scholarly journals Arthroscopy of the Pediatric Elbow: Review of the Current Concepts

2021 ◽  
Vol 49 (01) ◽  
pp. 056-065
Author(s):  
Ryan Xiao ◽  
Carl Cirino ◽  
Christine Williams ◽  
Michael Hausman

AbstractAs surgeons have become more familiar with elbow arthroscopy, the indications for arthroscopy of the pediatric elbow have expanded to include contracture releases, fracture fixation, treatment of osteochondritis dissecans (OCD) lesions, correction of elbow deformity, and debridement of soft tissue and bony pathologies. The treatment of various pathologies via an arthroscopic approach demonstrates equal, if not better, efficacy and safety as open surgery for the pediatric elbow. Arthroscopy provides the unique advantage of enabling the performance of extensive surgeries through a minimally-invasive approach, and it facilitates staged interventions in cases of increased complexity. For fracture work, arthroscopy enables direct visualization to assess reduction for percutaneous fixations. While future research is warranted to better evaluate the indications and outcomes of pediatric elbow arthroscopy, this update article presents a review of the current literature, as well as several innovative cases highlighting the potential of arthroscopy.

2020 ◽  
Vol 19 ◽  
pp. e2224
Author(s):  
E. Anderson ◽  
C. Pascoe ◽  
N. Sathianathen ◽  
D. Katz ◽  
D. Murphy ◽  
...  

BJUI Compass ◽  
2020 ◽  
Vol 1 (5) ◽  
pp. 160-164
Author(s):  
Elliot Anderson ◽  
Claire Pascoe ◽  
Niranjan Sathianathen ◽  
Darren Katz ◽  
Declan Murphy ◽  
...  

2008 ◽  
Vol 7 (3) ◽  
pp. 278-281 ◽  
Author(s):  
Alexandre Campos Moraes Amato ◽  
Andrea Kahlberg ◽  
Luca Bertoglio ◽  
Germano Melissano ◽  
Roberto Chiesa

We report a case of a 72-year-old patient considered unfit for open surgery, presenting with paraanastomotic aneurysms of all three anastomoses, 13 years after an open aortobiiliac reconstruction for abdominal aortic aneurysm. This patient was successfully treated with an endovascular approach using a left aortouniiliac endograft and a right iliac tubular endograft, followed by crossover femorofemoral bypass. This report illustrates the usefulness of a minimally invasive approach for solving this complication of aortic open surgery and discusses technical issues related to endovascular devices in this particular setting.


Author(s):  
V. Ya. Lishchishin ◽  
A. G. Barishev ◽  
A. N. Petrovsky ◽  
A. N. Lishchenko ◽  
A. Y. Popov ◽  
...  

Aim. To evaluate the reproducibility and safety of the developed pancreatogastric anastomosis with various surgical approaches during pancreatoduodenectomy.Materials and methods. The experience of surgical treatment of 47 patients with malignant tumours of the periampullary zone, who underwent pancreatoduodenectomy, was considered. The proposed variant of anastomose was performed to 14 (29.8%) patients: in 7 cases with a minimally invasive approach to perform pancreatoduodenectomy; and in 7 cases with an open approach. To compare retrospectively 33 (70.2%) patients who underwent pancreatogastric anastomosis according to the Bassi technique: 9 – with minimally invasive surgery, 24 – with open surgery. The frequency of pancreatic fistulas, the number of repeated interferences, and hospital mortality were taken into account.Results. A significant advantage of the new method of forming an anastomosis in the duration of the operation was noted in comparison with the Bassi technique. There were no statistically significant differences in blood loss while various types of anastomoses (p > 0.05). When using the proposed technique, the formation of pancreatic fistulas was not revealed. The development of pancreatic fistula was observed in 4 (16.7%) patients after open surgery and in 7 (77.8%) patients after minimally invasive Bassi anastomose formation. Reoperations were performed after open surgery in 3 (12.5%) cases and in 4 (44.4%) cases of minimally invasive surgery according to the Bassi technique. There were 2 (22.2%) deaths in the minimally invasive group.Conclusion. The proposed pancreatogastric anastomosis is applicable in clinical practice. This method allows to create relatively fast and less challenging anastomosis, including with a minimally invasive approach. The use of this technique makes it possible to reduce mortality and postoperative complications in patients with a “complex” pancreas.


Author(s):  
Timothy J. Corbett ◽  
Anthony Callanan ◽  
Tim M. McGloughlin

Endovascular AAA repair has evolved since its inception in the late 1980s to become an accepted alternative to open surgery. This minimally invasive approach involves inserting a collapsed stent-graft through the vasculature to the AAA location and allowing it to expand to form a new conduit for blood flow [1]. EVAR carries lower operative risk than the traditional method and recovery times are significantly lower. It has been performed with considerable success in octogenarians and patients with significant comorbidities [1].


2019 ◽  
Vol 19 (4) ◽  
pp. 220-224
Author(s):  
Danilo Ryuko C. Nishikawa ◽  
Fernando A. Duarte ◽  
Guilherme H. Saito ◽  
Augusto C. Monteiro ◽  
Cesar de Cesar Netto ◽  
...  

2009 ◽  
Vol 8 (3) ◽  
pp. 277-280 ◽  
Author(s):  
Alexandre Campos Moraes Amato ◽  
Germano Melissano ◽  
Xiaobing Liu ◽  
Efrem Civilini ◽  
Roberto Chiesa

We report the case of a 72-year-old patient presenting with an isolated common iliac aneurysm with occlusion of contralateral common iliac artery and severe kyphoscoliosis. Because of high risk for open surgery due to chronic obstructive pulmonary disease, this patient was treated with an endovascular approach using an aortomonoiliac stent graft, followed by a femoro-femoral crossover bypass. This report illustrates the usefulness of a minimally invasive approach, and feasibility even for patients with difficult anatomy.


Author(s):  
A. V. Shabunin ◽  
A. Yu. Lukin ◽  
D. V. Shikov ◽  
A. A. Kolotilshchikov

Aim. To clarify the indications for video-assisted retroperitoneal debridement at the late stage of pancreatic necrosis. Material and methods. Acute pancreatitis was diagnosed in 1468 patients throughout 2012-2018. Severe destructive pancreatic necrosis occurred in 364 (24.8%) patients. Infected pancreatic necrosis needed for surgical treatment in 264 cases. We used video-assisted retroperitoneal debridement in 20 patients (8.1%).Results. Video-assisted retroperitoneal debridement was not associated with “open” surgery in 6 patients. There were 2-6 redo VARD procedures per patient. We diagnosed the “left-sided” and “right-sided” models of pancreas and peripancreatic space infiltrationin 4 and 2 patients, respectively. There were 14 patients who needed an “open” surgery besides video-assisted retroperitoneal debridement due to advanced inflammation. Bleeding was the only complication and occurred in 2 patients. There was 1 unfavorable outcome.Conclusion. Video-assisted retroperitoneal debridement is an effective minimally invasive approach of debridement. Video-assisted retroperitoneal debridement combined with percutaneous catheter drainage is preferable for “leftsided” and “right-sided” infiltration of pancreas and peripancreatic tissue. It is advisable to combine video-assisted retroperitoneal debridement with open surgery for “mixed model” of infiltration.


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