Polymeric Endoprostheses for Reconstructive–Restorative Surgery

2018 ◽  
Vol 50 (3) ◽  
pp. 219-225
Author(s):  
V. A. Zhukovskii ◽  
T. S. Filipenko ◽  
B. S. Sukovatykh ◽  
N. M. Valuiskaya
Keyword(s):  
Restorative Surgery

Rectal Cancer in the Elderly: Patientsʼ Perception of Bowel Control After Restorative Surgery

2004 ◽  
Vol 47 (3) ◽  
pp. 287-290 ◽  
Author(s):  
Seamus P. Phillips ◽  
Margaret S. Farquharson ◽  
Rosemary Sexton ◽  
Richard J. Heald ◽  
Brendan J. Moran
Keyword(s):  
Rectal Cancer ◽  
The Elderly ◽  
Restorative Surgery ◽  
Bowel Control

scholarly journals PECULIARITIES OF FORMATION OF THE HARD PALATE FOLDS DURING THE SECOND AND THIRD TRIMESTER OF THE INTRAUTERINE DEVELOPMENT

2018 ◽  
Vol 17 (3) ◽  
pp. 64-68
Author(s):  
A. I. Prodanchuk
Keyword(s):  
Hard Palate ◽  
Basal Membrane ◽  
Third Trimester ◽  
Intrauterine Development ◽  
Fibrous Stroma ◽  
Human Ontogenesis ◽  
The Face ◽  
Mesenchyme Cells ◽  
Restorative Surgery ◽  
Comprehensive Study

A comprehensive study of anatomical-functional peculiarities of the cranial bones promotes implementation of new methods of performing radical and reconstructive-restorative surgery on the face and cranium. Objective: to determine peculiarities of formation of the hard palate folds structure in the fetal and early neonatal periods of human ontogenesis. Materials and methods. The study was conducted on 53 specimens of dead fetuses from 4 to 10 months of development and on 9 specimens of dead neonates by means of macro- and micro-section, preparing histological and topographic-anatomical sections, and morphometry. Formation of the hard palate folds during the second and third trimesters of the intrauterine development was found to consist of the following stages:  epithelial thickening, penetration into the adjacent mesenchyme originating the rudiment of the fold; smoothing of the basal membrane and epithelial outgrowth over the surface with formation of the primary fold; condensation of mesenchyme cells under the fold apex; formation of fibrous stroma inside of the fold which is a peculiar core; epithelial smoothing to even thickness similar to that one embracing the areas between folds with formation of the final fold. At the end of the third trimester of the intrauterine development posterior transverse palatine folds become less marked, some of them disappear, and the anterior ones become more marked, closer and pressed one to another.

Primary Versus Staged Reconstruction and Risk of Surgical Failure in Patients With Ulcerative Colitis: a Nation-wide Cohort Study

2021 ◽  
Author(s):  
Karin Westberg ◽  
Ola Olén ◽  
Jonas Söderling ◽  
Jonas Bengtsson ◽  
Jonas F Ludvigsson ◽  
...  
Keyword(s):  
Ulcerative Colitis ◽  
Cohort Study ◽  
Cox Regression ◽  
Statistical Significance ◽  
Cumulative Risk ◽  
Hazard Ratio ◽  
Primary Reconstruction ◽  
Risk Of Failure ◽  
Staged Reconstruction ◽  
Restorative Surgery

Abstract Background Restorative surgery after colectomy due to ulcerative colitis (UC) may be performed simultaneously with colectomy (primary) or as a staged procedure. Risk factors for failure after restorative surgery are not fully explored. This study aimed to compare the risk of failure after primary and staged reconstruction. Methods This is a national register-based cohort study of all patients 15 to 69 years old in Sweden treated with colectomy due to UC and who received an ileorectal anastomosis (IRA) or ileal pouch-anal anastomosis (IPAA) between 1997 and 2017. Failure was defined as a reoperation with new ileostomy after restorative surgery or a remaining defunctioning ileostomy after 2 years. Risk of failure was calculated using the Kaplan-Meier method and Cox regression adjusted for sex, age, calendar period, primary sclerosing cholangitis, and duration of UC. Results Of 2172 included patients, 843 (38.8%) underwent primary reconstruction, and 1329 (61.2%) staged reconstruction. Staged reconstruction was associated with a decreased risk of failure compared with primary reconstruction (hazard ratio, 0.73; 95% CI, 0.58–0.91). The 10-year cumulative risk of failure was 15% vs 20% after staged and primary reconstruction, respectively. In all, 1141 patients (52.5%) received an IPAA and 1031 (47.5%) an IRA. In stratified multivariable models, staged reconstruction was more successful than primary reconstruction in both IRA (hazard ratio, 0.75; 95% CI, 0.54–1.04) and IPAA (hazard ratio, 0.73; 95% CI, 0.52–1.01), although risk estimates failed to attain statistical significance. Conclusions In UC patients undergoing colectomy, postponing restorative surgery may decrease the risk of failure.

scholarly journals P811 Centre volume bias for restorative surgery after ulcerative colitis colectomy in England and Sweden

2018 ◽  
Vol 12 (supplement_1) ◽  
pp. S522-S523
Author(s):  
G Worley ◽  
C Nordenvall ◽  
A Askari ◽  
T Pinkney ◽  
E Burns ◽  
...  
Keyword(s):  
Ulcerative Colitis ◽  
Restorative Surgery

scholarly journals Non-restorative surgery in the treatment of Crohn's disease of the large bowel

Gut ◽  
1973 ◽  
Vol 14 (4) ◽  
pp. 263-269 ◽  
Author(s):  
J. K. Ritchie ◽  
H. E. Lockhart-Mummery
Keyword(s):  
Crohn’S Disease ◽  
Crohn's Disease ◽  
Large Bowel ◽  
Restorative Surgery

scholarly journals Decompressive Craniectomy for Acute Stroke: The Good, the Bad, and the Ugly of it

2014 ◽  
Vol 21 (3) ◽  
pp. 349-352
Author(s):  
Dhaval Shukla ◽  
Amit Agrawal
Keyword(s):  
Acute Stroke ◽  
Decompressive Craniectomy ◽  
Salvage Therapy ◽  
Medical Management ◽  
Clinical Signs ◽  
Brain Herniation ◽  
Severe Morbidity ◽  
Maximum Benefit ◽  
Life Saving ◽  
Restorative Surgery

Abstract Large hemispheric infarctions have malignant course and constitute a major cause of severe morbidity and mortality after stroke. The medical management is usually not effective in these cases. Decompressive craniectomy is a salvage therapy for medically refractory ICP. This paper discusses the merits and demerits of decompressive craniectomy for large hemispheric infarctions. Hemicraniectomy is a life-saving but non-restorative surgery. Surgery should be done before clinical signs of brain herniation to obtain maximum benefit. The relatives of the patient should be explained clearly about possibility of survival with disability before offering the surgery.

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