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2.
Takahisa Okano Matthew D. Horton Gary G. Fermanis David A. Horton 《The Japanese Journal of Thoracic and Cardiovascular Surgery》2005,53(8):437-439
We report a re-do case of severe aortic valve stenosis due to pannus formation 29 years after an aortic Starr-Edwards caged-ball
valve implantation. A huge shelf of calcified and thick pannus tissue below the valve had reduced the already small orifice
by at least a third in surface area. The explanted Starr-Edwards valve revealed no mechanical or structural failure. Early
detection and treatment of pannus outgrowth is essential in order to prevent life-threatening prosthetic valve malfunctions. 相似文献
3.
报告股骨干骨折切开复位内固定术后不愈合27例。其中,17例钢板固定者,只4例符合要求,9例髓内针固定者,有5例针短小。尚伴有固定方法,钢板或髓内针断裂,以及感染等方面原因有。本组再手术26例1次手术治愈,1例2次手术治愈。绝大部分经带蒂骨皮质剥离^[1]和坚强内固定术后而愈合,不需植骨。产生骨折不愈合的诸因素中,以忽视内固定的基本原则与术中操作不当为主。 相似文献
4.
颈淋巴结复发是分化型甲状腺癌复发中最主要的一部分,其治疗的主要方案为再手术治疗。近年来一些如主动监测、射频消融、放射性碘治疗等代替手术治疗的方案逐渐被提出。部分治疗手段的效果及并发症仍有争议,再手术仍是首选的治疗方式,再术后的放射性碘治疗可能不会改善病人的预后,射频消融应仅限应用于不适合再次手术治疗的病人。 相似文献
5.
The fascia banded stoma Roux-en-Y gastric bypass (RYGBP) has been effective both as a primary and revision operation for severe
obesity or failure of another operation. Since May 1984, 361 primary and 100 revisional fascia banded RYGBP operations have
been reported. Weight loss achieved a mean body mass index of 30 for primary and 31 for revision patients at most recent follow-up
of 3-6 years (mean 4.3 years) postoperatively. Mean overweight was 28% for primary, and 34% for revision patients. Eighty
percent of primary and 79% of revision patients were within 50% of ideal weight. Revision rates for these patients were 0
for primary and 1% for revision patients. Operative mortality was 0 for primary and 1% for revision patients. Since morbidity
and mortality, although low, are higher for revision than primary surgery, it is important to use an effective primary operation. 相似文献
6.
Erosion of Marlex Mesh Collar after Vertical Banded Gastroplasty 总被引:1,自引:0,他引:1
Marlex mesh, as opposed to silastic ring, when used as a collar in the bariatric procedure of vertical banded gastroplasty,
has been reported rarely to erode into the gastric lumen. We report two cases of such an erosion, of which one ended as a
complete internalization of the collar into the stomach. In one of the patients we observed a wider than expected portion
of tissue that had been encircled by the collar, which might have caused a local inflammatory reaction leading to the later
erosion. 相似文献
7.
Frydenberg HB 《Obesity surgery》1991,1(3):315-317
Many forms of gastric banding have been described and high reoperation rates reported. These can be mainly attributed to excess
vomiting associated both with and without stenosis. Reflux oesophagitis and the ‘sump’ effect may be other causes. This paper
examines the problems associated with banding leading to revisional surgery and introduces a new technique, ‘fundal supporting
suture’, to correct these problems. Preliminary results on 126 bandings without the modification and 22 with the modification
are presented. 相似文献
8.
9.
目的探讨胆总管下段医源性损伤后不同的胆道再手术方法。方法回顾性分析重庆医科大学附属第一医院2005年6月至2015年9月收治的8例胆总管下段医源性损伤的临床资料。结果 8例中,2例采用胆总管局部修补,3例行Oddi括约肌切开成形,1例行胆管空肠Roux-en-Y吻合,1例直接行胰十二指肠切除,1例采用充分引流,术后均治愈出院,住院时间22~46 d,平均住院时间为31.5 d。结论根据损伤的具体部位、破口大小、合并症及发现时间的早晚,对不同病人采取个体化治疗;对胆总管下段损伤的预防及早期处理至关重要。 相似文献
10.
Management of recurrent and persistent metastatic lymph nodes in well‐differentiated thyroid cancer: A multifactorial decision‐making guide for the thyroid cancer care collaborative
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Mark L. Urken MD Mira Milas MD Gregory W. Randolph MD Ralph Tufano MD Donald Bergman MD Victor Bernet MD Elise M. Brett MD James D. Brierley MD Rhoda Cobin MD Gerard Doherty MD Joshua Klopper MD Stephanie Lee MD PhD Josef Machac MD Jeffrey I. Mechanick MD Lisa A. Orloff MD Douglas Ross MD Robert C. Smallridge MD David J Terris MD Jason B Clain BS Michael Tuttle MD 《Head & neck》2015,37(4):605-614