A special napkin for performance of colonic anastomosis is proposed. The napkin represents a piece of cellophane with the side cuttings, ending with 2 orifices of 3 cm in diameter. 2 tubes are installed into the piece of cellophane on the upper and lower sides. The mobilized part of the colon and the tumor are put into the napkin. The napkins edges are being fixed to the surgical sheets. The parts of the colon, that are being planned to resect, are isolated from the abdominal cavity and are located in the cellophane bag. After accomplishing the first row of sutures a flowing irrigation of the anastomosed parts of colon is being done. The use of the napkin prevents polluting the abdominal cavity and abdominal wall wound.
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Catheter Cardiovasc Interv
January 2025
Department of Pediatric Cardiology and Congenital Heart Disease, German Heart Center Munich, Technische Universität München, München, Germany.
Background: There is some reluctance to implant stents in small children due to concerns regarding outgrowing the maximal stent diameter during follow-up.
Aim: Evaluation of a treatment strategy on the bench side, including intentional stent fracturing, and description of our initial clinical experience.
Methods: A series of benchside tests was performed with small stents, in which the stents were dilated above the rated diameters until they ultimately fractured.
JPGN Rep
August 2024
Department of Pediatric Gastroenterology, Baylor College of Medicine Children's Hospital of San Antonio San Antonio Texas USA.
Adenocarcinoma of the colon is a rare diagnosis in pediatric patients. We present a previously healthy 15-year-old female who began experiencing escalating colicky abdominal pain and associated vomiting over 2 weeks in the setting of presumed acute gastroenteritis. A computed tomography scan revealed an obstruction in her descending colon.
View Article and Find Full Text PDFInt J Cardiovasc Imaging
August 2024
Department of Radiology, The First Affiliated Hospital of Ningbo University, Ningbo, 315000, Zhejiang, China.
This study investigated the association of anatomic and hemodynamic plaque characteristics based on deep learning coronary computed tomography angiography (CCTA) with high-risk plaques that caused subsequent major adverse cardiovascular events (MACE). A retrospective analysis was conducted on patients who underwent CCTA between 1 month and 3 years prior to the occurrence of a MACE. Deep learning and computational fluid dynamics algorithms based on CCTA were applied to extract adverse plaque characteristics (low-attenuation plaque, positive remodeling, napkin-ring sign, and spotty calcification), and hemodynamic parameters (fractional flow reserve derived by coronary computed tomographic angiography [FFR], change in FFR across the lesion [△FFR], wall shear stress [WSS], and axial plaque stress [APS]).
View Article and Find Full Text PDFBackground: It was recently reported that thin-cap fibroatheroma (TCFA) detected by optical coherence tomography was an independent predictor of future cardiac events in patients with diabetes. However, the clinical usefulness of this finding is limited by the invasive nature of optical coherence tomography. Computed tomography angiography (CTA) characteristics of TCFA have not been systematically studied.
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