OBJECTIVE To investigate whether oral fluoroquinolone use is associated with an increased risk of aortic aneurysm or dissection. DESIGN Nationwide historical cohort study using linked register data on patient characteristics, filled prescriptions, and cases of aortic aneurysm or dissection. SETTING Sweden, July 2006 to December 2013. PARTICIPANTS 360 088 treatment episodes of fluoroquinol...

Purpose: Peritoneal resection for the therapy of oncological diseases as well as endometriosis is associated with major problems as injury to neighboring organs and difficulties in the establishment of the necessary hemostasis. In this paper we present a new dissection tool, the “Jet Grasper” (KARL STORZ), which represents a further step towards simple, safe and effective laparoscopic peritonea...

AIMS AND BACKGROUND The aim of this study is to determine the effects of two different types of nerve-sparing neck dissection on shoulder function. Even if the spinal accessory nerve is spared in functional neck dissection, some degree of shoulder syndrome may occur. The role of the cervical plexus in shoulder function and the effects of dissection of level 5 are emphasized. METHODS Twenty-si...

BACKGROUND D2 lymphadenectomy has been increasingly regarded as standard surgical procedure for advanced gastric cancer (GC), while the necessity of No.14v lymph node (14v) dissection for distal GC is still controversial. METHODS A total of 920 distal GC patients receiving at least a D2 lymph node dissection in Department of Gastric Cancer, Tianjin Medical University Cancer Institute and Hosp...

BACKGROUND Systematic elective paratracheal dissection for papillary thyroid carcinoma is controversial. OBJECTIVE This study aims to analyze the pattern of locoregional recurrence (LRR) to determine the potential benefit of elective paratracheal dissection and to identify prognostic factors influencing locoregional control and disease specific survival. METHODS A cohort of 342 patients who...

OBJECTIVES To compare eyebrow and forehead elevation and tension among the following 3 surgical techniques: subperiosteal dissection to the supraorbital rim, subperiosteal dissection with release (elevation, incision, and spread) of periosteum at the supraorbital rim, and subgaleal dissection to the supraorbital rim, and to determine the optimal method of elevation in an aesthetically accepted ...

A patient with strong clinical and radiological indications of dissection involving the ascending aorta had this "confirmed" on an echocardiogram which showed a typical pattern of double lumen. At necropsy there was dissection of the abdominal aorta but the heavily calcified thoracic aorta was free of dissection. Echocardiography may be useful but not entirely reliable in the diagnosis of disse...

Fig. 1. (a) Contrast-enhanced axial computed tomography image at the level of the PA bifurcation demonstrating the dissection flap within the main PA (arrow). (b) Three-dimensional reconstruction of the computed tomography images demonstrating the dissection flap within the main PA (arrow). (c) Intraoperative trans-oesophageal echocardiography showing the main PA with a 5.18 cm diameter and a d...

Computed tomography has become established as complementary to aortography in the investigation of patients with suspected aortic dissection. Two cases of dissecting aneurysm are reported in which extensive aortography failed to show evidence of dissection. In both cases dissection was demonstrated by computed tomography. The diagnosis was confirmed in one case at operation and in the other cas...

Although not common, acute leg ischemia is an important element in the clinical presentation of a patient with aortic dissection. This report describes a case of aortic dissection in which the main feature at presentation was acute right leg ischemia. The angiography showed right common iliac artery and external iliac artery occlusion. Diagnosis was made by clinical evaluation and angiography. ...