Articles: trauma.
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Severe posttraumatic ankle arthritis poses a reconstructive challenge in the young and active patient. Bipolar fresh total osteochondral allograft (BFTOA) may represent an intriguing alternative to arthrodesis and prosthetic replacement. The purpose of this article was to evaluate the outcomes of BFTOA performed through an anterior approach to the ankle and to investigate the parameters influencing the results. ⋯ Level IV, case series.
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Thoracic Surgery PostersSESSION TYPE: Poster PresentationsPRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PMPURPOSE: Advances in video-assisted thoracic surgery (VATS) techniques and associated technology have allowed the rapid development of uniportal VATS (UniVATS) lung resection in recent years. UniVATS may be associated with less access trauma and pain, quicker recovery and improved cosmesis. We review our experience and early outcomes for patients following UniVATS wedge resections (W), lobectomies (L) and pneumonectomy (P). ⋯ The following authors have nothing to disclose: Rainbow Lau, Calvin Ng, Micky Kwok, Randolph Wong, Eugene Yeung, Innes Wan, Song Wan, Malcolm UnderwoodNo Product/Research Disclosure Information.
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Critical Care Posters ISESSION TYPE: Poster PresentationsPRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PMINTRODUCTION: Cardiac arrest patients are often admitted to CCU/MICU depending on academic setting. We aimed to compare outcomes of cardiac arrest patients based on demographics of the patients admitted to CCU Vs MICU. We also tried to identify role of hypothermia in different type underlying arrest rhythms ⋯ Patients admitted to CCU had better survival rate, home returning rate, less LOS and Ventilator dependent day. The majority of the patients admitted to CCU had Vfib as underlying rhythm compared to PEA/Asystole in MICU patients. Greatest benefit of therapeutic hypothermia was seen in patients with Vfib than PEA/Asystole, with inverse survival relationship noticed if presenting rhythm was asystole.Reference #1: Circulation. 2003; 108: 118-121DISCLOSURE: The following authors have nothing to disclose: Parth Rali, Win NaingNo Product/Research Disclosure Information.
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ANZ journal of surgery · Mar 2014
Case ReportsTraumatic abdominal wall herniation: case series review and discussion.
Traumatic abdominal wall hernia (TAWH) is a rare type of hernia occurring secondary to blunt trauma to the abdomen. Its management remains controversial within the surgical community, mainly due to complexities in diagnosis, appropriate surgical approach and timing of closure. ⋯ TAWH is a complex injury to manage and no one approach is all encompassing. Correct diagnosis is essential as this allows proper planning for the method and timing of repair. This series highlighted that incorrect seatbelt placement, especially in the obese population, may be a risk factor for increased incidence of TAWH.
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Trauma is one of the major causes of morbidity and mortality. Thoracic injuries are associated with inflammatory complications such as ARDS. The pathogenesis of this complication after pulmonary injury is incompletely understood, but neutrophils are thought to play a pivotal role. The aim of this project was to gain more insight in the role of thoracic injuries in the pathophysiological processes that link systemic neutrophil activation with inflammatory complications after trauma. ⋯ Penetrating thoracic trauma leads to a distinct primed activation status of circulating neutrophils within hours. In addition to activation of cells, both young and reverse migrated neutrophils are released into the circulation. This degree of systemic inflammation does not exceed a threshold of inflammation that is needed for the development of inflammatory complications like ARDS.