RESUMO
The aims of this study were to evaluate the impact of the COVID-19 pandemic on emergency and elective hand surgery in four Italian regions that had either a high (Lombardy and Piemonte) or a low (Sicilia and Puglia) COVID-19 case load to discuss problems and to elaborate strategies to improve treatment pathways. A panel of hand surgeons from these different regions compared and discussed data from the centers they work in. The COVID-19 pandemic had an enormous impact on both elective and emergency surgery in Italy, not only in highly affected regions but also - and paradoxically even at a higher extent - in regions with a low COVID-19 case load. A durable and flexible redesign of hand surgery activities should be promoted, while changing and hopefully increasing human resources and enhancing administrative support. Telematics must also be implemented, especially for delivering rehabilitation therapy.
Assuntos
COVID-19/epidemiologia , Mãos/cirurgia , Procedimentos Ortopédicos/estatística & dados numéricos , Pandemias , Teste para COVID-19/estatística & dados numéricos , Procedimentos Cirúrgicos Eletivos/estatística & dados numéricos , Acessibilidade aos Serviços de Saúde/estatística & dados numéricos , Humanos , Itália/epidemiologia , Admissão e Escalonamento de Pessoal/organização & administração , Modalidades de Fisioterapia/organização & administração , Modalidades de Fisioterapia/estatística & dados numéricos , Cuidados Pós-Operatórios , Inquéritos e Questionários , Telemedicina/estatística & dados numéricosRESUMO
The experience of numerous cases of surgical operations carried out over the ten years from 1990-2000, has meant we have been able to reflect on the fact that the median, ulnar, radial (upper extremity), tibial and external popliteal sciatic (lower extremity) nerves are more greatly exposed to compressive pathology. This is due to certain anatomical topographical relationships with canals, semi-canals, tunnels in well-defined and unchanging sites. From this point of view, a pathology with an etiopathogenic topographical tendency is emerging.
Assuntos
Braço/inervação , Plexo Braquial/patologia , Perna (Membro)/inervação , Síndromes de Compressão Nervosa/patologia , Traumatismos dos Nervos Periféricos , Nervos Periféricos/patologia , Plexo Braquial/fisiopatologia , Causalidade , Humanos , Músculo Esquelético/inervação , Síndromes de Compressão Nervosa/fisiopatologiaRESUMO
Here are analysed personal observation about high duplication of median nerve at the wrist. Here are reported 18 cases on 3300 operations for carpal tunnel. The results are compared with the literary casuistry.
Assuntos
Síndrome do Túnel Carpal/patologia , Variação Genética/genética , Mãos/inervação , Mãos/cirurgia , Complicações Intraoperatórias/patologia , Nervo Mediano/cirurgia , Punho/anormalidades , Síndrome do Túnel Carpal/fisiopatologia , Síndrome do Túnel Carpal/cirurgia , Feminino , Mãos/fisiopatologia , Humanos , Complicações Intraoperatórias/fisiopatologia , Masculino , Nervo Mediano/fisiopatologia , Músculo Esquelético/inervação , Nervo Ulnar/anormalidades , Nervo Ulnar/fisiologia , Nervo Ulnar/cirurgia , Punho/fisiologia , Punho/cirurgiaRESUMO
The first case of mycotic keratitis caused by Neosartorya fischeri var. fischeri the teleomorph of Aspergillus fischerianus, is described. The patient, a 62-year-old man, had no history of trauma to his infected left eye. The infection progressed despite treatment with ketoconazole and the eye had to be eviscerated. Histological studies revealed the presence of hyaline, septate mycelium in the eye tissue. Cultures gave rise to a thermotolerant mould that developed both its asexual and sexual forms. The isolate was identified on the basis of the morphologic features of its anamorphic and teleomorphic states. In the literature only seven other species of Aspergillus have been unequivocally reported as causing mycotic keratitis.