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Ligamentum Flavum Flap Technique in Lumbar Microdiscectomy.
JBJS Essent Surg Tech
November 2024
Department of Spine Surgery, Ganga Medical Center and Hospital, Coimbatore, Tamil Nadu, India.
Article Synopsis
- Microdiscectomy is a common surgical method for treating lumbar disc herniation, but issues like postoperative epidural fibrosis can hinder recovery.
- The ligamentum flavum flap technique, which preserves the ligamentum flavum, reduces this fibrosis and improves long-term outcomes.
- The surgical procedure involves exposing the L5-S1 interlaminar space, creating a flap from the ligamentum flavum, performing discectomy, and then repositioning the flap to minimize scarring.
Risk factors associated with the occurrence of the adverse event phlebitis in hospitalized adult patients.
Rev Bras Enferm
October 2024
Universidade de São Paulo. São Paulo, São Paulo, Brazil.
Objectives: to synthesize knowledge regarding risk factors associated with occurrence of adverse event phlebitis in hospitalized adult patients.
Methods: an integrative literature review, carried out in the CINAHL, PubMed, Virtual Health Library, Embase, Web of Science and Scopus databases. The stages were carried out independently by two reviewers, and the data were analyzed descriptively.
National practice of Nursing professionals in the insertion of peripheral vascular access devices.
Rev Lat Am Enfermagem
September 2024
Universidade Federal de São Paulo, Escola Paulista de Enfermagem, São Paulo, SP, Brazil.
Objective: to identify and compare the practice of Nursing professionals regarding the insertion of peripheral vascular access devices, according to professional category.
Method: descriptive sectional study carried out between July 2021 and May 2022 with 2,584 Nursing professionals, using a questionnaire validated by three judges with expertise in intravenous therapy, containing variables related to catheterization and the vascular access device. Descriptive and inferential analysis was carried out.
Blending three repair techniques in a case of complex mitral valve endocarditis.
Multimed Man Cardiothorac Surg
May 2024
Division of Cardiac Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
In a 39-year-old male with mitral valve endocarditis, after 6 weeks of intravenous antibiotics, echocardiography confirmed multiple vegetations on both leaflets, a flail posterior leaflet flail and contained perforation of the anterior leaflet in a windsock-like morphology. All vegetations, diseased and ruptured chords and the windsock-like contained rupture of the anterior leaflet were carefully resected via a right minithoracotomy and with femoral cannulation. Three repair techniques were blended to reconstruct the valve: (1) A large, infected portion of the prolapsing posterior leaflet was resected in a triangular fashion, and the edges were re-approximated using continuous 5-0 polypropylene sutures.
View Article and Find Full Text PDFBackground: Short peripheral catheters (SPCs) are used to provide intravenous therapies in hospitalized patients. Recently, the category of SPC has become more complex, with the introduction in clinical practice of "integrated" SPCs (ISPCs), renewed regarding the material (polyurethane rather than polytetrafluoroethylene) and design (large wing; pre-assembled extension; preassembled needle-free connector (NFC)).
Methods: This systematic review and meta-analysis aimed to analyze randomized controlled trials (RCTs) and quasi-randomized studies in hospitalized patients, analyzing the risk of overall catheter failure as well as the risk of each type of complication (occlusion, infiltration, thrombophlebitis, and dislodgement) for ISPCs compared to non-integrated SPCs.
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