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Keywords = Chia-Man Chou

  • Open Access Case Report
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    Trends Journal of Sciences Research 2018, 3(3), 144-146. http://doi.org/10.31586/Surgery.0303.07
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    Abstract
    Central vein stenosis is a rare complication that occurs after central venous port placement. We report a case of chyle withdrawal from a central venous port in a patient receiving chemotherapy for stage IV rectal cancer. Dilated thoracic duct terminal and innominate vein stenosis both were clearly shown in the
    [...] Read more.
    Central vein stenosis is a rare complication that occurs after central venous port placement. We report a case of chyle withdrawal from a central venous port in a patient receiving chemotherapy for stage IV rectal cancer. Dilated thoracic duct terminal and innominate vein stenosis both were clearly shown in the angiography results, and innominate vein stenosis was resolved by performing percutaneous transluminal angioplasty.  Full article
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    Figure 2 of 2

    References
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    Kao CL, Chang JP. Chyle withdrawal from an implanted port in occult innominate vein stenosis. 2001;78:138-40.
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    Yildizeli B, Laçin T, Batirel HF, Yüksel M. Complications and management of long-term central venous access catheters and ports. 2004;5:174-178.
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    Lemmers NW1, Gels ME, Sleijfer DT et al. Complications of venous access ports in 132 patients with disseminated testicular cancer treated with polychemotherapy. J Clin Oncol 1996;14:2916-2922.
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    Van Veldhuizen PJ, Taylor S. Chylothorax: a complication of a left subclavian vein thrombosis. 1996;19:99-101.
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    Kurekci E, Kaye R, Koehler M. Chylothorax and chylopericardium with a complication of a central venous catheter. 1998;132:1064-1066.
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    Wadehra D. Central Vein Stenosis. In: Yevzlin AS, Asif A, Salman L, eds. . Springer New York; 2014:131-142.
    [7]
    Song MG, Seo TS, Kang EY, Yong HS, Seo JH, Choi YY. Innominate vein stenosis in breast cancer patients after totally implantable venous access port placement. 2015;16:315-320. doi: 10.5301/jva.5000387.
    [8]
    Puel V, Caudry M, Le Métayer P et al. Superior vena cava thrombosis related to catheter malposition in cancer chemotherapy given through implanted ports. 1993;72:2248-2252.
  • Open Access Case Report
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    Trends Journal of Sciences Research 2018, 3(4), 147-150. http://doi.org/10.31586/Surgery.0304.01
    52 Views 96 Downloads PDF Full-text (621.647 KB)  HTML Full-text
    Abstract
    Central venous devices are routinely used in delivering chemotherapy and total parenteral nutrition. Spontaneous migration of central venous catheters is a very rare complication, but the etiology of this problem is not clear. We report here a case of migration of a port catheter to the anterior mediastinum in
    [...] Read more.
    Central venous devices are routinely used in delivering chemotherapy and total parenteral nutrition. Spontaneous migration of central venous catheters is a very rare complication, but the etiology of this problem is not clear. We report here a case of migration of a port catheter to the anterior mediastinum in a patient with stage IVC nasopharyngeal cancer during chemotherapy. The patient presented with pulmonary manifestations in form of shortness of breath and chest tightness caused by left massive pleural effusion. The pleural effusion was resolved by thoracocentesis and the migrated catheter was retrieved surgically.  Full article
    Figures

    Figure 2 of 3

    References
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    MC Lin, TK Chang, YC Fu, SL Jan. A magic port-A-cath. JACC Cardiovasc Interv 2013;6:e17-e18
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    WC Fan, CH Wu, MJ Tsai, YM Tsai, HL Chang, JY Hung, PH Chen, CJ Yang. Risk factors for venous port migration in a single institute in Taiwan. World J Surg Oncol 2014;12:15.
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    M Shah, S Patni, R Bagarahatta. Spontaneous chemoport fracture and cardiac migration. Indian J Surg Oncol 2014;5:325-326. doi:10.1007/s13193-014-0353-0.
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    BL Houston, M Yan. Spontaneous migration of an implanted central venous access device into the ipsilateral jugular vein. CMAJ2016;188:752.
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    KS Ahn, K Yoo, IH Cha, TS Seo. Spontaneously migrated tip of animplantable port catheter into theaxillary vein in a patient with severecough and the subsequent intervention to reposition It. Korean J Radiol 2008;9(Suppl):81-84. doi:10.3348/kjr.2008.9.s.s81
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    M Shariat, M Zahiah, PK Chan. Migration of the tip of a central venouscatheter. Iran J Radiol 2008;5:239-243.
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    SN Nagel, UK Teichgraber, S Kausche, A Lehmann. Satisfaction and qualityof life: a survey-based assessment in patients with a totally implantablevenous port system. Eur J Cancer Care (Engl) 2012;21:197-204.
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    CY Wu, JY Fu, PH Feng, YH Liu, CF Wu, TC Kao, SY Yu, PJ Ko, HC Hsieh. Risk factors andpossible mechanisms of intravenous port catheter migration. Eur J VascEndovasc Surg 2012;44:82-87.
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    HJ Kock, M Pietsch, U Krause, H Wilke, FW Eigler. Implantable vascularaccess systems: experience in 1,500 patients with totally implantedcentral venous port systems. World J Surg 1998;22:12-16.
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    SL Yeste, JM Galbis Caravajal, CA Fuster Diana, EE Moledo. Protocol for theimplantation of a venous access device (Port-A-Cath system): thecomplications and solutions found in 560 cases. Clin Transl Oncol 2006;8:735-741.
  • Open Access Research Article
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    Trends Journal of Sciences Research 2019, 4(4), 141-147. http://doi.org/10.31586/Urology.0404.02
    45 Views PDF Full-text (808.740 KB)  HTML Full-text
    Abstract
    Introduction: Hypospadias repair is a challenging technique in pediatric urology with a long learning curve. This study presents the results of urethroplasty performed by a single surgeon to repair hypospadias in children and compares the surgical outcomes at different periods. Materials and Methods: From January 2009 to February 2016, patients
    [...] Read more.
    Introduction: Hypospadias repair is a challenging technique in pediatric urology with a long learning curve. This study presents the results of urethroplasty performed by a single surgeon to repair hypospadias in children and compares the surgical outcomes at different periods. Materials and Methods: From January 2009 to February 2016, patients who were less than 18 years old and were operated for hypospadias were retrospectively reviewed and divided into two groups: group I (from January 2009 to February 2012) and group II (from March 2012 to February 2016). All operations were performed by the same pediatric surgeon, and surgical outcomes of the two periods were compared. Results: This study considered150 patients (69 in group I/81 in group II). The Mean operative age was 30.4±32.7 months in group I and 33.6±43.3 months in group II(p=0.309). The selected procedures mainly depended on the subjective anatomical analysis in the operating room and the surgeon’s preference. The mean follow-up duration was 21.7±28.31 months in group I and 13.6±16.6 months in group II (p=0.033).The overall complication rate was 44.9% in group I and 35.8% in group II (p=0.316). The incidence of glanular disruption significantly decreased from 21.7% to 6.2% (p=0.007) because of the wide dissection of the glanular wings and the deep incision of the urethral plate, which led to tension-free sutures for glanular reconstruction. Conclusions: One-stage repair of hypospadias may achieve satisfactory outcomes in cosmetic appearance and voiding function. Surgical outcomes could be improved by increasing practice.  Full article
    Figures

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    References
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    Snodgrass W, Bush N. Tubularized incised plate proximal hypospadias repair: continued evolution and extended applications. J Pediatr Urol 2011;7: 2-9.
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    Pfistermuller KLM, McArdle AJ, Cuckow PM. Meta-analysis of complication rates of the tabularized incised plate (TIP) repair. J Pediatr Urol 2015;11: 54-9.
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    Hueber PA, Antczak C, Abdo A, Franc-Guimond J, Barrieras D, Houle AM. Long-term functional outcomes of distal hypospadias repair: a single center retrospective study of TIPs, Mathieu and MAGPI. J Pediatr Urol 2015;11: e1-7.
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    Snodgrass W, Macedo A, Hoebeke P, Mouriquand PDE. Hypospadias dilemmas: a round table. J Pediatr Urol 2011;7: 145-57.
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    Cendron M. Flap versus graft 2-stage repair of severe hypospadias with chordee. J Urol 2015;193:761-2.
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    Spinoit AF, Poelaert F, Praet CV, Groen LA, Laecke EV, Hoebeke P. Grade of hypospadias is the only factor predicting for re-intervention after primary hypospadias repair: a multivariate analysis from a cohort of 474 patients. J Pediatr Urol 2015;11:70.e1-6.
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    Gupta A, Gupta R, Srivastav P, Gupta A. Comparison of interrupted- and continuous-suture urethroplasty in tabularized incised-plate hypospadias repair: a prospective study. Arab J Urol 2017;15:312-8.
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    Ozturun K, Bagbanci S, Dadali M, Emir L, Karabulut A. A retrospective analysis of Mathieu and tip urethroplasty techniques for distal hypospadias repair: a 20 year experience. Aech Esp Urol 2017;70:679-87.
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    González R, Lingnau A, Ludwikowski BM. Results of onlay preputial flap urethroplasty for the single-stage repair of mid- and proximal hypospadias. Front Pediatr 2018. https://doi: 10.3389/fped.2018.00019.
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