Treatment of congenital spinal deformities in children: yesterday, today, tomorrow

The paper presents an unsystematized review of technologies, techniques and options for surgical treatment of congenital spinal deformities in children over the past 40 years. The main trends in the surgery of spinal deformities are highlighted: evolution of methods of visual diagnostic, treatment planning, and surgeon action control, introduction of adapted functional status scales and questionnaires for quality of life, hybridization of surgical techniques, evolution of spinal implants and instruments, and progress of anesthetic management. At the same time, new clinical and scientific problems are also discussed in the paper: questions of unifying terminology, planning the volume of treatment, the difficulty of comparing treatment methods and technologies, education, and integration.

Download Full-text

EXTRAPERITONEOSCOPIC PROSTATEСTOMY: SURGICAL TECHNIQUES PRESERVING THE QUALITY OF LIFE OF THE PATIENT

Vestnik of Russian military medical Academy ◽

10.17816/brmma13068 ◽

2019 ◽

Vol 21 (1) ◽

pp. 140-143

Author(s):

V V Parshin ◽

B R Gvasalia ◽

D I Stegantsev ◽

A S Esipov ◽

A D Kochetov

Keyword(s):

Quality Of Life ◽

Prostate Cancer ◽

Urinary Incontinence ◽

Surgical Treatment ◽

Postoperative Period ◽

Erectile Function ◽

Surgical Techniques ◽

Surgical Anatomy ◽

Nerve Preservation

Objective.Radical prostatectomy (RPE) performed without preserving the neurovascular bundles and the pubovesical complex has a great risk of developing urinary incontinence and erectile dysfunction, which significantly impairs the quality of life of patients with prostate cancer in the postoperative period. Methods. The effectiveness of surgical treatment was assessed in 22 patients (mean age 57.6 ± 6.4 years) with a diagnosis of prostate cancer, who underwent extraperitoneoscopic intrafascial nerve-saving radical prostatectomy with preservation of the pubovesical complex. The criteria for the effectiveness of this technique of surgical treatment were considered the preservation of erectile function and the absence of urinary incontinence in the early and late postoperative period. Results. In the postoperative period, all patients were continent; in 3-4 months, erectile function was restored without additional stimulation by phosphodiesterase-5 inhibitors. Conclusions.The described technique demands detailed understanding by the surgeon of the surgical anatomy of the prostate and the basic surgical principles of nerve preservation in order to significantly improve the quality of life of patients in the postoperative period.

Download Full-text

Surgical techniques used for tonsil disease in children

Romanian Medical Journal ◽

10.37897/rmj.2015.3.16 ◽

2015 ◽

Vol 62 (3) ◽

pp. 294-297

Author(s):

A. Zamfir-Chiru-Anton ◽

◽

D.C. Gheorghe ◽

Keyword(s):

Quality Of Life ◽

Surgical Treatment ◽

Surgical Techniques ◽

The Other ◽

Intraoperative Blood Loss ◽

Advantages And Disadvantages ◽

Surgical Methods ◽

Surgical Options ◽

The Difference

The authors review the techniques described for the surgical treatment of the tonsils. Each new method has its own advantages and disadvantages. The difference can be evaluated by studying the intraoperative blood loss and safety of the procedure. Also, the postoperative complications and quality of life can be used as an adjunct to objectively appreciate the different surgical techniques. There is no literature consensus about the superiority of one technique over the other. Multiple studies brought multiple significant results. It is also hard to evaluate the entire panel of surgical methods described concomitantly. The experience of one surgeon and his/her mastering of a certain technique is the actual cause of so many surgical options still in use for tonsil treatment in children.

Download Full-text

Contemporary Surgical Management of Atrial Fibrillation

International Journal of Angiology ◽

10.1055/s-0040-1705111 ◽

2020 ◽

Vol 29 (02) ◽

pp. 123-130

Author(s):

Tyler M. Gunn ◽

Tessa E. London ◽

Sibu P. Saha

Keyword(s):

Quality Of Life ◽

Heart Failure ◽

Atrial Fibrillation ◽

Sudden Death ◽

Surgical Management ◽

Surgical Techniques ◽

The Past ◽

Increased Risk ◽

Technical Advances

AbstractAtrial fibrillation is a common arrhythmia which may cause symptoms that significantly impact quality of life and is associated with increased risk of stroke, heart failure, and sudden death. Over the past three decades many surgical techniques as well as catheter-bases procedures have been developed to treat atrial fibrillation. In this review we describe the indications, treatments, outcomes, surgical techniques, and technical advances reported in the literature.

Download Full-text

Bone Diaphysis Metastases, the Ways and Results of Surgical Treatment Saving the Joints

Ortopedia Traumatologia Rehabilitacja ◽

10.5604/01.3001.0013.1914 ◽

2019 ◽

Vol 21 (2) ◽

pp. 99-108 ◽

Cited By ~ 1

Author(s):

Piotr Szczerba ◽

Grzegorz Guzik ◽

Andrzej Bohatyrewicz ◽

Daniel Kotrych

Keyword(s):

Quality Of Life ◽

Surgical Treatment ◽

Bone Metastases ◽

Surgical Management ◽

Surgical Techniques ◽

Long Bone ◽

Pathological Fractures ◽

Oncological Treatment ◽

Modular Prostheses

Background. A consequence of the progress in oncological treatment is an increasing number of bone complications associated with metastases. With appropriate choice of oncological treatment and appropriate surgical management, patients may recover their physical function and maintain the previous level of quality of life. Available surgical techniques include intramedullary nailing, stabilisation with plates and screws and the use of modular prostheses. Aim of the study: to retrospectively assess the techniques and outcomes of surgical treatment of long bone metastases at the Oncology Orthopaedics Department of the Speciality Hospital in Brzozów, present the possibilities of surgical management and benefits of the chosen method and tentatively choose the most effective approach for restoring function. Material and methods. Between 2013 and 2017, a total of 82 patients were treated for long bone metastases at the Department of Oncological Orthopaedics. The most common cancers causing bone metastases were breast cancer (37%), myeloma (16%), lung cancer (8%), kidney (15%), prostate (8%), thyroid 4%, colon 1%, uterus 1%, with other sites accounting for 10%. Pathological fractures were diagnosed in 68 patients. Before the surgical treatment, the patients’ quality of life was assessed using the Karnofsky scale, Bollen prognostic scale, severity of pain in a VAS scale, and MSTS performance scale. Metastasis morphology was evaluated with conventional radiographs, CT and PET-CT. Types of surgery comprised intramedullary nailing, the use of plates and screws and the placement of modular prostheses. Patients were divided into three groups with regard to the stabilisation systems used and another three related to tumour location (humerus, femur or tibia). Results. Post-operatively, there was a reduction of pain in the VAS scale. Function (MSTS) was best in patients treated with minimally invasive methods and modular prostheses (p <0.05). An improvement in quality of life in the Karnofsky scale was also noted. The complication rate was 7% and was related to wound healing and thromboembolic complications. Conclusions. 1. Patients with long-bone cancer metastases with pathological fractures or risk of fracture require surgical management. 2. Nailing or modular prosthesis produced the best functional result at 6 weeks post-operatively. 3. All methods of surgical treatment reduced pain and improved the quality of life.

Download Full-text

Stage 3: Patient Assessment and Quality of Life Treatment Planning

PsycEXTRA Dataset ◽

10.1037/e552432009-001 ◽

2013 ◽

Keyword(s):

Quality Of Life ◽

Treatment Planning ◽

Patient Assessment

Download Full-text

Stage 1: Patient Assessment and Quality of Life Treatment Planning

PsycEXTRA Dataset ◽

10.1037/e552412009-001 ◽

2013 ◽

Keyword(s):

Quality Of Life ◽

Treatment Planning ◽

Patient Assessment ◽

Stage 1

Download Full-text

Exercise Capacity in Chronic Heart Failure

US Cardiology Review ◽

10.15420/usc.2012.9.1.57 ◽

2012 ◽

Vol 9 (1) ◽

pp. 57-60 ◽

Cited By ~ 1

Author(s):

Gina G Mentzer ◽

Alex J Auseon

Keyword(s):

Quality Of Life ◽

Heart Failure ◽

Exercise Training ◽

Exercise Capacity ◽

Positive Impact ◽

Pharmacologic Therapy ◽

The Past ◽

Diagnosis And Prognosis ◽

Future Therapy

Heart failure (HF) affects more than 5 million people and has an increasing incidence and cost burden. Patients note symptoms of dyspnea and fatigue that result in a decreased quality of life, which has not drastically improved over the past decades despite advances in therapies. The assessment of exercise capacity can provide information regarding patient diagnosis and prognosis, while doubling as a potential future therapy. clinically, there is acceptance that exercise is safe in hf and can have a positive impact on morbidity and quality of life, although evidence for improvement in mortality is still lacking. specific prescriptions for exercise training have not been developed because many variables and confounding factors have prevented research trials from demonstrating an ideal regimen. Physicians are becoming more aware of the indices and goals for hf patients in exercise testing and therapy to provide comprehensive cardiac care. it is further postulated that a combination of exercise training and pharmacologic therapy may eventually provide the most benefits to those suffering from hf.

Download Full-text