diabetes mellitus (p = 0.0002). There was >1.5-fold increase in the incidence of both neurologic events and mortality as the severity of atherosclerosis increased from normal-mild to moderate, and a greater than threefold increase in the incidence of both as the severity of atherosclerosis increased from normal-mild to severe. CONCLUSIONS: Atherosclerosis of the ascending aorta is an independent predictor of long-term neurologic events and mortality. These results provide additional evidence that in addition to being a direct cause of cerebral atheroembolism, an atherosclerotic ascending aorta may be a marker of generalized atherosclerosis and thus of increased morbidity and mortality. (+info)Stripping the long saphenous vein reduces the rate of reoperation for recurrent varicose veins: five-year results of a randomized trial. (4/2821)
OBJECTIVE: The purpose of this study was to investigate the possible long-term clinical advantages of stripping the long saphenous vein during routine primary varicose vein surgery. METHODS: The study was designed as a 5-year, clinical and duplex scan follow-up examination of a group of patients who were randomized to stripping of the long saphenous vein during varicose vein surgery versus saphenofemoral ligation alone. The study was conducted in the vascular unit of a district general hospital. One hundred patients (133 legs) with uncomplicated primary long saphenous varicose veins originally were randomized. After invitation 5 years later, 78 patients (110 legs) underwent clinical review and duplex scan imaging. RESULTS: Sixty-five patients remained pleased with the results of their surgery (35 of 39 stripped vs 30 of 39 ligated; P = .13). Reoperation, either done or awaited, for recurrent long saphenous veins was necessary for three of 52 of the legs that underwent stripping versus 12 of 58 ligated legs. The relative risk was 0.28, with a 95% confidence interval of 0.13 to 0.59 (P = .02). Neovascularization at the saphenofemoral junction was responsible for 10 of 12 recurrent veins that underwent reoperation and also was the cause of recurrent saphenofemoral incompetence in 12 of 52 stripped veins versus 30 of 58 ligated legs. The relative risk was 0.45, with a 95% confidence interval of 0.26 to 0.78 (P = .002). CONCLUSION: Stripping reduced the risk of reoperation by two thirds after 5 years and should be routine for primary long saphenous varicose veins. (+info)Video-assisted crossover iliofemoral obturator bypass grafting: a minimally invasive approach to extra-anatomic lower limb revascularization. (5/2821)
Graft infection continues to be one of the most feared complications in vascular surgery. It can lead to disruption of anastomoses with life-threatening bleeding, thrombosis of the bypass graft, and systemic septic manifestations. One method to ensure adequate limb perfusion after removal of an infected aortofemoral graft is extra-anatomical bypass grafting. We used a minimally invasive, video-assisted approach to implant a crossover iliofemoral obturator bypass graft in a patient with infection of the left limb of an aortofemoral bifurcated graft. This appears to be the first case report describing the use of this technique. (+info)Posterior approach to the deep femoral artery. (6/2821)
Unusual surgical approaches to the deep femoral artery are valuable when the standard anterior approach is difficult because of scarring or infection. A posterior approach to the deep femoral artery in patients, in whom all other approaches were unsuitable, is described. (+info)Access to occluded infrainguinal bypass grafts with a loopsnare. (7/2821)
Thrombolysis for the treatment of occluded bypass grafts is used in selected clinical circumstances. Unfortunately, a minority of these procedures are technical failures because of the inability to access the occluded graft. We describe a technique that greatly increases the chances of technical success. (+info)The importance of surgeon volume and training in outcomes for vascular surgical procedures. (8/2821)
PURPOSE: Mortality and morbidity rates after vascular surgical procedures have been related to hospital volume. Hospitals in which greater volumes of vascular surgical procedures are performed tend to have statistically lower mortality rates than those hospitals in which fewer procedures are performed. Only a few studies have directly assessed the impact of the surgeon's volume on outcome. Therefore, the purpose of this study was to review a large state data set to determine the impact of surgeon volume on outcome after carotid endarterectomy (CEA), lower extremity bypass grafting (LEAB), and abdominal aortic aneurysm repair (AAA). METHODS: The Florida Agency for Health Care Administration state admission data from 1992 to 1996 were obtained. The data included all nonfederal hospital admissions. Frequencies were calculated from first-listed International Classification of Diseases-9 codes. Multiple logistic regression was used to test the significance on outcome of surgeon volume, American Board of Surgery certification for added qualifications in general vascular surgery, hospital size, hospital volume, patient age, and gender. RESULTS: During this interval, there were 31,172 LEABs, 45,744 CEAs, and 13,415 AAAs performed. The in-hospital mortality rate increased with age. A doubling of surgeon volume was associated with a 4% reduction in risk for adverse outcome for CEA (P =.006), an 8% reduction for LEAB, and an 11% reduction for AAA ( P =.0002). However, although hospital volume was significant in predicting better outcomes for CEA and AAA procedures, it was not associated with better outcomes for LEAB. Certification for added qualifications in general vascular surgery was a significant predictor of better outcomes for CEA and AAA. Certified vascular surgeons had a 15% lower risk rate of death or complications after CEA (P =.002) and a 24% lower risk rate of a similar outcome after AAA (P =.009). However, for LEAB, certification was not significant. CONCLUSION: Surgeon volume and certification are significantly related to better patient outcomes for patients who undergo CEA and AAA. In addition, surgeons with high volumes demonstrated consistently lower mortality and morbidity rates than did surgeons with low volumes. Hospital volume for a given procedure also is correlated with better outcomes. (+info)Vascular surgical procedures are operations that are performed to treat conditions and diseases related to the vascular system, which includes the arteries, veins, and capillaries. These procedures can be invasive or minimally invasive and are often used to treat conditions such as peripheral artery disease, carotid artery stenosis, aortic aneurysms, and venous insufficiency.
Some examples of vascular surgical procedures include:
* Endarterectomy: a procedure to remove plaque buildup from the inside of an artery
* Bypass surgery: creating a new path for blood to flow around a blocked or narrowed artery
* Angioplasty and stenting: using a balloon to open a narrowed artery and placing a stent to keep it open
* Aneurysm repair: surgically repairing an aneurysm, a weakened area in the wall of an artery that has bulged out and filled with blood
* Embolectomy: removing a blood clot from a blood vessel
* Thrombectomy: removing a blood clot from a vein
These procedures are typically performed by vascular surgeons, who are trained in the diagnosis and treatment of vascular diseases.
Operative surgical procedures refer to medical interventions that involve manual manipulation of tissues, structures, or organs in the body, typically performed in an operating room setting under sterile conditions. These procedures are carried out with the use of specialized instruments, such as scalpels, forceps, and scissors, and may require regional or general anesthesia to ensure patient comfort and safety.
Operative surgical procedures can range from relatively minor interventions, such as a biopsy or the removal of a small lesion, to more complex and extensive surgeries, such as open heart surgery or total joint replacement. The specific goals of operative surgical procedures may include the diagnosis and treatment of medical conditions, the repair or reconstruction of damaged tissues or organs, or the prevention of further disease progression.
Regardless of the type or complexity of the procedure, all operative surgical procedures require careful planning, execution, and postoperative management to ensure the best possible outcomes for patients.
The term "lower extremity" is used in the medical field to refer to the portion of the human body that includes the structures below the hip joint. This includes the thigh, lower leg, ankle, and foot. The lower extremities are responsible for weight-bearing and locomotion, allowing individuals to stand, walk, run, and jump. They contain many important structures such as bones, muscles, tendons, ligaments, nerves, and blood vessels.
Vascular patency is a term used in medicine to describe the state of a blood vessel (such as an artery or vein) being open, unobstructed, and allowing for the normal flow of blood. It is an important concept in the treatment and management of various cardiovascular conditions, such as peripheral artery disease, coronary artery disease, and deep vein thrombosis.
Maintaining vascular patency can help prevent serious complications like tissue damage, organ dysfunction, or even death. This may involve medical interventions such as administering blood-thinning medications to prevent clots, performing procedures to remove blockages, or using devices like stents to keep vessels open. Regular monitoring of vascular patency is also crucial for evaluating the effectiveness of treatments and adjusting care plans accordingly.
Intermittent claudication is a medical condition characterized by pain or cramping in the legs, usually in the calf muscles, that occurs during exercise or walking and is relieved by rest. This symptom is caused by insufficient blood flow to the working muscles due to peripheral artery disease (PAD), a narrowing or blockage of the arteries in the limbs. As the individual walks, the muscle demands for oxygen and nutrients increase, but the restricted blood supply cannot meet these demands, leading to ischemia (lack of oxygen) and pain. The pain typically subsides after a few minutes of rest, as the muscle's demand for oxygen decreases, allowing the limited blood flow to compensate. Regular exercise and medications may help improve symptoms and reduce the risk of complications associated with PAD.
Bence Jones protein is a type of immunoglobulin light chain that can be detected in the urine or blood of some patients with certain diseases, most notably multiple myeloma. It's named after Henry Bence Jones, a 19th-century English physician who first described it.
These proteins are produced by malignant plasma cells, which are a type of white blood cell found in the bone marrow. In multiple myeloma, these cancerous cells multiply and produce abnormal amounts of immunoglobulins, leading to the overproduction of Bence Jones proteins.
When these proteins are excreted in the urine, they can cause damage to the kidneys, leading to kidney dysfunction or failure. Therefore, the detection of Bence Jones protein in the urine can be a sign of multiple myeloma or other related diseases. However, it's important to note that not all patients with multiple myeloma will have Bence Jones proteins in their urine.
I'm sorry for any confusion, but "New England" is not a medical term. It's a geographical region in the northeastern United States, consisting of six states: Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, and Vermont. If you have any questions related to medical terminology or health-related topics, I'd be happy to help with those!
Amputation is defined as the surgical removal of all or part of a limb or extremity such as an arm, leg, foot, hand, toe, or finger. This procedure is typically performed to remove damaged or dead tissue due to various reasons like severe injury, infection, tumors, or chronic conditions that impair circulation, such as diabetes or peripheral arterial disease. The goal of amputation is to alleviate pain, prevent further complications, and improve the patient's quality of life. Following the surgery, patients may require rehabilitation and prosthetic devices to help them adapt to their new physical condition.
I believe there may be some confusion in your question. "Soaps" is not a medical term, but rather refers to cleaning agents that are widely used in daily life for personal and household hygiene.
However, if you're referring to "saponification," it is a chemical process that occurs when fats or oils react with an alkali, resulting in the formation of soap and glycerin. This term can be relevant in medical contexts, such as in the production of medicated soaps used for various skin conditions.
If you meant something else by "Soaps," please clarify your question, and I will do my best to provide an accurate answer.
Deodorants are substances that are applied to the body, usually under the arms, to help prevent or mask body odor caused by the bacterial breakdown of sweat. Deodorants typically contain alcohol and fragrances, which can help to kill bacteria and cover up any remaining odor. Some deodorants also contain antiperspirants, which work by blocking the sweat glands and reducing the amount of sweat that is produced. This can help to further reduce body odor.
It's important to note that while deodorants can help to mask body odor, they do not prevent sweating. If you are looking for a product that can help to control sweating, you may want to consider using an antiperspirant instead. Some products combine both deodorant and antiperspirant in one product.
Deodorants are available in several forms, including sprays, roll-ons, gels, creams, and solid sticks. It's important to choose a deodorant that is right for your skin type and personal preferences. If you have sensitive skin, you may want to look for a deodorant that is labeled as "hypoallergenic" or "unscented."
It's also a good idea to apply deodorant to clean, dry skin, as this can help the product to work more effectively. If you are using an antiperspirant deodorant, it's best to apply it at night before bed, as this can help to reduce sweating and body odor throughout the day.
'Hospital Personnel' is a general term that refers to all individuals who are employed by or provide services on behalf of a hospital. This can include, but is not limited to:
1. Healthcare professionals such as doctors, nurses, pharmacists, therapists, and technicians.
2. Administrative staff who manage the hospital's operations, including human resources, finance, and management.
3. Support services personnel such as maintenance workers, food service workers, housekeeping staff, and volunteers.
4. Medical students, interns, and trainees who are gaining clinical experience in the hospital setting.
All of these individuals play a critical role in ensuring that the hospital runs smoothly and provides high-quality care to its patients.
Off-label use refers to the practice of prescribing or using pharmaceutical drugs for purposes, dosages, patient populations, or routes of administration that are not included in the approved labeling of the drug by the regulatory authority, such as the U.S. Food and Drug Administration (FDA). It is not illegal or unethical for physicians to prescribe medications off-label when they judge that it is medically appropriate for their patients. However, manufacturers are prohibited from promoting their drugs for off-label uses.
Hand disinfection is the process of eliminating or reducing harmful microorganisms on the hands, using a medically approved product such as an alcohol-based hand sanitizer or soap and water. The goal of hand disinfection is to prevent the spread of infections and maintain a clean and hygienic environment, particularly in healthcare settings. It is an essential component of standard precautions to prevent the transmission of pathogens and ensure patient safety. Proper hand disinfection techniques include applying enough product to cover all surfaces of the hands, rubbing the product over all areas for at least 20-30 seconds, and allowing the product to dry completely before touching anything else.
Hygiene is the science and practice of maintaining and promoting health and preventing disease through cleanliness in personal and public environments. It includes various measures such as handwashing, bathing, using clean clothes, cleaning and disinfecting surfaces, proper waste disposal, safe food handling, and managing water supplies to prevent the spread of infectious agents like bacteria, viruses, and parasites.
In a medical context, hygiene is crucial in healthcare settings to prevent healthcare-associated infections (HAIs) and ensure patient safety. Healthcare professionals are trained in infection control practices, including proper hand hygiene, use of personal protective equipment (PPE), environmental cleaning and disinfection, and safe injection practices.
Overall, maintaining good hygiene is essential for overall health and well-being, reducing the risk of illness and promoting a healthy lifestyle.
Hand hygiene refers to the practices of cleaning hands for the purpose of removing pathogens (disease-causing microorganisms) and preventing their spread. It is an important component of infection prevention and control in healthcare settings as well as in everyday life. The two main techniques for hand hygiene are handwashing with soap and water, and using alcohol-based hand sanitizers. Proper hand hygiene can help prevent the transmission of respiratory and gastrointestinal illnesses, as well as various healthcare-associated infections.
Arteriotomy
Heart & Vascular Surgical Procedures | St. Joseph's Heart & Vascular Institute | Dignity Health | Dignity Health
Iatrogenic Pediatric Vascular Lesions: Practice Essentials, Anatomy, Pathophysiology
Primary tibial vein aneurysm with recurrent pulmonary emboli
Dr. Swee Tan, MD, Vascular Surgery Specialist - Seattle, WA | Sharecare
Preoperative Assessment Prior to Major Vascular, Non-Cardiac Surgery | CADTH
Portal Regional da BVS
Peritoneovenous Shunt | Harvard Catalyst Profiles | Harvard Catalyst
Erectile dysfunction | Lima Memorial Health System
The Contemporary Safety and Effectiveness of Lower Extremity Bypass Surgery and Peripheral Endovascular Interventions in the...
Are the methods for vascular surgery different in India and UK?
Home - Mr Colin D Bicknell BM MD FRCS
Anesthesia/Pain Journals | Elsevier
Complications of Diabetes Mellitus
The use of report cards and outcome measurements to improve the safety of surgical care: the American College of Surgeons...
Working at Silk Road Medical | Great Place To Work®
Guideline for Hand Hygiene in Health-Care Settings
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Maarten van der Laan - Onderzoeksoutput
- de research portal van de Rijksuniversiteit Groningen
Boone Hospital Center - Columbia, MO | Healthgrades
Anticerebral Ischemia-Reperfusion Injury Activity of Synthesized Puerarin Derivatives
