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Absorbable Surgical Gut Suture
Food and Drug Administration, HHS § 878.4840 § 878.4800 Manual surgical instrument in subpart E of part 807 of this chapter, for general use. subject to the limitations in § 878.9. (a) Identification. A manual surgical [53 FR 23872, June 24, 1988, as amended at 61 instrument for general use is a non- FR 1123, Jan. 16, 1996; 66 FR 38803, July 25, powered, hand-held, or hand-manipu- 2001] lated device, either reusable or dispos- able, intended to be used in various § 878.4820 Surgical instrument motors general surgical procedures. The device and accessories/attachments. includes the applicator, clip applier, bi- (a) Identification. Surgical instrument opsy brush, manual dermabrasion motors and accessories are AC-pow- brush, scrub brush, cannula, ligature ered, battery-powered, or air-powered carrier, chisel, clamp, contractor, cu- devices intended for use during surgical rette, cutter, dissector, elevator, skin procedures to provide power to operate graft expander, file, forceps, gouge, in- various accessories or attachments to strument guide, needle guide, hammer, cut hard tissue or bone and soft tissue. hemostat, amputation hook, ligature Accessories or attachments may in- passing and knot-tying instrument, clude a bur, chisel (osteotome), knife, blood lancet, mallet, disposable dermabrasion brush, dermatome, drill or reusable aspiration and injection bit, hammerhead, pin driver, and saw needle, disposable or reusable suturing needle, osteotome, pliers, rasp, re- blade. tainer, retractor, saw, scalpel blade, (b) Classification. Class I (general con- scalpel handle, one-piece scalpel, snare, trols). The device is exempt from the spatula, stapler, disposable or reusable premarket notification procedures in stripper, stylet, suturing apparatus for subpart E of part 807 of this chapter the stomach and intestine, measuring subject to § 878.9. -
Treatment of Equine Gastric Impaction by Gastrotomy R
EQUINE VETERINARY EDUCATION / AE / april 2011 169 Case Reporteve_165 169..173 Treatment of equine gastric impaction by gastrotomy R. A. Parker*, E. D. Barr† and P. M. Dixon Dick Vet Equine Hospital, University of Edinburgh, Easter Bush Veterinary Centre, Midlothian; and †Bell Equine Veterinary Clinic, Mereworth, UK. Keywords: horse; colic; gastric impaction; gastrotomy Summary Edinburgh with a deep traumatic shoulder wound of 24 h duration. Examination showed a mildly contaminated, A 6-year-old Warmblood gelding was referred for treatment of 15 cm long wound over the cranial aspect of the left a traumatic shoulder wound and while hospitalised developed scapula that transected the brachiocephalicus muscle a large gastric impaction which was unresponsive to and extended to the jugular groove. The horse was sound medical management. Gastrotomy as a treatment for gastric at the walk and ultrasonography showed no abnormalities impactions is rarely attempted in adult horses due to the of the bicipital bursa. limited surgical access to the stomach. This report describes The wound was debrided and lavaged under standing the successful surgical treatment of the impaction by sedation and partially closed with 2 layers of 3 metric gastrotomy and management of the post operative polyglactin 910 (Vicryl)1 sutures in the musculature and complications encountered. simple interrupted polypropylene (Prolene)1 skin sutures, leaving some ventral wound drainage. Sodium benzyl Introduction penicillin/Crystapen)2 (6 g i.v. q. 8 h), gentamicin (Gentaject)3 (6.6 mg/kg bwt i.v. q. 24 h), flunixin 4 Gastric impactions are rare in horses but, when meglumine (Flunixin) (1.1 mg/kg bwt i.v. -
Oral and Maxillofacial Surgery
ORAL AND MAXILLOFACIAL SURGERY 3rd EDITION 2/2012 US Chapter Pages 1 BASIC SETS OMFS-SET 1-36 TELESCOPES AND INSTRUMENTS FOR FRAKT 37-54 2 ENDOSCOPIC FRACTURE TREATMENT TELESCOPES AND INSTRUMENTS FOR TMJ 55-60 3 ARTHROSCOPY OF TEMPOROMANDIBULAR JOINT TELESCOPES AND INSTRUMENTS FOR DENT 61-80 4 MAXILLARY ENDOSCOPY TELESCOPES AND INSTRUMENTS DENT-K 81-120 5 FOR DENTAL SURGERY TELESCOPES AND INSTRUMENTS SIAL 121-134 6 FOR SIALENDOSCOPY 7 FLEXIBLE ENDOSCOPES FL-E 135-142 8 HOSPITAL SUPPLIES HS 143-240 9 INSTRUMENTS FOR RHINOLOGY AND RHINOPLASTY N 241-298 10 BIPOLAR AND UNIPOLAR COAGULATION COA 299-312 11 HEADMIRRORS – HEADLIGHTS OMFS-J 313-324 12 AUTOFLUORESCENCE AF-INTRO, AF 325-342 13 HOLDING SYSTEMS HT 343-356 VISUALIZATION SYSTEMS OMFS-MICRO, OMFS-VITOM 357-378 14 FOR MICROSURGERY OMFS-UNITS-INTRO, UNITS AND ACCESSORIES U 1-54 15 OMFS-UNITS COMPONENTS OMFS-SP SP 1-58 16 SPARE PARTS KARL STORZ OR1 NEO™, TELEPRESENCE 17 HYGIENE, ENDOPROTECT1 ORAL AND MAXILLOFACIAL SURGERY 3rd EDITION 2/2012 US Important information for U.S. customers Note: Certain devices and references made herein to specific indications of use may have not received clearance or ap- proval by the United States Food and Drug Administration. Practitioners in the United States should first consult with their local KARL STORZ representative in order to ascertain product availability and specific labeling claims. Federal (USA) law restricts certain devices referenced herein to sale, distribution, and use by, or on the order of a physician, dentist, veterinarian, or other practitioner licensed by the law of the State in which she/he practices to use or order the use of the device. -
Most Common Robotic Bariatric Procedures: Review and Technical Aspects Pablo A
Acquafresca et al. Ann Surg Innov Res (2015) 9:9 DOI 10.1186/s13022-015-0019-9 REVIEW Open Access Most common robotic bariatric procedures: review and technical aspects Pablo A. Acquafresca1, Mariano Palermo1*, Tomasz Rogula2, Guillermo E. Duza1 and Edgardo Serra1 Abstract Since its appear in the year 1997, when Drs. Cadiere and Himpens did the first robotic cholecystectomy in Brus- sels, not long after the first cholecystectomy, they performed the first robotic bariatric procedure. It is believed that robotically-assisted surgery’s most notable contributions are reflected in its ability to extend the benefits of minimally invasive surgery to procedures not routinely performed using minimal access techniques. We describe the 3 most common bariatric procedures done by robot. The main advantages of the robotic system applied to the gastric bypass appear to be better control of stoma size, avoidance of stapler costs, elimination of the potential for oro- pharyngeal and esophageal trauma, and a potential decrease in wound infection. While in the sleeve gastrectomy and adjustable gastric banding its utility is more debatable, giving a bigger advantage during surgery on patients with a very large BMI or revisional cases. Keywords: Bariatric surgery, Robotic surgery, Gastric by pass, Sleeve gastrectomy, Gastric band Background laparoscopy and robotic laparoscopy is now a controver- Since its appear in the year 1997, when Drs. Cadiere and sial topic that concerns patients and surgeons alike. Himpens did the first robotic cholecystectomy in Brussels To date, the robotic technique is reported to be at least [1], the da Vinci™ Robotic Surgical System from Intuitive as safe and effective as the conventional approach for sev- Surgical, Inc., Sunny Vale, California (Fig. -
Journal of Clinical Toxicology Iwai Et Al., J Clin Toxicol 2014, 4:6 ISSN: 2161-0495 DOI: 10.4172/2161-0495.1000218
linica f C l To o x l ic a o n r l o u g o y J Journal of Clinical Toxicology Iwai et al., J Clin Toxicol 2014, 4:6 ISSN: 2161-0495 DOI: 10.4172/2161-0495.1000218 Case Report Open Access Utility of Upper Gastrointestinal Endoscopy for Management of Patients with Roundup® Poisoning Kenji Iwai1, Masato Miyauchi2, Daisuke Komazawa1, Ryoko Murao1, Hiroyuki Yokota2, and Atushi Koyama1 1Department of Emergency and Critical Care Medicine, Iwaki Kyoritu General Hospital, Fukushima, Japan 2Department of Emergency and Critical Care Medicine, Nippon Medical School, Tokyo, Japan *Corresponding author: Masato Miyauchi, Department of Emergency and Critical Care Medicine, Nippon Medical School, Tokyo, Japan, Tel: +81-3-3822-2131; E-mail: [email protected] Received date: Nov 03, 2014, Accepted date: Dec 05, 2014, Published date: Dec 08, 2014 Copyright: © 2014, Miyauchi M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Abstract Introduction: Roundup® is a herbicide widely used in Japan in gardening and agriculture. When ingested, Roundup is highly toxic, but gastrointestinal decontamination, including gastric lavage, is not routinely performed after ingestion. Endoscopy may be useful in managing individuals with liquid herbicide poisoning, by identifying gastric residual contents, assessing mucosal damage and retrieving herbicide directly by aspiration. Case report: A 73 year old, 40 kg female with a history of depression was transported to our emergency room by ambulance 1 h after attempting suicide by ingesting 100 ml Roundup, which contains 48% glyphosate-potassium, and 52% surfactant and water. -
Hospitals for War-Wounded
hospitals_war_cover_april2003 9.6.2005 13:47 Page 1 ICRC HOSPITALS FOR WAR-WOUNDED HOSPITALS FORHOSPITALS WAR-WOUNDED This book is intended for anyone who is faced A practical guide for setting up with the task of setting up or running a hospital and running a surgical hospital which admits war-wounded. It is a practical guide in an area of armed conflict based on the experience of four nurses who have managed independent hospitals set up by the International Committee of the Red Cross. It addresses specific problems associated with setting up a hospital in a difficult and potentially dangerous environment. It provides a framework for the administration of such a hospital. It also describes a system for managing the patients from admission to discharge and includes guidelines on how to manage an influx of wounded. These guidelines represent a realistic and achievable standard of care whatever the circumstances. A practical guide 0714/002 05/2005 1000 HOSPITALS FOR WAR-WOUNDED International Committee of the Red Cross 19 Avenue de la Paix 1202 Geneva, Switzerland T +41 22 734 6001 F +41 22 733 2057 E-mail: [email protected] www.icrc.org # ICRC, April 2005, revised and updated edition This book is dedicated to the memory of Jo´n Karlsson (died in Afghanistan, 22 April 1992) Fernanda Calado Hans Elkerbout Ingebjørg Foss Nancy Malloy Gunnhild Myklebust Sheryl Thayer (died in Chechnya, 17 December 1996) HOSPITALS FOR WAR-WOUNDED A practical guide for setting up and running a surgical hospital in an area of armed conflict Jenny Hayward-Karlsson Sue Jeffery Ann Kerr Holger Schmidt INTERNATIONAL COMMITTEE OF THE RED CROSS ISBN 2-88145-094-6 # International Committee of the Red Cross, Geneva, 1998 WEB address: http://www.icrc.org CONTENTS vii CONTENTS FOREWORD ............................................ -
13. the Stomach & Duodenum
243 MEDICAL TREATMENT. 13 The stomach and No smoking, no alcohol, and frequent small meals may help the symptoms. Treatment with cimetidine 400mg bd duodenum or ranitidine 150mg bd for 4wks will cure 70% of duodenal ulcers. Extend this for 6wks for gastric ulcers, and 8wks for NSAID-induced ulcers. 13.1 Peptic ulcer Treating with Magnesium or Aluminium compounds in Indications for surgery on a peptic ulcer in the stomach or addition will reduce the absorption of anti-histamines and duodenum include: so is not logical. Dietary restrictions are unnecessary. (1) Closing a perforation. Bismuth compounds are often useful, as they ‘coat’ the (2).Performing a gastrojejunostomy or pyloroplasty if the mucosal surface, allowing it to heal. pylorus stenoses. (3).Stopping bleeding. If helicobacter is common (it usually is), a week’s course (4).Performing an elective truncal vagotomy and of ranitidine 400mg, amoxicillin 1g, and metronidazole pyloroplasty or gastrojejunostomy if there is a chronic 400mg bd will eradicate it in c.90% and may be worth disabling duodenal ulcer which has resisted medical administering ‘blind’. (Unfortunately, though, in some treatment. places, e.g. India, there may now be resistance to metronidazole.) Remember a breath or stool test may be Peptic ulcers are a common cause of epigastric pain in negative unless you stop proton-pump inhibitors 2wks most parts of the world. The underlying cause may well be beforehand! Helicobacter pylori. You will need to take a careful history to diagnose and manage peptic ulcer disease. For proven ulcers which recur after proper treatment with This can be difficult, so enquire how the patients cimetidine or ranitidine, it is worth trying proton-pump in your community express their ulcer symptoms. -
Basic Surgical Techniques
BASIC SURGICAL TECHNIQUES Textbook Authors: György Wéber MD, PhD, med. habil. János Lantos MSc, PhD Balázs Borsiczky MD, PhD Andrea Ferencz MD, PhD Gábor Jancsó MD, PhD Sándor Ferencz MD Szabolcs Horváth MD Hossein Haddadzadeh Bahri MD Ildikó Takács MD Borbála Balatonyi MD University of Pécs, Medical School Department of Surgical Research and Techniques 20 Kodály Zoltán Steet, H-7624 Pécs, Telephone: +36 72 535 820 Website:http://soki.aok.pte.hu 2008 1 PREFACE The healing is impossible without entering into suffering people’s feelings and to humble yourself in your profession. All these are completed by the ability to manage the immediate and critical situations dynamically and to analyze the diseases interdisciplinarily (e.g. diagnosis, differential diagnosis, appropriate decision among the alternative possibilities of treatment, etc.). A successful surgical intervention requires even more than this. It needs the perfect, aimful and economical coordination of operational movements. The refined technique of the handling and uniting the tissues –in the case of manual skills– is attainable by many practices, and the good surgeon works on the perfection of this technique in his daily operating activities. The most important task in the medical education is to teach the problem-oriented thinking and the needed practical ability. The graduate medical student will notice in a short time that a medical practitioner principally needs the practical knowledge and manual skill in provision for the sick. “The surgical techniques” is a popular subJect. It is a subJect in which the medical students -for the first time- will see the inside of the living and pulsating organism. -
Public Use Data File Documentation
Public Use Data File Documentation Part III - Medical Coding Manual and Short Index National Health Interview Survey, 1995 From the CENTERSFOR DISEASECONTROL AND PREVENTION/NationalCenter for Health Statistics U.S. DEPARTMENTOF HEALTHAND HUMAN SERVICES Centers for Disease Control and Prevention National Center for Health Statistics CDCCENTERS FOR DlSEASE CONTROL AND PREVENTlON Public Use Data File Documentation Part Ill - Medical Coding Manual and Short Index National Health Interview Survey, 1995 U.S. DEPARTMENT OF HEALTHAND HUMAN SERVICES Centers for Disease Control and Prevention National Center for Health Statistics Hyattsville, Maryland October 1997 TABLE OF CONTENTS Page SECTION I. INTRODUCTION AND ORIENTATION GUIDES A. Brief Description of the Health Interview Survey ............. .............. 1 B. Importance of the Medical Coding ...................... .............. 1 C. Codes Used (described briefly) ......................... .............. 2 D. Appendix III ...................................... .............. 2 E, The Short Index .................................... .............. 2 F. Abbreviations and References ......................... .............. 3 G. Training Preliminary to Coding ......................... .............. 4 SECTION II. CLASSES OF CHRONIC AND ACUTE CONDITIONS A. General Rules ................................................... 6 B. When to Assign “1” (Chronic) ........................................ 6 C. Selected Conditions Coded ” 1” Regardless of Onset ......................... 7 D. When to Assign -
Corrigendum for Open Surgical Instruments for the Department Of
Date: - 07th September, 2018 Corrigendum For Open Surgical Instruments for the Department of Surgical Oncology NIT Issue Date : 25th July, 2018 NIT No. : Admn/Tender/71/2018-AIIMS.JDH Pre-Bid Meeting : 06th August, 2018 at 04:00 PM Earlier Last Date of Submission : 04th September, 2018 at 03:00 PM Extended Last Date of Submission : 19th September, 2018 at 03:00 PM Bid opening : 20th September, 2018 at 03:15 P.M The following revised and additional specification will be added:- 1. Page No. 11 & 12 For S. No. Name of Surgical Instrument Quantity 1 SS TRAY LARGE 470X320X50MM 4 2 SS TRAY SMALL 350X240X40MM 8 3 KIDNEY DISH LARGE 250X140X40MM 8 4 KIDNEY DISH SMALL 170X100X35MM 10 5 SS BOWL 80X40MM 6 6 SS BOWL 166X50MM 6 7 SSBOWL 160X65MM 8 8 SS BOWL 147X65MM 8 9 SS DRUM LARGE 15X12 INCH 4 10 SS DRUM SMALL 11X9 INCH 4 11 BACKHAUS TOWEL CLAMP 13 CM 64 12 FORSTER SPONGE HOLDER 18 Cm 18 13 BP HANDLE NO. 3 8 14 BP HANDLE NO. 4 7 15 BP HANDLE NO. 7 9 16 SUCTION TIP 2MM 9 17 SUCTION TIP 5MM 8 18 YANKAUER SUCTION TIP 10 MM 4 19 SS SCALE 5 20 DEAVER RETRACTOR SMALL 18CM(TIP 19MM) 14 Corrigendum for Open Surgical Instruments at AIIMS Jodhpur Page 1 21 DEAVER RETRACTOR MEDIUM 30.5CM (TIP 25 MM) 10 22 DEAVER RETRACTOR LARGE 31.5CM (TIP 50MM) 10 23 DOYEN’S RETRACTOR 4 24 MORRIS RETRACTOR 25cm ( BLADE 7x4cm) 6 25 SKIN HOOK 32 26 LANGENBECK RETRACTOR SMALL 16cm (TIP 21x 8mm) 16 27 LANGENBECK RETRACTOR MEDIUM 22cm (TIP 50x11mm) 16 28 LANGENBECK RETRACTOR LARGE 22.5cm (TIP 85x15mm) 14 29 C ZERNY RETRACTOR 17.2 cm 14 30 VEIN RETRACTOR 18 31 BALFOUR ABDOMINAL RETRACTOR 20cm 3 32 MASTOID RETRACTOR 4 33 PERIOSTEUM ELEVATOR SHARP 4 34 PERIOSTEUM ELEVATOR BLUNT 4 35 DISSECTING TOOTH FORCEPS 15 CM 16 36 DISSECTING PLAIN FORCEPS 18 CM 16 37 ARTERY FORCEPS CVD 15 CM 36 38 ARTERY FORCEPS ST. -
Icd-9-Cm (2010)
ICD-9-CM (2010) PROCEDURE CODE LONG DESCRIPTION SHORT DESCRIPTION 0001 Therapeutic ultrasound of vessels of head and neck Ther ult head & neck ves 0002 Therapeutic ultrasound of heart Ther ultrasound of heart 0003 Therapeutic ultrasound of peripheral vascular vessels Ther ult peripheral ves 0009 Other therapeutic ultrasound Other therapeutic ultsnd 0010 Implantation of chemotherapeutic agent Implant chemothera agent 0011 Infusion of drotrecogin alfa (activated) Infus drotrecogin alfa 0012 Administration of inhaled nitric oxide Adm inhal nitric oxide 0013 Injection or infusion of nesiritide Inject/infus nesiritide 0014 Injection or infusion of oxazolidinone class of antibiotics Injection oxazolidinone 0015 High-dose infusion interleukin-2 [IL-2] High-dose infusion IL-2 0016 Pressurized treatment of venous bypass graft [conduit] with pharmaceutical substance Pressurized treat graft 0017 Infusion of vasopressor agent Infusion of vasopressor 0018 Infusion of immunosuppressive antibody therapy Infus immunosup antibody 0019 Disruption of blood brain barrier via infusion [BBBD] BBBD via infusion 0021 Intravascular imaging of extracranial cerebral vessels IVUS extracran cereb ves 0022 Intravascular imaging of intrathoracic vessels IVUS intrathoracic ves 0023 Intravascular imaging of peripheral vessels IVUS peripheral vessels 0024 Intravascular imaging of coronary vessels IVUS coronary vessels 0025 Intravascular imaging of renal vessels IVUS renal vessels 0028 Intravascular imaging, other specified vessel(s) Intravascul imaging NEC 0029 Intravascular -
Emergency Surgery
BLBK236-FM BLBK236-Brooks Trim: 219mm × 276mm February 8, 2010 21:30 Char Count= ii BLBK236-FM BLBK236-Brooks Trim: 219mm × 276mm February 8, 2010 21:30 Char Count= Emergency Surgery i BLBK236-FM BLBK236-Brooks Trim: 219mm × 276mm February 8, 2010 21:30 Char Count= ii BLBK236-FM BLBK236-Brooks Trim: 219mm × 276mm February 8, 2010 21:30 Char Count= Emergency Surgery EDITED BY Adam Brooks, FRCS (Gen Surg), DMCC Consultant in HPB Surgery Major Trauma Pathway Lead General Surgery Service Lead Nottingham University Hospital NHS Trust Nottingham, UK; and Senior Lecturer Academic Department of Military Surgery and Trauma Royal Centre for Defence Medicine Birmingham, UK Bryan A. Cotton, MD, MPH Associate Professor Department of Surgery and the Center for Translational Injury Research The University of Texas Health Science Center Houston, Texas, USA Lt Col Nigel Tai, MS, FRCS (Gen Surg), RAMC Consultant in Trauma and Vascular Surgery, Defence Medical Services Trauma Clinical Academic Unit Royal London Hospital Whitechapel London, UK and Senior Lecturer Academic Department of Military Surgery and Trauma Royal Centre for Defence Medicine Birmingham, UK Col Peter F. Mahoney, OBE, TD, MSc, FRCA, RAMC Defence Professor Anaesthesia and Critical Care RCDM Birmingham Research Park Vincent Drive Birmingham, UK Associate Editor David J. Humes, BSc, MBBS, MRCS Lecturer in Surgery QMC Campus University of Nottingham Nottingham, UK A John Wiley & Sons, Ltd., Publication iii BLBK236-FM BLBK236-Brooks Trim: 219mm × 276mm February 8, 2010 21:30 Char Count= This edition first published 2010, C 2010 by Blackwell Publishing Ltd BMJ Books is an imprint of BMJ Publishing Group Limited, used under licence by Blackwell Publishing which was acquired by John Wiley & Sons in February 2007.