Cervical Epidural anesthesia has been employed successfully forvanous types of surgical procedures involving the head and neck and the upper extremities and has been shown to be a safe and effective anesthetic modality. This, however, is the first reported case of thyroidectomy being performed under cervical epidural anesthesia. The biggest advantage to be gained from employing this technique l...

Pulmonary incompetence is a common sequel of pulmonary valvotomy, but many authors believe that the haemodynamic consequences of this regurgitation are well tolerated (Talbert, Morrow, Collins, and Gilbert, 1963). In this paper we report a patient who had severe pulmonary incompetence after valvotomy and who failed to maintain her initial clinical improvement. Because of the severe leak it was ...

BACKGROUND The pregnancy outcome of the unicornuate uterus is associated with an increased risk of miscarriage, cervical incompetence, and a number of obstetric complications. However, at present, there is no accepted treatment method for women with unicornuate uterus, other than expectant measures. The aim of this study was to evaluate the reproductive outcome of transcervical uterine incision...

OBJECTIVE To describe a new technique for embryo reduction (ER) in dichorionic triplet (DCT) pregnancies. METHODS In 22 DCT pregnancies, ER to dichorionic twins was carried out at 11.3-13.9 weeks' gestation by ultrasound-guided laser ablation of the pelvic vessels of one of the monochorionic twins. RESULTS Intrafetal laser was successfully carried out in all cases, but ultrasound examinatio...

Epidemiologists have grouped the multiple disorders that lead to preterm delivery before the 28th week of gestation in a variety of ways. The authors sought to identify characteristics that would help guide how to classify disorders that lead to such preterm delivery. They enrolled 1,006 women who delivered a liveborn singleton infant of less than 28 weeks' gestation at 14 centers in the United...

Though point-of-care ultrasound applications continue to expand, there are findings that are not within the scope of emergency ultrasound. It is important for emergency physicians to be aware of incidental findings that can be identified on comprehensive ultrasounds performed by other imaging departments in order to fully understand the limitations of bedside ultrasound. In this case, a gravid ...

Velopharyngeal incompetence is one of the contributing factors for speech disorders. This condition usually follows certain disorders like cleft palate, soft palate paralysis and neurologic disorders. Cleft palate is one of the major contributing factors for the velopharyngeal incompetence. Various treatment modalities have been proposed including prosthetic management, surgical correction and ...

An unusual case of a middle-aged male with segmental aortitis and aortic incompetence is described. To our knowledge, only 13 cases have been previously described in the literature, but only two have had anatomopathological confirmation. Aortic incompetence is a rare manifestation of segmental aortitis. Although intrinsic abnormalities of the aortic valve have been proposed, the finding of a no...