Penile fracture: preoperative evaluation and surgical technique for optimal patient outcome

2008 ◽  
Vol 102 (11) ◽  
pp. 1640-1644 ◽  
Author(s):  
Ciamack Kamdar ◽  
Unni M.M. Mooppan ◽  
Hong Kim ◽  
Frederick A. Gulmi
Keyword(s):  
Patient Outcome ◽  
Surgical Technique ◽  
Preoperative Evaluation ◽  
Penile Fracture ◽  
Optimal Patient Outcome

scholarly journals Making the “inoperable” tumors “operable”: Harvey Cushing's contributions to the surgery of posterior fossa tumors

2014 ◽  
Vol 36 (4) ◽  
pp. E15 ◽  
Author(s):  
Mahdi Malekpour ◽  
Aaron A. Cohen-Gadol
Keyword(s):  
Surgical Technique ◽  
Posterior Fossa ◽  
Preoperative Evaluation ◽  
Pivotal Role ◽  
Surgical Removal ◽  
Posterior Fossa Surgery ◽  
Posterior Fossa Tumors ◽  
Harvey Cushing ◽  
Ventricular Puncture

Harvey Cushing played a pivotal role in establishing neurosurgery as a distinct surgical discipline. One of his most important contributions was defining the surgical removal of posterior fossa tumors. Compulsive preoperative evaluation followed by meticulous surgical technique as well as incorporation of maneuvers such as ventricular puncture and electrocautery further advanced resection of tumors in this region. Herein, the authors review Cushing's contributions to posterior fossa surgery.

Occult Intrasacral Meningocele: Clinical and Radiographic Diagnosis

Neurosurgery ◽  
1989 ◽  
Vol 24 (4) ◽  
pp. 616-625 ◽  
Author(s):  
James R. Doty ◽  
Jeffrey Thomson ◽  
Gary Simonds ◽  
Setti S. Rengachary ◽  
E. Neal Gunby
Keyword(s):  
Magnetic Resonance Imaging ◽  
Surgical Technique ◽  
Imaging Techniques ◽  
Preoperative Evaluation ◽  
Radiographic Imaging ◽  
Resonance Imaging ◽  
Radiological Findings ◽  
Radiographic Diagnosis ◽  
Intrasacral Meningocele

ABSTRACT We evaluated four patients who had occult intrasacral meningocele with multimodality radiographic imaging techniques. The clinical features, radiological findings, gross appearances of the lesion at surgery, surgical technique, histopathological features of the cyst wall, and surgical outcome are described. The role of magnetic resonance imaging in the preoperative evaluation compared with standard radiographic techniques is discussed. Theories regarding the pathogenesis of this lesion are reviewed.

Interbody Cages in Plif Surgery: A Multicentric Report

1998 ◽  
Vol 02 (01) ◽  
pp. 9-14 ◽  
Author(s):  
P. Depraetere ◽  
Ph. Jenny
Keyword(s):  
Patient Outcome ◽  
Surgical Technique ◽  
Learning Curve ◽  
Clinical Results ◽  
Effective Procedure ◽  
High Rate ◽  
Anterior Column ◽  
Great Care ◽  
Design Improvement ◽  
Complications Rate

Interbody cages and PLIF technique for the reconstruction of the anterior column has evolved from a controversial to an accepted and effective procedure. 285 patients operated on with Ogival Cages have been reviewed considering the indications, complications rate and the overall satisfying patient outcome. Despite the fact that this surgical technique is both time consuming and involves great care on the part of the surgeon, spondylolisthesis and degenerative disc derangements are good indications for cages and a high rate of good clinical results has been achieved with this method. Learning curve and design improvement may minimize the risk of complication.

Venous Ligation for Treatment of Cosmetically Unwanted Periorbital Facial Veins

2002 ◽  
Vol 19 (3) ◽  
pp. 153-157
Author(s):  
Deborah J. Daly ◽  
Eyal Levit ◽  
Emil Bisaccia ◽  
Dwight Scarborough
Keyword(s):  
At Risk ◽  
Surgical Technique ◽  
Patient Selection ◽  
Preoperative Evaluation ◽  
Target Vessel ◽  
Exclusion Criteria ◽  
Full Resolution ◽  
Photographic Documentation ◽  
Facial Vein ◽  
Anastomotic Circulation

Introduction: Treatment of unwanted periorbital facial veins is a challenge. Common modalities used to treat facial veins include electrocautery, radioelectrosurgery, laser, and microsclerotherapy. Periorbital veins resistant to electrocautery, difficult to safely target with laser, or at risk for sclerosant flow to ophthalmo-cranial anastomotic circulation may be treated with a vein ligation technique in properly selected patients. Methods: Patient selection, preoperative evaluation, exclusion criteria, and anatomic considerations are described in detail. The surgical technique is described in conjunction with intraoperative photos. Discussion: Patient selection and characteristics of ideal target vessels are reviewed to optimize results. Less than ideal patient and target vessel characteristics are reviewed in relation to inclusion and exclusion criteria for periorbital vein ligation technique. Results: This ligation technique provides a useful approach for treatment of cosmetically unwanted 1.5- to 3.0-mm facial veins in properly selected patients. Partial to full resolution may be expected for individual veins. Postoperative photographic documentation shows the typical improvement obtained. Conclusion: Periorbital facial vein ligation is a useful technique for addressing the problem of cosmetically unwanted periorbital facial veins in properly selected patients.

scholarly journals Effectiveness and Safety of Percutaneous Nephrolithotomy (PCNL) in Malrotated Kidneys

2021 ◽  
Vol 15 (8) ◽  
pp. 2362-2365
Author(s):  
Sami ur Rehman ◽  
Liaqat Ali ◽  
Jehanzeb . ◽  
Muhammad Asif ◽  
Syed Arif ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Surgical Technique ◽  
Percutaneous Nephrolithotomy ◽  
Preoperative Evaluation ◽  
Renal Stones ◽  
Stone Size ◽  
Stone Clearance ◽  
Large Size ◽  
Group I ◽  
Staghorn Stone

Background and Aim: The renal stones of any size could be effectively managed through an essential surgical technique known as Percutaneous Nephrolithotomy (PCNL). The large size renal stones with abnormal kidneys imposed additional challenges for PNCL in anomalous kidneys. The present study aimed to evaluate the effectiveness and safety of Percutaneous Nephrolithotomy in malrotated kidneys. Place and Duration: Conducted at Urology department of Mian Gul Abdulhaq Jehanzeb Kidney Hospital Manglawar, Swat for duration of two years (from May 2019 to April 2021). Materials and Methods. This single-centered retrospective study was conducted on 80 patients who underwent percutaneous nephrolithotomy with malrotation kidneys. The individuals with anomalous kidneys and complex calculi were enrolled in this study. These patients had kidneys anomalies such as horseshoe kidneys, crossed fused ectopia, malrotation kidneys, pelvic and complete stone clearance. Posterior or anterior approaches were followed for the procedure after preoperative evaluation in kidney anomalies. Retrograde catheterization was carried out under spinal and general anesthesia with the patients. For all the patients, stone size and clearance were measured. Results: Of the total 80 kidneys anomalies patients, 55 (68.7%) were male and 25 (31.3%) were females. Overall mean age was 35.26 ± 13.51. The stone size varied from 1.3cm to 7 cm. Patients were categorized into two groups based on stone sizes such as group I (1.3-2.5 cm) had 42 (52.5%) and group II (25-7cm) 38 (47.5%) patients. The patients included renal pelvis 19 (23.6%), the pelvic ureteric junction (PUJ) 8 (10%), horseshoe kidneys 2 (2.5%), crossed fused ectopia 9 (11.3%), and malrotation kidneys 3 (3.8%).The stone clearance was completed in 77 (96.3%) patients. The statistically significant factor for complete clearance was the staghorn stone calculus. Conclusion: Percutaneous nephrolithotomy is a safe and effective procedure for large renal stones management in patients of anomalous kidneys. Higher renal stones clearance can be achieved with minimum morbidity by suitable preoperative evaluation and technical experts. Keywords: Malrotated kidney; Nephrostomy, Percutaneous; Nephrolithiasis; Abnormality

Dorsal Augmentation in Facial Profiloplasty

2019 ◽  
Vol 35 (05) ◽  
pp. 492-498 ◽  
Author(s):  
Yong Ju Jang ◽  
Shin Hyuk Yoo
Keyword(s):  
Surgical Technique ◽  
Preoperative Evaluation ◽  
Graft Material ◽  
Nasal Dorsum ◽  
Central Importance ◽  
Facial Profile ◽  
Profile Line ◽  
Surgical Option

AbstractNasal profile line has central importance in forming an aesthetically balanced facial profile. Thus, rhinoplasty is a critically necessary surgery in shaping ideal profile line. For successful rhinoplasty, meticulous preoperative evaluation and proper planning should be performed before surgery. The nasal dorsum is the broadest and most prominent part of the nose; any minor imperfection is readily appreciated by an observer. Thus, dorsal augmentation is one of the most challenging areas in rhinoplasty as there is virtually no single ideal graft material and method for the nasal dorsum, which is free of aesthetic complication The surgeon should be able to discern the pattern of the abnormal nasal profile and to strategize the best possible surgical option to create a long-lasting, aesthetically pleasing dorsal line in good harmony with the overall facial profile. This study addresses our strategy to deal with various types of aesthetically unpleasant nasal profile line. The characteristics of augmentation materials and considerations in surgical technique are also addressed.

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