Procedure for Prolapsed Hemorrhoids for Treatment of Rectal Mucosa Prolapse following Anorectoplasty for Imperforate Anus

Surgical management of imperforate anus and rectal mucosal prolapse has evolved significantly over the last two decades. The procedure for prolapsed hemorrhoids (PPH) is now widely used primarily for rectal mucosal prolapse and internal hemorrhoids. We describe the use of PPH in the management of symptomatic rectal mucosal prolapse in a 39-year-old man with a history of a high imperforate anus and pelvic floor reconstruction. At 4-year follow up, the prolapse has not recurred and the preoperative symptoms have resolved. To the best of our knowledge, this is the first report on the use of a PPH in the management of rectal mucosal prolapse in a patient with these characteristics.

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EVALUATION THE SURGICAL TREATMENT OF HEMORRHOID DISEASE BY TRANSANAL HEMORRHOIDAL DEARTERIALISATION (THD)

Journal of Medicine and Pharmacy ◽

10.34071/jmp.2013.5.12 ◽

2013 ◽

pp. 76-82

Author(s):

Van Lieu Nguyen ◽

Doan Van Phu Nguyen ◽

Thanh Phuc Nguyen

Keyword(s):

Surgical Treatment ◽

Postoperative Complications ◽

Hospital Stay ◽

Mucosal Prolapse ◽

Safe Procedure ◽

Average Hospital ◽

Rectal Mucosal Prolapse ◽

Internal Hemorrhoids ◽

Grade Iii

Introduction: Since 2006 Transanal hemorrhoidal dearterialization (THD), as a Doppler - guided Minimally Invasive Therapeutic Approach to Hemorrhoids, has been widely applied in European countries, America owing to its remarkable advantages over other surgical procedures such as less postoperative pain, shorter length of hospital stay, absence of serious complications, sooner recovery after surgery. Therefore, it has been widely indicated and accepted by surgeons. In Hue, THD has been implemented since April 2013. So far, this procedure has been in more or less common use to treat grade III and IV internal hemorrhoids with or without rectal mucosal prolapse. Method: From April 2013 through September 2013, 79 patients with grade III and IV hemorrhoids with or without rectal mucosal prolapse were treated by means of THD. During the study, postoperative complications, pains, hospital stay and patient’s satisfaction were monitored. Systematic follow-up of patients after surgery were carried out regularly 1 month and 3 months after surgery. Results: With 79 patients with grade III and IV hemorrhoids with or without rectal mucosal prolapse treated with THD, the following results were obtained: (i) THD was performed on 48 (60.8%) male patients, 31 (39.2%) female patients, mean age of 48.7±22.5 years; the youngest 18 and oldest 81 years old; (ii) Average hospital stay was 2.12 ± 1.25 days, the shortest stay 1 day and the longest 5 days. No surgical complications was reported. No serious postoperative complications was reported; (iii) Postoperative pains were found mild in 65 patients (82.2%), moderate in 13 patients (16.5%), and severe in 1 patient (1.3%). No case of postoperative urinary retention was recorded; (iv) Follow-up 1 month after surgery: good results in 71 patients (94.6%) patients, satisfactory results in 4 patients (5.4%) patients; (v) Follow-up 3 months after surgery: good results in 40 (95.2%) patients, satisfactory results in 2 patients (4.8%). Conclusion: Our research shows that surgical treatment of hemorrhoids with THD proves to be a safe procedure, causing less postoperative pains, shorter hospital stay and sooner resumption of work. Key words: Hemorrhoid disease, transanal hemorrhoidal dearterialisation (THD).

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Transient ureteric obstruction following pelvic floor reconstruction

BMJ Case Reports ◽

10.1136/bcr-2020-238669 ◽

2021 ◽

Vol 14 (5) ◽

pp. e238669

Author(s):

Liam Joseph Beamer ◽

Sarah Neary ◽

Thomas McCormack ◽

David Ankers

Keyword(s):

Pelvic Floor ◽

Kidney Injury ◽

Solitary Kidney ◽

Percutaneous Nephrostomy ◽

Pelvic Organ ◽

Ureteric Obstruction ◽

Pelvic Floor Reconstruction ◽

Transient Nature ◽

Recurrent Pelvic Organ Prolapse ◽

History Of

We describe the first reported case of transient distal ureteric obstruction attributed to post-surgical oedema in a patient with a solitary kidney. This occurred following combined pelvic floor repair and sacrospinous fixation for recurrent pelvic organ prolapse and manifested clinically as anuria, radiological hydroureter and acute kidney injury in the postoperative period. The transient nature of this obstruction, which was managed by a temporary percutaneous nephrostomy, indicates that it was caused by ureteric compression secondary to soft tissue oedema following surgery. We highlight the importance of this potential complication in females with a history of nephrectomy, unilateral renal tract anomalies or severely diminished renal reserve.

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The Tissue Effect of Radiofrequency Ablation on Rectal Mucosa

International Surgery ◽

10.9738/intsurg-d-15-00113.1 ◽

2016 ◽

Vol 101 (11-12) ◽

pp. 498-502

Author(s):

Takeshi Yanagita ◽

Akira Tsunoda ◽

Kazuei Hoshi ◽

Nobuyasu Kano ◽

Hiroshi Kusanagi

Keyword(s):

Radiofrequency Ablation ◽

Rectal Resection ◽

Effective Means ◽

Rectal Mucosa ◽

Normal Mucosa ◽

Mucosal Prolapse ◽

Muscularis Mucosae ◽

Stapled Transanal Rectal Resection ◽

Rectal Mucosal Prolapse ◽

Tissue Effect

The aim of this study was to examine the depth of radiofrequency ablation on the rectum. Many elderly people have a rectal mucosal prolapse. The procedure combining radiofrequency ablation and plication of the rectal mucosa was reported as an effective means of treatment. However, no pathologic review of the technique has been reported thus far. This study was conducted from January 2012 to August 2013 at the authors' institution. Thirty rectal specimens obtained from 15 patients who underwent stapled transanal rectal resection were coagulated by radiofrequency ablation using TissueLink at power settings of 30 or 50 W and examined histologically. Mucosal epithelia of all specimens was desquamated after radiofrequency ablation. The distance from the mucosal surface to the lamina muscularis mucosae was significantly shorter in ablated specimens than that of normal mucosa and significantly shorter in proportion to coagulation power settings. This study demonstrated that at least mucosal epithelia disappeared histologically after radiofrequency ablation.

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Craniocervical Instability in the Setting of Os Odontoideum

Neurosurgery ◽

10.1227/neu.0000000000000668 ◽

2015 ◽

Vol 76 (5) ◽

pp. 514-521 ◽

Cited By ~ 15

Author(s):

Deng Zhao ◽

Shenglin Wang ◽

Peter G. Passias ◽

Chao Wang

Keyword(s):

Surgical Management ◽

Japanese Orthopaedic Association ◽

Os Odontoideum ◽

Complication Rates ◽

Computed Tomographic ◽

Presenting Symptoms ◽

Functional Scores ◽

Atlantoaxial Fixation ◽

History Of

Abstract BACKGROUND: Our clinical understanding of os odontoideum (OO) remains incomplete. Congenital and traumatic causes have been proposed and advocated. Clinical presentations range from asymptomatic to axial pain to myelopathy or vertebral-basilar ischemia. A consensus for surgical management exists for those found to have an unstable atlantoaxial complex or symptomatic cranial-vertebral junction compression. OBJECTIVE: To evaluate the clinical presentation and surgical outcomes of patients with OO and an unstable atlantoaxial complex or symptomatic cranial-vertebral junction compression. METHODS: Patients with a diagnosis of OO who underwent surgical management were included. Patients were excluded on the basis of previous C2 fracture, Fielding diagnostic criteria, and inadequate follow-up. History of trauma and presenting symptoms were assessed. Clinical and neurological improvements were measured with the use of patient satisfaction scores and the Japanese Orthopaedic Association scores. Fusion status was documented with the use of radiographs and computed tomographic imaging. RESULTS: Of 279 patients, 112 reported a history of cranial-vertebral junction trauma, whereas 28 were diagnosed with congenital malformations. Clinically, 84.9% of patients presented with myelopathy, with pain presented in 42.6%. Atlantoaxial fixation was performed in 240 patients, occiput-to-C2 fixation in 35 patients, and extended occipito-cervical fixation in 4 patients. Mean follow-up was 40.3 months. Complications were reported in 2.4% of patients. Japanese Orthopaedic Association scores improved from a preoperative mean of 12.4 to 14.8. Two hundred thirty-five patients (77.7%) improved, with 30 patients experiencing no change in symptoms and 14 patients deteriorating. Fusion was achieved in 96.8% of patients. CONCLUSION: Our data reveal that surgical treatment for OO using the indications and techniques delineated is associated with high satisfaction rates, improved functional scores, and high fusion rates with low complication rates.

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Clinical profile and surgical management of primary vaginal hydrocele: our experience in a rural India

International Surgery Journal ◽

10.18203/2349-2902.isj20171615 ◽

2017 ◽

Vol 4 (5) ◽

pp. 1653

Author(s):

Mohd Hamid Shafique Ahmed ◽

Bankar S. S. ◽

Gosavi V. S. ◽

Dalavi S. B. ◽

Gurav P. D.

Keyword(s):

Wound Infection ◽

Surgical Management ◽

Surgical Procedures ◽

Clinical Profile ◽

Medical College ◽

History Of ◽

Male Patients ◽

A Prospective Study ◽

Age Range

Background: Hydrocele is one of the commonest diseases occurring worldwide. Since olden days surgical procedures have been described for the treatment of hydrocele. Aim of the study was to analyse the clinical profile, diagnosis and surgical management of primary vaginal hydrocele in adults (>12 years)Methods: A prospective study of 60 male patients of age range of more than 12 years with a history of scrotal swellings were studied for their clinical profiles, diagnosis and management. The study was carried out in Government Medical College, Miraj, Maharashtra, India from November 2010 to November 2012. In the present study Jaboulay's Procedure was performed on 48 patients and Lord's Procedure was performed on 12 patients.Results: The data was collected and results were analysed. Post-operatively about 1.6% of patients developed hematoma, 5% developed wound infection, 21.66% of the patients developed skin oedema and only 1 patient i.e 1.6 % had recurrence over a period of 2 years of follow up. Out of the total 60 patients,12 patients who underwent Lord's plication 8.33%,0%,0% developed skin oedema, hematoma and wound infection respectively as compared to 25%,2.08%,6.25% in the remaining 48 patients who underwent Jaboulay's procedure, respectively.Conclusions: These two surgical procedures were very safe, easy to perform and economical and associated with minimal recurrence. Lord's procedure has lesser incidence of post-operative complications as compared to Jaboulay's procedure.

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ADVANCED MESH IMPLANTS FOR VAGINAL PELVIC FLOOR RECONSTRUCTION: COMPLICATIONS AND EARLY FOLLOW-UP WITH 232 PROLIFT OPERATIONS

European Urology Supplements ◽

10.1016/s1569-9056(08)60861-1 ◽

2008 ◽

Vol 7 (3) ◽

pp. 287 ◽

Cited By ~ 1

Author(s):

M. Neuman ◽

Y. Lavy ◽

W. Artibani

Keyword(s):

Pelvic Floor ◽

Pelvic Floor Reconstruction

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Surgical Management of Recurrent Laryngeal Glomus

International Journal of Phonosurgery & Laryngology ◽

10.5005/jp-journals-10023-1051 ◽

2013 ◽

Vol 3 (1) ◽

pp. 12-14

Author(s):

Gopinath Maraignanam ◽

John Samuel

Keyword(s):

Surgical Management ◽

Previous History ◽

Surgical Excision ◽

Lateral Pharyngotomy ◽

Aryepiglottic Fold ◽

Body Sensation ◽

History Of ◽

The Right ◽

And Function

ABSTRACT A 51-year-old male presented to the ENT outpatient department with complaints of pain, irritation and foreign body sensation in the throat for 3 months. There was history of being diagnosed to have laryngeal paraganglioma for which the patient had undergone microlaryngeal surgical excision twice during the preceding 9 years. Clinical examination revealed a reddish proliferative mass of about 2 cm involving the laryngeal surface of the epiglottis and extending to the right aryepiglottic fold. Vocal cords were normal in structure and function. With the previous history of endolaryngeal excision of the tumor and its recurrence, the patient underwent laryngofissure approach with median thyrotomy and left lateral pharyngotomy. The tumor was excised in toto and histopathologically confirmed as paraganglioma. Postoperative period was uneventful. Patient is on continued follow-up with no recurrence till date. How to cite this article Samuel J, Mohanty S, Maraignanam G. Surgical Management of Recurrent Laryngeal Glomus. Int J Phonosurg Laryngol 2013;3(1):12-14.

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Clinical characteristics and surgical treatment of ureteral endometriosis: our experience with 40 cases

BMC Women s Health ◽

10.1186/s12905-021-01349-7 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Kunlin Yang ◽

Sida Cheng ◽

Yukun Cai ◽

Jiankun Qiao ◽

Yangyang Xu ◽

...

Keyword(s):

Surgical Management ◽

Success Rates ◽

Single Center ◽

Robotic Approach ◽

Contralateral Kidney ◽

Ureteral Endometriosis ◽

Urological Symptoms ◽

History Of ◽

The Mean

Abstract Background To present the experience with the surgical management of ureteral endometriosis (UE) in our single center. Methods To present the experience with the surgical management of ureteral endometriosis (UE) in our single center. A retrospective analysis of 40 patients with UE who presented with intraoperative surgical findings of endometriosis involving the ureter and pathology-proven UE was performed. Results Forty patients (median age, 42.5 years) with histological evidence of UE were included. Six (15%) patients had a history of endometriosis. Twenty-one (52%) patients had urological symptoms, and 19 (48%) patients were asymptomatic. All patients had hydronephrosis. The mean glomerular filtration rate (GFR) of the ipsilateral kidney was significantly worse than that of the contralateral kidney (23.4 vs 54.9 ml/min; P < 0.001). Twelve (30%) patients were treated with ureteroureterostomy (11 open approaches and 1 robotic approach). Twenty-two (55%) patients underwent ureteroneocystostomy (17 open approaches, 4 laparoscopic approaches and 1 robotic approach). Five patients underwent nephroureterectomy. One patient refused aggressive surgery and received ureteroscopic biopsy and ureteral stent placement. Thirteen (33%) patients required gynecological operations. Three (8%) patients in the open group suffered from major surgical complications. Nine (24%) patients received postoperative endocrine therapy. Twenty-eight (70%) patients were followed up (median follow-up time, 71 months). Twenty-four patients received kidney-sparing surgeries. The success rate for these 24 patients was 21/24 (87.5%). The success rates of ureteroneocystostomy and ureteroureterostomy were 15/16 (93.8%) and 5/7 (71.4%), respectively. Conclusions Although UE is rare, we should remain vigilant for the disease among female patients with silent hydronephrosis. Typically, a multidisciplinary surgical team is necessary. For patients with severe UE, segmental ureteral resection with ureteroureterostomy (UU) or ureteroneocystostomy may be a preferred choice.

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