scholarly journals On the question of the treatment of extrauterine blood tumor

2020 ◽  
Vol 7 (4) ◽  
pp. 363
Author(s):  
F. Krasnopolskiy
Keyword(s):  
Surgical Treatment ◽  
The Third ◽  
Expectant Treatment

The author reports 3 cases of extrauterine blood tumor; in the first two cases, surgical treatment was used (incision of the tumor through the vagina), in the third - expectant treatment.

Surgical Treatment of the Clasped Thumb

1989 ◽  
Vol 14 (1) ◽  
pp. 72-79 ◽  
Author(s):  
Esther Lipskeir ◽  
M. Weizenbluth
Keyword(s):  
Surgical Treatment ◽  
Tendon Transfer ◽  
Pathological Feature ◽  
Tendon Transfers ◽  
Extensor Tendons ◽  
The Third ◽  
First Ray ◽  
Intrinsic Muscles

We report a series of 12 patients (19 hands) with clasped thumb who underwent surgical treatment. The series is divided into three groups. In the first group, the prominent pathological feature was hypoplasia of the extensor tendons which was treated by tendon transfer. The second group, the arthrogryphotic type, had contracture of the intrinsic muscles of the thumb and shortening of the skin; these needed mainly release operations. In only three hands out of nine was tendon transfer performed. The third group was defined by a combination of skeletal, muscular and tendon hypoplasia. Instability of the M.P. joint and adduction contracture of the first ray were found in all hands of this group. The adduction deformity was corrected by skin-plasty of the first web and the extension was improved by tendon transfers. Only one case needed stabilisation of the M.P. joint. The final results were related to the extent of the contractures and to the age of the patient when treatment started.

scholarly journals Can We Use the Silodosin as Second Line Treatment of Benign Prostate Hyperplasia?

2021 ◽  
Author(s):  
Bekir Voyvoda ◽  
Onur Memik ◽  
Onur Karslı ◽  
Murat Üstüner ◽  
Levent Özcan
Keyword(s):  
Surgical Treatment ◽  
Symptom Relief ◽  
Routine Practice ◽  
Prostate Hyperplasia ◽  
Blocker Therapy ◽  
Alpha Blocker ◽  
The Third ◽  
Voiding Symptoms ◽  
Group 2 ◽  
Group 1

Objective: We aimed to investigate the efficacy of silodosin in patients with lower urinary tract symptoms (LUTS) caused by benign prostatic hyperplasia (BPH) refractory to previous α-adrenergic receptor (AR) blocker therapy. Materials and Methods: Patients who did not benefit from alpha-blocker therapy but avoided surgical treatment constitute the population of our study. Seventy-five patients were studied in each group; Group 1 was given 8 mg of silodosin, while Group 2 continued the previous alpha-blocker treatment. Results: The initial mean international prostate symptom score (IPSS) was calculated as 20.81±0.97 in Group 1, in the third month there was a decrease of 17.12±1.25 (p<0.05). No significant change was observed in Group 2. In addition, a significant decrease was observed in IPSS subscores (storage and voiding symptoms) in Group 1 compared to baseline at the third month. There was an improvement in residual urine in the silodosin group and no improvement in the other group. Conclusion: In patients with BPH who refuse surgical treatment and could not achieve adequate symptom relief with other α-blockers in routine practice, silodosin was found superior in terms of LUTS recovery. Silodosin is also an effective option in patients who cannot undergo surgical treatment due to comorbidities.

Surgical Treatment of Prolapse of the Third Eyelid Gland in Dogs using Modified Morgan Pocket Technique

2019 ◽  
Author(s):  
R. Yaygingul ◽  
Z. Bozkan ◽  
Z. Bilgen ªen ◽  
B. Kibar Kurt ◽  
O. Bulut ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Surgical Treatment ◽  
Clinical Outcome ◽  
Success Rate ◽  
Postoperative Period ◽  
Clinical Problem ◽  
The Third ◽  
Unilateral Disease ◽  
Percent Success ◽  
The Right

The aim of this retrospective study was to evaluate the clinical outcome, complications, recurrence rate, and results of the pocket technique in the treatment of prolapse of the third eyelid gland, cherry eye namely. Thirty eyes of 26 dogs diagnosed with prolapse of the third eyelid gland were included the study. Conjunctivitis and ocular discharges were noticed in the affected eyes. The four cases were (15%) bilateral and twenty-two (85%) were unilateral. Of the dogs with unilateral disease, the affected eye was on the left side in 10 (45%) dogs and the right side in 12 (55%). Eighteen dogs were male and eight were female. Twenty-six dogs, 30 eyes with protrusion of the third eyelid gland were treated using Modified Morgan’s pocket technique. In the postoperative period, the dogs were controlled 3 times with 7 day intervals and no clinical problem was detected. Modified Morgan pocket technique was used with 96.1 percent success rate for the re-positioning of prolapsed gland of the third eyelid in dogs.

Hemorrhoidectomy in the Third Trimester of Pregnancy: A Case Report of A Primipara With Twin Gestation

2020 ◽  
Vol 7 (2) ◽  
pp. 14-18
Author(s):  
Edwin Onyedikachi Chukwudi ◽  
Itekena Eugene Wakama ◽  
Ugochukwu Onyinye ◽  
Emi Membere-Otagi . ◽  
Akano Charity . ◽  
...  
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Second Trimester ◽  
Third Trimester ◽  
Cervical Cerclage ◽  
The Third ◽  
Multiple Gestations ◽  
Male Twin ◽  
In Pregnancy

Hemorrhoids in pregnancy rarely require surgical treatment. Hemorrhoidectomy when done in pregnancy may result in complications for the mother or fetus. With multiple gestations (twin gestation in this case), the risk of these complications could be higher, more so, when done in the third rather than second trimester. We report the management of a 29yr old woman with twin gestation and in situ cervical cerclage who developed strangulated hemorrhoids at 30 weeks gestation. She had successful hemorrhoidectomy, continued her pregnancy until vaginal delivery of a healthy set of male twin neonates at 37 weeks gestation without recurrence.

scholarly journals Peripheral ostectomy with the use of Carnoy’s solution as a rational surgical approach to odontogenic keratocyst: A case report with a 5-year follow-up

2012 ◽  
Vol 69 (12) ◽  
pp. 1101-1105 ◽  
Author(s):  
Stevo Matijevic ◽  
Zoran Damjanovic ◽  
Zoran Lazic ◽  
Milka Gardasevic ◽  
Dobrila Radenovic-Djuric
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Third Molar ◽  
Treatment Protocol ◽  
Odontogenic Keratocyst ◽  
Radiographic Evidence ◽  
The Third ◽  
Cortical Perforation ◽  
Molar Region

Introduction. Odontogenic keratocyst (OKC) is a rare developmental, epithelial and benign cyst of the jaws of odontogenic origin with high recurrence rates. The third molar region, especially the angle of the mandible and the ascending ramus are involved far more frequently than the maxilla. The choice of treatment approach was based on the size of the cyst, recurrence status, and radiographic evidence of cortical perforation. Different surgical treatment options like marsupialization, decompression, enucleation, enucleation with Carnoy?s solution, peripheral ostectomy with or without Carnoy?s solution, and jaw resection have been discussed in the literature with variable rates of recurrence. Case report. We presented a 52-yearold male with orthokeratinized odontogenic keratocyst. Elliptical unilocular radiolucency located in the third molar region and the ascending ramus of the mandible, 40 ? 25 mm in diameter with radiographic evidence of cortical perforation at the anterior ramus border of the mandible 20 mm in diameter, was registrated on orthopantomographic radiography. Surgical treatment included enucleation of the cyst and peripheral ostectomy with the use of Carnoy?s solution and excision of the overlying attached mucosa. Postoperatively, no paresthesia in the inervation area of the inferior alveolaris nerve was registrated. Recurrences were not registrated within 5 years post-intervention. Coclusion. Treatment of odontogenic keratocyst with enucleation and peripheral ostectomy with the use of Carnoy?s solution and excision of the overlying attached mucosa had a very low rate of recurrence. Radical and more aggressive surgical treatments as jaw resection should be reserved for multiple recurrent cysts and when OKC is associated with nevoid basal cell carcinoma syndrome (NBCCS). Following the treatment protocol in the management of OKC and systematic and long-term postsurgical follow-up are considered key elements for successful results.

scholarly journals Analysis of surgical treatment of duodenal ulcers with multiple combined complications

2021 ◽  
pp. 10-12
Author(s):  
Pavlo Ivanchev ◽  
Maxim Bilyachenko ◽  
Anton Kurbanov ◽  
Oleksii Lissov
Keyword(s):  
Surgical Treatment ◽  
Postoperative Mortality ◽  
Bleeding Complications ◽  
Duodenal Ulcers ◽  
The Third ◽  
Number Of Patients ◽  
Group A ◽  
Analysis Of Results ◽  
Surgical Tactics ◽  
Group B

The aim of the research. Analysis of results and development of surgical tactics for the treatment of DU with multiple combined complications. Materials and methods. The results of the analysis of surgical treatment of duodenal ulcers with multiple combined complications (3 and 4 combined complications) for 3 periods are presented: 1st (1983–1995) (group A) – 77 patients, 2nd (2000–2007) years (group B) – 30 patients and 3rd (2008–2020) (group C) – 46 patients. Results. 153 patients (100 %) underwent surgery for complicated duodenal ulcer (DU), of which 130 patients (84.9 %) had a combination of three complications and 23 (15.1 %) had four complications. Bleeding complications were noted in 139 of 153 patients, accounting for 90.8 %, and ulcer perforation in 69 patients, accounting for 45.1 % of all other complications. Based on the obtained data of the analysis, there is a steady tendency to increase the proportion of organ-preserving operations (OPO) by 1.5 times (from 50.7 % to 76.2 %), reducing the number of gastrectomy (GR) by 3 times (from 14.5 % to 4.8 %) and palliative operations (PAL) 3.3 times (from 15.8 % to 4.8 %) with a relatively stable number of performed organ-saving operations (OSO): in group A – 17 (24.6 %) interventions, in group B – 4 (21.1 %), group C – 6 (14.3 %). Conclusions. The use of modern measures of endoscopic hemostasis allowed to operate on patients in the delayed period, and their share from the second period to the third increased 2.8 times. The number of patients who underwent emergency surgery with perforation of the ulcer as one of the complications decreased in the third period compared to the second by 2.6 times, due to the widespread use of PPIs in the conservative treatment of DU. According to the results of the analysis it became known that the chosen active-individualized tactics and developed algorithms for choosing the type of surgery allowed to achieve a stable level of postoperative mortality at 8.3 %.

scholarly journals Colonic Stoma Creation as the First Stage of Surgical Correction of Total Colonic Aganglionosis in Children

2020 ◽  
Vol 26 (2) ◽  
Author(s):  
Oleh Kurtash
Keyword(s):  
Surgical Treatment ◽  
Small Bowel ◽  
Functional Outcomes ◽  
Radical Surgery ◽  
Surgical Correction ◽  
Total Colonic Aganglionosis ◽  
Stoma Creation ◽  
The Third ◽  
Third Stage ◽  
The Creation

Abstract. The use of a staged approach in surgical treatment of total colonic aganglionosis is controversial. The creation of a protective colonic stoma as the first stage of surgical correction of total colonic aganglionosis rather than one-stage correction has become an alternative in treatment of such patients. This approach contributes to better survival, reduces the incidence of ileoanal anastomotic failure and improves functional outcomes. The objective of the research was to study and evaluate the need for colonic stoma creation as the first stage of surgical correction of total colonic aganglionosis in children. Materials and Methods. The analysis of surgical treatment of 41 children with total colonic aganglionosis over the period 1980-2020 was conducted. Protective colonic stoma was created in all the patients, namely 36 children with isolated colonic aganglionosis and 5 children with the involvement of the entire colon and a segment of the small bowel. Results. Twenty-four (58.54%) patients were diagnosed and underwent the first stage of treatment in National Specialized Children’s Hospital “Okhmatdyt”. There were 17 (41.46%) patients who were transferred from other clinics after being diagnosed with a pathology and undergoing colonic stoma creation. During staged treatment of children with total colonic aganglionosis, a single-barrel ileostomy (n=10, 24.40%), a double-barrel ileostomy (n=5, 12.19%), or a loop colonic ileostomy (n=26, 63.41%) were created. The periods between creating the protective colonic stoma and performing radical surgery ranged from 4 to 14 months. The colonic stomas were closed 2-4 months after radical surgery. The third stage of surgical correction of total colonic aganglionosis in children was carried out after the state of the neorectum formed and ileoanal anastomosis were assessed for readiness of inclusion in the passage. There were no complications after protective stoma closure. Within the first 3 months, the frequency of bowel movement ranged from 10 to 15 times a day, and, in a year, it was 2-4 times a day. All the children survived. Functional outcomes of treatment were found to be good. Bowel function was satisfactory. The X-ray images demonstrated the rectal reservoir of sufficient size with pronounced colonization. Conclusions. Surgical correction of total colonic aganglionosis in children involves the three-stage approach consisting in the creation of the protective small bowel stoma (the first stage), radical surgery, namely colectomy with reconstructive plastic formation of functionally advantageous reservoir version of the neorectum (the second stage) and ileostomy closure after adaptation of the small bowel reservoir (the third stage). The creation of the protective small bowel stoma as the first stage of surgical correction of total colonic aganglionosis in children is emergency surgery. The creation of the loop small bowel stoma at 12 cm above aganglionosis level is the most rational type of the first stage of correcting total colonic aganglionosis in children.

HEMORRAGIA PÓS-PARTO

2018 ◽  
Vol 5 (3) ◽  
pp. 59-64
Author(s):  
Pollyana de Cássia Macedo ◽  
Hanna Helena Lopes
Keyword(s):  
Risk Factors ◽  
Surgical Treatment ◽  
Literature Review ◽  
Postpartum Haemorrhage ◽  
Active Management ◽  
Therapeutic Management ◽  
Maternal Deaths ◽  
Mortality And Morbidity ◽  
The Third ◽  
Maternal Mortality And Morbidity

RESUMO Introdução: A hemorragia pós-parto é a principal causa de morbimortalidade materna no mundo, sendo responsável por cerca de 25% do óbitos maternos mundiais, tratando-se, pois, de uma condição potencialmente grave e importante para a saúde pública. Métodos: Foi realizada uma revisão de literatura no banco de dados MEDLINE, PUBMED e SCIELO, selecionando artigos que tratavam principalmente do manejo, da prevenção e dos fatores de risco relacionados à hemorragia pós-parto. Resultados: O conhecimento dos fatores de risco, bem como o manejo ativo no terceiro período, com o uso de uterotônicos, clampeamento do cordão em tempo oportuno e tração controlada do cordão, são eficazes na redução da hemorragia pós-parto. A identificação de sinais e sintomas da hemorragia deve ser precoce para iniciar o manejo terapêutico, o qual divide-se em manutenção da estabilidade hemodinâmica e tratamento específico segundo a etiologia. Inicialmente é preferido o tratamento clínico, com fármacos e manobras, e em caso de falha terapêutica, o tratamento cirúrgico deve ser indicado e realizado o quanto antes. Conclusão: A redução da morbimortalidade por hemorragia pós-parto baseia-se em três pilares de atendimento: assistência pré-natal e durante o trabalho de parto de qualidade, manejo ativo no terceiro período e manejo terapêutico rápido e eficaz.   Palavras-chave: Hemorragia pós-parto; Prevenção; Fatores de risco; Manejo terapêutico; Trabalho de parto; Terceiro período. ABSTRACT Introduction: Postpartum haemorrhage is the main cause of maternal mortality and morbidity worldwide, and its being responsible for nearly 25% of maternal deaths. Methods: The research was conducted through a literature review of MEDLINE, PUBMED and SCIELO database, and the articles were selected that discussed mainly about management, prophylaxis and risk factors related to postpartum haemorrhage. Results: The risk factors knowledge, as well as the active management in the Third Period, with uterotonics use, opportunal cord clampeament and controled cord traction are effective in reduce postpartum haemorrhage. The identification of the signs and symptons of haemorrhage is essential to iniciate the therapeutic management, which is divided in haemodynamic establizitation maintanace and especif treatment, directed towards the etiology. Inicially the clinical treatment is preferred, with the use of drugs and techiniques, and if therapeutic failure, surgical treatment must be indicated and early managed. Conclusion: Postpartum haemorrhage morbimortality reduction is based in three attendance pilars: antenatal, intrapartum and postpartum qualified assistance, active management of the third period and fast and effective therapeutic managem. Keywords: Postpartum haemorrhage; Prevention; Risk factors; Therapeutic management; Delivery; Third period.

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