Aortic Dissection

Mr. A is admitted to the critical care unit post bowel resection, splenectomy, acute respiratory distress syndrome (ARDS) and patient-ventilator dyssynchrony (PVD). He is an eighteen-year-old African American man who is placed on an IV infusion of Norcuron and Ativan. The major outcomes expected for Mr. A would be for him to be able to wean of the ventilator, be hemodynamically stable, heal adequately, tolerate his diet, have adequate bowel elimination, and be able to adjust to his life with optimal functioning. The problems that are to be manage include, being on the ventilator, being sedated, having an elevated temperature, having a low hemoglobin, post surgical bowel resection, splenectomy, hypoxia and diet intolerance.

Patellar Dislocation and Subluxation With Phase I Rehab Patellar dislocation and patellar subluxation are injuries that happen when the kneecap (patella) slips out of its normal position in a groove in the end of the thighbone (femur). In a patellar dislocation, the kneecap slips all the way out of the groove. In a patellar disoclation, it slips partly out of the goove. CAUSES

The patient is a 65-year-old female who presents to the ED because of a diagnosis of a right subclavian thrombus at the level of her Port-A-Cath which had been inserted on 9/21/2015. The patient is known to have been diagnosed with breast cancer. She underwent a lumbar lumpectomy and requires chemotherapy that is why the tunnel catheter was inserted. She is also known to have hypertension and diabetes. She presents with pain and swelling over the site with some ecchymosis in the upper chest.

Surgical Repair If the thoracic aortic aneurysm become larger or you are already causing symptoms, you will need a quick treatment to prevent a rupture from occurring. The weakened section of the vessel can be replaced with a stent graft of artificial material and surgically removed. If the aortic aneurysm is so close to the aortic valve (the one that regulates blood flow from the heart into the aorta), a valve should be replace if the physician recommended it during the

In the case below it may have been appropriate initially to run the cardioplegia in a retrograde fashion instead of the more usual anteriorgrade as the incompetence of the aortic valve could allow the plegia to leak into the left ventricle instead of running down the coronary arteries (Cheng and David, 2006). Case study- Aortic valve and root

Although total hip arthroplasty (THA) remains to be one of the most successful procedures in modern orthopedic surgery, complications may occur. Dislocation is one of the major complications. Functional costs are substantial for patients and the health care system. Berry (2001) reported on prevalence rates ranging from lower than 1% to higher than 10%.

Ultimately doctors are the one who are going to perform this surgery. Case studies related to these surgeries has proven that the success and failure of these operational practises are entirely centred on proper positioning of hip resurfacing device. So along with better hospitals and modern tools choosing of experienced surgeon is also equally important for the surgery. Current studies have proven that the result of a hip resurfacing is totally based on surgeon’s expertise and that correct positioning of hip resurfacing devices is very vital. So, additionally with assuring that a proven tool is utilized, patients must take care in choosing a surgeon with expertise and a first-class track record.

The patient is advised to use axillary crutches to avoid any load on the surgical knee. Leg should be in elevation to reduce the swelling. On-weight bearing is advised then the patient is progressed to partial and full weight

From the general surgeon referring a critically ill patient for a cholecystostomy, embolisation, or gastrostomy; the surgical oncologist referring for biliary drainage, or ablation; or the vascular surgeon referring the “complicated” patient, I was intrigued by the breadth of multimodal, multidisciplinary procedures and dynamic skills of a single specialty. The following July, I began my training in small radiology residency program (2 residents per year) primarily based at a busy community hospital; which currently holds the claim as the only NYC hospital with dual trauma certification (Level 1 Adult and Level 2 Pediatrics) by the American College of Surgeons, as well as being a regional stroke center. This unique training environment has given me the opportunity to build on the strong clinical and procedural foundation fomented during my surgical training. I have been privileged with an abundance of hands-on experience.

Over the following years, it laid the base for heart transplantation to become a well-established form of therapy for end-stage cardiac disease. Today, the process of a heart transplant had become a relatively routine for many doctors. With the new discovery of heart transplants actually being successful, it helped in other surgeries such as orthopedic heart transplantation, development of heterotopic heart transplantation, xenotransplantation and many more. In orthopedic heart transplantation there were 10 patients and each one lived various of months or years after the surgery. Dirk van Zyl was the one who survived the longest of more than 23 years.

Introduction The twentieth century was a period introducing many breakthroughs in medicine. Large part of the medical discoveries and newly developed procedures of the mentioned time are influencing the illness treatment even today. The role of this paper is not to make an extensive overview on those discoveries but to focus the attention on the changes that occurred in the field of surgery. Typical surgical procedure involves the incision of the body in order to treat desired part leading to a lot of pain, possible blood loss, infections, scars, and long convalescence. The consequences mentioned might occur in even higher degree if the considered case is internal surgery.

INTRODUCTION Segmental bone defects can occur due to various etiologies and are complex tiring problem to deal with, for the surgeon, as well as for the patient. Bone defects can occur due to trauma, bone infection, congenital defects, excision of malignant tumors. Due to considerable long term morbidity, historically, amputation was the preferred treatment. Limb salvage has been tried with the use of bone grafts, bone transport and acute limb shortening. Vascularised bone grafting is technically demanding.(1,2)

9. Peterli R, Borbely Y, Kern B, Gass M, Peters T, Thurnheer M, et al. Early results of the Swiss Multicentre Bypass or Sleeve Study (SM-BOSS). Annals of Surgery 2013;258(5):690-5. 10.

the anti platelet theraphy can be used to patients who experiences clinical situation.an aortic bollon pump can be used to help patients with left ventricle systolic disfunction .. despite whatever amount or degree the aortic ballon pump can be utilised but it must be borne in our mind that a severe peripheral vascular disease of the aortoiliac and femoral arteries is a contraindication to IABP temporary position, expected high risk of lower extremity ischemia. The IABP is used to patients with severe aortic valve and the balloon treatment will worsened the condition. Patients who are stabilized are the only ones where coronary angiography should be performed and must be taken into a good care by surgical means in order to restore the circulation of blood so that the flow of blood can be maintained, in order to regulate prognosis. The people under the medical managing department will be of help in treating vsd include Digoxin is a medication which will help the heart to pump all the needed amount of blood by tightening or strengthing the muscles

By Jonas Wilson, Ing. Med. Vascular Surgery The surgical branch dealing with disorders of the circulatory system, which includes arteries, veins and lymphatic vessels, is called vascular surgery.