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A novel treatment strategy with hyperbaric oxygen of chronic osteomyelitis and pseudoarthrosis in a child with congenital hereditary sensory and autonomic neuropathy type 4 congenital insensitivity to pain with anhidrosis syndrome: a case report.
J Med Case Rep
January 2025
Department of Orthopaedics, Sahlgrenska University Hospital, Gothenburg, Sweden.
Background: Congenital insensitivity to pain with anhidrosis is a rare but devastating hereditary disease. Congenital insensitivity to pain with anhidrosis is caused by a mutation in the neurotrophic receptor tyrosine kinase 1 gene (NRTK1). The condition is characterized by multiple injuries, recurrent infections, and mental retardation.
View Article and Find Full Text PDFReduce Flap Necrosis After Autologous Breast Reconstruction: A Systematic Review.
J Craniofac Surg
December 2024
Department of Burn and Plastic Surgery, The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu, P. R. China.
Background: Autologous breast reconstruction provides substantial benefits in terms of aesthetics and longevity. However, the risk of flap necrosis poses potential challenges to patients' appearance and psychological well-being, while also escalating health care costs. Consequently, examining the risk factors, assessment techniques, and therapeutic approaches for flap necrosis is critically important.
View Article and Find Full Text PDFSpinal Anesthesia for Open Appendectomy in a Patient With Cystic Fibrosis and Coagulation Abnormalities: A Case of Tailored Anesthetic Management.
Cureus
November 2024
Anesthesiology and Critical Care, Centro Hospitalar Universitário de Santo António, Porto, PRT.
Cystic fibrosis (CF) is a genetic disorder that primarily affects the respiratory and gastrointestinal systems, often leading to significant perioperative challenges due to compromised lung function, recurrent infections, and chronic respiratory failure. Managing anesthesia in patients with CF requires careful consideration, particularly because of the increased risk of respiratory complications with general anesthesia (GA). Neuraxial anesthesia, such as spinal anesthesia, presents an alternative that can reduce the likelihood of postoperative pulmonary issues, including respiratory depression, hypoxemia, and atelectasis.
View Article and Find Full Text PDFPenile Replantation: A Review of Microsurgical Techniques, Patient Outcomes, and Solutions to Complex Reconstructive Challenges.
Plast Surg (Oakv)
July 2024
Jacobs School of Medicine and Biomedical Sciences, Department of Urology, University at Buffalo, Buffalo, NY, USA.
Article Synopsis
- Penile amputation is a rare but serious urological emergency that can result from various factors, necessitating advanced microsurgical techniques for successful reattachment to restore function and appearance.
- *Recent advancements in microsurgery have improved the outcomes of penile replantation by allowing precise reconnections of blood vessels and nerves, which are essential for maintaining erectile function and sensation.
- *A review of 46 cases identified common complications like postoperative necrosis (56.5%) and emphasized the importance of quick vascular repairs, while also suggesting new treatments such as hyperbaric oxygen therapy and the need for standardized protocols to improve outcomes and patient quality of life.
Is there a rationale for hyperbaric oxygen therapy in the patients with Post COVID syndrome? : A critical review.
Eur Arch Psychiatry Clin Neurosci
December 2024
Department of Physiology and Pharmacology, Karolinska Institutet, Solna, Sweden.
Article Synopsis
- - The SARS-CoV-2 pandemic has led to 762 million infections globally, with about 10% of those infected experiencing long-term effects known as post-COVID condition, impacting at least one million people in Germany alone.
- - Symptoms of post-COVID condition vary widely, affecting 10-30% of outpatients and 50-70% of hospitalized patients, with only 13% of those infected reporting complete recovery.
- - Hyperbaric oxygen therapy (HBOT) has been used for various medical issues since 1957 and shows promise in improving oxygen delivery and reducing inflammation, with initial studies indicating beneficial effects on cognitive function and symptoms following COVID-19.
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