ABSTRACT
Suppuration of a congenital hernia or communicating hydrocele following generalized peritonitis is rare. The lack of reported cases in the recent literature may indicate a decreasing incidence of this unusual complication. We report a case of suppuration of a communicating hydrocele with testicular loss 2 days after treatment of perforated appendicitis in a 10-year-old boy.
Subject(s)
Appendicitis/complications , Infections/etiology , Intestinal Perforation/complications , Postoperative Complications/etiology , Testicular Diseases/etiology , Testicular Hydrocele/complications , Appendicitis/epidemiology , Appendicitis/surgery , Child , Humans , Infections/epidemiology , Infections/surgery , Intestinal Perforation/epidemiology , Intestinal Perforation/surgery , Male , Orchiectomy , Postoperative Complications/surgery , Prevalence , Rupture, Spontaneous , Suppuration , Testicular Diseases/epidemiology , Testicular Diseases/surgery , Testicular Hydrocele/congenital , Testicular Hydrocele/epidemiologyABSTRACT
Mechanical ventilation is required by surgical patients for a number of different reasons. The methods available to ventilate patients have increased in the last few years. Some of these techniques have proved helpful, while a few remain investigational searching for an application. Surgeons dealing with critically ill patients must remain current with alternative methods of ventilation.
Subject(s)
Respiration, Artificial/methods , High-Frequency Ventilation/methods , Humans , Respiratory Mechanics , Total Lung Capacity/physiologyABSTRACT
Trauma systems have proved effective in reducing morbidity and mortality rates. Depending on a center's geographic location and patient mix between penetrating and blunt trauma, participation in a system may be a liability or an asset. In general, inner-city hospitals tend to see more indigent patients and to have sizeable financial losses. At the same time, they provide an invaluable service to any community, and their ability to do so must be preserved. The two important issues of malpractice and uncompensated care threaten to destroy the very concept of trauma care and therefore pose a serious threat to the health care profession. Solutions are possible, but it will take a significant public awareness and education campaign to elicit the support and initiate the programs that will ensure that every injured patient has an opportunity to receive the best of trauma care. Inner-city hospitals are both a financial burden and a community savior.
