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Banding is a medical procedure which uses elastic bands for constriction. Banding may be used to tie off blood vessels in order to stop bleeding, as in the treatment of bleeding esophageal varices. [1] The band restricts blood flow to the ligated tissue, so that it eventually dies and sloughs away from the supporting tissue.
Aldrete's scoring system is a commonly used scale for determining when postsurgical patients can be safely discharged from the post-anesthesia care unit (PACU), generally to a second stage (phase II) recovery area, hospital ward, or home.
Score 1 Score 2 Score 3 Age <60 60- 79 >80 Shock: No shock Pulse >100 BP >100 Systolic SBP <100 Co-morbidity Nil major CHF, IHD, major morbidity kidney failure, liver failure, metastatic cancer Diagnosis Mallory-Weiss: All other diagnoses GI malignancy Evidence of bleeding None Blood, adherent clot, spurting vessel
This is in addition to endoscopic banding or sclerotherapy for the varices. [13] If this is sufficient then beta blockers and nitrates may be used for the prevention of re-bleeding. [ 13 ] If bleeding continues, balloon tamponade with a Sengstaken-Blakemore tube or Minnesota tube may be used in an attempt to mechanically compress the varices ...
The steam presents a lot of post-operative advantages for the patient (good aesthetic results, less pain, etc.) [58] Steam is a very promising treatment for both doctors (easy introduction of catheters, efficient on recurrences, ambulatory procedure, easy and economic procedure) and patients (less post-operative pain, a natural agent, fast ...
The use of the tube was originally described in 1950, [1] although similar approaches to bleeding varices were described by Westphal in 1930. [2] With the advent of modern endoscopic techniques which can rapidly and definitively control variceal bleeding, Sengstaken–Blakemore tubes are rarely used at present.
Anorectal varices are collateral submucosal blood vessels dilated by backflow in the veins of the rectum. [1] Typically this occurs due to portal hypertension which shunts venous blood from the portal system through the portosystemic anastomosis present at this site into the systemic venous system .
The Rothwell scale, or Rothwell system, or Rothwell method, applied to incontinence care products, is a scale that shows how absorbent a particular incontinence pad or adult diaper is, and how much liquid it can absorb and hold before it is likely to leak due to overfill.