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The Application of the Posterior Atlantooccipital Membrane Tension Release Technique for Surgical Exposure of the Horizontal Part of the Vertebral Artery's Third Segment: An Anatomical and Clinical Investigation.
World Neurosurg
December 2024
Department of Neurosurgery, Zhongshan Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, Fu Jian, China. Electronic address:
Objective: This study aims to elucidate the anatomical principles governing the surrounding venous structures (VS) of the horizontal part of the third segment of the vertebral artery (V3h) and develop a safe and bloodless surgical technique for exposing V3h.
Methods: This study used ten formalin-infused cadaveric head specimens. The dissections were performed stepwise to simulate the far lateral approach process, exposing the V3h with a novel technique.
Jehovah's Witnesses: Challenges in liver disease management and in liver transplantation.
Liver Transpl
October 2024
Recanati/Miller Transplantation Institute, Mount Sinai Hospital, New York, New York, USA.
Patients of Jehovah's Witnesses faith who are in need of liver transplantation pose unique challenges. These patients should be seen at transplant centers with experience in caring for Jehovah's Witnesses to formulate careful preoperative, intraoperative, and postoperative strategies on an individualized basis with multidisciplinary input to mitigate the risk of bleeding complications and to prepare for potentially catastrophic scenarios. In-depth and individualized conversations about what constitutes acceptable bloodless transfusion strategies both for the patient and for the transplant center should begin as early as possible with an experienced coordinator or church liaison.
View Article and Find Full Text PDFTwo-stage surgical treatment of Stanford type B acute aortic dissection associated with aberrant right subclavian artery dissection complicated by distal arch aortic aneurysm and abdominal aortic aneurysm: a case report.
Gen Thorac Cardiovasc Surg Cases
February 2024
Department of Cardiovascular Surgery, St. Mary's Hospital, Tsubuku Hon-machi 422, Kurume, 830-8543, Japan.
Article Synopsis
- - Aberrant right subclavian artery (ARSA) is a congenital anomaly affecting 0.5-1.8% of people, often asymptomatic but can lead to symptoms like swallowing difficulties or airway obstruction; surgical intervention is recommended if it becomes symptomatic.
- - The coexistence of ARSA with type B aortic dissection is rare and may weaken the aortic wall, prompting the need for surgical management using techniques like TEVAR or open surgery.
- - A case of a 72-year-old man with both conditions was treated successfully using a two-stage surgical approach: first performing a bypass from the right common carotid artery to ARSA, followed by reconstruction of the thoracic aorta.
Shared decision-making for patients with vaccine-related concerns of blood transfusion: A single institution experience.
Transfusion
December 2024
Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Background: Some patients express concerns regarding receipt of allogeneic blood transfusions from donors potentially vaccinated against SARS-CoV-2 (COVID-19). However, limited information exists about patients' expression of these concerns or how to address them during the blood transfusion consent process. In this study, we describe our experience of working collaboratively with patients with vaccine-related transfusion concerns prior to elective surgery, summarizing treatment decisions and clinical outcomes.
View Article and Find Full Text PDFLaparoscopic cornual resection for interstitial pregnancy: Staying in the Marginal Zone.
Facts Views Vis Obgyn
September 2024
Background: Fortunately, interstitial pregnancies are a rare early pregnancy presentation, yet they can be challenging to managed and are associated with a high risk of intra-abdominal haemorrhage. Once detected, surgical laparoscopic resection can be the preferred management method for both patient safety and for definitive treatment.
Objective: The video presents a new technique for laparoscopic resection of an interstitial pregnancy which enables the procedure to be effectively bloodless.
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