Chronic ovarian torsion treated laparoscopically

Ovarian torsion is a rare gynecological emergency that may elude diagnosis leading to delayed operative intervention and ovarian resection. We report a 39 year old female who presented with acute one-sided abdominal pain whose diagnosis was missed by the emergency physician resulting in loss of the ovary. The surgery was performed by the gynecologist laparoscopically

Total laparoscopic hysterectomy with obliterated anterior cul-de-sac

Endometriosis may in severe cases lead to obliteration of the anterior and/or posterior cul-de-sacs in the female pelvis. The anterior cul-de-sac is generally less commonly affected. This type of cases usually presents a challenge for the operating surgeon, whether via open route or through laparoscopy. In this paper, we present an illustrative case and explain our technique for dealing with a scarred and totally obliterated anterior cul-de-sac because of endometriosis during total laparoscopic hysterectomy

Spontaneous Iliopsoas Hematoma following Microvascular Free Tissue Transfer.

Spontaneous hematoma within the iliopsoas muscle (SIH) is a rare complication most commonly seen in coagulopathic patients. Often, patients undergoing microvascular free tissue transfer are anticoagulated for anastomotic patency. Here we describe two cases of postoperative SIH following contralateral anterolateral thigh (ALT) free tissue transfer for reconstruction of oncologic head and neck defects. Both patients described hip pain after mobilization and had a corresponding acute blood loss anemia. Diagnosis of SIH was confirmed by CT and both patients were managed conservatively. Given that anticoagulation is a common practice following head and neck free tissue transfer, surgeons should be aware of this potential complication

Diagnosis and laparoscopic treatment of cornual ectopic pregnancy

Cornual (interstitial) ectopic pregnancy is an uncommon variant of ectopic pregnancy which often poses a diagnostic and therapeutic challenge with a significant risk of rupturing and bleeding. We present a ruptured right cornual pregnancy and explain how to deal with such a case laparoscopically

Chronic ovarian torsion treated laparoscopically

Ovarian torsion is a rare gynecological emergency that may elude diagnosis leading to delayed operative intervention and ovarian resection. We report a 39 year old female who presented with acute one-sided abdominal pain whose diagnosis was missed by the emergency physician resulting in loss of the ovary. The surgery was performed by the gynecologist laparoscopically

Do You Need a Water Treatment Product?: What You Need to Know and Ask Before Buying

A homeowner may have obvious problems with the drinking water system; such as, staining of porcelain sinks, stained clothes after washing, cloudy water, foul/funny tasting or smelling water or corrosion of faucets or plumbing. The homeowners may be very concerned about their water because of recent publicity, advertisements or door-to-door sales which raised issues about the quality of the drinking water from a private or public water supply. The homeowners may be concerned about the water supply after a recent educational program that was attended or presented in the local media outlets. How does that homeowner determine if a water treatment product is needed

Emergency Disinfection of Drinking Water

In preparation for emergency situations, there is a need to have a supply of stored water and the ability to disinfect that water and other sources of water that may be available. In emergencies, the main threat from drinking water for people is disease causing organisms. It is important that all water be disinfected before using when there is an uncertainty as to its purity. Stored water that has been disinfected and placed into disinfected containers does not give a person complete certainty of the absence of disease organisms when it is opened because the lids of these containers can not be sealed to prevent these organisms from entering the containers. As the temperature changes in a container, the container breathes; that is, air enters and leaves the container as the air expands and contracts with the rise and fall of the temperature. The residual chlorine in the water when it was put into a container will dissipate with time. The residual chlorine does prevent contamination only while it is present. Therefore, any stored water should treated prior to use

Home Water Disinfection Methods

The source of bacteria in your water supply can come from the water source itself, the contamination of the well and/or piping system during maintenance or construction or improper well construction. There are four disinfection methods available for the private water system: Chlorination (simple chlorination, super chlorination and shock chlorination) Ultraviolet (UV) light Ozonatio

First Complete Genome Sequence of a Genotype A2, Subgroup 4 Small Ruminant Lentivirus

Genetic variation in the ovine TMEM154 gene associates with susceptibility to small ruminant lentivirus (SRLV) infection. We report here the first complete genome sequence for a genotype A2, subgroup 4 SRLV isolated from a Hampshire ewe with two copies of a TMEM154 frameshift mutation predicted to abolish protein function

First Complete Genome Sequence of a Genotype A2, Subgroup 4 Small Ruminant Lentivirus

Genetic variation in the ovine TMEM154 gene associates with susceptibility to small ruminant lentivirus (SRLV) infection. We report here the first complete genome sequence for a genotype A2, subgroup 4 SRLV isolated from a Hampshire ewe with two copies of a TMEM154 frameshift mutation predicted to abolish protein function