The Transcervical Approach to the Superior Mediastinum

1992 ◽  
Vol 107 (1) ◽  
pp. 7-13 ◽  
Author(s):  
Yosef P. Krespi ◽  
Gady Har-El ◽  
Michael Nash
Keyword(s):  
Surgical Treatment ◽  
Myasthenia Gravis ◽  
Parathyroid Adenoma ◽  
Patient Selection ◽  
Surgical Anatomy ◽  
Significant Morbidity ◽  
Transcervical Approach ◽  
Superior Mediastinum ◽  
Careful Patient

We describe our experience with the transcervical approach for the surgical treatment of nonthyroidal superior mediastinal masses. With careful patient selection, proper preoperative workup, and proper operative positioning and technique, the entire superior mediastinum may be explored, thus avoiding the significant morbidity associated with the transsternal route. The transcervical approach requires a thorough knowledge of the surgical anatomy. Nine patients underwent transcervical exploration of the superior mediastinum. The indications included parathyroid adenoma, thymoma, congenital cyst, hemangioma, adenocarcinoma, and thymectomy for myasthenia gravis. We specifically discuss the role of thymectomy in the treatment of myasthenia gravis.

Role of thymectomy in the surgical treatment of myasthenia gravis

1979 ◽  
Vol 9 (1) ◽  
pp. 24-31
Author(s):  
Kohki Konomi ◽  
Seiichi Toyoda ◽  
Fujihiko Nishikata ◽  
Shoichiro Saito ◽  
Hiroshi Yamamoto ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Myasthenia Gravis

Outcome after Thymectomy for Myasthenia Gravis: A Retrospective Review

1992 ◽  
Vol 37 (4) ◽  
pp. 103-106 ◽  
Author(s):  
P. Mathew ◽  
R.J. Cuschieri ◽  
H.I. Tankel
Keyword(s):  
Retrospective Study ◽  
Surgical Treatment ◽  
Myasthenia Gravis ◽  
Complete Removal ◽  
Complete Excision ◽  
Operative Morbidity ◽  
Transcervical Approach ◽  
Significant Difference ◽  
Clinically Significant

This is a retrospective study of 54 patients, who in the period November 1977 to November 1986 underwent thymectomy as treatment for myasthenia gravis. Patients in whom difficulty attempting complete excision of the gland was anticipated were selected for a transthoracic procedure. All others underwent an initial transcervical approach, proceeding to an upper sternal splitting incision if further access was required to remove adequately a large gland. The sample was split almost equally between the two surgical procedures. Patients in the transthoracic group were significantly older and experienced significantly greater peri-operative morbidity or mortality. There was no significant difference in outcome between the two groups, 52% achieving a good result (defined as remission or clinically significant improvement of symptoms) that was sustained over the five year follow-up period. In our opinion, complete removal of the thymus should be the goal of surgical treatment for myasthenia gravis.

scholarly journals Antibodies to striated muscle and acetylcholine receptors in evaluation of surgical treatment outcomes in patients with autoimmune myasthenia gravis

2017 ◽  
Vol 176 (3) ◽  
pp. 21-27
Author(s):  
M. G. Tovbina ◽  
V. G. Pishchik ◽  
S. V. Lapin ◽  
S. M. Nuraliev
Keyword(s):  
Surgical Treatment ◽  
Myasthenia Gravis ◽  
Treatment Outcomes ◽  
Antibody Titer ◽  
Acetylcholine Receptors ◽  
Striated Muscle ◽  
Striated Muscles ◽  
Course Material ◽  
Autoimmune Myasthenia

OBJECTIVE. The authors evaluated the role of antibodies to striated muscle and acetylcholine receptors in diagnostics of myasthenia gravis and thymoma, as well as outcomes of thymectomy and prognosis of myasthenia course. MATERIAL AND METHODS. The study investigated correlations of antibody content to striated muscles and acetylcholine receptors from the presence and size of thymoma, myasthenia in 157 patients with various pathologies of the thymus. The dynamics of antibody concentrations was followed up after thymectomy. RESULTS. Antibody titer to striated muscle depended on the presence and size of thymoma, severity of myasthenia and changed after thymectomy. Concentration of antibodies was associated with the presence of thymoma and it didn’t change after surgical treatment. Thymoma wasn’t revealed in patients who were seronegative to both antibodies. CONCLUSIONS. Seropositivity according to one of antibody could indicate the presence of thymoma, but its absence to both antibodies allowed doctors to eliminate this diagnosis. Antibodies to acetylcholine receptors are important markers of myasthenia. Monitoring of antibody titer dynamics to striated muscles after thymectomy could be useful for assessment of response to surgical treatment and prognosis of course of myasthenia.

Parathyroid Tumors as Lateral Pharyngeal Masses: Report of a Case

1976 ◽  
Vol 85 (1) ◽  
pp. 86-89 ◽  
Author(s):  
Ziad E. Deeb ◽  
William M. Trible ◽  
Russell Page ◽  
Mario G. Fernandez
Keyword(s):  
Surgical Treatment ◽  
Parathyroid Adenoma ◽  
Biochemical Effects ◽  
Parathyroid Tumors ◽  
Parathyroid Lesions

This is the first reported case in the literature describing a patient free of the systemic biochemical effects of hyperparathyroidism who presented with a lateral pharyngeal mass. Diagnoses of parathyroid adenoma was made by means of a transoral biopsy prior to definitive surgical treatment. The role of parathyroid lesions in lateral cervical masses is discussed.

The removal and morphology of intact biofilms from implanted venous access devices

1995 ◽  
Vol 53 ◽  
pp. 1020-1021
Author(s):  
M.A. Gregory ◽  
G.P. Hadley
Keyword(s):  
Patient Selection ◽  
Surgical Oncology ◽  
Venous Access ◽  
Common Procedure ◽  
Indwelling Catheters ◽  
Careful Patient ◽  
Novel Method ◽  
The Subject ◽  
Vascular Catheters ◽  
Venous Access Devices

The insertion of implanted venous access systems for children undergoing prolonged courses of chemotherapy has become a common procedure in pediatric surgical oncology. While not permanently implanted, the devices are expected to remain functional until cure of the primary disease is assured. Despite careful patient selection and standardised insertion and access techniques, some devices fail. The most commonly encountered problems are colonisation of the device with bacteria and catheter occlusion. Both of these difficulties relate to the development of a biofilm within the port and catheter. The morphology and evolution of biofilms in indwelling vascular catheters is the subject of ongoing investigation. To date, however, such investigations have been confined to the examination of fragments of biofilm scraped or sonicated from sections of catheter. This report describes a novel method for the extraction of intact biofilms from indwelling catheters.15 children with Wilm’s tumour and who had received venous implants were studied. Catheters were removed because of infection (n=6) or electively at the end of chemotherapy.

The Role of Navigation and Ultrasound Piezosurgery in the Surgical Treatment of Hypertelorism: A Case Report

2014 ◽  
Vol 75 (S 02) ◽  
Author(s):  
S. Heredero ◽  
J. Solivera ◽  
A. Romance ◽  
A. Dean ◽  
J. Lozano
Keyword(s):  
Case Report ◽  
Surgical Treatment

ROLE OF ULTRASOUND IN THE DETECTION OF RECURRENT OVARIAN CANCER

2020 ◽  
Vol 6 (1) ◽  
pp. 23-31
Author(s):  
M. Alisherova ◽  
◽  
M. Ismailova
Keyword(s):  
Ovarian Cancer ◽  
Surgical Treatment ◽  
Reproductive System ◽  
Malignant Tumors ◽  
Recurrent Ovarian Cancer ◽  
Primary Diagnosis ◽  
Female Reproductive System

Currently, there are no standard approaches to monitoring patients with ovarian cancer (OC). While the role of ultrasound (US) has been identified in the primary diagnosis of OS, it is still controversial during the subsequent surgical treatment of OC. In world statistics, ovarian cancer is consistently among the four main localizations of malignant tumors of the female reproductive system, along with tumors of the breast, body and cervix.

Sign in / Sign up

Export Citation Format

Share Document