Muscular-fascial suture in the surgical treatment of hernias. Koontz (Surg., gyn. a obst., 1926, no. 2)

1926 ◽  
Vol 22 (12) ◽  
pp. 1389-1389
Author(s):  
M. Chalusov
Keyword(s):  
Surgical Treatment ◽  
Histological Study ◽  
Main Role

The author made a histological study of those layers that are usually connected during surgical treatment of inguinal and femoral hernias, i.e. aponeurotic and muscular. This study convinced him that the fibrous components of the former, i.e. epimysium, perimysium and endomysium, play the main role in connecting the muscle to the fascia.

scholarly journals Primary Pleuropulmonary Synovial Sarcoma: A Case

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Fatima Zahra Mrabet ◽  
Hafsa El Ouazzani ◽  
Leila El Akkari ◽  
Sanaa Hammi ◽  
Jamal Eddine Bourkadi ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
High Risk ◽  
Rare Disease ◽  
Synovial Sarcoma ◽  
Diagnostic Procedure ◽  
Histological Study ◽  
Pet Scan ◽  
Primitive Character ◽  
Therapeutic Tool ◽  
The Past

Primary pleuropulmonary synovial sarcoma is extremely rare. The diagnosis can only be made after having eliminated an extrapleuropulmonary localization in the past and at the time of diagnosis. Our presentation is about a 40-year-old woman having a cough and dyspnea since three weeks ago; imaging had showed a left pleurisy with pleuropulmonary process. Histological study of the biopsy confirmed the diagnosis of pleuropulmonary synovial sarcoma. PET-SCAN had not identified any extrathoracic localization. This tumor is known for its aggressive nature and high risk of metastasis. Its primitive character is retained following a diagnostic procedure of exclusion. Surgical treatment remains the best therapeutic tool when it is technically feasible; otherwise the prognosis is often unfortunate. In this paper, we report a case of primary pleuropulmonary synovial sarcoma. Through this case, we present a rare disease that is often difficult to diagnose.

scholarly journals Successful surgical treatment of intractable post-radiation rectal bleeding

2022 ◽  
Vol 10 (1) ◽  
Author(s):  
Rezvan Mirzaei ◽  
Bahar Mahjoubi ◽  
Jalil Shoa ◽  
Roozbeh Cheraghali ◽  
Zahra Omrani
Keyword(s):  
Surgical Treatment ◽  
Rectal Bleeding ◽  
Rectal Wall ◽  
Anal Verge ◽  
Metastatic Breast ◽  
Main Role ◽  
Anal Region ◽  
Diverting Stoma ◽  
Radiation Colitis ◽  
Post Radiation

Patients will typically present symptoms of chronic post-radiation colitis and proctitis 8-12 months after finishing their treatment. Endoscopic methods play the main role the treatment of bleeding caused by post-radiation colitis and proctitis. Surgical treatment is required for remained approximately 10% of patients. Here we present a 64 year old female with metastatic breast cancer, who was referred to us for intractable rectal bleeding. Total colonoscopy and rigid rectosigmoidoscopy revealed proctitis, rectal and sigmoidal telangiectasis, multiple necrotic ulcers between 15 to 30 cm from the anal verge, and also huge ishemic ulcer with patchy necrotic areas about 10 cm from the anal verge. This abnormal irradiated part was resected and then mucosectomy of the remnant rectum, both transabdominally and transanally was done. We performed pull-through technique of normal proximal colon to anal region through the remnant rectal wall and finally did coloanal anastomosis. Diverting stoma was not made because of anastomosis in anal region. With this technique we can achieve benefits such as avoidance of harsh dissection in a frozen pelvis and its consequences, we can avoid intra-abdominal anastomosis, there is no need to a diverting stoma and, most important of all, definite bleeding control.

scholarly journals Isolated splenic metastases from colon cancer: clinical observations

2021 ◽  
Vol 23 (1) ◽  
pp. 162-166
Author(s):  
Nikolai A. Ognerubov ◽  
Tatyana S. Antipova ◽  
Marina A. Ognerubova
Keyword(s):  
Computed Tomography ◽  
Positron Emission Tomography ◽  
Surgical Treatment ◽  
Primary Tumor ◽  
Histological Study ◽  
Emission Tomography ◽  
Splenic Metastasis ◽  
Clinical Observations ◽  
Positron Emission ◽  
Splenic Metastases

Isolated splenic metastases from colorectal cancer after radical surgical treatment are quite rare. This frequency of metastases is explained by the anatomical, functional and immunological characteristics of the spleen. The literature usually describes single clinical cases followed by accompanied systematic analysis and discussion. Most of the cases are asymptomatic and are accidentally diagnosed, during different types of imaging tests, including increased levels of tumor markers. The progression free survival was 3 144 months after surgical treatment of the primary tumor in most of the patients. By the nature of the lesion, metastases can be synchronous and metachronous, as well as solitary and multiple. Aim. To discuss two clinical observations of isolated splenic metastases in patients after left colic flexure cancer surgical treatment. Materials and methods. We observed 2 female patients, 68 and 70 years old, with isolated splenic metastatic after left colic flexure cancer radical surgical treatment. Results. Both cases are considered to be metachronous and the interval of absence of disease manifestations are 21 and 10 months, respectively. The patients with stage IIB and IIC left colic flexure cancer underwent left hemicolectomy followed by adjuvant polychemotherapy using regimen with 6 cycles of FOLFOX. The histological study revealed a moderately differentiated adenocarcinoma with invasion into all layers of the wall and into the surrounding tissue. There were no lymph node metastases. In the course of dynamic observation, during the next examination with the help of ultrasound examination we revealed splenic metastasis, and confirmed this using positron emission tomography/computed tomography. The disease was without clinical picture. The time interval after the surgery before diagnosis was 21 and 10 months, respectively. Surgery was performed in the volume of splenectomy. Isolated splenic metastases in the absence of other manifestations of the disease were found intraoperatively. The histological study showed the splenic metastasis of the same type of cancer as the primary tumor. The polychemotherapy using regimen with 6 cycles of XELOX was performed during the postoperative period. Patients are alive without signs of the disease over the period of 5 and 26 months, respectively. Conclusion. Isolated splenic metastases are extremely rare, more often when the primary tumor is located in the left side of the colon. The showed cases illustrate the need and importance of the monitoring the patients after surgical treatment for colon cancer. The use of positron emission tomography/computed tomography helps to understand the real prevalence of the tumor process, without using invasive methods. The surgery in the volume of splenectomy followed by chemotherapy are the main therapeutic options. In one clinical case, the metastases were multiple, and in the other one was solitary metastasis. Patients are alive without signs of the disease over the period of 5 and 26 months, respectively.

scholarly journals Primary cardiac tumors in newborns

2017 ◽  
pp. 63-66
Author(s):  
Y. Pisklova ◽  
D. Kulikova ◽  
O. Buchneva ◽  
I. Polivenok
Keyword(s):  
Surgical Treatment ◽  
Successful Treatment ◽  
Histological Study ◽  
Adult Population ◽  
Cardiac Tumors ◽  
Timely Diagnosis ◽  
Specific Symptoms ◽  
Primary Cardiac Tumors ◽  
Clinical Cases

Primary cardiac tumors are quite rare pathology in newborns. The most common of it is rhabdomyoma. Myxomas, in contrast to the adult population, are much less common. Aim. In our report we present our experience in treating newborns with cardiac tumors. Material and Methods. We report two clinical cases. The children were taken to hospital in urgent order with critical hemodynamic disorders caused by tumor process. The tumors were removed during urgent surgeries. According to histological study these were myxomas. Results and discussion. During further observation no signs of tumors recurrences were detected. For successful treatment of cardiac tumors is very important timely diagnosis, that can be difficult due to the lack of specific symptoms in children. Conclusions. Echocardiography is a key method of diagnosis of such conditions. Surgical treatment is the method of choice in this pathology.

scholarly journals Substantiation of the tactics of recurrent surgical interventions in the surgical treatment of concomitant strabismus

2012 ◽  
Vol 93 (1) ◽  
pp. 79-82
Author(s):  
O V Zhukova ◽  
N V Yamschikov ◽  
V K Stepanov
Keyword(s):  
Surgical Treatment ◽  
Histological Study ◽  
Strabismus Surgery ◽  
Great Distance ◽  
Lateral Rectus ◽  
Histological Investigation ◽  
Surgical Interventions ◽  
Contraction Process ◽  
Convergent Strabismus ◽  
Concomitant Strabismus

Aim. To substantiate the recommendations on the tactics of recurrent operations for strabismus in children on the basis of histological investigation of the fragments of «weakened» muscles. Methods. Conducted was a retrospective analysis of recurrent surgical treatment of 2 patients with concomitant convergent strabismus. In order to determine the cause of dysfunction of the muscles conducted was a histological study of 80 fragments of the lateral rectus muscles, which were excised during surgical treatment of convergent strabismus. Results. Muscle fibers were found only in the distal sections during the resection of the lateral rectus muscles at a distance of 8.5-9 mm. Taking into consideration the fact that at point were the muscle transitions into the tendon located are the palisade nerve endings, which may play the major role in the contraction process, the exceedence of the above mentioned amount of muscle resection during strabismus surgery is dangerous, since it can lead to the disruption of the eye mobility. Conclusion. During recurrent operations for strabismus correction it is recommended to use major recessions of the «strong» muscles, and for ease of muscle fixation at a great distance from the attachment point - the technique of the «sliding noose».

Histological study of urethral plate: a search of the best material for surgical treatment of hypospadias in children

Urologiia ◽  
2020 ◽  
Vol 6_2020 ◽  
pp. 92-97
Author(s):  
R.V. Surov Surov ◽  
I.M. Kagantsov Kagantsov ◽  
O.D. Sidorova Sidorova ◽  
V.I. Dubrov Dubrov ◽  
T.A. Letkovskaya Letkovskaya ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Histological Study ◽  
Urethral Plate

scholarly journals Surgical Treatment of Bullous Keratopathy: Modern Approaches and Trends

2018 ◽  
Vol 15 (3) ◽  
pp. 242-247
Author(s):  
S. V. Trufanov ◽  
G. A. Osipyan ◽  
E. P. Salovarova ◽  
R. Bagh ◽  
K. N. Semchenko
Keyword(s):  
Surgical Treatment ◽  
Anterior Segment ◽  
Corneal Edema ◽  
Pain Syndrome ◽  
Treatment Method ◽  
Lamellar Keratoplasty ◽  
Bullous Keratopathy ◽  
Main Role ◽  
Endothelial Keratoplasty ◽  
Modern Technologies

According to WHO, corneal pathology is the fourth cause (5.1 %) of blindness among the main causes of significant visual impairment in the world after cataract, glaucoma and macular degeneration. Bullous keratopathy is a serious progressive corneal disease, in which the endothelial lesion plays the main role leading to the chronic corneal edema, reduce of visual acuity, development of pain syndrome, formation of permanent opacities, and various infectious complication, which may result in eye globe loss. Since the second half of 90th XX century various modifications of modern posterior (endothelial) keratoplasty have been introduced in the clinical practice, which were subsequently used widely for the treatment of bullous keratopathy. The introduction of new microkeratomes used in refractive surgery significantly contributed to the development of endothelial keratoplasty microsurgical technique, which enables the high quality, selective replacement of the affected corneal layers in comparison to the manual lamellar keratoplasty techniques. One of the contraindications for endothelial keratoplasty is an irreversible central stromal opacity. In that case, modern technologies and new equipment (particularly femtosecond laser) provide an opportunity to perform the penetrating keratoplasty with a complex-shaped profile and corresponding edges of the graft and its bed. In bullous keratopathy, top-hat keratoplasty represents the pathogenically targeted treatment method that allows transplanting of more endothelial cells with a relatively smaller diameter of graft’s anterior segment. This article reviews the literature on modern surgical treatment of bullous keratopathy.

scholarly journals FEATURES OF SURGICAL TACTICS OF TREATMENT OF ACUTE CALCULOUS CHOLECYSTITIS OCCURRING AGAINST THE BACKGROUND OF DIABETES MELLITUS

2018 ◽  
Vol 25 (6) ◽  
pp. 90-95
Author(s):  
V. V. Zorik ◽  
G. K. Karipidi ◽  
A. V. Morozov
Keyword(s):  
Diabetes Mellitus ◽  
Laparoscopic Cholecystectomy ◽  
Surgical Treatment ◽  
Postoperative Complications ◽  
Histological Study ◽  
Open Cholecystectomy ◽  
Control Group ◽  
Acute Calculous Cholecystitis ◽  
Patients With Diabetes ◽  
Calculous Cholecystitis

Aim. The study was conducted to improve the results of the surgical treatment of acute calculous cholecystitis occurring against the background of diabetes mellitus. Materials and methods. In course of our study, we analyzed the treatment results of 687 patients with acute calculous cholecystitis. Depending on the presence of diabetes, all patients were divided into two groups. The main group with concomitant diabetes mellitus included 68 (9,9%) patients, whereas the control group without diabetes included 619 (90,1%) patients. Laparoscopic cholecystectomy was performed on 636 (92,6%) patients, and open cholecystectomy was performed on 51 (7,4%) patients. Results. According to the histological study, the greatest number of destructive forms occurs in patients with concomitant diabetes, operated after 24 hours. The least postoperative complications occur in patients of both groups operated from 12 to 24 hours. However, the incidence of complications is 4-5 times higher in patients with diabetes mellitus. Postoperative complications in patients with acute calculous cholecystitis occurring on the background of sugar diabetes were observed after open cholecystectomy in 33,3% of cases and in 6,5% of cases after laparoscopic surgery.Conclusion In patients with acute cholecystitis and concomitant diabetes, surgical treatment should be performed on the first day after the preoperative preparation during the first 12 hours, aimed at compensating for diabetes and improving microcirculation. The preference should be given to laparoscopic cholecystectomy, which reduces the number of postoperative complications by 5 times and mortality by 4.5 times.

Intra-arterial chemotherapy with docetaxel and cysplatin in combined treatment of patients with locally advanced squamouse cell head and neck cancer (SCHNC)

2006 ◽  
Vol 24 (18_suppl) ◽  
pp. 15528-15528
Author(s):  
G. Adilbayev ◽  
D. Adilbay ◽  
G. Kim ◽  
D. Ahmetov
Keyword(s):  
Head And Neck Cancer ◽  
Surgical Treatment ◽  
Head And Neck ◽  
Neck Cancer ◽  
Combined Therapy ◽  
Locally Advanced ◽  
External Carotid ◽  
Hematologic Toxicity ◽  
Main Role ◽  
Number Of Patients

15528 Background: Currently the main role in chemotherapy of head and neck cancer from the 90ths is related to taxans. To elevate the effect of combination docetaxel + cysplatin and to reduce their toxic influence to the organism we have studied intra-arterial path of delivery at the combined therapy of head and neck cancer. Methods: We treated 53 patients with locally advanced SCHNC(T3, T4). All patients received 2 courses of intra-arterial chemotherapy by catheterization the feeding arteries of tumor through the external carotid artery: docetaxel-80 mg/m2, cysplatin-100 mg/m2. Further, depending on the results of chemotherapy, there were performed radiotherapy and surgical treatment in necessary volumes. Results: By analyzing the effect of docetaxel + cysplatin combination in different tumor localizations, we have concluded that the best results have been achieved in oral cavity cancer: 9 (29.1%) patients with CR and 16 (51.6%) patients with PR. Worst results have been achieved in maxilla cancer: 0 CR and 14 PR (63.6%). Hematologic toxicity of chemotherapy has manifested only in 18.8% patients (I, II grade). Non-hemathologic toxicity: alopecia 67.9%; periphery neuropathy 11.3; mucositis 5.3%. Performing radiotherapy as the second stage after chemotherapy has increased the number of patients with CR, in patients with oral cancer up to 45.1% and with maxilla cancer up to 18.1%. All results has been confirmed by cytomorphology. As of now surgical treatment has been performed for 30 patients (56.6%). 86.8% patients have been followed up for 6 to 30 months. Conclusion: This neoadjuvant intra-arterial chemotherapy with docetaxel + cysplatin allows both increasing the results of combined therapy and reducing the toxicity of chemotherapy. No significant financial relationships to disclose.

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