Late-onset Perthes disease usually carries a poor prognosis. In severe cases there may be increasing pain, decreased range of motion and hinge abduction which forms a contraindication for surgical containment. We have managed 14 such patients in a two-stage procedure. Arthrodiastasis done as a first stage dramatically reduced pain and Trendelenburg limp while at the same time leading to a substantial improvement in range of motion and hinged abduction. Once the contraindications to surgical containment were overcome by arthrodiastasis, we proceeded with a varus osteotomy of the femur in a second stage in the hope that the femoral head would remodel to some extent with time and would improve the final functional outcome.
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Contact Dermatitis
January 2025
Anna Belloni Fortina, University of Padua, Italy.
Background: Allergic contact dermatitis (ACD) induced by topical application of neomycin is frequently reported.
Objectives: This multi-center study investigated prevalence and determinants of neomycin sensitisations in 30 629 outpatients from North-eastern Italy during 1997-2021.
Patients And Methods: European baseline and extended Triveneto series were applied on the upper back of patients patch testing for suspected ACD and removed after 48 h.
Facts Views Vis Obgyn
December 2024
Background: To decrease the risk of unsuspected malignancies disseminating, several studies have shown the safety of using a containment bag to limit tissue dissemination during manual or power morcellation. Furthermore, in 2020, the FDA recommended performing laparoscopic power morcellation for myomectomy or hysterectomy only within a tissue containment system.
Objective: To show step-by-step a new surgical technique using vaginal power morcellation within an endoscopic pouch without adding or extending other incisions.
BMJ Open
August 2024
Department of Equipment and Materials, West China Hospital of Sichuan University, Chengdu, Sichuan, China
Nutr Clin Pract
February 2025
Department of Surgery, Denver Health Medical Center, University of Colorado, Denver, Colorado, USA.
Nutrition plays an integral role in the management of patients with enterocutaneous fistula (ECF), but practice guidelines are often vague because of limited evidence. As a result, clinicians must rely on expert consensus and sound nutrition principles to guide practice. The initial phase of ECF management involves recognition (eg, fistula location and quantifying output) and stabilization (eg, source control and fluid and electrolyte balance).
View Article and Find Full Text PDFJ Int Med Res
November 2024
Department of Burn and Plastic Surgery, First Affiliated Hospital of Wannan Medical College, Wuhu, Anhui, People's Republic of China.
Objective: To evaluate the efficacy of the combined application of platelet-rich plasma (PRP) and negative pressure wound therapy (NPWT) in cavitary infected wounds, in addition to the parameter settings of NPWT.
Methods: The outcomes of patients with cavitary wounds who received debridement with either PRP plus NPWT (PRP group) or NPWT alone (controls) as part of their treatment protocol were retrospectively compared by examining preoperative and postoperative data on high-sensitivity C-reactive protein (hs-CRP), erythrocyte sedimentation rate (ESR), white blood cell (WBC) count, neutrophil percentage, bacterial cultures, pain (measured using visual analogue scale [VAS] scores), postoperative hospitalization duration, and effective hospitalization days.
Results: A total of 24 patients were included (11 who received PRP plus NPWT and 13 who received NPWT alone).
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