Wafa Nichols

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The peritoneal catheter is the CAPD patient's lifeline. Advances in catheter knowledge have made it possible to access the peritoneal cavity safely and maintain access over an extended period of time. Infection at the exit site remains a major problem, a solution for which is being extensively researched. The successful outcome of a catheter in an(More)
A new method of treatment of spondyloptosis is presented utilizing a staged approach. The first stage consists of a vertebral body resection of L5 along with the L4-5 and L5-S1 discs. The second stage procedure consists of removal of the loose posterior element, the articular processes, and pedicles of L5 and reduction of L4 onto the sacrum. The technique(More)
Superficial temporal artery (STA) aneurysms as a result of trauma represent less than 1% of reported aneurysms. During the past 200 years only the type of trauma and the preferred treatment have significantly changed. Patients are generally young men with a recent history of blunt head trauma. They may complain of a mass, headache, or other vague symptoms.(More)
We hypothesize that the swan neck catheter for peritoneal dialysis with exit in the presternal area will have better exit site healing and a decreased incidence of exit site infection than currently used peritoneal dialysis catheters with the exit located on the abdomen. The chest is a very stable structure, with minimal wall motion, especially of the upper(More)
Fifty-one male and two female patients were divided into the following three groups: (a) patients with symptomatic carotid artery disease who received carotid endarterectomies, (b) patients with symptomatic carotid artery disease who either declined or were not candidates for carotid endarterectomies, and (c) patients who received a surgical procedure(More)
The combined presence of an inflammatory abdominal aortic aneurysm and a horseshoe kidney is a rare event with only one reported case in previously published data. We present a case of a horseshoe kidney with a concomitant 6-cm inflammatory abdominal aortic aneurysm and a 3.6-cm right iliac artery aneurysm repaired through a transperitoneal approach with(More)
The swan neck presternal catheter is composed of two flexible (silicon rubber) tubes joined by a titanium connector at the time of implantation. The exit site is located in the presternal or parasternal area. The catheter located on the chest was designed to reduce the incidence of exit site infections compared with peritoneal dialysis catheters with(More)