Prostate capsule extension: Can we plan surgical treatment based on MRI findings? An analysis of predictive factors to better identify T3a before surgery

2019 ◽  
Vol 18 (1) ◽  
pp. e2192
Author(s):  
L. Regis ◽  
M. Cuadras ◽  
E. Miret ◽  
A. Salazar ◽  
J. Planas ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Predictive Factors ◽  
Mri Findings ◽  
Prostate Capsule

PREDICTIVE FACTORS IN THE CHOICE OF SURGICAL TREATMENT FOR COLORECTAL CANCER WITH LAPAROSCOPIC OR "OPEN" ACCESS

2017 ◽  
Vol 63 (3) ◽  
pp. 470-474
Author(s):  
Rustem Topuzov ◽  
Georgiy Manikhas ◽  
Eskender Topuzov ◽  
Mikhail Khanevich ◽  
Magomed Abdulaev ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Surgical Treatment ◽  
Postoperative Complications ◽  
Open Access ◽  
Comparative Study ◽  
Retrospective Analysis ◽  
Predictive Factors

There are presented results of surgical treatment of 347 patients with colorectal cancer. Based on the retrospective analysis a comparative study of results of surgical treatment for colorectal cancer using laparoscopic technologies and “open” access was carried out. Predictive factors that correlate with the risk of postoperative complications with laparoscopic and “open” access at the surgical stage of treatment for colorectal cancer were determined.

Predictive Factors for Success in Surgical Treatment for Partial Epilepsy: A Multivariate Analysis

Epilepsia ◽  
1994 ◽  
Vol 35 (3) ◽  
pp. 566-578 ◽  
Author(s):  
B. Guldvog ◽  
Y. Loyning ◽  
E. Hauglie-Hanssen ◽  
S. Flood ◽  
H. Bjonaes
Keyword(s):  
Multivariate Analysis ◽  
Surgical Treatment ◽  
Predictive Factors ◽  
Partial Epilepsy

scholarly journals Patient-reported outcomes after surgical and non-surgical treatment of proximal hamstring avulsions in middle-aged patients

2019 ◽  
Vol 5 (1) ◽  
pp. e000511 ◽  
Author(s):  
Elsa Pihl ◽  
Olof Skoldenberg ◽  
Hans Nasell ◽  
Sven Jonhagen ◽  
Paula Kelly Pettersson ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Treatment Algorithm ◽  
Hamstring Injury ◽  
Middle Aged ◽  
Mri Findings ◽  
Aged Patients ◽  
Patient Reported ◽  
Proximal Hamstring ◽  
Non Surgical Treatment

ObjectivesIn the literature on proximal hamstring avulsions, only two studies report the outcomes of non-surgically treated patients. Our objective was to compare subjective recovery after surgical and non-surgical treatment of proximal hamstring avulsions in a middle-aged cohort.MethodsWe included 47 patients (33 surgically and 14 non-surgically treated) with a mean (SD) age of 51 (±9) years in a retrospective cohort study. Follow-up time mean (SD) of 3.9 (±1.4) years. The outcome variables were the Lower Extremity Functional Scale (LEFS) and questions from the Proximal Hamstring Injury Questionnaire. Outcome variables were adjusted in regression models for gender, age, American Society of Anestesiologits (ASA) classification and MRI findings at diagnosis.ResultsThe baseline characteristics showed no differences except for the MRI result, in which the surgically treated group had a larger proportion of tendons retracted ≥ 2 cm. The mean LEFS score was 74 (SD±12) in the surgically treated cohort and 72 (SD±16) in the non-surgically treated cohort. This was also true after adjusting for confounders. The only difference in outcome at follow-up was the total hours performing physical activity per week, p=0.02; surgically treated patients reported 2.5 hours or more (5.2 vs 2.7).ConclusionThis study on middle-aged patients with proximal hamstring avulsions was unable to identify any difference in patient-reported outcome measures between surgically and non-surgically treated patients. The vast majority of patients treated surgically had complete proximal hamstring avulsions with ≥ 2 cm of retraction. We conclude that to obtain an evidence-based treatment algorithm for proximal hamstring avulsions studies of higher scientific level are needed.

Chronic Idiopathic Thrombocytopenic Purpura in children: predictive factors and outcome

Open Medicine ◽  
2012 ◽  
Vol 7 (4) ◽  
pp. 525-528 ◽  
Author(s):  
Paola Coccia ◽  
Antonio Ruggiero ◽  
Giorgio Attinà ◽  
Giuseppe Cerchiara ◽  
Andrea Battista ◽  
...  
Keyword(s):  
Platelet Count ◽  
Surgical Treatment ◽  
Idiopathic Thrombocytopenic Purpura ◽  
Predictive Factors ◽  
Spontaneous Recovery ◽  
Favorable Outcome ◽  
Chronic Idiopathic Thrombocytopenic Purpura ◽  
Thrombocytopenic Purpura ◽  
Common Cause ◽  
Potential Factors

AbstractIdiopathic thrombocytopenic purpura (ITP) is the most common cause of acquired thrombocytopenia in children. In 20% of cases, this condition is classified as chronic when the thrombocytopenia is persistent 6 months after diagnosis. The aim of the present study is to identify the potential factors correlating with a favorable outcome in patients with chronic ITP. Some 71 patients affected by ITP were retrospectively analyzed. Results show a higher rate of spontaneous recovery that is statistically significant for patients with platelet count at diagnosis <20,000/µL. These observations suggest the possibility to delay or avoid aggressive surgical treatment for these patients.

Predictive Factors of the Outcome of Primary Surgical Treatment of Stress Incontinence in Women

1997 ◽  
Vol 31 (1) ◽  
pp. 49-55 ◽  
Author(s):  
Anna-Lena Berglund ◽  
Martin Eisemann ◽  
Ann Lalos ◽  
Othon Lalos
Keyword(s):  
Surgical Treatment ◽  
Stress Incontinence ◽  
Predictive Factors

Postoperative Imaging after Impingement Surgery

2017 ◽  
Vol 21 (05) ◽  
pp. 529-538 ◽  
Author(s):  
Karl Grob ◽  
Chan-Hi Kim ◽  
Tobias Dietrich
Keyword(s):  
Surgical Treatment ◽  
Revision Surgery ◽  
Rare Complication ◽  
Current Evidence ◽  
Cartilage Defects ◽  
Loose Bodies ◽  
Mri Findings ◽  
Postoperative Imaging ◽  
Labral Tears ◽  
Magnetic Resonance Imaging Mri

AbstractIn addition to the patient's medical history and clinical evaluation, conventional radiographs and magnetic resonance imaging (MRI) are important tools to indicate appropriate conservative treatment or even revision surgery in patients with symptoms after surgical management of femoroacetabular impingement (FAI). We present an overview of current evidence in postoperative imaging after impingement surgery. Undercorrection of the underlying osseous FAI configuration is the most frequent indication for revision surgery within the first 2 years after index FAI surgery. Femoral neck fractures, iatrogenic chondral injuries, early conversion to total hip arthroplasty, loose bodies, and heterotopic ossifications are rare but typical early complications after surgical treatment of FAI. Abnormal MRI findings after FAI surgery such as intra-articular adhesions, labral tears, cartilage defects, and anterior capsular defects are common findings in both asymptomatic and symptomatic postoperative patients. Avascular necrosis of the femoral head is an extremely rare complication after surgical treatment of FAI.

scholarly journals Predictive Factors Influencing Functional Results After Proximal Hamstring Tendon Avulsion Surgery: A Patient-Reported Outcome Study After 227 Operations From a Single Center

2021 ◽  
Vol 9 (10) ◽  
pp. 232596712110430
Author(s):  
Raymond Best ◽  
Anorte Meister ◽  
Malin Meier ◽  
Jochen Huth ◽  
Ulrich Becker
Keyword(s):  
Surgical Treatment ◽  
Functional Outcome ◽  
Predictive Factors ◽  
Hamstring Tendon ◽  
Patient Reported ◽  
Duration Of Surgery ◽  
The Mean ◽  
Concomitant Factors ◽  
Proximal Hamstring ◽  
Tendon Avulsion

Background: Although debilitating, proximal hamstring tendon avulsion injuries are rare and often overlooked or misdiagnosed. Consequently, delayed diagnosis and surgical treatment may result in poor outcomes. Studies investigating a correlation between postoperative functional outcomes and this delay in surgical treatment or other concomitant factors in large cohorts have not yet been performed to our knowledge. Purpose/Hypothesis: The purpose of this study was to conduct an investigation in a large patient group regarding factors that could influence a patient’s functional outcome after hamstring surgery. We hypothesized that this outcome would significantly correlate to the time between trauma and surgery. Study Design: Case series; Level of evidence, 4. Methods: Patients who received surgical treatment of proximal hamstring tendon avulsion injuries in our institution between the years 2010 and 2020 were asked to complete a validated, injury-specific outcome measurement, the Perth Hamstring Assessment Tool (PHAT; 0-100 points). In addition to calculating these outcomes, we evaluated the association of the obtained results with possible predictive factors such as age, sex, stump retraction shown on magnetic resonance imaging (MRI), and timing and duration of surgery. Results: A total of 226 patients (227 operations) were eligible for the study, and 204 cases of hamstring tendon avulsion injury met our inclusion criteria. The return rate for the PHAT questionnaire was 85.3%. The mean PHAT score revealed good results (79.8 ± 19.1). Irrespective of concomitant factors, the scores of male patients were significantly higher compared with those of female patients (83.8 ± 16.9 vs 75.8 ± 20.6 respectively; P = .004). The mean time to surgery was 5.7 weeks after trauma, and more delayed surgery correlated significantly with lower PHAT scores ( P = .003; r = –0.228). The mean degree of stump retraction on MRI (5 cm) did not significantly influence PHAT scores ( P = .525; r = –0.06). Conclusion: Delay of surgery and female sex were disadvantageous in terms of a good functional outcome measure (PHAT score) after hamstring tendon refixation surgery. By contrast, patient age as well as the retraction of the tendon stump on preoperative MRI did not influence PHAT scores in the present study.

Sign in / Sign up

Export Citation Format

Share Document