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Complex cesarean section: Surgical approach to reduce the risks of intraoperative complications and postpartum hemorrhage.
Int J Gynaecol Obstet
January 2025
FIGO, London, UK.
The incidence of cesarean section is dramatically increasing worldwide, whereas the training opportunities for obstetrician/gynecologists to manage complex cesarean section appear to be decreasing. This may be attributed to changing working hours directives and the increasing use of laparoscopy for gynecological surgical procedures, including in gynecological oncology. Various situations can create surgical difficulties during a cesarean section; however, two of the most frequent are complications from previous cesarean (myometrial defects, with or without placental intrusion and peritoneal adhesions) and the high risk of postpartum hemorrhage (uterine overdistension, abnormal placentation, uterine fibroids).
View Article and Find Full Text PDFHydrological dynamics of the Yangtze river-Dongting lake system after the construction of the three Gorges dam.
Sci Rep
January 2025
School of Ocean Engineering and Technology/Institute of Estuarine and Coastal Research, Sun Yat-sen University, Guangzhou, 510275, China.
The Yangtze River-Dongting Lake link has gotten a lot of attention as a because of the Three Gorges Project. However, the hydrological dynamic process and future direction of the river-lake interaction in the context of sediment reduction are yet unknown. Based on Dongting Lake Basin runoff and sediment data from 1961 to 2020, as well as field monitoring data of turbidity and flow velocity from Yichang to Chenglingji section of the Yangtze River, this paper examines the runoff and sediment variation law and hydrological dynamic process of Chenglingji, the only outlet connecting Dongting Lake to the Yangtze River, and reveals the development trend of the river-lake relationship.
View Article and Find Full Text PDF[Intraoperative iatrogenic thermal burn: case report and review of operating room fire prevention measures].
Ann Burns Fire Disasters
December 2024
Centre des Grands Brûlés IMTR Loverval, Grand Hôpital de Charleroi, Belgique.
Combustion of surgical drapes during surgery is a rare event which can nonetheless lead to serious consequences. Iatrogenic burns caused by this complication are often deep and lead to functional and aesthetic sequelae. Nevertheless, awareness of the triggering factors and mechanisms, as well as knowledge of the proper use of various at-risk products such as alcohol-based antiseptic agents and compressed oxygen can reduce the incidence of these undesirable events.
View Article and Find Full Text PDFImplementation of a Modified Pain, Inspiration, Cough Protocol in Patients With Traumatic Rib Fractures.
J Surg Res
December 2024
Department of Surgery, Northwell, New Hyde Park, New York; Department of Surgery at Zucker School of Medicine, Manhasset, New York.
Introduction: Patients with blunt chest wall injuries and rib fractures are known to have high rates of atelectasis, pneumonia, pulmonary contusion, and can develop acute respiratory distress syndrome. This can lead to ventilator requirement and dependence, deconditioning secondary to uncontrolled pain, and increased hospital length of stay (LOS). Many studies in the literature have developed triage algorithms in patients with rib fractures to guide disposition and management, and several institutions have gone on to describe their institution-specific management protocols to decrease complications related to traumatic rib fractures.
View Article and Find Full Text PDFGranulomatosis with polyangiitis with cardiac and large vessel involvement: a case report with a constellation of rare complications.
Eur Heart J Case Rep
January 2025
Department of Cardiology, Christian Medical College, New Arcot Road, Vellore 632517, India.
Background: Granulomatosis with polyangiitis (GPA) is an autoimmune multisystem disorder characterized by small vessel vasculitis with granulomatous inflammation. In this report, we describe a unique case of GPA who presented with complete heart block (CHB) and developed complications due to intracranial large vessel involvement.
Case Summary: A 47-year-old gentleman presented with CHB with a background history of arthralgia and blood-tinged nasal discharge.
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