Surgical treatment of congenital pseudoarthrosis of the clavicle in children

Introduction. In the literature the issue of indications for surgical treatment of CPC (congenital pseudoarthrosis of the clavicle) is exposed to discussion. Also, there are no accurate age indications for surgery. The conducted research has shown that the course of CPC is accompanied by clavicle shortening as well as by bone fragments deformation in 60% of the cases, which has a significant effect on the planning of surgery. Purpose of study: to develop a differentiated approach to the treatment of congenital pseudoarthrosis of the clavicle in children, taking into account the clinical and radiological picture. Patients and methods. 27 patients with the congenital pseudoarthrosis of the clavicle (CPC) aged from 4 up to 16 years old were operated. In 6 observations bone fragments deformation of the clavicle was absent, and in 21 observations various deformations occurred. The surgery included restoration of clavicle axis, replacement of bone tissue defect with bone autograft, fixation of bone fragments with a needle. Results. After the first surgery, bone fragments consolidation of the false joint was reached in 82% of the cases (22 patients); the recurrence of the false joint was observed in 18% (5 patients). Repeated surgeries were successfully performed on four of them; one patient is being observed on an outpatient basis. Conclusion. The results of the surgical treatment have shown that for the union of a false joint it is necessary to use differentiated approach to the adoption of surgical technique with regard to bone fragments deformation. Partially eliminated deformation and clavicle sternal bone fragment high standing served as the main reason for the recurrence of pseudoarthrosis. Conflict of interest: the authors state no conflict of interest Funding: the study was performed with financial support «Research Institute of pediatric traumatology and orthopedics G.I. Turner» Ministry of Health Russia

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Surgical treatment of gastroduodenal ulcers

Kazan medical journal ◽

10.17816/kazmj49824 ◽

1935 ◽

Vol 31 (1) ◽

pp. 143-143

Author(s):

V. Pshenichnikov

Keyword(s):

Surgical Treatment ◽

Indications For Surgery ◽

Duodenal Ulcers ◽

Gastroduodenal Ulcers

At a meeting of the Socit Royale de Medecine de Gand, 28 X 1934, Finsterer made a presentation on the surgical treatment of gastric and duodenal ulcers. F. distinguishes between absolute and relative indications for surgery.

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Surgical management of congenital coronary arterial anomalies in adults

Cardiology in the Young ◽

10.1017/s1047951110001113 ◽

2010 ◽

Vol 20 (S3) ◽

pp. 68-85 ◽

Cited By ~ 8

Author(s):

Sameh M. Said ◽

Joseph A. Dearani ◽

Harold M. Burkhart ◽

Hartzell V. Schaff

Keyword(s):

Surgical Treatment ◽

Sudden Cardiac Death ◽

Coronary Arteries ◽

Myocardial Ischaemia ◽

Congenital Anomalies ◽

Cardiac Death ◽

Indications For Surgery ◽

Surgical Options ◽

Cause Of Pain ◽

Arterial Anomalies

AbstractCongenital anomalies of the coronary arteries are an uncommon, but important, cause of pain in the chest, myocardial ischaemia and even sudden cardiac death, especially in young individuals. This paper focuses on the surgical treatment of congenital anomalies of the coronary arteries in adults; indications for surgery and the different surgical options will be reviewed.

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NONCOMPLICATED UNSTABLE SPINE INJURIES IN CHILDREN

Hirurgiâ pozvonočnika ◽

10.14531/ss2005.2.8-12 ◽

2005 ◽

pp. 008-012 ◽

Cited By ~ 1

Author(s):

Eduard Vladimirovich Ulrikh ◽

Sergey Valentinivich Vissarionov ◽

Aleksandr Yuryevich Mushkin

Keyword(s):

Surgical Treatment ◽

Posterior Instrumentation ◽

Spinal Injuries ◽

Anterior Decompression ◽

Two Stage ◽

Spinal Stabilization ◽

Spine Injuries ◽

Group A ◽

Bone Autograft

Thirty-four patients aged from 3 to 17 years were operated on for noncomplicated unstable injuries of the spine. The operation was performed within the next few hours or days after trauma in 15 cases and significantly later (in 2 to 6 months) in 19 cases. In the first group the surgery included indirect posterior instrumental reduction and stabilization of the spine. In the second group a two-stage surgery was performed simultaneously. The first stage included anterior decompression and stabilization, and the second – posterior instrumentation. In both groups the posterior fusion with bone autograft was done. The post-op follow-up was 5 years. The correction of deformity, spinal stabilization and pain arrest were achieved in all cases. The surgical treatment of unstable noncomplicated spinal injuries in children must be conducted by emergency indications within the first hours and days after trauma.

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Intraoperative enrichment of bone autograft with autologous bone marrow-derived mononuclear cells isolated simultaneously: moving towards tissue engineering in situ

10.1101/2020.11.09.375188 ◽

2020 ◽

Author(s):

D.S. Baranovskii ◽

B.G. Akhmedov ◽

O.A. Krasilnikova ◽

A.G. Demchenko ◽

M.E. Krasheninnikov ◽

...

Keyword(s):

Bone Marrow ◽

Bone Tissue ◽

Metabolic Activity ◽

Mononuclear Cells ◽

P Value ◽

Active Growth ◽

Simple Method ◽

Bone Fragments ◽

Autologous Bone ◽

Bone Autograft

AbstractBackgroundThe use of tissue-engineered bone autografts is a promising approach for bone defects restoration. The isolation of cells and their seeding on bone autograft is usually carried out in a laboratory, requiring significant time and two separate surgical interventions. Intraoperative creation of tissue-engineered bone autograft can represent a perspective solution. The aim of this study is to investigate the possibility of creation of tissue-engineered bone autograft by intraoperative enrichment of bone tissue with bone marrow-derived mononuclear cells (BM-MNCs) isolated simultaneously.MethodsRed bone marrow and autologous bone tissue (bone fragments and bone chips) of the donor were harvested intraoperatively. BM-MNCs were isolated, and bone fragments were enriched with BM-MNCs intraoperatively. Assessment of the adhesion and proliferation of BM-MNCs on bone fragments was carried out by fluorescence microscopy and histological examination. MTT assay was used to compare metabolic activity of BM-MNCs and wBMA cells seeded on bone chips.ResultsAutologous bone fragments were colonized with autologous BM-MNCs isolated simultaneously in the O.R. with further adhesion and active growth of cells. When seeded on bone chips, metabolic activity of BM-MNCs was statistically significantly higher compared to wBMA cells (p-value=0.0272) on day 14. There was no difference in metabolic activity of BM-MNCs and wBMA cells cultured in nutrient medium without bone chips.ConclusionTechnically simple method of intraoperative enrichment of autologous bone fragments with BM-MNCs isolated simultaneously allowed to create tissue-engineered bone autograft in the O.R. The safety and effectiveness of intraoperatively enriched autografts should be investigated further.

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

N.N. Priorov Journal of Traumatology and Orthopedics ◽

10.17816/vto201017465-70 ◽

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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Characteristic of clinical syndromes in patients with primary defects in antibody production

Rossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics) ◽

10.21508/1027-4065-2018-63-5-46-50 ◽

2018 ◽

Vol 63 (6) ◽

pp. 46-50

Author(s):

R. F. Khakimova ◽

A. V. Luntsov ◽

O. V. Skorokhodkina

Keyword(s):

Rare Disease ◽

Primary Immunodeficiency ◽

Antibody Production ◽

Conflict Of Interest ◽

Financial Support ◽

Social Significance ◽

Clinical Syndromes ◽

Lymphoproliferative Syndrome

Primary immunodeficiency is a rare disease with a high medico-social significance. Objective: to characterize principal clinical syndromes in 35 patients from 12 to 37 years old with primary immunodeficiency associated with an abnormal antibody production. The infectious syndrome is the most significant syndrome, it was revealed in all the patients, in some cases it was combined with autoimmune, atopic and lymphoproliferative syndrome. Thus, there isthe need to inform physicians of variousspecialties about this pathology. Conflict of interest: The authors of this article confirmed the lack of conflict of interest and financial support, which should be reported.

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SURGICAL TREATMENT OF CHRONIC VENOUS DEFICIENCY OF LOWER EXTREMITIES

Kharkiv Surgical School ◽

10.37699/2308-7005.3.2020.14 ◽

2020 ◽

pp. 68-73

Author(s):

I. B. Babynkina ◽

A. A. Novikova ◽

G. P. Babynkina

Keyword(s):

Surgical Treatment ◽

Lower Extremities ◽

Outpatient Basis ◽

Perforating Veins ◽

Results Of Treatment ◽

Cosmetic Effect ◽

Modern Economic ◽

Surgical Tactics ◽

Tissue Trauma ◽

Standard Operations

Summary. The aim. Improving the results of treatment of patients with decompensated forms of chronic venous insufficiency in post-thrombophlebitic and varicose diseases based on the use of differentiated pathogenetically substantiated surgical tactics. Materials and methods. The basis of the work is the study of the results of surgical treatment of 102 patients not previously operated on with postthrombophlebitic disease of the lower extremities in the decompensated stage of CVI. All patients underwent combined surgical treatment, including the elimination of perforating insufficiency and various modifications of the operation on the superficial veins to eliminate vertical reflux. Results and discussion. The combined operation for clipping perforating veins allows the operation to interrupt blood circulation through insolvent perforating veins, including on an outpatient basis, minimizing tissue trauma during puncture rather than sectional access to a vein. The cosmetic effect of the operation is significantly increased, which is especially important in the treatment of women. Since the operation can be performed on an outpatient basis, the number of days of incapacity for work is significantly reduced compared to standard operations on perforating veins, which is a particularly important circumstance in modern economic conditions. Conclusion. Using the proposed method allows to achieve optimal conditions for the restoration of trophism of affected tissues, leading to a decrease in the number of complications and a reduction in hospitalization.

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Case report of the successful removal of a haemangioma of the left ventricle in a paediatric patient

Patologiya krovoobrashcheniya i kardiokhirurgiya ◽

10.21688/1681-3472-2020-3-132-137 ◽

2020 ◽

Vol 24 (3) ◽

pp. 132

Author(s):

U. G. Kolbik ◽

A. V. Gorustovich ◽

Yu. I. Linnik ◽

M. M. Shved ◽

V. V. Drozdovskaya ◽

...

Keyword(s):

Surgical Treatment ◽

Paediatric Patient ◽

Conflict Of Interest ◽

Recovery Period ◽

Final Diagnosis ◽

Surgical Removal ◽

Capillary Haemangioma ◽

Cardiac Tumours ◽

Post Surgery ◽

Choice Of Treatment

This publication presents the clinical observation in a paediatric patient with haemangioma of the left stomach. The effectiveness of surgical treatment of this disease is also noted. We assess the challenges in diagnosis and the choice of treatment of this pathology in children and the effectiveness of surgical treatment disease. Primary cardiac tumours are rare; vascular tumours and haemangiomas are rarer. The clinical picture of heart haemangioma is non-specific and varies as per its location and size. Echocardiography is the main diagnostic method for this disease. However, in most cases of preoperative diagnostic examination, the pre-surgery diagnosis is not confirmed. The final diagnosis of capillary haemangioma is established following immunohistochemical staining of the surgical material. Thus far, owing to the rare occurrence, a generally accepted tactic for the treatment of such patients with vascular heart tumours has not been developed. This clinical case describes our experience of treating a rare pathology in children with unusual localisation as well as the rapid successful surgical removal of the tumour without complications and with a favourable post-surgery recovery period.Received 14 May 2020. Revised 15 June 2020. Accepted 26 June 2020.Funding: The study did not have sponsorship.Conflict of interest: Authors declare no conflict of interest.Author contributions Literature review: U.G. Kolbik, A.V. Gorustovich, Y.I. Linnik Illustrations: U.G. Kolbik, I.V. Sakharov, V.V. Drozdovskaya Drafting the article: U.G. Kolbik, A.V. Gorustovich, I.V. Sakharov Critical revision of the article: I.V. Sakharov, M.M. Shved, Yu.I. Linnik Surgical treatment: A.V. Gorustovich, M.M. Shved, U.G. Kolbik Final approval of the version to be published: U.G. Kolbik, A.V. Gorustovich, Yu.I. Linnik, M.M. Shved, V.V. Drozdovskaya, I.V. Sakharov, K.V. Drozdovski

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A Successful Pregnancy Despite the Presence of an Intrauterine Fetal Bone Fragment

Case Reports in Obstetrics and Gynecology ◽

10.1155/2019/3064727 ◽

2019 ◽

Vol 2019 ◽

pp. 1-3

Author(s):

Evangelos Petrakis ◽

Ioannis Chatzipapas ◽

Ioannis K. Papapanagiotou ◽

Panagiotis Fotinopoulos ◽

Panagiota Siemou ◽

...

Keyword(s):

Clinical Case ◽

Rare Complication ◽

Elective Caesarean Section ◽

Bone Fragment ◽

Successful Pregnancy ◽

Endometrial Cavity ◽

History Of ◽

Bone Fragments ◽

Diagnostic Hysteroscopy ◽

Live Fetus

Objective. Intrauterine retention of fetal bones following a termination of a pregnancy is a rare complication. Among the few reported cases in literature, there has been no report describing the birth of a live fetus, despite the presence of an embryonic ossicle within the endometrial cavity. Case Report. A 28-year-old woman, with an obstetrical history of a miscarriage at the 19th week of gestation, underwent a diagnostic hysteroscopy for evaluation of pelvic pain and infertility, which revealed an intrauterine embryonic ossicle. The patient did not comply with our recommendations to undergo a surgical hysteroscopy. The patient’s next visit was during her 9th week of gestation. She was followed up regularly at our Obstetrics Department. Her gestation was uneventful, while an elective caesarean section at the 39th week of gestation was performed. Conclusion. The present clinical case has demonstrated that achieving childbearing is possible, despite the requirement of removing such bone fragments.

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