The Two-Stage Concept of Rhytidectomy

The two-stage concept is a plan for the management of rhytidectomy patients. Preoperatively, all patients are told that they may need a minor secondary temporal tuck-up procedure 6 to 12 months after surgical treatment. Although only 20% of patients require this secondary surgical procedure, the possibility of its need encourages all patients to return for follow-up and removes a source of patient discontent. The indications for the secondary procedure are significant gravitational jowling and malar sagging developing 6 to 12 months after the primary surgical treatment. The technique is described in detail.

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NONCOMPLICATED UNSTABLE SPINE INJURIES IN CHILDREN

Hirurgiâ pozvonočnika ◽

10.14531/ss2005.2.8-12 ◽

2005 ◽

pp. 008-012 ◽

Cited By ~ 1

Author(s):

Eduard Vladimirovich Ulrikh ◽

Sergey Valentinivich Vissarionov ◽

Aleksandr Yuryevich Mushkin

Keyword(s):

Surgical Treatment ◽

Posterior Instrumentation ◽

Spinal Injuries ◽

Anterior Decompression ◽

Two Stage ◽

Spinal Stabilization ◽

Spine Injuries ◽

Group A ◽

Bone Autograft

Thirty-four patients aged from 3 to 17 years were operated on for noncomplicated unstable injuries of the spine. The operation was performed within the next few hours or days after trauma in 15 cases and significantly later (in 2 to 6 months) in 19 cases. In the first group the surgery included indirect posterior instrumental reduction and stabilization of the spine. In the second group a two-stage surgery was performed simultaneously. The first stage included anterior decompression and stabilization, and the second – posterior instrumentation. In both groups the posterior fusion with bone autograft was done. The post-op follow-up was 5 years. The correction of deformity, spinal stabilization and pain arrest were achieved in all cases. The surgical treatment of unstable noncomplicated spinal injuries in children must be conducted by emergency indications within the first hours and days after trauma.

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Complication of facial cellulitis: muscle hematoma after surgical treatment of complicated pericoronitis

Journal of Oral Medicine and Oral Surgery ◽

10.1051/mbcb/2018012 ◽

2018 ◽

Vol 24 (3) ◽

pp. 122-124

Author(s):

Hugo Compain ◽

Alexandre Berquet ◽

Ludwig-Stanislas Loison-Robert ◽

Victorin Ahossi

Keyword(s):

Emergency Department ◽

Surgical Treatment ◽

General Anesthesia ◽

Secondary Infection ◽

Third Molar ◽

Two Stage ◽

Drainage Procedure ◽

Mandibular Third Molar ◽

Dental Emergency

Observation: A 24-year-old man was referred to the dental emergency department for the management of a left submandibular cellulitis. The origin was a mandibular third molar. Drainage of the cellulitis and avulsion of the tooth were performed under general anesthesia. The follow-up was marked by a secondary infection of peri-zygomatic hematoma requiring a second drainage procedure. Discussion: The origin of the hematoma was a tear of the insertions of the mandibular elevators secondary to the trismus. The patient underwent two back-to-back general anesthesia procedures with tight trismus making induction and intubation difficult. Conclusion: A two-stage treatment with initial drainage and delayed avulsion after improvement of trismus is discussed.

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An effective method of surgical treatment of refractory glaucoma patients using Ex-PRESSTM filtering device

Ophthalmology journal ◽

10.17816/ov201313-8 ◽

2013 ◽

Vol 6 (1) ◽

pp. 3-8 ◽

Cited By ~ 1

Author(s):

Sergey Yuryevich Astakhov ◽

Ahmed Alievich Harsha

Keyword(s):

Data Analysis ◽

Surgical Treatment ◽

Surgical Procedure ◽

New Method ◽

Refractory Glaucoma ◽

Low Level ◽

Device Implantation ◽

Operative Complications

Based on data obtained from examination and subsequent follow-up of 47 patients (50 eyes) with refractory glaucoma, an efficacy estimation of a new method of the Ex-PRESSTM filtering device implantation was performed. The data analysis showed that the proposed surgical procedure has a low level of intra- and post-operative complications, is characterized by technical ease, and provides a long term stabilization of the glaucomatous process. Therefore it is possible to draw a conclusion that the Ex-PRESSTM filtering device implantation is an effective method for the treatment of refractory glaucoma.

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Cardiac neoplasma: Results of the surgical treatment between 2000. and 2008

Acta chirurgica iugoslavica ◽

10.2298/aci0902023v ◽

2009 ◽

Vol 56 (2) ◽

pp. 23-26

Author(s):

P.M. Vukovic ◽

P.S. Milojevic ◽

M.S. Peric ◽

S.D. Gradinac ◽

S.V. Micovic ◽

...

Keyword(s):

Surgical Treatment ◽

Survival Rate ◽

Mortality Rate ◽

Surgical Procedure ◽

Cardiac Tumor ◽

Early Mortality ◽

Right Atrial ◽

Midterm Results

Introduction: The goal of this study was to show early and midterm results of surgical treatment of cardiac neoplasma. Methods: Between 2000. and 2008., sixty-seven patients with a cardiac tumor or a subdiaphragmatic neoplasma with right atrial extension were operated in our institution. In 22 patients (32.8%), not only a simple extirpation of neoplasma, but an additional surgical procedure was done. Results: A patient reoperated for a recurrence of biatrial myxoma died early after operation (1.5% mortality rate). During follow-up period of 3.3 years, two patients (3.4%) out of 58 that were contacted died because of the neoplasma (Methastasis of adenocarcinoma, Carcinoma renis). Conclusion: Surgical treatment of cardic tumors resulted in low early mortality and an excellent survival rate after a follow-up period of 3.3 years.

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Proximal migration of Plastibell circumcision: two case reports and review of the literature

Annals of Pediatric Surgery ◽

10.1186/s43159-021-00138-z ◽

2022 ◽

Vol 18 (1) ◽

Author(s):

Ali M. Ahmad ◽

Sara Elfadil Ahmed ◽

Noha Ali Mostafa ◽

Turki Ibrahim Nafisah

Keyword(s):

Surgical Procedures ◽

Surgical Procedure ◽

Case Reports ◽

Cost Effective ◽

Review Of The Literature ◽

Case Presentation ◽

Proximal Migration ◽

The World ◽

A Minor

Abstract Background Male circumcision is one of the oldest and most commonly performed surgical procedures in the world; in fact, one of every 3 males in the world is circumcised. Plastibell circumcision is the commonest procedure performed worldwide with higher rates of satisfaction and lower rates of complications. Case presentation We present two cases, 4 and 5 months old with proximal migration of Plastibell ring with penile incarcerations that were managed successfully. We aim to highlight the necessary precautions needed to avoid serious complications after a minor surgical procedure. Conclusions Plastibell circumcision is a minor surgical procedure that is underestimated with the potential for major and serious complications. The implementation of the law against the practice of non-professional individuals, standardization of the procedure, and improvement of communication are highly recommended to avoid unnecessary and serious complications. Plastibell ring circumcision still needs further studies to examine ring antimigration, re-designing, and the best types and sizes of threads used. Lastly, studies are also needed to determine a cost-effective routine follow-up visit post-Plastibell circumcision procedures.

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THE SIMPLE WRIST GANGLION — MORE THAN A MINOR SURGICAL PROCEDURE?

Hand Surgery ◽

10.1142/s0218810400000235 ◽

2000 ◽

Vol 05 (02) ◽

pp. 139-143 ◽

Cited By ~ 25

Author(s):

D. K. Faithfull ◽

B. G. Seeto

Keyword(s):

Recurrence Rate ◽

Surgical Procedure ◽

Ultrasound Examination ◽

Operative Procedure ◽

Indication For Operation ◽

Operative Results ◽

Chi Squared ◽

The Mean ◽

A Minor

The operative results of 59 wrist ganglions over a ten-year period are reported. The mean follow-up time was 65 months (range: 6–133). The indication for operation was pre-operative pain in 68% of cases (40 ganglions) and cosmetic deformity in 32% of cases (19 ganglions). There were six recurrences (10%) at a mean duration of 40 months post-operatively (range: 5–70). There was no statistical differences between recurrences comparing dorsal versus volar ganglions using the chi-squared analysis. Two occult recurrences were detected on follow-up ultrasound examination giving an overall recurrence rate of 14%. Despite 92% of patients being satisfied with the operative procedure, there were 16 patients (28%) who had either persistent pain, limitation of function, were unsatisfied or had a recurrence. These results show that treatment of a simple ganglion is more than just a minor operation.

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Mesto strikturoplastike u lecenju Crohn-ove bolesti

Acta chirurgica iugoslavica ◽

10.2298/aci0201009p ◽

2002 ◽

Vol 49 (1) ◽

pp. 9-14

Author(s):

Milos Popovic ◽

Milorad Petrovic ◽

Slavko Matic ◽

Aleksandar Milovanovic

Keyword(s):

Crohn’S Disease ◽

Surgical Treatment ◽

Small Bowel ◽

Crohn's Disease ◽

Operative Technique ◽

Surgical Procedure ◽

Minimal Invasive ◽

Functional Disturbances ◽

Morbid Process

Crohn's disease is pandigestive disease of unknown ae-thiology, with tendency to recurrences. Until now it is impossible to heal this disease either by medical or surgical treatment. All unfavorable consequences of this disease are result of inadequate treatment of complications which are leading to systemic weakening, with further progression of morbid process. Therefore, the principle of timely and minimal invasive surgical procedure has been generally adopted. Introduced in eighties, strictureplasty is a procedure of such characteristics. During the period 1980-2001 this method was used in 1/3 of 126 patients with Crohn's disease. There were 79 strictureplaties performed, 9 long and 70 short. Out of these 42, 12(28,6%) were postoperative recurrences, and there was one case of duodenal strictureplatsty. Postoperative small bowel fistulae were not observed, and there was no mortality in this group. During the follow up period of at least 5 years, in only two cases (4,76%) some functional disturbances of digestive functions were observed, without indications for reoperation. In this article indications and details of operative technique are discussed.

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Surgical Treatment of Clubfoot: A Comparison of Two Techniques

Foot & Ankle ◽

10.1177/107110079201300302 ◽

1992 ◽

Vol 13 (3) ◽

pp. 116-124 ◽

Cited By ~ 15

Author(s):

Prasit Nimityongskul ◽

Lewis D. Anderson ◽

Donald E. Herbert

Keyword(s):

Surgical Treatment ◽

Functional Result ◽

Skin Flap ◽

Flap Necrosis ◽

Secondary Procedure ◽

Group I ◽

Metatarsus Adductus ◽

Group Ii ◽

Skin Flap Necrosis

Between 1977 and 1989, 28 clubfeet were operated on, with follow-up ranging from 2 to 13 ½ years and averaging 79 months. Group I (16 feet; average follow-up 104 months) underwent a modified Turco's posteromedial release. The functional result in this group was satisfactory in general, but approximately one third of this group required a secondary procedure for persistent intoeing or residual metatarsus adductus. Group II (12 feet; average follow-up 45 months) underwent a modified, complete subtalar release of McKay and Simons utilizing the Cincinnati incision. No patient in this second group required a secondary procedure. In our experience, the more complete subtalar release procedure of McKay and Simons resulted in better correction than the Turco posteromedial release. Although follow-up in group II was much shorter than that in group I, we felt that 2 years of minimum follow-up in group II was meaningful, since most of the recurrence or residual deformities were noticed within 18 months after surgery. The Cincinnati incision allowed better exposure and a more complete release. Skin flap necrosis was not a problem in this series.

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