scholarly journals About pituitary-adrenocortical insufficiency and its elimination during surgery for cancer

2021 ◽  
Vol 43 (2) ◽  
pp. 84-86
Author(s):  
V. E. Volkov
Keyword(s):  
Surgical Intervention ◽  
The Body ◽  
Adrenocortical Insufficiency

One of the urgent problems of modern practice is the study of endocrine changes arising in the body in connection with surgical intervention, on the basis of which it is possible to rationally intervene in the dynamics of hormonal disorders for therapeutic and prophylactic purposes.

Congenital Heart Disease and Childhood Adjustment

1971 ◽  
Vol 2 (1) ◽  
pp. 23-30 ◽  
Author(s):  
Edward T. Auer ◽  
Audrey G. Senturia ◽  
Moisy Shopper ◽  
Ralph L. Biddy
Keyword(s):  
Body Image ◽  
Surgical Intervention ◽  
Intellectual Functioning ◽  
Emotional Disturbances ◽  
The Body ◽  
Psychiatric Clinic ◽  
Control Group ◽  
Significant Difference ◽  
Figure Drawings ◽  
Childhood Adjustment

This report deals with the findings from a study of twenty-eight children, all of whom had ventricular septal defects and were studied by the same cardiovascular team. One-half of the group had a surgical procedure for correction of the defect. The study investigated three problems in children with ventricular septal defect ( VSD). (1) Do children with surgical intervention for VSD show greater impairment of intellectual functioning than non-operated children? (2) Do children with surgical intervention show greater emotional disturbance than non-operated children? (3) Do children with surgical intervention show greater alteration of body image than do non-operated children? Data were collected using questionnaires, family interviews, subject interviews, medical records, school reports, physicians' reports and Human Figure Drawings, both inside and outside the body. The findings conclude that ( a) operated children do demonstrate significantly more impairment of intellectual functioning; ( b) there was no significant difference in the incidence of emotional disturbances between the two groups but that these twenty-eight children with VSD were more similar emotionally to children in a psychiatric clinic group than in a control group; and ( c) the only indication of altered body image was found in the greater frequency with which bones were drawn by the operated group.

scholarly journals Unusual Site for a White Nodule on the Palatine Tonsil: Presentation, Differential Diagnosis, and Discussion

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Ashwag Yagoub Aloyouny
Keyword(s):  
Differential Diagnosis ◽  
Clinical Presentation ◽  
Surgical Intervention ◽  
Fungal Infections ◽  
The Body ◽  
Palatine Tonsil ◽  
Unusual Site ◽  
Case Presentation ◽  
Lymphoepithelial Cysts ◽  
Malignant Lesions

Introduction. Palatine tonsils are part of the mucosa-associated lymphoid tissue, located in the oropharyngeal region. Although these tissues protect the body from foreign intruders, they are more prone to infections due to their anatomical structure and location. For instance, the differential diagnosis of a white lesion on the palatine tonsil can range from benign to malignant lesions. Oral lymphoepithelial cysts commonly arise as painless, yellowish nodules on the floor of the mouth and the ventral or lateral surface of the tongue. Case Presentation. This paper presents a rare case of an unusual site of a lymphoepithelial cyst (LEC) in the oral cavity. The lesion was located in the tonsil of a 20-year-old woman with a chief complaint of a painless, white lump in the back of the mouth for nine months. Discussion. The differential diagnosis of a white lesion on the palatine tonsil is caused by several factors, such as bacterial, viral, and fungal infections; trauma; stones; cysts; abscess; or cancer. In this case, both the clinical presentation and extra- and intraoral examinations were highly associated with LEC. Oral LEC etiopathogenesis is uncertain, and several theories have been proposed to discuss the causes of LEC. In addition, oral LEC could be monitored without surgical intervention if the nodule is asymptomatic. Conclusion. We emphasize the importance of a thorough clinical examination of oral and oropharyngeal lesions, which are usually neglected.

scholarly journals Preoperative Endovascular Embolisation of the Symptomatic Hemangioma in 7th Thoracic Vertebrae: Case Report

2018 ◽  
Vol 0 (0) ◽  
Author(s):  
Igor Sekulic ◽  
Aleksandar Jovanovski ◽  
Jelena Stevanovic ◽  
Jelena Boskovic-Sekulic ◽  
Dragan Dulovic ◽  
...  
Keyword(s):  
Blood Transfusion ◽  
Surgical Intervention ◽  
Intraoperative Complications ◽  
Mass Effect ◽  
The Body ◽  
Thoracic Vertebrae ◽  
Vertebral Hemangioma ◽  
Worldwide Population ◽  
Magnetic Resonance Imaging Mri ◽  
Control Angiography

Abstract Although, as asymptomatic, they appear in about 10- 12% of the worldwide population, vertebrae hemangiomas are symptomatic in about 0.9-1.2% of all the cases. We showed the case of the symptomatic hemangioma in the 7th thoracic vertebrae in 67 year old patient, that was successfully preoperative embolised. Magnetic resonance imaging (MRI) detected the tumor in the body of 7th vertebrae with mass effect on the anterior aspect of the spinal cord. Multidetector computed tomography (MDCT) imaging describes this tumor as hemangioma that is in the body of the 7th vertebrae and in the both pedicules. We performed selective and supraselective spinal angiography which showed pathological vascularisation of the tumor, and then the tumor was embolised. The control angiography detected the reduction of the tumor blood vessels, as a sign of the successful embolisation. Ten days after embolisation, the patient went through corporectomia of the Th7 and the stabilization of the thoracic spine was performed. Intraoperative blood transfusion in our patient was 930 mL, while expected blood transfusion during the surgical intervention without preoperative embolisation is about 1600 mL. Method of choice in conditions with neurological compressive symptoms caused by vertebral hemangioma is surgery for the decompression of the nerve structures. Embolisation of aggressive vertebral hemangioma is recommended and preoperatively performed for the intraoperative hemorrhage reduction and decreasing of intraoperative complications.

scholarly journals Endoscopic Drainage of Pancreatic Pseudocysts

1990 ◽  
Vol 4 (9) ◽  
pp. 568-571 ◽  
Author(s):  
Claude Liguory ◽  
Jean Francois Lefebvre ◽  
Gary C Vitale
Keyword(s):  
Pancreatic Duct ◽  
Surgical Intervention ◽  
The Body ◽  
Pancreatic Pseudocysts ◽  
Endoscopic Drainage ◽  
Acute Necrotizing ◽  
Head Of The Pancreas ◽  
Serial Scanning

Endoscopic drainage of pancreatic pseudocysts was attempted in 17 patients over an eight year period. There were nine cysts located in the head of the pancreas, six in the body and two in the tail. Endoscopic retrograde cholangiopancreatography was performed in all cases and the pancreatic duct satisfactorily opacified in 16 of the 17 patients. This study identified a communication with the pancreatic duct in seven cases. There were two cases in which multiple cysts were present; in each, one cyst was drained endoscopically and the others surgically. Endoscopic drainage of the cyst was immediately possible in 16 of 17 cases (94%). Late follow-up (mean 26 months) documented cyst disappearance in 11 cases (69%). None of the five patients with persistent cysts has required secondary surgical intervention, and the cysts are asymptomatic and stable or decreasing in size by serial scanning. There was one case (6%) in which a pseudocyst recurred following initial resolution. There were two complications (12%) requiring surgical intervention: gastrointestinal perforation with peritonitis in one patient and hemorrhage at the cyst margin from an arterial bleeder in another. There were no deaths at 30 days, but in one case a recurrent acute necrotizing pancrearitis occurred 36 days following endoscopic drainage and the patient died. This death was felt to be unrelated to the endoscopic procedure. In conclusion, internal drainage of pancreatic pseudocysts by endoscopic means can be proposed as an alternative to surgical drainage when the cyst can be identified as bulging into the stomach or duodenum. Immediate drainage is usually effective with a minimal long term recurrence rate.

Giant Cell Lesions with a Noonan-like Phenotype: A Case Report

2007 ◽  
Vol 8 (4) ◽  
pp. 67-73 ◽  
Author(s):  
Manoel Sant'Ana Filho ◽  
Claudia Marcela H. Cancino ◽  
Léonilson Gaião ◽  
Flavio Augusto Marsiaj Oliveira
Keyword(s):  
Case Report ◽  
Giant Cell ◽  
Surgical Intervention ◽  
Heart Defects ◽  
Sporadic Case ◽  
Giant Cells ◽  
The Body ◽  
Phenotypic Characteristics ◽  
Previous Diagnosis

Abstract Aim The purpose of this article is to describe a case of multiple giant cell lesions of the mandible that occurred in a 14-year-old girl with phenotypic characteristics associated with Noonan Syndrome (NS). Background NS is a dysmorphic disorder characterized by hypertelorism, short stature, congenital heart defects, short and webbed neck, skeletal anomalies, and bleeding diathesis. Report A 14-year-old girl with a previous diagnosis of NS (sporadic case) presented with multiple radiolucent lesions in the body and ramus of her mandible. Summary In terms of clinical behavior and the described radiographic characteristics, giant cells lesions with Noonan-like phenotype can be considered a form of cherubism. Therefore, surgical intervention is not necessary, but radiographic follow-up and observation is very important during the control and gradual regression of the lesions. Citation Cancino CMH, Gaião L, Sant'Ana Filho M, Oliveira FAM. Giant Cell Lesions with a Noonan-like Phenotype: A Case Report. J Contemp Dent Pract 2007 May;(8)4:067-073.

scholarly journals Importance of Panchakarma treatment in Ayurveda

2021 ◽  
Vol 5 (03) ◽  
Author(s):  
Vivek Shirke
Keyword(s):  
Conservative Management ◽  
Surgical Procedure ◽  
Surgical Intervention ◽  
Holistic Approach ◽  
The Body ◽  
Health Science ◽  
The Other ◽  
Human Being ◽  
The Future

The main objective of health science is to provide better health to every human being. Indian system of medicine commonly known as Ayurveda has a holistic approach towards the disease and provides treatment without affecting the other parts of the body. Similarly, it is effective in preventing an individual from getting diseased in the future. In Ayurveda, diseases can be classified into two basic categories such as -ailments treated or managed by Shodhan therapy and the ailments treated by surgical intervention. Further, it’s suggested that in conditions where surgery is indicated, one can try Shodhan or Panchkarma therapies before performing surgery or/ if the patient is not fit for surgery or not willing to undergo a surgical procedure. Similarly, Acharya has specified that physician should not advocate Surgery in diseases which can be treated by Shodhan and Shaman therapies (conservative management). Panchakarma is a combination of five procedures of purification- Vamana (Emesis), Virechana (Purgation), Niroohavasti (Decoction enema), Nasya (instillation of medicine through nostrils), and Anuvasanavasti (Oil enema). These procedures aim at plucking away the deep-rooted imbalances in the body.

scholarly journals Lymphedema following axillary lymphnode sampling versus axillary lymphnode dissection for patients with breast carcinoma in Al-Karama Teaching Hospital, Iraq

2017 ◽  
Vol 4 (8) ◽  
pp. 2409
Author(s):  
Mahmood J. Saood ◽  
Mohanad Hamed Abdulla ◽  
Naser R. Tawfiq
Keyword(s):  
Axillary Dissection ◽  
Surgical Intervention ◽  
Cross Sectional Study ◽  
The Body ◽  
Sampling Techniques ◽  
Sectional Study ◽  
Cross Sectional ◽  
Arm Circumference ◽  
Axillary Lymphadenectomy

Background: Lymphedema is a collection of fluid in some parts of the body. It is common after surgical intervention. Different approaches of dealing with lymphnode involvement in axilla have been describe. The main objective of present study is to determine the prevalence of lymphedema after different methods of axillary lymphadenectomy and axillary sampling techniques in Iraq.Methods: This was a cross-sectional study in which post-operative lymphedema of the operated arm was compared in 25 patients with breast cancer after axillary ALND (the excised node more than 4 lymph node up to 18 node) and 25 patients following axillary ALNS of only enlarged hard lymphnode.Results: The results of post-operative follow up from three months to three years following ALND patients showed significant increase in the arm circumference over those exposed to ALNS of the axilla.Conclusions: It can be concluded that axillary lymphnode sampling of axilla associated with negligible lymphedema compared with ALND the routine performance of axillary dissection should be considered with caution.

Multiphoton Microscopy of Healthy and Aneurismal Human Ascending Aorta

2009 ◽  
Author(s):  
Stacey L. Meadley ◽  
Umakanta Tripathy ◽  
Paul W. Wiseman ◽  
Richard L. Leask
Keyword(s):  
Blood Flow ◽  
Aortic Wall ◽  
Surgical Intervention ◽  
Multiphoton Microscopy ◽  
Ascending Aorta ◽  
The Body ◽  
Physiological Conditions ◽  
Flow Disturbances ◽  
Original Size ◽  
Elastic Lamina

The ascending aorta (AA) is the largest artery in the human body. It is responsible for transporting blood between the heart and the rest of the body. The structure of the AA allows it to withstand the resulting blood flow forces. This unique structure is due primarily to the proteins collagen and elastin. Collagen accounts for the strength of the aorta while the mechanical properties of the tissue, under healthy physiological conditions, is dominated by the elastin. Aneurysms are the primary disease associated with the AA, where the diameter of the vessel increases over 1.5 times its original size. Aneurysms can result in severe blood flow disturbances or rupture of the AA and almost always require surgical intervention. The development of an aneurysm is due to a weakening of the aortic wall, specifically the degradation of the structural proteins. This study examines the changes that occur to collagen and elastin in the ascending aorta with aneurysms using multiphoton microscopy. Specifically, the orientation of collagen fibers and the morphology of the fenestrations in the elastic lamina are compared between healthy and dilated human ascending aortas.

Surgical Treatment of Pancreatic Insulinomas: A Series of 15 Years

2021 ◽  
Vol 3 (3) ◽  
pp. 1-4
Author(s):  
Vanessa Rebelo dos Santos ◽  
◽  
Carlota Ramos ◽  
Rafael Cruz ◽  
◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Local Recurrence ◽  
Surgical Approach ◽  
Medical Records ◽  
Surgical Intervention ◽  
Female Gender ◽  
The Body ◽  
Head Of The Pancreas ◽  
The Mean

Insulinomas, although rare, are the most common pancreatic functioning neuroendocrine tumors. The diagnostic workup is commonly made late in time and surgical treatment is the only curative method. Our aim was to analyze the surgical approach to pancreatic insulinomas, through a 15-year series of patients who underwent surgery for this matter. From January 2006 to December 2020, we performed a retrospective review of the medical records of all the patients who underwent surgical treatment for insulinoma. Fourteen patients with insulinoma performed surgical intervention, 78,6% were of the female gender and the mean age was 48 years (19-86 years). Four (28,6%) of the tumors were located in the head of the pancreas, 5 (35,7%) in the body and 5 (35,7%) in the tail. Complications occurred in 4 patients (28,6%) following surgery. On follow-up, there was one (7,1%) case of local recurrence, thus necessitating a new surgical intervention [1-8].

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