Registration of Breast Surface Data Before and After Surgical Intervention

Routine diagnostic methods have limitations in terms of predicting the ventilation function of the lungs before and after surgery. It was decided to investigate the possibilities of dual-energy CT (DECT) using xenon in assessment of lung ventilation function.Objective: to master the methods of examination of patients with pulmonary pathology, evaluate the possibility of justifying the volume of operative intervention and prediction of postoperative lung function based on the hybrid images.Materials and methods. For the study, 12 patients with different pulmonary pathologies were selected (COPD – 5, lung cancer – 4, bronchiectasis – 3). Results. It was found that the use of DECT with xenon reflects the functional state of lung tissue.Conclusions. DECT with xenon have potential for planning surgical intervention and introducing the method into modern protocols of preoperative preparation.

Download Full-text

Shear wave elastography of lumbar annulus fibrosus in adolescent idiopathic scoliosis before and after surgical intervention

European Radiology ◽

10.1007/s00330-019-06563-4 ◽

2019 ◽

Vol 30 (4) ◽

pp. 1980-1985

Author(s):

Claudio Vergari ◽

Lucas Chanteux ◽

Raphael Pietton ◽

Tristan Langlais ◽

Raphael Vialle ◽

...

Keyword(s):

Adolescent Idiopathic Scoliosis ◽

Idiopathic Scoliosis ◽

Shear Wave ◽

Annulus Fibrosus ◽

Surgical Intervention ◽

Shear Wave Elastography ◽

Before And After

Download Full-text

Management of Ankyloglossia and Breastfeeding Difficulties in the Newborn: Breastfeeding Sessions, Myofunctional Therapy, and Frenotomy

Case Reports in Pediatrics ◽

10.1155/2016/3010594 ◽

2016 ◽

Vol 2016 ◽

pp. 1-5

Author(s):

Elvira Ferrés-Amat ◽

Tomasa Pastor-Vera ◽

Paula Rodríguez-Alessi ◽

Eduard Ferrés-Amat ◽

Javier Mareque-Bueno ◽

...

Keyword(s):

Weight Gain ◽

Speech Therapy ◽

Surgical Intervention ◽

Maxillofacial Surgery ◽

Oral And Maxillofacial Surgery ◽

Myofunctional Therapy ◽

Before And After ◽

The Subject ◽

Poor Weight Gain ◽

Stimulation Of

The problems of suction in newborns give rise to multiple consequences for both the mother and the newborn. The objective of this paper is to present a case of ankyloglossia (“tongue-tie”) and the suction problems that were treated by a multidisciplinary team. The subject is a 17-day-old male patient, with ankyloglossia and suction problems during breastfeeding (pain in the breastfeeding mother, poor weight gain, and long breastfeeds). The patient followed the circuit established in our centre between the services of Oral and Maxillofacial Surgery and Breastfeeding and Speech Therapy and Orofacial Rehabilitation (CELERE). The evolution following the breastfeeding sessions, the myofunctional stimulation, and the lingual frenotomy was very favourable, thereby solving the suction problems that the newborn presented. All our patients receive breastfeeding sessions and myofunctional therapy as treatment. We know that a frenotomy is not always necessary and we believe that the stimulation of sucking before and after the surgical intervention is important in order to improve the final result.

Download Full-text

Oral Corticosteroid Regimens in the Management of Chronic Rhinosinusitis

Ear Nose & Throat Journal ◽

10.1177/0145561319876906 ◽

2020 ◽

pp. 014556131987690

Author(s):

Ahmed Mansi ◽

Roger Bui ◽

Mohamad R. Chaaban

Keyword(s):

Side Effects ◽

Chronic Rhinosinusitis ◽

Medical Management ◽

Oral Corticosteroid ◽

Surgical Intervention ◽

Controlled Trials ◽

Level Of Evidence ◽

Randomized Controlled ◽

Before And After ◽

Oral Corticosteroids

Background: Oral corticosteroids are often used in the medical management of chronic rhinosinusitis (CRS) with and without polyps. The purpose of our study is to review the literature for studies reporting the dosage of oral corticosteroids as part of the appropriate medical management prior to, immediately before, and after surgical intervention. Methods: We reviewed the literature for oral corticosteroid regimens given to patients with CRS from March 2012 to September 2018. Studies that did not disclose the exact doses of the regimen were excluded from our analysis. Results: Our search resulted in 7 articles with 4 studies of Level of Evidence (LOE) 1b, 2 studies with LOE III, and 1 study with LOE IV. The daily doses varied from 15 mg to 1 mg/kg, and with total doses ranging from 150 to 352 mg. In addition, several studies gave the same regimen to both subtypes of CRS. There was no mention of side effects in most of the studies. Conclusion: There is a wide variation in the steroid doses given to patients with CRS and prospective or randomized controlled trials are needed to provide better improved evidence.

Download Full-text

VOZMOZhNOSTI KOMP'YuTERNOY TOMOGRAFII V KOMPLEKSNOY OTsENKE SKOLIOTIChESKOY DEFORMATsII POZVONOChNIKA

N.N. Priorov Journal of Traumatology and Orthopedics ◽

10.17816/vto200310111-20 ◽

2003 ◽

Vol 10 (1) ◽

pp. 11-20

Author(s):

S T Vetrile ◽

A K Morozov ◽

A A Kisel' ◽

A A Kuleshov ◽

I A Kosova

Keyword(s):

Bone Density ◽

Surgical Intervention ◽

Apical Vertebra ◽

Subarachnoidal Space ◽

Scoliotic Deformity ◽

Postoperative Changes ◽

Complex Evaluation ◽

Before And After ◽

Spine Fixation ◽

Oval Shape

Complex evaluation of scoliotic deformity was performed using CT. Fifty patients with displastic scoliosis of III-IV degree were examined before and after surgical intervention - dorsal correction and spine fixation with Cotrel-Dubousset instrumentation. No marked derotation of spine at the deformity apex was noted postoperatively. Changes of thorax in the plane of apical vertebra were studied and quantitatively evaluated: postoperatively thorax became of more correct oval shape in all cases. Density of trabecular bone of apical and neutral vertebrae coincided with the understanding about asymmetry of deformed vertebrae bone density. No marked immediate postoperative changes were noted. Combination of CT and myelography showed the dislocation ofdural sac to the side opposite to the deformity convexity; either partial (up to 60- 70% in patients with deformity of HI and early W degree) or complete (in patients with severe deformity) disturbance of contrast distribution in subarachnoidal space from concave side and compensatory widening of subarachnoidal space from the opposite side with maximum changes at the apex of scoliotic deformity

Download Full-text

The impact of surgical intervention on renal function in cystinuria

Brazilian Journal of Nephrology ◽

10.1590/2175-8239-jbn-2018-0034 ◽

2018 ◽

Vol 40 (3) ◽

pp. 256-260 ◽

Cited By ~ 1

Author(s):

Serra Sürmeli Döven ◽

Ali Delibaş ◽

Hakan Taşkınlar ◽

Ali Naycı

Keyword(s):

Renal Function ◽

Radionuclide Imaging ◽

Surgical Intervention ◽

Renal Scarring ◽

Urinary Stones ◽

Surgical Interventions ◽

Significant Difference ◽

Before And After ◽

The Impact

ABSTRACT Introduction: Cystinuria is an autosomal recessive disorder due to intestinal and renal transport defects in cystine and dibasic amino acids, which result in recurrent urolithiasis and surgical interventions. This study aimed to assess the impact of surgical interventions on renal function by analyzing estimated glomerular filtration rates. Methods: Thirteen pediatric patients with cystinuria, who were followed-up in a single tertiary institution between 2004 and 2016, were included in the study. Medical records were reviewed to collect data on clinical presentation of patients, urine parameters, stone formation, medical treatment, surgical intervention, stone recurrence after surgical procedure, stone analysis, ultrasonography, 99m-technetium dimercaptosuccinic acid (99mTc-DMSA) radionuclide imaging results, and follow-up time. Creatinine clearances estimated by modified Schwartz (eGFR) formula before and after surgery were used to assess renal function and compared statistically. Results: Nine patients (69.2%) had renal scarring which were detected with 99mTc-DMSA radionuclide imaging. In ten patients (76.9%), open surgical intervention for stones were needed during follow-up. Significant difference was not detected between eGFR before and after surgical intervention (mean 92 versus 106, p = 0.36). Nine of the patients (69.2%) were stone free in the last ultrasonographic examination. Relapses of stone after surgery were seen in 66.6% of patients who underwent surgical intervention. Conclusions: Surgical interventions for urinary stones are commonly required in patients with cystinuria. Renal scarring is a prevalent finding in cystinuric patients. Surgical interventions have no negative impact on eGFR in patients with cystinuria according to the present study.

Download Full-text

Activity of antioxidative defense enzymes in the blood of patients with liver echinococcosis

Vojnosanitetski pregled ◽

10.2298/vsp0704235l ◽

2007 ◽

Vol 64 (4) ◽

pp. 235-240 ◽

Cited By ~ 3

Author(s):

Aleksandar Lilic ◽

Srdjan Dencic ◽

Sladjan Pavlovic ◽

Dusko Blagojevic ◽

Mihajlo Spasic ◽

...

Keyword(s):

Echinococcus Granulosus ◽

Surgical Intervention ◽

Defense Enzymes ◽

Antioxidative Defense ◽

Glutathione S Transferase ◽

Before And After ◽

Copper Zinc ◽

Biochemical Evaluation ◽

Healthy Persons ◽

Comprehensive Study

Background/Aim. Chronic echinococcocal disease is the parasite human disease caused by the penetration of larval (asexual) stages of the canine tapeworm (Echinococcus granulosus) in the liver of humans. After the penetration of the parasite, the host organism react by activating complement- depending immune response. The aim of this study was to elucidate the influence of larval form of Echinococcus granulosus in the liver on the activity of antioxidative defense enzymes in the blood of patients before and after the surgical intervention. Methods. We investigated the activity of antioxidative defense enzymes: copper/zinc containing superoxide dismutase (CuZn SOD), catalase (CAT), glutathione peroxidase (GSH-Px), glutathione reductase (GR) and glutathione-S-transferase (GST) in the blood of patients before and after the surgical intervention in respect to the controls, clinically healthy persons. Results. Our results showed that the activity of the GSH-Px was significantly decreased in the plasma of the patients with echinocococal disease before the surgery in respect to the controls. The activity of GST was significantly higher in the blood of the patients after the surgery in comparison to the controls. Conclusion. Chronic liver echinoccocal disease caused significant changes of some antioxidative defense enzymes, first of all Se-dependent enzyme GSH-Px, which could be a suitabile biomarker in the biochemical evaluation of the disease. This work represents a first comprehensive study of the activity of antioxidative defense enzymes in cronic liver echinococcocosis in the patients before and after the surgical intervention in respect to the clinically healthy persons.

Download Full-text

Olfactory function testing before and after anesthesia

Scientific Reports ◽

10.1038/s41598-021-03400-x ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Anna Kristina Hernandez ◽

Patrick Fuchss ◽

Antje Haehner ◽

Thomas Hummel

Keyword(s):

Alcohol Intake ◽

Surgical Intervention ◽

Major Effect ◽

Olfactory Function ◽

Smoking History ◽

Odor Threshold ◽

Before And After ◽

Odor Thresholds ◽

The Mean ◽

Function Testing

AbstractThis study aimed to determine whether anesthesia would affect olfactory function. Patients who were admitted for surgical intervention that did not include the nasal cavity and paranasal sinuses were included in this prospective cohort study. Structured medical history was taken from the patients, including the following: age, sex, smoking history, alcohol intake, current medications, and sleep deficits prior to surgery. Before surgery, patients were asked for a self-rating of their olfactory function. Olfactory function was also measured using Sniffin’ Sticks comprising measures of odor threshold, discrimination, and identification. The mean interval between olfactory tests was 6 days (range 3–12 days). Seventy-three patients were included in the study, 34 men and 39 women. Olfactory scores were consistent before and after surgery as indicated by correlative analyses (p < 0.05). Odor thresholds, discrimination, identification, and composite TDI scores did not change significantly, whereas odor identification scores increased (p = 0.011) after surgery. In conclusion, post-operative olfactory scores remained stable. However, identification scores exhibited a slight increase which can be attributed to a retest effect. Overall, the present results indicate that surgery outside of the nasal and paranasal sinus region performed in general anesthesia has no major effect on the sense of smell.

Download Full-text

Cholelithiasis and laparoscopic cholecystectomy: identifying the appropriate time for operative intervention

International Surgery Journal ◽

10.18203/2349-2902.isj20213269 ◽

2021 ◽

Author(s):

Ravi Kotecha ◽

Vishwa Kotecha

Keyword(s):

Laparoscopic Cholecystectomy ◽

Gold Standard ◽

Complete Resolution ◽

Prospective Observational Study ◽

Surgical Intervention ◽

Gallstone Disease ◽

Duration Of Symptoms ◽

Number Of Patients ◽

Before And After ◽

Group B

Background: Cholelithiasis is the most common among hepatobiliary disease and often requires surgical intervention. Laparoscopic cholecystectomy is the gold standard nowadays. This research paper was done to know appropriate time for laparoscopic cholecystectomy and how much improvement will we get after laparoscopic cholecystectomy.Methods: In our prospective observational study, 118 patients of cholelithiasis, 59 with dyspepsia in one group and 59 without dyspepsia in another group were taken. Both groups patients were analysed with Bucklay validated dyspeptic score before and after laparoscopic cholecystectomy till 6 months postoperatively for score improvement.Results: In our study, we confirmed that there was improvement in Buckley validated dyspeptic score in both group of patients with dyspepsia and without dyspepsia 6 month after laparoscopic cholecystectomy but not complete improvement. Improvement in Buckley validated dyspeptic score 6 months after laparoscopic cholecystectomy was more in patients with less duration of symptoms and less frequency of episode preoperatively and in non-dyspeptic patients.Conclusions: We could conclude that even earlier surgery after onset of symptoms didn’t result in complete resolution of symptoms in both groups particularly in group B (patients with dyspepsia). We can say that weather it is dyspeptic or non-dyspeptic gallstone disease, it has benefit from laparoscopic cholecystectomy but we can also say that improvement achieved is not complete as after laparoscopic cholecystectomy there were still number of patients who had Buckley validated score more than 6 in both groups after 6 months of surgery.

Download Full-text

Endoscopic Calcaneoplasty in an Elite Runner

Surgical Case Reports ◽

10.31487/j.scr.2020.01.06 ◽

2020 ◽

pp. 1-3

Author(s):

Sameh A Labib ◽

Albert M. Pendelton ◽

Jessica Y. Labib ◽

Sameh A Labib

Keyword(s):

Surgical Intervention ◽

Weight Bearing ◽

Achilles Tendinopathy ◽

Hand Position ◽

Prospective Analysis ◽

Direct Visualization ◽

Before And After ◽

Haglund’S Deformity ◽

Insertional Achilles Tendinopathy ◽

Elite Runner

Haglund’s syndrome is a triad of postero-superior calcaneal prominence, retro-calcaneal bursitis and insertional Achilles tendinopathy. Endoscopic treatment of patients with this triad allows for earlier weight bearing, direct visualization of the Achilles insertion and less soft tissue disruption. In addition, it allows excellent visualization of the pathology. We report a case of an elite runner that underwent Endoscopic Calcaneoplasty done in the prone position. Prospective analysis of his performance before and after the surgical intervention as well as post-operative rehabilitation is detailed. Prone positioning allows for easier accessto the Haglund’s deformity, a more logical view on the monitor and a more ergonomic hand position.

Download Full-text