Advances in the management of craniopharyngioma

Craniopharyngioma is a curable benign tumor, but owing to its intimate relationship to critical structures in the central brain—such as the optic apparatus, pituitary, hypothalamus, intracranial vasculature, brain stem, and temporal lobes—its management introduces the risk of long-term treatment morbidity. Today, the most common treatment approach is conservative subtotal resection followed by radiotherapy, and the goal is to limit long-term toxicity. Many recent advances in the treatment of craniopharyngioma are attributable to improved surgical techniques and radiotherapy technologies.

Download Full-text

The Role of Arthroscopy in the Treatment of Gouty Arthritis of the Knee Case presentation

Revista de Chimie ◽

10.37358/rc.18.8.6507 ◽

2018 ◽

Vol 69 (8) ◽

pp. 2236-2239

Author(s):

Marius Moga ◽

Mark Edward Pogarasteanu ◽

Dumitru Ferechide ◽

Antoine Edu ◽

Chen Feng Ifrim

Keyword(s):

Gouty Arthritis ◽

Surgical Techniques ◽

Term Treatment ◽

Clinical Aspects ◽

Associated Lesions ◽

Number Of Patients ◽

Long Term Treatment ◽

Functional Scores ◽

Urate Crystals

Gout is a metabolic disease involving the impregnation of joints and other tissues with urate crystals. The onset is often brutal, and it manifests itself with pain and inflammation in the affected joint. The treatment usually involves rest, ice, NSAIDs and anti-gout medication. The long-term treatment involves medication and dietary changes. In the joint, urate crystals are deposited in the synovial, in the cartilage and in the menisci. In the arthroscopic practice, the gouty knee is a rare occurrence. We present a relevant case, that of a 57 years old patient without a prior gout diagnosis where we found urate crystal deposits covering the synovium, cartilage and meniscus, and we discuss the current and recent year Pub Med indexed literature in order to evaluate the possibilities for arthroscopic treatment of this pathology. We looked at the number of patients involved, their characteristics, and the surgical techniques used. We also looked at the temporal relation of the arthroscopic intervention to the recent gout attacks, and at the described lesions that were found. Also, we evaluated the papers for joint liquid analysis, gout drug treatment, and description of clinical aspects involved and associated lesions. Finally, we looked at the follow-up, at the functional scores used to monitor the patient�s evolution, at the associated medication and at the long-term outcomes, if described. We have found opinions to vary. In the end, we draw conclusions pertaining to the practical short-term and long-term use of knee arthroscopy in the treatment of gout.

Download Full-text

Aortic valve replacement with a pulmonary autograft: case studies of the Ross procedure

American Journal of Critical Care ◽

10.4037/ajcc1997.6.6.418 ◽

1997 ◽

Vol 6 (6) ◽

pp. 418-422 ◽

Cited By ~ 1

Author(s):

C Scott ◽

M Schactman ◽

LM Graver

Keyword(s):

Aortic Valve ◽

Preoperative Evaluation ◽

Surgical Techniques ◽

Spare Part ◽

Postoperative Management ◽

Term Treatment ◽

Ross Procedure ◽

Long Term Treatment ◽

Attractive Option

The Ross procedure is an old surgical technique that is gaining popularity some 30 years after its introduction. The patient's own pulmonary valve is essentially used as a "spare part" to replace the diseased aortic valve. The Ross procedure has become an accepted and attractive option for patients with a life expectancy of more than 20 years and for patients in whom long-term treatment with anticoagulants is undesirable or problematic. Careful preoperative evaluation and postoperative management, as well as proficient surgical techniques, are all necessary to achieve good outcomes.

Download Full-text

Single-Anastomosis Procedures in Metabolic Surgery

Digestive Disease Interventions ◽

10.1055/s-0041-1736171 ◽

2021 ◽

Vol 05 (04) ◽

pp. 338-345

Author(s):

Yaqeen Qudah ◽

Juan S. Barajas-Gamboa ◽

Helen Sun ◽

Gabriel Díaz Del Gobbo ◽

Matthew Kroh ◽

...

Keyword(s):

Gastric Bypass ◽

Duodenal Switch ◽

Severe Obesity ◽

Surgical Techniques ◽

Term Treatment ◽

Long Term Outcomes ◽

Single Anastomosis ◽

Long Term Treatment ◽

New Procedures

AbstractThe most effective long-term treatment for severe obesity is bariatric surgery with improvement or resolution of obesity-related comorbidities. Single-anastomosis procedures including single-anastomosis duodenoileal bypass and one-anastomosis gastric bypass are relatively new procedures that are gaining popularity worldwide. These surgical techniques are perceived to be less complex with a shorter learning curve in comparison to the standard biliopancreatic diversion with duodenal switch and Roux-en-Y gastric bypass; however, long-term outcomes and complications remain controversial. This article aims to review one-anastomosis procedures, evaluate their outcomes, and review potential complications.

Download Full-text