scholarly journals COMPARATIVE EFFICACY OF COMBINATION CONTACT AND TRANSURETHRAL PERCUTANEOUS LITHOTRIPSY WITH REMOTE LITHOTRIPSY IN CORALLOID NEPHROLITHIASIS TREATMENT

2011 ◽  
Vol 2 (1) ◽  
pp. 31-34
Author(s):  
V A Perepechai ◽  
A V Zozulya ◽  
I I Skorikov ◽  
S N Dimitriadi ◽  
V N Gornostaev

A retrospective analysis of results of percutaneous nephrolithotripsy (PNLT) for corallike nephrolithiasis in lithotripter "Swiss LithoClast ® Master" and transurethral nephrolithotripsy (TUNLT). In the period 20072010 167 PNLT and 11 TUNLT were performed. Complete elimination at PNLL was achieved in 83.2% of patients, residual concretions – in 16,8% of cases, with complete elimination TUNLT – 36,4%, residual concretions – 63,6%. In 3% of patients needed for the complete elimination of the implementation of additional percutaneous accesses, while 12.6% of the patients was necessary to repeat PNLT. Complications from PNLT + DLT developed in 30,2% of cases, and when the TUNLT + DLT – in 18,2%. Percutaneous technology in comparison to open surgery with corallike nephrolithiasis can significantly shorten the postoperative rehabilitation period and be choice method of the treatment due to its high efficiency and less traumatic.

2020 ◽  
Vol 74 (2) ◽  
pp. 145-147
Author(s):  
A.A. Polyantsev ◽  
◽  
A.A. Kuznetsov ◽  
N.A. Goncharov ◽  
A.A. Kiseleva ◽  
...  

The retrospective analysis of results of urethral strictural disease surgical treatment cases (according to the materials of the urological department of the «Volgograd Regional Clinical Hospital № 1» for 2015–2020) was provided. The research included 168 surgical treatment cases of urethral strictures of different localization, longitude and etiology. The patients were operated using different surgical technics. Comparative analysis of results of surgical treatment in patients with urethral strictures was provided. The research evaluates the efficacy of used methods: internal optical urethrotomy, anastomotic plastics «edge to edge», buccal urethroplastics, urethral plastics without spongious body incisoin. It was found out that now-a-days the most prognostically favourable methods in urethral stictural disease surgical treatment are the buccal plastics and «edge to edge». Otherwise, due to few observed cases, the plastics without spongious body incision demands more detailed and thorough analysis for verifying it’s comparative efficacy.


2015 ◽  
Vol 6 (1) ◽  
pp. 64-65
Author(s):  
R. Kumar ◽  
A. Goyal ◽  
V. Jain ◽  
N. Mehta ◽  
D. Joshi ◽  
...  

2021 ◽  
Vol 102 (6) ◽  
pp. 940-945
Author(s):  
R A Sulimanov ◽  
R R Sulimanov ◽  
E S Spassky ◽  
T V Fedorova ◽  
M A Kholodova

Aim. Comparative analysis of insufficiency rate of bronchial stump sutures in pneumonectomy for lung cancer, depending on suturing techniques. Methods. A patented technique for bronchial stump suturing has been introduced into the practice of the GOBUZ clinic Novgorod Regional Clinical Hospital based on the Department of thoracic surgery since 2015 for pneumonectomy for lung cancer. Before the introduction of the developed technique, various generally accepted methods of bronchial stump forming were used (mechanical suture, manual suture, their combination, bronchial stump coverage with mediastinal pleura, pericardial flap). A retrospective analysis of 173 case histories and operational protocols of patients with lung cancer who underwent pneumonectomy was carried out for the failure of bronchial stump sutures when using conventional suturing techniques between 2010 and 2014 (the first group of patients). We also performed a retrospective and prospective analysis of 204 case histories and operational protocols of patients in a similar clinical group when using a patented suturing technique between 2015 and 2020 (the second group of patients). Statistical analysis was carried out by using Statistica 10.0 software (StatSoft, Inc. 2011). The qualitative and quantitative indicators were analyzed by using the Pearsons 2-test with Yatess correction. Results. A retrospective analysis shows that the failure rate in the use of generally accepted bronchial stump suturing techniques for 20102014 was 10.4%. After the implementation of the method of preventive esophagobronchomyoplasty, complications as bronchial stump suture failure were not detected in any case between 2015 and 2020. Conclusion. The study shows high efficiency, a decrease in the incidence of complications as the failure of bronchial stump sutures in the use of the developed method of preventive esophagomyobronchoplasty in pneumonectomy for lung cancer.


2018 ◽  
Vol 159 (13) ◽  
pp. 520-525
Author(s):  
Dávid Garbaisz ◽  
András Boros ◽  
Péter Legeza ◽  
Zoltán Szeberin

Abstract: Introduction and aim: Iliac artery aneurysms make up 2% of all aneurysms. There are only a few data available on the results of surgical treatment, therefore the optimal treatment is unclear. Our objective was the retrospective analysis of the perioperative morbidity and mortality of patients who underwent iliac artery surgery as well as the comparison of elective open surgery and endovascular iliac aneurysm repair (EVIAR). Method: Retrospective analysis of patients who underwent surgery for iliac artery aneurysm between 1 January 2005 and 31 December 2014. Results: During the 10-year period, 62 patients with a mean age of 68.9 years underwent elective surgery for iliac artery aneurysm (54 males, 87.1%). In 10 cases acute surgery was performed due to aneurysm ruptures (13.9%), 3 patients died within the perioperative period (30%). Regarding anatomical localisation, aneurysm developed mostly on the common iliac artery (80.6%). As an elective surgery, 35 patients (56.5%) underwent open surgery, 25 (40.3%) underwent EVIAR and other endovascular interventions were performed in 2 cases (3.2%). Postoperative complications (1 patient [4.0%] vs. 17 patients [48.5%]; p<0.001) and intensive care treatment (29 patients [82.8%] vs. 2 patients [8.0%]; p<0.001) were significantly rarer after EVIAR than after open surgery. Furthermore, EVIAR resulted in considerably shorter postoperative hospital stays (4.7 ± 2.3 days vs. 11.8 ± 12.2 days; p = 0.006) and significantly less blood transfusion demand (1 patient [4.0%] vs. 26 patients [74.2%]; p<0.001). There were no significant differences regarding long-term survival rates between EVIAR and open surgery (81.4% vs. 71.4%; p = 0.95). Conclusion: In case of the surgical treatment of iliac artery aneurysms, owing to the lower complication rates and shorter postoperative length of stay, EVIAR is primarily recommended. Orv Hetil. 2018; 159(13): 520–525.


2011 ◽  
Vol 36 (7) ◽  
pp. 548-552 ◽  
Author(s):  
L. Rahr ◽  
P. Søndergaard ◽  
T. Bisgaard ◽  
T. Baad-Hansen

This study evaluated the effect of percutaneous needle fasciotomy on primary Dupuytren’s contracture in 149 patients (213 rays) admitted to our clinic in 2007. Ninety-two patients (130 rays) were followed up for 2 years to compare the change in total passive extension deficit and the passive extension deficit across the individual joint and to note side effects. No tendon rupture or damage to sensory nerves was observed and the rehabilitation period was short (mean, 0.6 days). We found a significant change ( p < 0.001) in total passive extension deficit after 2 years, but the effect of the treatment was greater in Tubiana I and II stages and our best results were in correction of MCP joint contractures. Percutaneous needle fasciotomy is an alternative treatment for elderly patients with severe comorbidity or for those patients who do not want open surgery.


2013 ◽  
Vol 12 (6) ◽  
pp. 120-128
Author(s):  
O. A. Poddubnaya ◽  
S. I. Marsheva

Early postoperative rehabilitation of patients with cholelithiasis is aimed at improving the function of bile secretion, adaptability and normalization of psycho-vegetative state body, which in the aggregate prevents progression of the disease and reduces the risk of postcholecystectomy violations. Use in rehabilitation activities fresh mineral water, magnetic-laser and EHF-therapy allows to receive significant improvement of the studied parameters in a significant improvement and normalization of clinical and laboratory indicators, increase adaptive capacity and normalization of psychoemotional and vegetative status of the organism. It is provides immediate high efficiency of the activities (94.7%) of early postoperative rehabilitation of patients with cholelithiasis, which reduces the risk of the development of postcholecystectomy violations and prevents progression of the disease.


1998 ◽  
Vol 65 (2) ◽  
pp. 222-225
Author(s):  
G. Fiaccavento ◽  
P. Scialpi ◽  
R. Zucconelli ◽  
P. Belmonte

Longer life expectancy and the progress made in anaesthesiology have led to an increase over the last few years in the request for treatment of symptomatic benign prostatic hypertrophy (BPH) in elderly patients. A retrospective analysis on 270 patients aged 75 years who underwent surgery on the cervico-prostatic district between 1989 and 1997 showed a rate of complications (10% overall) comparable with that in patients of any age undergoing the same operation. This reinforces the conviction that both open surgery and endoscopic procedures for treating symptomatic BPH are safe and reliable even in the elderly.


Vestnik ◽  
2021 ◽  
pp. 115-122
Author(s):  
И.В. Акижанова ◽  
А.М. Кожанова ◽  
Э.Қ. Кариева ◽  
А.Б. Шакенова ◽  
Ш. Е. Сайлибаева

В данном пилотном исследовании проведен ретроспективный анализ показаний к селективной дорзальной ризотомии у 4 детей с церебральным параличом. В статье также изложены методы оценки эффективности реабилитации детей после селективной дорзальной ризотомии и 15 месячной послеоперационной кинезиотерапии, с определением функциональных профилей согласно доменам МКФ и определением предикторов эффективности СДР. In this pilot study, a retrospective analysis of the indications for selective dorsal rhizotomy was performed in 4 children with cerebral palsy. The article also describes methods for evaluating the effectiveness of rehabilitation of children after selective dorsal rhizotomy and 15-month postoperative kinesiotherapy, with the determination of functional profiles according to the ICF domains and the determination of predictors of the effectiveness of SDR.


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