scholarly journals Conservative (non-invasive) management of children with splenic cysts

2021 ◽  
pp. 26-31
Author(s):  
V.P. Prytula ◽  
◽  
D.Yu. Krivchenya ◽  
A.S. Kuzyk ◽  
S.F. Hussaini ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Ethics Committee ◽  
Treatment Results ◽  
Non Invasive ◽  
Dynamic Observation ◽  
Splenic Cysts ◽  
Helsinki Declaration ◽  
Invasive Management ◽  
Indication For Surgical Treatment ◽  
Cyst Growth

Surgeons’ views on tactics for treatment of splenic cysts (SC) in children are widely discussed in the literature. Indications and methods of conservative (non-invasive) management (observation) of children with SC is different issue. Purpose – to develop rational tactical approache for conservative (non-invasive) management of children with SC. Materials and methods. A retrospective analysis of conservative (non-invasive) management of 90 (33.96%) of 265 patients with SC was performed. Children were not operated if the SC was less than 20 mm (n=61) in diameter. They were first monitored by ultrasound 2 times for 6 months, then – 2 times a year, until puberty. We did not observe the progression of cyst growth in these children. Also did not operate children in whom the size of SC was from 20 to 62 mm, had an asymptomatic course and parents did not consent to surgical treatment (n=29). This is the most difficult group of patients to analyze, as most of them lack information about the dynamic observation. According to the results of dynamic observation in 19 of 29 examined patients’ regression of SC was not observed, which later served as an indication for surgical treatment. Results and conclusions. In the presence of SC, a choice of surgical treatment or conservative (non-invasive) management is possible. Tactical approach for treatment of children with SC is strictly individual and depends on the size and location of the parenchymal lesion. In SC up to 20 mm diameter, conservative (non-invasive) management is rational, which is confirmed by the lack of progression of cyst growth in these children. Dynamic observation of patients with SC with a diameter of more than 20 mm without regression, serves as an indication for surgical treatment. The research was carried out in accordance with the principles of the Helsinki declaration. The study protocol was approved by the Local Ethics Committee of an participating institution. The informed consent of the patient was obtained for conducting the studies. No conflict of interest was declared by the authors. Key words: spleen cyst, children, conservative, non-invasive, management, results.

scholarly journals Role of Microperimetry in Observation and Treatment in Patients with Macular Holes

2021 ◽  
Vol 18 (1) ◽  
pp. 90-95
Author(s):  
A. S. Zotov ◽  
A. S. Balalin ◽  
S. V. Balalin ◽  
A. M. Marukhnenko ◽  
T. G. Efremova
Keyword(s):  
Surgical Treatment ◽  
Fundus Photography ◽  
Non Invasive ◽  
Corrected Visual Acuity ◽  
Dynamic Observation ◽  
Macular Holes ◽  
Before And After ◽  
Idiopathic Macular Holes

Purpose: to assess the role of microperimetry in dynamic observation and treatment of patients with macular holes.Patients and Methods. Retrospective study of the microinvasive vitrectomy results using 25G or 27G technologies in 29 patients (29 eyes) with idiopathic macular holes (IMH). The examination included the determination of the best corrected visual acuity (BCVA), tonometry, perimetry, ultrasound biometry, optical coherence tomography, fundus photography, microperimetry.Results. After surgical treatment all patients have shown a significant improvement in BCVA and retinal photosensitivity (p < 0.05). A formula was derived for the dependence of BCVA after treatment on the initial retinal photosensitivity and the minimum IMH size, which can be applied to predict the results of surgical treatment.Conclusion. Microperimetry is a modern non-invasive examination method that allows with a higher density and resolution to localize central defects of the visual field and to carry out thorough monitoring before and after surgical treatment. The study of the retinal photosensitivity in the macular region and the minimum IMH size before treatment allow to predict BCVA in the postoperative period.

NON-INVASIVE METHODS FOR DAMAGE DIAGNOSIS OF MENISUS OF THE KNEE JOINT

Vestnik ◽  
2021 ◽  
pp. 162-165
Author(s):  
Е.Н. Набиев ◽  
А.Р. Байзаков ◽  
У.А. Абдуразаков ◽  
Р.А. Аскеров ◽  
И.М. Лиров ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Knee Joint ◽  
Exercise Therapy ◽  
Main Group ◽  
New Method ◽  
Control Group ◽  
Treatment Results ◽  
Non Invasive ◽  
Meniscus Suture ◽  
Early Passive

Цель исследования: оптимизация результатов хирургического лечения пациентов с повреждениями менисков коленного суставас использованием малоинвазивной органосохраняющей технологии «сшивания мениска». В статье приведены результаты хирургического лечения 70 больных с повреждениями менисков коленного сустава, лечившийся ГКП на ПХВ ГКБ № 7 г. Алматы за период с 2017 по 2020 гг. Все больные были распределены на контрольную и основную гроуппу. В контрольную группу вошли 40 (57,2%) больных. Им выполнена артроскопическая резекция мениска. Коленный сустав не иммобилизовали, больные получали физиолечение, ЛФК и массаж. 30 (42,8%) больных отнесены к основной группе, которым выполнен шов менисков под астроскопом по новому способу (свидетельство на авторское право № 9602 от 04.05.2020.). Коленный сустав иммобилизовали на 4 недель, больтные получали также физиолечение, ЛФК и массаж конечности. Комплексное лечение больных с использованием нового способа артроскопического сшивание мениска (свидетельство на авторское право № 9602 от 04.05.2020.), ранние активные движения в здоровых суставах нижней конечности (голеностопных и тазобедренных со второго дня) и ранние пассивные и активные движения в оперированном коленном суставе (со второго дня), поздняя нагрузка на оперированную конечность (через 4 недель), способствовало в 96,7% случаях получить хороших и удовлетворительных результатов лечения у пациентов основной группы. Частота неудовлетворительных исходов лечения в основной группе встречается на 6,2% реже в сравнении с пациентами контрольной группы. Objective of the study: to optimize the results of surgical treatment of patients with injuries of the knee menisci using the minimally invasive organ-preserving technology of "stitching the meniscus". The article presents the results of surgical treatment of 70 patients with injuries of the knee menisci, who were treated by the MCP at the PCV City Clinical Hospital № 7 in Almaty for the period from 2017 to 2020. All patients were divided into control and main groups. The control group included 40 (57.2%) patients. He performed arthroscopic resection of the meniscus. The knee joint was not immobilized, the patients received physiotherapy, exercise therapy and massage. Thirty (42.8%) patients were referred to the main group, who had meniscus suture performed under an astroscopic technique using a new method (copyright certificate № 9602 dated 05/04/2020). The knee joint was immobilized for 4 weeks, the patients also received physiotherapy, exercise therapy and limb massage. Complex treatment of patients using a new method of arthroscopic suturing of the meniscus (copyright certificate № 9602 dated 05/04/2020), early active movements in healthy joints of the lower limb (ankle and hip from the second day) and early passive and active movements in the operated knee joint (from the second day), late loading on the operated limb (after 4 weeks), contributed in 96.7% of cases to obtain good and satisfactory treatment results in patients of the main group. The incidence of unsatisfactory treatment outcomes in the main group is 6.2% less common in comparison with patients in the control group.

scholarly journals STRATEGY AND EXPERIENCE OF INFANTILE HEMANGIOMA TREATMENT

2021 ◽  
Vol 29 (3) ◽  
pp. 296-301
Author(s):  
V.F. Rybalchenko ◽  
◽  
A.A. Pereyaslov ◽  
I.G. Rybalchenko ◽  
O.M. Nykyforuk ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Clinical Investigation ◽  
Beta Blockers ◽  
Infantile Hemangioma ◽  
Segmental Resection ◽  
Surgical Removal ◽  
Treatment Results ◽  
Dynamic Observation ◽  
Local Destruction ◽  
Propranolol Treatment

Objective. To analyze the treatment results of patients with infantile hemangiomas using various methods. Methods. The study is grounded on the treatment results of children (n=189) with infantile hemangiomas during the period of 2000-2018 years. All patients were divided into the groups: 1) dynamic observation - 23 (12.2%) children; 2) local destruction - 78 (41.3%); 3) surgical treatment - 22 (11.6%); 4) drug therapy - 66 (34.9%) patients. The interstitial coagulation (n=28) and electrocoagulation of hemangioma (n=50) were applied for the local destruction. 18 patients underwent the complete removal of hemangioma and 4 - segmental resection of tumor with the subsequent propranolol treatment. Propranolol was used for the drug treatment and it was combined with the topical application of timolol (n=13). Results. Hemangioma regression was registered in 18 (78.3%) patients of the first group. Among the patients of the second group, involution of hemangioma was observed in 26 (92.6%) patients when the interstitial coagulation was applied and 2 (7.4%) children had hemangioma recurrence. A strongpositiveeffect can be reached by electrocoagulation of superficial hemangiomas (all patients). With primary radical intervention, complete cure was noted in all children, and with segmental resection only one (4.5%) child had a relapse. Keloid scars were formed in 3 (13.6%) children after surgery. Propranolol seemed to be effective in treating hemangiomasinchildrenof all ages, and in 41 (62.1%) patients hemangiomas completely disappeared. Conclusion. Before initiatingtherapy, thechildrenneed to be assessed for the contraindications and the treatment strategy.In case of infantile hemangioma should be individual based on the results of clinical investigation. Systemic propranolol treatment has gained rapid popularity as the treatment of choice for infantile hemangiomas and may be applied not only as the basic treatment, but also in combination with other methods. Surgical removal of hemangioma remains one of the common treatments components for children with infantile hemangiomas. What this paper adds Different variants of infantile hemangioma treatment have been analyzed: ranging from dynamic observation to surgical and systemic treatment. It has been shown, that in case of infantile hemangiomas, Beta-blockers have become the treatment of choice in case of the absence of contraindications; and surgical treatment is indicated in children with the risk of complications development.

scholarly journals Neuropathy After Herniorrhaphy: Indication for Surgical Treatment and Outcome

2009 ◽  
Vol 33 (4) ◽  
pp. 841-845 ◽  
Author(s):  
Henri Vuilleumier ◽  
Martin Hübner ◽  
Nicolas Demartines
Keyword(s):  
Surgical Treatment ◽  
Indication For Surgical Treatment

scholarly journals Idiopathic scoliosis surgical treatment. Results in Mexico’s National Rehabilitation Institute. 24-month follow-up

2019 ◽  
Vol 86 (5) ◽  
Author(s):  
Barón Zárate-Kalfópulos ◽  
Héctor R. Martínez-Ríos ◽  
Francisco López-Meléndez ◽  
Carla L. García-Ramos ◽  
Luis M. Rosales-Olivarez ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Idiopathic Scoliosis ◽  
Treatment Results

scholarly journals EARLY CAROTID ENDARTERECTOMY IN SYMPTOMATIC PATIENTS

2019 ◽  
Vol 72 (5) ◽  
pp. 923-927
Author(s):  
Roman I. Trutiak
Keyword(s):  
Surgical Treatment ◽  
Carotid Endarterectomy ◽  
Social Problem ◽  
Scientific Information ◽  
Treatment Results

Introduction: Stroke is a big social problem. The expediency of surgical treatment is justified as the chances for complete reconvalescence of the neurological deficiency increase. The aim: To analyze available sources of scientific information on the terms of surgical treatment of patients with acute neurological deficiency. Materials and methods: We analyzed 41 English publications in PubMed for 5 years from 2012 to 2017, with the keywords “urgent carotid endarterectomy” and “early carotid endarterectomy”. Conclusions: In the classic course of stroke or TIA, the best treatment results are obtained when the CEA is performed 3-7 days after the marker event. CEA should be performed as soon as possible to restore brain revascularization and prevent the fatal progression of the neurological deficiency after crescendo TIA or stroke-in-evolution, despite the fact that the risk of complications and disability after surgery may be higher than 6%.

scholarly journals Methods of Reconstructive Surgical Treatment for Patients with Defects and Pseudarthroses of Femur

2010 ◽  
Vol 17 (4) ◽  
pp. 65-70
Author(s):  
Valentina Afanas'evna Kopysova ◽  
V A Kaplun ◽  
A N Svetashov ◽  
V V Shashkov ◽  
V A Kopysova ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Shape Memory ◽  
Shape Memory Effect ◽  
Memory Effect ◽  
Weight Bearing ◽  
Bone Defects ◽  
Femoral Bone ◽  
Treatment Results ◽  
Stable Osteosynthesis ◽  
Bone Fragments

Treatment results of 59 patients with femoral bone defects and diaphyseal pseudarthroses were analyzed. To substitute bone defects of more than 6 cm permeable porous endoprostheses were used. In patients with normotrophic and hypertrophic pseudarthrosis stable osteosynthesis with interfragmental compression of bone fragments by shape-memory-effect tightening bows was performed. In patients with atrophic pseudarthrosis bone plasty with autograft was applied. In all patients the weight-bearing ability of the affected limb was restored. Total restoration of function was achieved in 75.6% of patients.

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