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Commentary: An Improvised External Ventricular Drain Fixation Technique to Avoid Pullout-Related Complications in a Low-Resource Setting: A Descriptive Cross-Sectional Study in a Single Center of Nepal.
Oper Neurosurg (Hagerstown)
October 2024
Lillian S Well Neurosurgery Department, University of Florida, Gainesville, Florida, USA.
An Improvised External Ventricular Drain Fixation Technique to Avoid Pullout-Related Complications in a Low-Resource Setting: A Descriptive Cross-Sectional Study in a Single Center of Nepal.
Oper Neurosurg (Hagerstown)
October 2024
Department of Neurosurgery, Bangabandhu Sheikh Mujib Medical University (BSMMU) Shahbag, Dhaka, Bangladesh.
Background And Objectives: An external ventricular drain (EVD) placement is a commonly performed life-saving procedure. Its accidental pullout can occur in complex environments, patient care, and positioning, which leads to significant morbidity. The method of EVD fixation and pullout rates is sparsely described in the literature, and there exists a wide variation among the techniques practiced for fixation.
View Article and Find Full Text PDFChallenges and strategies in the surgical management of traumatic spinal cord injuries in the Democratic Republic of the Congo.
J Clin Neurosci
July 2024
Department of Neurosurgery, Kinshasa University Teaching Hospital, University of Kinshasa, Democratic Republic of the Congo.
Article Synopsis
- * A study of 105 patients from 2016 to 2023 revealed issues such as delayed hospital admission (averaging 49.9 days) and surgery (averaging 62.43 days), with only 16% arriving by ambulance, highlighting a lack of emergency services.
- * Despite the obstacles, including use of improvised medical supplies and no significant difference in recovery outcomes between improvised and conventional strategies, some patients improved neurological function, while others remained stationary or faced complications, indicating the need
Can "Aseptic" Looking TIBIA Non-union be Result of an Unrecognized Subclinical Infection?
J Orthop Case Rep
December 2023
Department of Orthopaedics, Employees' State Insurance Hospital, Mumbai, Maharashtra, India.
Introduction: The usual cause of a distal tibial fracture is a high-energy trauma. Although multiple options are available for their treatment such as intramedullary nailing, open plating, and external fixator, each of these options might result in a non-union. Knowing the type of non-union not only allows us to guess the cause but also directs us toward the best possible treatment.
View Article and Find Full Text PDFPelvis-Sacrum-Lumbar Spine Injury Characteristics From Underbody Blast Loading.
Mil Med
November 2023
US Army DEVCOM Analysis Center, Aberdeen Proving Ground, MD 21005, USA.
Introduction: Combat-related injuries from improvised explosive devices occur commonly to the lower extremity and spine. As the underbody blast impact loading traverses from the seat to pelvis to spine, energy transfer occurs through deformations of the combined pelvis-sacrum-lumbar spine complex, and the time factor plays a role in injury to any of these components. Previous studies have largely ignored the role of the time variable in injuries, injury mechanisms, and warfighter tolerance.
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