Medicine – Page 126 – Dr.S.Harsha Vardhan

23rd January 202113th June 2021

NCCN Guidelines For COVID-19 Vaccination in Cancer Patients

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Source : NCCN

22nd January 202113th June 2021

Expert Offers Clinical Pearls on Leg Ulcer Therapy

Chronic leg ulcers of all types feature a significant inflammatory component for which medical compression therapy is absolutely the best form of anti-inflammatory therapy, Elena Conde Montero, MD, PhD, asserted at the virtual annual congress of the European Academy of Dermatology and Venereology.

In addition to delving into the finer points of compression therapy, she offered other clinical pearls for the treatment of chronic leg ulcers. These included the use of autologous punch grafting to reduce pain as well as promote healing, when to employ adjunctive negative pressure therapy, and the benefits of liquid sevoflurane for highly effective topical analgesia during wound cleansing and debridement.

Compression Therapy

21st January 202113th June 2021

Laparoscopic Lavage An Alternative to Resection in Perforated Diverticulitis

In patients with perforated purulent diverticulitis, outcomes of laparoscopic peritoneal lavage eventually do not differ much from those following primary resection, researchers have found in JAMA Surgery.

As Dr. Najia Azhar of Skaane University Hospital Malmoe, in Sweden, told Reuters Health by email, “Long-term follow-up shows no difference in mortality or severe complications between the two groups, although the stoma rate is much higher in the resection group.”

“Some patients in the laparoscopic lavage group,” she added, “will eventually need resectional surgery, so laparoscopic lavage can be seen as a way to turn an acute situation into an elective one, and therefore shared decision-making taking both short- and long-term consequences into account with the patient is encouraged.”