Traumatic chylothorax: a dilemma to surgeons and interventionists

2021 ◽  
Vol 14 (5) ◽  
pp. e238961
Author(s):  
Parvez Mohi Ud Din Dar ◽  
Shivanand Gamanagatti ◽  
Pratyusha Priyadarshini ◽  
Subodh Kumar
Keyword(s):  
Surgical Treatment ◽  
Minimally Invasive ◽  
Success Rate ◽  
Blunt Trauma ◽  
Treatment Option ◽  
Thoracic Duct ◽  
Chest Trauma ◽  
Neck Surgery ◽  
Invasive Treatment ◽  
Traumatic Chylothorax

Chylothorax is generally seen due to iatrogenic injury to the thoracic duct during thoracic or neck surgery. It can also be encountered secondary to chest trauma either blunt or penetrating. Percutaneous thoracic duct embolisation is an alternative to surgical treatment and is considered an effective and safe minimally invasive treatment option for chylothorax with a success rate of about 80%. We present a case of blunt trauma to the chest with chylothorax, which was successfully managed with transvenous retrograde thoracic duct embolisation.

scholarly journals SHORT-TERM RESULTS OF MINIMALLY INVASIVE TREATMENT OF GASTROESOPHAGEAL REFLUX DISEASE BY RADIOFREQUENCY (STRETTA): FIRST BRAZILIAN SERIES OF CASES

2018 ◽  
Vol 55 (suppl 1) ◽  
pp. 52-55 ◽  
Author(s):  
Thiago Ferreira de SOUZA ◽  
Eduardo GRECCO ◽  
Luiz Gustavo de QUADROS ◽  
Yael Duarte de ALBUQUERQUE ◽  
Fernanda Oliveira AZÔR ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Gastroesophageal Reflux Disease ◽  
Gastroesophageal Reflux ◽  
Minimally Invasive ◽  
Treatment Failure ◽  
Reflux Disease ◽  
Endoscopic Therapy ◽  
Symptom Control ◽  
Short Term ◽  
Invasive Treatment

ABSTRACT BACKGROUND: New endoscopic treatments for gastroesophageal reflux (GERD) are developed every year and are indicated in cases that are refractory to conventional therapies as well as after surgical treatment failure. OBJECTIVE: To present the first cases of endoscopic therapy for GERD performed in Brazil. METHODS: Use of radiofrequency with the Stretta procedure in symptomatic volunteers diagnosed with GERD. RESULTS The technique was performed in three patients after they were included in the study protocol. No patient had complications, and all patients were discharged on the same day, either without medication or taking it sporadically for symptom control. CONCLUSION: Endoscopic treatment for GERD using radiofrequency was effective in the cases presented herein with no technical complications.

scholarly journals Staged surgical treatment of the patient with chronic pancreatitis

2021 ◽  
Vol 26 (3) ◽  
pp. 149-155
Author(s):  
N. Yu. Kokhanenko ◽  
A. V. Glebova ◽  
O. G. Vavilova ◽  
A. A. Kashintsev ◽  
S. A. Kaliuzhnyi ◽  
...  
Keyword(s):  
Chronic Pancreatitis ◽  
Surgical Treatment ◽  
Minimally Invasive ◽  
Clinical Case ◽  
Minimally Invasive Treatment ◽  
Gastric Fistula ◽  
Invasive Treatment ◽  
Head Of The Pancreas ◽  
Staged Treatment

A clinical case of successful surgical treatment of a patient with chronic pancreatitis, complicated by suppuration of a postnecrotic cyst and the formation of a cysto-gastric fistula. As a result of the conservative and minimally invasive treatment, the pseudocyst was drained, and the cystogastric fistula was closed. The staged treatment was completed by resection of the head of the pancreas with the formation of an anastomosis.

scholarly journals Endodontic Microsurgical Instruments - A Review

2021 ◽  
Vol 10 (20) ◽  
pp. 1532-1538
Author(s):  
Prathap M.S. ◽  
Reshma Pradeep
Keyword(s):  
Clinical Outcome ◽  
Minimally Invasive ◽  
Success Rate ◽  
Key Words ◽  
Success Rates ◽  
Invasive Treatment ◽  
Biomimetic Materials ◽  
Endodontic Surgery ◽  
Endodontic Microsurgery ◽  
Root Treatment

Indications for endodontic surgery include failed nonsurgical treatment or retreatment, anatomical problems or iatrogenic errors. Endodontic surgery was considered as the last option with instruments that were unsuitable, surgical sites with inadequate vision and increased incidence of post-operative complication. But today endodontic surgery has evolved into endodontic microsurgery with the advancement in illumination, magnification, instruments and materials. Higher magnification and micro-instruments have increased the clinical outcome of endodontic surgery. Traditional instruments used in endodontic surgery are too large for the small osteotomy sites of microsurgery. Few of the instruments used for microsurgery are the smaller version of the traditional instruments. Endodontic microsurgery represents a minimally invasive treatment option with predictable outcome with the use of micro-instruments. A high success rate of nearly 93.5 % is reported, thus, making microsurgery a predictable option for the management of periapical pathology where surgical root treatment is not possible. The advanced techniques developed to overcome the barriers seen in traditional endodontic surgery have allowed the clinicians to achieve higher success rates. Along with the micro-instruments, the introduction of biomimetic materials has also led to the favourable results after endodontic surgery. This article discusses the different microsurgical instruments available for microsurgical procedures. KEY WORDS Curette, Microblade, Microsurgery, Piezotomes, Retractor, Ultrasonic.

Results of minimally invasive treatment of scar degeneration of palmar aponeurosis

2021 ◽  
pp. 31-38
Author(s):  
Natal’ya Fedosova ◽  
Andrey Abramenkov ◽  
Igor Ezhov
Keyword(s):  
Chronic Disease ◽  
Surgical Treatment ◽  
Minimally Invasive ◽  
Postoperative Period ◽  
Dupuytren’S Contracture ◽  
Working Population ◽  
Duration Of Treatment ◽  
Invasive Treatment ◽  
Dupuytren's Contracture ◽  
Palmar Aponeurosis

An analysis of the results of surgical treatment of patients with Dupuytren’s contracture using tactics of minimally invasive percutaneous aponeurotomy and open aponeurectomy is presented. Dupuytren’s contracture (CD) is a chronic disease characterized by cicatricial degeneration of the palmar aponeurosis with a predominant lesion of the working population. The need to quickly restore the function of the upper limb in the postoperative period in patients with CD leads to the need to develop new and modernize the existing minimally invasive tactics of surgical treatment, allowing to minimize the duration of treatment and the risks of various complications.

scholarly journals Minimally Invasive Treatment of Edentulous Maxillae with Overdenture Fully Supported by a Cad/Cam Titanium Bar with a Low-Profile Attachment Screwed on Four or Six Implants: A Case Series

Prosthesis ◽  
2020 ◽  
Vol 2 (2) ◽  
pp. 53-64 ◽  
Author(s):  
Marco Tallarico ◽  
Gabriele Cervino ◽  
Roberto Scrascia ◽  
Umberto Uccioli ◽  
Aurea Lumbau ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Treatment Option ◽  
Soft Tissues ◽  
Case Series ◽  
Optimal Number ◽  
Invasive Treatment ◽  
Low Profile ◽  
Atrophic Maxilla ◽  
Cad Cam ◽  
Implant Overdenture

Rehabilitation of atrophic maxilla still remains a challenge. Fixed implant-supported restorations have become more predictable in the last years; nevertheless, technical and biological complications still occur. Removable overdenture fully supported by a CAD/CAM titanium bar seems to be a viable treatment option for the rehabilitation of completely edentulous patients with a high degree of bone resorption. In these clinical cases, the soft tissues of the lower third of the face need to be respected, and a fixed-removable solution is the only option to have good hygiene control. Nevertheless, there is no consensus about the optimal number and position of the implants. A total of six adult patients were recruited and treated with an overdenture fully supported by a CAD/CAM titanium bar and low-profile attachment, screwed on four or six implants. A detailed step-by-step description of the procedures was presented. Overall, all the patients were successful treated with no relevant complications. With the limitations of this case series, maxillary implant overdenture fully supported by four or six implants seems to be a safer treatment option for the minimally invasive rehabilitation of atrophic maxillae, regardless of the number of implants.

scholarly journals Surgical treatment of recidivist lymphedema

Open Medicine ◽  
2016 ◽  
Vol 11 (1) ◽  
pp. 121-124
Author(s):  
Costantino Eretta ◽  
Alessia Ferrarese ◽  
Elisabetta Moggia ◽  
Elisa Francone ◽  
Carlo Sagnelli ◽  
...  
Keyword(s):  
Chronic Disease ◽  
Surgical Treatment ◽  
Minimally Invasive ◽  
Minimally Invasive Treatment ◽  
Invasive Treatment ◽  
The Past ◽  
Endoscopic Equipment ◽  
Laparoscopy Surgery ◽  
Advanced Laparoscopy

AbstractLymphedema is a chronic disease with a progressively ingravescent evolvement and an appearance of recurrent complications of acute lymphangitic type; in nature it is mostly erysipeloid and responsible for a further rapid increase in the volume and consistency of edema. The purpose of this work is to present our experience in the minimally invasive treatment for recurrence of lymphedema; adapting techniques performed in the past which included large fasciotomy with devastating results cosmetically; but these techniques have been proposed again by the use of endoscopic equipment borrowed from the advanced laparoscopy surgery, which allows a monoskin access of about one cm.

scholarly journals Successful percutaneous coil embolization of a severely tortuous coronary artery fistula using the mother-child-grandchild technique via a GuideLiner catheter

2017 ◽  
Vol 5 ◽  
pp. 2050313X1667238 ◽  
Author(s):  
Masaki Kodaira ◽  
Yohei Numasawa
Keyword(s):  
Coronary Artery ◽  
Surgical Treatment ◽  
Treatment Option ◽  
Coil Embolization ◽  
Coronary Artery Fistula ◽  
Percutaneous Intervention ◽  
Congenital Disease ◽  
Invasive Treatment ◽  
Coronary Artery Fistulas

Coronary artery fistula is an uncommon congenital disease that requires invasive treatment for symptomatic patients. Although percutaneous intervention has become the popular treatment option, surgical treatment is preferred for severely tortuous coronary artery fistulas. We report a case of an extremely tortuous coronary artery fistula successfully treated with the support of the GuideLiner catheter and the mother-grandchild technique.

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