Journal of surgical oncology
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Clinical Trial
Intravenous electrocardiography helps inexperienced operators to place totally implantable venous access device more accurately.
Proper tip position is a major determinant of totally implantable venous access device (TIVAD) outcome. The aim of this study is to analyze the potential utilization of intravenous electrocardiography (IV-ECG) to help inexperienced operators for TIVAD placement. ⋯ IV-ECG is a safe and convenient method to help inexperienced operators placing TIVAD.
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Approximately 50% of patients with metastatic disease develop a malignant pleural effusion (MPE). Prompt clinical evaluation and treatment to achieve successful palliation are the main goals of management of MPE. ⋯ Management options include observation, thoracentesis, indwelling pleural catheter (IPC) or chest tube placement, pleurodesis, and surgical pleurectomy. The treatment for each patient should be based on symptoms, general condition, and life expectancy.
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Abdominoperineal resections (APR) for anorectal tumors are associated with a high rate of perineal wound complications. The aim of this study was to evaluate the impact of pseudocontinent perineal colostomy (PPC) following APR on perineal wound healing. ⋯ PPC accelerates perineal wound healing after APR without decreasing the overall perineal complication rate.