« Neglected » Endothoracic Goitres : The Point of View of Thoracic Surgeon

Introduction : Neglected endothoracic goiter is an endothoracic mediastinal portion that was neglected during the surgical removal of a plunging cervical goiter in contrast to autonomous ectopic mediastinal goiter which has its own mediastinal vascularization without connection between the two components and but who was not diagnosed during the cervical thyroidectomy. The aim of this work is to report the point of view of thoracic surgeon to avoid "forgetting" this endothoracic component.Materiel and methods : This is a retrospective study involving four patients, all operated for an endothoracic goiter only by thoracotomy.Results : Among four patients, it was 3 women and one men with an average age of 46 years. All Four cases have already been operated for cervical goiter by cervicotomy alone. Also, for all patients, the discovery was accidental. the cervicothoracic scan found a posterior mediastinal heterogeneous mass, with calcification lesions in 2 patients, and necrosis zone in 2 patients. The four patients were operated by posterolateral thoracotomy. Operative outcome was simple in all patients except 2 cases of wound infection.Conclusion : Neglected endothoracic goiter poses a diagnostic and also a therapeutic problem because its a difficult surgery due to the adhesions already formed following a first cervical thyroid surgery and therefore it is essential not to miss the diagnosis of any diving goiter.

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THYROID SURGERY RESULTS: RETROSPECTIVE STUDY

ATLAS JOURNAL ◽

10.31568/atlas.140 ◽

2018 ◽

Vol 4 (10) ◽

pp. 726-729

Author(s):

Bartu BADAK

Keyword(s):

Retrospective Study ◽

Thyroid Surgery

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Radiological Parameters Review for Choanal Atresia

Pediatric Reports ◽

10.3390/pediatric13020038 ◽

2021 ◽

Vol 13 (2) ◽

pp. 302-311

Author(s):

Daniela Messineo ◽

Maryia Chernikava ◽

Valeria Pasquali ◽

Serena Bertin ◽

Mario Ciotti ◽

...

Keyword(s):

Retrospective Study ◽

High Resolution ◽

Surgical Approach ◽

Choanal Atresia ◽

Point Of View ◽

Control Group ◽

Study Group ◽

Control Groups ◽

Imaging Parameters ◽

Multiplanar Imaging

(1) Background: The study aims to identify which imaging parameters are necessary for a new correct surgical approach in the study of choanal atresia, and which anatomical findings are essential for correct planning of endoscopic treatment in choanal atresia. (2) Methods: In this retrospective study, 19 patients with choanal atresia had high-resolution multiplanar imaging (14 cases aged ≤1 year and 5 cases aged 1 to 3 years) and 35 patients in the control group similarly distributed by age. Fourteen variables, the most relevant from a surgical point of view, were selected and measured. A comparison was made between the averages of the study group and the different control groups, either directly observed or selected from the literature, using Pearson’s correlation. (3) Results: In 14 out of 26 cases, the differences were statistically significant. There was a correlation between the structures assessed, such as choanal height, rostrum height, and age. (4) Conclusions: Thanks to volumetric reformatting, this work identified and provided the clinician with useful information that helped choose the correct surgical approach. Furthermore, it focused on which imaging parameters are necessary to improve the planning of the surgical correction of choanal atresia.

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Maternal and neonatal outcomes in women with severe pre-eclampsia undergoing cesarean section: a 10-year retrospective study from a single tertiary care center: anesthetic point of view

The Journal of Maternal-Fetal & Neonatal Medicine ◽

10.3109/14767058.2016.1159674 ◽

2016 ◽

Vol 29 (24) ◽

pp. 4096-4100 ◽

Cited By ~ 10

Author(s):

Saowapark Chumpathong ◽

Somkiet Sirithanetbhol ◽

Bhurinud Salakij ◽

Shusee Visalyaputra ◽

Sudta Parakkamodom ◽

...

Keyword(s):

Retrospective Study ◽

Cesarean Section ◽

Care Center ◽

Tertiary Care ◽

Point Of View ◽

Neonatal Outcomes ◽

Tertiary Care Center ◽

Maternal And Neonatal Outcomes

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ACT-22 CLINICAL RESULT AND CONSIDERATION OF 70 CASES OF INSULAR GLIOMA

Neuro-Oncology Advances ◽

10.1093/noajnl/vdz039.068 ◽

2019 ◽

Vol 1 (Supplement_2) ◽

pp. ii15-ii15

Author(s):

Takashi Maruyama ◽

Yoshihiro Muragaki ◽

Taiishi Sato ◽

Masayuki Nitta ◽

Shunsuke Tsuzuki ◽

...

Keyword(s):

Removal Rate ◽

Point Of View ◽

Surgical Removal ◽

Tumor Extension ◽

Policy Effect ◽

Number Of Patients ◽

First Onset ◽

Invasion Pattern ◽

Temporal Stem ◽

Grade 3

Abstract Our policy for insular glioma has achieved more than 90% removal. The policy influence grade 2 to postpone farther treatment and grade 3 to extend prognosis. In this study, we analyzed our clinical data to be sure how this policy effect to insular glioma. First-onset tumor since 2006 to 2015 were collected and following parameters were analyzed retrospectively, such as the tumor, extension, surgical removal rate, complications, pathological and genomic diagnosis. Of all 70 cases, the average age was 41 years old (24–76). The pathological diagnosis and number of patients were DAmt 20, DAwt 1, AAmt 8, AAwt 5, AO 5, O 18. PFS of each pathological grade(2,3,4) were 55,5m, 42,6m and 4,7m, OS were nr, nr, 32,8 months. 57 cases of IDHmt showed 60,2m of PFS and n.r of OS. 10 cases of IDHwt showed 19,9m PFS and 35,8m OS. The average and median removal rate were 91.4% and 95%. The number of complication case were mild 9 and moderate 2 at 3 months after surgery. The invasion pattern from temporal stem showed that frontal base invasion cases was resulted as poor prognosis comparing with temporal or parietal extension. Number of patients with IDHwt, Oligodedroglial tumor and GBM were relatively low. Surgical complications are mainly caused in the first half of the proficiency process, 15% had paralysis due to LSA infarction. Most of grade 2 cases were treated without post-operative treatment and the prognosis was almost same as grade 3 cases which were treated by chemo and radiation therapy such as 55m, 43m of PFS and n.r of OS. AA wt and GBM showed almost same OS of 32m.We have reconsidered a new classification based on temporal stem extension from surgical point of view. Insular glioma is somewhat different from the other location glioma.

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Management of Adnexal Mass During Cesarean Section

Nepal Journal of Obstetrics and Gynaecology ◽

10.3126/njog.v12i2.19953 ◽

2018 ◽

Vol 12 (2) ◽

pp. 48-51

Author(s):

Monica Gurung ◽

Gehanath Baral

Keyword(s):

Retrospective Study ◽

Cesarean Section ◽

Adnexal Mass ◽

Cystic Teratoma ◽

Mature Cystic Teratoma ◽

Surgical Removal ◽

Cesarean Sections ◽

Operation Theatre ◽

Adnexal Masses ◽

The Masses

Aims: To find out the prevalence of adnexal mass during Cesarean Section, its management and histological profile.Methods: This is a retrospective study conducted for 4 years from 2013 to 2017 at Paropakar Maternity and Women’s Hospital, Kathmandu, Nepal. There were 18993 Cesarean Sections out of 72263 total births screened for adnexal masses from operation theatre register and record section.Results: The incidence of adnexal mass during cesarean section was 0.31% (58 out of 18993). Among them 15.52 % diagnosed antenatally and 84.48 % were incidentally diagnosed during cesarean section. Among 58 cases, 6 (10%) were bilateral amounting to 64 adnexal masses among which 35 (54.69%) masses had cystectomy, 20 (31.25%) masses had oophorectomy, 6 (9.37%) had aspiration/ drilling done and 3(4.69 %) masses were left without intervention. Among those cases only 48 histopathological reports were available. All the masses were benign and the most common was benign mature cystic teratoma (34; 69.38 %) and the least common was fibroma (1; 2.04%).Conclusions: Adnexal masses during cesarean section should undergo surgical removal.

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Epilepsy and insular Grade II gliomas: an interdisciplinary point of view from a retrospective monocentric series of 46 cases

Neurosurgical FOCUS ◽

10.3171/2009.6.focus09102 ◽

2009 ◽

Vol 27 (2) ◽

pp. E8 ◽

Cited By ~ 35

Author(s):

Luc Taillandier ◽

Hugues Duffau

Keyword(s):

Seizure Frequency ◽

Point Of View ◽

Favorable Effect ◽

Surgical Removal ◽

Extensive Experience ◽

Who Grade ◽

Grade Ii ◽

Sequential Treatments ◽

Few Data

OBJECTThere are few data in the literature concerning a multimodal approach to insular WHO Grade II gliomas (GIIGs) and the control of epilepsy after treatment. In this paper, the authors describe a monocentric series of 46 cases in which patients underwent various sequential treatments for insular GIIGs. On the basis of global results with regard to epilepsy, the respective interests in the various treatments are discussed.METHODSAvailable data on 46 patients harboring insular GIIGs were extracted from a local database of 288 GIIGs. The various therapeutic sequences were analyzed in parallel with the course of seizure frequency.RESULTSDespite the usual difficulties with seizure quantification in retrospective studies, the authors showed that 1) the negative course of seizure frequency was mostly connected to tumor progression, 2) surgery almost always had a favorable effect on epilepsy, and 3) chemotherapy had a mostly favorable effect with acceptable tolerance. The authors were unable to draw conclusions about the role of radiotherapy given the too few cases.CONCLUSIONSThis extensive experience with insular GIIGs tends to confirm interest in their surgical removal and supports interest in chemotherapy from an epileptological point of view.

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