Diagnostic work-up and management of intracranial arachnoid cysts are still controversial. The authors have reported one case of intracranial arachnoid cyst in association with epilepsy. Operative method: craniotomy with penetration.
Subarachnoid Hemorrhage ; Surgery ; Epilepsy

From March 1997 – September 2002, study on 31 patients intracerebral hemorrhage (28 male, 3 female) and 16 patients of control group (14 male, 2 female). The mortality of surgical treatment group was 32% and control group was 56%. Most of the benefit was in patients with lobar hemorrhage and following criteria: volume of hematoma  60cc, age  70, GCS  8. These is some suggestion that in the next future the treatment of intracerebral hemorrhage will involve non-invasive, stereotactic aspiration of hemorrhage through a single burr hole within hours
Intracranial Hemorrhage ; Hypertensive ; Surgery ; Cerebral Hemorrhage, Traumatic ; therapeutics ; surgery

From January to December 2002 at Cho Ray Hospital Ho Chi Minh City, bleeding peptic ulcer was recognized in 273 patients. Surgical treatment was used in 11.4% (31/273 cases). The indication for surgery was correlated with site, size, general status, lesion of the bleeding peptic ulcer and rebleeding or failure of endoscopic treatment as well as bleeding degree. Surgical procedures including simple suture (n=10), Weinberg's operation (n=3), and subtotal gastrectomy (n=18). Postoperative rebleeding rate was 19.4% (6/31) and was the highest in simple suture procedure. Mortality rate was 25.8% (8/31)
peptic ulcer ; Therapeutics ; surgery ; Hemorrhage

PURPOSE: Many patients in anti-platelet therapy have been consulted for bleeding risks before minor oral surgery. However, there has not been an established pretreatment protocol for treating these patients. The purpose of this study is to make a protocol for the preoperative management for patients in anti-platelet therapy. PATIENTS AND METHODS: The existed consultation pattern of patients was examined in the Department of Oral and Maxillofacial Surgery, Yonsei Dental Hospital. Based on the observation, a protocol including classification of medical status of patients and the type of oral surgery in need was introduced. This protocol had been performed for 6 months. RESULT: Following this protocol, the frequency of consultation for bleeding risk was decreased. The number of minor oral surgeries with concurrent anti-platelet therapy was increased. There was no severe bleeding event observed among minor oral surgeries that were performed while maintaining anti-platelet therapy. CONCLUSION: This protocol can be used as a guideline for clinical practice of patients in anti-platelet therapy requiring minor oral surgery.
Aspirin ; Hemorrhage ; Humans ; Surgery, Oral

A male patient aged 52 was admitted due to an attack to manage the hypertensive intracerebral hematoma at the left subfrontal region. An operation of supraorbital keyhole approach via a superciliary skin incision was performed. Result showed a shortened surgical time of a minimal invasion, almost hematoma was removed completely. Post-operative status was stable and the patient was discharged with GOC score of 5
Intracranial Hemorrhage, Hypertensive ; Intracranial Hemorrhages ; surgery ; Therapeutics

Cardiac surgery is frequently associated with an excessive perioperative blood loss requiring transfusion of blood products. Various point-of-care(POC) assessments for coagulation and platelet function allow an appropriate and, targeted therapy and reduce blood loss and transfusion requirements. In particular, a quick evaluation of platelet and coagulation defects with new POC devices can optimize the administration of pharmacological and transfusion-based therapy in cardiac surgery. The main advantages of POC tests are shorter time delay, assessment in whole blood and patient's temperature, potential to measure entire clotting process and to include information of platelet function. A transfusion algorithm using POC tests showed effectiveness in reducing intraoperative bleeding and transfusion requirements. Standardized procedure, strict quality control and trained personnel are highly recommended for optimal accuracy and performance of POC tests.
Blood Platelets ; Hemorrhage ; Quality Control ; Thoracic Surgery

No abstract available.
Cardiopulmonary Bypass* ; Emergencies* ; Heart* ; Hemorrhage* ; Thoracic Surgery*

Hemorrhage ; etiology ; surgery ; Humans ; Pancreaticoduodenectomy ; adverse effects

Adult ; Female ; Humans ; Intracranial Aneurysm ; surgery ; Middle Aged ; Subarachnoid Hemorrhage ; surgery ; Takayasu Arteritis ; surgery

Objective To investigate the clinical characteristics of 30-day unplanned reoperations after thoracic surgery. Methods We retrospectively analyzed the clinical data of patients with unplanned reoperations within 30 days after thoracic surgery in Peking Union Medical College Hospital from May 2016 to May 2021. Results The 30-day unplanned reoperations showed the incidence of 0.75%(79/10 543),the median hospital stay of 19(12,37) days,and the median hospitalization cost of 109 929.11(80 549.46,173 491.87) yuan.Twenty-two(27.85%) patients received blood transfusion and 26(32.91%) underwent intensive care.The period between May 2016 and May 2017 witnessed the most unplanned reoperations.The main causes of unplanned reoperations after thoracic surgery were bleeding(21.52%),chylothorax(17.72%),pulmonary air leakage(16.46%),atelectasis(13.92%),and gastroesophageal fistula(11.39%).Specifically,the main causes of unplanned reoperations in the patients of non-esophagus/cardia group were bleeding,pulmonary air leakage,atelectasis,and chylothorax,and those in the patients of esophagus/cardia group were gastroesophageal fistula,incision infection and poor healing,bleeding,and chylothorax.Among all the patients with unplanned reoperations,4 patients died,17 improved,and 58 recovered. Conclusions The patients who underwent unplanned reoperations after thoracic surgery had a long hospital stay and high hospitalization costs. Bleeding,chylothorax,pulmonary air leakage,atelectasis,and gastroesophageal fistula were the main reasons for the unplanned reoperations.
Humans ; Reoperation ; Retrospective Studies ; Thoracic Surgery ; Chylothorax/surgery* ; Hemorrhage ; Pulmonary Atelectasis/surgery* ; Postoperative Complications/epidemiology*