scholarly journals IMMEDIATE RESULTS OF TREATMENT FOR PYOGENIC NONSPECIFIC SPINE DESEASE

2005 ◽  
pp. 070-072
Author(s):  
Mikhail Yuryevich Goncharov ◽  
Vladimir Petrovich Sacovich ◽  
Evgeny Petrovich Danilov ◽  
A. V. Cherepanov ◽  
I. V. Volkov ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Conservative Treatment ◽  
Neurological Deficit ◽  
Multiorgan Failure ◽  
Intravenous Antibiotic ◽  
Results Of Treatment ◽  
Antibiotic Drugs ◽  
Time To Diagnosis ◽  
Spine Diseases ◽  
Spine Disease

Pyogenic nonspecific spine disease is of special interest to neurosurgeons because it often results in acute neurological deteriorations and requires a combination of adequate surgical and conservative treatment. A group of 81 patients with the clinical and radiological sings of pyogenic nonspecific spine infections was prospectively followed from 1999 to 2004. Time to diagnosis was less than 2 months in 62,96 % of patients. Patients without neurological deficit (n = 8; 9.88 %) were conservatively treated with immobilization and intravenous antibiotic drugs. Patients with complete or rapidly progressing neurological deficit, septicemia (n = 73; 90.12 %) underwent surgery. Good results were achieved in 42 (57,55 %) patients, satisfactory – in 16 (21,91 %) with minor neurologic deficit, unsatisfactory – in 14 (19,17 %) with severe neurological deficit. Severe septicemia and multiorgan failure developed in one patient who died of this disease. Conclusions: еarly diagnosis and surgical treatment is a technique of choice for treatment of patients with pyogenic nonspecific spine diseases.

scholarly journals Nonspecific pyogenic spondylodiscitis: clinical manifestations, surgical treatment, and outcome in 24 patients

2004 ◽  
Vol 17 (6) ◽  
pp. 1-7 ◽  
Author(s):  
Sascha Mann ◽  
Michael Schütze ◽  
Steffen Sola ◽  
Jürgen Piek
Keyword(s):  
Surgical Treatment ◽  
Spinal Deformity ◽  
Multiorgan Failure ◽  
Vertebral Osteomyelitis ◽  
Clinical Manifestations ◽  
Neurological Deficits ◽  
Causative Organism ◽  
Delay In Diagnosis ◽  
Pyogenic Spondylodiscitis ◽  
Antibiotic Drugs

Object Pyogenic vertebral osteomyelitis is of special interest to neurosurgeons because it often results in acute neurological deterioration and requires a combination of adequate surgical and conservative treatment. The aim of the current study was to evaluate the strategy of a primary surgical approach to this disease. Methods A group of 24 patients with the clinical and radiological signs of acute pyogenic spondylodiscitis was prospectively followed from 1998 to 2004. Of these, 20 had underlying diseases such as diabetes mellitus, chronic alcoholism, and liver cirrhosis. The main causative organism was Staphylococcus aureus. Most infections were localized in the thoracic or lumbar spine (10 cases each); 15 infections were associated with epidural abscesses. Because of a delay in diagnosis, 13 patients presented with neurological deficits on admission. Patients with a complete or rapidly progressing neurological deficit underwent immediate surgery. In patients with minor or no deficits or in a stable neurological condition, surgery was delayed for 3 to 5 days. This group was treated with immobilization and intravenous antibiotic drugs before surgery. Surgical procedures included ventral, dorsal, and combined approaches in one- or two-stage operations. Antibiotic treatment included the use of broad-spectrum antibiotic drugs delivered intravenously for at least 10 days, followed by orally administered antibiotics for 3 months. Twenty patients were independent on follow-up review, 15 with no or minor handicaps. Severe septicemia and multiorgan failure developed in two patients, and these two died of their disease. Major complications were mainly due to long-term antibiotic therapy. Conclusions Surgical treatment is the modality of choice in patients with acute spinal osteomyelitis. It is especially indicated in patients with progressive or severe neurological deficits and spinal deformity. In experienced hands, surgery is safe and offers the advantages of spinal cord decompression, immediate mobilization, and correction of spinal deformity. The decision whether an anterior or posterior approach should be used must be made on an individual basis.

scholarly journals ESTIMATION OF RESERVES FOR IMPROVING THE RESULTS OF PATIENTS WITH MULTIPRESISTANT PULMONARY TUBERCULOSIS IN THE APPLICATION OF SURGICAL METHODS BASED ON ANALYSIS OF THE EFFICIENCY OF CONSERVATIVE TREATMENT OF A SPECIFIED COHORT

2018 ◽  
Vol 5 ◽  
pp. 33-39
Author(s):  
Oleg Khmel ◽  
Igor Kalabukha ◽  
Vladimir Ivashchenko
Keyword(s):  
Surgical Treatment ◽  
Conservative Treatment ◽  
Pulmonary Tuberculosis ◽  
Surgical Intervention ◽  
Cohort Analysis ◽  
Multidrug Resistant ◽  
Complete Cure ◽  
Results Of Treatment ◽  
Number Of Patients ◽  
Surgical Methods

In order to improve the results of treatment of patients with multi-resistant pulmonary tuberculosis with the use of surgical methods, the effectiveness estimation of conservative treatment of 176 patients with this form of tuberculosis according to cohort analysis data in two districts of Kyiv were done. In the list were included following parameters: type of the tuberculosis, its clinical-radiological form and the prevalence of the process, the results of conservative treatment in patients who completely finished the course of anti-TB chemotherapy and the results of conservative treatment of 81 patients who had indications for surgical treatment but had not been operated. Processing of the materials of the study was carried out with the use of licensed software products included in the Microsoft Office Professional 2007 package. The predicted results of treatment were calculated on the condition of surgical intervention. Out of the total sample of patients, 31.3 % of the patients completed treatment. Mortality was 16.5 %, transferred to palliative care 11.9 %. More than one in three patients (35.2 %) stopped treatment at different times from the start. According to the clinic of thoracic surgery SU "National Institute of Phthisiology and Pulmonology named after F.G. Yanovsky NAMS of Ukraine ", the overall effectiveness of treatment for patients with limited multidrug-resistant tuberculosis with the use of surgical intervention is about 95 % in the absence of mortality. We have modelled the potential results of treatment of the selected cohort in case of the surgical stage is fully and timely applied in a complex of therapeutic treatment. If all 81 patients with indications for surgical treatment used that way, then, with the above efficiency, a complete cure could be predicted in 77 patients (44.5 % of the total number of observations), which in turn would allow predicting the achievement completion of treatment at 64.2 % with complete cure for 60.6 % of patients. Thus, it is established that the positive result of surgical treatment in the general complex of treatment measures in patients with multidrug-resistant pulmonary tuberculosis is able to improve the results of treatment of this contingent more than twice, reduce the mortality almost by three times, reduce the need for repeated courses of treatment from 7.4 % to 1.7 %, as well as to reduce the epidemiological reservoir of infection due to a significant decrease in the number of patients with failure to treat tuberculosis, interrupted and palliative treatment.

scholarly journals Surgical intervention in the complex treatment of patients with nonunion of the tibia

2018 ◽  
Vol 27 (3) ◽  
pp. 33-38
Author(s):  
O. Bebykh
Keyword(s):  
Surgical Treatment ◽  
Conservative Treatment ◽  
Surgical Intervention ◽  
Plastic Material ◽  
Complex Treatment ◽  
Fibrin Matrix ◽  
Results Of Treatment ◽  
Vitamin Therapy

The work presents the results of treatment of 47 patients with nonunion of the tibia. Applied surgical treatment of the hearth, plastic, fixation of the fragments with a spin-rod core ring, and conservative treatment was performed. Promised results are obtained. The purpose – to improve the results of treatment of patients with neoplasm of the tibia based on the introduction of literary data and properties of existing methods of surgical and conservative treatment based on analysis. Surgical intervention in patients with tenderness of the tibia included treatment of the hearth, the use of as a plastic material a mixture of autopsigenic, hydroxyapatite, fibrin matrix PRF, hemostatic sponge;  fixation by knitting needles and rod machines.  The conservative component of the rehabilitation complex consisted of multimodal anesthesia, vitamin therapy, the use of antioxidants, kinesitherapy and physiotherapy.

scholarly journals Infectious spondylodiscitis: has there been any evolution in the diagnostic and treatment outcomes?

2014 ◽  
Vol 13 (4) ◽  
pp. 294-297 ◽  
Author(s):  
Carlos Fernando Pereira da Silva Herrero ◽  
Anderson Luís do Nascimento ◽  
Rafael Pinheiro Cunha ◽  
João Paço Vaz de Souza ◽  
Marcelo Henrique Nogueira-Barbosa ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Surgical Treatment ◽  
Magnetic Resonance ◽  
Resonance Imaging ◽  
Plain Radiographs ◽  
Results Of Treatment ◽  
Technological Advances ◽  
Time To Diagnosis ◽  
Infectious Spondylodiscitis ◽  
Clinical And Radiological Results

Objective: To evaluate the clinical and radiological results of treatment of patients with spondylodiscitis. Methods: Imaging exams used in this study were plain radiographs and magnetic resonance imaging of the spine. Results: Data from 33 patients, 10 (30.3%) females and 23 (69.7%) males were evaluated. The average time to diagnosis was four months and 28 days (SD ± 1 month and 28 days) and 19 patients (57.5%) presented neurological deficit. Surgical treatment was performed in 22 patients (66.6%) and three patients (9.1%) had complications from the surgery. Conclusions: Despite technological advances in complementary exams, early diagnosis of spondylodiscitis remains a challenge. However, drug treatment associated with surgery shows good results.

Chemical Ablation in Adenoid Surgery

2018 ◽  
Vol 69 (10) ◽  
pp. 2722-2724
Author(s):  
Teodora Ioana Ghindea ◽  
Alexandru Dumitras Meius ◽  
Dragos Cristian Stefanescu ◽  
Catalina Pietrosanu ◽  
Irina Ionita ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Conservative Treatment ◽  
Chronic Inflammation ◽  
Lymphatic Tissue ◽  
Tissue Mass ◽  
Surgical Method ◽  
Endoscopic Control ◽  
Chemical Ablation ◽  
Pharyngeal Tonsil

The pharyngeal tonsil is a lymphatic tissue mass located in the roof of the nasopharynx. The function of the pharyngeal tonsil is to prevent infections with the help of antibodies. Chronic inflammation and allergies lead to hyperplasia of the adenoids that is found almost exclusively in children. The treatment of choice is surgical treatment; conservative treatment is only indicated preoperatively or if surgery is contraindicated. In this paper, we will present a new surgical method for adenoidectomy performed trans-orally with coblation, under endoscopic control.

scholarly journals Efficacy and safety of condylectomy with minimally invasive surgery in the treatment of interdigital corns of the lesser toes compared to conservative treatment

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Luis M. Marti-Martinez ◽  
Rubén Lorca-Gutierrez ◽  
Salvador Pedro Sánchez-Pérez ◽  
Jonatan Garcia-Campos ◽  
Nadia Fernández Ehrling ◽  
...  
Keyword(s):  
Minimally Invasive Surgery ◽  
Surgical Treatment ◽  
Treatment Group ◽  
Conservative Treatment ◽  
Minimally Invasive ◽  
Functional Status ◽  
Invasive Surgery ◽  
Joint Stiffness ◽  
Efficacy And Safety ◽  
Clinical And Functional Status

Abstract Background Minimally invasive surgery (MIS) procedures cause less trauma to the patient and might improve recovery. This study aimed to determine the efficacy and safety of condylectomy with MIS to treat interdigital corns of the lesser toes. Methods This prospective cohort study was conducted in seven podiatry centers. Patients with interdigital corns of the lesser toes, progressing for more than a year, with one or more recurrences in the last year following conservative treatments were eligible. The recruited patients were classified according to their treatment: conservative or surgical (condylectomy with MIS) and were compared. Patient satisfaction, pain, the clinical and functional status of the foot and the appearance of sequelae were assessed at 3 and 6 months after treatment. Results At 6 months, patients in the surgical treatment group showed no pain on pressure, which significantly differed from the conservative treatment group (p <  0.001). They also improved clinical and functional status of the foot, reaching values comparable to those of the standard population. No paresthesia, joint stiffness or instability, toe malalignment, or corn transfer to a contiguous site resulted from the surgical treatment. Conclusions Condylectomy with MIS is effective and safe to treat interdigital corns of the lesser toes.

scholarly journals Effect of childhood overweight on distal metaphyseal radius fractures treated by closed reduction

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Yu Liu ◽  
Chunjie Liu ◽  
Dongmei Guo ◽  
Ning Wang ◽  
Ying Zhao ◽  
...  
Keyword(s):  
Risk Factors ◽  
Surgical Treatment ◽  
Conservative Treatment ◽  
Closed Reduction ◽  
Pediatric Population ◽  
Normal Weight ◽  
Medical Community ◽  
Overweight Children ◽  
Radius Fractures

Abstract Background The medical community has recognized overweight as an epidemic negatively affecting a large proportion of the pediatric population, but few studies have been performed to investigate the relationship between overweight and failure of conservative treatment for distal radius fractures (DRFs). This study was performed to investigate the effect of overweight on the outcome of conservative treatment for DRFs in children. Methods We performed a retrospective study of children with closed displaced distal metaphyseal radius fractures in our hospital from January 2015 to May 2020. Closed reduction was initially performed; if closed reduction failed, surgical treatment was performed. Patients were followed up regularly after treatment, and redisplacement was diagnosed on the basis of imaging findings. Potential risk factors for redisplacement were collected and analyzed. Results In total, 142 children were included in this study. The final reduction procedure failed in 21 patients, all of whom finally underwent surgical treatment. The incidences of failed final reduction and fair reduction were significantly higher in the overweight/obesity group than in the normal-weight group (P = 0.046 and P = 0.041, respectively). During follow-up, 32 (26.4%) patients developed redisplacement after closed reduction and cast immobilization. The three risk factors associated with the incidence of redisplacement were overweight/obesity [odds ratio (OR), 2.149; 95% confidence interval (CI), 1.320–3.498], an associated ulnar fracture (OR, 2.127; 95% CI, 1.169–3.870), and a three-point index of ≥ 0.40 (OR, 3.272; 95% CI, 1.975–5.421). Conclusions Overweight increases the risk of reduction failure and decreases the reduction effect. Overweight children were two times more likely to develop redisplacement than normal-weight children in the present study. Thus, overweight children may benefit from stricter clinical follow-up and perhaps a lower threshold for surgical intervention.

Predictors of Recovery After Conservative Treatment of AO-Type A Thoracolumbar Spine Fractures Without Neurological Deficit

Spine ◽  
2018 ◽  
Vol 43 (2) ◽  
pp. 141-147 ◽  
Author(s):  
Peter Vorlat ◽  
Geert Leirs ◽  
Farhad Tajdar ◽  
Heinz Hulsmans ◽  
Hugo De Boeck ◽  
...  
Keyword(s):  
Conservative Treatment ◽  
Neurological Deficit ◽  
Thoracolumbar Spine ◽  
Type A ◽  
Spine Fractures ◽  
Thoracolumbar Spine Fractures

Surgical treatment of acute abscesses and gangrene of the lungs

1982 ◽  
Vol 63 (1) ◽  
pp. 28-31
Author(s):  
E. A. Wagner ◽  
V. M. Subbotin ◽  
V. D. Firsov ◽  
V. A. Cherkasov ◽  
V. I. Ilchishin ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Conservative Treatment ◽  
Surgical Interventions

Abstract. The experience of treating 263 patients with acute abscesses and lung gangrene is generalized. Acute abscesses are mainly subject to conservative treatment; surgical interventions were performed in 13%. With gangrene of the lung, conservative treatment and palliative operations are futile. Preference is given to early radical operations performed before dangerous complications occur. Possible ways to reduce mortality in acute pulmonary suppuration are indicated.

Features of surgical treatment of Brown's syndrome in children

2021 ◽  
pp. 11-16
Author(s):  
N.A. Malinovskaya ◽  
◽  
E.V. Semyonova ◽  
A. Toriya ◽  
P.A. Nikonorova ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Conservative Treatment ◽  
Binocular Vision ◽  
Rectus Muscle ◽  
Oblique Muscle ◽  
Double Vision ◽  
Inferior Rectus ◽  
Inferior Oblique Muscle ◽  
Straight Position ◽  
Third Stage

Purpose. To study the features of surgical treatment of Brown's syndrome in children. Material and methods. 47 children with Brown's syndrome aged from one to 10 years were treated: 4 children had bilateral form, 43 had congenital form and 4 had acquired form. The operation was performed for 44 children. The indications for surgical treatment were double vision in a straight position, forced position of the head, impaired binocular vision. Results. Three children with acquired Brown's syndrome had a positive effect on the background of conservative treatment. Surgical treatment of Brown's syndrome was effective, but often required repeated interventions (31 patients, 70%): the first stage was weakening of the superior oblique muscle (tenotomy, recession, prolongation), the second stage was recession of the inferior oblique muscle, the third stage was recession of the contralateral inferior rectus muscles (4 patients, 9%). In a number of cases (5 children, 11%), at the outcome of surgical treatment, asymmetry of the palpebral fissures was noted due to mild enophthalmos in the operated eye (the result of weakening of the oblique muscles that «pull» the eyes out of the orbit and weakening of the contralateral inferior rectus muscle that «tightens» the eyeball). Conclusion. Surgery for Brown's syndrome is effective, but often requires reoperation. With acquired forms of Brown's syndrome, examination and the first stage of conservative treatment are required. The absolute indications for surgical treatment of Brown's syndrome are forced head position, double vision in a straight position and impaired binocular vision. Keywords: Brown's syndrome, double vision in a straight position, forced position of the head, impaired binocular vision, surgical treatment.

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