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The Spleen(SP)
Published in Narda G. Robinson, Interactive Medical Acupuncture Anatomy, 2016
Clinical Relevance: Rectus sheath hematoma can result from hemorrhage into the rectus muscle due to rupture of either the superior or inferior epigastric arteries or their branches, as well as a tear of the rectus abdominis muscle. Fascial strains may affect this region as well, caused by strenuous exercise or stretching, such as with yogic postures.1 Rectus sheath hematoma may be more common in women on oral anticoagulants who strain during defecation or coughing.2 Acupuncture and related techniques may lessen fascial restrictions, pain, inflammation, and myofascial dysfunction in tissues associated with the rectus sheath.
Urine 8-Hydroxyguanine (8-OHG) in Patients Undergoing Surgery for Colorectal Cancer
Published in Journal of Investigative Surgery, 2022
George Pappas-Gogos, Constantinos C. Tellis, Kostas Tepelenis, Konstantinos Vlachos, Emmanuel Chrysos, Alexandros D. Tselepis, Georgios K. Glantzounis
The demographics and disease characteristics of patients and healthy controls are summarized in Table 1. Flowchart of participants’ progress through the phases of the study is summarized in Figure 1. Fourteen patients were excluded from analysis because their complications could bias the results. Wound infection was occurred in 5, anastomotic leak was occurred in 6, and rectus sheath hematoma was occurred in 3 patients. Seven patients denied postoperative blood sampling and refused further participation in the study. No significant differences were found regarding gender (p = 0.922), age (p = 0.055) and BMI (p = 0.772) between patients and controls. Concerning the clinical stage, 47 patients (31.97%) were of stage II (Table 1).
Management of idiopathic normal pressure hydrocephalus (iNPH) - a retrospective study
Published in British Journal of Neurosurgery, 2020
Katarina Ivana Tudor, Jakob Nemir, Goran Pavliša, Goran Mrak, Ervina Bilić, Fran Borovečki
Six hundred and twenty-four (N = 624) adult patients with hydrocephalus were identified. Among them, there were 42 (6.7%) patients with iNPH, mean age 71.5 ± 8.8 years. Key features of the group, their clinical presentation and management are presented in Table 1. Symptom presentation was earlier in male (mean age 65.4 ± 10.7 years) than in female patients (mean age 67.2 ± 9.7 years). The mean time elapsed from symptom onset to treatment was 1.9 ± 1.4 years. Although spinal tap test and ELD are generally performed in all patients considered for iNPH management at our institution, retrieving the records and data available from our electronic database revealed that ELD was performed in 21 patients, and spinal tap test in nine patients. Forty patients were treated surgically placing VP shunt, whereas ETV was performed in two patients. Due to clinical deterioration after the initial favourable outcome, one patient from the ETV group was subsequently treated with VP shunt. The initial valve-opening pressures varied from 110 to 130 (mean 122 ± 8.36) mmH2O. Pressure adjustments of valve-opening pressure were performed in ten patients; in one patient it was adjusted to higher pressure, in eight patients to lower pressures, while in one patient it was lowered and then adjusted back to the initial pressure. The final valve-opening pressures varied from 60 to 140 (mean 110.8 ± 18.23) mmH2O (Table 1). In 35 patients, the perioperative period was uneventful. Postoperatively seven patients developed or reported the following adverse events: frontotemporal subdural effusion with signs of haemorrhage, dehiscence of the abdominal wound, rectus sheath hematoma, infection and epileptic seizure, while two patients reported headaches.
Clinical spectrum, risk factors, management and outcome of patients with retroperitoneal hematoma: a retrospective analysis of 3-year experience
Published in Expert Review of Hematology, 2020
Kamal Kant Sahu, Ajay Kumar Mishra, Amos Lal, Susan V. George, Ahmad Daniyal Siddiqui
As suggested by Selivanov et al, we also stratified RPH into 3 zones. In addition, we also studied other locations where bleeding occurred simultaneously. For the sake of better understanding, we designated them as the following zones: Zone IV (iliopsoas hematoma), Zone V (gluteal hematoma), Zone VI (rectus sheath hematoma) (Table 1).