Surgery for Peyronie'S Disease: Comparison of Results

1998 ◽  
Vol 65 (1_suppl) ◽  
pp. 31-35
Author(s):  
P. Traverso ◽  
A. Simonato ◽  
S. Galli ◽  
A. Romagnoli ◽  
C. Corbu ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Surgical Treatment ◽  
Objective Assessment ◽  
Self Assessment ◽  
Induratio Penis Plastica ◽  
Anatomical Structures ◽  
Degree Of Satisfaction ◽  
Almost All ◽  
Surgical Option

Many, varied techniques have been used over the years in the surgical treatment of Induratio Penis Plastica (IPP). From December 1994 to March 1998, 83 patients were operated for IPP and assessed with an average follow-up of 20 months (range 2–24). Results were analysed, the overall assessment taking into consideration not only the objective clinical finding by the doctor, but also the degree of satisfaction expressed by patients. The patients were given a subjective self-assessment test considering the pre and post-operative changes in the following parameters: rigidity, curvature, glandular sensitivity, length of penis and satisfaction with general result. Another doctor in the department (not the operator) clinically assessed the same parameters during follow-up. Results showed that the above parameters were more favourable in patients operated for plaque and incision of the same than in those who had undergone removal. The subjective version of almost all patients and the clinical follow-up assessment were, however, in disagreement with these results. Moreover, only 60% of patients reported that they were generally satisfied. The subjective and objective assessment by the patients and doctor respectively are not always in agreement, highlighting the fact that patient satisfaction is sometimes unrelated to the clinical evaluation of “success” of the surgical option. In IPP therapy, results for the patient would seem to be better when less aggressive surgery is carried out on the plaque as described, i.e. with minimum dissection of the anatomical structures of the penis.

Discussion: “Long-Term Follow-Up of Recurrence and Patient Satisfaction After Surgical Treatment of Gynecomastia”

2017 ◽  
Vol 41 (5) ◽  
pp. 1242-1243 ◽  
Author(s):  
Alessandro Innocenti ◽  
Dario Melita ◽  
Francesco Ciancio ◽  
Marco Innocenti
Keyword(s):  
Patient Satisfaction ◽  
Surgical Treatment ◽  
Long Term Follow Up

Atlantal fracture with transverse ligament disruption in a child

2009 ◽  
Vol 4 (3) ◽  
pp. 196-198 ◽  
Author(s):  
Marcelo D. Vilela ◽  
Eric C. Peterson
Keyword(s):  
Cervical Spine ◽  
Surgical Treatment ◽  
Upper Cervical Spine ◽  
Transverse Ligament ◽  
Jefferson Fracture ◽  
Fractures In Children ◽  
Upper Cervical ◽  
Almost All ◽  
Ligament Disruption

Even though fractures in children with immature spines occur predominantly in the upper cervical spine, isolated C-1 fractures are relatively rare. The fractures in almost all cases reported to date were considered stable due to the presence of the intact transverse ligament. The authors report the case of a young child who sustained a Jefferson fracture and in whom MR imaging revealed disruption of the transverse ligament. Although surgical treatment has been suggested as the treatment of choice for children with unstable atlantoaxial injuries, external immobilization alone allowed a full recovery in the patient with no evidence of instability at follow-up.

Surgical Treatment of Moderate Hallux Valgus: A Comparison of Distal Chevron Metatarsal Osteotomy With and Without Lateral Soft-Tissue Release

2017 ◽  
Vol 10 (6) ◽  
pp. 524-530 ◽  
Author(s):  
Maki Grle ◽  
Goran Vrgoc ◽  
Ivan Bohacek ◽  
Vladimir Hohnjec ◽  
Marko Martinac ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Surgical Treatment ◽  
Soft Tissue ◽  
Hallux Valgus ◽  
Soft Tissue Release ◽  
Metatarsal Osteotomy ◽  
Group I ◽  
Group Ii ◽  
Surgical Treatments

Purpose: The purpose of the study was to determine whether lateral soft-tissue release (LSTR) has a beneficial or detrimental effect on the outcome of distal Chevron first metatarsal osteotomy (DCMO) in the treatment of moderate hallux valgus (HV). Methods: We compared the effect of different surgical treatments in 2 groups of patients: group I (23 patients, 25 feet, average age of 55 [from 43 to 77] years) was subjected to DCMO only, whereas group II (18 patients, 23 feet, average age of 59 [from 52 to 70] years]) was subjected to DCMO with LSTR. The American Orthopaedic Foot and Ankle Society’s Hallux Metatarsophalangeal-Interphalangeal scale survey was conducted postoperatively, followed by the brief survey on postoperative patient satisfaction. The patient follow-up period was from 18 to 24 months after surgical treatment, on average. Results: After surgical intervention, both groups of patients presented with an improved HV angle, but there was no significant difference between the groups. However, group II showed significant improvements in medial sesamoid bone position and patient satisfaction scores as compared with group I. Conclusion: Our midterm follow-up of surgical treatments for moderate HV deformity suggests that both procedures provide good postoperative results. However, according to our results, DCMO with LSTR provides better results than procedures without LSTR. Levels of Evidence: Therapeutic, Level III: Retrospective comparative study

scholarly journals Open, Arthroscopic, and Percutaneous Surgical Treatment of Lateral Epicondylitis: A Systematic Review

Hand ◽  
2017 ◽  
Vol 13 (3) ◽  
pp. 264-274 ◽  
Author(s):  
Matthew B. Burn ◽  
Ronald J. Mitchell ◽  
Shari R. Liberman ◽  
David M. Lintner ◽  
Joshua D. Harris ◽  
...  
Keyword(s):  
Systematic Review ◽  
Patient Satisfaction ◽  
Surgical Treatment ◽  
Functional Outcome ◽  
Lateral Epicondylitis ◽  
Percutaneous Treatment ◽  
Cochrane Central Register ◽  
Dash Score ◽  
Clinically Significant

Background: Approximately 10% of patients with lateral epicondylitis go on to have surgical treatment; however, multiple surgical treatment options exist. The purpose of this study was to review the literature for the clinical outcomes of open, arthroscopic, and percutaneous treatment of lateral epicondylitis. The authors hypothesized that the clinical outcome of all 3 analyzed surgical treatments would be equivalent. Methods: A systematic review was performed using PubMed, Cochrane Central Register of Controlled Trials, and Google Scholar in July 2016 to compare the functional outcome, pain, grip strength, patient satisfaction, and return to work at 1-year follow-up for open, arthroscopic, and percutaneous treatment of lateral epicondylitis. Results: Six studies (2 Level I and 4 Level II) including 179 elbows (83 treated open, 14 arthroscopic, 82 percutaneous) were analyzed. Three outcome measures (Disabilities of the Arm, Shoulder, and Hand [DASH] score, visual analog scale [VAS], and patient satisfaction) were reported for more than one category of surgical technique. Of these, the authors noted no clinically significant differences between the techniques. Conclusions: This is the first systematic review looking at high-level evidence to compare open, percutaneous, and arthroscopic techniques for treating lateral epicondylitis. There are no clinically significant differences between the 3 surgical techniques (open, arthroscopic, and percutaneous) in terms of functional outcome (DASH), pain intensity (VAS), and patient satisfaction at 1-year follow-up.

scholarly journals Rare Facial Cleft: Surgical Treatment and Middle-Term Follow-up During Charity Operation

2020 ◽  
Vol 13 (2) ◽  
pp. 138-142
Author(s):  
Andi Setiawan Budihardja ◽  
Bakhrul Lutfianto ◽  
Nataly Putri Liman ◽  
Hiensen Hiesmantjaja ◽  
Klaus-Dietrich Wolff
Keyword(s):  
Surgical Treatment ◽  
Long Term Results ◽  
Middle Term ◽  
Facial Cleft ◽  
Craniofacial Malformation ◽  
Surgical Mission ◽  
Low Incidence ◽  
Surgical Option

Facial cleft is a rare and challenging craniofacial malformation. Treatment of rare facial cleft is complex, and the evaluation of its long-term results is challenging because of the low incidence. In this article, we would like to present middle-term follow-up of 6 patients with facial cleft Tessier number 4, number 5, and number 7 who were treated in our center during charity surgical mission. We will discuss surgical option, difficulties, and complication that may arise in this surgery.

Long-Term Follow-up of Recurrence and Patient Satisfaction After Surgical Treatment of Gynecomastia

2017 ◽  
Vol 41 (3) ◽  
pp. 491-498 ◽  
Author(s):  
A. Fricke ◽  
G. M. Lehner ◽  
G. B. Stark ◽  
V. Penna
Keyword(s):  
Patient Satisfaction ◽  
Surgical Treatment ◽  
Long Term Follow Up

scholarly journals The Radiographic Support for Distal Tibia Medial Opening-Wedge Osteotomy with Fibular Valgization Osteotomy for Medial Ankle Osteoarthritis

2020 ◽  
Vol 5 (4) ◽  
pp. 2473011420S0033
Author(s):  
Jung-Won Lim ◽  
Hong-Geun Jung
Keyword(s):  
Patient Satisfaction ◽  
Clinical Outcomes ◽  
Medial Compartment ◽  
Wedge Osteotomy ◽  
Functional Evaluation ◽  
Ankle Arthritis ◽  
Ankle Pain ◽  
Ankle Osteoarthritis ◽  
Surgical Option

Category: Ankle; Ankle Arthritis Introduction/Purpose: Supramalleolar osteotomy (SMO) has recently been accepted as the major surgical option for treating painful asymmetric ankle arthritis. The effectivenss of additional fibular valgization osteotomy during SMO procedure is still controversial. This study aimed to evaluate radiological and clinical outcomes of medial compartment ankle osteoarthritis (OA) after SMO with fibular valgization osteotomy. Also, the study is aimed to describe the radiographic support for the SMO with additional fibular osteotomy in relieving the medial ankle pain. Methods: The study is based on 45 cases of medial compartment ankle arthritis (43 patients) with moderate to severe medial ankle pain (at least 1-year follow-up). SMO and fibular valgization oblique osteotomy was performed concomitantly in 37 ankles (82.2%). As for the functional evaluation, visual analogue scale (VAS) pain scores, American Orthopaedic Foot & Ankle Society (AOFAS) ankle-hindfoot scores and patient satisfaction were evaluated. On radiographs, tibial anterior surface angles (TAS), tibial lateral surface angles (TLS), and talar tilt angles (TT) were measured and the severity of ankle OA was classified by the Takakura stage. The evaluation of the effect of fibular valgization osteotomy entailed a comparison of new radiological measurement (medial clear space gap distance and talus center migaration distance) between two groups: Group 1 (with 37 cases of SMO with fibular valgization osteotomy) and Group 2 (with 8 cases of SMO without fibular valgization osteotomy). Results: The mean VAS pain score decreased from preoperative 6.5 to postoperative 1.3, and AOFAS score significantly improved from preoperative 60.4 to 88.3 at final follow-up. 91 percent (41 ankles) of the patients were satisfied with surgery. Mean TAS improved from preoperative 83.8° to postoperative 94.9° and TLS from 78.5° to 82.0°. 23 of 30 Takakura stage IIIa cases (77%) and 3 of 7 stage IIIb cases (42%) improved to stage II after SMO at final follow-up. Mean fibular valgization osteotomy angle was 12.4°. Medial gutter space gap distance improved from preoperative 0.7mm to postoperative 2.10mm. Talus center migration distance improved from -0.53mm to 2.03mm. Both radiologic parameters showed statistically significant differences between two groups, but there was no correlation between radiologic parameters and clinical outcomes. Conclusion: SMO for the patients with painful medial compartment ankle OA achieved favorable clinical and radiological outcomes. Also, high patient satisfaction (91%) as well as the improvement of Takakura stage was observed. SMO with additional fibular valgization osteotomy yielded widening of medial gutter space and recovery of talus center. Therefore, additional fibular valgization osteotomy during SMO could be optimal surgical option for the recovery of normal ankle mechanical axis.

scholarly journals PATIENTS' CONTENTMENT WITH TRANSANAL HEMORRHOIDAL DEARTERIALISATION

2019 ◽  
pp. 25
Author(s):  
Branko Branković ◽  
Milica Nestorović ◽  
Goran Stanojević ◽  
Dejan Petrović ◽  
Dragan Mihajlović ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Surgical Treatment ◽  
Length Of Stay ◽  
Average Duration ◽  
Clinical Center ◽  
Duration Of Surgery ◽  
Effect Of Treatment ◽  
Grade 3 ◽  
Complications Rate ◽  
Surgical Option

Hemorrhoidectomy was the method of choice for treating grade 3 and 4 hemorrhoids. Due to a large number of complications, a new surgical treatment called transanal hemorrhoidal dearterialization (THD) was introduced. The aim of the study was to evaluate the effect of treatment with THD in patients with hemorrhoids. This study included 70 patients, 48 males and 22 females, who were hospitalized at the Clinical Center Nis in the period from September 2016 to September 2018. Fifteen patients had grade 4 hemorrhoids, 54 were with grade 3, one patient with grade 2. The average duration of the operation was 33.33 minutes, and patients were hospitalized for 1-2 days. We recorded: sex, age, stage, type of anesthesia, duration of surgery, length of stay, patient satisfaction, combinations of THD with other procedures, and surgical complications. In 46 patients, surgery was performed under general anesthesia, in 18 patients in spinal and in 6 patients in local anesthesia with analgesia. In 37 subjects we used THD only, and in 33 we used THD in combination with other methods. We observed the development of complications in 9 patients. Bleeding occurred in 2 patients, pain in 2, and urinary retention in 4, and abscess in 1. The majority of the patients (62.9%) were satisfied with this method, 27.1% were partially satisfied and 10% were unsatisfied. This method provides a shorter stay in the hospital, low complications rate and is a safe, fast and simple initial surgical option.

scholarly journals Sequential Use of CO2 Laser Prior to Nd:YAG and Dye Laser in the Management of Non-Facial Warts: A Retrospective Study

Medicina ◽  
2022 ◽  
Vol 58 (1) ◽  
pp. 115
Author(s):  
Luigi Bennardo ◽  
Gaia Fasano ◽  
Federica Tamburi ◽  
Elena Zappia ◽  
Francesco Rizzuto ◽  
...  
Keyword(s):  
Co2 Laser ◽  
Complete Resolution ◽  
Clinical Results ◽  
Skin Surface ◽  
Dye Laser ◽  
Magna Graecia ◽  
Degree Of Satisfaction ◽  
Traditional Therapies ◽  
Almost All

Background and Objectives: Warts are benign lesions of viral etiology characterized by a hyperkeratotic appearance tending to spread across the skin surface. Various treatments have been proposed to manage this condition, such as acids, imiquimod, photodynamic therapy, cryotherapy, and various lasers. Materials and Methods: In this paper, we describe a combination protocol using CO2 laser prior to Nd:YAG laser for lesions interesting the palmoplantar areas or dye laser for lesions on other skin surfaces in the management of non-facial warts resistant to traditional therapies. In total, 34 patients with 103 warts suffering from wart infection resistant to traditional therapies treated from 1 January 2019 to 1 June 2020 were retrospectively enrolled at the Dermatological Unit of Magna Graecia University (Catanzaro, Italy). Two dermatologists measured clinical results, classifying lesions with complete resolution, partial resolution, or non-responding. Patients at four months follow-up were asked to evaluate their degree of satisfaction with a visual analog scale (VAS). Results: Almost all patients reported the complete resolution of lesions, with no patient reporting scarring. Five patients reported hypopigmentation in the treated areas. The mean satisfaction level was high. Only three patients experienced a relapse of the condition. Conclusions: Using a vascular laser following a CO2 superficial ablation of warts may help reduce the risk of scarring and decrease the incidence of relapses for lesions resistant to traditional therapies. Therefore, more extensive studies will be necessary to confirm the obtained results.

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