scholarly journals Comparative evaluation of the use of a single and extended blockade of shoulder splitting at arthroscopic operations on the shoulder

2018 ◽  
Vol 12 (4) ◽  
pp. 211-216
Author(s):  
Sergey V. Krylov ◽  
I. N. Pasechnik ◽  
A. V. Sotnikov ◽  
D. О. Timchenko
Keyword(s):  
Minimally Invasive ◽  
Postoperative Analgesia ◽  
Shoulder Joint ◽  
Comparative Evaluation ◽  
Surgical Care ◽  
Invasive Technique ◽  
Steady Increase ◽  
Surgical Interventions ◽  
Arthroscopic Operations

In the last decade, there has been a steady increase in the number of arthroscopic operations on the shoulder joint. The development and introduction of arthroscopy made it possible to improve the quality of surgical care for injuries of the shoulder joint. However, despite the minimally invasive technique, the issues of postoperative analgesia in this type of surgical interventions have not been fully developed. The article discusses the possibility of using single and prolonged conductive anesthesia in patients with arthroscopic operations on the shoulder joint.

Minimally Invasive Separation Surgery for Metastases in the Vertebral Column: A Technical Report

2019 ◽  
Vol 18 (6) ◽  
pp. 606-613
Author(s):  
Rafael A Vega ◽  
Jeffrey I Traylor ◽  
Ahmed Habib ◽  
Laurence D Rhines ◽  
Claudio E Tatsui ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Spinal Cord ◽  
Minimally Invasive ◽  
Definitive Treatment ◽  
Invasive Technique ◽  
Thoracic Vertebrae ◽  
Minimally Invasive Techniques ◽  
Invasive Approach ◽  
Invasive Techniques

Abstract BACKGROUND Epidural spinal cord compression (ESCC) is a common and severe cause of morbidity in cancer patients. Minimally invasive surgical techniques may be utilized to preserve neurological function and permit the use of radiation to maximize local control. Minimally invasive techniques are associated with lower morbidity. OBJECTIVE To describe a novel, minimally invasive operative technique for the management of metastatic ESCC. METHODS A minimally invasive approach was used to cannulate the pedicles of the thoracic vertebrae, which were then held in place by Kirschner wires (K-wires). Following open decompression of the spinal cord, cannulated screws were placed percutaneously with stereotactic guidance through the pedicles followed by cement induction. Stereotactic radiosurgery is performed in the postoperative period for residual metastatic disease in the vertebral body. RESULTS The minimally invasive technique used in this case reduced tissue damage and optimized subsequent recovery without compromising the quality of decompression or the extent of metastatic tumor resection. Development of more minimally invasive techniques for the management of metastatic ESCC has the potential to facilitate healing and preserve quality of life in patients with systemic malignancy. CONCLUSION ESCC from vertebral metastases poses a challenge to treat in the context of minimizing potential risks to preserve quality of life. Percutaneous pedicle screw fixation with cement augmentation provides a minimally invasive alternative for definitive treatment of these patients.

scholarly journals Electrochemotherapy and Simultaneous Photodynamic Bone Stabilization of Upper Limbs in Metastatic Renal Cancer Disease: Case Report and Literature Review

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Ugo Albertini ◽  
Andrea Conti ◽  
Nicola Ratto ◽  
Pietro Pellegrino ◽  
Michele Boffano ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Minimally Invasive ◽  
Bone Disease ◽  
Metastatic Bone Disease ◽  
Invasive Technique ◽  
Bone Lesions ◽  
Disease Case ◽  
Lytic Bone Lesions

Introduction. Metastatic bone disease represents a systemic pathology that heavily affects the quality of life of oncologic patients causing pain and functional disability. Methodology. We present the case of a patient with a history of renal cell cancer presenting pathologic fractures of both humeri and proximal right radius. Results. After a careful multidisciplinary approach, an adjuvant anticancer therapy and a photodynamic bone stabilization procedure were performed with a minimally invasive technique aiming to minimize pain and local disease progression, while restoring functional autonomy and improving the patient’s quality of life. Electrochemotherapy was delivered on the lytic bone lesions with extraskeletal involvement of the proximal left humerus and the proximal right radius, and then polymeric bone stabilization was performed on both humeri. At two months of follow-up, the patient presented satisfactory functional scores (MSTS score: 12/30 bilaterally; DASH scores: 46.7/100 for the right side and 48.3/100 for the left one), and pain was well controlled with opioid analgesics. Radiographs showed good results in terms of ossification of lytic bone lesions and durability of polymeric stabilization. At four months of follow-up, the patient reported a stable clinical scenario. Six months after surgery, due to extremely poor prognosis after the progression of primary disease, the patient was referred to palliative care and died shortly thereafter. Conclusion. Over the last decade, the management of metastatic bone disease has changed. Low-toxicity and minimally invasive procedures such as electrochemotherapy and polymeric bone stabilization might be performed concomitantly in selected patients, as an alternative to radiation therapy and to more demanding surgical procedures such as plating and adjuvant cementing.

Management of Spacing in Mandibular Anterior Teeth by Minimally Invasive Technique Using Laminates: A Case Report

2019 ◽  
Vol 2 (2) ◽  
pp. 92-96
Author(s):  
Hema Agrawal ◽  
RK Singh ◽  
P Suwal ◽  
P Parajuli ◽  
IK Limbu ◽  
...  
Keyword(s):  
Case Report ◽  
Minimally Invasive ◽  
Dental Treatment ◽  
Dental Materials ◽  
Invasive Technique ◽  
Facial Appearance ◽  
Anterior Teeth ◽  
Personal Appearance ◽  
Laminate Veneers

People have become increasingly concerned about esthetics as a perfect smile gives patients more confidence and make them feel comfortable in social circumstances. Esthetic dental treatment plays an important role in improving personal appearance. Advances in dental materials have led to innovations in porcelain laminate veneers and bonding materials which has improved the overall quality of the esthetic restorations. This case report describes the rehabilitation of a patient with spacing in mandibularanterior teeth, who was concerned with his facial appearance, with ceramic laminate veneers.

A clinical case of reoperation with Chiari malformation

2020 ◽  
pp. 28-31
Author(s):  
Ilmira Gilemkhanova ◽  
Shamil M. Safin ◽  
Khristina Derevyanko ◽  
Nargiza Askatovna Garifullina
Keyword(s):  
Quality Of Life ◽  
Minimally Invasive ◽  
Treatment Strategy ◽  
High Frequency ◽  
Chiari Malformation ◽  
Clinical Case ◽  
Pediatric Neurosurgery ◽  
Surgical Interventions ◽  
Minimally Invasive Surgical

Since the active introduction of neuroimaging methods, the prevalence of registered children with craniovertebral anomalies, including the Chiari malformation (CM), has a statistically significant tendency to increase. Minimally invasive surgical interventions are the most acceptable in pediatric neurosurgery, however, currently experience has been accumulated enough that does not confirm the universality of this method, due to the high frequency of reoperations at an older age, as well as a decrease of children’s quality of life in the interoperative periods. Considering the imperfection of treatment strategy mentioned above, the aim of this article was to analyze modern surgical interventions in pediatric and adult neurosurgeons with confirmation of our own results as an example of a clinical case of Chiari malformation in our clinic.

scholarly journals Patient-reported outcomes of ductoscopy procedures for pathologic nipple discharge

Breast Cancer ◽  
2020 ◽  
Author(s):  
M. D. Filipe ◽  
J. M. Simons ◽  
L. Moeliker ◽  
L. Waaijer ◽  
M. R. Vriens ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Nipple Discharge ◽  
Invasive Technique ◽  
Sf 36 ◽  
Patient Reported ◽  
Pathologic Nipple Discharge ◽  
Duct Excision ◽  
Breastfeeding Problems ◽  
Over Time

Abstract Background Pathologic nipple discharge (PND) is a common complaint often associated with breast cancer. However, when ultrasound and mammography are negative, the chances of malignancy are lower than 5%. Currently, major duct excision and microdochectomy are often recommended to alleviate symptoms and definitely rule out malignancy, but can cause infections and breastfeeding problems. Ductoscopy is a minimally invasive endoscopy technique that allows visualization of the mammary ducts and may not only obviate surgery but also detect malignancy. The aim of this study was to determine quality of life (QOL) after ductoscopy in patients with PND. Materials and methods All PND patients referred for ductoscopy between 2014 and 2015 to our hospital were included. Ductoscopy procedures were performed under local anaesthesia in the outpatient clinic. Patients were asked to fill out questionnaires (Breast-Q, EQ-5D-5L and SF-36) on the day of ductoscopy, and after 2 weeks, 3 and 6 months. Additionally, we performed reliability analysis to determine if these questionnaires were suitable for PND patients. Results Fifty consecutive patients underwent ductoscopy of whom 47 patients participated in this study. One domain of SF-36 (vitality) varied significantly over time. Breast-Q, SF-36 and EQ-5D-5L showed that QOL after ductoscopy for PND was unaffected by ductoscopy. Success of the ductoscopy procedure was a significant predictor for satisfaction with the result domain. Conclusion Ductoscopy is a minimally invasive technique that does not seem to impact QoL of PND patients over time. Breast-Q, SF-36 and EQ-5D-5L seem to be suitable existing QOL tests for PND patients undergoing ductoscopy, whereas SF-36 would require modifications.

scholarly journals Robot-assisted revision of sacroiliac joint fusion using a triangular titanium implant in an S2-alar-iliac trajectory: illustrative case

2021 ◽  
Vol 2 (1) ◽  
Author(s):  
Matthew Triano ◽  
Islam Fayed ◽  
Faheem A. Sandhu
Keyword(s):  
Quality Of Life ◽  
Minimally Invasive ◽  
Elderly Patients ◽  
Sacroiliac Joint ◽  
Titanium Implant ◽  
Invasive Technique ◽  
Illustrative Case ◽  
Robot Assisted ◽  
Invasive Approach

BACKGROUND Sacroiliac joint (SIJ) dysfunction can lead to significant pain and disability, greatly impairing quality of life. Arthrodesis may take up to 1 year to occur, after which revision can be considered. There is a need for highly accurate and reproducible techniques for revision that allow for purchase through undisturbed bone to prevent prolonged pain and disability. Moreover, a minimally invasive technique for revision would be favorable for recovery, particularly in elderly patients. OBSERVATIONS An 84-year-old man with a prior history of lumbar fusion presented with severe buttock pain limiting ambulation and sitting because of the failure of arthrodesis after SIJ fusion 1 year earlier. He underwent revision using a triangular titanium implant (TTI) in an S2-alar-iliac (S2-AI) trajectory under robotic guidance, which is a novel technique not yet described in the literature. The patient’s pain largely resolved, he was able to ambulate independently, and his quality of life improved tremendously. There were no complications of surgery. LESSONS Placement of a TTI using an S2-AI trajectory is a safe and effective method for revision that can be considered for elderly patients. Robot-assisted navigation can be used to facilitate an accurate and reproducible approach using a minimally invasive approach.

scholarly journals Experience of using scleroobliteration in venous angiodysplasia (results of 12-month follow-up)

2021 ◽  
Vol 29 (3) ◽  
pp. 410-418
Author(s):  
Sergey V. Sapelkin ◽  
Natal'ya A. Druzhinina ◽  
Alexander F. Kharazov ◽  
Andrey V. Chupin
Keyword(s):  
Minimally Invasive ◽  
Minimally Invasive Technique ◽  
Invasive Technique ◽  
Laser Coagulation ◽  
Surgical Interventions ◽  
Results Of Treatment ◽  
Local Spread ◽  
Initial Symptoms ◽  
Radiofrequency Obliteration ◽  
Invasive Techniques

AIM: To evaluate the results of using the minimally-invasive technique of scleroobliteration in patients with venous malformations. MATERIALS AND METHODS: From 2006 to 2020, 41 interventions were performed for venous-cavernous angiomatosis of various localization through scleroobliteration. Nineteen patients (46.3%) underwent complex treatment, which included a combination of this minimally-invasive technique with other surgical interventions (resection of angiomatous tissues, laser coagulation, and radiofrequency obliteration). RESULTS: Clinical improvement was achieved in 38 (92.7%) patients. According to the data of ultrasound control, 25 patients (61%) experienced no blood flow in the obliteration zone, and there was regression of the initial symptoms within 1 year of observation following intervention. The results of treatment were better due to the local spread of the angiomatous process. With diffuse forms, it was not possible to achieve a positive effect in 3 patients (11.1%). CONCLUSION: Scleroobliteration can provide a positive result in the treatment of patients with venous-cavernous angiodysplasia, both as an independent method and in combination with other minimally-invasive techniques.

Long-Term Follow-Up of Minimally Invasive Cardiac Surgery Using an Endoaortic Occlusion System

2014 ◽  
Vol 17 (2) ◽  
pp. 93 ◽  
Author(s):  
Arndt-H. Kiessling ◽  
Philipp Kisker ◽  
Alexandra Miskovic ◽  
Nestoras Papadopoulos ◽  
Andreas Zierer ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Minimally Invasive ◽  
Structural Damage ◽  
Aortic Wall ◽  
Artery Bypass ◽  
Mitral Valve Surgery ◽  
Ascending Aorta ◽  
Invasive Technique

<p><b>Objectives:</b> We reviewed the initial patient series (n=116) of our institution performing minimally invasive coronary artery bypass grafting (CABG) (n=79), mitral valve surgery (n=1), or atrial septal closure (ASD) procedures (n=26) using an endoaortic occlusion system. With this technique relevant intra-aortic pressures are exerted on the aortic wall during the clamping time. This might lead to late aortic degeneration and aneurysm formation. Our study sought to evaluate postoperative aortic complications and the quality of life (modified SF-12).</p><p><b>Methods:</b> One hundred sixteen patients (56% male; 54 years � 14.5; range 19 years to 77 years) underwent a cardiac procedure using an endoaortic clamp. The endoaortic balloon clamp catheter was used to occlude the ascending aorta at pressures >300 mmHg. Patients were rescheduled for echocardiographic examination after a mean follow-up period of 8.8 years.</p><p><b>Results:</b> The analysis performed among 78 patients showed no incidence of any structural damage to the ascending aorta at the intraoperative position of the endoaortic balloon. The physical and mental summary scores are equal to those of comparable patient groups.</p><p><b>Conclusions:</b> The endoaortic occlusion system causes no damage to the aortic wall. If the system causes any problems, they occur immediately during surgery. Patients treated with this minimally invasive technique exhibited the same quality of life as those undergoing conventional surgery.</p>

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