ABSTRACT
A patient with tuberous sclerosis and known bilateral angiomyolipomas presented with a complete pneumothorax prior to scheduled renal surgery. Evaluation revealed the presence of pulmonary lymphangioleiomyoma, an unusual entity known to coexist with tuberous sclerosis. Pulmonary decortication and conservative renal surgery resulted in a satisfactory long-term result.
Subject(s)
Angiomyolipoma/complications , Kidney Neoplasms/complications , Lung Neoplasms/complications , Lymphangioleiomyomatosis/complications , Neoplasms, Multiple Primary/complications , Tuberous Sclerosis/complications , Adolescent , Angiomyolipoma/pathology , Female , Follow-Up Studies , Humans , Kidney Neoplasms/pathology , Lung Neoplasms/pathology , Lymphangioleiomyomatosis/pathology , Neoplasms, Multiple Primary/pathologyABSTRACT
The use of free soft tissue autograft procedures has been well established and documented. However, little attention has been devoted to the care of the donor site which most frequently consists of palatal mucosa. The purpose of this study was to evaluate the hemostasis and protection of the palatal donor site of free soft tissue autografts using a microfibrillar collagen hemostat preparation. Twenty healthy adult subjects were selected. Ten patients in the experimental group received the microfibrillar collagen hemostat as a dressing while the control group received a conventional dressing. The results demonstrated that 10 minutes after the split thickness mucosal grafts were removed, the mean volume of blood absorbed by the sampling technique was 0.96 ml in the treated wounds vs. 1.85 ml in the control. There were no apparent differences in the quality of healing or the pain perceived by the patients in the experimental and control groups. It was concluded that the microfibrillar collagen hemostat produced rapid and effective hemostasis and protected the denuded palatal donor sites obviating the need for a conventional periodontal dressing.
Subject(s)
Collagen/therapeutic use , Hemostasis, Surgical/methods , Mouth Mucosa/transplantation , Adult , Aged , Animals , Cattle , Evaluation Studies as Topic , Female , Humans , Male , Middle Aged , Mouth Mucosa/physiology , Palate , Time Factors , Wound HealingABSTRACT
Ventriculoperitoneal shunts are a common form of cerebrospinal fluid diversion in treating hydrocephalus. With their use various complications have been noted. Herein is described a shunt complication which simulated an acute scrotal condition. The operative findings and treatment are discussed. A brief review of the literature is also given.
