Stephy Publishers

Surgery International Open Access Journal  - (SIOAJ)|  Stephy Publishers Abstract Introduction: In an observational and retrospective study we wish to demonstrate that the performance of Preoperative Ultrasound prior to implantation of a Totally Implantable Venous Access Port (TIVAP) using Cephalic Vein Cut-down (CVC) improves the success rate and reduces complications. Method: Between 2008 and 2018, 860 Cephalic Veins (CV) were studied preoperatively with Ultrasound. The Cephalic Vein was not suitable with a diameter less than or equal to 3.3mm. Diameters, procedure times, success rate, follow-ups and complications were studied. Results: An Ultrasound was performed on 860CV, 146 (16.9%) were ruled out for implantation for various reasons. Of the 714CV to study, they belonged to 681 patients (63.3% women), with a mean age of 60.5 years (19-87). Age and colon neoplasia were significantly higher in males (p<0.001). Of the 714 valid cases, in 12 cases (1.7%) there was ...

  SOJ Cardiology and Current Trends in Surgery - (SOJCCTS) | Stephy Publishers Case Report Hypertension (AH) is one of the most prevalent chronic diseases in Brazil, which, in 2018, affected about 24.5% of the adult population, reaching 59.3% of people aged 65 and over. (Ministry of Health 2020)1 These levels of prevalence and with an increasing trend have a major impact on morbidity and mortality, with high social cost. In this context, the Unified Health System (SUS) has been developing a strategic action plan based on conceptual bases that involve a comprehensive approach to chronic non-communicable diseases, especially AH, at all levels of activity (promotion, prevention and comprehensive care and organization health services for the care of patients with chronic diseases). The guidelines of the Strategic Action Plan recommend that the care offered should use, in addition to pharmacological therapy, educational actions to change lifestyle (encouraging the practice of physical a...

  SOJ Cardiology and Current Trends in Surgery - (SOJCCTS)| Stephy Publishers Mini Review Diabetic foot ulcers (DFUs) remain difficult to heal and notoriouslytend to relapse, approximately 40% at 1 year and 65% at 5years. 1  In this context, progress is needed in 6 areas: Improved early diagnosis of neuropathy Early diagnosis of diabetic polyneuropathy (DPN) is importantfor several reasons.1,2 First, careful and regular medical follow-upshould be offered to avoid neuropathic DFUs. 1,2  Secondly, optimisedglycaemic control and correction of other vascular risk factors (e.g.hypertension, dyslipidaemia etc) should be diligently pursued. 1,2 Finally, daily foot hygiene and appropriate footwear are indispensable. 1  A number of practical bedside clinical tools contribute toimproved early diagnosis, such as the indicator test Neuropad assessingsweat production in the feet, Vibra Tip, the portable NC-statDPN Check device and others. 2  Neuropad has been extensiv...

  SOJ Cardiology and Current Trends in Surgery - (SOJCCTS)| Stephy Publishers   Abstract Transcatheter aortic valve replacement (TAVR) has emerged as a feasible alternative for treatment of severe aortic stenosis with comparable outcomes to surgical aortic valve replacement (SAVR) in recent years. We present a case of device embolization in the left ventricular outflow tract (LVOT) during TAVR in a patient with severe aortic stenosis that required emergent surgical intervention. During the open-heart surgery for embolized prosthesis extraction and SAVR, both TEE exam and surgical specimen demonstrated bicuspid aortic valve and rheumatic nature of the valve with lack of calcification, which were identified to be the two main factors that contributed to the complication. In which the insufficient annular calcification increases the risk of device embolization due to lack of an adequate landing zone for device anchoring, and the anatomy of bicuspid valve contributes to the compl...