These data demonstrate that the peritoneal insufflation of CO2 enhances tumor growth and that the prevention of perioperative hypothermia during laparoscopy attenuates tumor growth. This effect may be partially mediated by the increased peritoneal trauma that results from insufflation with cold gas.
ObjectiveTo evaluate the outcomes of prophylactic placement of inferior vena cava (IVC) filters to prevent pulmonary embolism (PE) in women undergoing surgery and chemotherapy for gynecological cancer.Methods and materialsThirty-eight IVC filters were placed in 38 women between January 2008 and January 2010; 25 of these were placed in gynecological cancer patients for prevention of PE during surgery and the postoperative period. The patients’ electronic medical records, follow-up computed tomography scans, and outpatient follow-up notes were retrospectively reviewed for incidence of PE and adverse events.ResultsAfter 6 months of follow-up, no PE was observed and there was no mortality. Nine filters were retrieved uneventfully, and there were no clinical complications associated with any indwelling filter.ConclusionIVC filters are safe and beneficial towards preventing PE in women undergoing surgery and chemotherapy for gynecological cancer.
Clearing the spine of the unconscious traumatised patient is a task that the intensive care clinician faces frequently. Technological advances in cross-sectional imaging are such that the cervical and thoraco-lumbar spine can now be cleared quickly and reliably in a single computerised tomography imaging session, which all trauma patients require, with no extra exposure to radiation. This results in less patient manipulation and should reduce the time to cessation of unnecessary spinal precautions which themselves can lead to patient harm. Such head-to-toe inclusive ‘traumagrams’ are the standard of care received by casualties presenting at western military medical facilities in Afghanistan.
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