Trans-Carotid Artery Revascularization Versus Carotid Endarterectomy in Patients With Carotid Artery Disease: Systematic Review and Meta-analysis of 30-day Outcomes.

This systematic review and meta-analysis compared trans-carotid artery revascularization (TCAR) as an alternative approach to carotid endarterectomy (CEA) in patients with carotid artery disease. An electronic search was conducted using PubMed, Scopus, and Cochrane databases including comparative studies with patients who underwent either TCAR or CEA. This meta-analysis is according to the recommendations of the PRISMA statement.

Intranodal capillary-cavernous hemangioma: Report of a very rare case.

Mixed type capillary-cavernous hemangioma is a rare vascular anomaly, with an intranodal localization being extremely rare. Its finding is often accidental but may be clinically symptomatic. The diagnosis relies on histopathology, showing a proliferation of capillaries and cavernous vessels filled with erythrocytes and lined by endothelial cells.

Mass casualty incidents with multiple burn victims: rationale for a Swiss burn plan.

Introduction: Mass casualty incidents involving victims with severe burns pose difficult and unique problems for both rescue teams and hospitals. This paper presents an analysis of the published reports with the aim of proposing a rational model for burn rescue and hospital referral for Switzerland.

Methods: Literature review including systematic searches of PubMed/Medline, reference textbooks and journals as well as landmark articles.

[Public access defibrillation].

Placement of automated external defibrillators (AED) in public facilities and training of the lay persons in basic life support-defibrillation (BLS-D) was recommended by the American Heart Association for the treatment of out-of-hospital cardiac arrest (OHCA). Immediate use of AED result in increase of survival to hospital discharge. Many observation and much less randomized trials describe clinical efficacy of this approach.

Treatment of secondary peritonitis: is a less expensive broad-spectrum antibiotic as effective as a carbapenem?

Background: In this retrospective study, the possibility of using amoxicillin/clavulanate for empirical therapy of secondary peritonitis as an alternative to imipenem was explored.

Methods: All secondary peritonitis cases at our institution between 1998 and 2000 were included. Susceptibility to imipenem and amoxicillin/clavulanate of microorganisms isolated in peritoneal fluid and success rates were compared.

[Quality of life of vascular disease patients following amputation].

Study Aim: The purpose of this study was to assess the quality of life following lower limb amputation for vascular disease.

Patients And Methods: Thirty-six vascular patients operated on for 40 major amputations were reviewed to assess demographic and clinical characteristics, possibilities of prosthesis, perception of health problems and social adaptation. These data were correlated with general satisfaction and quality of life ratings, using the Nottingham Health Profile.

[Esophageal perforation: which treatment under which situation?].

Six disruptions of the thoracic esophagus were treated in our unit between 1979 and 1995. Three were iatrogenic and three spontaneous. Five were operated upon, and one treated conservatively.

[Stabilization of the distal radioulnar joint by Hui-Lindscheid ligamentoplasty. Report of 10 cases].

The surgical treatment of chronic sprain of the distal radio-ulnar joint remains a difficult problem. Some authors have proposed a radio-ulnar stabilization procedure which involves some loss of mobility of the forearm. Other, more radical authors, have suggested partial or complete resection of the ulnar head.

[Diarrhea and recurrent vomiting of fecal matter in a 56-year-old patient].

A gastro-jejuno-colic fistula detected by upper gastric contrast-radiography was the cause of severe diarrhea, miserere and weight loss. It had developed after gastro-jejunal anastomosis. Surgical correlation was achieved by a single intervention, possible because of preoperative care and modern suture technology.