BACKGROUND Fourth-degree perineal lacerations are an uncommon, unpredictable injury that family physicians may face. METHODS After a needs assessment and feasibility review, we developed goals, objectives, instructional tools, and a feedback survey for a curriculum using a novel model to simulate perineal laceration repair. RESULTS Fifty-six learners evaluated the session, expressing increa...

Use of genetically modified mice enhances our understanding of molecular mechanisms underlying several neurological disorders such as a spinal cord injury (SCI). Freehand manual control used to produce a laceration model of SCI creates inconsistent injuries often associated with a crush or contusion component and, therefore, a novel technique was developed. Our model of cervical laceration SCI ...

We report a case of a 71-year old woman with right inferior epigastric artery pseudoaneurysm following laceration by a computed tomography-guided 18G biopsy needle. The laceration was initially treated with placement of retained sutures; however the patient turned hemodynamically unstable 41 days later. Percutaneous ultrasound-guided injection of 1500 U of thrombin solution resulted in almost c...

objective: the purpose of this study was to investigate the incidence, type, location, and risk factors of accidental fetal lacerations during caesarean delivery. material and methods: total deliveries, caesarean deliveries, and neonatal records for documented accidental fetal lacerations were reviewed retrospectively in four university hospital. thegestational age, the presenting part of the f...

Spontaneous laceration of the ascending aorta may result in (1) through-and-through laceration causing hemopericardium, (2) limited intramural dissection of blood (incomplete dissecting aneurysm), or (3) classical dissecting aneurysm. The latter is the most common manifestation. Background conditions include either extensive cystic medial necrosis (as may be seen in Marfan's syndrome) or hypert...

183 Im ages is large and deep. In these cases, it is usually detected intraoperatively. However, smaller tears are detected during the postoperative period. The exact site and size of the abovementioned laceration is determined by bronchoscopy; this knowledge helps in planning the therapeutic approach. Nonoperative indications are stable vital signs, no difficulty ventilating while intubated or...

INTRODUCTION Documentation and billing for laceration repair involves a description of wound length. We designed this study to test the hypothesis that emergency department (ED) personnel can accurately estimate wound lengths without the aid of a measuring device. METHODS This was a single-center prospective observational study performed in an academic ED. Seven wounds of varying lengths were...

Intercostal artery laceration is an unusual complication following thoracentesis, and has been reported only in elderly patients. We report a case of a 78-year-old man who developed a massive hemothorax following thoracentesis. Post-thoracentesis radiograph revealed a substantial increase in pleural fluid, and emergency chest tube insertion identified the hemothorax. He underwent right thoracot...

ABSTRAK Kematian ibu di Provinsi Jawa Tengah tahun 2019 mengalami penurunan dibandingkan 2018, dengan AKI sebesar 76,93/100.000 kelahiran hidup sebanyak 416 kasus. Laserasi perineum merupakan salah satu penyebab perdarahan postpartum. Berdasarkan data yang diperoleh dari Puskesmas Margasari terdapat 232 (30%) total persalinan 775 kasus laserasi selama 2019. Tujuan penelitian ini adalah untuk me...