Role of Open Surgery

1992 ◽  
Vol 59 (1) ◽  
pp. 38-44 ◽  
Author(s):  
G. Anselmo ◽  
L. Maccatrozzo ◽  
G. Tuccitto ◽  
M. Mangano ◽  
F. Pagano ◽  
...  

According to anatomo-morphologic studies, the authors define the role of open surgery in enucleating an adenoma, which is only partially removed with endoscopy, especially if large. Retrospective studies also show a higher probability of a further operation after endoscopy rather than after surgery, with a greater mortality risk due to cardiovascular reasons. In the four-year period from 1987–90, the joint experience of the University Urological Clinics of Padua and Brescia and the Hospital Urological Departments of Bergamo and Treviso, shows that out of 3851 operations, endoscopic treatment was carried out in 84% and surgery in 16%, with a marked prevalence of retropubic adenomectomy (84% of cases). 1989 was taken as a sample year and surgery was performed in 160 out of 935 cases, with excellent results in 87% of the patients. The authors, on the basis of their personal experience, results and literature, confirm that surgical treatment of prostatic hypertrophy is still valid.

2020 ◽  
Vol 90 (1) ◽  
Author(s):  
Angelo Carretta ◽  
Paola Ciriaco ◽  
Alessandro Bandiera ◽  
Piergiorgio Muriana ◽  
Gianluigi Arrigoni ◽  
...  

Primary chondrosarcoma of the trachea is an extremely rare tumor. We report two cases of tracheal chondrosarcoma describing the role of surgical and conservative treatment. Endoscopic treatment with rigid bronchoscopy was performed in both patients to restore airway patency and obtain histological specimens for diagnosis. One of the patients subsequently underwent successful tracheal resection and reconstruction. The other patient, who had a contraindication to surgical treatment due to associated diseases underwent iterative endoscopic LASER treatment and is alive three years after the first diagnosis. Surgical treatment remains the treatment of choice of tracheal chondrosarcoma. When surgery is contraindicated endoscopic treatment may allow relatively longterm survival due to the slow growth of these tumors.


2020 ◽  
Vol 13 (1) ◽  
pp. 255-260 ◽  
Author(s):  
Sergey K. Efetov ◽  
Arcangelo Picciariello ◽  
Viktor S. Kochetkov ◽  
Kirill B. Puzakov ◽  
Aftandil V. Alekberzade ◽  
...  

Sacral chordoma is a rare tumour that represents the most common malignancy of the sacral region. Its diagnosis can be delayed because of unclear clinical manifestation. This tumour can involve surrounding anatomical structure such as the rectum, and its surgical treatment is still challenging. We report on 3 patients with sacral chordoma. Two of them were successfully treated using a laparoscopic approach and one by open surgery. We present all details of the surgical technique and patients’ outcome. Minimally invasive methods in the surgical treatment of chordoma allow to perform a radical dissection of the tumour, minimizing the operative trauma. A laparoscopic approach can be considered safe and radical for sacral chordoma treatment.


2020 ◽  
Vol 9 (3) ◽  
pp. 294-298
Author(s):  
Anzhelika N. Tsepkova

The paper substantiates the importance of the implementation of personality-oriented education in higher education. The author reveals specifics of personality-oriented education at the university, an integral component of which is subjectivity. The author substantiates the legitimacy of extrapolating the ideas of personality-oriented education, the implementation of which is effective in a secondary school, to the university educational process and proposes the formulation of these ideas in relation to the university: the idea of recognizing a particular students personality value; development of the students personal experience; the ascent of the student to culture. The role of a university teacher in the implementation of personality-oriented education ideas in the process of interaction with students is revealed and the need to identify the value foundations of the university teachers orientation towards the implementation of such ideas is substantiated. The author considers that knowledge has a direct impact on human morality, the development of which is carried out through the choice of values and their subsequent appropriation by a person. The author also reveals the role of the teachers moral consciousness in understanding the value foundations of the orientation towards the implementation of personality-oriented education ideas. An example of determining the value foundations of personality-oriented education idea as the recognition of the value of a particular students personality is given and it is substantiated that this value basis is the value of good. The author proves that it is possible to assess the implementation of personality-oriented education ideas according to moral criteria, in the role of which are the values that take on the meaning as values for oneself and for another, the concepts of morality good, duty, mercy, justice, honor. It is substantiated that the axiological space of the university filled with values, the meaning of which is acquired by the concepts of morality, can become a means of teachers orientation towards the implementation of personality-oriented education ideas.


1990 ◽  
Vol 14 (3) ◽  
pp. 164-165
Author(s):  
Jeffrey R. Jones

The role of the clinical tutor may differ from that set out in the helpful guidelines given by the Royal College of Psychiatrists. It may differ depending on the setting of the training for instance. I was made clinical tutor some three and a half years ago for a large, mainly rural area – North Wales. The area does not have its own medical school, but is associated with the University of Wales College of Medicine, at Cardiff, some 150 miles away.


2014 ◽  
Vol 75 (S 02) ◽  
Author(s):  
S. Heredero ◽  
J. Solivera ◽  
A. Romance ◽  
A. Dean ◽  
J. Lozano

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