To accurately determine the resection margin for maxillary cancer, it is important to closely examine the extent of tumor infiltration into the maxilla, nasal cavity, maxillary sinus, palate, and surrounding tissues. Various methods have been described for the resection of maxillary tumors, such as alveolectomy, partial maxillectomy, subtotal maxillectomy, total maxillectomy, and extended maxillectomy. The objective of this study was to introduce external carotid artery (ECA) ligation on the ipsilateral side, a perioperative bleeding control method with fewer complications. Incidence of major bleeding during maxillectomy is a rare but potentially life-threatening complication. Cases of temporary bleeding from an internal maxillary artery or other sites can be stopped, packed, and compressed. However, bleeding control is eventually achieved by ligation of the ECA or selective embolization. Herein, we report the case of a 60-year-old male with squamous cell carcinoma of the right maxilla, which was eventually treated with subtotal maxillectomy along with an elective ECA ligation for intraoperative bleeding control. The procedure produced no preoperative or postoperative bleeding. ECA ligation is a simple, effective, safe, and (at the operator’s discretion) recommended method of perioperative bleeding control during maxillectomy.
Sperm chromatin integrity is essential for successful fertilization and development of an embryo. Reported here is a quantification of DNA fragments which is intimately associated with reproductive potential to provide one of criteria for sperm chromatin integrity. Three sperm populations were considered: CONTROL (no treatment), UV irradiation (48mW/, 1h) and (oxidative stress induced by hydrogen peroxide, 10 mM, 50 mM and 100 mM). DNA fragments in boar sperm were evaluated by using ligation-mediated quantitative real-time polymerase chain reaction (LM-qPCR) assay, which relies on real-time qPCR to provide a measure of blunt 5' phosphorylated double strand breaks in genomic DNA. The results in agarose gel electrophoresis showed no significant DNA fragmentation and no dose-dependent response to . However, the remarkable difference in shape and position was observed in melting curve of LM-qPCR. This result supported that the melting curve analysis of LM-qPCR presented here, could be more sensitive and accurate than previous DNA fragmentation assay method.
Background: Patent ductus arteriosus (PDA) is commonly accompanied by premature infants and associated with an increase of comorbidity and mortality. Surgery in the operation room (OR) is more familiar with an anesthesiologist, but transportation of the premature to OR has risks of hypothermia or other unexpected events. These days, PDA ligation in the neonatal intensive care unit (NICU) is highlighted because of its advantages. We compared the postoperative outcome of PDA ligation according to the operating theater in the perspective of an anesthesiologist. Methods: A total of 9 patient who underwent PDA ligation surgery from 2007 to 2018 were enrolled and divided into two groups; Group OR: surgery at the OR, Group NICU: surgery at the NICU. Data of gestational age (GA), body weight (BW), patients’ characteristics, anesthesia and hemodynamic, total hospitalization period, and outcome were collected. Results: There were no significant differences in patient characteristics (GA, BW, PDA size, and comorbidities) and the duration of anesthesia, operation and recovery. Total hospitalization period was shorter in a group OR than NICU, but there were no significant differences in postoperative outcome. Only 1 patient has expired in a group OR. Conclusions: PDA ligation surgery in NICU has the advantage to maintain the body temperature than the surgery in the OR, and there were no significant differences in the outcome of the surgery.