Surgical Treatment of Endemic Goiter in a Nonhospital Setting without General Anesthesia in Africa

2014 ◽  
Vol 38 (9) ◽  
pp. 2212-2216 ◽  
Author(s):  
J. Gil ◽  
J. M. Rodríguez ◽  
E. Gil ◽  
M. D. Balsalobre ◽  
Q. Hernández ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
General Anesthesia ◽  
Endemic Goiter

scholarly journals Evaluation of remote results of surgical treatment of nodular endemic goiter with autoimmune thyroiditis

2018 ◽  
Vol 53 (4) ◽  
pp. 535-543
Author(s):  
Michael I. SHEREMET ◽  
◽  
Viktor O. SHIDLOVSKYI ◽  
Olexandr V. SHIDLOVSKYI ◽  
Vitaliy V. MAKSYMYUK ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Autoimmune Thyroiditis ◽  
Endemic Goiter

Successful Surgical Treatment of a Suspected Iatrogenic Arytenoid Cartilage Fracture in a Dog

2009 ◽  
Vol 45 (4) ◽  
pp. 181-184 ◽  
Author(s):  
Ivan Doran ◽  
Robert N. White
Keyword(s):  
Surgical Treatment ◽  
General Anesthesia ◽  
Sudden Onset ◽  
Arytenoid Cartilage ◽  
Golden Retriever ◽  
Intact Female ◽  
Laryngeal Examination

A 3-year-old, intact female golden retriever was presented with a sudden onset of inspiratory obstructive dyspnea following general anesthesia to perform a mastectomy. The cuneiform process of the left arytenoid cartilage was found to be extremely mobile on laryngeal examination. Fracture of the cuneiform process of the left arytenoid cartilage was diagnosed. A combined cricoarytenoid and thyroarytenoid caudolateralization procedure was performed on the left side, and no further dyspnea was observed during a follow-up period of 7 months. Fracture of the cuneiform process of the arytenoid cartilage has not been previously reported in dogs. The condition may respond favorably to cricoarytenoid and thyroarytenoid caudolateralization surgery.

scholarly journals Complication of facial cellulitis: muscle hematoma after surgical treatment of complicated pericoronitis

2018 ◽  
Vol 24 (3) ◽  
pp. 122-124
Author(s):  
Hugo Compain ◽  
Alexandre Berquet ◽  
Ludwig-Stanislas Loison-Robert ◽  
Victorin Ahossi
Keyword(s):  
Emergency Department ◽  
Surgical Treatment ◽  
General Anesthesia ◽  
Secondary Infection ◽  
Third Molar ◽  
Two Stage ◽  
Drainage Procedure ◽  
Mandibular Third Molar ◽  
Dental Emergency

Observation: A 24-year-old man was referred to the dental emergency department for the management of a left submandibular cellulitis. The origin was a mandibular third molar. Drainage of the cellulitis and avulsion of the tooth were performed under general anesthesia. The follow-up was marked by a secondary infection of peri-zygomatic hematoma requiring a second drainage procedure. Discussion: The origin of the hematoma was a tear of the insertions of the mandibular elevators secondary to the trismus. The patient underwent two back-to-back general anesthesia procedures with tight trismus making induction and intubation difficult. Conclusion: A two-stage treatment with initial drainage and delayed avulsion after improvement of trismus is discussed.

scholarly journals Intubação Submentoniana: Quando indicar? – Revisão de literatura

2020 ◽  
Author(s):  
Laryssa Dos Santos Pinheiro
Keyword(s):  
Surgical Treatment ◽  
Literature Review ◽  
General Anesthesia ◽  
Surgical Procedures ◽  
Orotracheal Intubation ◽  
Dental Occlusion ◽  
Facial Fractures ◽  
Submental Intubation ◽  
Elective Tracheostomy ◽  
Neurovascular Anatomy

A intubação submentoniana (ISM), é uma derivação da intubação orotraqueal sem que o tubo passe pela oclusão dentária e lábios do paciente, tendo sua maior indicação a possibilidade da realização da ventilação mecânica do paciente durante um procedimento sob anestesia geral, sem que o tubo atrapalhe as manobras cirúrgicas que exijam um bloqueio maxilo-mandibular transoperatório associado à manipulação da região naso-órbito-etmoidal, evitando assim,a necessidade de uma traqueostomia eletiva. O objetivo deste trabalho é realizar uma revisão de literatura sobre a ISM, abordando suas indicações, contraindicações, vantagens e desvantagens na realização desta técnica. Onde apesar de simples, é fundamental que o profissional tenha o domínio da anatomia óssea e neurovascular da região e do exato posicionamento das glândulas sublinguais, submandibulares e seus ductos, a fim de evitar complicações trans e pós-operatórias imediatas ou tardias. Essa técnica é extremamente bem indicada para facilitar o tratamento cirúrgico de pacientes portadores de múltiplas fraturas da face, reduzindo riscos de complicações graves durante o manejo das vias aéreas pelo médico anestesiologista, sendo de realização rápida, segura e de baixa morbidade.Palavras-chave: intubação submentoniana, intubação endotraqueal, trauma de face.AbstractA submental intubation (ISM) is a derivation of orotracheal intubation without a tube or passes through the patient's dental occlusion and lips, with its greatest indication being the possibility of performing the patient's mechanical technique during the procedure under general anesthesia, without a tube disturbing maneuvers surgical procedures that require a maxillomandibular transoperative block associated with manipulation of the naso-abortion-ethmoidal region, thus avoiding the need for an elective tracheostomy. The objective of this work is to carry out a literature review on ISM, addressing its indications, contraindications, advantages and advantages in carrying out this technique. Where, although simple, it is essential that the professional has mastery of the bone and neurovascular anatomy of the region and the exact level of the sublingual, submandibular glands and their ducts, an end to prevent overflow and immediate or late postoperative. This technique is extremely well indicated to facilitate the surgical treatment of patients with multiple facial fractures, risks of serious complications during the management of the airways by the anesthesiologist, being fast and safe and safe and with low morbidity. Keywords: submental intubation, endotracheal intubation, face trauma.

scholarly journals A Device for Polypectomy May Contribute to Safety in Bloodless Resection of a Small Hemangioma of the Tongue under Local Anesthesia

2020 ◽  
pp. 1-3
Author(s):  
Koji Kawaguchi ◽  
Go Arai ◽  
Hisako Fujihara ◽  
Kazutoshi Nakaoka ◽  
Koji Kawaguchi ◽  
...  
Keyword(s):  
At Risk ◽  
Surgical Treatment ◽  
High Risk ◽  
General Anesthesia ◽  
Local Anesthesia ◽  
Treatment Method ◽  
Intraoperative Bleeding

Hemangiomas require appropriate treatments with controlled intraoperative bleeding. Even for a small hemangioma, the treatment is usually provided under general anesthesia to control bleeding. However, in the case of the patients who are at high risk of surgery under general anesthesia, a surgical treatment method must be considered under local anesthesia. We performed polypectomy for the resection of a small tongue hemangioma in an 88-year-old patient under local anesthesia. The device for polypectomy is suitable for the resection of a small hemangioma of the tongue, even for a patient who is at risk for surgery under general anesthesia.

scholarly journals A Retrospective Study of Cryptorchidectomy in Horses: Diagnosis, Treatment, Outcome and Complications in 70 Cases

Animals ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. 2446
Author(s):  
Paola Straticò ◽  
Vincenzo Varasano ◽  
Giulia Guerri ◽  
Gianluca Celani ◽  
Adriana Palozzo ◽  
...  
Keyword(s):  
Treatment Outcome ◽  
Retrospective Study ◽  
Surgical Treatment ◽  
General Anesthesia ◽  
Surgical Management ◽  
Spermatic Cord ◽  
Transabdominal Ultrasound ◽  
Common Location ◽  
Quarter Horse ◽  
Left Abdomen

The aim of the study was to investigate the breed predisposition and the diagnostic and surgical management of horses referred for cryptorchidism. The breed, localization of retained testis, diagnosis, type of surgical treatment and complications were analyzed. Seventy horses were included in the study; the Western Riding horse breeds were the most affected (Quarter Horse 34/70, 48.5%; Appaloosa 9/70, 12.8%). In unilateral cryptorchids (65/70, 92.8%) the most common location for a retained testis was the left abdomen (28/65, 43%), while in bilateral cryptorchids (5/70, 7.1%), bilateral abdominal retention was the most frequent (3/5, 6%). Information about testis localization was achieved through transabdominal ultrasound (30/49 cases, 61.2%), through per rectum palpation (21/49 cases, 42.9%) and through inguinal palpation (14/49 cases, 28.9%). Cryptorchidectomy was achieved with standing laparoscopy (44/70 cases, 62.8%), or with open inguinal orchiectomy in general anesthesia (26/70 cases, 37.2%). Complications during laparoscopy were spleen puncture (1/44, 2.2%), a self-limiting bleeding from the spermatic cord (10/44 cases, 22.7%), hyperthermia (3/44 cases, 6.8%), and emphysema (15/44, 34%). During inguinal open cryptorchidectomy difficulties with identifying the inguinal testis during surgery (8/26 cases, 30.8%) and a moderate and self-limiting swelling of the inguinal region after surgery (17/26, 65.4%) were observed. For orchiectomy, a standing laparoscopy was confirmed as the preferred procedure for an abdominally retained testis with almost no complications.

Our experience in the surgical treatment of congenital cataract

Reflection ◽  
2020 ◽  
Vol 10 (1) ◽  
pp. 25-27
Author(s):  
I. V. Kuznetsov ◽  
◽  
N. V. Pasikova ◽  
Keyword(s):  
Surgical Treatment ◽  
General Anesthesia ◽  
Congenital Cataract ◽  
Functional Results ◽  
Clinical Analysis ◽  
Early Postoperative Period ◽  
Congenital Cataracts ◽  
Initial Appointment ◽  
Examination Methods ◽  
Preoperative Examination

Aim. To present our experience and evaluate the results of surgical treatment of congenital cataracts. Methods. A clinical analysis of the results of congenital cataract aspiration in 16 children (22 eyes) aged 2 months to 5 years is performed. Bilateral cataract was determined in 6 children, unilateral – in 10. Preoperative examination of children aged 3–5 years was carried out in a standard way. Children younger than 3 years of age at the initial appointment underwent non-contact examination methods, the remaining studies were performed under general anesthesia in the operating room immediately before surgery. Congenital cataract phacoaspiration was performed under general anesthesia using the Stellaris microsurgical system (Bausch and Lomb, USA) through a 1.2-mm paracentesis in the lens irrigation-aspiration regime. Hydrophobic IOL models were implanted. The posterior lens capsule was preserved in all cases. Mandatory was the appointment of cycloplegics in drops in the early postoperative period. Results. An increase in visual acuity (from 0.03 to 0.7) occurred in all cases. However, presence of obscuration amblyopia of varying degrees required regular courses of pleoptic treatment. Conclusions. The effectiveness of congenital cataracts phacoaspiration is ensured by the fulfillment of federal clinical recommendations, however, sutureless surgery allows achieving high functional results in the treatment of this pathology. Key words: congenital cataract; phacoaspiration; intraocular lens.

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