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Introduction: A retroperitoneoscopic procedure for bladder neck closure has not yet been described.
Case Presentation: Case 1 was a 56-year-old man who underwent clean intermittent catheterization for spastic paraplegia due to a thoracic spinal cord injury 37 years prior. Case 2 was an 80-year-old bedridden woman who underwent urethral catheterization after a femoral fracture and brain infarction 3 years prior.
Comparison between Classical- and Rotational-Mechanical-Chair-Assisted Maneuvers in a Population of Patients with Benign Paroxysmal Positional Vertigo.
J Clin Med
June 2024
Department of Otolaryngology, Getafe University Hospital, Carretera Toledo km 12,500, 28905 Madrid, Spain.
: Benign paroxysmal positional vertigo (BPPV) stands as the most common cause of peripheral vertigo. Its treatment with repositioning maneuvers on an examination table is highly effective. However, patients with back or neck problems, paraplegia, or other conditions face challenges with these maneuvers, potentially experiencing longer healing times and creating additional difficulties for physicians diagnosing and treating BPPV in everyday practice.
View Article and Find Full Text PDFPiperacillin/tazobactam-induced sudden severe thrombocytopenia in a patient with a pressure ulcer: a case report.
J Wound Care
June 2024
Department of Plastic Surgery, Asahi General Hospital, Japan.
Article Synopsis
- The standard treatment for infected pressure ulcers with osteomyelitis typically includes debridement, wound coverage, and antibiotics, but the use of systemic antibiotics in such cases is debated and lack standardized duration.
- A case study is presented involving a 57-year-old man with severe thrombocytopenia caused by the antibiotic piperacillin/tazobactam during treatment for his infected pressure ulcer.
- The case highlights the need for caution when using piperacillin/tazobactam in patients, as it can lead to significant side effects like thrombocytopenia, emphasizing the importance of monitoring and evaluating the efficacy of antibiotic treatments for pressure ulcer-related osteomyelitis.
Healing an ischial tuberosity pressure ulcer in a patient with neurogenic heterotopic ossification: a case report.
J Wound Care
March 2024
Department of Burns and Plastic Surgery, the First Affiliate Hospital of Guangxi Medical University, Nanning 530021, Guangxi, People's Republic of China.
Neurogenic heterotopic ossification (NHO) is widely recognised as an aberrant bone formation in soft tissue following central nervous system injury. It is most frequently associated with pain and limited movement, especially in the hip. However, it may be neglected in patients with paraplegia with a pressure ulcer (PU).
View Article and Find Full Text PDFVastus Lateralis and Vastus Intermedius Myocutaneous Flap Reconstruction for Complicated Trochanteric and Ischial Pressure Sores with Extended Girdlestone Resection: A Case Series.
Orthop Surg
October 2023
Department of Plastic and Reconstructive Surgery, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Objective: Most paraplegic patients with complicated trochanter sores or ischial sores present with lower limb muscle atrophy. Therefore, in patients who have undergone Girdlestone arthroplasty, filling the dead space and replacing the volume defect through an appropriate surgical technique is extremely challenging. This study presents a case series of vastus lateralis and vastus intermedius myocutaneous flap reconstruction after extended proximal femoral osteotomy in paraplegic patients.
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