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Blunt Dissection

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1. Use of Diathermy Versus Blunt Dissection in TEP for Inguinal Hernia

Use of Diathermy Versus Blunt Dissection in TEP for Inguinal Hernia Use of Diathermy Versus Blunt Dissection in TEP for Inguinal Hernia - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Use of Diathermy (...) Versus Blunt Dissection in TEP for Inguinal Hernia The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03665883 Recruitment Status : Recruiting First Posted : September 11, 2018 Last Update Posted : September 12, 2018 See

2018 Clinical Trials

2. Deconstructing Dissections: A Case Report and Review of Blunt Cerebrovascular Injury of the Neck Full Text available with Trip Pro

Deconstructing Dissections: A Case Report and Review of Blunt Cerebrovascular Injury of the Neck Blunt cerebrovascular injury (BCVI) is a term encompassing traumatic carotid and vertebral artery dissection or disruption. While the reported incidence appears to be increasing as diagnostic modalities improve, these injuries are often diagnosed only after patients have developed acute neurologic symptoms. These injuries often result in severe permanent neurologic disability or death. The gold (...) standard for diagnosis has historically been a 4-vessel arteriogram. However, newer data are suggesting that computed tomographic angiography may be more appropriate for most patients and new criteria for its utilization have been developed. We report a case of bilateral carotid dissection in a 23-year-old woman involved in a motor vehicle collision (MVC). She initially presents with a normal neurologic exam and two hours later develops hemiparesis. She is treated with antiplatelet therapy and given

2018 Case Reports in Emergency Medicine

3. Traumatic Coronary Artery Dissection with Secondary Acute Myocardial Infarction after Blunt Thoracic Trauma Full Text available with Trip Pro

Traumatic Coronary Artery Dissection with Secondary Acute Myocardial Infarction after Blunt Thoracic Trauma We report the case of a 41-year-old male with traumatic coronary artery dissection after a high-speed motor vehicle collision. Computed tomography imaging revealed multiple intracranial subdural and subarachnoid bleedings, a skull base fracture and multiple bilateral rib fractures. There was no pericardial hemorrhage, haemothorax or pneumothorax. No intra-abdominal lesions were found (...) . A 12-lead electrocardiogram on arrival showed an acute myocardial infarction. Emergency angiography showed complete dissection of the right coronary artery without reflow after placement of 6 coronary stents. The patient passed away the day after. In retrospective, the right coronary dissection was visible on the trauma CT-scan.

2018 Journal of the Belgian Society of Radiology

4. A 21-Year-Old Man With Coronary Artery Dissection After Blunt Trauma to the Chest Full Text available with Trip Pro

A 21-Year-Old Man With Coronary Artery Dissection After Blunt Trauma to the Chest 29642993 2019 02 12 1866-0452 115 12 2018 03 23 Deutsches Arzteblatt international Dtsch Arztebl Int A 21-Year-Old Man With Coronary Artery Dissection After Blunt Trauma to the Chest. 209 10.3238/arztebl.2018.0209 arztebl.2018.0209 Bösche Leif Ilja LI Schildhauer Thomas Armin TA Hamsen Uwe U eng Journal Article Germany Dtsch Arztebl Int 101475967 1866-0452 2018 4 13 6 0 2018 4 13 6 0 2018 4 13 6 0 ppublish

2018 Deutsches Ärzteblatt international

5. A blunt dissection technique using the LigaSure vessel-sealing device improves perioperative outcomes and postoperative splenic-vessel patency after laparoscopic spleen- and splenic-vessel-preserving distal pancreatectomy. (Abstract)

A blunt dissection technique using the LigaSure vessel-sealing device improves perioperative outcomes and postoperative splenic-vessel patency after laparoscopic spleen- and splenic-vessel-preserving distal pancreatectomy. We have recently performed a blunt dissection technique using LigaSure technology for laparoscopic spleen- and splenic-vessel-preserving distal pancreatectomy to reduce the risk of bleeding during the dissection of the splenic vessels. The aim of this study was to compare (...) the utility of the blunt dissection technique and a conventional dissection technique during laparoscopic spleen- and splenic-vessel-preserving distal pancreatectomy.Fifty-five patients who underwent laparoscopic spleen- and splenic-vessel-preserving distal pancreatectomy performed by a single surgeon between March 2003 and December 2015 were enrolled in this retrospective single-center study. The patients were divided into the LigaSure group (n = 23) and non-LigaSure group (n = 26). Perioperative

2018 Surgical endoscopy

6. Bilateral Carotid and Vertebral Artery Dissection from Blunt Trauma Full Text available with Trip Pro

Bilateral Carotid and Vertebral Artery Dissection from Blunt Trauma Carotid and vertebral artery injuries are rare following blunt trauma. They can, however, lead to severe consequences with a significant associated rate of stroke and intracranial hemorrhage, particularly if the diagnosis and treatment are delayed. We report a case of a 23-year-old female who presented to the Emergency Department with bilateral carotid and vertebral artery dissection following a motor vehicle collision (MVC).

2018 Case Reports in Emergency Medicine

7. What Is the Diagnostic Accuracy of Point-of-Care Ultrasonography in Patients With Suspected Blunt Thoracoabdominal Trauma? Full Text available with Trip Pro

What Is the Diagnostic Accuracy of Point-of-Care Ultrasonography in Patients With Suspected Blunt Thoracoabdominal Trauma? What Is the Diagnostic Accuracy of Point-of-Care Ultrasonography in Patients With Suspected Blunt Thoracoabdominal Trauma? - Annals of Emergency Medicine Email/Username: Password: Remember me Search Terms Search within Search Share this page Access provided by Volume 74, Issue 3, Pages 400–402 What Is the Diagnostic Accuracy of Point-of-Care Ultrasonography in Patients (...) With Suspected Blunt Thoracoabdominal Trauma? x Brit Long , MD (EBEM Commentator) , x Michael D. April , MD, DPhil (EBEM Commentator) Department of Emergency Medicine, San Antonio Uniformed Services Health Education Consortium, Fort Sam Houston, TX DOI: | Publication History Published online: February 14, 2019 Expand all Collapse all Article Outline Take-Home Message In patients with blunt trauma, a positive point-of-care ultrasonography result can identify thoracoabdominal injury with high specificity

2019 Annals of Emergency Medicine Systematic Review Snapshots

8. Blunt Chest Trauma-Suspected Cardiac Injury

coronary artery dissection. Int J Cardiovasc Imaging. 2006;22(1):97-100. 46. Christensen MD, Nielsen PE, Sleight P. Prior blunt chest trauma may be a cause of single vessel coronary disease; hypothesis and review. Int J Cardiol. 2006;108(1):1-5. 47. Grosse A, Grosse C, Steinbach L, Anderson S. MRI findings of prolonged post-traumatic sternal pain. Skeletal Radiol. 2007;36(5):423-429. 48. Subhas N, Kline MJ, Moskal MJ, White LM, Recht MP. MRI evaluation of costal cartilage injuries. AJR Am J Roentgenol (...) Blunt Chest Trauma-Suspected Cardiac Injury Date of origin: 2013 ACR Appropriateness Criteria ® 1 Blunt Chest Trauma American College of Radiology ACR Appropriateness Criteria ® Clinical Condition: Blunt Chest Trauma Variant 1: First-line evaluation. High-energy mechanism. Radiologic Procedure Rating Comments RRL* X-ray chest 9 Chest x-ray and CT/CTA are complementary examinations. ? CT chest with IV contrast 9 Ideally, this procedure should be performed with CTA. Chest x-ray and CT/CTA

2020 American College of Radiology

9. Adding fuel to the fire: Coronary artery dissection complicating blunt chest trauma. (Abstract)

Adding fuel to the fire: Coronary artery dissection complicating blunt chest trauma. A 21year-old male presented to the emergency department with 6 h of atypical chest pain after suffering blunt chest trauma. His electrocardiogram revealed 1-1.5mm ST segment elevation in leads V1-V3 with reciprocal depressions in II, III, and aVF. Mid-anterior wall akinesis was observed on echocardiography associated with an estimated left ventricular ejection fraction of 40%. A left main coronary artery (...) dissection was diagnosed and treated surgically with a bypass graft. Although rare, coronary dissections can be a catastrophic complication of chest trauma.Copyright © 2017 Elsevier Inc. All rights reserved.

2017 American Journal of Emergency Medicine

10. Blunt Dissection

Blunt Dissection Blunt Dissection Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Blunt Dissection Blunt Dissection Aka: Blunt (...) Dissection II. Indication III. Advantages over other surgical techniques (e.g. ED&C) Does not disturb normal tissue IV. Efficacy Cure rate in s approaches 90% V. Equipment Blunt Dissector or Schamberg acne expressor VI. Technique Administer anesthesia Outline edge of lesion Insert blunt tipped scissors between wart and skin Move tip circumferentially around wart Creates plane of dissection (separate wart from skin) Insert blunt dissector into cleavage plane Use short strokes to separate wart from skin

2018 FP Notebook

11. Society for Vascular Surgery (SVS) and Society of Thoracic Surgeons (STS) Reporting Standards for Type B Aortic Dissections

with an acute aortic syndrome, most commonly IMH as noted before, PAU may also be found incidentally on cross-sectional imaging in asymp- tomatic patients. Although PAUs were initially reported in association with IMH and rupture, PAU as a cause of aortic dissection was ?rst described in 1995. 44 Trauma Several grading systems have classi?ed blunt traumatic aortic injury into categories by presence of intimal tear, IMH, pseudoaneurysm, or free rupture. 45,46 Aortic dissection, as classically described (...) with intimal injury associated with a true and false lumen, may rarely result from blunt traumatic injury. Iatrogenic aortic dissection as a result of open or endovascular procedures, including cardiac surgery, 47 TEVAR, transcatheter aortic valve replacement, and car- diac catheterization, occurs rarely according to data from the IRAD registry (2.3%). 2 With rare exception, 47 most descriptions of iatrogenic dissection are isolated case re- ports or small case series. 48-50 Optimal treatment strate- gies

2020 Society of Thoracic Surgeons

12. Society for Vascular Surgery (SVS) and Society of Thoracic Surgeons (STS) reporting standards for type B aortic dissections Full Text available with Trip Pro

incidentally on cross-sectional imaging in asymptomatic patients. Although PAUs were initially reported in association with IMH and rupture, PAU as a cause of aortic dissection was first described in 1995. x 44 Benitez, R.M., Gurbel, P.A., Chong, H., and Rajasingh, M.C. Penetrating atherosclerotic ulcer of the aortic arch resulting in extensive and fatal dissection. Am Heart J . 1995 ; 129 : 821–823 | | | Trauma Several grading systems have classified blunt traumatic aortic injury into categories (...) | | | | | Aortic dissection, as classically described with intimal injury associated with a true and false lumen, may rarely result from blunt traumatic injury. Iatrogenic aortic dissection as a result of open or endovascular procedures, including cardiac surgery, x 47 Williams, M.L., Sheng, S., Gammie, J.S., Rankin, J.S., Smith, P.K., Hughes, G.C. et al. Aortic dissection as a complication of cardiac surgery: report from the Society of Thoracic Surgeons database. Ann Thorac Surg . 2010 ; 90 : 1812–1816

2020 Society for Vascular Surgery

13. Acute Myocardial Infarction Following Blunt Chest Trauma and Coronary Artery Dissection Full Text available with Trip Pro

Acute Myocardial Infarction Following Blunt Chest Trauma and Coronary Artery Dissection Blunt chest traumatic coronary artery dissection is an uncommon cause of atherosclerotic and non-atherosclerotic Acute Myocardial Infarction (AMI). Injuries of the coronary artery after blunt chest trauma are caused by different mechanisms such as vascular spasm, dissection and intimal tear or rupture of an existing thrombus formation. Chest pain might be masked by other injuries in patients with multiple (...) artery should be kept in mind after blunt trauma to the chest. This condition is sometimes underdiagnosed. Its diagnosis may be difficult because chest pain can be interpreted as being secondary to chest wall contusion or it may be overshadowed by other injuries. Coronary dissection diagnosis after chest trauma requires clinical suspicion and systematic evaluation. Electrocardiography (ECG) should be done for every patient with thoracic trauma as the clinical findings may be misleading.

2016 Journal of clinical and diagnostic research : JCDR

14. Experience of endovascular repair of thoracic aortic dissection after blunt trauma injury in a district general hospital Full Text available with Trip Pro

Experience of endovascular repair of thoracic aortic dissection after blunt trauma injury in a district general hospital Traumatic thoracic aortic dissection is uncommon in clinical practice; however, it is associated with high morbidity and mortality. Thoracic aortic dissection is usually caused by sudden deceleration resulting from a traffic accident or fall. Aortic injury after blunt trauma is a critical condition. This study reported the outcomes of endovascular repair of acute traumatic (...) aortic dissection in patients at a district general hospital.In this study, we retrospectively reviewed the clinical data of eight patients with acute traumatic aortic dissection after a blunt trauma who had undergone thoracic endovascular aortic repair (TEVAR) between January 2012 and December 2015 at a district general hospital in Taiwan.The median age of the patients was 49±22 years (range, 20-77 years), and 6 of the 8 (75%) patients were men. Five patients were involved in traffic accidents

2016 Journal of thoracic disease

15. Coronary Thrombosis without Dissection following Blunt Trauma Full Text available with Trip Pro

Coronary Thrombosis without Dissection following Blunt Trauma Blunt trauma to the chest resulting in coronary thrombosis and ST elevation myocardial infarction (STEMI) is a rare but well-described occurrence in adults. Angiography in such cases has generally disclosed complete epicardial coronary occlusion with thrombus, indistinguishable from the findings commonly found in spontaneous plaque rupture due to atherosclerotic disease. In all previously reported cases in which coronary (...) interrogation with intravascular ultrasound (IVUS) was performed in association with acute revascularization, coronary artery dissection was implicated as the etiology of coronary thrombosis. We present the first case report of blunt trauma-associated coronary thrombosis without underlying atherosclerosis or coronary dissection, as documented by IVUS imaging.

2016 Case reports in cardiology

16. Distant blunt forceps dissection in tissue expander insertion: A novel technique Full Text available with Trip Pro

Distant blunt forceps dissection in tissue expander insertion: A novel technique Tissue expansion using implantable expanders is a useful means of generating surplus tissue for reconstruction of defects such as scarring following burns. The authors describe their technique of incisions distant to the desired location of expander placement, and remote dissection of the expander pocket with hydrodissection and blunt forceps. A total of 81 expanders were placed in 30 consecutive patients, 81

2016 Plastic Surgery

17. Blunt traumatic dissection of right coronary artery presenting with acute inferior wall myocardial infarction: Dilemma in management Full Text available with Trip Pro

Blunt traumatic dissection of right coronary artery presenting with acute inferior wall myocardial infarction: Dilemma in management Thirty-nine year male had a history of road traffic accident with polytrauma. At emergency room he started having chest pain with ventricular tachycardia. He was subsequentially diagnosed with right coronary artery dissection secondary to blunt trauma which is an extremely rare cause of inferior wall myocardial infarction. After some dilemmas, he was ultimately

2016 Indian heart journal

18. CRACKCast E085 – Aortic Dissection

for thrombosis Aortic dissection : involves a column of blood that has found its way into the media, advancing either retrograde, antegrade or both Aortic aneurysm : a ballooning of all 3 layers out Pseudoaneurysm : tear in the adventitia – leading to hemorrhage enclosed in fascia Blunt thoracic rupture : transection involving all 3 layers with blood leaving lumen of aorta into chest cavity / pericardium Remember the mortality is: 1% per HOUR after the onset of the dissection. 1) What are the risk factors (...) for aortic dissection? Physiologic HTN Anatomic Hx Cardiac Surgery Bicuspid aortic valve Vasculitis / Connective Tissue disorder Medium to large vessel vasculitis (Takayasu’s arteritis, giant cell arteritis, and Behçet’s disease) Marfan Syndrome Loeys-Dietz (connective tissue disorder phenotypically similar to Marfan’s) Other Stimulant use Cardiac cath / Intra-aortic balloon insertion Blunt Trauma NOTE: ** High-speed deceleration injury most often = aortic rupture, this is a very different beast! However

2017 CandiEM

19. Blunt Dissection: A Solution to Prevent Bile Duct Injury in Laparoscopic Cholecystectomy Full Text available with Trip Pro

Blunt Dissection: A Solution to Prevent Bile Duct Injury in Laparoscopic Cholecystectomy Laparoscopic cholecystectomy (LC) has been a standard operation and replaced the open cholecystectomy (OC) rapidly because the technique resulted in less pain, smaller incision, and faster recovery. This study was to evaluate the value of blunt dissection in preventing bile duct injury (BDI) in laparoscopic cholecystectomy (LC).From 2003 to 2015, LC was performed on 21,497 patients, 7470 males and 14,027 (...) hepatic duct injury, 1 case of right hepatic duct injury, 1 case of accessory right hepatic duct, 1 case of aberrant BDI 1 case of biliary stricture, 1 case of biliary duct perforation, 3 cases of hemobilia, and 4 cases of bile leakage.Exposing Calot's triangle by blunt dissection in laparoscopic cholecystectomy could prevent intraoperative BDI.

2015 Chinese medical journal

20. Pilot Study Differential Dissector™ for Blunt Dissection

Pilot Study Differential Dissector™ for Blunt Dissection Pilot Study Differential Dissector™ for Blunt Dissection - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Pilot Study Differential Dissector™ (...) for Blunt Dissection The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT02382952 Recruitment Status : Withdrawn First Posted : March 9, 2015 Last Update Posted : August 5, 2016 Sponsor: University of North Carolina, Chapel Hill Information provided by (Responsible Party): University of North Carolina

2015 Clinical Trials

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