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Our best selling packages : Chitika Bonuses Hosting, VPS, Cloud, Web Design & Hosting. Absolute personal, DoFollow or NoFollow social bookmarking when using the social bookmarking sites like Digg, del.icio.us, Stumbleupon and others.Fatal approach for acute hemorrhage after neuroendoscopic thoracic surgery.
Indications for thoracoscopic approaches in managing pathologies located within the thorax have been developing. The use of thoracoscopy has been extended to lobectomy with a view to reducing overall morbidity and mortality. We report a case of a fatal acute event of hemorrhage of an aneurysm in the spinal cord during a thoracoscopic excision for a spontaneous pneumothorax. The patient was diagnosed as having a pulmonary artery aneurysm due to pulmonary parenchymal damage. A 72-year-old man with a myelopathy was admitted to our hospital for treatment of spontaneous pneumothorax. He had no history of any neurological disease. We performed thoracoscopic bilateral video-assisted thoracic surgery for pneumothorax. Resection of the aneurysm was also performed. During excision of the aneurysm, an acute circulatory arrest was induced by aneurysmal rupture of the spinal cord. Despite intraoperative hemostasis, hemorrhage continued to progress and this led to hemodynamic instability. The patient died of multiorgan failure despite continuous hemorrhage control. It is important to recognize that thoracoscopic surgery does not completely preclude spinal cord injury. The preoperative evaluation and care of the surgery are as important as the operative technique itself.Politics
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Posted:
11/06/2013 09:00:00 AM EST
Updated:
11/06/2013 09:00:41 AM EST
Democrats' objections to Senate GOP plan
Senate Republican leaders are about to unveil their long-awaited plan to overhaul Medicare, a proposal that will lead to reduced benefits for many seniors. Democrats have made clear their goal is to destroy the program entirely.
The conference committees that write the annual federal budget and settle differences between Republicans and Democrats include two Democrats: Sen. Ben Cardin of Maryland and Sen. Ron Wyden of Oregon. Yet it's hard to envision Democratic senators from states hit hard by the current Medicare system, such as New Jersey, letting what could be the biggest 0b46394aab
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