Debridement and retention of the prosthesis is a common surgical modality at our institution to treat prosthetic joint infection. Risk factors independently associated with treatment failure include the presence of a sinus tract and duration of symptoms prior to debridement of > or = 8 days.
Severe chronic venous insufficiency (CVI) can be highly debilitating, and successful treatment is fraught with difficulty, patient noncompliance, and recurrence, despite the initial success of the treatment. Because there is no pharmacologic intervention that is beneficial, surgical treatments have been explored. The perforating veins became targets for surgical therapy in the late 1930s, 1 but it was the development of endoscopic subfascial surgery in German-speaking countries during the 1980s 2,3 that attracted surgeons in the 1990s to the use of this
FISH is significantly more sensitive than and nearly as specific as conventional cytology for the detection of malignant biliary strictures in biliary brushing specimens. FISH may improve the clinical management of patients who are being evaluated for malignancy in bile duct strictures.
Introduction-The significance of non-alcoholic fatty liver disease (NAFLD) among patients with diabetes is unknown. We sought to determine whether a diagnosis of NAFLD influenced mortality among a community-based cohort of patients with type 2 diabetes mellitus.
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