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Expert panel recommendations for topical hemostatic agent use in varied bleeding sites and situations during neuro-spine surgeries.
J Clin Neurosci
February 2024
Johnson and Johnson Private Limited, Mumbai, India. Electronic address:
Intraoperative bleeding poses a substantial challenge, particularly in neuro-spine surgeries leading to complications such as hematomas, infections, and hemodynamic instability. Despite their proven efficacy, use of topical hemostatic agents (THAs) lacks comprehensive published literature and guidelines particularly in the Indian setting. The present study provides the first-ever Indian expert panel recommendations for effective adjunct THA use in different intraoperative bleeding sites and situations in neuro-spine surgeries.
View Article and Find Full Text PDFThe Surgical Odyssey: Romania's Contributions to Pituitary Gland Procedures.
Brain Sci
October 2023
Department of Neurosurgery "Carol Davila", University of Medicine and Pharmacy, 020021 Bucharest, Romania.
The pituitary gland, a puzzling medical subject up until the 20th century, had its early pathologies first documented in the 19th century by Pierre Marie and Hutchinson, where the gland's meaningful study was hindered by its hard-to-reach location. This paper revisits the pioneering work of Romanian doctors such as Gheorghe Marinescu, Nicolae Paulescu, and Grigore T. Popa in surgical techniques targeting the pituitary gland.
View Article and Find Full Text PDFSex-specific responses to growth hormone and luteinizing hormone in a model teleost, the Mozambique tilapia.
Gen Comp Endocrinol
December 2022
Department of Human Nutrition, Food and Animal Sciences, University of Hawai'i at Mānoa, 1955 East-West Road, Honolulu, HI 96822, USA. Electronic address:
Article Synopsis
- Sexual dimorphism in body size among vertebrates is influenced by hormonal interactions between growth hormone (Gh) and luteinizing hormone (Lh), particularly in Mozambique tilapia.
- In the study, hypophysectomized tilapia showed reduced gonadosomatic index (GSI) and altered gonadal morphology, but the combination of oGH and oLH restored these to normal levels.
- Results indicated that hormonal responses related to growth and reproduction are sex-specific, with different effects on gene expression for both male and female tilapia, highlighting the trade-offs that contribute to sexual dimorphism in these fish.
Plasma sodium and potassium concentrations after hypophysectomy in dogs with corticotroph adenomas.
J Vet Intern Med
January 2022
Department of Clinical Sciences, Faculty of Veterinary Medicine, Utrecht University, Utrecht, The Netherlands.
Background: Electrolyte abnormalities, especially hypernatremia, are frequent complications after transsphenoidal hypophysectomy in dogs with pituitary-dependent hypercortisolism.
Objectives: To describe electrolyte abnormalities after transsphenoidal hypophysectomy and to investigate possible associations between postoperative hypernatremia and clinical and surgical variables as well as with postoperative outcome.
Animals: One hundred and twenty-seven client-owned dogs.
Diaphragma sellae sinking can predict the onset of hyponatremia after transsphenoidal surgery for pituitary adenomas.
J Endocrinol Invest
November 2021
Fuzong Clinical Medical College of Fujian Medical University, Fuzhou, 350025, China.
Purpose: Sinking of the diaphragma sellae (DS) may stretch the pituitary stalk, which in turn impairs neurohypophyseal function; thus, it may play a role in the development of postoperative hyponatremia. We aimed to assess the factors influencing the development of hyponatremia after transsphenoidal surgery (TSS) for pituitary adenomas and analyze the effect of DS sinking on hyponatremia.
Methods: After applying the inclusion and exclusion criteria, we retrospectively analyzed the clinical data of patients with pituitary adenoma who underwent TSS.
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