scholarly journals Surgical Intervention of Early Stage Primary Acquired Cholesteatoma

2016 ◽  
Vol 130 (S3) ◽  
pp. S218-S219
Author(s):  
Tao Pan ◽  
Furong Ma ◽  
Yu Wang ◽  
Ke Zhang ◽  
Jia Ke
Keyword(s):  
Surgical Intervention ◽  
Early Stage ◽  
Acquired Cholesteatoma

Development of secondary unilateral coronal suture synostosis with a sagittal suture synostosis in a nonsyndromic patient

2012 ◽  
Vol 9 (2) ◽  
pp. 116-118 ◽  
Author(s):  
Leonardo Rangel-Castilla ◽  
Steven W. Hwang ◽  
Andrew Jea ◽  
William E. Whitehead ◽  
Daniel J. Curry ◽  
...  
Keyword(s):  
Surgical Intervention ◽  
Early Stage ◽  
Sagittal Synostosis ◽  
Clinical Appearance ◽  
Syndromic Craniosynostosis ◽  
Intervention Failure ◽  
Frontoorbital Advancement ◽  
Coronal Synostosis ◽  
Second Procedure

Multiple-suture synostosis is typically associated with syndromic craniosynostosis but has been occasionally reported in large series of nonsyndromic children. The diagnosis of multiple fused sutures usually occurs at the same time, but rarely has the chronological development of a secondary suture synostosis been noted. The development of secondary bicoronal suture synostosis requiring surgical intervention has only been reported, to date, after surgical intervention and is hypothesized to arise from a disruption of inhibitory factors from the dura. The disinhibition of these factors permits the sutures to then fuse at an early stage. The authors report on a patient who developed secondary unilateral coronal synostosis after the diagnosis of an isolated sagittal synostosis. The secondary synostosis was identified at the time of the initial surgical intervention and ultimately required a second procedure of a frontoorbital advancement. The clinical appearance of this phenomenon may be subtle, and surgeons should monitor for the presence of secondary synostosis during surgery as it may require intervention. Failure to identify the secondary synostosis may necessitate another surgery or result in a poor cosmetic outcome. The authors recommend close clinical follow-up for the short term in patients with isolated sagittal synostosis.

Heterotopic Ossifications of the Forearm: A Cause of Post-Traumatic Loss of Pronation-Supination

2021 ◽  
Vol 8 (5) ◽  
Author(s):  
Hajar A ◽  
◽  
Khadija L ◽  
Jamal EF ◽  
Issam E-N ◽  
...  
Keyword(s):  
Open Fracture ◽  
Thermal Injury ◽  
Surgical Intervention ◽  
Tissue Injury ◽  
Early Stage ◽  
Soft Tissue Injury ◽  
Traumatic Loss ◽  
Ectopic Bone ◽  
Post Traumatic ◽  
Ossification Process

HO is defined by the development of ectopic mature bone within nonosseous tissues. It is a well-described phenomenon that complicates forearm fractures, especially when there is an open fracture, a significant soft tissue injury, and associated neural axis or thermal injury. HO mainly forms near metal hardware and may lead to the formation of radio-ulnar synostosis. CT is superior to plain radiographs, as it identifies the ectopic bone earlier, defines its exact localization, and helps planning the surgical intervention. Radiologic features are variable; in the early stage, CT shows a low-attenuation mass with indistinct surroundings. As the ossification process progresses, zones of mineralization are visible before leading to the formation of mature cortical bone at the periphery (Figure 1 and 2: arrows). Hastings classification describes 5 classes according to how HO affects the forearm range of motion.

Cervical and Vulvar Cancer in Early Stages

2021 ◽  
pp. 158-174
Author(s):  
Anastasios Liberis ◽  
Angelos Sioutas ◽  
Marius Moga ◽  
Alexandros Daponte
Keyword(s):  
Cervical Cancer ◽  
Surgical Treatment ◽  
Vulvar Cancer ◽  
Surgical Intervention ◽  
Early Stage ◽  
Optimal Treatment ◽  
Diagnosis And Management ◽  
Early Stages ◽  
Early Stage Cervical Cancer

Cervical and vulvar cancer represent two clinical entities whose diagnosis and management are often challenging. They are frequently diagnosed in the early stages, therefore leaving chances for optimal treatment and prognosis. The aim of this chapter is to answer two oncological issues concerning early stage cervical and vulvar cancer. First, is still room for surgical treatment for early stage cervical cancer or should we suggest chemoradiotherapy instead? Second, when is a limited surgical intervention sufficient for early stage vulvar cancer?

scholarly journals The Persistent Problem of Local/Regional Failure After Surgical Intervention for Early-Stage Lung Cancer

2018 ◽  
Vol 106 (2) ◽  
pp. 382-389 ◽  
Author(s):  
Gregory D. Judy ◽  
Orit Kaidar-Person ◽  
Allison Deal ◽  
Yue Wang ◽  
Andrew Migliardi ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Surgical Intervention ◽  
Early Stage ◽  
Early Stage Lung Cancer ◽  
Persistent Problem ◽  
Regional Failure ◽  
Stage Lung Cancer

scholarly journals Phototherapy in the Treatment of Diabetic Foot — A Preliminary Study

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Zbigniew Mikołajczyk ◽  
Iwona Nowak ◽  
Andrzej Kawiński ◽  
Michał Mik
Keyword(s):  
Diabetic Foot ◽  
Surgical Intervention ◽  
Light Wave ◽  
Early Stage ◽  
Literature Study ◽  
Entire Surface ◽  
Light Waves ◽  
Patients With Diabetes ◽  
Preliminary Study ◽  
Living Organisms

Abstract The first part of the publication presents a substantively insightful literature study on the essence and effects of light waves on wound healing in living organisms, including the use of phototherapy in the treatment of the diabetic foot. A knitted textile dressing was designed and manufactured for phototherapy of patients with diabetes suffering from diabetic foot syndrome (DFS). The proposed solution is intended for the treatment of dermal tissues within the patient's foot affected because of diabetic disease at an early stage. Thus, the use of a knitted dressing with incorporated fiber optic structures and powered by a semiconductor laser emitting a 405 nm light wave from its entire surface would prevent further anomalies of the patient's tissues and help to avoid surgical intervention.

Management Patterns in Pediatric Complicated Sinusitis

2020 ◽  
Vol 163 (4) ◽  
pp. 814-821
Author(s):  
Sean M. McDermott ◽  
Amanda Onwuka ◽  
Charles Elmaraghy ◽  
Patrick C. Walz
Keyword(s):  
Medical Therapy ◽  
Pediatric Patients ◽  
Surgical Intervention ◽  
Early Stage ◽  
Tertiary Care ◽  
Case Series ◽  
Hospital Charges ◽  
Intracranial Extension ◽  
Disease Characteristics ◽  
Outcome Differences

Objectives Sinusitis is a common pediatric illness that can be complicated by periorbital or intracranial extension. Patients can be managed with antimicrobials alone or in conjunction with surgical intervention. This article examines management patterns and outcomes in pediatric patients presenting with complicated sinusitis. Study Design Case series with chart review. Setting Tertiary care pediatric hospital. Subjects and Methods An evaluation of 168 pediatric patients with complicated sinusitis with periorbital complications presenting at a single institution from 2008 to 2018 was performed. Demographics, disease characteristics, in-hospital management, and outcomes were recorded and analyzed. Results The most common complication was orbital cellulitis, seen in 49% of children. Surgical intervention occurred in 49% of patients, with 36% receiving medical therapy followed by surgery (MTS). Chandler I patients underwent surgical intervention 30% of the time, Chandler II patients 29%, and Chandler III patients 83%. Nineteen percent of initially nonoperative patients started on ampicillin-sulbactam required MTS vs 57% of those started on other antibiotic regimens ( P = .01). Twelve percent of initially nonoperative Chandler I to II patients started on ampicillin-sulbactam needed MTS vs 40% started on other antibiotic regimens. Hospital charges for operative patients were $45,056 vs $14,311 for nonoperative patients ( P < .01). Hospital charges for patients with surgery followed by medical therapy (SMT) were $45,563 vs $44,393 for MTS ( P = .92). Conclusion Nonoperative early stage patients started on ampicillin-sulbactam had a lower risk of MTS. MTS did not cost significantly more than SMT, and there were no significant outcome differences seen.

Volume of surgical interventions for benign colorectal tumors – an analysis of 3510 surgical and endoscopic resections in the single colorectal center in Poland

2021 ◽  
Vol 93 (6) ◽  
pp. 11-19
Author(s):  
Michał Spychalski ◽  
Marcin Włodarczyk ◽  
Katarzyna Winter ◽  
Jakub Włodarczyk ◽  
Igor Dąbrowski ◽  
...  
Keyword(s):  
Surgical Intervention ◽  
Histopathological Examination ◽  
Early Stage ◽  
Benign Lesion ◽  
Screening Colonoscopy ◽  
Colorectal Tumors ◽  
Surgical Interventions ◽  
Endoscopic Techniques ◽  
Abdominal Approach ◽  
Appropriate Treatment

Introduction: Colorectal cancer is the most frequent neoplasm of the whole gastrointestinal track. Due to screening colonoscopy program, colorectal lesions are often diagnosed at early stage. The vast majority of them are possible to remove endoscopically. However, a substantial percentage of benign lesion in Western centers are still operated. The aim of this article was to determine the percentage of surgical resections due to benign adenomas in the reference center of endoscopic submucosal dissection (ESD) and colorectal surgery in Poland. Materials and Methods: Retrospective analysis of 3 510 patients operated from 2015 to 2019 in Center of Bowel Treatment in Brzeziny. Results: We have analyzed 3 510 endoscopic and surgical procedures performed in the colon: 601 ESDs; 1 002 endoscopic mucosal resections (EMRs); and 1,907 surgical resections. Out of 601 ESDs, 57 invaded the submucosa, of which 29 (4.8%) were non-therapeutic ESDs. In 5 patients, due to occurrence of post-ESD perforation, an additional surgical intervention was necessary. Out of the 1,002 EMRs, 22 cases (2.2%) were diagnosed with deeply infiltrating cancers, which required a surgery. The overall percentage of the need for surgery in the endoscopically treated patients (ESD + mucosectomy) was 3.5% (56/1 603). Among resection surgeries, 15 of them (0.8%) ended with the diagnosis of a benign lesion in the postoperative histopathological examination. Conclusions: Inclusion advanced endoscopic techniques such as ESD to routine clinical practice in colorectal centers gives clear benefits for the patients. Well defined and standardized process of qualifying for appropriate treatment allows to significantly reduce the percentage of abdominal approach surgery due to benign colorectal lesions.  

scholarly journals Role of Pharmacological Therapy and Surgical Intervention in Breast Carcinoma

2021 ◽  
pp. 16-20
Author(s):  
Ahsan Ali Laghari ◽  
Faiza Hameed ◽  
Shah Nawaz Abro ◽  
Ambreen Muneer ◽  
Anwar Ali Jamali ◽  
...  
Keyword(s):  
Cell Carcinoma ◽  
Surgical Intervention ◽  
Early Stage ◽  
Radical Mastectomy ◽  
Ca 125 ◽  
Ultra Sound ◽  
Age Group ◽  
Modified Radical Mastectomy ◽  
Chemotherapy Drugs

Objective: To determine the Role of medical therapy and surgical intervention in carcinoma of breast. Study Design: Prospective observational study. Place and Duration: Two years study from January 2018 to December 2020 was conducted at Liaquat university of Medical and Health Sciences Jamshoro. Methods: The study comprises 50 patients. Data was collected from all who were admitted at OPD. The patients were evaluated fully after history & Clinical examinations and Specific investigations of Fine Needle Aspiration Cytology (FNAC), Tru cut biopsy  for Histology ERPR Receptor and Herceptin receptor, ultra sound of breast, and Abdomen, Mammography, C T scan, M R I, Tumor marker CA15.3. CA 125 for ovary and breast, X ray chest and Bone scan. Sentinel lymph node biopsy for lymphatic involvement, Liver Function Test, serum calcium, Complete Blood Picture (CBP), blood sugar, blood urea. HBSAG, HCV, HIV and COVID-19   Evaluated patients were evaluated fully after history, clinical examinations & specific investigations. Results: In this study 50 patients of Carcinoma of breast. The maximum numbers of patients were in age group 20 to 80 years. 15 patients were in age group 20 to 39 year, 24 patients were in age group 40 to 59 years, 11 patients were in age group 60 to 80 year.  Out of 50 patients 29 patients were presented with breast lump, 8 patients were presented with bloody discharge, 7 patients were presented with nipple destruction and 6 Patients were presented with pricking sensation Out of 50 patients 21 patients were presented with stage I, 13 Patients presented with stage II, 9 patients were presented with stage III and 7 patients were presented with stage IV.  Out of 50 patients 22 Patients  were diagnosed duct cell carcinoma, 11 patients were diagnosed Phyllodes tumor, 9 patients were diagnosed lobular cell carcinoma, 5 patient were diagnosed tubular cell carcinoma and 3 patients were diagnosed Paget’s type of carcinoma .Out of 50 patients 25 patients were  ERPR positive treated by Nolvadex (tamoxifeen) 16 Patients were ERPR negative  treated by chemotherapy drugs and Aromatase inhibitors, 9 Patients were Her2neu receptor  positive treated by Herceptin (Trastuzumab) Out of 50 patients 34 patients were treated by  Modified  radical mastectomy, 16 patients were initially were treated neo adjuvant therapy. Then Modified Radical Mastectomy, Out of 50 patients 25 patients were treated with Nolvadex (tamoxifeen) after Modified Radical Mastectomy better outcome seen in those patients. Conclusion: Carcinoma of breast is a common problem all over the word, patient can present with lump over the breast, bloody discharge, destruction  of nipple or areola   if not diagnosed and treat early stage, patient can die within a year without Medical and surgical treatment.

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