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Simultaneous pancreas-kidney (SPK) transplantation is a recognized treatment for patients with insulin-dependent diabetes and advanced chronic kidney disease or end-stage renal disease (ESRD), offering significant survival benefits. However, it is associated with a higher risk of venous thrombosis, which can jeopardize the survival of the pancreaticoduodenal graft. This case report describes a patient with type 2 diabetes, hypertension, and ESRD who developed acute, occlusive deep vein thrombosis (DVT) involving the right common femoral, profunda femoral, and greater saphenous veins on postoperative day 1 (POD1) following a deceased donor SPK transplant, despite systemic prophylactic anticoagulation.
View Article and Find Full Text PDFPopliteal Artery Injury After Arthroscopic Knee Surgery: A Retrospective Multicenter Cohort Study.
Orthop Surg
December 2024
Department of Orthopaedics, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China.
Article Synopsis
- Popliteal artery injury is a rare but significant complication of knee arthroscopic surgery, highlighting a need for more research due to a lack of data and guidelines.
- The study analyzed 17,000 procedures and found a 0.059% incidence of popliteal artery injury among 10 patients, detailing the types of surgeries performed and various treatment methods used.
- After an average follow-up of over 43 months, patients showed no reported complications and exhibited positive recovery in joint function and vascular health.
Anterior Cruciate Ligament Reconstruction Graft Options.
Arthroscopy
January 2025
Department of Orthopaedic Surgery, Northwell, New Hyde Park, New York, U.S.A.; Department of Orthopaedic Surgery at Long Island Jewish Medical Center, New Hyde Park, New York, U.S.A.; Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York, U.S.A.. Electronic address:
Anterior cruciate ligament reconstruction is one of the most common orthopaedic sports medicine surgeries. Its prevalence in the sports medicine sphere is matched by the numerous options of different techniques. Chief among these is graft selection, which most commonly falls into 1 of 4 options: bone-patellar tendon-bone (BPTB) autograft, hamstring tendon autograft (HT), quadriceps tendon autograft, and allografts.
View Article and Find Full Text PDFReal-World Safety and Efficiency of Treating Symptomatic Varicose Veins with Endovenous Closure of Great, Small, and Anterior Accessory Veins Using Cyanoacrylate Glue (VenaSeal™): A Single-surgeon Multicenter Retrospective Study.
Ann Vasc Surg
December 2024
Vascular Surgery, Department of Surgery, Frankston Hospital, Peninsula Health, Melbourne, Victoria, Australia.
Background: Treatment of symptomatic varicose veins has changed dramatically in the last few years with guidelines now recommending endovenous surgery as first-line intervention. Previously, this was achieved by laser or radiofrequency ablation of the target vein, requiring infiltration of tumescent anesthesia to reduce the risks of thermal damage to surrounding tissue. Endovenous cyanoacrylate injection (VenaSeal™) is a nonthermal, nontumescent endovenous closure technique, increasing patient comfort and is readily performed under local anesthesia only and thus is a feasible technique for in-room treatment.
View Article and Find Full Text PDFThe objective measurement of hypoaesthesia after Total Knee Arthroplasty and its correlation with skin incision length: a prospective study.
Int Orthop
December 2024
Department of Orthopaedics, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, 400012, India.
Purpose: This study aims to measure the peri-incisional numbness developing after Total Knee Arthroplasty (TKA) performed using the midline skin incision. It studies the natural course of the numbness and determines its correlation with the skin incision length (SIL).
Materials & Methods: 66 knees undergoing primary TKA with a standard midline incision were evaluated.
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