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At least 1,747 records · Page 97Linked to original sources
PubMed2000

[Experience of pergastrostomal intestinal decompression for carcinomatous ileus].

The condition of patients with carcinomatous ileus is marked by pain in the final stage of cancer, which ties them to hospital beds. Due to this state they lose valuable time with family. On the other hand, there is not yet any effective carcinomatous ileus therapy and surgeons face much difficulty in the treatment of carcinomatous ileus. We performed pergastrostomal intestinal decompression, and found that this tube is managed easily compared with general ileus tubes and can readily decompress the intestinal tract. A device to improve the QOL of terminal stage cancer patients, in particular QOL at home, will be in greater demand in the future. We consider our method to be one answer for this demand.

Decompression, Surgical↗
PubMed2000

Psychometric testing of a health survey for field reporting of decompression outcome.

A short, multi-item, self-administered diver health survey for measuring decompression illness (DCI)-related health status following diving was developed and tested. Seventy-six diver health surveys with subsequent diagnosis by hyperbaric specialists for DCI (yes, uncertain, no) were used for validity and reliability testing. Field testing in 21 occupational divers was used to evaluate test-retest reliability (n = 30) and typical diver health scores (n = 100). There was a significant correlation (Pearson's r = 0.50, P = 0.00001) between diver health scores and diagnosis for DCI. Cronbach's reliability coefficient was alpha = 0.73 and split half reliability was r(full) = 0.82. Test-retest reliability revised for dispersion was r(revised = 0.62. In working divers, a diver health score of six or greater indicated probable DCI with good specificity and sensitivity. The diver health survey provides a valid and reliable interval measure of DCI-related health status. For calibrating decompression models against diving outcome, an interval health score increases model degrees of freedom and may reduce response bias compared to a binary classification (yes/no DCI).

Analysis of Variance↗
PubMed1998

[Repeat operations for recurrent trigeminal neuralgia after microvascular decompression].

For the study of cause and treatment of recurrent trigeminal neuralgia, repeat operations were performed in 12 patients with recurrent trigeminal neuralgia after microvascular decompression. Among repeat operations, there was vascular loop recompression at trigeminal root in 10 patients, negative exploration in 2 patients. The pain relief was achieved after neurovascular redecompression or neurolysis in all patients. The patients had no recurrent pain during a follow-up from 6 months to 4 years. The causes of recurrent trigeminal neuralgia after microvascular decompression and the questions related to repeat operations were discussed.

Adult↗
PubMed1998

[Trans-ethmoidal optic nerve decompression in traumatic optic neuropathy].

UNLABELLED: To evaluate the outcome of trans-ethmoidal optic nerve decompression (TOND). METHOD: Between November 1984 and May 1996, 35 patients with traumatic optic neuropathy (TON) underwent TOND. While 6 patients were treated with high dose corticosteroids (HDC). RESULTS: 13(37.14%) cases of 35 patients who underwent TOND showed improvement in vision. 1 (16.67%) of 6 patients who were treated with HDC showed improvement in vision. Of the 12 patients with some initial vision, 8 patients underwent TOND and 7(87.5%) patients showed improvement in vision. Another 4 patients treated with HDC, 1(25.0%) patient showed improvement in vision. Of the 29 patients who presented with no light perception, 27 patients underwent TOND and 6(22.22%) patients showed improvement in vision. 2 patients treated with HDC failed to get vision improvement. CONCLUSION: TOND can improve vision in patients with TON. It is rational to perform surgical decompression early. Using of HDC before and after surgery may improve the outcome of TON. No light perception and absence of waveform on visual evoked response is not contradict, some patients may show improvement in vision.

Adolescent↗
PubMed2001

Results of decompression and rotator cuff repair in patients 65 years old and older: 6- to 14-year follow-up.

At an average of 9.2 years after surgery, 47 patients with 51 shoulders who had undergone rotator cuff repair and subacromial decompression through an open Rockwood 2-stage acromioplasty-type approach were reviewed. All patients were 65 years or older at the time of their initial index procedure. Results were rated by patient satisfaction, the Constant's score, American Shoulder and Elbow Surgeons (ASES) Evaluation, and Neer rating. Subjectively, the patients were highly satisfied, with a 94.1 overall satisfaction rate. Objectively, the average Constant's score was 82 when normalized to the opposite shoulder and age. According to the Neer rating scale, there were 20 (39%) excellent, 26 (51%) satisfactory, and 5 (10%) unsatisfactory results. When assessing the ASES Evaluation, the patients who had undergone an extensile deltotrapezial takedown had increased strength in their lateral deltoid as compared with a cohort of individuals who had undergone the VY exposure. There was no statistically significant difference in subjective or objective results. For the most part, open rotator cuff repair and subacromial decompression in older patients has a high level of success with respect to pain relief, independent living, and when desired, reasonable sports participation.

Aged↗
PubMed2000

Cases from the aerospace medicine residents' teaching file. Decompression sickness.

Decompression sickness is an uncommon but serious risk associated with flying and SCUBA diving with potential for significant morbidity and mortality. It can occur in both novice and experienced individuals. This case illustrates an atypical presentation of decompression sickness in an experienced amateur SCUBA diver. Clinical suspicion must be high, since the presenting symptoms can be nonspecific as in this case. Early recognition and treatment are important for maximum recovery.

Adult↗
PubMedDate not supplied

[Hypobaric nitrogen-oxygen atmosphere as a method of preventing altitude decompression sickness].

It has been shown experimentally that the development of altitude decompression disease at 250 and 180 mm Hg can be prevented by preliminary desaturation in the nitrogen-oxygen hypobaric atmosphere (60% N2 and 40% O2 at 550 mm Hg). This has been demonstrated in 38 experiments on 21 test subjects. The use of this atmosphere in space cabin prevents the development of decompression disease upon a decrease of the cabin pressure to 250 mm Hg and upon extravehicular activity in a space suit with 180--200 mm Hg.

Adult↗
PubMed1997

[Dehydration--a risk factor for the decompression-accident in diving].

We report on a decompression-accident with neurological manifestation in an experienced recreational diver. As no obvious omission against the prescribed rules of decompression could be observed, dehydration due to intense jogging prior to the dive was identified as a risk-factor. Hyperbaric treatment resulted in a complete restitution. The physiological aspects are discussed and recommendations for the fluid-intake before diving are given.

Decompression Sickness↗
PubMed1975

Prevention of decompression sickness during a simulated space docking mission.

This study has shown that repetitive exchanges between the American Apollo space vehicle atmosphere of 100% oxygen at 5 psia (258 torr) and the Russian Soyuz spacecraft atmosphere of 30% oxygen-70% nitrogen at 10 psia (523 torr), as simulated in altitude chambers, will not likely result in any form of decompression sickness. This conclusion is based upon the absence of any form of bends in seven crewmen who participated in 11 tests distributed over three 24-h periods. During each period, three transfers from the 5 to the 10 psia environments were performed by simulating passage through a docking module which served as an airlock where astronauts and cosmonauts first adapted to each other's cabin gases and pressures before transfer. Biochemical tests, subjective fatigue scores, and the complete absence of any form of pain were also indicative that decompression sickness should not be expected if this spacecraft transfer schedule is followed.

17-Hydroxycorticosteroids↗
PubMedDate not supplied

Core decompression in the treatment of necrosis of the femoral head. Long-term results.

Long-term follow-up (5 years and 7 months) was obtained for the results of core decompression in 18 patients (20 hips) affected with ischemic necrosis of the femoral head at Ficat stages I and IIA. Two methods were used to diagnose osteonecrosis: bone scan, and MRI. Progression of the disease was monitored by annual MRI. The persistence of pain, progression of the disease in the Ficat scale, the use of total arthroplasty, were considered to be signs of failure. Core decompression was favorable in 16 hips, there was progression of the disease in 4. Good results were observed in 90% of the stage I necroses and in 70 of the stage IIA necroses. The results of the present study suggest bone reaming as the treatment of choice in initial stages of necrosis. Thus, the need for arthroplasty in young patients is delayed.

Adult↗
PubMed1975

Management of severe decompression sickness with treatment ancillary to recompression: case report.

Recompression remains the primary form of treatment in decompression sickness, but severe cases require ancillary treatment. The case of a compressed air worker with decompression sickness is presented who, in addition to recompression, required 5.5 of I.V. fluids in the first 8 h, heparin, digitalis, steroids, and respiratory support, to prevent death. The report includes a description of the precipitation causes, the course during recompression, the drugs and dosages used, and comments on respirator treatment.

Adult↗
PubMed1998

[Research of optic canal decompression by transnasal endoscopic approach].

OBJECTIVE: To find a better method to treat traumatic optic neuropathy. METHODS: Fourteen cases were treated by transnasal endoscopic sphenoethmoidal optic canal decompression in clinic. RESULTS: Nine of them had their visual acuity improved from NLP, HM, FC/50 cm, HM, NLP, LP, NLP, HM, NLP to 0.2, 0.3, 0.3(+2), 0.4, 0.06, 0.3, 0.1, 0.7, 0.12 after the operation. The clinical anatomy, attentions during operation, merits of operative approaches were discussed. CONCLUSION: Transnasal endoscopic sphenoethmoidal optic canal decompression is a good method for treatment of post-traumatic optic neuropathy.

Adolescent↗
PubMedDate not supplied

Preoxygenation time versus decompression sickness incidence.

Preoxygenation, breathing 100% oxygen prior to decompression, has been used for well over half of this century to reduce decompression sickness (DCS) incidence. Duration of preoxygenation has been reported to be inversely related to subsequent DCS incidence. A direct comparison of DCS incidence at 30,000 ft versus preoxygenation time is needed to allow better-informed decisions regarding the cost vs. benefit of increasing preoxygenation time to prevent DCS. To obtain such a comparison, we accomplished a retrospective study of exposures to 30,000 ft (226 mm Hg; 4.37 psia) while performing mild exercise. The 86 male exposures were preceded by preoxygenation times of one to four hours. Venous gas emboli (VGE) and DCS symptom development were monitored and recorded. Although more protection was demonstrated with increasing preoxygenation time, the cost-to-benefit ratio also increases with each additional increment of preoxygenation time. The diminishing return of increasing preoxygenation to reduce DCS would eventually impact mission planning and crew duty limitations. Alteration in the physiology of denitrogenation, such as inclusion of exercise during preoxygenation, may provide better and more cost-effective DCS protection than simply increasing preoxygenation time.

Aerospace Medicine↗
PubMed2002

Is endoscopic decompression of the neonatal extravesical upper pole ureterocele necessary for prevention of urinary tract infections or bladder neck obstruction?

PURPOSE: It has been hypothesized that endoscopic decompression of the duplex extravesical ureterocele is necessary to prevent the complications of urinary tract infections and progressive hydronephrosis. This study was performed to test this premise. MATERIALS AND METHODS: Infants younger than 2 weeks with an extravesical ureterocele associated with a duplex upper pole moiety were assigned to immediate endoscopic puncture of the ureterocele followed by antibiotic prophylaxis or antibiotic prophylaxis with plans for delayed surgical intervention. Radiographic studies and catheterized urine cultures were obtained at ages 3 and 6 months and for fever greater than 38.5C. All patients included in this study were followed through 6 months of life. RESULTS: Of the patients 32 underwent endoscopic puncture of the ureterocele. Median patient age at endoscopy was 5 days (range 3 to 13). During the first 6 months of life complications developed in 4 (12%), including febrile urinary tract infections in 3 (9%) and with progressive hydronephrosis due to incomplete puncture of the ureterocele in 1 (3%). The remaining 40 patients were treated with antibiotic prophylaxis and delayed open surgery. Median time to open surgery was 3 months (range 2 to 6). During the first 6 months of life complications developed in 5 (13%), including 3 (8%) febrile urinary tract infections and progressive hydronephrosis in 2 (5%). No statistical difference was noted between the 2 treatment groups. CONCLUSIONS: In patients with extravesical duplex ureteroceles neonatal complications of urinary tract infection and progressive hydronephrosis are not significantly different between those treated with immediate endoscopic decompression versus delayed open surgical intervention.

Antibiotic Prophylaxis↗
PubMed2001

[Initial experience with surgical decompression of the vein in branch retinal vein occlusion].

Due to the development of the armamentarium and surgical techniques, the indications of pars plana vitrectomy (PPV) are expanding. It concerns also a relatively new indication, as is the branch retinal vein occlusion (BRVO) of the temporal part of the posterior pole of the retina with the secondary involvement of the macular region. The purpose of this prospective study is to demonstrate anatomical and functional results after the surgical decompression of the occlusion of the branch retinal vein draining the macular region. Since November 1999, 3 patients, one woman and 2 men (age 70, 47 and 76 years) with the quadrant BRVO of the temporal part of the retina involving the macular region were followed. The visual acuity before the surgery in all 3 patients was 6/36 (20/120 or 0.16) and the BRVO lasted for 3-5 months. The patients were examined by slitlamp biomicroscopy, and the course of the disease was documented by means of red-free fundus photographs as well as fluorescein angiograms. In all three patients, PPV and the adventitial sheathotomy of the arteriovenous crossing (AVC) were performed. Surgical decompression of BRVO and reperfusion of the ischemic part of the retina was achieved by separating the overlying arteriole from the venule at AVC. Neither per- nor postoperative complications were noted. In two patients, the visual acuity improved to 6/12 (20/40 or 0.5), and in the last one stabilized at 1/9 (20/180 or 0.11). The minimal follow-up period was 12 months. In conclusion, we recommend to performing this new type of delicate surgery procedure in individual cases on the basis of detailed biomicroscopial examination and fluorecein angiograms by an experienced vitreoretinal surgeon.

Aged↗
PubMedDate not supplied

The effect of biliary decompression on antibiotic biliary excretion.

BACKGROUND/AIMS: Raised biliary pressure may affect antibiotic biliary excretion. We evaluated whether biliary decompression for patients with biliary obstruction could improve antibiotic biliary excretion. METHODOLOGY: Eight patients with common bile duct obstruction undergoing endoscopic nasobiliary drainage were evaluated. During endoscopic cannulation, biliary pressure above the obstruction and antibiotic concentrations in the bile and peripheral blood were determined 60 min after the intravenous antibiotic (panipenem) administration. RESULTS: Biliary pressure was initially elevated above normal in all the patients, but normalized after biliary drainage for 5 to 7 days. At the initial endoscopic retrograde cholangiopancreatography, the aspirated bile contained low or undetectable levels of the antibiotic, but the mean bile panipenem concentration and the mean bile/plasma ratio of panipenem concentrations significantly improved after biliary decompression. CONCLUSIONS: The results suggest an important role of biliary pressure in determining antibiotic transfer into the bile.

Aged↗
PubMed2002

Endoscopic transethmoidal decompression of a thrombosed orbital venous malformation.

We describe the case of a 37-year-old woman who experienced a painful thrombosis of an orbital venous malformation. We successfully treated her with surgical decompression via a computer-assisted, endoscopic transethmoidal orbitotomy. Removal of the lamina papyracea and evacuation of the thrombus provided immediate symptomatic relief. Decompression via an endoscopic transethmoidal route provides a more direct and less invasive approach than other techniques.

Adult↗
PubMedDate not supplied

Minimal curettage, multiple drilling, and continuous decompression through a cannulated screw for treatment of calcaneal simple bone cysts in children.

This report concerns a series of 12 patients with simple bone cysts of the calcaneus, who were treated between 1988 and 2000 by a minimal surgical intervention of curettage, multiple drilling and continuous decompression through insertion of a cannulated screw. Inserted screws were made of titanium in 8 cases and ceramics in 4 cases. The mean operative time was 58.8 +/- 25.4 minutes, and complete healing was achieved in 11 cases after 9.2 +/- 6.4 months. One patient needed an additional surgery for replacement of a titanium screw. Final results were excellent after a mean follow up of 91 +/- 52.1 months. This series of patients represents one of the largest reported series of calcaneal simple bone cyst in conjunction with long-term follow-up. Our technique of minimal curettage, drilling and continuous decompression with a cannulated screw insertion is considered to be a good option for management of simple bone cysts of the calcaneus.

Adolescent↗