Items tagged “surgery”

26 results found
Article

Abdominal hernia

Abdominal hernias/herniae may be congenital or acquired and come with varying eponyms. They are distinguished primarily based on type, location and content.  Epidemiology 75-80% of all hernias are inguinal ref. Pathology Content of the hernia is variable, and may include: small bowel loops ...
Article

Raccoon eyes sign (base of skull fracture)

Raccoon eyes sign (or panda eyes in the UK and Ireland) refers to periorbital ecchymosis with sparing of the tarsal plate 3 and is a physical examination finding indicative of a base of skull fracture of the anterior cranial fossa. However it is not pathognomonic for trauma, and there are sever...
Case

Transsphenoidal hypophysectomy

  Diagnosis certain
Frank Gaillard
Published 10 May 2012
85% complete
Fluoroscopy
Case

Transsphenoidal hypophysectomy (endoscopic)

  Diagnosis certain
Frank Gaillard
Published 10 May 2012
69% complete
Article

Transsphenoidal hypophysectomy

Transsphenoidal hypophysectomy is a commonly used surgical approach for pituitary region masses, with many significant advantages over open craniotomy.  History The transsphenoidal approach was first described in 1907 by Schloffer, modified by Halstead and subsequently popularised by Harvey Cu...
Article

Retroperitoneal haemorrhage

Retroperitoneal haemorrhage can be a source of significant yet occult blood loss. Terminology Some articles conflate and/or confuse retroperitoneal haemorrhage and Wunderlich syndrome 5. However Wunderlich syndrome refers primarily to bleeding around the kidney, not the retroperitoneum in gene...
Article

Abdominal aortic aneurysm rupture

Abdominal aortic aneurysm (AAA) rupture is a feared complication of abdominal aortic aneurysm and is a surgical emergency. It is part of the acute aortic syndrome spectrum. Epidemiology Abdominal aortic aneurysms are common and affect ~7.5% of patients aged over 65 years 6. The risk of ruptur...
Article

Appleby procedure

The Appleby procedure is a type of pancreatic cancer resection.  For some patients with pancreatic cancer involving the body and tail of the pancreas, involvement of the coeliac axis is a classic contraindication to pancreaticoduodenectomy (Whipple procedure).  With the Appleby procedure, ther...
Article

Senning repair

The Senning repair is one of two "atrial switch" procedures used to functionally correct transposition of the great arteries (the other being the Mustard repair).  The two repairs share a similar fundamental principle. Systemic blood flow is redirected away from the right ventricle and toward t...
Case

Cystgastrostomy stent

  Diagnosis certain
Craig Hacking
Published 17 Jun 2015
89% complete
CT
Article

Glenn shunt

The Glenn shunt, also known as Glenn procedure, is a palliative surgical procedure for a variety of cyanotic congenital heart diseases. Rationale In this procedure, the systemic venous return is re-directed to the pulmonary circulation, bypassing the right heart 1-3. It can be used in a varie...
Article

Rastelli procedure

The Rastelli procedure is a surgical procedure to correct certain combinations of cardiovascular defects in patients with cyanotic congenital heart disease. Rationale The operation is based on a redirection of ventricular outflows using an intracardiac baffle that tunnels the left ventricle to...
Case

Acute cholecystitis with gallbladder neck calculus

  Diagnosis certain
Derek Smith
Published 09 Feb 2016
95% complete
MRI Ultrasound
Article

Total repair of tetralogy of Fallot

Total repair of tetralogy of Fallot is a corrective surgical procedure that involves closure of the ventricular septal defect (VSD) and relief of right ventricular outflow tract (RVOT) obstruction. Procedure Most patients with tetralogy of Fallot (TOF) undergo elective surgical repair between ...
Article

Unifocalisation procedure

A unifocalisation procedure is a corrective surgical technique used in patients with complete pulmonary artery atresia with major aortopulmonary collateral arteries (MAPCAs). In this technique, the collateral vessels supplying blood from the aorta directly to the lungs are brought into continuit...
Case

Lipomatosis of superficial peroneal nerve

  Diagnosis almost certain
Maulik S Patel
Published 16 Jun 2018
79% complete
Ultrasound Photo
Article

Abdominal compartment syndrome

Abdominal compartment syndrome is a disease defined by the presence of new end-organ dysfunction secondary to elevated intra-abdominal pressure. Radiological diagnosis is difficult and usually suggested when a collection of imaging findings are present in the appropriate clinical setting or if t...
Article

Hysterectomy

Hysterectomy (plural: hysterectomies), the surgical resection of the uterus, is the most commonly performed gynaecological procedure in the USA 3. It is usually performed electively. Epidemiology Approximately 600,000 hysterectomies are performed in the United States annually. After Caesarean ...
Article

Faecal impaction

Faecal impaction is the inability to spontaneously evacuate solid faeces. It is common in the elderly population. A severe form of faecal impaction is often referred to as a faecaloma.  Terminology Faecal loading is a poorly defined term but generally refers to the volume of faecal material in...
Article

Tapia syndrome

Tapia syndrome , also called matador's disease, is a rare syndrome that is characterised by unilateral paralysis of the tongue and vocal cords. Although the problem typically occurs after anaesthetic airway management or manipulation, it can be due to central causes in rare cases 11.  The syndro...

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