No abstract available.
Listeria monocytogenes* ; Listeria* ; Macrophages* ; Salmonella typhimurium* ; Salmonella*

In infected uncemented hip arthroplasty, 4 cases which showed well-fixed femoral stem were managed by staged procedure. Thorough debridement, removal of acetabular socket and insertion of antibiotics impregnated cement spacer was done without removal of femoral stem. No recurrence of infection or loosening was developed after staged procedure and revisoin was performed after infection evidence disappeared. The interval between the two procedures was 4 months (3-6) on average. In Weber's criteria, all 4 cases were graded as having definitive cure of infection on both clinical and radiological criteria (Grade I) .
Acetabulum ; Anti-Bacterial Agents ; Arthroplasty ; Arthroplasty, Replacement, Hip* ; Debridement ; Hip ; Recurrence

Purpose: Transurethral resection of the prostate (TURP) is the surgical treatment for symptomatic benign prostate hyperplasia with a good result, but some cases of postoperative delirium have been associated with this treatment. The purpose of this study is to develop and validate clinical prediction of postoperative delirium using the preoperative and postoperative data. Materials and Methods: We analyzed 417 patients who were admitted for TURP between January 1999 and December 2004. All patients underwent evaluations, including a medical history and laboratory tests, and we recorded the operative time, resection volume, complications, medications and length of stay from the medical records. Postoperative delirium was diagnosed using DMS-IV. Logistic regression test was used to assess the data of the patients and to determine the risk factor of postoperative delirium. Results: Postoperative delirium occurred in 33 patients (7.9%) of the 417 patients. The hospital stay of the patients with delirium was longer than that of the patients without delirium. Delirium was associated with an age>or=70 years, a postoperative Hb<10g/dl and decreased Hb>or=2.0g/dl (p<0.05). A postoperative Hb<10g/dl and a decreased Hb>or=2.0g/dl were associated with an increased risk of delirium on the multivariate analysis (odds ratio=4.6 and 5.7). Conclusions: The incidence of postoperaitve delirium in elderly patients with symptomatic benign prostate hyperplasia was 7.9%, and a postoperative Hb<10g/dl and a decreased Hb>or=2.0g/dl were identified as risk factors. Because delirium was associated with a variety of adverse outcomes, difficult treatment and high mortality, those patients with risk factor for delirium must be kept under close observation after TURP.
Aged ; Delirium* ; Humans ; Hyperplasia ; Incidence ; Length of Stay ; Logistic Models ; Medical Records ; Mortality ; Multivariate Analysis ; Operative Time ; Prostate* ; Prostatic Hyperplasia ; Risk Factors* ; Transurethral Resection of Prostate

No abstract available.
Constriction, Pathologic* ; Stents*

The paravalvular leak after redo mitral prosthetic valve replacement is rare but serious complication when it does happen. This condition should be corrected surgically to increase life span and improve symptoms. But simple closure or patch closure of paravalvular leak are not effective in cases of weak annulus or broad defect. We report 3 cases of trido mitral valve replacement using mechanical valve with its sewing ring expanded by a collar of Dacron sheet. The prosthetic sewing ring is anchored on the weak mitral annulus with multiple interrupted sutures, while the Dacron collar is contineuously sutured to the left atrial wall for blood tight sealing. All of the three cases showed event free postoperative course.
Mitral Valve* ; Polyethylene Terephthalates* ; Reoperation ; Sutures

The paravalvular leak after redo mitral prosthetic valve replacement is rare but serious complication when it does happen. This condition should be corrected surgically to increase life span and improve symptoms. But simple closure or patch closure of paravalvular leak are not effective in cases of weak annulus or broad defect. We report 3 cases of trido mitral valve replacement using mechanical valve with its sewing ring expanded by a collar of Dacron sheet. The prosthetic sewing ring is anchored on the weak mitral annulus with multiple interrupted sutures, while the Dacron collar is contineuously sutured to the left atrial wall for blood tight sealing. All of the three cases showed event free postoperative course.
Mitral Valve* ; Polyethylene Terephthalates* ; Reoperation ; Sutures

No abstract available.
Constriction, Pathologic* ; Dilatation*

No abstract available.
Typhlitis*

Background: The On-X valve was recently introduced. It was the aim of this study to assess the safety and feasibility from the data derived from 28 patients who underwent aortic and/or mitral valve replacement with this prosthesis in National Medical Center. Material and Method: From May 1999 and May 2003, a series of 28 consecutive patients who had been implanted with 32 On-X prosthesis were reviewed. The operative procedure comprised of 12 MVR, 10 AVR and 6 DVR. The study followed the guidelines of AATS/STS. Mean follow-up was 27 months (total 64 patient-years). Result: Early ( Bilirubin ; Echocardiography ; Follow-Up Studies ; Freedom ; Heart Valve Prosthesis ; Heart Valves* ; Heart* ; Hematocrit ; Hemodynamics ; Humans ; Incidence ; Mitral Valve ; Mortality ; Prostheses and Implants ; Reference Values ; Reticulocytes ; Surgical Procedures, Operative

No abstract available.
Mucous Membrane* ; Pigmentation*