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At least 91 records · Page 5Linked to original sources
PubMed2004

[Observation of maxillary mucosa restoration after the endoscopic sinus surgery operation of chronic sinusitis and nasal polyps].

OBJECTIVE: To understand the restoration process of the mucosa through the continual endoscopic, microscopic, transmission electron microscopic and scanning electron microscopic observation of the nasal mucosa after endoscopic sinus surgery (ESS). This restoration process of mucosa can be used to appraise the effectiveness of the operation. METHODS: Thirty-one cases (53 sides) with chronic nasal sinusitis and nasal polyps were selected randomly, which had been undergone ESS operation during January to December, 2001. Biopsy of posterior frontanelle of the maxillary sinus were performed to observe the mucosa changes before the ESS and at 2-3 weeks, 8-11 weeks and 13-16 weeks after the ESS, respectively. RESULTS: Epithelia shedding, proliferation, squamous metaplasia, glandular and fibrous tissue proliferation and lymphocytes infiltration were observed in all cases before the ESS. The microtubule abnormal and mitochondria diminishing and expanding existed in all cases. The morphological changes were not significant within 2-3 weeks after the ESS compared to the changes before the ESS. Eight-eleven weeks after the ESS, the nasal cavity turned clean and smooth. The number of pillar cells increased and the cilia swelling, short cilia, and many pillar cells with microvillus were seen. The number of goblet cells increased. Pathological glandular and fibrous proliferation were seen in all cases (53 sides). The operated cavity was clean and covered completely by epithelia (50 sides) 13-16 weeks after ESS. The length of cilia increased and arrangement of the cilia line was in the same direction. The structure of microtubules was clear. The mitochondria was elongated and became dense (49 sides). The pathological repairing was at work (3 sides). CONCLUSIONS: After the ESS, the recovery of the mucus needs 3 months. Some pathological changes are irreversible and the cilia pathological change is related with its restoration. The more cilia reserved and timely local cleaned after ESS, the more helpful to the restoration of the cilia morphology and function. The effective of ESS can be evaluated through the histological-morphological changes. timely local cleaned after ESS, the more helpful to the restoration of the cilia morphology and function. The effective of ESS can be evaluated through the histological-morphological changes.

Adolescent↗
PubMed2001

Introduction of a hand trauma day surgery operating list.

Due to a huge increase in hand trauma referrals to our busy plastic surgical unit, we introduced a dedicated half-day hand trauma day surgery (HTDS) list to try and reduce the pressure on inpatient beds and length of wait for surgery. We reviewed the first 101 cases treated on the HTDS list to determine whether this allowed adequate specialist treatment of these injuries and to assess outcome and complications rates. Only one patient needed admission following surgery and our complication rate compared favourably with that of patients admitted and treated in the standard manner. We conclude that a HTDS list is both an effective and efficient method of treating a wide range of hand injuries.

Journal Article↗
PubMedDate not supplied

[Results of hand surgery operations in spastic-athetotic paresis].

Between 1974 and 1986 a total of 123 patients with a spastic or spastic athetotic paresis of the upper limb underwent surgery. The interval between surgery and follow-up examination was between one and 13 years. There were 73 cases of hemiparesis and 50 dipareses or tetrapareses due to perinatal cerebral paresis and 35 cases due to a variety of causes. The patients were aged between 6 and 58 years, the majority between 8 and 28 years. All contractures in the arm and hand region were treated at a single sitting. The sole exception to this was surgery for swan-neck deformity of the long fingers. In none of the cases was a wrist arthrodesis indicated. As regards the elimination of the previously existing malpositions, some of which were severe, and the cosmetic outcome, the results were good in all cases. The postoperative reduction was also preserved through the subsequent years, until completion of growth. Also, the difference in growth between flexors and extensors had no detectable negative influence on the long-term results of surgery. Only in a few isolated cases was limited revisional surgery necessary to improve the result as regards extension in the elbow joint and the posture of the wrist joint, which it had not been possible to treat satisfactorily at the first sitting. Two patients with a pronounced athetotic component manifested unsatisfactory results in several respects, or overcorrection of extension in the wrist joint: special caution is called for here. As far as necessary, corresponding corrective surgery was performed simultaneously on the lower limbs.

Adolescent↗
PubMed2004

[The effects of application of rectal naproxen on postoperative analgesia, sedation and morphine use in heart surgery operations].

In this study, effects and side effects of application of rectal naproxen, combined with patient controlled intravenous morphine analgesia, were investigated in the elective coronary bypass operations for postoperative pain control, sedation and opioid use. Following the ethical committee approval and individual patient self consent, 40 patients, who underwent coronary artery bypass surgery were included in the study. A double blind study was performed by administering rectal naproxen to group N (n = 20) and placebo to group P (n = 20), at the end of the operation. Doses were repeated at the 12th hour postoperatively. Patient controlled intravenous morphine analgesia was performed to all patients for postoperative 24 hours. Postoperative pain and sedation levels were assessed, the side effects were noted. There was no difference between two groups with respect to their demographic features duration of surgery, extubation time and side effects (p > 0.05). With respect to group P, decrease in opioid use, better sedation and decrease in pain scores during both resting and coughing was seen in group N (p < 0.05). In conclusion, analgesia applied by addition of rectal naproxen to opioids achieved better pain management in selected patients after cardiac surgery.

Administration, Rectal↗
PubMed1977

A complete suction system for operative surgery.

A versatile suction system utilizing a hand-held suction head with on-off control is described. Interchangeable nozzles and guards adapt the sucker to work appropriately in most operative situations.

Humans↗
PubMed2003

[Delirium increases morbidity and length of stay after vascular surgery operations. Results of a prospective study].

OBJECTIVE: We intended to analyze the influence of postoperative delirium on postoperative morbidity and length of hospital stay. PATIENTS AND METHOD: 153 patients undergoing elective arterial surgery were studied prospectively. Patients were examined postoperatively by a psychiatrist daily from days 1 to 7. Delirium was diagnosed according to standardised criteria (Diagnostic and Statistical Manual of Mental Disorders). The severity of delirium was quantified using the Delirium Rating Scale. We compared patients without delirium to those who developed postoperative delirium using univariate statistical analysis (t-test, chi (2) test, and Fisher's test). RESULTS: Sixty patients (39.2%) developed postoperative delirium. They removed catheters significantly more frequently than patients without delirium and had more catheter-related infections. Their length of stay in intensive care units was higher, as was their total postoperative length of stay in hospital. CONCLUSIONS: Patients who developed postoperative delirium have significantly more complications and increased postoperative length of stay in hospital and intensive care units.

Aged↗
PubMed1998

Using buccal mucosa for urethral reconstruction in primary and re-operative surgery.

OBJECTIVE: Urethral reconstruction using buccal mucosa grafts finds increased broader use in patients with congenital or acquired urethral defects. The authors present their experience of 20 such treated patients. 12 repeatedly operated patients (11 congenital defects, 1 war injury) showed urethral defects of 4.5-20 cm in length. In 8 patients, 6 with hypospadias and 2 with prior straightening of the penis due to penoscrotal transposition, a urethral defect length of 2.5-7 cm had to be bridged. METHOD: For 2 patients a tubularized buccal mucosa free graft was used and for 18 patients the onlay method was partly or wholly used. In 1 patient a tubularized preputial island flap was used in addition to a buccal mucosa free graft. The urethral meatus was placed at the tip of the glans in all patients. RESULTS: Postoperatively a coronary fistula occurred in 1 patient. In 2 patients anastomotic strictures were seen after 18 and 60 days, respectively. One patient had a meatal stenosis and one splitting of the glans wings. With a mean follow-up time of 27 months, no further complications have been observed. CONCLUSION: The use of the buccal mucosa graft for urethral reconstruction is a successful method with a low incidence of complications. The indications arising from this operating method should, in our opinion, lead to the increased and broader use of this treatment method for congenital and acquired urethral defects.

Adolescent↗
PubMed1975

[Operative surgery of giant bilateral bullae of the lungs].

Three patients with giant bilateral emphysematous bullae are presented. In each case the bullae occupied a third to half of each hemithorax and the remaining lung tissue was compressed. The most informative pre-operative information was gleaned from the standard chest radiograph. All patients underwent simultaneous bilateral resection of the bullae. There was no mortality and the morbidity was limited. Subjectively all patients improved. Median sternotomy was the approach in one patient and we regard this as an effective approach in cases where bilateral bullae have to be removed.

Aged↗