16 Surgical Treatment of the Right Thoracic Curve Pattern

AbstractIntroductionHepatic artery aneurysms are rare, and their treatment represents a challenge for the surgeons.Materials and methodsA new technique is presented for common hepatic artery (CHA) aneurysm: it requires minimal vascular surgical dissection and only one linear vascular stapler is applied at the bottom of aneurysm. Aneurysm exclusion is easily obtained, which allowed retrograde thrombosis. Liver blood supply is ensured to the right and left hepatic artery, through the gastroduodenal artery, and can be previously monitored, with temporary clamping of the section area, by visual control, enzyme evaluation and intraoperative ultrasound examination. We reported an open surgical treatment, with simultaneous removal of hepatic and adrenal metastases, secondary to colon cancer.ResultsThe duration of vascular surgery was 30 min and did not involve complications. Postoperative controls confirmed the efficacy of the procedure.DiscussionThis original technique can be added to the various open and endovascular techniques so far described for the treatment of a CHA aneurysm. It is advisable as open surgery, mostly in case of associated pathologies.ConclusionsThe authors believe that this “one shot” technique by vascular staple of the distal part of CHA is minimally invasive and effective to obtain the exclusion of the aneurysm.

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Successful surgical treatment of a giant coronary aneurysm communicating with the right atrium

Journal of Cardiovascular Medicine ◽

10.2459/jcm.0b013e32805f0d09 ◽

2007 ◽

Vol 8 (12) ◽

pp. 1061-1064 ◽

Cited By ~ 3

Author(s):

Andrea Rognoni ◽

Valeria Ferrero ◽

Giovanni Teodori ◽

Flavio Ribichini

Keyword(s):

Surgical Treatment ◽

Right Atrium ◽

Coronary Aneurysm ◽

Giant Coronary Aneurysm ◽

The Right

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SUCCESSFUL SURGICAL TREATMENT OF THROMBOSIS OF THE RIGHT ATRIUM IN A CHILD WITH STEROID-RESISTANT NEPHROTIC SYNDROME

Bulletin of Pirogov National Medical & Surgical Center ◽

10.25881/bpnmsc.2018.59.83.032 ◽

2018 ◽

Vol 13 (3) ◽

pp. 145-146

Author(s):

M.A. MARTAKOV ◽

E.M. ZAJNETDINOV ◽

V.P. PRONINA ◽

N.V. SHESTERIKOV ◽

V.V. SHESTERIKOVA ◽

...

Keyword(s):

Nephrotic Syndrome ◽

Surgical Treatment ◽

Right Atrium ◽

Steroid Resistant ◽

Steroid Resistant Nephrotic Syndrome ◽

The Right

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Reconstruction of the Adult Hemifacial Microsomia Patient with Temporomandibular Joint Total Joint Prosthesis and Orthognathic Surgery

Case Reports in Surgery ◽

10.1155/2018/2968983 ◽

2018 ◽

Vol 2018 ◽

pp. 1-6 ◽

Cited By ~ 1

Author(s):

Piero Cascone ◽

Valentino Vellone ◽

Valerio Ramieri ◽

Emanuela Basile ◽

Achille Tarsitano ◽

...

Keyword(s):

Surgical Treatment ◽

Temporomandibular Joint ◽

Distraction Osteogenesis ◽

Orthognathic Surgery ◽

Joint Prosthesis ◽

Hemifacial Microsomia ◽

Primary Methods ◽

Jaw Reconstruction ◽

The Right ◽

Reconstructive Techniques

Background. HFM patients’ reconstruction has always been a challenge for maxillofacial surgeons, and numerous reconstructive techniques have been described. Surgical treatment depends on the patient’s age and contemplates Temporomandibular Joint (TMJ) reconstruction in conjunction with orthognathic surgery, usually necessary following completion of growth to maximize the functional and esthetic results. Distraction osteogenesis had gained popularity as valid alternative in growing patients, but the two primary methods to reconstruct the TMJs involve the use of autogenous, using free or microvascular bone grafts, or alloplastic graft, but there is no widely accepted method. Methods. The increasing use of temporomandibular prosthesis for temporomandibular problems has led us to use them even in HFM. A case of female nongrowing patients with HFM type IIb treated with temporomandibular prosthesis in an all-in-one protocol is presented. Results. Incisal opening, measured with BioPAK system (Bioresearch Inc., Milwaukee, USA), was 21.4 mm in the presurgical period and 32.2 mm after all-in-one procedure, for an increase of 50.5%. Excursive movement to the right side was 2.2 mm in the presurgical period and was 1.5 mm after surgery, for a decrease of 31.8%. Left excursion movement changed from 5 mm to 6.1 mm, for an increase of 22.0%. Conclusions. The TMJ Concepts patient-fitted TJP in conjunction with orthognathic surgery for TMJ and jaw reconstruction is a valid option for patients with HFM.

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The principles of planned surgical treatment of chronic duodenal ulcer(40-years experience of Clinic named for S.P. Fyodorov)

Bulletin of Siberian Medicine ◽

10.20538/1682-0363-2007-3-38-42 ◽

2007 ◽

Vol 6 (3) ◽

pp. 38-42

Author(s):

N. A. Maystrenko ◽

A. A. Kurygin ◽

Al. A. Kurygin

Keyword(s):

Duodenal Ulcer ◽

Surgical Treatment ◽

Diagnostic Algorithm ◽

Chronic Duodenal Ulcer ◽

The Right

The experience of planned treatment more than 2 000 patients with chronic duodenal ulcer makes it possible to work out the diagnostic algorithm, based on complex research of acidic stomach secretion. The principles of choosing of interference (organ-retaining, resecting or combining interference) and kind of pyloroplasty were defined. The right choice of operation of complicated duodenal ulcer secures excellent and good results for 85% patients.

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SURGICAL TREATMENT OF ANOMALIES OF FIXATION OF THE COLON IN CHILDREN

Clinical anatomy and operative surgery ◽

10.24061/1727-0847.19.4.2020.48 ◽

2020 ◽

Vol 19 (4) ◽

pp. 32-36

Author(s):

O. Bodnar

Keyword(s):

Congenital Anomaly ◽

Surgical Treatment ◽

Clinical Symptoms ◽

Clinical Manifestations ◽

Results Of Treatment ◽

Left Diaphragm ◽

Comparative Group ◽

The Right ◽

Paroxysmal Pain ◽

Over Time

Pyrrhic disease is a congenital anomaly that occurs during embryogenesis due to the fixation of the splenic angle of the colon by a short and highly located left transverse-diaphragmatic ligament, creating a sharp bend and forming a "wellbore". In this case the passage of feces on a cross colon becomes difficult, there is also its sagging to a small pelvis. This pathology is characterized by paroxysmal pain (aggravated by exercise and after eating) and prolonged constipation, which progresses over time. Hilaiditis syndrome is a rather rare pathology in which there is an interposition of the hepatic angle of the colon between the liver and the diaphragm. There are permanent and intermittent localizations. The work generalizes the experience of evaluation of clinical manifestations and remote results of treatment of children with chronic colostasis caused by fixation abnormalities of the colon. 58 children were detected to have Payre’s disease, with Cyilaiditi’s syndrome – 3 children. 24 patients with Payre’s disease and 2 Cyilaiditi’s syndrome were operated on. To assess the effectiveness of surgery, children were divided into two groups: I group – comparative and II group - experienced. In I group (n=12 children) – the analysis of surgical treatment was performed traditionally. In II group (n=14 children) – the analysis of surgical treatment was conducted by means of the methods proposed. Traditional surgical treatment of Payre’s disease in children was followed by relapse of chronic constipation in 45,45%, pain in 50%, flatulence in 33,33% and failure of the ileocoecal closing apparatus in 100% of children. Unsatisfactory outcomes of surgical treatment of Cyilaiditi’s syndrome was observed in a child from the comparative group. Relapse of clinical symptoms to a lesser degree than before the surgery was found in 1 child from the experienced group. To treat Payre’s disease the following operation is proposed: intersection of the left diaphragm-colon ligament, resection of transverse colon and colofixation of the left bending of the colon. To treat Cyilaiditi’s syndrome (in case of dolichoascendocolon) the following operation is suggested: hepatopexy, resection of the right bending of the colon with ascending transversal anastomosis “end to end”, fixing of right bending of the colon. Their reasonability is being proved.

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CLINICAL AND MORPHOLOGICAL JUSTIFICATION OF THE SURGICAL TREATMENT OF CHRONIC ABDOMINAL SYNDROME IN CHILDREN

Российский педиатрический журнал ◽

10.18821/1560-9561-2017-20-5-270-276 ◽

2019 ◽

Vol 20 (5) ◽

pp. 270-276

Author(s):

Igor N. Khvorostov ◽

A. G. Sinitsyn ◽

G. L. Snigyr

Keyword(s):

Surgical Treatment ◽

Acute Inflammation ◽

Prognostic Significance ◽

Morphological Examination ◽

Moderate Amount ◽

Muscular Layer ◽

Collagen Iii ◽

The Right ◽

Immunohistochemical Studies

The chronic recurrent abdominal syndrome (CRAS) in the right lower fossa in children is believed not to be independent nosological unit and is diagnosed as an exception. We carried out comparative studies of the clinical picture, results of morphological and immunohistochemical studies of remote appendicitis in 55 CRAS children and 35 children with acute destructive appendicitis. The low prognostic significance of appendicular scales for the determination of indications to the surgical treatment of CRAS was established. Morphological examination in most cases revealed signs of chronic inflammation with fibrosis of the mucosa and submucosa of the appendix in CRAS children. Immunohistochemical studies revealed the pronounced expression of protein VEGF, MMP-9 and VCAM-1 predominantly in the submucosal and the muscular layer, moderate expression for Collagen-III-alpha-1. The low number of positively stained cells for the VIP protein located both in the mucosa and in the submucosa. The number of MMP-9-positive cells was the largest, there was seen a moderate amount of VEGF, VIP and Collagen-III-alpha-1-positive cells. The disappearance of the abdominal syndrome after appendectomy was noted in 6% of CRAS patients. Recurrence of pain was observed in girls of pubertal age with the irregular menstrual cycle. The established changes in remote appendicitis, other than acute inflammation, make it possible to consider reasonable appendectomy as a way of treating CRAS in children.

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