Surgery vascular

Penile disease (Peyronie s disease or anatomic abnormalities) Surgical Procedures Perineal surgery Radical prostatectomy Vascular surgery Lifestyle Age... 

Cefazolin or cefuroxime are appropriate for prophylaxis in cardiothoracic and vascular surgeries. In the case of 3-lactam allergy, vancomycin or clindamycin are advised. Debate exists on the duration of antimicrobial prophylaxis. The National Surgical Infection Prevention Project cites data that extending prophylaxis beyond 24 hours does not decrease SSI rates and may increase bacterial resistance.1 American Society of Health-System Pharmacists guidelines from 1999 allow for the continuation of prophylaxis for up to 72 hours.22 Duration of therapy should be based on patient factors and risk of development of an SSI. SSIs are rare after cardiothoracic operations, but the potentially devastating consequences lead some clinicians to support longer periods of prophylaxis. 

Thoracic surgery Vascular surgery S. aureus, S. epidermidis, Corynebaderium, enteric gram-negative bacilli Cefuroxime 750 mg IV every 8 hours x 48 hours First-generation cephalosporins are deemed inadequate and shorter durations of prophylaxis have not been adequately studied IA... 

Hellmut Oelert Univ.-Prof. and Director emeritus of the Department of Cardiothoracic und Vascular Surgery at the Johannes Gutenberg University of Mainz, Member of the Board of the German Heart Foundation and Chairman of the Scientific Council of the German Foundation of Heart Research, Head of the Clinical Commission of the German Society of Thoracic and Cardiovascular Surgery... 

The agents like protamine sulfate react with the strongly acidic groups of heparin and can abolish its anticoagulant activity. Approximately 1 mg of protamine sulfate neutralizes 80 to 100 units of heparin. It is used only in severe bleeding or when heparin action needs to be terminated rapidly e.g. after cardiac or vascular surgery. 

Department of General and Vascular Surgery, Cairo University, Giza, Cairo, Egypt National Institute of Laser Enhanced Sciences, Cairo University, Gama street 1,... 

For some reactions the usefulness of withdrawing metformin before operations, except in emergency, cardiac, and vascular surgery and in operations requiring deliberate hypotension, has been discussed (37) and the creatinine threshold value has been discussed (38). 

Besides the promising use of BASYC in experimental vascular surgery we see the possibility for the application of BC as a soft-tissue substitution material in various medical fields because of its extraordinary properties. 

Hedin U, Wahlberg E. Gene therapy and vascular disease potential applications in vascular surgery. Eur J Vase Endovasc Surg 1997 13 101-1 I I. 

Men aged over 50 years with established CAD have an ED incidence of 40% and in those post myocardial infarction or post vascular surgery the incidence ranges from 39% to 64%, depending on diagnostic criteria (15). 

Due to the very low event rates in patients with asymptomatic lesions of moderate severity (<60% diameter stenosis), it is unknown whether currently available interventional techniques can improve long-term outcomes over those achievable with optimal medical management. Also unresolved are the indications for carotid stenting in asymptomatic individuals with contralateral carotid occlusion (53) and those undergoing major cardiac or vascular surgery (54). 

Ouriel K, Veith FJ, Sasahara AA. A comparison of recombinant urokinase with vascular surgery as initial treatment for acute arterial occlusion of the legs. N Engl J Med 1998 338 1 105-1 III. 

Rutherfor RB, ed. Vascular Surgery, 6th ed. Amsterdam, Netherlands Elsevier, 2005. 

Jansen C, Sprengers AM, Moll FL et al. (1994b). Prediction of intracerebral haemorrhage after carotid endarterectomy by clinical criteria and intraoperative transcranial Doppler monitoring. European Journal of Vascular Surgery 8 303-308... 

Kucey DS, Bowyer B, Iron K et al. (1998). Determinants of outcome after carotid endarterectomy. Journal of Vascular Surgery 28 1051-1058... 

Ouriel K, Shortell CK, Illig KA et al. (1999). Intracerebral haemorrhage after carotid endarterectomy incidence, contribution to neurologic morbidity, and predictive factors. Journal of Vascular Surgery 29 82-89... 

Riles TS, Imparato AM, Jacobowitz GR et at (1994). The cause of perioperative stroke after carotid endarterectomy. Journal of Vascular Surgery 19 206-216... 

Wilson PV, Ammar AD (2005). The incidence of ischemic stroke versus intracerebral hemorrhage after carotid endarterectomy a review of 2452 cases. Annals of Vascular Surgery 19 1-4... 

CARESS Steering Committee (2005). Carotid Revascularization Using Endarterectomy or Stenting Systems (CARESS) phase I clinical trial 1-year results. Journal of Vascular Surgery 42 213-219... 

Ascher E, Markevich N, Hingorani A et al. (2002). Pseudo-occlusions of the internal carotid artery a rationale for treatment on the basis of a modified duplex scan protocol. Journal of Vascular Surgery 35 340-350 Barnett HJM, Taylor DW, Eliasziw M for the North American Symptomatic Carotid Endarterectomy Trial Collaborators (1998). 

Golledge J, Cuming R, Beattie DK et al. (1996). Influence of patient-related variables on the outcome of carotid endarterectomy. Journal of Vascular Surgery 24 120-126... 

Turnbull RG, Taylor DC, Hsiang YN et al. (2000). Assessment of patient waiting times for vascular surgery. Canadian Journal of Surgery 43 105-111... 

Halhday AW, Thomas D, Mansfield A (1994). The Asymptomatic Carotid Surgery Trial (ACST). Rationale and design. Steering Committee. European Journal of Vascular Surgery 8 703-710... 

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