scholarly journals Rehabilitation of extremity war injuries with lesion of peripheral nerves in "PRAXIS" Centre for Physical Medicine and Rehabilitation, Sarajevo

2003 ◽  
Vol 3 (3) ◽  
pp. 37-40
Author(s):  
Džemal Pecar ◽  
Mediha Karić ◽  
Husein Kulenović ◽  
Izet Masić ◽  
Emina Kiseljaković
Keyword(s):  
Surgical Treatment ◽  
Peripheral Nerves ◽  
Physical Medicine ◽  
Treatment Results ◽  
Surgical Interventions ◽  
War Injuries ◽  
Close Cooperation ◽  
Plexus Lesion ◽  
Significant Lesion ◽  
Better Than

Polytrauma with significant lesion of peripheral nerves is a specific war injury. It is also one of the most delicate problems in rehabilitation treatment because it requires a close cooperation with surgeon and timely surgical interventions. Based on our experience, the best results in the treatment of injured persons with lesion of peripheralnerves have been accomplished after the surgical treatment. Results in the neurolysis were better than those accomplished in neurorrhaphy. Total of 436 patients with lesion of peripheral nerves were recorded and 56 patients with plexus lesion. Out of this number, 78 patients (about 15%) had surgical treatment (41 neurorrhaphy and 37 neurolysis). Due to lack of adequate ENMG diagnostics, the objective valorisation of treatment outcome was not possible.

scholarly journals Surgical Treatment of Juvenile Femoral Head Epiphysiolysis in Children

2016 ◽  
Vol 23 (1) ◽  
pp. 40-47
Author(s):  
D. B Barsukov ◽  
A. I Krasnov ◽  
M. M Kamosko ◽  
V. E Baskov ◽  
I. Yu Pozdnikin ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Magnetic Resonance ◽  
Femoral Head ◽  
Femoral Neck ◽  
Surgical Intervention ◽  
Treatment Results ◽  
Surgical Interventions ◽  
X Ray ◽  
Endochondral Growth

To optimize the anatomical and functional surgical treatment results in patients with early (I-II) stages of juvenile femoral head epiphysiolysis both pre- and postoperative data of clinical, x-ray and magnetic-resonance examinations were analyzed for 120 patients aged 11 - 15 years. Maximum follow up period after surgical interventions, i.e. femoral head epiphysiodesis (n=60) and femoral head epiphysis fixation (n=60) made up 23 and 3 years, respectively. It was shown that surgical intervention for the fixation of femoral head epiphysis ensured reliable stability of the epiphysis preventing the latter from displacement development and progression, and did not exert significant influence upon either femoral neck and head endochondral growth or the length of the upper extremity.

scholarly journals Standard open operative interventions in surgical treatment of patients, suffering an acute complicated pancreatitis

2018 ◽  
Vol 85 (7) ◽  
pp. 27-29
Author(s):  
V. P. Аndriushchenko ◽  
D. V. Аndriushchenko ◽  
Yu. S. Lysiuk
Keyword(s):  
Surgical Treatment ◽  
Comparison Group ◽  
Surgical Intervention ◽  
Main Group ◽  
Control Group ◽  
Treatment Results ◽  
Surgical Interventions ◽  
Second Stage ◽  
Standard Operations

Objective. To determine the character and optimal volume of standard open surgical interventions in an acute complicated pancreatitis (ACP) with elaboration of the main technical elements of the operations. Маterials and methods. There were operated 96 patients, suffering ACP. The main group consisted of 47 patients, in whom open interventions were performed primarily in 19, and as the second-stage procedure after application of miniinvasive interventional technologies (МIТ) – in 28. The comparison group consisted of 49 patients, in whom standard operations were done only. Results. Application of MIТ have promoted the indications narrowing for performance of primary open operations more than twice. In the main group the arcuate-like subcostal access was applied predominantly - in 26 (55%) observations (χ²=14.287; р=002), while in a control one – a median upper laparotomy – in 37 (76%) observations (χ²=38.43, р < 0.001). The method of closed draining in accordance to procedure of Beger was used predominantly in the main group of patients – in 43% of observations, comparing with a control group - 9% of observations (χ²=12.965; р=0.003). In 23% patients of the main group and in 26% patients of a control one (χ²=0.0013; р=0.05), when the extended purulent-necrotic inflammation process have presented, a staged sanation was applied, using programmed relaparotomies. Some technical elements of the surgical intervention were improved. Conclusion. Application of standard open operations in accordance to elaborated principle is accompanied by improvement of the treatment results in patients, suffering ACP.

scholarly journals Complex Diagnosis in Surgical Treatment of Peripheral Nerves Injuries of the Extremities

2016 ◽  
pp. 62-66
Author(s):  
V. G. Ninel’ ◽  
Sh. M. Aitemirov ◽  
G. A. Korshunova ◽  
I. A. Norkin
Keyword(s):  
Surgical Treatment ◽  
Peripheral Nerve ◽  
Peripheral Nerves ◽  
Nerve Trunk ◽  
Treatment Results

The purpose of the work was to evaluate the role and potentialities of complex diagnosis in surgical treatment of peripheral nerve trunk injuries of the extremities. Complex examination including electroneuromyography, ultrasonography and contrast neurography was performed in 109 patients with injuries of peripheral nerves of the extremities. Examination results enabled to elaborate the algorithm of diagnosis and differential surgical treatment tactics for surgical treatment of peripheral nerves injuries. Management of patients in accordance with proposed algorithm allowed to improve surgical treatment results significantly - by 21%.

scholarly journals Surgical Treatment of Juvenile Femoral Head Epiphysiolysis in Children

2016 ◽  
pp. 40-47
Author(s):  
D. B. Barsukov ◽  
A. I. Krasnov ◽  
M. M. Kamosko ◽  
V. E. Baskov ◽  
I. Yu. Pozdnikin ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Magnetic Resonance ◽  
Femoral Head ◽  
Femoral Neck ◽  
Surgical Intervention ◽  
Treatment Results ◽  
Surgical Interventions ◽  
X Ray ◽  
Endochondral Growth

To optimize the anatomical and functional surgical treatment results in patients with early (I-II) stages of juvenile femoral head epiphysiolysis both pre- and postoperative data of clinical, x-ray and magnetic-resonance examinations were analyzed for 120 patients aged 11 - 15 years. Maximum follow up period after surgical interventions, i.e. femoral head epiphysiodesis (n=60) and femoral head epiphysis fixation (n=60) made up 23 and 3 years, respectively. It was shown that surgical intervention for the fixation of femoral head epiphysis ensured reliable stability of the epiphysis preventing the latter from displacement development and progression, and did not exert significant influence upon either femoral neck and head endochondral growth or the length of the upper extremity.

Place and significance of reconstructive surgical interventions in patients with high corrosive strictures of the bile ducts

2020 ◽  
pp. 3-14
Author(s):  
Sergei Trifonov ◽  
Yuri Kovalenko ◽  
Aleksey Varava ◽  
Vladimir Vishnevsky
Keyword(s):  
Surgical Treatment ◽  
Postoperative Complications ◽  
Bile Ducts ◽  
Percutaneous Transhepatic Biliary Drainage ◽  
Treatment Results ◽  
External Drainage ◽  
Surgical Interventions ◽  
High Level ◽  
Stricture Recurrence ◽  
Transhepatic Biliary Drainage

The most technically difficult for reconstructive interventions on the bile ducts with a high level of postoperative complications and recurrences are strictures of “-1”, “-2” and “-3” types according to E. Halperin (type E3 - E5 according to Bismuth-Strasberg). From 2012 to 2018 the A.V. Vishnevsky Institute of Surgery treated 96 patients with this pathology. The best treatment results were observed in patients with preserved confluence – 92% of successful interventions. An independent risk of stricture recurrence is previous external drainage of the bile ducts after injury, a high level of stricture (“-1”, “-2” and “-3” types according to E. Halperin). Surgical treatment of corrosive strictures is the method of choice when there is the ineffectiveness of endoscopic and percutaneous transhepatic biliary drainage, although it is associated with a high risk of postoperative complications.

Choice of treatment method of obstructive jaundice in patients with tumors of the hepatopancreatobiliary region

2021 ◽  
Vol 23 (3) ◽  
pp. 125-132
Author(s):  
Pavel N. Romashchenko ◽  
Nicolay A. Maistrenko ◽  
Andrey I. Kuznetsov ◽  
Andrey S. Pryadko ◽  
Arsen K. Aliev
Keyword(s):  
Surgical Treatment ◽  
Minimally Invasive ◽  
Biliary Tract ◽  
Bile Ducts ◽  
Laboratory Diagnostics ◽  
Endoscopic Stenting ◽  
Treatment Results ◽  
Surgical Interventions ◽  
Tumor Origin ◽  
Block Level

The leading criteria for choosing minimally invasive surgical treatment of mechanical jaundice of tumor origin in the hepatopancreatobiliary zone are substantiated, which increase the effectiveness of surgical intervention and reduce the number of complications and mortality. The examination and surgical treatment results of 325 patients with mechanical jaundice of tumor origin, who underwent minimally invasive decompression of the biliary tract after clinical and laboratory diagnostics following national clinical recommendations, were analyzed. Based on the treatment results, the leading criteria that affect the selection of the method of minimally invasive drainage surgery are identified. The main criteria influencing the choice of minimally invasive intervention to decompress the bile ducts were as follows: level of bile duct block, severity of mechanical jaundice (according to the classification of E.I. Galperin), and the operability of the patient. Endoscopic stenting was the method of choice in inoperable cases at the level of block I with mechanical jaundice of classes A and B. Moreover, endoscopic stenting was the most successful intervention with a minimum number of complications in people with block II level. The indication for percutaneous transhepatic biliary drainage was a level III biliary tract block, as well as the ineffectiveness of endoscopic stenting. Cholecystostomy is the safest and most effective in patients with block level I with class C mechanical jaundice and in operable cases with the same block level. In general, results of surgical interventions aimed at eliminating mechanical jaundice of tumor origin, conducted using modern examination methods of patients and taking into account the assessment of criteria such as the block level of the bile ducts, severity of mechanical jaundice, and general condition allow us to justify the choice of the most successful and safe option for its elimination.

scholarly journals Multistage Surgical Treatment of Multisystem Closed Abdominal Trauma: Standardization of the Approach

2021 ◽  
Vol 9 (4) ◽  
pp. 626-638
Author(s):  
S. S. Maskin ◽  
V. V. Aleksandrov ◽  
V. V. Matyukhin ◽  
M. I. Parovatkin
Keyword(s):  
Intensive Care ◽  
Surgical Treatment ◽  
Abdominal Trauma ◽  
Surgical Intervention ◽  
Damage Control ◽  
Evidence Based ◽  
Treatment Results ◽  
Surgical Interventions ◽  
Staged Treatment ◽  
Based Medicine

Introduction. The multisystem closed abdominal trauma is accompanied by a high mortality rate, and exceeding the minimum required volume of surgery in an extremely difficult patient’s condition often leads to an unfavorable outcome.Aim of study. Standardization of staged treatment of patients with severe concomitant closed abdominal trauma.Material and methods. This review presents the latest information obtained as a result of studying domestic and foreign literature on the issue of multistage surgical treatment of severe multisystem closed abdominal trauma. The concept of damage control, its stages are described step by step, indications for types of surgical interventions are specified. The literature data on the results of clinical application of the technique from the standpoint of evidence-based medicine are presented.Conclusion. A clear knowledge of the required volume of surgical intervention at each stage of treatment of patients with severe concomitant closed abdominal trauma, the main points of intensive care, the criteria for patient stabilization and indications for relaparotomy improve the treatment results for this category of victims.

scholarly journals Complex Diagnosis in Surgical Treatment of Peripheral Nerves Injuries of the Extremities

2016 ◽  
Vol 23 (1) ◽  
pp. 62-66
Author(s):  
V. G Ninel’ ◽  
Sh. M. Aitemirov ◽  
G. A Korshunova ◽  
I. A Norkin
Keyword(s):  
Surgical Treatment ◽  
Peripheral Nerve ◽  
Peripheral Nerves ◽  
Nerve Trunk ◽  
Treatment Results

The purpose of the work was to evaluate the role and potentialities of complex diagnosis in surgical treatment of peripheral nerve trunk injuries of the extremities. Complex examination including electroneuromyography, ultrasonography and contrast neurography was performed in 109 patients with injuries of peripheral nerves of the extremities. Examination results enabled to elaborate the algorithm of diagnosis and differential surgical treatment tactics for surgical treatment of peripheral nerves injuries. Management of patients in accordance with proposed algorithm allowed to improve surgical treatment results significantly - by 21%.

scholarly journals Experimental Methods to Simulate and Evaluate Postsurgical Peripheral Nerve Scarring

2021 ◽  
Vol 10 (8) ◽  
pp. 1613
Author(s):  
Alessandro Crosio ◽  
Giulia Ronchi ◽  
Benedetta Elena Fornasari ◽  
Simonetta Odella ◽  
Stefania Raimondo ◽  
...  
Keyword(s):  
Peripheral Nerve ◽  
Peripheral Nerves ◽  
Experimental Methods ◽  
Scar Tissue ◽  
Experimental Models ◽  
Tissue Formation ◽  
Surgical Interventions ◽  
Pubmed Database ◽  
Different Types ◽  
Scar Tissue Formation

As a consequence of trauma or surgical interventions on peripheral nerves, scar tissue can form, interfering with the capacity of the nerve to regenerate properly. Scar tissue may also lead to traction neuropathies, with functional dysfunction and pain for the patient. The search for effective antiadhesion products to prevent scar tissue formation has, therefore, become an important clinical challenge. In this review, we perform extensive research on the PubMed database, retrieving experimental papers on the prevention of peripheral nerve scarring. Different parameters have been considered and discussed, including the animal and nerve models used and the experimental methods employed to simulate and evaluate scar formation. An overview of the different types of antiadhesion devices and strategies investigated in experimental models is also provided. To successfully evaluate the efficacy of new antiscarring agents, it is necessary to have reliable animal models mimicking the complications of peripheral nerve scarring and also standard and quantitative parameters to evaluate perineural scars. So far, there are no standardized methods used in experimental research, and it is, therefore, difficult to compare the results of the different antiadhesion devices.

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