JAMA Surgery’s Post

For hemodynamically stable patients with traumatic hemothorax, combining percutaneous tube thoracostomy and thoracic lavage may represent optimal management, improving patient comfort and decreasing retained hemothorax. https://ja.ma/3UM4I7u

Can May-Thurner Syndrome cause blood clots? Yes, May-Thurner Syndrome (MTS), also known as iliac vein compression syndrome, can indeed cause blood clots. MTS is a rare vascular condition where an artery compresses a vein in the pelvis, hindering blood flow back to the heart. This compression can lead to blood pooling in the legs, resulting in deep vein thrombosis (DVT), a serious condition where blood clots form in the deep veins of the legs. Symptoms of DVT include: 🟣 Discolored skin on the leg 🩸 Enlarged, swollen leg veins 😣 Pain, throbbing, or tenderness in the leg 🦵 Swelling and heaviness in the leg If untreated, DVT can be life-threatening as the clot might travel to the lungs, causing a pulmonary embolism. Symptoms of a pulmonary embolism include chest pain, coughing up blood, rapid heartbeat, and breathing difficulties. At Milford Vascular Institute, our vascular surgeons utilize the latest intravascular ultrasound (IVUS) technology to diagnose and treat MTS effectively on an outpatient basis. Treatment involves using IVUS to place a stent in the iliac vein, reopening it to restore normal blood flow from the legs to the heart, thus preventing blood clots. For more information on how May-Thurner Syndrome is diagnosed and treated, please visit: https://lnkd.in/deyy9VjS You can also find us on Google Maps: https://lnkd.in/emGismyz Address: 20 Commerce Park, Milford, CT 06460 #IVUSUltrasoundNewHavenCT #IliacVeinUltrasoundNewHavenCT #EndovascularUltrasoundNewHavenCT #IntravascularUltrasoundMilfordCT #VeinCompressionTreatmentNewHavenCT #IVUSIntravascularUltrasoundNewHavenCT #MayThurnerSyndromeTreatmentMilfordCT #MayThurnerSyndromeDiagnosisNewHavenCT #MayThurnerSyndromeUltrasoundNewHavenCT

Correction of PICC malposition... "US-guidance can help reduce catheter malposition during bedside PICC insertion. Patients with risk factors such as multiple previous central vein insertions, failed peripheral line insertions, left arm insertion, or high BMI should undergo thorough sonographic evaluation of the arm vessels to prevent malposition" Jang et al (2023).

Correction of PICC malposition... "US-guidance can help reduce catheter malposition during bedside PICC insertion. Patients with risk factors such as multiple previous central vein insertions, failed peripheral line insertions, left arm insertion, or high BMI should undergo thorough sonographic evaluation of the arm vessels to prevent malposition" Jang et al (2023).

Hemorrhoids affect over 10 million people each year in the US - that's about 4.4% of the population. Surprising, right? 😲 Here’s the scoop: more than 80% of individuals won’t need surgery if they stick to conservative treatments. Fiber intake, avoiding straining, and regular exercise can be the game-changers in managing hemorrhoidal disease. 😌 Ever wondered about the grades of internal hemorrhoids? Grade 1 barely bulges into the anal canal, while Grade 4 is severe and can lead to extreme pain. It's all about the size and symptoms when it comes to treatment options. 📊 If conservative methods don’t cut it, surgical procedures like rubber band ligation or hemorrhoidectomy might be on the table. These are effective but come with their own set of considerations and recovery processes. 🏥 Remember, not all misconceptions about hemorrhoids are true. Stool softeners aren’t always the fix, surgery isn’t always necessary, and sometimes, that skin tag doesn't need to go! 🚫 So, next time the topic of hemorrhoidal disease pops up, you’ll be armed with knowledge to separate facts from fiction! 💡 https://lnkd.in/eyqWb-jj

Always great to have alternative approaches for challenging cases. Helps us challenge our thinking and ask ourself hard questions; can we do better for our patients; can we save more of their bowel for longer and improve QoL? #colorectalsurgery #bowelpreservation

Can May-Thurner Syndrome cause blood clots? Yes, May-Thurner Syndrome (MTS), also known as iliac vein compression syndrome, can indeed cause blood clots. MTS is a rare vascular condition where an artery compresses a vein in the pelvis, hindering blood flow back to the heart. This compression can lead to blood pooling in the legs, resulting in deep vein thrombosis (DVT), a serious condition where blood clots form in the deep veins of the legs. Symptoms of DVT include: 🟣 Discolored skin on the leg 🩸 Enlarged, swollen leg veins 😣 Pain, throbbing, or tenderness in the leg 🦵 Swelling and heaviness in the leg If untreated, DVT can be life-threatening as the clot might travel to the lungs, causing a pulmonary embolism. Symptoms of a pulmonary embolism include chest pain, coughing up blood, rapid heartbeat, and breathing difficulties. At Milford Vascular Institute, our vascular surgeons utilize the latest intravascular ultrasound (IVUS) technology to diagnose and treat MTS effectively on an outpatient basis. Treatment involves using IVUS to place a stent in the iliac vein, reopening it to restore normal blood flow from the legs to the heart, thus preventing blood clots. For more information on how May-Thurner Syndrome is diagnosed and treated, please visit: https://lnkd.in/daPd5evJ You can also find us on Google Maps: https://lnkd.in/eG_Wj8rj Address: 20 Commerce Park, Milford, CT 06460 #IVUSUltrasoundNewHavenCT #IliacVeinUltrasoundNewHavenCT #EndovascularUltrasoundNewHavenCT #IntravascularUltrasoundMilfordCT #VeinCompressionTreatmentNewHavenCT #IVUSIntravascularUltrasoundNewHavenCT #MayThurnerSyndromeTreatmentMilfordCT #MayThurnerSyndromeDiagnosisNewHavenCT #MayThurnerSyndromeUltrasoundNewHavenCT

✨ Good evening, everyone. 💢Here we are with ✨ Case number 2️⃣3️⃣ A pediatric patient, 4 years old, presenting with abdominal pain, fever, vomiting, and red urine. Lab results reveal a high total white blood cell count (19,000), numerous red blood cells in the urine, and elevated creatinine levels (3.1 mg/dL). 💢 Abdominal ultrasound findings:- - Large perinephric collection with multiple thin internal septations. - Renal and proximal ureteric stones. 💢 Final impression:- ✅✨ Large perinephric urinoma resulting from obstruction. Aspiration was performed, confirming the diagnosis. The patient has been referred to the surgical department. ✅ #ultrasound #abdominal_ultrasound

Adverse cardiovascular events are associated with hypertrophic cardiomyopathy (HCM) with excessive interventricular septal thickness. The most sought after surgical treatment for patients with HCM of an IVS of this magnitude is septal myectomy. A septal myectomy is a surgical procedure to thin these walls. Reducing mitral valve regurgitation, is another benefit of thinning the septum.

🌍 October 13 is World Thrombosis Day – Let’s Raise Awareness Together! 🌍 Every year, millions of people are affected by thrombosis, especially Deep Vein Thrombosis (DVT), a potentially life-threatening condition that can lead to serious complications if not prevented or treated in time. At MedHealth, we are committed to reducing the risks of thrombosis through our innovative DVT prevention solutions, empowering healthcare providers to deliver safer, more effective care. Our compression therapy devices and advanced monitoring systems are designed to support patients who are at high risk, such as those recovering from surgery or with limited mobility. By promoting better blood circulation and providing real-time monitoring, our products help prevent life-threatening clots and improve patient recovery. 💡 On this World Thrombosis Day, we urge everyone to increase awareness about thrombosis and join us in safeguarding health and lives. MedHealth remains dedicated to advancing healthcare innovation and contributing to a healthier, thrombosis-free future. Learn more about our DVT prevention solutions: https://lnkd.in/eu9-DBys #WorldThrombosisDay #MedHealth #DVTPrevention #HealthcareInnovation #PatientCare #HealthTech