Complications related to deep venous thrombosis prophylaxis in trauma: a systematic review of the literature

Deep venous thrombosis prophylaxis is essential to the appropriate management of multisystem trauma patients. Without thromboprophylaxis, the rate of venous thrombosis and subsequent pulmonary embolism is substantial. Three prophylactic modalities are common: pharmacologic anticoagulation, mechanical compression devices, and inferior vena cava filtration. A systematic review was completed using PRISMA guidelines to evaluate the potential complications of DVT prophylactic options. Level one evidence currently supports the use of low molecular weight heparins for thromboprophylaxis in the trauma patient. Unfortunately, multiple techniques are not infrequently required for complex multisystem trauma patients. Each modality has potential complications. The risks of heparin include bleeding and heparin induced thrombocytopenia. Mechanical compression devices can result in local soft tissue injury, bleeding and patient non-compliance. Inferior vena cava filters migrate, cause inferior vena cava occlusion, and penetrate the vessel wall. While the use of these techniques can be life saving, they must be appropriately utilized

Association d'un lipodermoide epibulbaire a une alopecie et un naevus verruqueux sebace: syndrome malformatif congenital a heredite hologyne. [Association of an epithelial dermoid with alopecia and a sebaceous verrucose nevus: hologynic hereditary malformations]

The association of alopecia with a sebaceous verrucose nevus and an epibulbar lipodermoid is a rare condition (8 cases reported in the literature). Only girls suffer from this disease; this suggests a hologynic heredity, as in the case of Aicardi's syndrome. The authors present a new observation of a 7-year-old girl who exhibits all the characteristics of this new syndrome

L'angiodiathermocoagulation, une operation depassee? [Is angiodiathermocoagulation an outmoded operation?]

Following a short summary of the anatomical and physiological aspects of the surgical procedure, the authors present a series of 320 eyes operated upon by the method of angiodiathermocoagulation. Open-angle glaucoma, followed by aphakic glaucoma, respond the best to this procedure, the expected number of good results being approximately 25% where the criteria are severe. The low percentage of severe complications represents one of the greatest advantages of angiodiathermocoagulation, which may be recommended in desperate cases