Radiofrequency catheter ablation of atrioventricular node reentrant tachycardia in children with limited fluoroscopy.

Background: Limited fluoroscopy cryo-ablation using a 3D electro-anatomical system (3DS) has been used for AVNRT in children. We aimed to facilitate a fluoroscopy limited approach of RF ablation of AVNRT in children.

Methods: A retrospective study was performed of procedure parameters in children undergoing RF ablation of AVNRT in 75 consecutive children (June 2011 to November 2013 - Group A) using standard fluoroscopy techniques compared to those of 64 consecutive children (December 2013 to May 2015 - Group B), using a fluoroscopy limited approach with 3DS.

Open Microcomedone Extraction Facilitated by Polarized Dermoscopy.

Microcomedonal lesions can be aesthetically and psychologically displeasing. The burden of comedones increases when considering their frequency and demand for time-consuming attention. The objective of the current study was to describe a novel technique to facilitate open microcomedone extraction.

The subcutaneous loop: a single suture technique for skin closure after superficial and subcutaneous surgery.

Background: Removal of subcutaneous skin masses and certain deep skin injuries results in defects, which demand immediate closure. Although primary closure of these defects in 2 layers is an acceptable solution, this technique has a number of drawbacks, such as extended time consumption upon performance, demand for additional suture material and occasional tissue response or foreign body reaction to retained absorbable stitches leading to infection and its sequelae.

Objective: We describe an approach intended to furnish a satisfactory solution to the needs of tissue closure in such cases.

Control of traumatic wound bleeding by compression with a compact elastic adhesive dressing.

Objective: Compression dressing has been assumed effective, but never formally examined in the field.

Methods: A prospective interventional trial examined efficacy and feasibility of an elastic adhesive dressing compression device in the arena of the traumatic incident. The primary variable examined was the bleeding rate from wounds compared before and after dressing.

Welcomed triplets following gestation with retained intrauterine device.

Multiple gestations with concurrent intrauterine devices (IUDs) are rare events. We handled the case of a woman who discovered she was pregnant with triplets after the 12th week of gestation. Upon the mother's request the IUD was removed immediately and the pregnancy led a normal course until the planned caeserean delivery of three baby girls.

Control of massive bleeding from facial gunshot wound with a compact elastic adhesive compression dressing.

The issue of immediate control of acute external traumatic hemorrhage is poorly dealt with in the medical literature. A compact unit incorporating the desired components capable of applying significant compression over diverse body areas has been suggested in the past but not formally demonstrated effective in practice. In this report we describe the treatment of a young man presenting with a very large, complex, profusely bleeding facial gunshot wound.

Evaluation of techniques for treating the bleeding wound.

Background: Despite the fact that the urgent control of active bleeding from external body surfaces demands a basic procedure, it is puzzling that this topic has received little if any attention in modern medical research. Elastic adhesive dressing (ELAD) has been proposed for dressing the bleeding wound.

Methods And Materials: Three techniques were compared over a simulated wound in a human model.

Evaluation of techniques for intravenous catheter and tubing fixation.

Objective: The aim of this study was to examine two techniques intended to prevent accidental displacement of intravenous catheters after proper establishment of infusion line access.

Methods: After catheter insertion and taping in position, fixation with gauze roll sequentially wrapped around the limb across which the tubing has been extended was compared with the use of a polyethylene roll manipulated by an attached "handle." The experimentation was performed on medical personnel serving as live models.

Office treatment of congenital ankyloglossia.

Background: Congenital oral adhesions may pose both aesthetic and functional disturbing ailments to wary parents. Most of these as we have experienced, are benign, easily cured and may be treated as soon as possible in the office. A local survey elucidated that these youngsters are usually advised to wait until one year of age and then taken into the operating room and incision of the adhesion is performed under general anesthesia.

Modified sleeve method treatment of ingrown toenail.

Background: Ingrown toenail is a common problem that causes inconvenience, pain, and limitation of daily function. Current conventional treatment methods are not satisfactory and have a high recurrence rate.

Objective: To evaluate a modification of an existing, although uncommonly used, method for treating ingrown toenail.