@DrNeilGuptaIR@somubetageri@nhsuhcw Recently found this Merit drain which could be useful in this scenario of needing covering drain.
https://t.co/3G3dcLSqu9
Another @nhsuhcw patient saved from having a life-long cholecystostomy drain, as unfit for surgical cholecystectomy.
I've now helped 40 patients so they can live drain free by performing GUPTAS procedure, which involves putting a stent between the gall bladder & the duodenum.
@Microbedoc2 What are your thoughts on presumed bacterial liver abscess. Eg. Small <3cm liver abscess. Is there any evidence on drainage Vs 6 week antibiotics ?
@ZhiVenFongMD@Declanfj@ziadtawad@rajibaji1983 @st07tmc I think some proportion of the โnot identifiedโ is probably still GDA. Canโt always find the bleeding point as can be transient. If ongoing bleeding with some sign of localisation in GDA region, Empiric GDA/stump embolisation probably still less risk than a re look?
Pudendal nerve cryoablation for 9/10 pelvic pain, non resectable vulvar cancer, Great response to diagnostic bupivicaine block. Pain is down to 3, no pain on sitting. Nerve cryoablation is effective long term solution @SIRRFS@SIRspecialists
Heavy menses, pelvic pain treated with OCPs without improvement in young woman. Pelvic varices, gonadal vein reflux, nutcracker renal vein. Left outflow actually via right gonadal vein.
@NephroP Donโt think this is useful to be honest. Subcutaenous edema doesnโt diagnose infection , and necrotising fasciitis is a clinical diagnosis.