1/26. Combined use of an amniotic membrane and tissue adhesive in treating corneal perforation: a case report.We report a new method combining the use of an amniotic membrane and cyanocrylate tissue adhesive to seal a corneal perforation. A 47-year-old male suffered from an alkali injury complicated with corneal melting and perforation in the left eye. We placed an amniotic membrane of optimal size in the anterior chamber directly under the corneal perforation lesion. The cyanocrylate tissue adhesive was then applied over the perforation site and sealed successfully. Three weeks later, the tissue adhesive had dislodged. The amniotic membrane had sealed the perforated lesion and was well adhered to the surrounding corneal tissue with complete epithelial covering. Vision was 20/25 six months after the operation. The combined use of an amniotic membrane and tissue adhesive is a promising method in the treatment of corneal perforation.- - - - - - - - - - ranking = 1keywords = seal (Clic here for more details about this article) |
2/26. Successful treatment of coronary artery perforation during angioplasty using a new membrane-coated stent.We report a case of successful treatment of coronary artery perforation and cardiac tamponade, which developed during percutaneous transluminal coronary angioplasty, with a PTFE-coated stent. Intravascular ultrasound was first used to overcome the shortcomings of conventional angiography and overlapping of a conventional stent was not as effective as coated-stent placement in sealing a further leakage. Thus, PTFE-coated stents may be an effective alternative to emergency surgery or autologous venous covered stenting and should be considered when coronary artery perforation occurs.- - - - - - - - - - ranking = 0.33333333333333keywords = seal (Clic here for more details about this article) |
3/26. Noncontact tonometry in perforating corneal injuries.PURPOSE: To report on one of the possible complications induced by puff noncontact tonometry and to discuss various aspects such as safety, other optional methods, rationality, and the need for tonometry in cases of perforating corneal injuries. patients AND methods: We report a case of traumatic, self-sealed, midperipheral corneal perforation, where puff tonometry was performed upon admission, 30 minutes after the injury. RESULTS: The integrity of the wound was temporarily distorted by the air-jet of the puff tonometer, the wound was opened, and an air-bubble filled the anterior chamber. CONCLUSION: Puff tonometry in patients with self-sealed midperipheral corneal perforation and a negative Seidel test does not seem sufficiently safe during the immediate posttraumatic period.- - - - - - - - - - ranking = 0.66666666666667keywords = seal (Clic here for more details about this article) |
4/26. Successful sealing of perforation of saphenous vein graft by coronary stent.Coronary artery perforation is a rare occurrence during angioplasty and could lead to major complications requiring emergency surgical intervention. We describe a case of perforation of a saphenous vein graft during stenting. The perforation was successfully sealed by a second coronary stent.- - - - - - - - - - ranking = 1.6666666666667keywords = seal (Clic here for more details about this article) |
5/26. Deep intubation of 8 Fr guiding catheter to deliver coronary stent graft to seal coronary perforation: a case report.Coronary perforation is an uncommon complication of angioplasty and is a challenging situation to manage. We describe a case of complex multivessel coronary angioplasty complicated by coronary perforation following balloon rupture that was successfully managed with a coronary stent graft. Delivery of the stent graft to the site of vessel rupture required deep intubation of an 8 Fr guiding catheter over the shaft of an inflated balloon. In addition to the availability of covered stents, it is essential to be familiar with various skills necessary to deploy these stents. Cathet Cardiovasc Intervent 2001;54:59-62.- - - - - - - - - - ranking = 1.3333333333333keywords = seal (Clic here for more details about this article) |
6/26. Successful management with glue injection of arterial rupture seen during embolization of an arteriovenous malformation using a flow-directed catheter: a case report.We present a case in which an arterial rupture occurring during embolization of an arteriovenous malformation of the left occipital lobe with a flow-directed microcatheter, was successfully sealed with a small amount of glue. We navigated a 1.8-Fr magic catheter through the posterior cerebral artery, and during superselective test injection, extravasation was observed at the parieto-occipital branch. The catheter was not removed and the perforation site was successfully sealed with a small amount of glue injected through the same catheter. Prompt recognition and closure of the perforation site is essential for good prognosis.- - - - - - - - - - ranking = 0.66666666666667keywords = seal (Clic here for more details about this article) |
7/26. Use of gelatin matrix to rapidly repair diaphragmatic injury during laparoscopy.Iatrogenic diaphragmatic injury during laparoscopy has necessitated intracorporeal suturing and occasionally thoracostomy tube placement. We describe a technique to repair the diaphragm quickly using a novel gelatin thrombin matrix. The matrix can be administered through a trocar or hand-assist device and can rapidly seal small injuries, obviating the need for formal suture repair. The presented case and technique should be considered in selected small diaphragmatic injuries.- - - - - - - - - - ranking = 0.33333333333333keywords = seal (Clic here for more details about this article) |
8/26. Nonoperative management of blunt extrahepatic biliary duct transection in the pediatric patient: case report and review of the literature.An 11-year-old boy sustained a grade IV liver injury and complete disruption of the left hepatic duct (LHD) secondary to a sledding accident. Although he became hemodynamically stable after initial resuscitation in the emergency department and the intensive care unit (ICU), serial paracentesis procedures were necessary to manage abdominal compartment syndrome (ACS). The fluid initially was serosanguinous but subsequently became bile stained. A bile leak was confirmed by a technetium 99m dimethyliminodiacetic acid (HIDA) scan and an endoscopic retrograde cholangiogram (ERCP). The LHD transection was treated with percutaneous drainage of the subhepatic space and a transampullary biliary stent. The leak sealed within 8 days, and follow-up ERCP as an outpatient showed no extravasation but could not visualize the LHD. Repeat computed tomography (CT) scan 3(1/2) months after injury showed the liver laceration to be healed with atrophy of the left lobe and no ductal dilatation. The patient has had a complete recovery, resumed all activities, and currently is 20 months after his injury with no sequelae.- - - - - - - - - - ranking = 0.33333333333333keywords = seal (Clic here for more details about this article) |
9/26. rupture of the symphysis pubis during vaginal delivery followed by two subsequent uneventful pregnancies.BACKGROUND: rupture of the symphysis pubis during vaginal delivery is a rare but debilitating complication. Factors contributing to rupture are poorly defined. CASE: A healthy primigravida suffered a rupture of her symphysis pubis during an otherwise uncomplicated vaginal delivery. She experienced significant pain and difficulty walking for 6 months after the injury. Her 5-cm symphyseal separation was managed successfully with physical therapy and activity restriction. The patient's two subsequent deliveries (one vaginal and one via cesarean delivery) were uneventful. CONCLUSION: Severe symphyseal rupture during vaginal delivery can be managed without surgery. risk factors for rupture are not well defined. Based on a literature review, there is a significant risk of repeat symphyseal rupture with subsequent vaginal delivery.- - - - - - - - - - ranking = 1keywords = seal (Clic here for more details about this article) |
10/26. Corneal bed perforation by laser ablation during laser in situ keratomileusis.A 34-year-old man was referred to our department with corneal perforation after multiple laser in situ keratomileusis procedures for myopia. corneal perforation occurred at the time of laser application during the fourth surgery, and the anterior chamber became completely flat. The perforation was sealed shortly thereafter and the corneal edema disappeared in 3 weeks, but there was an 86 microm forward shift of the cornea associated with an 8.0 diopter myopic shift during the subsequent 6 months. No further forward bulging of the cornea was observed. The refraction had stabilized up to 2 years postoperatively, but corneal irregular astigmatism limited the patient's best spectacle-corrected visual acuity.- - - - - - - - - - ranking = 0.33333333333333keywords = seal (Clic here for more details about this article) |
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