scholarly journals SURGERY OF THORACIC DISC HERNIATION: A SYSTEMATIC REVIEW OF ENGLISH-LANGUAGE LITERATURE

2019 ◽  
Vol 16 (1) ◽  
pp. 70-80 ◽  
Author(s):  
A. E. Simonovich
Keyword(s):  
Disc Herniation ◽  
English Language ◽  
Pain Syndrome ◽  
Surgical Approaches ◽  
Scientific Publications ◽  
Optimal Method ◽  
Good Opportunity ◽  
Advantages And Disadvantages ◽  
Reliable Assessment ◽  
Thoracic Disc

The presented review of scientific publications from the Medline (PubMed) and Scopus databases considers modern surgical approaches used to remove intervertebral hernias in the thoracic spine. The advantages and disadvantages of anterior and posterior approaches are analyzed. It has been revealed that the anterior approaches, providing a good opportunity to remove a hernia, are associated with the risk of serious complications, including pulmonary ones, and often lead to the formation of a post-thoracotomy pain syndrome. Mini-thoracotomy and percutaneous thoracoscopy, although less invasive, do not exclude the development of complications inherent in conventional thoracotomy. Modern posterior approaches are less traumatic and allow, with minimal contact with the spinal cord, to successfully remove not only soft tissue, but also ossified disc herniation. The choice of the optimal method of discectomy remains an unsolved problem and depends on practical skills, experience and preferences of the surgeon. For an objective and reliable assessment of the efficiency of surgical technologies and the determination of optimal indications for each of them, a prospective multicenter study is necessary.

scholarly journals Endoscopic Transforaminal Thoracic Foraminotomy and Discectomy for the Treatment of Thoracic Disc Herniation

2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
Hong-Fei Nie ◽  
Kai-Xuan Liu
Keyword(s):  
Disc Herniation ◽  
Surgical Approaches ◽  
Invasive Technique ◽  
Complication Rates ◽  
Thoracic Disc Herniation ◽  
Blood Patch ◽  
The Mean ◽  
Thoracic Disc ◽  
Rib Head

Thoracic disc herniation is a relatively rare yet challenging-to-diagnose condition. Currently there is no universally accepted optimal surgical treatment for symptomatic thoracic disc herniation. Previously reported surgical approaches are often associated with high complication rates. Here we describe our minimally invasive technique of removing thoracic disc herniation, and report the primary results of a series of cases. Between January 2009 and March 2012, 13 patients with symptomatic thoracic disc herniation were treated with endoscopic thoracic foraminotomy and discectomy under local anesthesia. A bone shaver was used to undercut the facet and rib head for foraminotomy. Discectomy was achieved by using grasper, radiofrequency, and the Holmium-YAG laser. We analyzed the clinical outcomes of the patients using the visual analogue scale (VAS), MacNab classification, and Oswestry disability index (ODI). At the final follow up (mean: 17 months; range: 6–41 months), patient self-reported satisfactory rate was 76.9%. The mean VAS for mid back pain was improved from 9.1 to 4.2, and the mean ODI was improved from 61.0 to 43.8. One complication of postoperative spinal headache occurred during the surgery and the patient was successfully treated with epidural blood patch. No other complications were observed or reported during and after the surgery.

scholarly journals Full-endoscopic uniportal decompression in disc herniations and stenosis of the thoracic spine using the interlaminar, extraforaminal, or transthoracic retropleural approach

2018 ◽  
Vol 29 (2) ◽  
pp. 157-168 ◽  
Author(s):  
Sebastian Ruetten ◽  
Patrick Hahn ◽  
Semih Oezdemir ◽  
Xenophon Baraliakos ◽  
Harry Merk ◽  
...  
Keyword(s):  
Disc Herniation ◽  
Thoracic Spine ◽  
Surgical Techniques ◽  
Anatomical Location ◽  
Thoracic Disc Herniation ◽  
Advantages And Disadvantages ◽  
Canal Stenosis ◽  
Secondary Bleeding ◽  
Disc Herniations ◽  
Thoracic Disc

OBJECTIVESurgery for thoracic disc herniation and spinal canal stenosis is comparatively rare and often challenging. Individual planning and various surgical techniques and approaches are required. The key factors for selecting the technique and approach are anatomical location, consistency of the pathology, general condition of the patient, and the surgeon’s experience. The objective of the study was to evaluate the technical implementation and outcomes of a full-endoscopic uniportal technique via the interlaminar, extraforaminal, or transthoracic retropleural approach in patients with symptomatic disc herniation and stenosis of the thoracic spine, taking specific advantages and disadvantages and literature into consideration.METHODSBetween 2009 and 2015, decompression was performed in 55 patients with thoracic disc herniation or stenosis using a full-endoscopic uniportal technique via an interlaminar, extraforaminal, or transthoracic retropleural approach. Imaging and clinical data were collected during follow-up examinations for 18 months.RESULTSSufficient decompression was achieved in the full-endoscopic uniportal technique. One patient required revision due to secondary bleeding, and another exhibited persistent deterioration on myelopathy. No other serious complications were observed. All but one patient experienced regression or improvement of their symptoms.CONCLUSIONSThe full-endoscopic uniportal technique with an interlaminar, extraforaminal, or transthoracic retropleural approach was found to be a sufficient and minimally invasive method. To cover the entire range of thoracic disc herniations and stenosis within the criteria named, all full-endoscopic approaches are required.

Surgical approaches in juxtarenal and pararenal aortic aneurysms repair

2021 ◽  
pp. 021849232199738
Author(s):  
Eduard R Charchyan ◽  
Anna B Stepanenko ◽  
Andrey P Gens ◽  
Nail A Galeev ◽  
Yuri V Belov
Keyword(s):  
Operative Time ◽  
Surgical Intervention ◽  
Pain Syndrome ◽  
Reliable Data ◽  
Aortic Aneurysms ◽  
Retroperitoneal Approach ◽  
Surgical Approaches ◽  
Midline Laparotomy ◽  
Advantages And Disadvantages ◽  
Case Basis

Background In this study, surgical tactic features and juxtarenal and pararenal treatment immediate results were analyzed depending on the use of various surgical approaches. Methods Between 2015 and 2019, a total of 89 patients received surgical treatment, of which 52(58%) had juxtarenal aneurysms and 37 (42%) – pararenal aneurysms. During repairs, three types of surgical approaches were used: midline laparotomy, extended retroperitoneal approach and thoraco-phreno-retroperitoneal approach. The patients were divided into three groups accordingly. Results At the immediate postoperative period, mortality rate equaled 2 (2.2%). The reasons were pulmonary embolism and sepsis. Statistically reliable data were obtained, confirming the advantages of midline laparotomic approach over the lateral retroperitoneal ones, which consisted in a shorter operative time, less pronounced pain syndrome, lesser blood loss, fewer postoperative days. The disadvantages were that enteroparesis occurred more often when the midline laparotomy was used in comparison to extended retroperitoneal or thoraco-phrenoretroperitoneal approaches. Conclusion Thus, open repairs of juxtarenal and pararenal aortic aneurysms have some specific technical and strategical features which are associated with intraoperative renal ischemia. During open surgical intervention, it is important to first consider the possibility of repair with midline laparotomy. However, lateral retroperitoneal approaches can also be used on a case-by-case basis noting their advantages and disadvantages.

scholarly journals The choice of surgical treatment of inguinal hernia (literature review)

2019 ◽  
Vol 12 (4) ◽  
pp. 274-281 ◽  
Author(s):  
Yury Viktorovich Ivanov ◽  
Aleksandr Sergeevich Avdeev ◽  
Dmitry Nikolaevich Panchenkov ◽  
Alexander Vyacheslavovich Smirnov ◽  
Dmitry Vasilevich Porkhunov ◽  
...  
Keyword(s):  
Pain Syndrome ◽  
Long Term Results ◽  
Surgical Approaches ◽  
Inguinal Hernioplasty ◽  
Advantages And Disadvantages ◽  
Surgical Access ◽  
Surgical Methods ◽  
Total Extraperitoneal ◽  
Single Standard ◽  
Mesh Implant

Inguinal hernioplasty is one of the most common surgical procedures, but the long-term results of operations leave much to be desired: there are recurrences of hernias, chronic pain syndrome, violation of testicular function in men. A modern review of the literature on the most common surgical methods of treatment of inguinal hernias is presented. Separately, describes the methods of hernioplasty with using local tissue (autodermaplasty) and with the use of mesh implants (allohernioplasty). Material allohernioplasty set out on the basis of their surgical approaches are used: traditional (open) and laparoscopic. Special attention is paid to the necessary properties of the mesh implant, the choice of the method of its fixation. The advantages and disadvantages of the most common methods of hernioplasty are listed. Currently, there is no single standard for inguinal hernioplasty. The choice of the method is based on the experience of the surgeon, technical capabilities and desires of the patient. The most commonly used methods for autoplasty are Desarda and Shouldies, and among allogernioplasty - Liechtenstein technique (traditional surgical access) and laparoscopic methods (transabdominal preperitoneal hernioplasty, total extraperitoneal hernioplasty).

scholarly journals THE RIGHT MIX OF APPROACHES IN THE ENGLISH LANGUAGE TEACHING: ACHIEVING DESIRED LEARNING OUTCOMES IN THE ESP CLASSROOM

2020 ◽  
Vol 5 ◽  
pp. 558
Author(s):  
Oleh Topuzov ◽  
Oleksandr Malykhin ◽  
Nataliia Aristova
Keyword(s):  
Blended Learning ◽  
Learning Outcomes ◽  
English Language ◽  
Language Teaching ◽  
English For Specific Purposes ◽  
Learning Approaches ◽  
Teaching Approaches ◽  
Teaching English ◽  
Scientific Publications ◽  
Advantages And Disadvantages

The proposed study is focused on solving research questions concerning a common understanding of methodology in teaching English for Specific Purposes and language teaching approaches application in instruction process. The novelty of the paper lies in the theoretical substantiation of the necessity to apply the combination of competence-based, action-oriented and blended-learning approaches in the ESP classroom for improving ESP students’ languages competence regarded in our study as desired learning outcomes. The research is theoretical in nature and comprises the theoretical review of scientific literature aimed at understanding how methodology is conceived by scientists and ESP practitioners. The theoretical review contains the analysis of scientific publications and methodological materials on teaching English for Specific Purposes at higher education institutions. The authors also analyze the most trusted language teaching approaches, principles they are based on, learning outcomes they are aimed at in the ESP classroom, the advantages and disadvantages of their use in instruction process. The analysis of the most trusted language teaching approaches makes it possible to declare that the combination of competence-based, action-oriented and blended-learning approaches plays a crucial role in providing ESP students with improved languages competence.

Thoracic Disc Herniation

2018 ◽  
pp. 109-122
Author(s):  
Derrick Umansky ◽  
James Kalyvas
Keyword(s):  
Health Status ◽  
Disc Herniation ◽  
Treatment Options ◽  
Radicular Pain ◽  
Surgical Approaches ◽  
Thoracic Disc Herniation ◽  
Thoracic Myelopathy ◽  
Thoracic Disc ◽  
Disc Size ◽  
Overall Health Status

Consensus in the literature supports surgery for severely symptomatic or disabling thoracic disc herniation only, with all others requiring observation or non-surgical intervention. For those patients requiring surgery, there are a variety of approaches that are used depending on symptomatology, spinal level, disc size, disc location relative to the canal and to the neural elements, presence of calcification, and overall health status of the patient. Dorsolateral/lateral approaches include transpedicular, transfacet pedicle-sparing, costotransversectomy, extracavitary, and parascapular; ventrolateral approaches include transthoracic thoracotomy, transthoracic thoracoscopy, and retropleural thoracotomy; finally, ventral approaches include transsternal and manubrial window. Thoracic myelopathy has a broad differential diagnosis. The cause of which can be identified with a detailed history, physical exam, and properly selected imaging. In the following chapter, we discuss herniated thoracic discs (HTD) including the common presentations, imaging findings, and the surgical treatment options. Consensus in the literature supports surgical management for HTDs that are severely symptomatic and disabling. The surgical approaches depends on the spine level, disc size, disc location, presence of calcification, and overall health status of the patient. The improvement rate for myelopathic patients ranges from 71% to 97% and for back pain and radicular pain from 67% to 94%. The overall complication rate is approximately 15%.

scholarly journals Pathogenetic aspects and risk factors for recurrent lumbar disc herniation: literature review

2021 ◽  
Vol 18 (1) ◽  
pp. 47-52
Author(s):  
O. N. Dreval ◽  
A. V. Kuznetsov ◽  
V. A. Chekhonatsky ◽  
A. V. Baskov ◽  
A. A. Chekhonatsky ◽  
...  
Keyword(s):  
Risk Factors ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Spinal Column ◽  
Pain Syndrome ◽  
Herniated Disc ◽  
Scientific Publications ◽  
Recurrent Disc Herniation ◽  
Herniated Discs ◽  
Recurrent Lumbar Disc Herniation

One of the main causes of the development of debilitating pain syndrome after surgical treatment of a herniated disc is herniation recurrence. This pathology dictates the need to perform reoperation on an already operated segment of the spinal column, which complicates the technique of surgical intervention and negatively affects the relief of pain syndrome. In the presented review of scientific publications selected from the medical literature databases PubMed, E-library and Cochrane, the current problems of the pathogenesis of recurrent herniated discs in the lumbar spine are considered. The concept of risk factors for the development of recurrent disc herniation is highlighted, their characteristics are given, and the significance of each of them in the development of recurrent disc herniation is analyzed.

EXTERNAL INDEPENDENT EVALUATION IN ENGLISH AS A CRITERION FOR ADMISSION TO MASTER`S DEGREE PROGRAMS IN UKRAINE: PROBLEMS AND PERSPECTIVES

2020 ◽  
Vol 94 (1) ◽  
pp. 39-50
Author(s):  
Л. Е. Бєловецька
Keyword(s):  
Higher Education ◽  
Language Proficiency ◽  
Teaching And Learning ◽  
English Language ◽  
English Proficiency ◽  
Educational Process ◽  
International Standards ◽  
Degree Programs ◽  
Scientific Publications ◽  
Independent Evaluation

The problem of external independent evaluation in English for admission Master`s degree programs in Ukraine is considered in the article. The perspective for further improvement of English teaching and learning standards at Ukrainian universities has been found. The correspondence to the CEFR basic levels and English proficiency has been identified. Conceptual Principles of State Policy on the Development of English in the Field of Higher Education are considered. The study included 1546 participants. The age of students, who studied to gain the first higher education, was between 17 and 20. The students were not familiar with the structure of External Independent Evaluation and they have never passed it. The research was carried out during the period 2018–2019. The relevance of English language competence in the professional context is noted emphasized as a key point of the presented research. The necessity to provide a sufficient competitive level for Ukrainian graduates through improving correspondent English language training has been considered. The study is based on a study of reports by British experts and contemporary scientific publications presented international researchers have focused on the problems of internationalization and perspectives for Ukrainian universities in the English language dimension. The relevance of studying and adaptation of the UK higher education successful practice has been highlighted. The problems and potential ways of improving students` English language proficiency in the given context are identified. In particular, the study contains important recommendations regarding the number of contact hours and the required levels of English proficiency for the main groups of participants in the educational process in higher education according to international standards.

THE USE OF SKILLS IN ENGLISH LANGUAGE AND DEVELOPING A BASIS FOR READING AND LEARNING

2018 ◽  
Vol 28 (7) ◽  
pp. 2263-2267
Author(s):  
Lirije Ameti
Keyword(s):  
Learning Style ◽  
English Language ◽  
Native Speakers ◽  
Social Psychological ◽  
Advantages And Disadvantages ◽  
Active Reading ◽  
Reading Efficiency ◽  
Teachers And Students ◽  
Paper Work ◽  
Source Of Information

This theme:” The Use of Skills and particularly Developing a Basis for Reading and Learning” is very broad, interesting, challenging and very useful at the same time. It is very useful for teachers and students during lectorical exercises which require a joint effort of participating interactively in class in order to be more efficient, flexible and pragmatic in order to achieve the main goal of learning and improving English Language. This source of information is useful for native speakers as well as for us, that are learning and improving English Language as a second language that intend to be future teachers or interpreters from English to respective languages.To Learn and improve English language are used the four main skills: Listening, Reading, Speaking (Communicating) and Writing. During lectures in order to practice and elaborate each of the skills, teachers and students encounter into different situations that in order to answer or conduct one of the skills you will have to answer and imply flexibility and efficiency by giving answers by all the other subjects which I consider an interweave of grammar, morphology, syntax, phonology, and for style of language explanations from theory of literature. And to grasp the main purpose or idea of the author to have general knowledge of different fields in life such as social, psychological, economical, historical ect.Through this paper work I will try to demonstrate the advantages and disadvantages of using the first main skill which is Reading, how to analyze the reading efficiency and learning style, how to develop the reading flexibility, principles of efficiency, evaluating the rate of reading and flexibility the factors that have impact in reading efficiently. Shortly as well is mentioned critical thinking and active reading which guides toward thinking and improving concentration. Finally, how to monitor comprehension the factors that impact upon reading which require pre-reading, rereading and prediction to retain elevating results.

Estimating Risk of Pituitary Apoplexy after Resection of Giant Pituitary Adenomas

2021 ◽  
Author(s):  
John T. Butterfield ◽  
Takako Araki ◽  
Daniel Guillaume ◽  
Ramachandra Tummala ◽  
Emiro Caicedo-Granados ◽  
...  
Keyword(s):  
Pituitary Adenomas ◽  
Pituitary Apoplexy ◽  
Residual Tumor ◽  
Extent Of Resection ◽  
Morbidity And Mortality ◽  
Surgical Approaches ◽  
Subtotal Resection ◽  
Advantages And Disadvantages ◽  
Cranial Nerve Palsies ◽  
Giant Pituitary Adenomas

Abstract Background Pituitary apoplexy after resection of giant pituitary adenomas is a rare but often cited morbidity associated with devastating outcomes. It presents as hemorrhage and/or infarction of residual tumor in the postoperative period. Because of its rarity, its incidence and consequences remain ill defined. Objective The aim of this study is to estimate the rate of postoperative pituitary apoplexy after resection of giant pituitary adenomas and assess the morbidity and mortality associated with apoplexy. Methods A systematic review of literature was performed to examine extent of resection in giant pituitary adenomas based on surgical approach, rate of postoperative apoplexy, morbidities, and mortality. Advantages and disadvantages of each approach were compared. Results Seventeen studies were included in quantitative analysis describing 1,031 cases of resection of giant pituitary adenomas. The overall rate of subtotal resection (<90%) for all surgical approaches combined was 35.6% (95% confidence interval: 28.0–43.1). Postoperative pituitary apoplexy developed in 5.65% (n = 19) of subtotal resections, often within 24 hours and with a mortality of 42.1% (n = 8). Resulting morbidities included visual deficits, altered consciousness, cranial nerve palsies, and convulsions. Conclusion Postoperative pituitary apoplexy is uncommon but is associated with high rates of morbidity and mortality in subtotal resection cases. These findings highlight the importance in achieving a maximal resection in a time sensitive fashion to mitigate the severe consequences of postoperative apoplexy.

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