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991.
992.
Non-suture closure of wound using cyanoacrylate 总被引:2,自引:0,他引:2
993.
Spindle cell carcinoma of the penis has been documented only twice in the literature. We report a case illustrating the clinical and pathologic features with emphasis on the histologic difference from the squamous cell lesions. 相似文献
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Venkatesh PK Motwani B Sherman N Ying SC Tilahun E Garon JE Feldman L 《The American journal of the medical sciences》2004,328(5):286-289
Extrapulmonary small-cell carcinoma arising in the prostate gland has been described in several case series and case reports. However, pure small-cell carcinoma of the prostate is rare, and there are only a few reports in literature describing the clinical features and management of this neoplasm. These tumors are highly aggressive and commonly manifest with visceral metastasis at the time of diagnosis. We report a case of metastatic pure prostatic small-cell carcinoma and an associated paraneoplastic polyneuropathy. 相似文献
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AM?PatwardhanEmail author VS?Lad N?Kumar S?Agarwala C?Binoy NB?Agrawal VB?Pai JV?Khandekar BV?Dalvi YY?Lokhandwala 《Indian Journal of Thoracic and Cardiovascular Surgery》2003,19(3):136-140
Background We studied the effectiveness of Radiofrequency (RF) modified maze in early and late restoration of sinus rhythm in patients
with rheumatic heart disease (RHD).
Methods We studied 84 patients with RHD over 23.6±12.5 months after the RF modified maze and another group of 64 patients over six
months after valvular surgery alone (the Non-Maze group). Any thromboembolic episodes and NYHA class of the patient were recorded.
The short term survivors in sinus rhythm, underwent stress test and echocardiography for atrial transport function at 3–6
months after surgery.
Results In the Maze group, sinus rhythm was restored in 60/70 patients (85.71%) immediately and sustained in 55/70 patients (78.57%)
over the follow-up as against an immediate conversion rate of 5.3% (5/53 patients, p<0.001) in the Non-maze group. The additional
Cardiopulmonary (CP) bypass time (p=0.13) and cross clamp time (p=0.511) needed for maze is not statistically significant.
Left atrial (LA) transport function was preserved in 41/51 patients (80.4%) and Right atrial (RA) transport function in 51/51
patients (100%). Stress test showed good chronotropic response in all the 41 patients in whom it was performed. In the Maze
group one patient presented with acute valve thrombosis and subsequently, succumbed to it. In the non maze group 3/55 patients
(5.66%) were hospitalized for stroke. No patient needed permanent pacemaker nor was sinus node dysfunction seen. The immediate
postoperative morbidity and mortality was comparable in the two groups.
Conclusions The RF modified maze is safe, effective and brief without any additional risk. It restores sinus rhythm in the majority, however
there is an attrition in some. 相似文献
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