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Complete postsurgical left ventricular-aortic discontinuity and pseudoaneurysm formation.
J Card Surg
July 2022
Department of Radiology, Medical College of Georgia, Augusta University, Augusta, Georgia, USA.
Background: Left ventricular outflow tract pseudoaneurysm is a rare but potentially fatal complication of aortic valve replacement, infective endocarditis (IE), and suture dehiscence. Left ventricular-aortic discontinuity is a severe and uncommon manifestation of IE. For patients who have a long-standing history of endocarditis, periannular lesions in the aortic valve may rupture, leading to the rare occurrence of complete, or total, left ventricular-aortic discontinuity.
View Article and Find Full Text PDFManaging Wound Dehiscence With Mechanical Negative Pressure Wound Therapy: A Case Report.
Wounds
December 2021
Wound Healing and Hyperbaric Oxygen Center, Greenville, South Carolina; PRISMA Health; The University of South Carolina School of Medicine - Greenville, Greenville, South Carolina.
Mechanical negative pressure wound therapy (mNPWT) is commonly used in the management of a variety of wounds, including diabetic foot ulcerations, surgical wounds, venous ulcerations, and wound dehiscence. This mechanically powered, disposable modality can be used to manage wounds in the outpatient setting and has been shown to be an effective wound care option when transitioning patients from the inpatient to outpatient setting and continuing NPWT for wound care. Mechanical NPWT helps promote wound healing by decreasing edema and via removal of tissue debris and exudate.
View Article and Find Full Text PDFDiagnosis and Management of Chronic Anastomotic Leak.
Clin Colon Rectal Surg
November 2021
Division of Colorectal Surgery, Department of Surgery, University of Massachusetts, Wooster, Massachusetts.
Chronic anastomotic leaks present a daunting challenge to colorectal surgeons. Unfortunately, anastomotic leaks are common, and a significant number of leaks are diagnosed in a delayed fashion. The clinical presentation of these chronic leaks can be silent or have low grade, indolent symptoms.
View Article and Find Full Text PDFColorectal anastomosis dehiscence: a call for more detailed morphological classification.
Wideochir Inne Tech Maloinwazyjne
March 2021
Department of Oncology and Radiotherapy, Charles University, Medical Faculty Hradec Králové, University Hospital, Hradec Králové, Czech Republic.
Introduction: A proactive approach is recommended in colorectal anastomosis leak treatment, and early diagnosis is very important. Early postoperative endoscopy would allow rapid diagnosis of anastomotic pathologies and consequent prompt intervention according to anastomotic disruption morphology.
Aim: To evaluate the effectiveness of close endoscopic follow-up of all patients (including asymptomatic ones) in improving diagnosis of acute leak (AL) and reducing its complications.
Second-trimester and early third-trimester spontaneous uterine rupture: A 32-year single-center survey.
Birth
March 2021
Department of Obstetrics and Gynecology, The Yitzhak Shamir Medical Center (formerly Assaf Harofeh Medical Center), Zerifin, Israel.
Background: Second-trimester and early third-trimester uterine rupture in a nonlaboring woman is a very rare and life-threatening condition for both mothers and newborns. We aimed to present clinical characteristics, prenatal findings, and maternal and neonatal outcomes following second-trimester and early third-trimester spontaneous antepartum uterine rupture in our institute.
Method: The medical records of all women with full-thickness second-trimester and early third-trimester uterine rupture treated in our department from 1988 to 2019 were retrieved from the institutional database and reviewed.
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