Surgery today
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To evaluate childhood bicycle handlebar injuries. ⋯ Although bicycle handlebar injuries occur at relatively low speeds, the transfer of energy from the end of the handlebar, with a small cross-sectional area, to a small field leads to intra-abdominal injuries that are more severe than predicted. Thus, bicycle handlebar injuries should be considered as a serious intraabdominal injury until proven otherwise.
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Comparative Study
Fantoni translaryngeal tracheostomy versus ciaglia blue rhino percutaneous tracheostomy: a retrospective comparison.
To compare the operative technique and complications of the Fantoni tracheostomy (TLT) with those of the Ciaglia Blue Rhino tracheostomy (CBR). We also compared the costs of mini-invasive tracheostomy with those of surgical tracheostomy (ST). ⋯ Mini-invasive tracheostomies are easy, safe, and fast. Ciaglia Blue Rhino tracheostomy took less time to perform and had fewer complications than TLT, because the technique was simpler.
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To investigate the characteristics and outcomes of surgical patients who were readmitted to the intensive care unit (ICU). ⋯ The mortality of surgical patients with ICU readmission was high with respiratory complications being the most important issue.
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Two patients with omental torsion, who presented with acute abdomen, are reported. The first case, a 14-yearold boy, was admitted for acute appendicitis. During surgery, omental torsion on the long axis was diagnosed and the involved omentum was resected. ⋯ The involved portion of the omentum was also resected. Omental torsion is a rare cause of acute abdomen in children and adults, who may present with various signs and symptoms mimicking other etiologies of acute abdomen. A preoperative diagnosis may therefore be difficult and it usually can only be established during surgery.
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Patient-controlled epidural analgesia (PCEA) was developed for use after surgery for thoracic esophageal cancer to relieve wound pain, introduce early rehabilitation, and provide an uneventful postoperative recovery. ⋯ Early rehabilitation is facilitated with intensive PCEA, while it also improves postoperative management and reduces hospitalization after esophageal surgery.