Int Surg
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In order to study the microsurgical techniques of olfactory groove meningiomas invading the skull base and the reconstruction of the skull base, clinical materials of 17 patients with olfactory groove meningiomas were analyzed retrospectively. Simpson Grade I resection was achieved in all cases. No death, cerebrospinal fluid rhinorrhea, or intracranial infection occurred postoperatively, and no tumor recurrence was observed after a 1- to 9-year follow-up. For olfactory groove meningiomas invading the skull bases, microsurgical total removal of the lesions as well as the complete reconstruction of the skull bases is essential in order to achieve total tumor resection and impede tumor recurrence without serious complication.
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Case Reports
Simultaneous bilateral anterior fracture dislocation of the shoulder with neurovascular injury: report of a case.
This paper reports an unusual case of orthopedic trauma in a 29-year-old man who experienced concomitant bilateral anterior shoulder fracture dislocation with associated brachial plexus and axillary artery injury. We also highlight the mechanism underlying this rare workplace injury related to use of a forklift.
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Nonoperative (NON-OP) management has been accepted as the treatment of choice for stable patients sustaining blunt liver injury. The objectives were to evaluate the results and changes in the treatment of grades 3 and 4 liver injuries and to determine the impact of NON-OP management on mortality. This was a retrospective review of all grade 3 and 4 blunt liver injuries treated during a 15-year period. ⋯ The mortality rate in the NON-OP group was 0%. NON-OP was associated with a 23.5% reduction in mortality. Unnecessary OP management of grades 3 and 4 liver injuries should be discouraged.
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Case Reports
Medial hemisoleus muscle flap: a reliable flap for soft tissue reconstruction of the middle-third tibial wound.
Although the medial hemisoleus muscle has been considered a local reconstructive option for soft-tissue reconstruction of the middle-third tibial wound, its reliability and usefulness has been debated among plastic surgeons. This study reports one surgeon's experience with medial hemisoleus muscle flaps and shows their application for soft tissue reconstruction of middle-third tibial wounds. Over the past 2 years, 10 patients underwent soft tissue reconstruction of a middle-third tibial wound with a medial hemisoleus muscle flap and skin graft. ⋯ The tibial wounds of all patients subsequently healed with excellent cosmetic outcome during follow-up. The results from this study indicate that the medial hemisoleus muscle flap is reliable for soft-tissue reconstruction of a middle-third tibial wound. Meticulous flap elevation with the preservation of perforators to the flap is the key for such success.
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Review Case Reports
Extra-adrenal nonfunctional retroperitoneal paraganglioma: case report and review of the literature.
An extra-adrenal paraganglioma is a rare tumor derived from the chromaffin cells of sympathetic ganglia. This report documents a rare case of nonfunctional extra-adrenal paraganglioma in a 20-year-old woman with persistent flank pain. Ultrasonography and computed tomography revealed a solid mass with calcification in center, measuring 7 x 6 x 6 cm, and localized in the left upper para-aortal retroperitoneal region. ⋯ Tumor was successfully removed through a midline laparotomy incision, and pathological analysis of the surgical specimen revealed a paraganglioma. After 12 months, the patient is still in a good health, asymptomatic, and without evidence of tumor recurrence. This case emphasizes the necessity to include extra-adrenal paraganglioma in the differential diagnosis and management of retroperitoneal tumors, despite its rarity.