Preoperative Evaluation of Adhesion with 3T-MRI-Balanced Fast Field Echo for Surgical Strategy in Petrous Meningiomas

2012 ◽  
Vol 73 (S 02) ◽  
Author(s):  
T. Sameshima
Keyword(s):  
Preoperative Evaluation ◽  
Surgical Strategy ◽  
3T Mri ◽  
Fast Field

Preoperative evaluation of myometrial invasion in endometrial carcinoma: diagnostic performance of 3T MRI

2012 ◽  
Vol 38 (2) ◽  
pp. 388-396 ◽  
Author(s):  
Demet Dogan ◽  
Nagihan Inan ◽  
Hasan Tahsin Sarisoy ◽  
Sevtap Gumustas ◽  
Gur Akansel ◽  
...  
Keyword(s):  
Endometrial Carcinoma ◽  
Diagnostic Performance ◽  
Preoperative Evaluation ◽  
Myometrial Invasion ◽  
3T Mri

scholarly journals Preoperative evaluation and surgical strategy for epileptic spasms in children

2021 ◽  
Vol 7 (1) ◽  
pp. 56-64
Author(s):  
Yiou Liu ◽  
Wenjing Zhou ◽  
Jiuluan Lin ◽  
Jie Shi ◽  
Haixiang Wang
Keyword(s):  
Drug Resistance ◽  
Surgical Treatment ◽  
Adrenocorticotropic Hormone ◽  
Preoperative Evaluation ◽  
Surgical Strategy ◽  
Surgical Indications ◽  
First Line ◽  
Developmental Regression ◽  
Epileptic Spasms ◽  
Surgical Options

Epileptic spasm (ES) is one of the most common types of seizures in children. It is primarily characterized by brief axial contractions lasting less than 2 s and recurring in short clusters. It usually occurs in children of 3 to 12 months of age, although it can also occur after the age of 1 year. In general, children with ES develop other symptoms of epilepsy, such as tonic, tonic‐clonic, or focal seizures, after 3 to 5 years of age. ES in children is often damaging and usually results in developmental regression. First‐line treatments for spasm seizures include adrenocorticotropic hormone (ACTH) and vigabatrin. However, many patients fail to respond to these medications, and continued to have spasms associated with progressive neurodevelopmental degeneration. Therefore, it is important to consider whether children with drug resistance meet surgical indications to consider surgical treatment in such conditions. In this study, we reviewed and summarized the importance of preoperative evaluation in order to provide surgical options for treatment of children with ES.

scholarly journals Preoperative Assessment of Small Tumours in Women with Breast Cancer

2005 ◽  
Vol 94 (1) ◽  
pp. 15-20 ◽  
Author(s):  
B. A. Kald ◽  
P. Boiesen ◽  
K. Ronnow ◽  
P. E. Jonsson ◽  
T. Bisgaard
Keyword(s):  
Breast Cancer ◽  
Standard Deviation ◽  
Tumour Size ◽  
Preoperative Evaluation ◽  
Preoperative Assessment ◽  
Breast Conserving Surgery ◽  
Surgical Strategy ◽  
Breast Cancers ◽  
Optimal Method ◽  
Small Breast

Background and Objectives: In patients with breast cancer, planning of the surgical strategy may rely on preoperative tumour size. The optimal method for assessment of small tumours has not been established. We compared findings from preoperative mammography and ultrasonography with histopathological tumour size in patients treated with breast-conserving surgery. Material and Methods: The study was retrospective and the setting a single institution clinic with free referral of patients. The patients were examined before the operation with mammography, ultrasonography, and findings were compared with postoperative histopathological tumour size. Results: The study included 131 patients (median age was 59) years with grade I, II, and III cancers in 47, 71 and in 13 patients, respectively. The medium histological tumour size was 14 mm, range 4–45 mm. A wide 95 % confidence interval between histopathological tumour size and preoperative mammography (standard deviation 4.8 mm) and ultrasonography (standard deviation 4.8 mm) was found. The combination of mammography and ultrasonography did not improve the results (standard deviation 4.3 mm). Preoperative mammography tended to over estimate the tumour size compared with histological tumour size whereas preoperative ultrasonography tended to underestimate the tumour size. Conclusion: In this retrospective study with preoperative evaluation of small breast cancers by mammography and ultrasonography, wide 95 % confidence intervals for the methods were found and they should therefore be used with caution in the planning of the surgical strategy.

scholarly journals Precision of preoperative diagnosis in patients with brain tumor – A prospective study based on “top three list” of differential diagnosis for 1061 patients

2020 ◽  
Vol 11 ◽  
pp. 55 ◽  
Author(s):  
Kazunori Arita ◽  
Makiko Miwa ◽  
Manoj Bohara ◽  
FM Moinuddin ◽  
Kiyohisa Kamimura ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Brain Tumor ◽  
Preoperative Diagnosis ◽  
Preoperative Evaluation ◽  
Correct Diagnosis ◽  
Rate Sensitivity ◽  
Pineal Region ◽  
Surgical Strategy ◽  
Pineal Region Tumors ◽  
First Diagnosis

Background: Accurate diagnosis of brain tumor is crucial for adequate surgical strategy. Our institution follows a comprehensive preoperative evaluation based on clinical and imaging information. Methods: To assess the precision of preoperative diagnosis, we compared the “top three list” of differential diagnosis (the first, second, and third diagnoses according to the WHO 2007 classification including grading) of 1061 brain tumors, prospectively and consecutively registered in preoperative case conferences from 2010 to the end of 2017, with postoperative pathology reports. Results: The correct diagnosis rate (sensitivity) of the first diagnosis was 75.8% in total. The sensitivity of the first diagnosis was high (84–94%) in hypothalamic-pituitary and extra-axial tumors, 67–75% in intra-axial tumors, and relatively low (29–42%) in intraventricular and pineal region tumors. Among major three intra-axial tumors, the sensitivity was highest in brain metastasis: 83.8% followed by malignant lymphoma: 81.4% and glioblastoma multiforme: 73.1%. Sensitivity was generally low (≦60%) in other gliomas. These sensitivities generally improved when the second and third diagnoses were included; 86.3% in total. Positive predictive value (PPV) was 76.9% in total. All the three preoperative diagnoses were incorrect in 3.4% (36/1061) of cases even when broader brain tumor classification was applied. Conclusion: Our institutional experience on precision of preoperative diagnosis appeared around 75% of sensitivity and PPV for brain tumor. Sensitivity improved by 10% when the second and third diagnoses were included. Neurosurgeons should be aware of these features of precision in preoperative differential diagnosis of a brain tumor for better surgical strategy and to adequately inform the patients.

Surgical Management of Patients With 22q11.2 Deletion Syndrome

2019 ◽  
Vol 4 (5) ◽  
pp. 857-869
Author(s):  
Oksana A. Jackson ◽  
Alison E. Kaye
Keyword(s):  
Surgical Management ◽  
Preoperative Evaluation ◽  
Preoperative Assessment ◽  
22Q11.2 Deletion Syndrome ◽  
Deletion Syndrome ◽  
22Q11.2 Deletion ◽  
Surgical Decision ◽  
Obstructive Sleep ◽  
Spine Abnormalities ◽  
Speech Assessment

Purpose The purpose of this tutorial was to describe the surgical management of palate-related abnormalities associated with 22q11.2 deletion syndrome. Craniofacial differences in 22q11.2 deletion syndrome may include overt or occult clefting of the palate and/or lip along with oropharyngeal variances that may lead to velopharyngeal dysfunction. This chapter will describe these circumstances, including incidence, diagnosis, and indications for surgical intervention. Speech assessment and imaging of the velopharyngeal system will be discussed as it relates to preoperative evaluation and surgical decision making. Important for patients with 22q11.2 deletion syndrome is appropriate preoperative screening to assess for internal carotid artery positioning, cervical spine abnormalities, and obstructive sleep apnea. Timing of surgery as well as different techniques, common complications, and outcomes will also be discussed. Conclusion Management of velopharyngeal dysfunction in patients with 22q11.2 deletion syndrome is challenging and requires thoughtful preoperative assessment and planning as well as a careful surgical technique.

Minimally Invasive Repair of Pectus Excavatum (MIRPE) - The Basel Experience

Swiss Surgery ◽  
2003 ◽  
Vol 9 (6) ◽  
pp. 289-295 ◽  
Author(s):  
Haecker ◽  
Bielek ◽  
von Schweinitz
Keyword(s):  
Minimally Invasive ◽  
Pectus Excavatum ◽  
Pulmonary Function Tests ◽  
Preoperative Evaluation ◽  
Skin Incision ◽  
Original Method ◽  
Restrictive Lung Disease ◽  
Cardiac Compression ◽  
Cardiac Evaluation ◽  
Indications For Operation

Purpose: Minimally invasive repair of pectus excavatum (MIRPE) was first reported in 1998 by D. Nuss. This technique has gained wide acceptance during the last 4-5 years. In the meantime, some modifications of the technique have been introduced by different authors. Our retrospective study reports our own experience over the last 36 months and modifications introduced due to a number of complications. Methods: From 3/2000 to 3/2003, 22 patients underwent MIRPE. Patients median age was 15.5 years (10.7 to 20.3 years). Standardised preoperative evaluation included 3D computerised tomography (CT) scan, pulmonary function tests, cardiac evaluation with electrocardiogram and echocardiography, and photo documentation. Indications for operation included at least two of the following: Haller CT index > 3.2, restrictive lung disease, cardiac compression, progression of the deformity and severe psychological alterations. Results: In 22 patients (2 girls, 20 boys) undergoing MIRPE procedure, a single bar was used in 21 patients and two bars in one boy. Lateral stabilisers were fixed with non resorbable sutures on both sides. Overall, postoperative complications occurred in six patients (27.3%). In two patients (9.1%) a redo-procedure was necessary due to bar displacement. An additional median skin incision was performed in two patients to elevate the sternum. Pneumothorax or hematothorax in two patients resulted in routine use of a chest tube on both sides. Long-term favourable results were noted in all patients. Conclusions: The MIRPE procedure is an effective method with elegant cosmetic results. Modifications of the original method help to decrease the complication rate and to accelerate acquirement of expertise.

Preoperative Evaluation Of The Blepharoplasty Patient

1993 ◽  
Vol 20 (2) ◽  
pp. 213-223 ◽  
Author(s):  
Glenn W. Jelks ◽  
Elizabeth B. Jelks
Keyword(s):  
Preoperative Evaluation
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