Comparison of Results with CO2 Laser and Traditional Surgical Treatment of Stage I Malignant Melanoma

1987 ◽  
Vol 73 (2) ◽  
pp. 127-130 ◽  
Author(s):  
Umberto Maria Reali ◽  
Eleonora Donati ◽  
Roberto Quercetani ◽  
Carlo Ciardi ◽  
Cristina Chiarugi
Keyword(s):  
Surgical Treatment ◽  
Malignant Melanoma ◽  
Co2 Laser ◽  
Laser Surgery ◽  
Treated Group ◽  
Healing Time ◽  
Stage I ◽  
Surgical Methods ◽  
Negative Effect

The follow-up data on 39 cases of stage I malignant melanoma treated with CO2 laser are compared to those of an analogous group of cases treated by traditional surgical methods and selected for their clinical and pathologic similarities with the laser-treated group. The findings were expressed in terms of tumor-free time and were evaluated by variance analysis. The data showed that traditional methods gave better results. CO2 laser surgery requires longer healing time, which may have a negative effect on the course of the disease.

The Effectiveness of Medical and Surgical Treatment for Children With Refractory Epilepsy

Neurosurgery ◽  
2019 ◽  
Vol 66 (Supplement_1) ◽  
Author(s):  
Melissa LoPresti ◽  
Iwen Pan ◽  
Dave Clarke ◽  
Sandi Lam
Keyword(s):  
Surgical Treatment ◽  
Healthcare Utilization ◽  
Epilepsy Surgery ◽  
Refractory Epilepsy ◽  
Survival Rates ◽  
Treated Group ◽  
Pediatric Epilepsy ◽  
Ed Visits ◽  
The Impact

Abstract INTRODUCTION Pediatric refractory epilepsy affects quality of life, clinical disability, and healthcare costs for patients and families. We aimed to show the impact of surgical treatment for pediatric epilepsy on healthcare utilization compared to medically treated pediatric epilepsy over 5 yr. METHODS The Pediatric Health Information System database was used to study hospitalized children with epilepsy using five published algorithms. Refractory epilepsy (RE) patients treated with either antiepileptic medications (AEDs) only or AEDs plus epilepsy surgery (ES) between 1/1/2008 and 12/31/2014 were included. Patients with a history of ES before 1/1/2008 or a vagus nerve stimulation implantation surgery were excluded. ICD-9-CM codes were used to identify ES. Healthcare utilization following the index date at 2- and 5-yr including inpatient, emergency department (ED), and all epilepsy-related visits were evaluated. The propensity scores (PS) method was used to match surgically and medically treated patients. Covariates associated with the probability of receiving surgical treatment were chosen in the logistic regression model for calculating PS. SAS 9.4 and Stata 14.0 were used for data management and statistical analysis. RESULTS A total of 2106 (17.1%) and 10186 (82.9%) were surgically and medically treated, respectively. A total of 4050 matched cases, 2025 per each treated group, were included. Overall survival rates of matched cases were 98.07% and 99.58% at 2-yr and 96.66% and 98.99% at 5-yr for medically and surgically treated patients, respectively. Within 5-yr follow-up, seizure-associated healthcare utilization was lower for the surgically treated group: number of inpatient visits were 3.9 vs 2.5 and ED visits were 3.2 vs 1.7 for medically and surgically treated patients, respectively. The number of AEDs at 1-yr follow-up was significantly lower for the surgically treated group (3.22 decreased to 2.59: surgical group, 3.24 decreased to 3.06: medical group). CONCLUSION We found a significant decrease in inpatient and ED visits and number of antiepileptic drug prescriptions, as well as higher survival rates, at 2- and 5-yr follow-up in the surgically treated group compared to the medically treated group for pediatric patients with refractory epilepsy. Pediatric epilepsy surgery can provide beneficial outcomes, favorable long-term effectiveness, and reduced healthcare utilization compared to medical management.

Malignant Melanoma of the Vulva FIGO Stage I: Evaluation of Prognostic Factors in 43 Patients with Emphasis on DNA Ploidy and Surgical Treatment

1996 ◽  
Vol 61 (2) ◽  
pp. 253-258 ◽  
Author(s):  
Marit Scheistrøen ◽  
Claes Tropé ◽  
Janne Kaern ◽  
Vera M. Abeler ◽  
Erik O. Pettersen ◽  
...  
Keyword(s):  
Prognostic Factors ◽  
Surgical Treatment ◽  
Malignant Melanoma ◽  
Dna Ploidy ◽  
Figo Stage ◽  
Stage I

Kienböck’s Disease — Late Results by Non-Surgical Treatment

1986 ◽  
Vol 11 (3) ◽  
pp. 422-425
Author(s):  
S. S. KRISTENSEN ◽  
E. THOMASSEN ◽  
F. CHRISTENSEN
Keyword(s):  
Treated Group ◽  
Late Results ◽  
X Rays ◽  
Efficient Treatment ◽  
Kienböck’S Disease ◽  
Kienböck's Disease ◽  
Surgical Methods ◽  
Radiocarpal Joint ◽  
Kienbock’S Disease

Two groups of patients with Kienböck’s disease were followed. Twenty-three wrists had been immobilised with plaster and twenty-six had no treatment. At follow up there was a marked improvement in both groups. Eighty-three percent of the wrists in the new treated group were pain free, or reported pain only on heavy work, and in the nontreated group this was valid for 77%. Examining X-rays at follow up we did not find a single wrist in which the lunate was normal or less deformed than at the time of diagnosis. In all forty-nine wrists the lunate was deformed and in 67% osteoarthrosis in the radiocarpal joint was evident. It is concluded, that Kienböck’s disease has a naturally benign course, the remaining symptoms at follow-up might be caused by osteoarthrosis and nothing seems to be gained by rigorous immobilisation. If pain persists efficient treatment must be based on surgical methods.

scholarly journals New Dimensional Staging of Bisphosphonate-Related Osteonecrosis of the Jaw Allowing a Guided Surgical Treatment Protocol: Long-Term Follow-Up of 266 Lesions in Neoplastic and Osteoporotic Patients from the University of Bari

2014 ◽  
Vol 2014 ◽  
pp. 1-10 ◽  
Author(s):  
Simonetta Franco ◽  
Simona Miccoli ◽  
Luisa Limongelli ◽  
Angela Tempesta ◽  
Giorgio Favia ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Treatment Protocol ◽  
Osteonecrosis Of The Jaw ◽  
Healing Time ◽  
Neoplastic Disease ◽  
Stage Classification ◽  
Long Term Follow Up ◽  
The University

Bisphosphonate-related osteonecrosis of the jaw (BRONJ) is the most serious side effect in patients receiving bisphosphonates (BPs) for neoplastic disease and osteoporosis. The aim of this study is to propose a new dimensional stage classification, guiding the surgical treatment of BRONJ patients, and to evaluate the success rate of this new management. From 2004 to 2013, 203 neoplastic and osteoporotic patients with 266 BRONJ lesions were referred to the Odontostomatology Unit of the University of Bari. All patients underwent surgery after suspension of BPs therapy and antibiotic treatment. The surgical procedure was complemented by piezosurgery and followed by the application of hyaluronate and amino acids. The new dimensional staging suggests the choice of the surgical approach, and allows the prediction of postoperative complications and soft and hard tissues healing time, guiding the surgical treatment protocol. This protocol could be a successful management strategy for BRONJ, considering the low recurrences rate and the good stabilisation of the surgical sites observed after a long-term follow-up.

The results of CO2 laser surgery in patients with oral leukoplakia: a 25 year follow up

Oral Oncology ◽  
2005 ◽  
Vol 41 (1) ◽  
pp. 31-37 ◽  
Author(s):  
P.S. van der Hem ◽  
J.M. Nauta ◽  
J.E. van der Wal ◽  
J.L.N. Roodenburg
Keyword(s):  
Co2 Laser ◽  
Laser Surgery ◽  
Oral Leukoplakia ◽  
Co2 Laser Surgery

Follow-up in stage I cutaneous malignant melanoma: An audit

1993 ◽  
Vol 5 (3) ◽  
pp. 174-180 ◽  
Author(s):  
C.A. Baughan ◽  
V.L. Hall ◽  
B.J. Leppard ◽  
P.J. Perkins
Keyword(s):  
Malignant Melanoma ◽  
Cutaneous Malignant Melanoma ◽  
Stage I

scholarly journals P08.09 Optimal Follow Up Care for Patients with P-stage I Non-Small Cell Lung Cancer After Surgical Treatment

2021 ◽  
Vol 16 (3) ◽  
pp. S284-S285
Author(s):  
H. Notsuda ◽  
H. Oshio ◽  
R. Tanaka ◽  
Y. Watanabe ◽  
S. Eba ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Surgical Treatment ◽  
Small Cell Lung Cancer ◽  
Cell Lung Cancer ◽  
Small Cell ◽  
Stage I ◽  
Small Cell Lung ◽  
Follow Up Care

scholarly journals Comparison between buttress plate and anteroposterior screw internal fixation for posterior pilon fracture: a retrospective study

2020 ◽  
Author(s):  
linyuan zhang ◽  
zhiqing liu ◽  
yueting wang ◽  
chao yu ◽  
jian tang ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Internal Fixation ◽  
Ankle Joint ◽  
Joint Pain ◽  
Healing Time ◽  
Pilon Fracture ◽  
Significant Difference ◽  
Vas Scores ◽  
Buttress Plate

Abstract Background: Posterior pilon fracture (PPF) is a serious ankle injury caused by combined vertical and rotational trauma. Surgical treatment includes buttress plate (BP), anteroposterior screw (APS) and posteroanterior screw (PAS) fixation. This study aimed to compare the therapeutic effects after PPF internal fixation with BPs and APSs. Methods: From January 2015 to June 2018, 37 patients with PPFs underwent surgical treatment in our institution. The patients were divided into the BP (11 patients) and APS (26 patients) groups according to the internal fixation method. Bone healing time and postoperative complications were recorded. At the last follow-up, American Orthopedic Foot and Ankle Society (AOFAS) scores, visual analog scale (VAS) scores and Burwell-Charnley scores were used to evaluate ankle joint function, ankle joint pain, and fracture reduction on imaging, respectively. Results: No significant difference in bone healing time was found between the two groups (P > 0.05). Local necrosis of the posterolateral incision and chronic ankle pain occurred in 1 case each in the BP group. Chronic ankle joint pain occurred in 4 cases in the APS group. Two cases of soft tissue irritation were caused by screws that were too long. Local numbness of the posterolateral incision occurred in 1 case. At the last follow-up, no significant difference in VAS scores between the two groups at rest (P = 0.477), but a significant difference during exercise was noted (P = 0.033). AOFAS scores were better in the BP group than those in the APS group (P = 0.002). According to the Burwell-Charnley scoring system, 11 cases were anatomically reduced in the BP group. In the APS group, anatomical reduction was achieved in 19 cases and fair in 7 cases. Conclusion: Compared with APSs, BPs resulted in better reduction, ankle joint functional recovery and complication rates. BPs are recommended for internal fixation of PPFs.

The Spatial Weaving Screw Technique Combined With Minimally Invasive Treatment of Calcaneal Fracture

2021 ◽  
Author(s):  
Yong Zhang ◽  
Qiuyan Weng ◽  
Jianming Chen ◽  
Yunfeng Yang
Keyword(s):  
Minimally Invasive ◽  
Articular Surface ◽  
Wound Complication ◽  
Clinical Results ◽  
Healing Time ◽  
X Rays ◽  
Type Ii ◽  
Invasive Treatment ◽  
Surgical Methods

Abstract Background: The conventional surgical method for calcaneal fractures is the extensile lateral approach to reduce and fix fractures using plates and screws, Unfortunately, this method has been associated with high rates of wound and steel plate complications. Similarly, it is still difficult for minimally invasive surgical methods to achieve effective reduction and internal fixation. Therefore, this article proposes a new method of lateral minimally invasive incision combined with percutaneous, screw-only fixation and the screws are individually knitted according to the type of fracture.Methods: Between October 2015 and October 2019, 31 patients who underwent the spatial weaving screw technique combined with minimally invasive were recruited. Any operative complication was recorded. The clinical results were evaluated based on pre-operative X-rays (axial and lateral calcaneus), CT and three-dimensional reconstruction, AOFAS, VAS during follow-up.Results: Bone healing was achieved in all patients, with an average healing time of 7.3±4.2ml weeks. No serious complications occurred after operation, no case of reduction failure or screw displacement were found. The evaluation of the posterior subtalar and calcaneocuboid articular surface respectively showed 80.6% and 90.3% cases got excellent and good reduction. The average AOFAS score was 89.5 at the end of 1 year after the operation, the mean VAS in our series was 2.4 at the last follow-up. Conclusion: Combined with minimally invasive screw spatial weaving technique, displaced Sanders type II and III can be successfully treated displaced Sanders type II and III fractures. The method allows for adequate reduction and effective fixation by screws. It also clearly avoids the major wound complication problems, improve the accuracy of reduction and implantation, simplify surgical procedure.

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