scholarly journals The influence of complete vertebra reduction on the development of neurological complications after surgical treatment for the L5 spondylolitic spondylolisthesis with high degree of dislocation

2017 ◽  
Vol 14 (4) ◽  
pp. 45-51
Author(s):  
Shamil Sh. Magomedov ◽  
Yuriy Yu. Polyakov ◽  
Sergey P. Rominskiy
Keyword(s):  
Surgical Treatment ◽  
Neurological Complications ◽  
High Degree

scholarly journals Assessment of costs and insurance policies for referral treatment of equine colic

2019 ◽  
Vol 185 (16) ◽  
pp. 508-508 ◽  
Author(s):  
Isobel Barker ◽  
Sarah L Freeman
Keyword(s):  
Surgical Treatment ◽  
Insurance Companies ◽  
Insurance Policies ◽  
Insurance Cover ◽  
Survey Costs ◽  
The Mean ◽  
High Degree ◽  
Mean Cost ◽  
Monthly Premium ◽  
Equine Colic

Colic is the most common emergency problem in horses. The aims of this study were to survey costs of different referral treatments and to review insurance policies relevant to horses with colic. Data were collected retrospectively from nine equine hospitals for case costs, categorised into four different outcomes: admitted and euthanased; euthanased during or immediately after surgery; medical treatment and survived more than 24 hours; and surgical treatment and survived more than 24 hours. Data from five UK equine insurance companies were extracted and analysed using a standardised case example. Costs were obtained for 108 cases. The mean cost for horses admitted and euthanased was £873.89 (range £459.72–£1471.51), and for surgical treatment and survival more than 24 hours was £6437.80 (range £3178.87–£9100.00). Insurance cover for veterinary fees ranged from £5000 to £7500, and monthly premium rates for a standardised case ranged from £27.06 to £47.06. The terms and conditions for the insurance policies ranged in length from 2098 to 17,701 words; Flesch Kincaid Reading Ease scores ranged from 21.6 to 57.7, indicating a high degree of complexity and low readability. This study highlights the complexity and challenges for decision-making in critical cases of colic.

Vaginal microbiomes in women with infertility that was surgical treatment on the uterine appendages

2018 ◽  
pp. 98-102
Author(s):  
A.E. Dubchak ◽  
◽  
A.V. Milevsky ◽  
N.N. Obeid ◽  
◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Antimicrobial Agents ◽  
Inflammatory Diseases ◽  
Reproductive Age ◽  
Anaerobic Microorganisms ◽  
Normal Microflora ◽  
Vaginal Tract ◽  
High Degree ◽  
Aerobic And Anaerobic ◽  
Group 1

The objective: of the study was to study the microbial vaginal tract in women with infertility, who had undergone surgical treatment on the uterine appendages. Materials and methods. An examination of vaginal discharge on flora and STIs was conducted in 120 women of reproductive age with infertility and benign ovarian formations, ectopic pregnancy, which was organ-retained surgical intervention on the appendages of the uterus. Of these, 76 (1 group) patients were surgically treated in a planned manner, 44 (in 2 groups) – in urgent cases. Results. Inflammatory diseases of the genital area were more common in women with infertility, who had surgical treatment in an urgent manner than in women of group 1 (p<0.05), especially inflammatory diseases of the cervix – almost twice as likely as in group 1. The vaginal microbial examination of women with infertility who were hospitalized for surgical treatment in an urgent manner indicates a significant imbalance between the parameters of contamination of the genital tract by conditionally pathogenic and normal microflora. This, above all, was manifested by the high frequency of determination in women of the 2nd group of representatives of optional aerobes and anaerobes (p<0.05). The concentration of facultative-aerobic and anaerobic microorganisms was in patients of the 2nd group, mostly of high degree of microbial dissemination, and in women of the 1 group, medium and low. STIs were found mainly in association with anaerobic and aerobic microorganisms in patients who were operated in an urgent manner. Conclusion. It is necessary to correct the vaginal biotope in women with infertility before surgical treatment – to promptly influence pathogenic microorganisms with antimicrobial agents and restore physiological vaginal microbial vagina. Key words: women, infertility, vaginal microbial, appendages of the uterus, surgical treatment.

PATIENT SELECTION FOR THE LASER TREATMENT BY ESTIMATION OF THE THERAPEUTIC FAILURE PROBABILITY OF SURGICAL TREATMENT

2021 ◽  
pp. 122-128
Author(s):  
Vyrmaskin S.I. ◽  
Trunin D.A. ◽  
Afanasev V.V.
Keyword(s):  
Surgical Treatment ◽  
Periodontal Diseases ◽  
Exponential Model ◽  
Multidimensional Analysis ◽  
Traditional Use ◽  
Dental Instruments ◽  
Probability Estimates ◽  
End Of Treatment ◽  
Dental Lasers ◽  
High Degree

The study is dedicated to the study of inflammatory and destructive periodontal diseases. Predicting the probability of a favorable outcome or treatment failure is one of the most important doctor’s tasks when choosing a particular method. This problem could not be solved without using a large amount of data characterizing the patient's condition at a particular point in time. The empirical approach to this problem depends largely on individual experience and does not imply obtaining any formalized (numerical) probability estimates of successful or, on the contrary, unsuccessful end of treatment. Correct and effective using of dental lasers in clinical practice requires knowledge of their effects on tissues of the oral cavity. Each type of laser has its properties that are used to solve clinical cases. Laser radiation requires an approach that is significantly different from the traditional use of dental instruments. To determine lasers therapeutic indications for the treatment of inflammatory and destructive periodontal diseases, we applied biometric approaches to the development of mathematical models using multidimensional analysis, allowing to obtain qualitative assessments for optimization of method and treatment strategy selection. The development of predictive models was carried out in several stages. Each of the generally accepted dental signs characterizing periodontal disease could not be a reliable criterion for the effectiveness or ineffectiveness of surgical treatment. Comprehensive assessment using a logistic (exponential) model of the probability of a particular treatment outcome with a high degree statistical reliability makes it possible to select patients for whom treatment with laser technologies is recommended.

Peculiarities of Course and Surgical Treatment for Dysplastic Lumbar and Thoracolumbar Scoliosis in Children and Adults

2011 ◽  
Vol 18 (2) ◽  
pp. 71-80
Author(s):  
S T Vetrile ◽  
A A Kuleshov ◽  
V V Shvets ◽  
Marchel Stepanovich Vetrile ◽  
S T Vetrile ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Pain Syndrome ◽  
Sagittal Profile ◽  
Dorsal Instrumentation ◽  
Scoliosis Correction ◽  
Spine Pathology ◽  
Lateral Curvature ◽  
High Degree ◽  
Rotation Component ◽  
Scoliosis Progression

Analysis of CITO outpatient department archives has shown that practically from 20 to 30% of patients with spine pathology are suffering from scoliosis. The most common types are lumbar and thoracolumbar scoliosis. Progression of lumbar scoliosis goes on after growth completion and is accompanied by formation of pronounced degenerative changes in the spine. Clinically the course of the disease is aggravated by marked persistent pain syndrome. Results of surgical treatment performed at CITO spine pathology department with application of ventral and dorsal instrumentation have been analyzed for 118 patients with lumbar and thoracolumbar scoliosis. Eighty of those patients were operated on in childhood and juvenile age, 38 patients at the age of 25 - 70 years. Use of ventral instrumentation enabled to achieve high degree of lumbar and thoracolumbar scoliosis correction - up to 72% of initial deformity, average derotation made up 12.9° or 44.3% of initial rotation. Use of dorsal instrumentation is also effective for surgical treatment of lumbar and thoracolumbar scoliosis (66.8% of lateral curvature). Screw fixation ensures higher degree of the lateral curvature (68.2%) and sagittal profile as well as rotation component (33.1% of initial value). Presence of focal neurologic symptomatology is the indication to decompressive operations followed by instrumental fixation and posterior fusion. Defor-mity correction is performed only within the limits of deformity mobility

scholarly journals A Pilot Study of Radiculopathy Following Osteoporotic Vertebral Fracture in Elderly Patients: An Algorithmic Approach to Surgical Management

2021 ◽  
Vol 12 ◽  
pp. 215145932110449
Author(s):  
Guang-Xun Lin ◽  
Li-Wei Sun ◽  
Shang-Wun Jhang ◽  
Su-Wei Ou ◽  
Kai-Sheng Chang ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Elderly Patients ◽  
Neurological Complications ◽  
Leg Pain ◽  
Vertebral Compression Fractures ◽  
Foraminal Stenosis ◽  
Mineral Density ◽  
Effective Treatment Option ◽  
American Society ◽  
American Society Of Anesthesiologists

Background: Osteoporotic vertebral compression fractures (OVCF) due to severe and refractory back pain or neurological complications require surgical treatment. In this study, patients with radiculopathy due to foraminal stenosis following OVCF were surgically managed by performing transforaminal full-endoscopic lumbar foraminoplasty and/or discectomy (FELFD). Methods: From May 2015 to November 2019, fifteen patients underwent transforaminal FELFD. Patient data, Charlson comorbidity index (CCI), and American Society of Anesthesiologists (ASA) score were collected. Clinical outcomes, including pre- and postoperative Visual Analog Scale (VAS) scores for back and leg pain, Oswestry Disability Index (ODI), and MacNab criteria of response to surgical treatment, were evaluated. Results: Mean of age, bone mineral density (T-score), CCI, ASA, and follow-up duration were 69.5 ± 6.6 years, −2.6 ± 0.8, 5.2 ± 2.3, 2.4 ± 0.5, and 24.5 ± 8.8 months, respectively. Mean VAS for leg pain significantly decreased from 6.9 ± 0.8 preoperatively to 2.9 ± 1.1 ( P < .05). Mean ODI decreased from 39.9 ± 3.2 preoperatively to 19.3 ± 4.6 postoperatively ( P < .05). The satisfaction rate is 86.7% (based on Macnab criteria), showed six patients had excellent outcomes and seven had good outcomes. Conclusions: Transforaminal FELFD is an effective treatment option for patients with radiculopathy due to lumbar OVCF, including those with severe osteoporosis and elderly patients.

scholarly journals Stuburo krūtininės ir juosmeninės dalies lūžių operacinio gydymo rezultatai

2012 ◽  
Vol 11 (3-4) ◽  
pp. 101-107
Author(s):  
Valentinas Uvarovas ◽  
Igoris Šatkauskas ◽  
Andrius Vaitiekus ◽  
Šarūnas Venckus ◽  
Artūras Kiškis ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Spinal Column ◽  
Neurological Complications ◽  
University Hospital ◽  
Average Score ◽  
Full Time ◽  
Ability To Work ◽  
Disability Score ◽  
Number Of Patients ◽  
Group B

TikslasĮvertinti pacientų darbingumo pokyčius po stuburo lūžių operacinio gydymo.Ligoniai ir metodaiRetrospektyviai išanalizuoti 121 ligonio, operuoto 2007–2010 m. RVUL Ortopedijos ir traumatologijos centre dėl nestabilių stuburo krūtininės ir juosmeninės dalių lūžių be neurologinių komplikacijų duomenys. Į galutinę analizę įtraukti 44 ligoniai, kurie suskirstyti į tris socialines grupes: A – dirbantys ne visu krūviu, turintys neįgalumą, pensininkai; B – dirbantys visu krūviu; C – bedarbiai. Atlikta ligonių nedarbingumo analizė ir gydymo rezultatų vertinimas naudojant Oswestry klausimyną.RezultataiIš tirtų 44 ligonių moterų buvo 17 (38,6 proc.), vyrų – 27 (61,4 proc.). Amžiaus vidurkis buvo 41,9 ± 15,9 (21–75) metų. Vidutinis laikas iki operacijos buvo 9,5 ± 12,2 (1–50) dienos. A grupėje nedarbingumas po operacijos padidėjo nuo 5 (11,4 proc.) iki 21 (47,7 proc.), B grupėje darbingumas grįžo 21 (63,6 proc.) iš 33, C grupėje bedarbių sumažėjo nuo 6 (13,6 proc.) iki 2 (4,6 proc.) po gydymo. Ligoniai Oswestry klausimynu ištirti vidutiniškai po 19,1 ± 3,85 (12–24) mėnesių po traumos. Iš visų ištirtų 44 ligonių sunkus ir luošinantis neįgalumas pagal Oswestry skalę nustatytas 18 (40,9 proc.), o lengvas ir vidutinis neįgalumas – 26 (59,1 proc.). Vidutinis Oswestry klausimyno balų skaičius buvo 36 ± 21,5 (0–76).IšvadosPo stuburo lūžių operacinio gydymo darbingumas grįžta 63,6 proc. prieš traumą visu krūviu dirbusių pacientų. Po traumos gydymo dirbančių ne visu krūviu, turinčių neįgalumą, pensininkų padaugėjo nuo 11,4 iki 47,7 proc. Iš visų operuotų pacientų dažniau nustatytas lengvas ir vidutinis neįgalumas nei sunkus.Reikšminiai žodžiai: stuburas, lūžiai, operacinis gydymas, fiksacijos tipas, socialinės grupės.Outcome of surgical treatment of thoracic and lumbar spine fractures ObjectiveTo evaluate the disability score after the surgical treatment of spinal column fractures.Materials and methodsData on 121 patients with unstable thoracic and lumbar spinal column vertebrae fractures without neurological complications, who underwent surgical fixation in the Centre of Traumatology and Orthopaedics in the Republic Vilnius University Hospital in 2007–2010, was retrospectively analyzed; 44 fixations were enrolled into the final study, and all the patients were grouped into three groups according to the level of disability: A – retirees, people having disability and working not full time; B – working full time; C – unemployed. The results of the disability and surgical treatment were analyzed by using the Oswestry scale.ResultsOf the 44 treated patients, 17 (38.6 perc.) were women and 27 (61.4 perc.) – men. The average age of the patients was 41.9 ± 15.9 (range, 21–75). The average time until the surgery was 9.5 ± 12.2 (1–50) days. The number of patients with disability in group A increased from 5 (11.4 perc.) to 21 (47.7 perc.), in group B the ability to work full time returned to 21 (63.6 perec.) out of 33, in group C the number of unemployed after surgery decreased from 6 (13.6 perc.) to 2 (4.6 perec.). The Oswestry disability scale was used 19.1 ± 3.85 (12–24) months after surgery. Severe disability was diagnosed to 18 (40.9 perc.) patients, minimal and moderate to 26 (59.1 perc.). The average score according to the Oswestry scale was 36 ± 21.5 (0–76).ConclusionsAfter surgical treatment, the ability to work returned to 63.6 perc. of the patients who were able to work full time before the trauma. After the trauma and surgery, the number of retirees and disabled patients increases from 11.4 perc. to 47.7 perc. The minimal and moderate disability among the operated on patients is identified more often than the severe one.Keywords: spinal column, fractures, surgical treatment, fixation type, social groups.

CLINICAL CHARACTERISTICS, RESULTS OF SURGICAL TREATMENT IN CONGENITAL CYST AND FISTULAS OF THE OTORHINOLARYNGOLOGY

2017 ◽  
pp. 226-232
Author(s):  
Manh Hoang Le ◽  
Tu The Nguyen ◽  
Van Dung Phan
Keyword(s):  
Surgical Treatment ◽  
Clinical Characteristics ◽  
Neurological Complications ◽  
University Hospital ◽  
Type I ◽  
Branchial Cleft Cyst ◽  
Congenital Cyst ◽  
Pathologic Features ◽  
Key Words Cyst ◽  
Branchial Cleft

Background: To study the clinical characteristics, results of surgical treatment in congenital cyst and fistulas of the otorhinolaryngology. Patients: 74 patients diagnosed congenital cyst and fistulas of the otorhinolaryngology was treated with surgery, from May 2016 to June 2017 at Hue University Hospital, Hue Central Hospital and Da Nang Hospital for women and children. Main outcome measure: diagnosis, the clinical and pathologic features, the method and the results of surgical treatment. Results: We identified 74 patients, 83.8% of them had the preauricular fistula, 9.5% had thyroglossal fistula, 4.1% had type II branchial cleft cyst, 1.4% had type I branchial cleft cyst and 1.4% had pyriform sinus fistula. The pathologic feature: inflammation, abscess accounted for 52.7%, normal accounted for 47.3%. Complications after surgery: 1.4% of mild complications are hematoma and 1.4% of infection after surgery, without neurological complications. Recurrence after surgery: 1.4%. Conclusions: In all types of congenital cyst and fistulas of the otorhinolaryngology, preauricular fistula is the highest, the most common form of injury is inflammation, abscesses. Complications after surgery are mild, without neurological complications. Key words: cyst, fistula, congenital, results of surgical treatment

Clinical case of intraocular correction of high-degree anisometropia

2021 ◽  
Vol 27 (1) ◽  
pp. 87-92
Author(s):  
Rakhim Z. Shamratov ◽  
Liya Sh. Ramazanova ◽  
Olga A. Napylova ◽  
Diana A. Maremshaova
Keyword(s):  
Surgical Treatment ◽  
Binocular Vision ◽  
Clinical Case ◽  
High Grade ◽  
Visual Rehabilitation ◽  
Visual Functions ◽  
Additional Correction ◽  
High Degree

The paper describes a clinical example of the intraocular correction of high-grade hyperopic anisometropia. Surgical treatment made it possible to restore binocular vision, obtain high visual functions without additional correction, preserve the accommodative ability of the eye, and achieve rapid visual rehabilitation.

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