The Experts below are selected from a list of 18 Experts worldwide ranked by ideXlab platform
Thomas F. Baskett - One of the best experts on this subject based on the ideXlab platform.
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Surgical management of severe obstetric hemorrhage: experience with an obstetric hemorrhage equipment tray.
Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC, 2004Co-Authors: Thomas F. BaskettAbstract:Abstract Background: Hemorrhage remains a leading cause of severe maternal morbidity and death. In addition to the appropriate use of oxytocic agents for uterine atony, surgical techniques, including uterine tamponade, major vessel ligation, compression sutures, and hysterectomy, may be required. On the rare occasions they are needed, the instruments and equipment required for these surgical techniques may not be readily available. Objective: To record our experience with an obstetric hemorrhage equipment tray for surgical management of severe obstetric hemorrhage. Methods: A severe obstetric hemorrhage equipment tray was established and included packing (5-yard roll) and balloon device for uterine tamponade, straight (10 cm) eyed-needles and large curved eyed-needles for use with No. 1 suture, 3 Heaney vaginal retractors, 4 Sponge Forceps, and diagrams and instructions for the various types of compression sutures and tamponade techniques. Results: Of the 4400 deliveries that occurred at 1 tertiary maternity hospital during 2002, the obstetric hemorrhage tray was used on 9 occasions: 3 Caesarean sections with placenta previa (uterine tamponade used in 2 cases, compression sutures in 1); 2 Caesarean sections with uterine atony (compression sutures); 1 Caesarean section with placenta previa accreta (major vessel ligation and compression sutures); and 3 vaginal deliveries (suturing of cervical and vaginal lacerations in 2 of the cases, uterine tamponade used in the third case). In all cases, hysterectomy was avoided. Conclusion: The ready availability of an obstetric hemorrhage equipment tray on the labour ward facilitates prompt surgical management of severe obstetric hemorrhage, and may reduce the need for blood transfusion and hysterectomy.
Chao Zhang - One of the best experts on this subject based on the ideXlab platform.
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limited incision with Sponge Forceps assisted threading in treatment of acute closed rupture of achilles tendon
Chinese Journal of Orthopaedic Trauma, 2014Co-Authors: Xu Wang, Chen Wang, Chao ZhangAbstract:Objective To explore the clinical advantages of limited incision with Sponge Forceps assisted threading in the treatment of acute closed rupture of achilles tendon.Methods From August 2011 to December 2013,97 cases of acute closed achilles tendon rupture were treated by limited incision with Sponge Forceps assisted threading.They were 69 men and 28 women,16 to 66 years of age (35.6 years).The left side was injured in 60 cases and the right side in 37 cases.Time from injury to surgery was from 1 to 7 days,averaging 3.2 days.One 2 to 3 cm long incision was made about 1 cm medial to the medial edge of the achilles tendon at the rupture site.With a pair of Sponge Forceps,suture lines were threaded through the tendon and tied to suture the ruptured tendon.Results The patients were followed up until 6 months postoperatively.The operation time ranged from 37 to 50 minutes,with an average of 43.2 minutes.Local incision exudation occurred in 4 cases which responded to daily dressing change.One patient had superficial wound infection which was cured by debridement and wound suture.The incisions of the other 92 cases healed primarily and their stitches were taken out after 3 weeks.Re-ruptures occurred in 4 cases within 6 months postoperation which were treated by end-to-end anastomosis in re-operation.No sural nerve irritation was observed in this cohort.The American Orthopaedic Foot and Ankle Society (AOFAS) ankle and hindfoot scores at 6 months postoperation averaged 92.Conclusion Limited incision with Sponge Forceps assisted threading is a practical technique for treatment of acute closed rupture of achilles tendon,because it is minimally invasive and simple,and leads to fewer complications and quicker recovery. Key words: Achilles tendon; Ankle injuries; Surgical procedures, minimally invasive
Dianying Zhang - One of the best experts on this subject based on the ideXlab platform.
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two minimally invasive surgical treatments for achilles tendon rupture achillon versus Sponge Forceps
Chinese Journal of Orthopaedic Trauma, 2016Co-Authors: Ming Yang, Xiaomeng Zhang, Dianying ZhangAbstract:Objective To compare 2 mini-invasive surgical treatments, Achillon versus Sponge Forceps, for acute Achilles tendon rupture. Methods Between December 2010 and January 2015, 35 patients with acute Achilles tendon rupture were treated at our department. They were 32 males and 3 females, with an average age of 36.4 years (range, 21 to 64 years) . The interval between injury and operation was 1 to 13 days (average, 3.2 days) . Sixteen of them were treated by Achillon while 19 by Sponge Forceps. The 2 groups were compatible with no significant differences in general clinical data (P>0.05) . Rehabilitation was carried out 4 weeks after immobilization with brace. American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot scoring system was used to evaluate the function of the affected foot at the last follow-up. The 2 groups were compared in terms of surgery time, hospital stay, AOFAS score, decrease in leg circumference, complications and rerupture rate. Results All the patients were followed up for an average of 9.6 months (from 6 to 19 months) . There were no significant differences between the Achillon and Sponge Forceps groups regarding average AOFAS score (91.8 ±4.4 versus 93.2±5.8) , surgery time (38.3±13.2 min versus 42.5±9.8 min) , hospital stay (3.9±1.5 d versus 4.1±1.6 d) , or decrease in leg circumference (2.1±0.5 cm versus 2.3±0.3 cm) (P>0.05) . No re-ruptures or sural nerve lesion was observed in either group. One case of delayed wound healing occurred in each group. Conclusions Both Achillon and Sponge Forceps can lead to limited complications and a very low rate of re-rupture in surgical treatment of acute Achilles tendon rupture. Compared with the Achillon technique, Sponge Forceps may have the advantages of simplicity and lower cost. Key words: Achilles tendon; Tendon injuries; Surgical procedures, minimally invasive
Li Sun - One of the best experts on this subject based on the ideXlab platform.
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comparison of percutaneous suturing with Sponge Forceps and open suturing for repair of acute closed achilles ruptures
Chinese Journal of Orthopaedic Trauma, 2017Co-Authors: Yuhuan Qin, Xianteng Yang, Li SunAbstract:Objective To compare percutaneous suturing with Sponge Forceps and open suturing for repair of acute closed Achilles ruptures. Methods From March 2011 to June 2014, 40 patients with acute closed Achilles rupture were enrolled in this study and randomized into 2 equal groups (n=20) which were subjected to percutaneous suturing with Sponge Forceps or open suturing. The operative time, incisive length, blood loss, wound healing, hospitalization time and complications were compared between the 2 groups. Their ankle functions were evaluated at postoperative 3, 6, and 12 months according to American Orthopedic Foot and Ankle Society (AOFAS) ankle-hindfoot scores. Results The operative time (median, 60.0 min), hospitalization time (median, 8.5 d) and incisive length (median, 8.0 cm) in the open suturing group were significantly greater than those in the Sponge Forceps group (32.5 min, 7.0 d and 1.5 cm) (P 0.05). No injury to the sural nerve or tendon rerupture happened in either group. Conclusions In treatment of acute closed Achilles ruptures, compared with open suturing, percutaneous suturing with Sponge Forceps may be relatively easier without using special equipment, and additionally, may lead to lower incidence of incision complications and better short-term efficacy. Key words: Achilles tendon; Tendon injuries; Surgical procedures, minimally invasive
Xu Wang - One of the best experts on this subject based on the ideXlab platform.
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limited incision with Sponge Forceps assisted threading in treatment of acute closed rupture of achilles tendon
Chinese Journal of Orthopaedic Trauma, 2014Co-Authors: Xu Wang, Chen Wang, Chao ZhangAbstract:Objective To explore the clinical advantages of limited incision with Sponge Forceps assisted threading in the treatment of acute closed rupture of achilles tendon.Methods From August 2011 to December 2013,97 cases of acute closed achilles tendon rupture were treated by limited incision with Sponge Forceps assisted threading.They were 69 men and 28 women,16 to 66 years of age (35.6 years).The left side was injured in 60 cases and the right side in 37 cases.Time from injury to surgery was from 1 to 7 days,averaging 3.2 days.One 2 to 3 cm long incision was made about 1 cm medial to the medial edge of the achilles tendon at the rupture site.With a pair of Sponge Forceps,suture lines were threaded through the tendon and tied to suture the ruptured tendon.Results The patients were followed up until 6 months postoperatively.The operation time ranged from 37 to 50 minutes,with an average of 43.2 minutes.Local incision exudation occurred in 4 cases which responded to daily dressing change.One patient had superficial wound infection which was cured by debridement and wound suture.The incisions of the other 92 cases healed primarily and their stitches were taken out after 3 weeks.Re-ruptures occurred in 4 cases within 6 months postoperation which were treated by end-to-end anastomosis in re-operation.No sural nerve irritation was observed in this cohort.The American Orthopaedic Foot and Ankle Society (AOFAS) ankle and hindfoot scores at 6 months postoperation averaged 92.Conclusion Limited incision with Sponge Forceps assisted threading is a practical technique for treatment of acute closed rupture of achilles tendon,because it is minimally invasive and simple,and leads to fewer complications and quicker recovery. Key words: Achilles tendon; Ankle injuries; Surgical procedures, minimally invasive