Surgical Rehabilitation of Patients with Atypical Anatomical and Functional States after Radical Organ-Preserving Operations for Non-Tumour Colon Diseases

The aim of the work: to demonstrate modern possibilities and ways of providing rehabilitation of patients after radical surgical treatment of non-tumour colon diseases with available non-typical anatomical and functional states. Materials and Methods. The system of surgical rehabilitation measures was developed, which was used in 32 patients with available atypical anatomical and functional states after radical organ-preserving operations in non-tumour colon diseases. They are aimed at implementing sufficiently radical, reconstruction and restoration operations, forecasting and preventing postoperative complications, improving functional results, reducing the incidence and severity of severe forms of diarrhea and postcolectomy syndromes. Results and Discussion. In 2 (6.3 %) patients there were complications due to the implementation of reconstruction and restoration stage of surgical intervention. They led to the necessity of extirpation of the anal canal fistula, removal of ileoendoanal anastomosis, and the formation of a lifelong ileostomy. In 30 (93.7 %) patients, favourable functional results were obtained, and a significant level of surgical and social work rehabilitation was achieved. A significant level of rehabilitation of operated patients was achieved through the implementation of sufficiently radical and developed reconstruction and restoration operations that prevented the relapse of the disease, the emergence of pathological conditions caused by the removal of the large intestine; prognostication and purposeful prevention of severe postoperative complications, stage monitoring of the condition of operated patients. Conclusions. 1. Surgical rehabilitation of patients operated for serious non-tumour colon diseases is a complex of organizational and therapeutic and prophylactic means aimed at returning to a society of a citizen sufficiently adapted to the conditions of modern society. Surgical rehabilitation of patients with atypical anatomical and functional states in the radical surgical treatment of non-tumour colon diseases requires further improvement of surgical treatment methods and lifelong monitoring of the condition of operated patients. 3. Performing sufficiently radical surgical operations, developing new reconstruction and rehabilitation operations for existing non-typical anatomical and functional states contributed to the provision of favourable functional results, a significant level of surgical and social and labour rehabilitation in 93.7% of patients.

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Prevention of pain syndrome and immediate postoperative complications in the surgical treatment of chronic hemorrhoids

Pacific Medical Journal ◽

10.34215/1609-1175-2020-1-68-71 ◽

2020 ◽

pp. 68-71

Author(s):

V. N. Ishchenko ◽

A. E. Krasnobaev ◽

A. A. Grigoryuk

Keyword(s):

Surgical Treatment ◽

Postoperative Complications ◽

Urinary Retention ◽

Acute Urinary Retention ◽

Surgical Intervention ◽

Pain Syndrome ◽

Modified Technique ◽

Postoperative Urinary Retention ◽

Clinical Comparison ◽

Suggested Technique

Objective: To assess the efficacy of hemorrhoidectomy with Milligan-Morgan technique in the author’s modification.Methods: Results of surgical treatment of 558 patients aged 21–72 years with complicated hemorrhoids of III–IV stage were analyzed. The group of clinical comparison (207 patients) was operated according to standard scheme, the main group (351 patients) – according to author’s technology with modified technique for treating the hemorrhoid bolus using betamethasone.Results: When using the author’s technique, a more significant decrease in postoperative pain syndrome severity was achieved: injection analgesics were not required already in a day, and after 6 days the pain syndrome was stopped in all cases. Only three patients (0.9%) demonstrated an acute urinary retention up to two days. The group of clinical comparison maintained a longterm (up to three months) pain syndrome; postoperative urinary retention was registered in 38 cases (18.4%); 9 patients (4.3%) developed blood loss in the area of surgical intervention.Conclusions: Suggested technique of surgical treatment for hemorrhoids is quite effective, simple and can be implemented in any surgical inpatient facility.

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Duplex scanning as an alternative to computer tomography with contrast enhancement for the control of complications after endovascular aneurysm repair

Clinical Practice ◽

10.17816/clinpract09144-49 ◽

2018 ◽

Vol 9 (1) ◽

pp. 44-49

Author(s):

D. I. Korshunov ◽

R. I. Khabazov ◽

N. V. Ustiantseva ◽

A. V. Chupin ◽

S. V. Deryabin

Keyword(s):

Surgical Treatment ◽

Postoperative Complications ◽

Early Detection ◽

Computer Tomography ◽

Postoperative Period ◽

Surgical Intervention ◽

Endovascular Aneurysm Repair ◽

Duplex Scanning ◽

Non Invasive ◽

Aneurysm Repair

EVAR (endovascular aneurism repair) is the preferred method for the surgical treatment of ananeurysm. The advantage of this type of surgical intervention is that a smaller number of postoperative complications will occur. The main diagnostic tasks for patients after EVAR are to determine the size of the aneurysmal sac, detection of an endoleak, detection of the endoprosthesis migration and the deformation of the stent graft itself. Conclusion: early detection of complications in the postoperative period remains the main problem for monitoring patients after EVAR. Duplex scanning is a safe, non-invasive and effective method of measuring the size of an aneurysmal sac and detecting possible complications after EVAR.

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Interdigital Hyperkeratosis of the Foot: Orthopaedic Approach to Surgical Treatment

N.N. Priorov Journal of Traumatology and Orthopedics ◽

10.17816/vto201320342-45 ◽

2013 ◽

Vol 20 (3) ◽

pp. 42-45

Author(s):

S. Yu Berezhnoy ◽

A. I Protsenko ◽

V. V Kostyukov

Keyword(s):

Surgical Treatment ◽

Postoperative Complications ◽

Surgical Intervention ◽

Roentgenologic Examination ◽

Treatment Results ◽

Minimum Risk ◽

Development Data ◽

Reproducible Method ◽

Positive Results

Surgical treatment results for 27 patients with interdigital keratosis of the foot were analyzed. To determine the predisposing factors for keratosis development data of clinical and roentgenologic examination were used. In all cases transcutaneous technique that enabled to avoid surgical intervention directly on a pathologic focus was applied. Mean follow up period made up 6 months. It was shown that transcutaneous surgical intervention was an effective and reproducible method for interdigital keratosis treatment. That technique provided positive results with minimum risk of postoperative complications in the majority of cases and could be used at outpatient department.

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POSSIBILITIES OF ORGAN-PRESERVING TREATMENT OF PATIENTS WITH MULTIPLE RENAL TUMORS

Research n Practical Medicine Journal ◽

10.17709/2409-2231-2017-4-2-7 ◽

2017 ◽

Vol 4 (2) ◽

pp. 54-60 ◽

Cited By ~ 1

Author(s):

B. Ya. Alekseev ◽

A. S. Kalpinskiy ◽

I. A. Taraki ◽

A. A. Mukhomed’yarova ◽

K. М. Nyushko ◽

...

Keyword(s):

Surgical Treatment ◽

High Risk ◽

Total Population ◽

Surgical Intervention ◽

Functional Results ◽

Renal Tumors ◽

Malignant Neoplasms ◽

The World ◽

Oncological Results ◽

Low Incidence

Renal cell carcinoma (RCC) occupies one of the leading places in the world for morbidity among malignant neoplasms of the genitourinary system. The frequency of occurrence of bilateral RCC according to different authors is 2–6% of the total population of patients with RCC. Currently, the only effective method of treatment of bilateral RCC is surgical treatment. Patients with bilateral RCC are at high risk of dev eloping of local recurrence or progression of the disease after organ-preserving surgeries, which is why the surgeon is faced with a choice between a high risk of developing renal failure or relapse and/or progression of the disease, depending on the extent of the surgical intervention. According to the literature, in patients with bilateral RCC there was an increase in the incidence of papillary variant of RCC up to 19% and the presence of multifocal lesion. Surgical treatment of bilateral RCC is the only effective method to achieve satisfactory oncological results at a low incidence of complications. The m ost justified option for the treatment of bilateral RCC is the implementation of bilateral organ-preserving treatment, which allows achieving the optimal functional results. This article presents a clinical case of successful surgical treatment of a patient with bilateral RCC with multiple tumors.

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The application of endoscopic surgery in orbital sinusogenous complications in ENT Clinic CM UJ Krakow in 2004–2016

Polski Przegląd Otorynolaryngologiczny ◽

10.5604/01.3001.0011.6793 ◽

2018 ◽

Vol 7 (1) ◽

pp. 24-30

Author(s):

Agata Augustyniak ◽

Paweł Stręk

Keyword(s):

Surgical Treatment ◽

Postoperative Complications ◽

Endoscopic Surgery ◽

Surgical Intervention ◽

Chronic Sinusitis ◽

Alternative Technique ◽

Long Period ◽

Orbital Abscess ◽

Orbital Complications ◽

Orbital Hematoma

Introduction: Endoscopic surgery of the paranasal sinuses is a surgical technique that has revolutionized the surgical treatment of patients with chronic sinusitis. Application of this method now goes far beyond the conditions of the nasal cavity. Aim: It allows among other operations within the eye socket, acting alternative technique for the operation of the external appproauch. Material and Methods: This work is devoted to the analysis of the effectiveness of endoscopic surgery in the treatment of patients with orbital complications in the course of sinusitis in the Department of Otolaryngology SU in Cracow in the years 2004-–2016, aim of this study is to search for optimal treatment of patients with the above disorders. Results: In the group of patients operated on because of orbital abscess from reaching the outside in all patients had symptoms of revocation on the part of the orbit and ocular, and postoperative complications were not observed. Among patients undergoing endoscopic trocar in one patient there was no improvement in the function of the eye. It could lead to a too long period of time from the first appearance of symptoms (over 48 hours), and sometimes surgical intervention, as well as the occurrence of orbital hematoma in the second postoperative day and the necessity of re-operation of the external handle.

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WHO Surgical Complication Prevention Checklist: a Comparative Analysis of Two Clinics

Vestnik of Experimental and Clinical Surgery ◽

10.18499/2070-478x-2021-14-1-33-41 ◽

2021 ◽

Vol 14 (1) ◽

pp. 33-41

Author(s):

Machmud Vilevich Timerbulatov ◽

Shamil Vilevich Timerbulatov ◽

Timur Rustemovich Nizamutdinov ◽

Vil Mamilovich Timerbulatov ◽

Ekaterina Alexandrovna Grushevskaya

Keyword(s):

Comparative Analysis ◽

Postoperative Complications ◽

Inpatient Treatment ◽

Surgical Intervention ◽

Surgical Complication ◽

Surgical Interventions ◽

Surgical Safety ◽

Surgical Department ◽

Who Checklist ◽

Surgical Operations

The aim of the study was to examine the effectiveness of the adherence to the WHO surgical safety checklist.Material and methods. A comparative analysis of the performance of the surgical departments in two clinics was carried out: in the first clinic the WHO checklist was applied to control the performance of the surgical department; in the second clinic these recommendations were not used. The results of 3012 (first clinic) and 3527 surgical interventions (second clinic) were analyzed. The authors studied the frequency of postoperative complications, the effectiveness when using all the points of the recommendations.Results. The frequency of antibiotic prophylaxis during general surgical operations in clinic I was 89.3%, in clinic II - 63.7%, the frequency of infection in the area of surgical intervention was by 13.2% and up to two times higher in clinic II, mortality rates after surgery were also significantly higher in clinic II; consequently, the duration of inpatient treatment was 8.7 in clinic I versus 16.4 days in clinic II.Conclusion. The adherence to the surgical safety checklist can effectively reduce the number of postoperative complications, mortality, and reduce the time of inpatient treatment.

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Inovative Surgical Treatment for Intratubal Administration of Methotrexate

European Journal of Interdisciplinary Studies ◽

10.26417/ejis.v3i1.p53-58 ◽

2015 ◽

Vol 3 (1) ◽

pp. 53

Author(s):

Aneta Tomescu ◽

Cezar Laurentiu Tomescu ◽

Rodica Sîrbu

Keyword(s):

Surgical Treatment ◽

Postoperative Complications ◽

Medical Treatment ◽

Ectopic Pregnancy ◽

Fallopian Tube ◽

Saline Solution ◽

Surgical Intervention ◽

Physiological Saline ◽

Polyethylene Tube ◽

Physiological Saline Solution

In patients where conservative medical treatment with methotrexate failed, surgical intervention was necessary. The personal surgical method was performed on a number of 9 patients; the surgical intervention was a conservative method – salpingorraphy. In order to prevent persistent gestational throphoblastic disease and tubal clogging, a polyethylene catheter is introduced in the oviduct until it reaches the ostium of the Fallopian tube, without exceeding it. In order to ensure a rigorous haemostasis, the Fallopian tube and the polyethylene catheter are sutured together. The level of HCG is measured in the fourth and seventh day postoperative: if the levels of HCG are higher than 1000 mUI/ml, if they plateau or if they have increased, methotrexate is administered intraluminally through the polyethylene tube, according to the following scheme: 50 mg of methotrexate are dissolved in 10 ml of physiological saline solution and injected through the polyethylene catheter, for 5 days. 10 mg per day in 2 doses (5 mg in the morning and 5 mg in the evening).If the values of HCG decrease to an adequate level and there is no risk of persistent throphoblastic disease, the polyethylene catheter is kept for 8-12 days, afterwards it is extracted by traction. If the values do not decrease accordingly, the intraluminal administration of methotrexate is resumed after a 3-day break. This method was used on a number of 9 patients; 4 of them had been treated with methotrexate before the surgical intervention and pertain to the study, and 5 of them had been operated on for complications of ectopic pregnancy and were suitable for this kind of surgical intervention. No postoperative complications or deaths were recorded.

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SURGICAL COMPLICATIONS AFTER MODULAR ENDOPROSTHETICS IN PATIENTS WITH ACETABULAR TUMOR

Research n Practical Medicine Journal ◽

10.17709/2409-2231-2019-6-3-9 ◽

2019 ◽

Vol 6 (3) ◽

pp. 98-107

Author(s):

G. D. Iluridze ◽

V. Yu. Karpenko ◽

V. A. Derzhavin ◽

A. V. Bukharov

Keyword(s):

Surgical Treatment ◽

Postoperative Complications ◽

World Literature ◽

Malignant Tumors ◽

Pelvic Ring ◽

Functional Results ◽

Surgical Interventions ◽

Metal Structures ◽

Pelvic Bones ◽

Conservation Treatment

There are various methods of restoring the integrity of the pelvic ring, after surgery in patients with tumor lesions of the pelvic bones, allowing to keep the limb with good oncological and functional results. A new stage in the development of organ conservation treatment in this group of patients is the use of modular endoprostheses based on the conical leg. The development of postoperative complications leads to an unsatisfactory result of treatment, despite the radical surgery and technically correct endoprosthesis. This, in turn, leads to repeated surgical interventions, namely to remove metal structures, or to perform a crippling operation. Purpose. To analyze postoperative complications and methods of their treatment in patients after modular endoprosthesis replacement of the acetabulum. Patients and methods. From 2011 to 2018, surgical treatment of endoprosthesis using modular metal structures based on a conical leg was performed in 30 patients. There were 13 men (43%) and 17 women (57%). The median age was 45 years (23–63 years). Primary malignant tumors of pelvic bones were in 19 (63%) patients, 5 (17%) had a giant cell tumor. Two (7%) patients had solitary metastases of kidney cancer and one (3%) with synovial sarcoma, and 3 (7%) had relapses after previous surgical treatment. Results. The average follow-up period was 36 months. Progression of the disease in terms of 6 to 40 months was revealed in 10 patients (33%), 8 (27%) of which died, the remaining 22 (67%) are alive with no signs of progression. In the postoperative period, 11 (37%) patients developed complications with predominance (up to 30%) of infectious. The average functional result on the MSTS scale was 59%. Conclusion. The use of modular prostheses on the basis of a conical leg in patients with tumors of the pelvic bones allow to perform safe operations with a satisfactory functional and oncological result. The result obtained in our study is comparable with the data of world literature.

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Inovative Surgical Treatment for Intratubal Administration of Methotrexate

European Journal of Interdisciplinary Studies ◽

10.26417/ejis.v1i3.p53-58 ◽

2015 ◽

Vol 1 (3) ◽

pp. 53

Author(s):

Aneta Tomescu ◽

Cezar Laurentiu Tomescu ◽

Rodica Sîrbu

Keyword(s):

Surgical Treatment ◽

Postoperative Complications ◽

Medical Treatment ◽

Ectopic Pregnancy ◽

Fallopian Tube ◽

Saline Solution ◽

Surgical Intervention ◽

Physiological Saline ◽

Polyethylene Tube ◽

Physiological Saline Solution

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Penetrating Scrotal Injuries: A War Time Experience in a Civilian Setup

Open Access Macedonian Journal of Medical Sciences ◽

10.3889/oamjms.2021.6888 ◽

2021 ◽

Vol 9 (B) ◽

pp. 1198-1202

Author(s):

Ammar Fadil Abid ◽

Naimet Naoum

Keyword(s):

Surgical Treatment ◽

Postoperative Complications ◽

Surgical Intervention ◽

Demographic Data ◽

Conservative Approach ◽

Associated Injuries ◽

Explosive Devices ◽

Non Surgical Treatment ◽

Salvage Rate

AIM: To present our experience in managing testicular involvement in penetrating scrotal injuries, trying to highlight a possible role for conservative management of selected cases. METHODS: We reviewed retrospectively all-penetrating scrotal injuries presented to Alyarmook teaching hospital for the period between January 2009 and November 2015, including only those injured victims who reached the hospital alive. Patients’ charts reviewed regarding their demographic data including age, status being civilian or military, and married or single. We documented as well the cause of injury (bullets vs. explosive devices), laterality, associated injured organs, and type of management performed whether operative or non-operative conservative approach. Postoperative complications were recorded while in-patient and after a follow-up period of at least 1 month. RESULTS: Thirty-one penetrating scrotal injuries were identified, resulted in 34 injured testicles. The patients’ mean age was 34.35 years (±12.89standard deviation [SD]) (18–70 years). Most of the victims 24 (77.4%) were civilians. Explosive devices were the cause of injury in 23 patients (74.2%), while bullets were the cause in the remaining 8 patients (25.8%). Orchidectomy needed to be done in 17 (50%) testicles, while 11 (32.4%) injured testes were repaired by suturing. Six cases (17.6%) were treated conservatively without any surgical intervention. The overall testicular salvage rate was (50%). Twenty-one patients (68%) had associated injuries, mostly fractures. Complications occurred in 10 (32.2%) patients, including two mortalities. CONCLUSIONS: Management of genitourinary injuries continues to be a challenging task. In our penetrating testicular injured series, we succeeded to salvage 50% of the injured testes. Non -surgical treatment is feasible in selected patients, an approach that needs further study and longer follow-up.

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