scholarly journals Epidemiological characteristics of patients with pelvic tumors submitted to surgical treatment

2018 ◽  
Vol 53 (1) ◽  
pp. 33-37 ◽  
Author(s):  
Jairo Greco Garcia ◽  
Adriano Martinez ◽  
Reynaldo Jesus Garcia Filho ◽  
Marcelo Toledo Petrilli ◽  
Dan Carai Viola
Keyword(s):  
Surgical Treatment ◽  
Pelvic Tumors ◽  
Epidemiological Characteristics

scholarly journals Analysis of epidemiological characteristics and surgical treatment of patients with pressure ulcer

2021 ◽  
pp. 93-93
Author(s):  
Dragana Petrovic-Popovic ◽  
Milan Stojicic ◽  
Maja Nikolic-Zivanovic
Keyword(s):  
Surgical Treatment ◽  
Pressure Ulcer ◽  
Traffic Accidents ◽  
Pressure Ulcers ◽  
Stage Iv ◽  
Clinical Center ◽  
Bony Prominence ◽  
The University ◽  
Epidemiological Characteristics ◽  
Reconstructive Methods

Introduction/Objective. A pressure ulcer is a localized injury to the skin and/or underlying tissue, usually over a bony prominence. It appears as a result of pressure or combination of pressure and shear. Pressure ulcers can be identified within a wide variety of patient subpopulations and a major role in their treatment plays epidemiological and etiological aspects. Methods. A retrospective study of data analysis included 72 patients with pressure ulcers that were hospitalized and surgically treated during a five-year period at the Clinic for Burns, Plastic and Reconstructive Surgery of the University Clinical Center of Serbia in Belgrade. Main data features used in the analysis were: gender, age, principal diseases, comorbidities and biochemical indicators of malnutrition. The patients' data was obtained from the existing patients? records. Additionally, the study analyzed the method of treating pressure ulcers, types of reconstructive methods in surgical treatment, as well as the incidence rate of partial osteotomy. Results. A total of 72 patients with pressure ulcers were included into this study with 54.7 ? 16.1 mean age. Three times more patients injured in traffic accidents were male (75% vs. 25%), while the most of the patients with multiple sclerosis were female (85.7%). More than 95% of patients who had pressure ulcers of III or IV stage were treated surgically with a reconstructive method of transposition or rotation myocutaneous flap. The patient with pressure ulcer of stage IV was usually treated with partial osteotomy. Conclusion. A surgical reconstructive treatment with fasciocutaneous and myocutanaeous flaps represents a gold standard for treating patients with pressure ulcers. These procedures provide reconstruction with adequate flap coverage and obliteration of dead space with well-vascularized tissue but with necessity of further implementation of antidecubitus measures.

scholarly journals PREDICTION OF OUTCOME IN PATIENTS WITH FRACTURES OF THE PROXIMAL FEMUR DEPENDING ON MEDICAL AND EPIDEMIOLOGICAL AND ANAMNESTIC CHARACTERISTICS

2020 ◽  
Vol 8 (3) ◽  
pp. 286-298
Author(s):  
T. S. Hurbanova
Keyword(s):  
Surgical Treatment ◽  
Conservative Treatment ◽  
Proximal Femur ◽  
Inverse Correlation ◽  
Social Significance ◽  
Significant Inverse Correlation ◽  
Femur Fractures ◽  
Medical Institutions ◽  
Sexual Characteristics ◽  
Epidemiological Characteristics

The paper shows the results of a study related to the possibilities of predicting the outcome in patients with fractures of the proximal femur depending on the medical-epidemiological and anamnestic characteristics. It was determined that fractures of the proximal femur are among the most common types of fractures and rank third among the most common types of fractures; they have high relevance and medical and social significance. Objective: study the possibilities of predicting treatment outcomes in patients with fractures of the proximal femur depending on the medical-epidemiological and anamnestic characteristics. In order to achieve this purpose, a retrospective study of the treatment outcome in patients with fractures of the proximal femur was conducted using the data of seven medical institutions in Kharkiv for six years (from January 01, 2011 to December 31, 2016). According to the results of the study, a significant direct correlation of healed fractures and healing fractures with a likelihood of surgical treatment was determined: they were 2.40 and 4.15 times higher, respectively, versus the comparison group. A significant inverse correlation with the conservative treatment of pseudarthrosis and other types of lesions, together with fractures of the proximal femur (reduced likelihood of surgical treatment by 79.50% and 66.90%, respectively) was found. There was a significant inverse correlation between age characteristics and the conservative treatment, with 23.10% increase by every 10 years and a direct correlation between functional characteristics according to the ASA classification and surgical treatment. A significant direct correlation of increased likelihood for operative treatment of fractures of all types according to AO classification in comparison with type 31A1 was defined. Significant correlation with the place of residence was established: increased likelihood of conservative treatment (by 75.00% in patients from other cities of Kharkiv region); increased likelihood of surgical treatment (residents of villages of Kharkiv region – 12.78 times, residents of villages of other regions – 5.20 times, residents of cities of other regions – 7.87 times, persons of no fixed abode – 5.11 times). A significant correlation between the characteristics of patients' admission to the clinic and the use of surgical treatment were recorded: in self-treatment (2.29 times) and in referral to outpatient and inpatient facilities (2.44 times). Keywords proximal femur fractures, clinical and epidemiological characteristics, concomitant pathology, comorbid burden, age-sexual characteristics, functional status, odds ratio, confidence intervals.

scholarly journals SURGICAL TREATMENT OF PATIENTS WITH EXTRAORGANIC TUMORS OF THE PELVIC LOCALIZATION WITH INVASION OF THE ILIAC VESSELS

2021 ◽  
pp. 27-30
Author(s):  
I. V. Kryvorotko ◽  
A. V. Chykin ◽  
M. Ye. Tymchenko ◽  
S. O. Beresnyev ◽  
T. Z. Alexandrov
Keyword(s):  
Surgical Treatment ◽  
Surgical Intervention ◽  
Locally Advanced ◽  
Iliac Arteries ◽  
Advanced Tumor ◽  
Pelvic Tumors ◽  
Radical Method ◽  
End To End ◽  
Narrow Space ◽  
Locally Advanced Tumor

The aim of our study was to determine the indications for expanding the scope of operations in patients with pelvic extraorgan local formations. Materials and methods. The results of surgical treatment of 7 patients with nonorgan tumors of the pelvic localization, who underwent resection on the main vessels in connection with their involvement in the tumor process, are presented. Results and discussion. A total of 7 interventions were performed on the iliac arteries — 2 resections with an end-to-end anastomosis and 5 prostheses (one case — the aorta resection with reconstruction with a bifurcation prosthesis). Patients with pelvic extraorgan tumors are a special cohort of patients, due to the presence of several organs in a narrow space, which inevitably causes them to fit snugly to the tumor. Locally advanced tumor process in extraorganic tumors involving the main vessels of the pelvis and adjacent organs is not a reason to refuse surgery, and despite the complications, repeated recurrences and previous operations, are well tolerated by patients. This is especially important due to the lack of a real alternative to surgical treatment of this group of patients. Conclusions. Surgical intervention in the treatment of pelvic inorganic tumors involving the main vessels is the only radical method of treatment. Invasion of the main arterial and venous vessels is not a contraindication to surgery in patients with pelvic tumors. Combined angioplastic interventions allow to achieve a long without recurrent period even after cytoreductive operations.

Classification and Surgical Treatment of Pelvic Tumors

1988 ◽  
pp. 224-228
Author(s):  
W. Winkelmann ◽  
K. P. Schulitz ◽  
G. Roggenland ◽  
R. Hepp
Keyword(s):  
Surgical Treatment ◽  
Pelvic Tumors

Diagnosis and Surgical Treatment of Benign Pelvic Tumors and Tumor-Like Diseases in Children

2011 ◽  
Vol 18 (2) ◽  
pp. 99-106
Author(s):  
A I Snetkov ◽  
Anton Rudol'fovich Frantov ◽  
A K Morozov ◽  
G N Berchenko ◽  
S Yu Batrakov ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Fibrous Dysplasia ◽  
Osteoid Osteoma ◽  
Computer Navigation ◽  
Chondromyxoid Fibroma ◽  
Endoscopic Intervention ◽  
Pathologic Process ◽  
Pelvic Tumors ◽  
Solid Form

Experience in diagnosis and treatment of benign pelvic tumors and tumor-like diseases in children was summarized. There were 104 patients, aged 2-18 years. Complex diagnosis included modern radiologic methods (CT, MRT, angiography). The treatment was performed taking into account the nosologic form and pathologic process volume. Vast resections of pelvic bones were performed in osteochondroma, fibrous dysplasia, chondromyxoid fibroma, solid form of aneurismal cyst as well as in aneurismal cysts in cases of failed paracentetic treatment. In tumors of small sized (osteoid-osteoma, osteoblastoma) surgical treatment was performed with computer navigation. Paracentetic treatment was applied in aneurismal cysts, eosinophilic granulema of bone as well as in residual cavities after failed previous interventions. In patients with aggressive aneurismal cysts roentgenendovascular embolization of pathologic vessels in combination with paracentetic treatment or endoscopic intervention were used. Follow-up ranged from 1 to 8 years. Recurrences were noted in 3 (6.4%) patients with aneurismal cyst.

Multivisceral resections in the surgical treatment of patients with pelvic tumors

2016 ◽  
Vol 5 (4) ◽  
pp. 17
Author(s):  
I. P. Kostyuk ◽  
L. A. Vasiliev ◽  
A. A. Kostin ◽  
A. D. Kaprin
Keyword(s):  
Surgical Treatment ◽  
Pelvic Tumors

Human Stapes Crura: Normal Ultrastructure. Scanning Electron Microscopic Findings

1975 ◽  
Vol 33 ◽  
pp. 528-529
Author(s):  
M.D. Graham
Keyword(s):  
Electron Microscope ◽  
Surgical Treatment ◽  
Scanning Electron Microscope ◽  
Osmic Acid ◽  
Human Cadaver ◽  
Electron Microscopic ◽  
Scanning Electron Microscopic ◽  
Normal Human ◽  
Microscopic Findings ◽  
Scanning Electron

The recent development of the scanning electron microscope has added great impetus to the study of ultrastructural details of normal human ossicles. A thorough description of the ultrastructure of the human ossicles is required in order to determine changes associated with disease processes following medical or surgical treatment.Human stapes crura were obtained at the time of surgery for clinical otosclerosis and from human cadaver material. The specimens to be examined by the scanning electron microscope were fixed immediately in the operating room in a cold phosphate buffered 2% gluteraldehyde solution, washed with Ringers, post fixed in cold 1% osmic acid and dehydrated in graded alcohol. Specimens were transferred from alcohol to a series of increasing concentrations of ethyl alcohol and amyl acetate. The tissue was then critical point dried, secured to aluminum stubs and coated with gold, approximately 150A thick on a rotating stage in a vacuum evaporator. The specimens were then studied with the Kent-Cambridge S4-10 Scanning Electron Microscope at an accelerating voltage of 20KV.

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