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Management of high-surgical risk patients with acute cholecystitis following percutaneous cholecystostomy. results of an international Delphi consensus study.
Int J Surg
March 2025
Department of Digestive and Emergency Surgery, "S.Maria" Hospital, Terni, Italy.
Background: The management of high-surgical risk patients with moderate to severe acute cholecystitis is challenging in clinical practice. Early laparoscopic cholecystectomy is considered the gold standard for patients who do not respond to conservative treatment. However, for those unfit for surgery due to high-surgical risk, alternative treatment options such as percutaneous cholecystostomy (PC) are available.
View Article and Find Full Text PDFMultidisciplinary Management of Single Organism Emphysematous Splenitis Without Splenectomy: A Case Report.
Cureus
March 2025
General Surgery, Fiona Stanley Hospital, Perth, AUS.
Emphysematous splenitis traditionally requires a splenectomy, resulting in life-long consequences for the patient. is often seen in an immunocompromised population. This case demonstrates a multidisciplinary team approach consisting of percutaneous drainage and a prolonged intravenous and oral antibiotic regime, including ceftriaxone and metronidazole, as well as amoxicillin and clavulanic acid, to provide a successful outcome in an elderly immunocompetent female.
View Article and Find Full Text PDFAnalysis of the therapeutic efficacy of OLIF combined with posterior percutaneous pedicle screw fixation in the treatment of patients with primary lumbar spondylodiscitis.
Front Surg
February 2025
Department of Orthopedics, Jiangxi Provincial People's Hospital, The First Affiliated Hospital of Nanchang Medical College, Nanchang, China.
Introduction: Primary lumbar spondylodiscitis is a serious condition with an increasing incidence rate.
Methods: From January 2021 to June 2023, we adopted a single-stage oblique lateral approach for the debridement of lumbar infection foci, intervertebral bone grafting fusion, tube irrigation drainage, combined with posterior percutaneous pedicle screw fixation for the treatment of primary lumbar spondylodiscitis.
Results: We found that this surgical technique significantly improved the patients' lower back pain symptoms.
Time to Percutaneous Drain Placement and Impact on Patient Outcomes.
Surg Infect (Larchmt)
March 2025
Department of Surgery, University of Kansas Medical Center, Kansas City, Kansas, USA.
Percutaneous drains are a commonly used method of source control for intra-abdominal infections. Increased time to source control has been shown to predict worse outcomes in patients with intra-abdominal infections, but it is unclear whether this relationship is valid when the source control method is percutaneous drainage. We hypothesized that increased time from diagnostic imaging to drain placement would be associated with higher complication rates in a population of patients requiring percutaneous drainage for intra-abdominal, retroperitoneal, or pelvic infectious processes.
View Article and Find Full Text PDFCarboxytherapy in Dermatologic Surgery and Aesthetic Medicine: Current Knowledge and Future Perspectives-A Systematic Review.
Dermatol Surg
March 2025
Plastic Surgery Unit, Department of Medicine, Surgery and Neuroscience, University of Siena, Siena, Italy.
Background And Objective: Carboxytherapy (CXT) is a minimally invasive procedure based on percutaneous or subcutaneous microinjections of carbon dioxide. Due to the Bohr effect, it influences the hemoglobin dissociation curve, improving tissue oxygenation, angiogenesis, facilitating vascular perfusion, and lymphatic drainage. Recent evidence suggests unconventional applications in dermatologic surgery and aesthetic medicine; these are focused with the present review.
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