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At least 1,207 records · Page 67Linked to original sources
PubMed1990

[Qualitative and quantitative puncture examination of lateral canals of the abdominal cavity in closed abdominal injury].

The diagnostic puncture of lateral canals of the abdominal cavity in patients with closed trauma of the abdomen was made in 312 patients with associated trauma. Negative results were obtained in 166 patients. Retroperitoneal hematomas were diagnosed in 66 patients, reliable in 98.5%. In 80 patients injuries of the abdominal organs were diagnosed. The volume of intraabdominal blood loss (accurate within 80.7%) was determined before operation in 31 of them with the help of puncture with +/- 200 ml error. The diagnostic significance of lateral canals was 99.7%. Complications were the involvement of the liver in 4 patients not requiring any curative measures.

Abdominal Injuries↗
PubMed1990

[Guided punctures in the treatment of hepatic and perihepatic abscesses under ultrasonic control].

The authors discuss the possibilities of ultrasonic tomography and subsequent performance of purposeful punctures for establishing the precise diagnosis of hepatic and perihepatic abscesses. In most cases the method helps in revealing the cavities measuring no more than 1.5-2.0 cm. The indications are determined, as well as the techniques of topical treatment with the use of single and multiple punctures and prolonged percutaneous drainage. Seventy-three patients (32 with hepatic and 41 with perihepatic abscesses) underwent clinical examination. Topical therapy was applied in 21 patients with discovered hepatic abscesses, 17 of them recovered. Operations were avoided in 25 in a group of 34 patients with perihepatic abscesses (in 7 the abscesses were not identified). The success of this treatment is determined by exact diagnosis and precise manipulations.

Adult↗
PubMed1990

[Headaches after lumbar puncture and their treatment].

The principle mechanism of post lumbar puncture headache is the leakage of CSF from the dural puncture site. This leads to a state of low sub-arachnoid pressure, causing traction on pain-sensitive intracerebral structures. The operator can minimise the risk of headache by selecting a needle of small diameter and ensuring that the bevel is aligned parallel to the longitudinal fibers of the dura. Current evidence suggests that the patient may be allowed to mobilise immediately. Traditional therapies such as bed rest and rehydration are usually ineffective when headache is severe. If this is the case, and the diagnosis is certain, a blood patch procedure can be performed, and repeated if necessary.

Headache↗
PubMed1990

[Inner ear hearing loss following cerebrospinal fluid puncture: a too little appreciated complication?].

Lumbar puncture for myelography, spinal anaesthesia and aspiration of cerebrospinal fluid is a very common procedure. Although it has been known for a long time that hearing impairment may be a late complication, only a few case reports have been published, and not all have included audiograms. We present nine cases of hearing loss following myelography, lumbar puncture and spinal anaesthesia. It appears likely that this rare complication arises only in subjects with a wholly or partially patent cochlear aqueduct, allowing loss of perilymphatic fluid into the cerebrospinal space. Hearing loss was seen in eight of nine patients in the lower frequencies and in six of nine patients on both sides. Hearing recovered in six of nine patients. Transient hearing loss may occur more often than is generally assumed, and the symptom can remain unnoticed. Since not all of these hearing losses proved to be fully reversible, we suggest to inform patients about this complication for medico-legal reasons.

Adult↗
PubMed1990

[Symptomatic simple cyst of the kidney. Treatment using puncture-aspiration and sclerosis with 95% ethanol].

Puncture of cystic renal masses is useful in diagnosing a small number of cases when commonly used imaging techniques cannot determine the benign nature of the liquid mass with total accuracy. It can also be used as a therapeutic procedure in those cases with symptomatology arising from the presence of a renal cyst or functional alterations. In the present study, we report our experience using puncture-aspiration and sclerosis with 95% ethanol instillation in 12 renal cysts causing different symptoms. The procedure achieved good overall results with practically no complications. In 10 of the 12 cases the procedure was performed on an outpatient basis.

Adult↗
PubMedDate not supplied

Relief of post-lumbar puncture headache with epidural dextran 40: a preliminary report.

Fifty-six adult patients who developed post-lumbar puncture headache (PLPH) were treated with epidural Dextran 40 after various therapeutic measures, such as rest, intravenous fluids, narcotic as well as non-narcotic analgesics, epidural injection of saline, oral steroids, acupuncture, and applications of blood patch at the puncture site, had proven unsatisfactory. An average of 20 ml dextran was injected epidurally over a period of 120 seconds with patients in the sitting or lateral decubitus position. Relief of headache was accomplished in all patients after periods ranging from 15 minutes to 24 hours. Follow-up 6 months to 1 year revealed no recurrence of the headache. Burning sensation at the injection site and dysesthesia at the time of injection were noted in 3.5% and 7.1% of patients, respectively.

Adult↗
PubMed1989

[Transhepatic laparoscopic puncture in hydrops of the gallbladder with drainage of the subhepatic space].

Experience is recorded with the two-step treatment of 7 patients with acute cholecystitis. The first step in the acute stage comprised unblocking laparoscopic transhepatic puncture of the gall bladder with instillation of hibitan solution and gentamycin in the bladder cavity and subsequent drainage of the subhepatic space. The second step (after 20 days) was that of the radical surgical intervention in a stage of remission (cholecystectomy in 5 patients and cholecystectomy with choledochotomy and extraction of calculi from the common bile duct in 2). The postoperative period was uneventful and the patients were discharged from hospital in a very good state of well-being without any complication. Unblocking laparoscopic transhepatic puncture of the gall bladder with drainage of the subhepatic space proved to be the method of choice for treatment of acute cholecystitis in the acute stage of the disease. Risk operations in this stage were postponed and were performed during the stage of remission.

Acute Disease↗
PubMed1989

[Dangers and errors in pleural puncture and placing suction drainage].

Mistakes during puncture and drainage of the pleural space can result in serious complications. A few case reports are presented. Injuries of intrathoracic and intraabdominal organs can occur-, the latter mainly due to underestimating the elevated level of the diaphragm. Trauma of the liver and spleen are mainly observed in such cases. To avoid such life-threatening complications "blind" puncture and drainage should be avoided and visual aids such as fluoroscopy, CT and ultrasonography should be used more frequently.

Adult↗
PubMedDate not supplied

[Vocal rehabilitation of the laryngectomized patient using tracheo-esophageal puncture and phonatory prosthesis].

We present the results of 25 tracheo-esophageal punctures (20 primary and 5 secondary) followed by insertion of a voice prosthesis, as a method of voice restoration after total laryngectomy. This method is compared with the other three commonly used (tracheo-esophageal fistuloplasty, esophageal voice, and electrolarynx), and a personal variation (Burgués) of the primary tracho-esophageal puncture technique is presented.

Esophagus↗
PubMed1989

[Substantiation of puncture perfusion of the subarachnoid space in experiments with biomanikins].

Experiments were performed in 30 biomannequins. Single puncture subarachnoidal perfusion cleared the subarachnoidal spaces of the brain and medulla free of preinjected dye. The clearance was more radical at the base, in the brain hemisphere cysterns and sulci, at the pons, medullar and spinal levels. This can be regarded as anatomical ground for the expedience of puncture perfusion in order to clear the subarachnoidal space.

Adult↗
PubMed1989

[Noninvasive diagnosis of post-puncture vascular complications of the femoral artery: i.v. DSA and duplex sonography].

In 1200 cases of angiographic or invasive procedures with puncture of the femoral artery, vascular complications occurred in 10 patients (0.8%). In a prospective study, duplex sonography and intravenous digital subtraction angiography were used as diagnostic methods in these cases. All 10 cases with vascular complications were diagnosed correctly by means of i.v. DSA, and the underlying pathology was documented exactly. Duplex sonography yielded the correct diagnosis in 8 cases, and 1 case was incorrectly diagnosed as an aneurysm; angiography suggested an arteriovenous fistula, which was surgically verified. In one case duplex sonography was negative. The noninvasive procedure of duplex sonography plays an important role in the diagnosis of post-puncture vascular complications. Because of its high accuracy, this simple method should be the first diagnostic step. Intravenous DSA should be used in cases where the results obtained with duplex sonography are equivocal.

Aged↗
PubMed1989

[Pericardial puncture under linear array real time ultrasound guidance].

This article reported 14 cases of pericardial puncture under ultrasound guidance with total success and without any complications. This technique is safer and more accurate than conventional method. The localization of puncture site and the technique were introduced. A common linear array transducer coupled with a self-made end-entering guide is the instrument needed which is simple and effective.

Adolescent↗
PubMed1989

[The treatment of retinal vein thrombosis by puncture of the anterior chamber].

Repeated anterior chamber punctures in patients with old (more than one month) retinal vein thrombosis allowed to achieve a rise of visual acuity in 10 of 15 patients. In remote terms (after four months) further improvement of visual functions was recorded, visual acuity increased by 0.3-0.6 in 8 of 15 patients. In the process of treatment, no complications were observed. Repeated anterior chamber punctures can be recommended as a method of choice for treatment of this pathology.

Anterior Chamber↗
PubMed1988

Post-lumbar puncture headache. Etiology and management.

Headache following a lumbar puncture is a common and often debilitating syndrome. Continued leakage of cerebrospinal fluid from a puncture site decreases intracranial pressure, which leads to traction on pain-sensitive intracranial structures. The headache is characteristically postural, often associated with nausea and optic, vestibular, or otic symptoms. Although usually self-limited after a few days, severe postural pain can incapacitate the patient. Management is mainly symptomatic, but definitive treatment with the epidural blood patching technique is safe and effective when done by an expert operator.

Adult↗
PubMedDate not supplied

Lumbar myelography with iohexol. Adverse effects compared with spinal puncture.

Since 1983 iohexol has been routinely used for myelography in our hospital and 1,650 myelographies have been performed. The first 331 patients with lumbar myelography were included in a follow-up study. Headache was observed in 26 per cent, nausea in 12 per cent and vertigo in 6 per cent of the patients, a frequency very similar to that observed in an earlier study of side effects following spinal puncture. Severe reactions were not seen. Three patients had radicular symptoms and 3 patients had minor mental symptoms possibly caused by the contrast medium. It is concluded that most side effects are related to the spinal puncture and that iohexol probably can be used with safety in out-patients.

Adolescent↗
PubMed1988

Thromboembolic reaction following wall puncture in arterioles and venules of the rabbit mesentery.

The walls of rabbit mesenteric arterioles and venules (diameter 20 to 40 microns) were punctured with glass micropipets (tip diameter 6 to 8 microns). Thromboembolic reactions resulting from this standardized, small mechanical vessel wall injury could be quantified in vivo with the use of intravital video-microscopy. Following induction of the injury thrombus growth started immediately (less than 0.1 s). Bleeding times were short, on the average less than 2 s, and did not differ between arterioles and venules. The duration of the embolization process was significantly longer in arterioles than in venules (median 101 and 17 s, respectively), and more emboli were produced in arterioles than in venules (median 6 and 1, respectively). Arteriolar thrombi were more effective in plugging the punctured holes than venular thrombi. The differences in thromboembolic reaction between arterioles and venules, as found in the present study, can probably not be explained by fluid dynamic factors.

Animals↗
PubMed1987

[Value of discography in disk punctures in bacterial spondylodiscitis].

26 discographic examinations were performed during puncture of 28 intervertebral disks for septic spondylitis. Discography assures the operator that the diagnostic needle is correctly inserted in the intervertebral disk, without destroying the causative microorganisms. But, in particular, this examination reveals the presence of lesions which often are not suspected within the vertebra or the adjacent soft tissue, and notably the presence of large and frequently occurring pyogenic abscesses. Because of this capacity, this test has a certain diagnostic value in case of recent spondylitis and with erosive disk disease. This simple and safe procedure, in our opinion, justifies its routine utilization at the same time as disk puncture is performed for bacteriological assessment of infectious spondylitis.

Bacterial Infections↗