scholarly journals IMMEDIATELY SEQUENTIAL BILATERAL CATARACT SURGERY - «FOR» AND «CONS»

2021 ◽  
Author(s):  
Dmitry Fedorovich Pokrovskiy
Keyword(s):  
Cataract Surgery ◽  
Intraocular Lenses ◽  
Refractive Errors ◽  
Careful Selection ◽  
Bilateral Cataract ◽  
Intracameral Antibiotics ◽  
Pros And Cons ◽  
Safety Recommendations ◽  
Selection Of Patients ◽  
Selection Of

This review presents the main pros and cons of Immediately Sequential Bilateral Cataract Surgery (ISBCS) versus Delayed Sequential Bilateral Cataract Surgery (DSBCS). The main arguments against ISBCS versus DSBCS are the likelihood of postoperative bilateral endophthalmitis and refractive errors. At the same time, careful selection of patients, the implementation of safety recommendations and the use of intracameral antibiotics, combined with the improvement of formulas for calculating intraocular lenses, provide the advantages of ISBCS associated with the rapid rehabilitation of patients after surgery and economic reasons.

Endoscopic Treatment of Subglottic and Tracheal Stenosis by Radial Laser Incision and Dilation

1987 ◽  
Vol 96 (6) ◽  
pp. 661-664 ◽  
Author(s):  
Stanley M. Shapshay ◽  
Roger L. Hybels ◽  
John F. Beamis ◽  
R. Kirk Bohigian
Keyword(s):  
Carbon Dioxide ◽  
Tracheal Stenosis ◽  
Endoscopic Treatment ◽  
Mechanical Trauma ◽  
Careful Selection ◽  
Tracheal Collapse ◽  
Laser Incision ◽  
Selection Of Patients ◽  
Selection Of

Five patients with severe fibrous subglottic and tracheal stenosis were treated by endoscopic radial laser incision and dilation using both carbon dioxide and neodymium:yttrium aluminum garnet lasers. Good results were noted without complications in all patients in a follow-up period of at least 1 year. Careful selection of patients, excluding those with tracheal collapse or tracheomalacia, and preservation of tracheal epithelium with minimal heat and mechanical trauma are considered essential for good results.

Subtotal laryngectomy with myomucosal shunt

1989 ◽  
Vol 103 (5) ◽  
pp. 504-507 ◽  
Author(s):  
H. R. Chandrachud ◽  
M. K. Chaurasia ◽  
K. P. Sinha
Keyword(s):  
Squamous Cell Carcinoma ◽  
Frozen Section ◽  
Careful Selection ◽  
Voice Production ◽  
Tracheal Stoma ◽  
The Voice ◽  
Selection Of Patients ◽  
Thyroarytenoid Muscle ◽  
Tumour Extent ◽  
Selection Of

AbstractThis is a modified subtotal laryngectomy. On the tumour-free side of the larynx, some posterior structures, with their neurovascular supply are preserved. The endolaryngeal mucosa is tubed in continuity with the trachea below and projects into the pharynx above. Thus a myomucosal shunt is formed. Air is directed into it by finger occlusion of the tracheal stoma.The voice production is highly satisfactory. Aspiration is prevented by constriction of the thyroarytenoid muscle which provides a valved upper end of the tube.The possibility of leaving tumour in the laryngeal remnant is eliminated by careful selection of patients, and re-confirmation of tumour extent intra-operatively and a frozen section.Eleven such operations have been performed since October 1983 for squamous cell carcinoma, some previously irradiated. None of the patients had local recurrence. Only one had an aspiration problem which later resolved. All acquired a satisfactory voice

Randomized Trial of Multifocal Intraocular Lenses versus Monovision after Bilateral Cataract Surgery

Ophthalmology ◽  
2013 ◽  
Vol 120 (12) ◽  
pp. 2449-2455.e1 ◽  
Author(s):  
Mark R. Wilkins ◽  
Bruce D. Allan ◽  
Gary S. Rubin ◽  
Oliver Findl ◽  
Emma J. Hollick ◽  
...  
Keyword(s):  
Cataract Surgery ◽  
Randomized Trial ◽  
Intraocular Lenses ◽  
Bilateral Cataract ◽  
Multifocal Intraocular Lenses

M1540 High Complication Rate After Pancreas Preserving Surgical Procedures for Benign or Borderline Pancreatic Lesions. Careful Selection of Patients Is Needed

2008 ◽  
Vol 134 (4) ◽  
pp. A-869
Author(s):  
Cosimo Sperti ◽  
Claudio Pasquali ◽  
Mattia Berselli ◽  
Laura Frison ◽  
Tania Saibene ◽  
...  
Keyword(s):  
Surgical Procedures ◽  
Complication Rate ◽  
Careful Selection ◽  
High Complication Rate ◽  
Selection Of Patients ◽  
Selection Of

scholarly journals Results of arthroscopic meniscal repair

2017 ◽  
Vol 5 (1_suppl) ◽  
pp. 2325967117S0001
Author(s):  
María Belén Orlowski ◽  
Damián Arroquy ◽  
Jorge Chahla ◽  
Jorge Guiñazú ◽  
Martín Carboni Bisso ◽  
...  
Keyword(s):  
Success Rate ◽  
Acl Reconstruction ◽  
Failure Rate ◽  
Clinical Success ◽  
Intraoperative Complications ◽  
Meniscal Repair ◽  
Careful Selection ◽  
Meniscal Suture ◽  
Selection Of Patients ◽  
Selection Of

Objectives: Currently the arthroscopic treatment of meniscal pathology has become one of the most common procedures in orthopedic practice and although in most cases meniscectomy is done, meniscal sutures are the treatment of choice when a reparable lesion is diagnosed, especially in young patients. It has been reported that the meniscal repair leads to a lower incidence of developing degenerative changes in the long-term when compared with meniscectomy and nonsurgical treatment of meniscal injuries. The aim of this study was to determine the success rate of meniscal repair achieved in our sports medicine practice. Methods: Between 2006 and 2015, 62 meniscal tears in 58 patients with a mean age of 31 years (range 15-58) were repaired. Mean follow-up was 52 months (range 6-120 months). In 16 patients (28%) was associated with arthroscopic ACL reconstruction. The repair techniques used included outside-in sutures, inside-out sutures, all-inside sutures and a combination of techniques. Failure of the repair was defined by the requirement for repeat knee arthroscopy and partial or subtotal meniscectomy. The indication of arthroscopic revision was based on the presence of mechanical symptoms, after the suture. Results: Failure of meniscus repair occurred in four patients (failure rate: 6.45%), one case was associated with ACL reconstruction (failure rate: 6.25%) and 3 had undergone isolated meniscal suture (failure rate: 8%). The average time for the reoperation was 15 months (4-24). We had no intraoperative complications. Conclusion: The reported failure rate of meniscal repair in stable knees varies between 12% and 43%, with reports that demonstrate a clinical success rate of 100%. In this study, we obtained a success rate of 93.5%. These results are slightly higher than those in the literature, which can be attributed to careful selection of patients and the fact that clinical success tends to be better than the assessed arthroscopically. In summary, we consider the meniscal repair as a successful option in the treatment of meniscal rupture. Due to the importance it has recovered in the last time preserving the meniscus, in the future we should greatly increase our rate of meniscal suture. We hold that careful selection of patients and the type of injury to repair, optimizes the success of meniscal repairs.

Combining primary and sulcus piggyback IOLs for the correction of a spherical-cylindrical defect in an eye with abnormal cornea

2021 ◽  
pp. 112067212110378
Author(s):  
Fabrizio Gaetano Saverio Franco ◽  
Cristina Nicolosi ◽  
Giulio Vicini ◽  
Piero Grasso Cannizzo ◽  
Gianni Virgili ◽  
...  
Keyword(s):  
Cataract Surgery ◽  
Intraocular Lenses ◽  
Posterior Chamber ◽  
Refractive Errors ◽  
Dioptric Power ◽  
Iol Power ◽  
Monofocal Iol ◽  
Myopic Astigmatism ◽  
Posterior Chamber Iol ◽  
High Myopic Astigmatism

Introduction: Piggyback IntraOcular Lenses (IOLs), or supplementary secondary implant lenses, have been developed to provide a sufficient dioptric power in eyes with high refractive defects, which are not fully correctable after cataract surgery with single IOL in the range of powers available. These lenses can also be used for the correction of refractive errors that occurred for a wrong choice of the IOL power after cataract surgery. Case description: We report the case of a complete refractive success obtained in a patient with an abnormal cornea, with a central stable ectasia, with thinning, high myopic astigmatism and cataract, obtained with the implant of a primary posterior chamber IOL at the time of cataract surgery and a subsequent implant of a secondary piggyback, sulcus-based customized toric IOL (Camellens FIL 622-2 Toric Monofocal IOL, Soleko, Rome, Italy). Conclusions: This brief report demonstrates the utility of combining primary and piggyback IOLs implant for the correction of a complex spherical-cylindrical refractive defect in a case of abnormal cornea and cataract.

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