Review 39 patients with chronic post-traumatic subdural haematoma, who were treated at the 103 Hospital between January 2000 and July 2003. CT scan is a good method of diagnosis and select surgery. The methods of surgery concluded: Burr-hole cranniostomy for haematoma evacuation and irrigation and closed-system drainge are safe and effective method for treatment. Results: 92.3% patients with good outcome, recurrence occurred in 2 cases, airway injection in 2 cases, there wasn't death.
Diagnosis ; Surgery ; Therapeutics ; Hematoma

Acute subdural hematoma (ASH) is a first cause of mortality of cranio cerebral traumatism. The high rate of mortality 50 to 90% after surgery, confirms to the published data of foreign authours, there remains a difficulty in establishing the prognosis of the disease. This study included 148 cases of ASH after surgery for finding the following factors: mechanism of trauma, age, sex, GOS, image in CT scanner, timing trauma of surgery influencing on the final results. Good results: 37.16%; Bad results: 62.84%.
Hematoma, Subdural ; surgery ; therapeutics

6 patients with chronic subdural hematoma were operated under local anesthesia and were premedicated with analgia lidocain 2% at An Giang hospital from November 2003 to April 2004. Among them 5 patients were complication of head trauma and one of unknown etiology. 3 patients were over 70 years old (the highest was 70 and the smallest was 32); 2 patients were in a coma with GCS = 8 points, without patient was in a coma with GCS < 8 points; 1 patient had very high risk with ASA (IV) and 2 patients had very high risk with ASA (III). The surgical procedure lasted from 30 to 45 minutes for hematoma removal. All patients had good outcome after 24 hours. The duration of hospitalization were from 7 to 15 days. All of them were discharged well
Anesthesia, Local ; surgery ; Hematoma, Subdural, Chronic

Aged ; Catheter Ablation ; methods ; Female ; Hematoma ; surgery ; Humans ; Thrombosis ; surgery

Epidural hematomas are usually traumatic in origin. Non-traumatic spontaneous epidural hematoma is rare and its incidence is not known. It can occur in the presence of coagulopathy and hypotension. We report a case of spontaneous intracranial epidural hematoma following the aortic valve replacement, possibly arising from excessive anticoagulation and hypotension during ventricular fibrillation.
Aortic Valve ; Hematoma ; Hematoma, Epidural, Cranial ; Hypotension ; Incidence ; Thoracic Surgery ; Ventricular Fibrillation

Adult ; Female ; Hematoma, Epidural, Spinal ; surgery ; Humans ; Prognosis

surgery. The most common site for bone graft harvest is the anterior iliac crest. There is usually considerable cancellous bone graft available and it can be obtained with minimal morbidity. However, complications noted in iliac crest grafts include prolonged postoperative pain, hematoma and fracture, gluteal muscle weakness. Occasionally, when large amounts of bone graft are needed and previous harvest procedure had used, iliac bone harvest may be not adequate. Like the iliac crest, the greater trochanter has abundant cancellous bone and is readily accessible with acceptable morbidity. The purpose of this study was to assess the availability of cancellous bone graft from the greater trochanter, compare the quantity with that available from the anterior iliac crest, investigate anatomical hazards, and make recommendations for consistent harvest.]]>
Femur ; Hematoma ; Muscle Weakness ; Pain, Postoperative ; Surgery, Oral ; Transplants

OBJECTIVETo present 4 cases of hemophilic pseudotumor and to investigate the treatment outcome.

METHODSFour cases of hemophilic pseudotumor were reviewed. The patients were treated by internal medicine combined with surgery and followed up for two years. The feature and diagnosis of the disease were analyzed and the treatment outcome was evaluated.

RESULTSAll of the 4 cases were misdiagnosed with a history of bleeding before operation. One patient was bleeding after biopsy without replacement therapy. One patient was presented with gingival bleeding and anaemia. The final diagnosis of hemophilia A in all the 4 cases was confirmed by the blood test (VIII deficiency). After infusion of factor VIII, operation was performed on all cases. There was no recurrence after two years of follow-up.

CONCLUSIONSIt should be aware of the rarely encountered disease which is prone to be misdiagnosed. Under factor-deficient replacement therapy, surgical management is the most effective way in preventing from bleeding and avoiding progressive expanding of pseudotumor.

Child ; Diagnostic Errors ; Hematoma ; surgery ; Hemophilia A ; diagnosis ; surgery ; Humans ; Infant ; Male ; Middle Aged ; Young Adult

Adult ; Hematoma, Epidural, Spinal ; etiology ; Humans ; Male ; Spinal Fractures ; complications ; surgery ; Thoracic Vertebrae ; injuries ; surgery

Intramural hematoma of the cardiac muscle is a rare clinical condition. Only a few cases have been reported in the medicosurgical conditions related to post cardiac surgery, chest trauma and dissecting aneurysms of the aorta. Moreover, there are few cases of spontaneous left atrial intramural hematoma and they may occur in the medical conditions related to calcified mitral annulus dissection or amyloidosis. We experienced a case of spontaneous intramural left atrial hematoma in a 29 year-old male resulting in vaso-occlusive cardiogenic shock. We report the clinical manifestation and treatment of this case with a review of literatures.
Adult ; Amyloidosis ; Aneurysm, Dissecting ; Aorta ; Heart Atria ; Hematoma* ; Humans ; Male ; Myocardium ; Shock, Cardiogenic* ; Thoracic Surgery ; Thorax