Background: Traumatic brain injury is the leading cause of mortality, morbidity and disabilities in children and young adults. Aim is to evaluate the factors that may predict outcome of post-traumatic brain contusion. Patients and Methods: A prospective study, where 50 patients with traumatic brain contusion categorized into 2 groups. Group A treated conservatively and Group B treated surgically. on admission GCS recorded then initial CT brain done. In group A, CT brain again redone after 24 hours and when indicated. In group B we did postoperative CT before discharge. patients followed up for 3 months. Glasgow outcome scale (GOS) used to assess functional outcome. Results: 46 patients included, group A (n=21) and group B (n=25). In group A, mean initial GCS score was 12.95 ± 2.18. Average midline shift in initial CT was 0.19 ± 0.51 mm. In group B, mean initial GCS score was 10.24 ± 2.18. Average initial midline shift was 3.96±1.62 mm while after 2 nd CT was 6.40±1.35 mm. At 3 months follow up, average GOS was 4.2 ± 1.1 for group A, and 4.19 ± 1.12 for Group B. Conclusion: in those patients, initial GCS, radiological findings (initial and follow up midline shifts, initial and follow up brain contusion volumes) and mechanism of trauma are the most important predictors of functional outcome and duration of hospital stay. A combination of clinical deterioration with increased midline shift and/or increased volume of brain contusion are the most reasonable indications for surgical intervention in such patients.
Presentation: Weight misfortune may prompt stomach skin repetition which causes distorting shape for the mid-region and flanks, so as a rule abdominoplasty is required. Point of study: A forthcoming investigation of 35 patients was intended to assess seroma arrangement in abdominoplasty fold height on more shallow plane with scarpa belt safeguarding. Results:The seroma arrangement either early or late were more in old style strategy and there was no significant contrast in injury contamination and dehiscence between the two strategies while Keloid development showed more possibility in traditional procedure. Conversation: There were two particular zones of lymph seepage that incorporated the epigastric zone channels to the axilla and the hypogastric territory channels to the inguinal region. The associations between the profound fat compartment and the inguinal region were kept up after scarpa belt safeguarding. Some blood supply and lymphatic waste could be held contrasted with the extraction of scarpa belt. End: Based on this examination scarpa's belt safeguarding abdominoplasty is suggested, for being more dependable, better scar shape and more acceptable for the patients.
Periorbital hyperpigmentation (POH) is a commonly encountered worldwide problem that is characterized by relatively dark coloration around the eyelids. Its difficulty is due to its resistance to treatment, complex pathogenesis, and lacking straight forward long-term therapeutic options. both PRP and adipose-derived stem cells are therapeutic options that could be used as an alternative form of therapy alone or in combination with other conventional treatments of POH. Research has to focus on standardizing the PRP and ADSCs formulations and have a consensus data from the clinical trials from different research groups for better prognosis and to use as an alternative to conventional therapies. In this study, we compare the effect of platelet rich plasma injection , depending on the fact that platelets secrete growth factors and cytokines that have a positive influence on tissue healing and regeneration, versus the effect of adipose derived stem cells , that release important growth factors necessary for wound healing, immune system modulation and reducing inflammation. Regarding the results of this study, Both fat injection and PRP are effective treatments of POH and were associated with improvement. Better response, patients' satisfaction was significantly associated with fat injection when compared with PRP. Patients' satisfaction and physician's evaluation were significantly associated with improvement. Both procedures were tolerated and accepted by the patients. Both modalities are promising and may represent a good temporary solution for the problem of POH.
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