scholarly journals Recurrent liposarcoma surgery of upper extremity

2020 ◽  
Vol 7 (1) ◽  
pp. 66-74
Author(s):  
A. S. Samoylov ◽  
Yu. D. Udalov ◽  
S. E. Voskanyan ◽  
N. G. Stepanyants ◽  
A. V. Aksenenko ◽  
...  

Your attention is given to the clinical observation of a patient with recurrent liposarcoma of the left upper limb. According to vital indications with palliative purpose, the patient underwent surgery in the Oncology Department of surgical methods of treatment of FSBI SSC FMBC named after A.I. Burnazyan, FMBA of Russia. The operation was carried out in the amount of interscapularthoracic amputation on the left with resection of the left clavicle, plasty of the defect of rotary musclefat flap on a vascular pedicle after previous surgical treatment previous year in the amount of assertional the left upper extremity with the plastic of the wound defect myofascial flap on a vascular pedicle. Attempts to palliative embolization of blood vessels supplying the tumor node were unsuccessful, and the only option to provide medical care at this stage was surgical treatment. It should also be noted that the patient has a history of cancer of the left breast, in connection with which she was treated about 10 years ago. Currently, the patient is under our dynamic control and is undergoing adjuvant radiotherapy. The postoperative period was uneventful.

2014 ◽  
Vol 2 (1) ◽  
pp. 32-38
Author(s):  
Nikolai Alexandrovich Ovsyankin ◽  
Natalia Anatolievna Naumochkina

Introduction. The obstetrical upper limb paralysis and its sequelae are an actual problem of pediatric orthopedics and traumatology. Relevance of the problem is due to high incidence of this disease and increase of child disability. Purpose. To present the method of treating patients with a dislocated radius head and forearm rotation contracture in birth paralysis of the upper extremity. ^Materials and Methods. This article presents the clinical material on the survey in the Institute and the surgical treatment of 12 patients aged from three to 15 years with the pathology of the elbow and forearm, developed after the obstetrical upper limb paralysis. Results. We present the clinical picture, diagnostic methods, indications to surgical treatment, as well as new and effective methods of performing the proximal radioulnar joint arthrodesis in young children with obstetrical paralysis of the upper extremity. The use of surgical methods of treatment in such patients has improved the function of the arm and self-care in 95 per cent of cases, reduced their disability and increased their choice for occupation activities.


2015 ◽  
Vol 87 (4) ◽  
Author(s):  
Łukasz Krokowicz ◽  
Sylwia Sławek ◽  
Witold Ledwosiński ◽  
Adam Bobkiewicz ◽  
Maciej Borejsza-Wysocki ◽  
...  

AbstractStoma is an intestinal fistula created in emergency or by elective indications, and it is done to drain out the digestive tract content. In some patients there is a disturbance passage of gastric contents through the stoma, which may take the form of chronic constipation or even periodic subileus that will sooner or later require surgical treatment.The aim of the study was the assessment of the causes and method of treatment of constipation in patients with intestinal stoma.Material and methods. A total of 331 patients with stoma followed by Ostomy and Proctology Outpatient Clinic were included in the study in the years 2011-2014. The study included 146 women and 185 men and the average age was 61.3 ± 12.7 years. Within the entire froup, 273 patients had the end stoma performed whereas in 58 patients the loop stoma was created. The highest percentage of patients were the ones with diverticulosis and colorectal cancer, i.e. 132 and 114 patients respectively. A stoma was created in 35 patients due to inflammatory bowel disease (IBD), in 23 patients because of cancer, in 14 as a result of injuries and in 13 due to rectovaginal fistula.Results. Out of the entire group subject to study (331 patients) 93 patients (28.1%) suffered from constipation. 50 patients with constipation required surgical intervention. The most common indication for surgical treatment was the parastomal hernia (36 patients, 72%), other indications were the narrowing of the stoma (5 patients, 10%), its collapse (6 patients, 12%) or prolapse (3 patients, 6%). Parastomal hernia was responsible for 84% of constipation within the stoma and 86.1% were treated with laparotomy (31 out of 36 patients). Other causes of constipation were the stomal stenoses (5 patients), collapse of the stoma (6 patients) and stomal prolapse (3 patients). All patients were treated surgically with a good final result.Conclusions. Constipation associated with dysfunction of the stoma in most cases should be treated surgically. Parastomal hernia is the most common cause of constipation in the stoma. Treatment should be performed in due time because of the possibility of developing complications, especially dangerous one is a strangulated parastomal hernia and ischemia of stoma.


2020 ◽  
Vol 26 (3) ◽  
pp. 4-11
Author(s):  
Уи. N. Ponomarenko

The article highlights the main data on the centenary history of the Yevpatoria military children's clinical sanatorium named after E. P. Glinka. Attention is drawn to the main directions of the sanatorium's activities at all stages of its formation and development. For 100 years of operation, the sanatorium has created a unique system for treating children and adults, which includes the complex application of surgical methods of treatment in combination with natural healing factors, which allows the most complete and continuous medical care at all stages of rehabilitation in a single medical institution.


2017 ◽  
Vol 7 (1) ◽  
pp. 25 ◽  
Author(s):  
Yuliya S Moscaleva ◽  
Igor A Korneyev

Surgical methods of treatment of Peyronie’s disease by plication corporoplasty proved to be effective in the near and distant postoperative periods in the examined group of patients. These methods made it possible to quickly achieve the normalization of the shape of the penis without affecting the erectile function which enabled for patients to restore copulative activity and improve the quality of life.


Author(s):  
Maxim I. Muzikin ◽  
Arseniy A. Golovko ◽  
Mikhail V. Melnikov ◽  
Andrey K. Iordanishvili ◽  
Vyacheslav A. Ratnikov

Odontogenic cysts of the jaw are one of the most common diseases of the maxillofacial region, the main methods of treatment of which are cystotomy and cystectomy. Despite the widespread use of these surgical methods of treatment they are not without drawbacks. The presented clinical material shows the possibility of treating a patient with a large cavity formation of the jaw body by decompression drainage (marsupialization). The proposed surgical manual can be used either in isolation (the main method of treatment), or in combination with subsequent cystectomy. In modern domestic and foreign literature, publications devoted to this method of treatment of large and giant jaw cysts are rare, and therefore this clinical observation is presented.


2018 ◽  
Vol 14 (4) ◽  
pp. 58-63
Author(s):  
Лариса Зюлькина ◽  
Larisa Zyul'kina ◽  
Екатерина Костригина ◽  
Ekaterina Kostrigina ◽  
Евгений Афанасьев ◽  
...  

Subject: Salivary stone disease is a disease that occurs as a result of inflammatory processes occurring in the salivary glands. More recently, salivary stone disease was considered a rare disease. Thanks to the available modern methods of diagnosis, the detection of salivary stone disease is significantly progressing. Purpose: In our work we aimed to figure out the most effective methods of diagnosis of salivary stone disease . Among the private methods of radiation diagnosis of salivary stone disease, we have identified ultrasound and CT examination of the salivary glands and ducts. Our task was also to determine how conservative treatment is competitive with the surgical method of treatment of this disease. Results: As a result of our studies , we concluded that the ultrasound method in the diagnosis of inflammation of the salivary glands and the presence of concretions in the glands and ducts is highly informative , safe and accessible to patients . Conservative methods of treatment used in patients who were diagnosed with the presence of concretions at the outlet of the salivary gland ducts are no less effective than surgical methods. Surgical treatment of salivary stone disease is advisable only in cases of block of the salivary gland and ducts concretions more than 0.5 cm in diameter. Conclusion: Salivary Stone disease in our medical institution is diagnosed quite often. The method of ultrasound diagnosis is the main method of examination of patients who came to us with symptoms of salivary stone disease. CT method is advisable to carry out patients in need of surgical treatment of the disease. The method of CT diagnosis allows to establish the exact coordinates and sizes of concretions located in the salivary glands and deep in the ducts.


2019 ◽  
Vol 12 (3) ◽  
pp. 59-65
Author(s):  
Olga A. Kiseleva ◽  
Srbui M. Kosakyan ◽  
Liya V. Yakubova ◽  
Alexander M. Bessmertny ◽  
Lubov’ V. Vasilenkova

Malignant glaucoma is a difficult task for an ophthalmologist in the treatment process. This is a multifactorial condition that occurs in anatomically predisposed eyes. Malignant glaucoma remains one of the most severe clinical forms of glaucoma requiring timely diagnosis and immediate treatment. Diagnostic issues, pathophysiological mechanisms of development and methods of treatment are still controversial. The diagnosis of malignant glaucoma is often late due to similarity with some other pathological conditions. In many cases malignant glaucoma is resistant to medication and laser treatment. Surgical treatment of malignant glaucoma is complex and not always effective. The review discusses the possible pathophysiological mechanisms of development, diagnostic methods of research, as well as the applied conservative, laser and surgical methods of treatment of malignant glaucoma.


Author(s):  
M. V. Korolev ◽  
V. Ya. Vartanov ◽  
S. A. Stolyarov ◽  
A. A. Gusak

A significant increase in arthrosis and arthritis causes not only conservative but also other various methods of surgical treatment. Minimal invasiveness, less trauma compared to traditional surgical methods of treatment, the ability to carry out treatment on the principle of one-day surgery determine their greater demand.The paper presents a review of literature data on the features of anesthesia in elderly patients who underwent arthroscopic surgery on the lower extremities.


1901 ◽  
Vol 1 (10) ◽  
pp. 544-544
Author(s):  
S. Petrulis

Abstracts. Surgery.Glazshtein. To the question of local chronic. tubercles of the intestine and its surgeon. treatment. Surgery. 1901 September.The reviewed article provides a brief history of the study of tuberous tumors of the small intestine, their division according to ConratlVy into submucosal and submucosal, clinical picture, diff, diagnostics and surgical methods of treatment.


Author(s):  
S.I. Makogon ◽  
◽  
E.N. Kuznetsova ◽  
Y.A. Bryukhanova ◽  
◽  
...  

Purpose. To present the course of a complete macular rupture, depending on the management tactics. Material and methods. On the example of two clinical cases, the outcome of a complete macular rupture is presented: without surgical treatment and as a result of surgery. Results. Surgical methods of treatment made it possible to obtain high visual functions in the patient - visual acuity up to 0.9. Conclusions. Modern methods of surgical treatment of MR provide restoration of the structure of the outer layers of the retina and high visual functions, provided that the optical media of the eye are transparent. Key words: macular rupture, surgical treatment of macular rupture, course of macular rupture without treatment.


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