SURGICAL ASPECTS OF TREATMENT URATOSIS TOPHI

The author analyzes his own experience of operative treatment of 27 patients with arthritic tophi. The conclusions about the need for surgical intervention at an early stage, before the development of complications. Operation with gout were local plastic nature and were individually depending on the size and location of tophi.

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Surgical Intervention of Early Stage Primary Acquired Cholesteatoma

The Journal of Laryngology & Otology ◽

10.1017/s0022215116006617 ◽

2016 ◽

Vol 130 (S3) ◽

pp. S218-S219

Author(s):

Tao Pan ◽

Furong Ma ◽

Yu Wang ◽

Ke Zhang ◽

Jia Ke

Keyword(s):

Surgical Intervention ◽

Early Stage ◽

Acquired Cholesteatoma

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Development of secondary unilateral coronal suture synostosis with a sagittal suture synostosis in a nonsyndromic patient

Journal of Neurosurgery Pediatrics ◽

10.3171/2011.11.peds11320 ◽

2012 ◽

Vol 9 (2) ◽

pp. 116-118 ◽

Cited By ~ 2

Author(s):

Leonardo Rangel-Castilla ◽

Steven W. Hwang ◽

Andrew Jea ◽

William E. Whitehead ◽

Daniel J. Curry ◽

...

Keyword(s):

Surgical Intervention ◽

Early Stage ◽

Sagittal Synostosis ◽

Clinical Appearance ◽

Syndromic Craniosynostosis ◽

Intervention Failure ◽

Frontoorbital Advancement ◽

Coronal Synostosis ◽

Second Procedure

Multiple-suture synostosis is typically associated with syndromic craniosynostosis but has been occasionally reported in large series of nonsyndromic children. The diagnosis of multiple fused sutures usually occurs at the same time, but rarely has the chronological development of a secondary suture synostosis been noted. The development of secondary bicoronal suture synostosis requiring surgical intervention has only been reported, to date, after surgical intervention and is hypothesized to arise from a disruption of inhibitory factors from the dura. The disinhibition of these factors permits the sutures to then fuse at an early stage. The authors report on a patient who developed secondary unilateral coronal synostosis after the diagnosis of an isolated sagittal synostosis. The secondary synostosis was identified at the time of the initial surgical intervention and ultimately required a second procedure of a frontoorbital advancement. The clinical appearance of this phenomenon may be subtle, and surgeons should monitor for the presence of secondary synostosis during surgery as it may require intervention. Failure to identify the secondary synostosis may necessitate another surgery or result in a poor cosmetic outcome. The authors recommend close clinical follow-up for the short term in patients with isolated sagittal synostosis.

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Change in Functional Impairment, Disability, and Quality of Life Following Operative Treatment for Degenerative Cervical Myelopathy: A Systematic Review and Meta-Analysis

Global Spine Journal ◽

10.1177/2192568217710137 ◽

2017 ◽

Vol 7 (3_suppl) ◽

pp. 53S-69S ◽

Cited By ~ 21

Author(s):

Michael G. Fehlings ◽

Lindsay A. Tetreault ◽

Shekar Kurpad ◽

Darrel S. Brodke ◽

Jefferson R. Wilson ◽

...

Keyword(s):

Systematic Review ◽

Operative Treatment ◽

Functional Impairment ◽

Cervical Myelopathy ◽

Surgical Intervention ◽

Japanese Orthopaedic Association ◽

Duration Of Symptoms ◽

Degenerative Cervical Myelopathy ◽

The Impact

Study Design: Systematic review. Objectives: The primary objective of this systematic review was to define the change in impairment, disability, and pain following surgical intervention in patients with degenerative cervical myelopathy (DCM). Secondary objectives included to assess the impact of preoperative disease severity and duration of symptoms on outcomes and to summarize complications associated with surgery. Methods: A systematic literature search was conducted to identify prospective studies evaluating the effectiveness and safety of operative treatment in patients with DCM. Outcomes of interest were functional status, disability, pain, and complications. The quality of each study was evaluated using the Newcastle-Ottawa Scale, and the strength of the overall body of evidence was rated using guidelines outlined by the Grading of Recommendation Assessment, Development and Evaluation (GRADE) Working Group. Results: Of the 385 retrieved citations, 32 met inclusion criteria and are summarized in this review. Based on our results, pooled standard mean differences showed a large effect for improvement in Japanese Orthopaedic Association or modified Japanese Orthopaedic Association score from baseline at short-, medium-, and long-term follow-up: 6 to 12 months (1.92; 95% confidence interval [CI] = 1.41 to 2.43), 13 to 36 months (1.40; 95% CI = 1.12 to 1.67), and ≥36 months (1.92; 95% CI = 1.14 to 2.69) (moderate evidence). Surgery also resulted in significant improvements in Nurick, Neck Disability Index, and Visual Analogue Scale scores (low to very low evidence). The cumulative incidence of complications was low (14.1%; 95% CI = 10.1% to 18.2%). Conclusion: Surgical intervention for DCM results in significant improvements in functional impairment, disability, and pain and is associated with an acceptably low rate of complications.

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Inicijalna dijagnostika intraabdominalnog krvavljenja uzrokovano izolovanom povredom slezine kod tupe abdominalne traume

Acta chirurgica iugoslavica ◽

10.2298/aci0304129d ◽

2003 ◽

Vol 50 (4) ◽

pp. 129-133

Author(s):

Srdjan Dikic ◽

Dragoljub Bilanovic ◽

Tomislav Randjelovic ◽

D. Radovanovic ◽

Miroslav Granic ◽

...

Keyword(s):

Operative Treatment ◽

Surgical Intervention ◽

Bleeding Control ◽

Bleeding Source ◽

Intraabdominal Bleeding ◽

Bleeding Area ◽

Conservative Attitude

Diagnosis of intraabdominal bleeding caused by spleen injury must be performed in the shortest possible period of time, with little risk for the patient, and with high preciseness. By its simple performance, high preciseness and little risk for the patient, DPL imposes as the predominant method in initial diagnostic of intraabdominal bleeding. Control and monitoring of lavage may duly signalize degree of bleeding. Preciseness of this diagnostic in our series ranges up to 93.3%. DPL method is especially important in a combined neurotrauma. Ultrasonography is a sovereign method in diagnostic of bleeding source as well as in monitoring of bleeding that from the very beginning does not require urgent surgical intervention. Its importance is in monitoring both intrasplenic and subcapsulary hematomas. It is not appliable in disturbed and haemodynamically unstable patients. It is in particular important in children where a maximum conservative attitude with respect to operative treatment has been assumed. CT takes the leading place with respect to preciseness of bleeding area, and the combined thoracoabdominal trauma. Preciseness of CT in our series comes up to 96.6%, but can be applied only in haemodynamically stable patients. Same as US of abdomen so the CT of abdomen represents a prominent method in monitoring of both intrasplenic and subcapsular hematomas, which do not require urgent surgical intervention.

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Heterotopic Ossifications of the Forearm: A Cause of Post-Traumatic Loss of Pronation-Supination

Austin Journal of Radiology ◽

10.26420/austinjradiol.2021.1138 ◽

2021 ◽

Vol 8 (5) ◽

Author(s):

Hajar A ◽

◽

Khadija L ◽

Jamal EF ◽

Issam E-N ◽

...

Keyword(s):

Open Fracture ◽

Thermal Injury ◽

Surgical Intervention ◽

Tissue Injury ◽

Early Stage ◽

Soft Tissue Injury ◽

Traumatic Loss ◽

Ectopic Bone ◽

Post Traumatic ◽

Ossification Process

HO is defined by the development of ectopic mature bone within nonosseous tissues. It is a well-described phenomenon that complicates forearm fractures, especially when there is an open fracture, a significant soft tissue injury, and associated neural axis or thermal injury. HO mainly forms near metal hardware and may lead to the formation of radio-ulnar synostosis. CT is superior to plain radiographs, as it identifies the ectopic bone earlier, defines its exact localization, and helps planning the surgical intervention. Radiologic features are variable; in the early stage, CT shows a low-attenuation mass with indistinct surroundings. As the ossification process progresses, zones of mineralization are visible before leading to the formation of mature cortical bone at the periphery (Figure 1 and 2: arrows). Hastings classification describes 5 classes according to how HO affects the forearm range of motion.

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Cervical and Vulvar Cancer in Early Stages

Handbook of Research on Oncological and Endoscopical Dilemmas in Modern Gynecological Clinical Practice - Advances in Medical Diagnosis, Treatment, and Care ◽

10.4018/978-1-7998-4213-2.ch012 ◽

2021 ◽

pp. 158-174

Author(s):

Anastasios Liberis ◽

Angelos Sioutas ◽

Marius Moga ◽

Alexandros Daponte

Keyword(s):

Cervical Cancer ◽

Surgical Treatment ◽

Vulvar Cancer ◽

Surgical Intervention ◽

Early Stage ◽

Optimal Treatment ◽

Diagnosis And Management ◽

Early Stages ◽

Early Stage Cervical Cancer

Cervical and vulvar cancer represent two clinical entities whose diagnosis and management are often challenging. They are frequently diagnosed in the early stages, therefore leaving chances for optimal treatment and prognosis. The aim of this chapter is to answer two oncological issues concerning early stage cervical and vulvar cancer. First, is still room for surgical treatment for early stage cervical cancer or should we suggest chemoradiotherapy instead? Second, when is a limited surgical intervention sufficient for early stage vulvar cancer?

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