Lars Svensson’s Post

A recent contribution from our Hepatobiliary Division in Tampa “Robotic Biliary Stricturoplasty and Roux-en-Y Hepaticojejunostomy After Hepatic Artery Infusion Pump Injury.” Biliary sclerosis is a known complication of Hepatic Artery Infusion Pump FUDR treatment. This treatment option for an isolated stricture provides a solution for patients who are otherwise in the pathway and serious need/consideration of needing Liver Transplantation to survive. Case selection is Key and expertise in complex biliary surgery is crucial. https://lnkd.in/eKt3QcK2 #adventhealth #MSKCC #HAIP #sages #ssat #ahpba #ihpba #biliarysurgery #colorectalcancer #americancollegeofsurgeons #sso #surgicaloncology #livertransplantation #Hepatobiliary

Dr. Serdar Farhan discusses the implications of his study on the underrepresentation of women in clinical trials for endovascular therapy and bypass surgery for symptomatic femoropopliteal peripheral artery disease. "Due to the lack of sufficient clinical evidence specific to female patients, interventionalists face challenges in determining the most effective treatment approach for women," says Dr. Serdar Farhan #MedicalResearch #Cardiology #EndovascularTherapy #PeripheralArteryDisease #ClinicalTrials #WomenInMedicine https://lnkd.in/egYCSTew

A Real life journey of a patient with a rare presentation of a #neuroendocrine neoplasm managed with Dr.Prasad K. Wagle sir. Highlights the importance of having experienced teams for #cancertreatment for good outcomes and a need for long term follow up in #cancer cases. Key features to learn - Pre-op scan reading with the expert radiologists Dr. Manoj Deshmukh sir and kaustubh lokhande , excellent images by the radiology team to map the tumors - Intraoperative sonography a must - Adherance to the ten commandments of safe liver surgery - https://lnkd.in/dmTP3q_i - Experienced anesthesia team for such complex cases and post-op support system in place All these together help in achieving good outcomes for the patients. https://lnkd.in/dRy9R8pk To get epaper daily on your whatsapp click here: https://lnkd.in/drnzeKeV

💡Not anaemic and no red flag symptoms? New, persistent… Painless rectal bleeding = flexible sigmoidoscopy. Rectal bleeding with proctological symptoms = digital rectoscopy (LumenEye) This simple change in practice would afford millions of annual savings to the NHS without compromising clinical safety. #innovation #healthcare #endoscopy #changemanagement

This study investigates the effectiveness of Patient Blood Management (PBM) programs in older adults undergoing cardiovascular surgery, focusing on those aged 60 and above, including a detailed look at individuals 75 and older. #Cardiopulmonarybypass #CardiovascularSurgery #OlderAdults #PatientBloodManagement #RedBloodCellTransfusion

'In patients with a clear DVT-provoking risk factor, such as after surgery, the pick-up rate for further investigations for cancer will be low and probably not cost-effective... 'However, all patients presenting with a unprovoked DVT should have a screening history and basic physical examination to check for underlying cancer or red flag symptoms... 'Patients with an unprovoked VTE should be screened for anti-phospholipid syndrome as this will affect anticoagulation choice, the need for other anti-thrombotics, the duration and dose of anticoagulant therapy.' Read more in our eLearning module 'Key questions on DVT and thrombophlebitis' and log 2 CPD hours towards revalidation:

📃Scientific paper: Is endourological intervention a suitable treatment option in the management of iatrogenic thermal ureteral injury? A contemporary case series Abstract: Background Iatrogenic ureteral injury (IUI) is relatively rare, however, can cause sepsis, kidney failure, and death. Most cases of IUI are not recognized until the patient presents with symptoms following pelvic surgery or radiotherapy. Recently, minimally invasive approaches have been used more frequently in the treatment of IUI. This study evaluates urological intervention success rates and long-term clinical outcomes according to the type of IUI following hysterectomy. Methods Twenty-seven patients who underwent surgery due to IUI in our clinic following hysterectomy were evaluated between January 2011 and April 2018. Patients were classified according to the time of diagnosis of IUI. The IUI cases diagnosed within the first 24 h following hysterectomy were designated as "immediate" IUI, while that diagnosed late period was considered 'delayed' IUI. The type of IUI was categorized as "cold transection" if it was due to surgical dissection or ligation without any thermal energy, and "thermal injury" if it was related to any energy-based surgical device. Patient information, laboratory and perioperative data, imaging studies, and complications were assessed retrospectively. Results All cases of delayed diagnosis IUI were secondary to laparoscopic hysterectomy ( P  = 0.041). Patients with thermal injury to the ureter were mostly diagnosed late (delayed) ( P  = 0.029). While 31% of the patients who underwent endourological intervention were diagnosed immediately,... Continued on ES/IODE ➡️ https://etcse.fr/Uxu ------- If you find this interesting, feel free to follow, comment and share. We need your help to enhance our visibility, so that our platform continues to serve you.

Swift and Dedicated Care Saves Brain Hemorrhage Patient with Blood Cancer in Critical Condition - The hospital’s first case to combine burr hole surgery and middle meningeal artery embolization, a groundbreaking treatment for recurrent chronic subdural hematoma. The patient was diagnosed with essential thrombocytosis, a condition causing excessive platelet production and abnormal blood clotting. He had recently developed a chronic subdural hematoma, a condition where blood gradually accumulates between the brain and the dura mater. He initially underwent burr hole surgery under local anesthesia, involving a small 3 cm incision to drain the blood, and showed improvement. However, the condition recurred due to the underlying blood disorder. For more information 👇👇👇 https://lnkd.in/gYJJWttx

🚨 Breakthrough in EBTB Treatment! 🚨 A recent study published in Updates Surgery reveals that cryorecanalisation significantly outperforms cryoablation for patients with tumor-like endobronchial tuberculosis (EBTB). 🔍 Key Findings: - Efficacy Rates: - Cryorecanalisation: 81.5% - Cryoablation: 48.0% - For patients with severe airway obstruction (>50%), cryorecanalisation shows a remarkable efficacy of 77.5%, compared to just 25.0% for cryoablation. ⚠️ However, this promising treatment comes with a notable increase in bleeding complications (96.2% incidence rate). Healthcare providers must carefully weigh the benefits of higher efficacy against the risks involved, tailoring treatment plans to individual patient needs. This study emphasizes the importance of personalized care in EBTB management, potentially revolutionizing patient outcomes and quality of life. 👉 Click the link to learn more about this significant advancement! #ClinicalResearches #Cryorecanalisation #EBTB #HealthcareInnovation #MedicalResearch #PatientCare #MarketAccess #MarketAccessToday

I'm proud to share our latest research, focusing on the crucial role of Indocyanine Green (ICG) fluorescence imaging in pediatric colorectal surgery! Title: Utilization of Indocyanine Green (ICG) Fluorescence in Patients with Pediatric Colorectal Diseases: The Current Applications and Reported Outcomes 🔍 Highlights: • This review synthesizes findings from January 2010 to March 2024, evaluating ICG's role in enhancing surgical outcomes for Hirschsprung disease, anorectal malformations, cloacal reconstructions, vaginal agenesis, bladder augmentation, and antegrade continence channels. • ICG fluorescence significantly aids intraoperative decision-making by improving visualization of vascular networks and assessing tissue perfusion. • Despite the limited number of studies, initial findings indicate that ICG may offer advantages over traditional clinical assessments for intestinal perfusion with a promising safety profile in pediatric patients. • The use of ICG could enhance surgical precision and patient recovery by providing real-time, accurate perfusion data. • Larger, prospective studies are needed to validate these observations, quantify benefits, and further assess its impact on clinical outcomes. 📈 Conclusion: ICG fluorescence imaging can revolutionize pediatric colorectal surgery by ensuring optimal perfusion during complex procedures, thus improving surgical precision and patient recovery. For more details, check out the full article: https://lnkd.in/gv_QVGpg #PediatricSurgery #ICGFluorescence #SystematicReview #ColorectalSurgery #ICG #pedscolorectal #MedicalResearch #SurgicalInnovation #PatientOutcomes #indocyananinegreen #SPY #pedscolorectal Bokova E, Elhalaby I, Saylors S, Lim IIP, Rentea RM. Utilization of Indocyanine Green (ICG) Fluorescence in Patients with Pediatric Colorectal Diseases: The Current Applications and Reported Outcomes. Children (Basel). 2024 May 29;11(6):665. doi: 10.3390/children11060665. PMID: 38929244; PMCID: PMC11202280.