Using vacuum therapy as an adjunctive treatment for healing of infected surgical sites
We present a case of a patient with multiple comorbidities who had undergone an aortobifemoral bypass 6 years previously and then re-intervention at the femoral anastomoses for restenosis 5 years previously. The patient presented with acute left inguinal pain and swelling and was diagnosed with a ruptured femoral pseudoaneurysm and hemodynamic instability. A repair was conducted by interposition of a silver-coated Dacron graft in the emergency room, and a large abdominal incisional hernia was repaired with synthetic mesh during the same intervention. After surgery, the patient remained intubated in intensive care for a lon...
Source: Jornal Vascular Brasileiro - February 21, 2017 Category: Surgery Source Type: research
Surface Length 3D: An OsiriX plugin for measuring length over surfaces
Resumo Softwares tradicionais de avalia ção de imagens médicas, como DICOM, possuem diversas ferramentas para mensuração de distância, área e volume. Nenhuma delas permite medir distâncias entre pontos em superfícies. O menor trajeto entre pontos possibilita o cálculo entre óstios de vasos, como no caso de aneurismas aórticos, e a avaliação dos vasos viscerais para planejamento cirúrgico. O desenvolvimento de um plugin para OsiriX para mensuração de distâncias em superfícies mostrou-se factível. A validação da ferramenta ainda se faz necessária.Abstract Traditional DICOM medical imaging software off...
Source: Jornal Vascular Brasileiro - February 21, 2017 Category: Surgery Source Type: research
Early diagnosis of atherosclerosis with panoramic radiographs: a review
The objective of this study is to highlight the importance of panoramic radiographs for diagnosis of arterial disease, by means of a bibliographic review. The PubMed database was searched using the keywords “ atherosclerosis ” and “ panoramic ” , with the filters “ last 5 years ” and “ humans ” . Twenty articles were identified, six of which were chosen for this study because they were open access. The review concluded that panoramic radiographs enable early diagnosis of carotid artery calcification, resulting in earlier interventions, and offer an accessible cost.Resumo Doen ças das artérias carótidas...
Source: Jornal Vascular Brasileiro - February 21, 2017 Category: Surgery Source Type: research
Venous thromboembolism prophylaxis in pregnancy
Resumo O tromboembolismo venoso é importante causa de morbidade e mortalidade obstétrica. Durante a gestação, o risco de sua ocorrência aumenta entre cinco e dez vezes quando comparado ao de mulheres não gestantes de mesma idade. Associado a esse fato, a gestante apresenta algumas limitações para o diagnóstico clínico (a lta frequência de dor e edema nos membros inferiores), ecográfico (menor sensibilidade e especificidade no diagnóstico de trombose venosa de ilíaca com a evolução da gestação) e laboratorial (o D-dímero apresenta aumento progressivo no decorrer da gravidez). Uma estratificação criterio...
Source: Jornal Vascular Brasileiro - February 21, 2017 Category: Surgery Source Type: research
The clinical importance of air plethysmography in the assessment of chronic venous disease
Abstract Air plethysmography is a non-invasive test that can quantify venous reflux and obstruction by measuring volume changes in the leg. Its findings correlate with clinical and hemodynamic measures. It can quantitatively assess several components of venous hemodynamics: valvular reflux, calf muscle pump function, and venous obstruction. Although clinical uses of air plethysmography have been validated, it is used almost exclusively for medical research. Air plethysmography can be used to assess chronic venous disease, to evaluate improvement after venous surgery, to diagnose acute and past episodes of deep venous throm...
Source: Jornal Vascular Brasileiro - February 21, 2017 Category: Surgery Source Type: research
