Case Of Expulsion Research Articles

Prolapse Surgery Using Biomaterials

Objectives: This paper reviews the use of new surgical techniques and biomaterials for enterocoele or rectocoele prolapse surgery in our clinical practice over the past 5 years. A comparative series was carried out using either Pelvicol™ Implant, or posterior Intravaginal Slingplasty (IVS) combined with bridge or posterior repair. Methods: Between October 2000 and October 2001, 104 patients were treated with Pelvicol™ Implant (without additional IVS implants). Pelvicol™ Implant was placed in an anterior ( n=14), posterior ( n=80) or anterior and posterior ( n=10) position. The minimum follow-up period was more than 6 months, with investigations carried out every 6 months during the follow-up period. Results: The local performance of Pelvicol™ Implant was superior to that of conventional treatment. Complications with Pelvicol™ Implant were rare with few observed cases of expulsion, recurrence, shrinkage, induration, dyspareunia, or urgency-frequency syndrome. There were no reports of dyspareunia among any of the sexually active patients getting sufficient (local or systemic) estrogens. In addition, there were no reported infections. Although patients experienced a rise in temperature on the second and third day after surgery with a corresponding increase in serum levels of C-reactive protein, temperatures had normalised by days 4 and 5 post-operation, followed by normalisation of serum C-reactive protein levels. Conclusions: The migration of cells, ingrowth of tissue, vascularisation and collagen formation in and around Pelvicol™ Implant reported by other groups obviously are properties that lead to a very pleasing result after conclusion of the healing process. Long-term results have to follow this preliminary report.

Extravesical ureteroneocystostomy with and without internalized ureteric stents in pediatric renal transplantation.

The use of ureteric double-J stents and the Lich-Gregoir (extravesical) technique of ureteroneocystotomy have both been shown to decrease the rate of urologic complications in adult kidney transplantation (Tx). There are, however, few studies of the systematic use of stents in pediatric renal Tx. Between 1991 and 1997, 32 consecutive pediatric renal transplant recipients routinely received a 6F-12 cm indwelling double-J stent and were studied prospectively. These patients were compared with 32 consecutive pediatric recipients in whom a stent was not used. The latter were transplanted between 1987 and 1991 and formed the control group. All patients had a Lich-Gregoir ureteroneocystotomy. Stents were removed under general-anesthetic cystoscopy 2 3 weeks after Tx. Immunosuppression for stented patients was polyclonal antibody induction, delayed (7-10 days) cyclosporin A, azathioprine, and prednisone. The control group received the same triple drug regimen but with no induction in 29 of the 32 patients. All patients were followed-up with at least one ultrasound evaluation in the first month, and a renal scan and repeat ultrasound were performed if there was any rise in serum creatinine. In the stented group there were two patients with urinary leak and no obstructions. In the non-stented group there were no leaks and one obstruction. There was no graft loss owing to urologic complications in either group. There were three cases of stent expulsion (all in girls) and one case of stent migration in the posterior urethra (a boy). The 1-yr graft survival rate was 90.6% in the stented group and 65.6% in the non-stented group. The prophylactic use of an indwelling ureteral stent in pediatric renal Tx did not reduce the risk of urinary leakage or obstruction. Stent migration is a common phenomenon and, while not a serious complication, is traumatic to children. Furthermore, removal of an internalized double-J stent requires a general anesthetic. We recommend using a stent for selected patients only.

Late traumatic wound dehiscence after phacoemulsification

Scars from scleral tunnel or clear corneal incisions for phacoemulsification should theoretically be stronger than the larger incisions of planned extracapsular cataract extraction. They should also be more resistant to blunt trauma. We present a case of scleral tunnel wound dehiscence and expulsion of a posterior chamber silicone intraocular lens after blunt trauma.

7146 Expulsion of an esophageal metal stent by foreceful emesis.

A 39-year white male was diagnosed with esophageal cancer with metastases after presenting with dysphagia. A large, bulky exophytic esophageal tumor extended 29 cm to 40 cm from the incisors, ending at the GE junction. Biopsies revealed invasive poorly differentiated carcinoma. While receiving palliative chemotherapy, he developed profound dysphagia for liquids and solids. A 15 cm long, 18 mm diameter coated Microvasive Ultraflex expandable metal stent was placed under fluoroscopic guidance. X-rays confirmed the correct positioning of the stent. Immediately after the stent placement, the patient did well and was discharged home. 36 hours later he became nauseous and developed severe vomiting. During the vomiting the metal stent was regurgitated and expelled from the esophagus. The patient was readmitted and treated with anti-emetics for 48 hours. A 12 cm long 23 mm diameter coated Microvasive Ultraflex expandable metal stent was inserted and he has tolerated this stent well. To our knowledge, this is the first reported case of spontaneous expulsion of an expandable metal stent by vomiting. Distal and proximal migration of esophageal stents has been well reported. Distal migration usually occurs when the stent lies across the GE junction and proximal migration when the stent lies in the region of the cricopharyngeus. Dislodgement by severe emesis must be considered a rare complication. Nevertheless, this complication raises the question of whether anti-emetices should be given prophylactically until the stent has epithelialized to prevent expulsion.

Advanced extra-uterine pregnancy– a case of fimbrial expulsion of the fetus with complete placental development in the fallopian tube

A case report is presented of a 30-year-old woman, gravida 3 para 2, presented with an advanced extra-uterine pregnancy with complete development of the placenta in the fallopian tube.

Health effects of long‐termuse of the intrauterine levonorgestrel‐releasing system, A follow‐up study over 12 years of continuous use

This report comprises women from one center, who all participated in a larger European multi-center study, which included 2758 healthy women, of whom 1821 were randomly allocated to the levonorgestrel-releasing intrauterine system (Lng-IUS) and 937 to a copper-IUD (Nova-T). At the end of the 5 year study period, 109 of the 300 women, who originally were allocated to the Lng-IUS at this center, were still using the Lng-IUS. The women were offered the opportunity to continue the Lng-IUS and 100 women chose to do so. After a total period of almost 7 years of continuous use, a second Lng-IUS was offered and 82 of the women chose to start a second segment of Lng-IUS use. After another 5 years, 69 of the women were fitted with their third Lng-IUS. These 82 women were examined yearly throughout the study period and bleeding pattern, hemoglobin, weight, blood-pressure, general well-being and intercurrent disease were analyzed to assess long-term effects. No pregnancy occurred during the follow-up. One case of partial expulsion occurred and one case of pelvic inflammatory disease. Seventy-seven percent of the women did not report any health problems at all during the entire follow-up period of 13 years. At the end of the second period with the Lng-IUS, 60% reported amenorrhea, 12% infrequent, scanty bleeds and 28% regular, scanty bleeds. As a consequence, the hemoglobin values increased, with a mean increase, after 12-13 years, being 1.35 g/dl. Blood pressure increased slightly and body weight increased with a mean increase of 0.49 kg/year. Seven women became postmenopausal during the follow-up and started estrogen replacement therapy with the Lng-IUS in situ. This follow-up study suggests that the Lng-IUS remains a safe and effective method of contraception, allowing women prolonged relief of menstrual problems, and for women in their late reproductive years, offering a convenient and bleeding-free transition into the menopause.

Exodus Revisited: The Politics and Experience of Rural Loss in Central Brazil

The internal differences among people who have been referred to as peasants, and the long history of labour market participation by rural people in Latin America, suggest that rural exodus and urbanization must be treated as complex processes that have varied widely across time and space. Rural exodus continues to be a compelling metaphor for the contradictions of modernization today in Latin America. This article looks at the process and meaning of expulsion from the land in a prosperous agricultural region of central Brazil where almost all people today live in cities and towns. Intensive interviews with former rural dwellers, and rural union documentation of a number of cases of tenant expulsion by landowners, help situate the experience of rural exodus within two major commodity systems: free range cattle ranching and cotton production. In the first, a more traditional local system, tenant farmers known as agregados were eased off the land over a generation. Their loss occurred in a context of paternalism and negotiation which shielded many of them from the potentially devestating impact of landlessness. Workers in cotton production were first dislodged from other poorer regions in Brazil before being taken by labour brokers to the region of study. As day labourers with few local social ties, these people had a harder time in their move to town. It is important to recognize the political and economic relationships of working people to the land to understand why, in a region such as this, neither group of workers has insisted on returning to it. Resident cattle workers and cotton workers held no claims to land ownership. In addition, their long‐established dependence on town life have made them reluctant to seek returning to the land.

Fluid budgets at convergent plate margins: Implications for the extent and duration of fault-zone dilation

Research Article| December 01, 1999 Fluid budgets at convergent plate margins: Implications for the extent and duration of fault-zone dilation Demian M. Saffer; Demian M. Saffer 1Earth Sciences Department, University of California, Santa Cruz, California 95064, USA Search for other works by this author on: GSW Google Scholar Barbara A. Bekins Barbara A. Bekins 2U.S. Geological Survey, 345 Middlefield Road, Menlo Park, California 94025, USA Search for other works by this author on: GSW Google Scholar Author and Article Information Demian M. Saffer 1Earth Sciences Department, University of California, Santa Cruz, California 95064, USA Barbara A. Bekins 2U.S. Geological Survey, 345 Middlefield Road, Menlo Park, California 94025, USA Publisher: Geological Society of America First Online: 02 Jun 2017 Online ISSN: 1943-2682 Print ISSN: 0091-7613 Geological Society of America Geology (1999) 27 (12): 1095–1098. https://doi.org/10.1130/0091-7613(1999)027<1095:FBACPM>2.3.CO;2 Article history First Online: 02 Jun 2017 Cite View This Citation Add to Citation Manager Share Icon Share Facebook Twitter LinkedIn MailTo Tools Icon Tools Get Permissions Search Site Citation Demian M. Saffer, Barbara A. Bekins; Fluid budgets at convergent plate margins: Implications for the extent and duration of fault-zone dilation. Geology 1999;; 27 (12): 1095–1098. doi: https://doi.org/10.1130/0091-7613(1999)027<1095:FBACPM>2.3.CO;2 Download citation file: Ris (Zotero) Refmanager EasyBib Bookends Mendeley Papers EndNote RefWorks BibTex toolbar search Search Dropdown Menu toolbar search search input Search input auto suggest filter your search All ContentBy SocietyGeology Search Advanced Search Abstract Faults at convergent plate boundaries are important conduits for fluid escape, and recent evidence suggests that fluid expulsion along them is both transient and heterogeneous. For the Nankai and Barbados convergent margins, we have used numerical models to investigate the long-term partitioning of expelled fluids between diffuse flow and flow along connected high-permeability fault conduits. For a simple case of spatial heterogeneity, we estimated the extent of high-permeability conduits necessary to maintain a balance between incoming and expelled fluids. For the case of transient expulsion, we constrained the duration of elevated permeability required to balance the fluid budgets. Comparison of modeled and observed geochemical profiles suggests that the initiation of connected flow conduits is delayed with respect to the time of accretion into each accretionary complex and may be related to burial below a critical depth, either where the overlying wedge is sufficiently thick to prevent fluid escape to the sea floor or where sediments behave brittlely. This content is PDF only. Please click on the PDF icon to access. First Page Preview Close Modal You do not have access to this content, please speak to your institutional administrator if you feel you should have access.

Spontaneous expulsion of schwannoma of epiglottis.

A rare case of spontaneous expulsion of schwannoma of epiglottis is being reported. These are neurogenic tumours arising from the schwan sheath of peripheral, cranial and sympathetic nerves. The great majority of these neurogenic tumours originate from aryepiglottic fold or false vocal cords. However the neurofibroma of the epiglottis are quite uncommon.

Premature expulsion of the placenta and bovine perinatal mortality

In one study two cases of premature expulsion of the placenta were recorded among 60 supervised calvings (3.3 per cent); both calves died. In a second study, 47 cases were recorded among 332 cases of perinatal mortality (14.2 per cent). The condition was associated with fetal malpresentation and malposture, and mortality either before or during parturition. There was no significant relationship between the occurrence of premature expulsion of the placenta and parity, calving difficulty, previous calving history or the sex of the calf. The condition in cattle is compared with placenta praevia in women.

Traumatic extrusion of posterior chamber lenses: Clinical and experimental correlations

Five cases of traumatic expulsion of posterior chamber intraocular lens implants are presented. The syndrome is characterized by expulsion of the lens, iris damage, and intraocular hemorrhage. In experiments with donor human eyes we were able to reproduce the syndrome with 0.68 joules of energy, which is well below that encountered in common environmental situations.

Mixing of two gases one of which is expelled from a cylindrical space by the other

The flow structure and impurity distribution in an axisymmetric cylindrical space is obtained from the system of equations of convective heat and mass transfer in the Boussinesq approximation for different variants of the gas inflow and outflow conditions. The variation of the average impurity concentration in the space investigated, obtained as a result of numerical calculations, is compared with two limiting cases of expulsion of the contaminated gas: the “gas piston” case and total mixing. The dependence of the velocity and impurity concentration fields on the regime parameters (Reynolds, Grashof, and Schmidt numbers, velocity profiles at the gas inlet and outlet) and the geometric and design parameters (elongation of cylinder, inflow and outflow geometry) is investigated numerically.

Spontaneous expulsion of intravesical bullet

The first reported case of spontaneous expulsion per urethra of an intravesical bullet which initially entered through the left flank is presented. Recognition of the truc location of the millile might have been facilitated had lateral and/or oblique films have been obtained under emergency conditions as advocated by the authors.

Case of expulsion of the Fœtus about the sixth month with the membranes entire

Case of expulsion of the Fœtus about the sixth month with the membranes entire