Surgical treatment for acute testicular diseases in boys

Abstract THE TRANSLABYRINTHINE APPROACH has been popularized during the past 30 years for the surgical treatment of acoustic neuromas. It serves as an alternative to the retrosigmoid approach in patients when hearing preservation is not a primary consideration. Patients with a tumor of any size may be treated by the translabyrinthine approach. The corridor of access to the cerebellopontine angle is shifted anteriorly in contrast to the retrosigmoid approach, resulting in minimized retraction of the cerebellum. Successful use of the approach relies on a number of technical nuances that are outlined in this article.

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Changing Profile of Congenital Heart Disease

PEDIATRICS ◽

10.1542/peds.83.5.790 ◽

1989 ◽

Vol 83 (5) ◽

pp. 790-791

Author(s):

D. WOODROW BENSON ◽

James Moller ◽

Donald C. Fyler ◽

David E. Fixler

Keyword(s):

Congenital Heart Disease ◽

Heart Disease ◽

Surgical Treatment ◽

Congenital Heart ◽

Considerable Change ◽

Diagnostic Methods ◽

Younger Patients ◽

The Past ◽

Steady Improvement ◽

Complex Lesions

In the past 20 years, considerable change has occurred in the profile of congenital heart disease regarding both diagnosis and treatment. The profile has changed from older to younger patients; the essence of this change has been from pediatric to infant to neonatal cardiology. There has been a shift from palliative to more definitive surgical procedures and a change from invasive (cardiac catheterization) to noninvasive (echocardiography) diagnostic methods. The profile has changed from definitive surgical treatment limited to simple lesions to surgical treatment of the most complex lesions. There has been steady improvement in the recognition of cases of congenital heart disease. Of all children admitted to hospitals for treatment of congenital heart disease, the portion less than three days of age has increased from 24% in 1969 to 1972 to 33% in 1982 to 1986.

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Outcome of urethral strictures treated by endoscopic urethrotomy and urethroplasty

Canadian Urological Association Journal ◽

10.5489/cuaj.1407 ◽

2014 ◽

Vol 8 (1-2) ◽

pp. 16 ◽

Cited By ~ 6

Author(s):

Javier Tinaut-Ranera ◽

Miguel Angel Arrabal-Polo ◽

Sergio Merino-Salas ◽

Mercedes Nogueras-Ocaña ◽

Victor Lopez-Leon ◽

...

Keyword(s):

Surgical Treatment ◽

Urethral Stricture ◽

Previous Treatment ◽

Urinary Flow ◽

The Past ◽

Urethral Strictures ◽

High Surgical Risk ◽

Endoscopic Urethrotomy ◽

Male Patients ◽

Maximum Urinary Flow

Introduction: We analyze the outcomes of patients with urethral stricture who underwent surgical treatment within the past 5 years.Methods: This is a retrospective study of male patients who underwent surgery for urethral stricture at our service from January 2008 to June 2012. We analyzed the comorbidities, type, length and location of the stricture and the surgical treatment outcome after endoscopic urethrotomy, urethroplasty or both.Results: In total, 45 patients with a mean age of 53.7 ± 16.7 years underwent surgical treatment for urethral stricture. Six months after surgery, 46.7% of the patients had a maximum urinary flow greater than 15 mL/s, whereas 87.3% of the patients exhibited no stricture by urethrography after the treatment. The success rate in the patients undergoing urethrotomy was 47.8% versus 86.4% in those undergoing urethroplasty (p = 0.01). Twenty percent of the patients in whom the initial urethrotomy had failed subsequently underwent urethroplasty, thereby increasing the treatment success.Conclusion: In most cases, the treatment of choice for urethral stricture should be urethroplasty. Previous treatment with urethrotomy does not appear to produce adverse effects that affect the outcome of a urethroplasty if urethrotomy failed, so urethrotomy may be indicated in patients with short strictures or in patients at high surgical risk.

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Energy Sources for the Surgical Treatment of Atrial Fibrillation

Innovations Technology and Techniques in Cardiothoracic and Vascular Surgery ◽

10.1177/1556984519878166 ◽

2019 ◽

Vol 14 (6) ◽

pp. 503-508

Author(s):

Robert M. MacGregor ◽

Spencer J. Melby ◽

Richard B. Schuessler ◽

Ralph J. Damiano

Keyword(s):

Atrial Fibrillation ◽

Surgical Treatment ◽

Tissue Injury ◽

Surgical Techniques ◽

Maze Procedure ◽

Energy Sources ◽

Surgical Approaches ◽

Surgical Ablation ◽

The Past ◽

Minimally Invasive Surgical

The surgical treatment of atrial fibrillation has evolved over the past 2 decades due to the advent of ablation technology, and the introduction of less invasive surgical approaches. Current devices produce ablation lines that aim to replace the incisions of traditional surgical ablation strategies, such as the Cox-Maze procedure. This has helped to simplify and shorten surgical ablation procedures and has allowed for the development of minimally invasive surgical techniques. This review discusses surgical ablation energy sources and devices, providing background on device characteristics, mechanism of tissue injury, and success in creating transmural lesions.

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Mortality after proximal hip fracture in the Singapore population

Hip International ◽

10.1177/112070000501500307 ◽

2005 ◽

Vol 15 (3) ◽

pp. 166-170 ◽

Cited By ~ 2

Author(s):

K.H. Lin ◽

Y.W. Lim ◽

Y.J. Wu ◽

K.S. Lam

Keyword(s):

Hip Fracture ◽

Mortality Risk ◽

Cox Regression ◽

Regional Hospital ◽

Age Group ◽

Risk Of Death ◽

The Past ◽

The Mean ◽

One Year

The aims were to prospectively assess the mortality risk following proximal hip fractures, identify factors predictive of increased mortality and to investigate the time trends in mortality with comparison to previous studies. Prospectively collected data from 68 consecutive patients who had been admitted to a regional hospital from May 2001 to September 2001 were reviewed. The mean age of the patients was 79.3 years old (range, 55–98) and 72.1% females. Patients were followed prospectively to determine the mortality risk associated with hip fracture over a two-year follow-up period. The acute in-hospital mortality rate at six months, one year and two years was 5.9% (4/68), 14.7% (10/68), 20.6% (14/68) and 25% (17/68) respectively. One-year and two-year mortality for those patients who were 80 or older was significantly higher than for other patients and the number of co-morbid illnesses also had significant effect. Cox regression was performed to determine the significant predictors for survival time. It was noted that patients 80 years or older were at higher risk of death compared with those less than 80 years as well as those with higher number of co-morbid illnesses. Our mortality rates have not declined in the past 10 years when compared with previous local studies. We conclude that for this group of patients studied, their mortality at one year and two years could be predicted by their age group and their number of co-morbid illnesses.

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Fat Grafting in Breast Reconstruction

Seminars in Plastic Surgery ◽

10.1055/s-0039-1700959 ◽

2020 ◽

Vol 34 (01) ◽

pp. 017-023 ◽

Cited By ~ 2

Author(s):

Acara Turner ◽

Amjed Abu-Ghname ◽

Matthew J. Davis ◽

Sebastian J. Winocour ◽

Summer E. Hanson ◽

...

Keyword(s):

Breast Cancer ◽

Surgical Treatment ◽

Breast Reconstruction ◽

Fat Grafting ◽

Autologous Fat Grafting ◽

Autologous Fat ◽

The Past ◽

Breast Shape ◽

Reconstructive Techniques ◽

Shape And Size

AbstractThe past two decades have witnessed a growing application of autologous fat grafting in the setting of breast reconstruction after surgical treatment of breast cancer. While traditionally used to correct contour deformities during secondary revisions, fat grafting has since evolved to achieve desired breast shape and size both as a complementary adjunct to established reconstructive techniques as well as a standalone technique for whole breast reconstruction. In this article, we will review fat grafting as an adjunct to autologous and implant-breast based reconstruction, an option for primary breast reconstruction, and a treatment of postmastectomy pain.

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Treatment of Fraley’s syndrome by upper-pole nephrectomy

Sao Paulo Medical Journal ◽

10.1590/s1516-31802007000600010 ◽

2007 ◽

Vol 125 (6) ◽

pp. 354-355

Author(s):

Thaís Bandeira Cerqueira ◽

Natalia Bacellar Costa Lima ◽

Romeu Magno Baptista Neto ◽

José Cohim Moreira Filho ◽

Luiz Eduardo Café

Keyword(s):

Case Report ◽

Surgical Treatment ◽

Emergency Care ◽

Lumbar Pain ◽

Vascular Compression ◽

The Past ◽

Renal Arteriography ◽

History Of ◽

The Right

CONTEXT: Fraley’s syndrome is characterized by vascular compression on the superior infundibulum with secondary dilatation of the upper pole calyx, mostly located on the right side. CASE REPORT: We present the case of a 22-year-old woman with vascular compression of the upper-pole infundibulocalyceal system (Fraley’s syndrome). The patient had a history of frequent hospitalizations for emergency care due to lumbar pain over the past twelve months. The diagnosis was obtained following renal arteriography. Since the surgical treatment by means of upper-pole nephrectomy, the patient has not had any further symptoms.

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Adaptability and responsiveness: keys to operational measures in a regional hospital radiology department during the current COVID-19 pandemic

BJR|Open ◽

10.1259/bjro.20200017 ◽

2020 ◽

Vol 2 (1) ◽

pp. 20200017

Author(s):

Pratik Mukherjee ◽

Tze Chwan Lim ◽

Ashish Chawla ◽

Hong Chou ◽

Wilfred C G Peh

Keyword(s):

Disease Transmission ◽

Healthcare Systems ◽

Regional Hospital ◽

Control Measures ◽

Radiology Department ◽

Public Healthcare ◽

The Past ◽

Infection Control Measures ◽

Potential Impact ◽

Operational Practices

The rapid and mostly uncontrolled spread of the coronavirus disease 2019 pandemic over the past 4 months has overwhelmed many healthcare systems worldwide. In Singapore, while our public healthcare institutions were considered well prepared due to our prior experience with the SARS outbreak, there was an unexpected surge of infected patients over the recent 2 months to deal with. We describe our radiology department’s experience in modifying operational practices and implementing strict infection control measures aimed at minimizing disease transmission and mitigating the potential impact of possible staff infection. From the perspective of serving a medium-sized regional hospital and limited by physical and manpower constraints, our radiology department had to adapt quickly and modify our initial responses and practices as the disease scenario changed. We have also enumerated some guidelines for planning future radiology departments.

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Parkinson's Disease Management: Towards a New Paradigm

Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques ◽

10.1017/s031716710000010x ◽

1999 ◽

Vol 26 (S2) ◽

pp. S53-S57 ◽

Cited By ~ 14

Author(s):

Mark Guttman ◽

Oksana Suchowersky

Keyword(s):

Parkinson’S Disease ◽

Parkinson's Disease ◽

Surgical Treatment ◽

Disease Management ◽

Management Strategy ◽

Clinical Symptoms ◽

Treatment Modalities ◽

New Paradigm ◽

The Past

Over the past decade, management of Parkinson's disease has changed significantly due to the expansion of medical and surgical treatment modalities. Neurologists now have the ability (and the challenge) of choosing from multiple medications to devise an individual management strategy for each patient depending on his/her clinical symptoms and needs. Several different surgical therapies are also available. The topics covered in this supplement have highlighted the new options that are now available, as well as the treatments that have been in clinical usage. This review attempts to synthesize the information that is currently available in an attempt to help clinical neurologists make the appropriate choice for their patients.

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Surgical treatment of recidivist lymphedema

Open Medicine ◽

10.1515/med-2016-0023 ◽

2016 ◽

Vol 11 (1) ◽

pp. 121-124

Author(s):

Costantino Eretta ◽

Alessia Ferrarese ◽

Elisabetta Moggia ◽

Elisa Francone ◽

Carlo Sagnelli ◽

...

Keyword(s):

Chronic Disease ◽

Surgical Treatment ◽

Minimally Invasive ◽

Minimally Invasive Treatment ◽

Invasive Treatment ◽

The Past ◽

Endoscopic Equipment ◽

Laparoscopy Surgery ◽

Advanced Laparoscopy

AbstractLymphedema is a chronic disease with a progressively ingravescent evolvement and an appearance of recurrent complications of acute lymphangitic type; in nature it is mostly erysipeloid and responsible for a further rapid increase in the volume and consistency of edema. The purpose of this work is to present our experience in the minimally invasive treatment for recurrence of lymphedema; adapting techniques performed in the past which included large fasciotomy with devastating results cosmetically; but these techniques have been proposed again by the use of endoscopic equipment borrowed from the advanced laparoscopy surgery, which allows a monoskin access of about one cm.

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