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Management of Specific Wounds
7 Management of Specific Wounds Bite Wounds 174 Hygroma 234 Burns 183 Snakebite 239 Inhalation Injuries 195 Brown Recluse Spider Bites 240 Chemical Burns 196 Porcupine Quills 240 Electrical Injuries 197 Lower Extremity Shearing Wounds 243 Radiation Injuries 201 Plate 10: Pipe Insulation Protective Frostbite 204 Device: Elbow 248 Projectile Injuries 205 Plate 11: Pipe Insulation to Protect Explosive Munitions: Ballistic, the Greater Trochanter 250 Blast, and Thermal Injuries 227 Plate 12: Vacuum Drain Impalement Injuries 227 Management of Elbow Pressure Ulcers 228 Hygromas 252 Atlas of Small Animal Wound Management and Reconstructive Surgery, Fourth Edition. Michael M. Pavletic. © 2018 John Wiley & Sons, Inc. Published 2018 by John Wiley & Sons, Inc. Companion website: www.wiley.com/go/pavletic/atlas 173 174 Atlas of Small Animal Wound Management and Reconstructive Surgery BITE WOUNDS to the skin. Wounds may be covered by a thick hair coat and go unrecognized. The skin and underlying Introduction issues can be lacerated, stretched, crushed, and avulsed. Circulatory compromise from the division of vessels and compromise to collateral vascular channels can result in Bite wounds are among the most serious injuries seen in massive tissue necrosis. It may take several days before small animal practice, and can account for 10–15% of all the severity of tissue loss becomes evident. All bites veterinary trauma cases. The canine teeth are designed are considered contaminated wounds: the presence of for tissue penetration, the incisors for grasping, and the bacteria in the face of vascular compromise can precipi- molars/premolars for shearing tissue. The curved canine tate massive infection. teeth of large dogs are capable of deep penetration, whereas the smaller, straighter canine teeth of domestic cats can penetrate directly into tissues, leaving a rela- tively small cutaneous hole. -
Reconstructive
RECONSTRUCTIVE Muscle versus Nonmuscle Flaps in the Reconstruction of Chronic Osteomyelitis Defects Christopher J. Salgado, Background: Surgical treatment of chronic osteomyelitis requires aggressive M.D. debridement followed by wound coverage and obliteration of dead space with Samir Mardini, M.D. vascularized tissue. Controversy remains as to the effectiveness of different tissue Amir A. Jamali, M.D. types in achieving these goals and in the eradication of disease. Juan Ortiz, M.D. Methods: Chronic osteomyelitis was induced in 26 goat tibias using Staphylo- Raoul Gonzales, D.V.M., coccus aureus as an infecting inoculum. In a single stage, debridement followed Ph.D. by reconstruction using either a muscle flap (n ϭ 13) or a fasciocutaneous flap Hung-Chi Chen, M.D. (n ϭ 13) was performed. Flap donor sites were closed primarily and antibiotics El Paso, Texas; Kaohsiung, Taiwan; were given for 5 days postoperatively. Daily clinical evaluation for 1 year was and Sacramento, Calif. performed and monthly radiographs were obtained for 9 months and 1 year after the reconstruction. Results: Twenty-five flaps survived completely, and one nonmuscle flap under- went partial flap loss following a period of venous congestion. There were no postoperative complications in the muscle flap group. Two goats (15 percent) in the nonmuscle group developed superficial wounds in the immediate post- operative period that resolved with conservative management. No limbs had recurrent osteomyelitis wounds at 1 year of clinical follow-up examination. Radiographic evidence of osteomyelitis was present in two goats (15 percent) in the muscle group and one goat (8 percent) in the nonmuscle group. -
(TECA) Surgery
Audit of Total Ear Canal Ablation-Lateral Bulla Osteotomy Procedures Performed by One Surgeon Audit project lead: D G Bentley Subject/area of practice: Surgery/Dermatology Date: January 2nd 2018 Reasons for Audit: To determine how complication rate of this procedure, both short and long term, compare with that in recently published literature and to be sure this procedure should be still be offered in-house rather than being referred to a surgical specialist. Background Total Ear Canal Ablation-Lateral Bulla Osteotomy (TECA-LBO) procedures on dogs (and cats) have been performed by this surgeon since 1991 and since that time over 260 procedures have been performed. The surgeon also runs a dermatology service with special interest in ear disease and wishes to provide a complete service whereby cases that are beyond medical treatment can go to surgery without being referred to a specialist surgeon. Indications for TECA-LBO are “end stage otitis”, where there is chronic irreversible change to the ear canal, intractable ear infections particularly as a result of middle ear infection and changes in the vicinity of the tympanic membrane/lower horizontal ear canal, and tumours in the ear canal which cannot be dealt with either by Lateral Wall Resection or Vertical Canal Ablation. Also sometimes, due to financial reasons, a client may prefer surgery to lengthy courses of treatment, requiring several anaesthetics and ear flushings, with no guarantee of success at the outset. The surgeon first learnt the technique that was published in video format in the “In Practice” series around 1991. This involved the use of an osteotome to separate the ear canal from the bulla and also looking for the facial nerve and pulling it out of the way using penrose drain material. -
228 April 2003 Category 1
Laparoscopica cantireflux Edward T Chory, MD Tracey A Ross, CST, MEd surgery astroesophageal Reflux The number of undiagnosed cases Disease (GERD) is a com- promises to be much higher based mon condition with a on the millions of heartburn suf- heavy economic impact. In ferers who take over-the- G a study published in the counter medications to treat May 2002 issue of Gastroenterol- their symptoms. GERD is also the ogy, researchers calculated that most expensive of the digestive GERD is one of the most preva- conditions with annual direct lent digestive diseases in America costs at $9.3 billion.1 with 19 million diagnosed cases.1 APRIL 2003 The Surgical Technologist 13 228 APRIL 2003 CATEGORY 1 Indirect costs, such as missed work and lower (painful swallowing), esophageal spasm, and productivity, would be almost impossible to more rarely GI bleeding (hematemesis or mele- measure accurately. However, companies and na). Tertiary symptoms are unrelated to the individuals are likely to feel the financial impact esophagus, such as reflux-induced asthma, in increased insurance premiums. For example, hoarseness and pharyngitis. Tertiary symptoms in 2002, the Wall Street Journal reported that the have increasingly been considered indications cost of proton pump inhibitors (PPIs) increased for antireflux surgery, and recent reports have General Motors’ health care budget for employ- documented excellent results, particularly for ees and retirees more than $55 million.2 reflux-induced asthma.11 With increasing experience in laparoscopic Traditionally, antireflux surgery was reserved antireflux surgery over the last 10 years, mor- for patients who did not respond to medical bidity has decreased, outcomes have improved therapy. -
22Nd European Conference on General Thoracic Surgery ABSTRACTS
22ND EUROPEAO N C NFERENCE ON GENERAL THORACIC SURGERY COPENHAGEN – DENMARK 2014 22 nd European Conference European onGeneral ABSTRACTS 15 –18June2014 Copenhagen www.ests.org of Thoracic of Thoracic Surgeons SocietyEuropean – Thoracic SurgeryThoracic Denmark 22nd European Conference on General Thoracic Surgery 15 – 18 June 2014 Bella Center, Copenhagen, Denmark 01 ests2014_toc.indd 1 14.05.2014 14:05:18 22nd European Conference on General Thoracic Surgery 2 01 ests2014_toc.indd 2 14.05.2014 14:05:18 Copenhagen – Denmark – 2014 TABLE OF CONTENTS TABLE OF CONTENTS Monday, 16 June 2014 Session I/ Brompton 5 Session II/ Videos 17 Session III/ Pulmonary Non Neoplastic 23 Session IV/ Young Investigators Award 32 Session V/ Pulmonary Neoplastic I 51 Session VI/ Innovative/Experimental 63 Oscar Night Videos 78 Tuesday, 17 June 2014 Session VIII/ Mixed Thoracic I 85 Session IX/ Mixed Thoracic II 97 Session X/ Pulmonary Neoplastic II 109 Session XI/ Videos II 123 Session XII/ Interesting Cases 129 Session XIII/ Oesophagus/Mediastinum 134 Session XIV/ Airway/Transplantation 146 Session XV/ Chest Wall/Diaphragm/Pleura 155 Session XVI/ MITIG – VATS RESECTIONS 166 Posters 178 Nurse Symposium-Oral 332 Nurse Symposium-Posters 342 List of Authors 361 3 01 ests2014_toc.indd 3 14.05.2014 14:05:18 22nd European Conference on General Thoracic Surgery ABSTRACTS 4 02_ests2014.indd 4 14.05.2014 14:07:30 Abstracts 001 - 006 Copenhagen – Denmark – 2014 ABSTRACTS Monday A.M. MONDAY, 16 JUNE 2014 08:30 - 10:30 SESSION I: BROMPTON B-001 ERGON – TRIAL: ERGONOMIC EVALUATION OF SINGLE-PORT ACCESS VERSUS THREE-PORT ACCESS VIDEO-ASSISTED THORACIC SURGERY Luca Bertolaccini1, A. -
Preliminary Programme VERSION 3 MAY 2017
PRELIMINARY PROGRAMME VERSION 3 MAY 2017 You can register online now CLICK HERE OPPortUNITIES AND CHALLENGES ANNUAL SCIENTIFIC MEETING 28 – 30 June 2017 ICC BIRMINGHAM PLATINUM SPONSOR British Association of Oral and Maxillofacial Surgeons The Royal College Surgeons, 35-43 Lincoln’s Inn Fields, London WC2A 3PE Email: [email protected] Website: www.baoms.org.uk Plan ahead Contact us at: [email protected] +44 1635 262 400 BAOMS Flyer.1.indd 3 3/21/17 2:33 PM BIRMINGHAM 2017 PRELIMINARY PROGRAMME 3 CONTINUING ProFESSIONAL DEVELOPMENT (CPD) CONTENTS This scientific meeting aims to provide attendees with the opportunity to gain up to date knowledge on the latest developments in research, audit, education, surgical techniques, INtroDUCTION clinical patient management and outcomes in the field of oral and maxillofacial surgery. from ThE BAOMS PRESIDEnT This is delivered through seminars led by experts in their field, masterclasses and short papers presenting the latest research and developments. Participants should verify their own attendance record out of the maximum hours 4 available, which have been calculated as follows: Wednesday 28 June CPD hours 5.25 BAOMS COunCIL 2017 Thursday 29 June CPD hours 6.25 Friday 30 June CPD hours 6.25 4 CERTIFicaTES OF ATTENdaNCE Certificates of attendance indicating the CPD hours for the elements of the meeting ExhIBITIOn PLAn & LISTIngS booked by the attendee will be sent by email after the conference. SIGNING THE ATTENdaNCE REGISTER 5 In order to meet the requirements of verifiable CPD attendees should sign in at the Registration Desk on each day that they attend the conference. -
Answer Key Chapter 1
Instructor's Guide AC210610: Basic CPT/HCPCS Exercises Page 1 of 101 Answer Key Chapter 1 Introduction to Clinical Coding 1.1: Self-Assessment Exercise 1. The patient is seen as an outpatient for a bilateral mammogram. CPT Code: 77055-50 Note that the description for code 77055 is for a unilateral (one side) mammogram. 77056 is the correct code for a bilateral mammogram. Use of modifier -50 for bilateral is not appropriate when CPT code descriptions differentiate between unilateral and bilateral. 2. Physician performs a closed manipulation of a medial malleolus fracture—left ankle. CPT Code: 27766-LT The code represents an open treatment of the fracture, but the physician performed a closed manipulation. Correct code: 27762-LT 3. Surgeon performs a cystourethroscopy with dilation of a urethral stricture. CPT Code: 52341 The documentation states that it was a urethral stricture, but the CPT code identifies treatment of ureteral stricture. Correct code: 52281 4. The operative report states that the physician performed Strabismus surgery, requiring resection of the medial rectus muscle. CPT Code: 67314 The CPT code selection is for resection of one vertical muscle, but the medial rectus muscle is horizontal. Correct code: 67311 5. The chiropractor documents that he performed osteopathic manipulation on the neck and back (lumbar/thoracic). CPT Code: 98925 Note in the paragraph before code 98925, the body regions are identified. The neck would be the cervical region; the thoracic and lumbar regions are identified separately. Therefore, three body regions are identified. Correct code: 98926 Instructor's Guide AC210610: Basic CPT/HCPCS Exercises Page 2 of 101 6. -
ANNSURG-D-20-01577 Proofs.Pdf
CE: R.R.; ANNSURG-D-20-01577; Total nos of Pages: 8; ANNSURG-D-20-01577 REVIEW PAPER Electrocautery, Diathermy, and Surgical Energy Devices Are Surgical Teams at Risk During the COVID-19 Pandemic? à à à AQ2 Kimberley Zakka, Simon Erridge, MBBS, BSc, Swathikan Chidambaram, Michael Kynoch,y à à AQ3 James Kinross, and Sanjay Purkayastha Y, on behalf of the PanSurg collaborative group coronavirus disease-19 (COVID-19) pandemic there are understand- Objective: The aim of the study was to provide a rapid synthesis of available able concerns amongst the surgical community as to the risk of viral data to identify the risk posed by utilizing surgical energy devices intra- transmission within such surgical plumes. operatively due to the generation of surgical smoke, an aerosol. Secondarily it To date, live SARS-CoV2 has been detected in lower respira- aims to summarize methods to minimize potential risk to operating room staff. tory tract samples, saliva, feces, bile, and blood specimens.2,3 As Summary Background Data: Continuing operative practice during the such, during the perioperative process, precautions should be con- coronavirus disease-19 (COVID-19) pandemic places the health of operating sidered to minimize potential risk to the clinical team. Similar to the theatre staff at potential risk. SARS-CoV2 is transmitted through inhaled severe acute respiratory syndrome (SARS) and Middle East respira- droplets and aerosol particles, thus posing an inhalation threat even at tory syndrome outbreaks, there is a paucity of data on the potential of considerable distance. Surgical energy devices generate an aerosol of biolog- transmission of the virus intraoperatively. -
EACMFS16 Scientific Programme Monday, September 12, 2016
EACMFS16 Scientific programme Monday, September 12, 2016 TRAINEE DAY: AOCMF LECTURE - ADVANCES IN COMPUTER-ASSISTED MICROVASCULAR CRANIOMAXILLOFACIAL RECONSTRUCTION 08:00 - 10:00 MOUNTBATTEN 08:00 AOCMF LECTURE - ADVANCES IN COMPUTER-ASSISTED MICROVASCULAR CRANIOMAXILLOFACIAL RECONSTRUCTION TRAINEE DAY: HANDS-ON WORKSHOP I: COMPUTER ASSISTED MICROVASCULAR CRANIO MAXILLO-FACIAL 10:00 - 12:00 CAMBRIDGE 10:00 HANDS-ON WORKSHOP I: COMPUTER ASSISTED MICROVASCULAR CRANIO MAXILLO-FACIAL Chair: Majeed Rana (Germany) TRAINEE DAY: HANDS-ON WORKSHOP II: MECTRON PIEZOSURGERY 10:00 - 12:00 WINDSOR 10:00 HANDS-ON WORKSHOP II: MECTRON PIEZOSURGERY Chair: Manlio Galiè (Italy) Break: LUNCH BREAK IN THE CAMBRIDGE HALL 12:00 - 13:00 CAMBRIDGE TRAINEE DAY: JOHN LOWRY TRAINEE STUDY DAY – FROM THEN UNTIL NOW – MILESTONES OF CRANIOMAXILLOFACIAL SURGERY & RECONSTRUCTION 13:00 - 19:30 MOUNTBATTEN 13:00 WELCOME ADDRESS, INTRODUCTION OF FACULTY, COURSE OBJECTIVES 13:00 Manlio Galiè (Italy) 13:00 Majeed Rana (Germany) 13:00 Ian Martin (United Kingdom) 13:00 Ash Gulati () 13:15 ACADEMIC WRITING Jörg Wiltfang (Germany) 13:45 INTRODUCTION TO CRANIOFACIAL SURGERY: BASIC CONCEPTS AND PRINCIPLES Luigi Clauser (Italy) 13:45 INTRODUCTION TO CRANIOFACIAL SURGERY: BASIC CONCEPTS AND PRINCIPLES Manlio Galiè (Italy) 14:15 PRIMARY ORBITAL RECONSTRUCTION Majeed Rana (Germany) 14:45 SECONDARY ORBITAL RECONSTRUCTION Michael Grant (USA) 15:15 ORTHOGNATIC SURGERY AND DISTRACTION OSTEOGENESIS Manlio Galiè (Italy) 15:45 MILESTONE IN 3D VIRTUAL PLANNING OF ORTHOGNATHIC SURGERY Gwen Swennen (Belgium) 16:15 CRANIOMAXILLOFACIAL RECONSTRUCTION IN CONGENITAL AND ACQUIRED DEFORMATIES Nils-Claudius Gellrich (Germany) 16:45 DISCUSSION AND COFFEE BREAK 17:15 EUROPEAN TRAINEE BUSINESS MEETING 17:15 Majeed Rana (Germany) 17:15 M. Billa (Belgium) 17:45 PERSPECTIVES AND CHALLENGES IN RECONSTRUCTION AFTER ABLATIVE SURGERY Moni Abraham Kuriakose (USA) 18:15 RECONSTRUCTION WITH MYOCUTANEOUS MICROVASCULAR FLAPS Klaus D. -
Sansescofet-Dissertation
Copyright by Marta Sans Escofet 2020 The Dissertation Committee for Marta Sans Escofet Certifies that this is the approved version of the following Dissertation: Advancements in Ambient Ionization Mass Spectrometry Towards Improved Ovarian Cancer Research and Diagnosis Committee: Livia Schiavinato Eberlin, Supervisor Jennifer S. Brodbelt Richard M. Crooks Robert Tibshirani Advancements in Ambient Ionization Mass Spectrometry Towards Improved Ovarian Cancer Research and Diagnosis by Marta Sans Escofet Dissertation Presented to the Faculty of the Graduate School of The University of Texas at Austin in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy The University of Texas at Austin May 2020 Dedication To my parents, Ramon and Joana Acknowledgements I am extremely grateful for all the opportunities and support I have received during graduate school. It has been a truly exciting and enlightening experience, and I owe that to everyone who has been with me throughout this journey. First of all, I would like to thank my parents, Ramon and Joana, and my sister Mireia for always being my number one fans. Mom and dad, staying close to you despite being 5,000 miles apart has been a source of strength for me every day. Thank you for always being there during my good and bad moments and for your advice and words of encouragement. Your relationship inspires me, I admire everything you have accomplished together for our family with all your hard work. Thank you for teaching me the importance of enjoying everything you do and to live life at the fullest. Love you and miss you very much. -
Official Proceedings
Scientific Session Awards Abstracts presented at the Society’s annual meeting will be considered for the following awards: • The George Peters Award recognizes the best presentation by a breast fellow. In addition to a plaque, the winner receives $1,000. The winner is selected by the Society’s Publications Committee. The award was established in 2004 by the Society to honor Dr. George N. Peters, who was instrumental in bringing together the Susan G. Komen Breast Cancer Foundation, The American Society of Breast Surgeons, the American Society of Breast Disease, and the Society of Surgical Oncology to develop educational objectives for breast fellowships. The educational objectives were first used to award Komen Interdisciplinary Breast Fellowships. Subsequently the curriculum was used for the breast fellowship credentialing process that has led to the development of a nationwide matching program for breast fellowships. • The Scientific Presentation Award recognizes an outstanding presentation by a resident, fellow, or trainee. The winner of this award is also determined by the Publications Committee. In addition to a plaque, the winner receives $500. • All presenters are eligible for the Scientific Impact Award. The recipient of the award, selected by audience vote, is honored with a plaque. All awards are supported by The American Society of Breast Surgeons Foundation. The American Society of Breast Surgeons 2 2017 Official Proceedings Publications Committee Chair Judy C. Boughey, MD Members Charles Balch, MD Sarah Blair, MD Katherina Zabicki Calvillo, MD Suzanne Brooks Coopey, MD Emilia Diego, MD Jill Dietz, MD Mahmoud El-Tamer, MD Mehra Golshan, MD E. Shelley Hwang, MD Susan Kesmodel, MD Brigid Killelea, MD Michael Koretz, MD Henry Kuerer, MD, PhD Swati A. -
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