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T M Osborne

Publications and source records attributed to T M Osborne.

5 recordsLinked to original sources
PubMed2000

Therapeutic embolization for acute haemorrhage in the abdomen and pelvis.

Therapeutic embolization for acute haemorrhage is increasingly being utilized. An audit of 34 patients undergoing therapeutic embolization for acute abdominal or pelvic haemorrhage was undertaken, in an attempt to assess the importance of the following variables in determining a successful outcome: coagulation status, transfusion status, time to procedure after onset of circulatory instability, duration of procedure, and the effect of the embolization technique employed. Overall success was 79%, with definitive control of haemorrhage achieved by embolization; 21% required surgical management for rebleeding 4-24 h post embolization. The duration of the procedure and transfusion status of the patient were the most important factors associated with a successful outcome.

Abdomen↗
PubMed1990

CT peritoneography in peritoneal dialysis patients.

Continuous Ambulatory Peritoneal Dialysis (CAPD) is a common method of treatment for patients with renal failure. Complications however are frequent and often force the abandonment of this form of treatment. The radiological evaluation of these complications is important as it can modify the subsequent treatment. Using conventional CT techniques it is often difficult to differentiate loculated intra-peritoneal collections from residual dialysis fluid. It may also be difficult to demonstrate the site of leakage into the extra-peritoneal structures. The use of CT peritoneography (CTP) provides a method of improving diagnosis in these patients. Hypodense intra-peritoneal collections are readily appreciated against a background of hyperdense dialysis fluid. Sites of leakage into the extra-peritoneal soft tissues can likewise be rapidly identified. The abnormalities detected in this series include a pelvic abscess, and leakage down the inguinal canal, around the Tenckhoff catheter and through the anterior abdominal wall. CTP is recommended as the examination of choice in dialysis patients with suspected leaks or collections. The findings aid in planning subsequent surgical treatment and prevent unnecessary surgical exploration.

Adult↗