scholarly journals Analysis of the results of different treatment methods for patellar dislocation

2018 ◽  
Vol 99 (3) ◽  
pp. 504-507
Author(s):  
G P Kotel'nikov ◽  
P V Ryzhov ◽  
Yu V Lartsev ◽  
D S Kudashev ◽  
S D Zuev-Ratnikov ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Patellar Dislocation ◽  
Surgical Techniques ◽  
Correction Method ◽  
Invasive Treatment ◽  
Surgical Interventions ◽  
Individual Approach ◽  
Results Of Treatment ◽  
Habitual Dislocation ◽  
Time Periods

The aim of the study was the analysis of domestic and foreign medical literature of different time periods, which describes the basic methods of surgical and conservative treatment of congenital or habitual dislocation of patella, as well as statistical analysis of the results of treatment. Due to the existence of a large number of options of surgical treatment for this pathology (more than 150 methods were developed) and high variability of its manifestations, it is necessary to know the basic methods and their results for planning tactics of treatment with individual approach to each patient. Based on this review, analysis was performed for the results of using different options for invasive treatment of congenital or habitual dislocation of patella. Also, the paper contains the indications and efficacy of conservative therapy for this disease. A comparative analysis was made on the results of surgical and conservative methods of treatment of patellar dislocation, which were used in different time periods, from the initial description of the first results of treatment of this pathology to modern surgical techniques that are currently used. It is shown that all methods of surgical treatment of the pathology are divided into three main groups: myofascioplastic surgeries, osteoplastic and combined surgical interventions. It is underlined that the diseases requires individual approach to the choice of correction method in each certain case to achieve positive outcomes.

scholarly journals The choice of surgical treatment in patients with infected pancreonecrosis

2018 ◽  
Vol 177 (6) ◽  
pp. 20-26
Author(s):  
E. A. Tseimakh ◽  
V. A. Bombizo ◽  
P. N. Buldakov ◽  
A. A. Averkina ◽  
D. N. Ustinov ◽  
...  
Keyword(s):  
Comparative Analysis ◽  
Surgical Treatment ◽  
Minimally Invasive ◽  
Inpatient Treatment ◽  
Surgical Techniques ◽  
Postoperative Mortality ◽  
Group Comparison ◽  
Surgical Interventions ◽  
Results Of Treatment ◽  
Minimally Invasive Surgical

The objectiveis to study the results of different methods of surgical treatment of patients with infected pancreonecrosis and to conduct a comparative analysis of minimally invasive and traditional surgical interventions.Material and methods.The results of treatment of 206 patients with infected pancreonecrosis were analyzed. In accordance with the used method of surgical treatment, the patients were divided into 2 groups: 105 (51.0%) patients with “traditional” open interventions were included in the first group (comparison), and 101 (49.0%) patients treated with various miniinvasive technologies, or a combination of minimally invasive and “open” interventions were included in the second group.Results.It was found that the mortality rate in the second group was less than in the first group by 12.8% (p<0.05).Conclusion.Minimally invasive surgical techniques are the method of choice for delimited pancreatogenic ulcers. The use of combined surgical interventions leads to a significant reduction of postoperative mortality and duration of inpatient treatment.

scholarly journals Minimum Invasive Stabilizing and Decompressive-Stabilizing Methods of Surgical Treatment for Degenerative-Dystrophic Lesions of Spine

2011 ◽  
Vol 18 (4) ◽  
pp. 3-10
Author(s):  
A V Krut'ko ◽  
Shamil' Al'firovich Akhmet'yanov ◽  
D M Kozlov ◽  
A V Peleganchuk ◽  
A V Bulatov ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Lumbar Spine ◽  
Surgical Techniques ◽  
Pain Syndrome ◽  
Early Postoperative Period ◽  
Main Group ◽  
Control Group ◽  
Surgical Interventions ◽  
Comparative Group ◽  
Operative Wound

Results of randomized prospective study with participation of 94 patients aged from 20 to 70 years with monosegmental lumbar spine lesions are presented. Minimum invasive surgical interventions were performed in 55 patients from the main group. Control group consisted of 39 patients in whom decompressive-stabilizing operations via conventional posteromedian approach with skeletization of posterior segments of vertebral column were performed. Average size of operative wound in open interventions more than 10 times exceeded that size in minimum invasive interventions and made up 484 ± 56 and 36 ± 12 sq.cm, respectively. Mean blood loss was 326.6 ± 278.0 ml in the main group and 855.1 ± 512.0 ml in the comparative one. In the main group no one patient required substitution hemotransfusion, while in 13 patients from the comparative group donor erythrocytic mass and/or fresh-frozen plasma were used to eliminate the deficit of blood components. Intensity of pain syndrome in the zone of surgical intervention by visual analog scale in the main group was lower than in comparative group. In the main and comparative groups the duration of hospitalization made up 6.1 ± 2.7 and 9.7 ± 3.7 bed days, respectively. In no one patient from the main group complications in the zone of operative wound were noted. Three patients from the comparative group required secondary debridement and in 1 patient early deep operative wound suppuration was observed. Application of low invasive surgical techniques for the treatment of patients with degenerative lumbar spine lesions enabled to perform radical surgical treatment with minimal iatrogenic injury. The method possessed indubitable advantages over the conventional open operations especially intraoperatively and in early postoperative period.

scholarly journals Therapeutic tactics in the deep forms of rectal abscesses complicated by fournie gangrene

2020 ◽  
Vol 73 (2) ◽  
pp. 293-297
Author(s):  
Oleh E. Kanikovskyi ◽  
Andrii V. Osadchyі ◽  
Sergey I. Androsov ◽  
Anatolii V. Tomashevsky ◽  
Oleh A. Yarmak ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Antibacterial Therapy ◽  
Treatment Duration ◽  
Complex Treatment ◽  
Surgical Interventions ◽  
Results Of Treatment ◽  
Surgical Clinic ◽  
Modern Technologies ◽  
Clinical Emergency ◽  
Early Surgical Treatment

The aim: To conduct an analysis of the complex treatment of severe forms of rectal abscesses complicated by NF. Materials and methods: The results of treatment in 471 patients with deep forms of RA was performed. In 38(8%) the spread of the process and rotten-necrotic affection of the perineal fascia. Patients were treated at the surgical clinic of the medical faculty №2, VNPMMU, and Vinnytsya Clinical Emergency Hospital in the period from 2010-2018. Results: Total lethality 8(1,7%). Mortality in GF was 8(19,5%). It is worth noting the reduction of the treatment duration against the background of the modern technologies usage in the period from 2016 to 12 days in relation to the total figure of 15 days. Conclusions: Early surgical treatment, adequate necrectomy, fasciotomy and antibacterial therapy stop the necrotic process. The active aspiration reduces the timing of wound cleansing and further ensures the accelerated implementation of reconstructive surgical interventions.

Different Therapeutic Approaches and Outcome in the Treatment of Pterygium

1998 ◽  
Vol 8 (3) ◽  
pp. 148-152 ◽  
Author(s):  
C. H. Karabatsas ◽  
G. W. Marsh ◽  
A. M. Cook ◽  
S. D. Cook
Keyword(s):  
Surgical Treatment ◽  
Surgical Techniques ◽  
Surgical Excision ◽  
Lamellar Keratoplasty ◽  
Therapeutic Approaches ◽  
Therapeutic Modalities ◽  
Results Of Treatment ◽  
One Year

Purpose This study was initiated to investigate the role of different therapeutic modalities in the outcome of the surgical treatment of pterygium. Methods The results of treatment of pterygia with a variety of surgical techniques were studied in 56 eyes (49 patients) operated on at Bristol Eye Hospital during a period of five years. The surgical techniques included simple excision; bare sclera; conjunctival autograft; sliding conjunctival flap; lamellar keratoplasty and penetrating keratoplasty. Twelve eyes received additional beta irradiation in a fractionated total dose of 40 Gys. Results The incidence of recurrence was 23.2% for the 43 treated primary pterygia, and 23% for the 13 recurrent pterygia. All recurrences occurred between 2.5 and 11 months postoperatively. None of the 11 cases where additional beta irradiation was used showed any recurrence or other complication within the study period. In the recurrent pterygia group, the cases treated with a combination of surgical excision and beta irradiation, showed significantly lower recurrence rate (p<0.001) compared to those cases treated with surgical excision alone. Conclusions Beta irradiation as a complement to surgical treatment of pterygium, is successful in treating high risk cases such as reoperations, whereas for the majority of primary pterygia surgical excision alone is adequate. Additionally, follow up of one year will reveal any recurrences.

scholarly journals CLINICAL CASE OF APPLICATION OF AN OBTURIRUYUSHCHY ARTIFICIAL LIMB, AT MAINTENANCE SURGICAL TREATMENT OF DEFECT OF THE LOWER JAW

2018 ◽  
Vol 14 (3) ◽  
pp. 45-48
Author(s):  
Наталья Нуриева ◽  
Natal'ya Nurieva ◽  
Юрий Васильев ◽  
Yuri Vasilev
Keyword(s):  
Surgical Treatment ◽  
Oral Cavity ◽  
Clinical Case ◽  
Surgical Techniques ◽  
Artificial Limb ◽  
Surgical Interventions ◽  
Lower Jaw ◽  
Orthopedic Rehabilitation ◽  
The Moment ◽  
Temporary Closure

Subject. The obturator for dissociation of an oral cavity from a nose cavity, the maxillary of cavities, the post surgeons of defects of maxillary bones. Purpose ― to carry out stomatology rehabilitation of the patient with the acquired defect of the lower jaw with use of the obturator. Methodology. Surgical treatment in maxillofacial area, often doesn't do without appearance of defects of maxillary bones. Elimination of the arising deformations unconditionally perhaps both surgical techniques, and orthopedic designs. Temporary closure of the formed defects and restoration of functions of breath, the speech and food can be the purpose of orthopedic maintenance, at surgical interventions, as division of an oral cavity from cavities of a nose, a bosom, and. We made use of experience of production of various obturator at more than 50 patients needing orthopedic rehabilitation for writing of this article, and in honesty in production of various designs the obturator of artificial limbs, at the moment and after the surgical and combined methods of treatment of new growths of maxillary bones postponed. All of them are at different stages of rehabilitation. Results. On example of a clinical case is shown a possible orthopedic way of closing of temporary defect of the lower jaw, by production of the obturator artificial limb adapted in an oral cavity. The Obturator artificial limb has the small sizes, can independently be established and be taken by the patient, for hygienic leaving, doesn't influence diction and an articulation, helps to avoid of postoperative defect and also to normalize meal. Conclusions. The assessment of results of the carried-out orthopedic treatment is carried out, its efficiency is established, practical recommendations about clinical use and ways of production are made.

scholarly journals Modern principles of surgical treatment of chronic pancreatitis

2019 ◽  
pp. 306-312
Author(s):  
Volodymyr Kopchak ◽  
Mykhailo Nychytailo ◽  
Oleksandr Duvalko ◽  
Vasyl Khanenko ◽  
Volodymyr Trachuk ◽  
...  
Keyword(s):  
Chronic Pancreatitis ◽  
Surgical Treatment ◽  
Pancreatic Duct ◽  
Surgical Techniques ◽  
Surgical Interventions ◽  
Distal Pancreatic Resection ◽  
Initial Surgery ◽  
Beger Procedure ◽  
Repeated Surgery ◽  
Resection Of The Pancreas

We reviewed the charts of 752 patients, who have undergone surgery for various forms of chronic pancreatitis at “Shalimov’s National Institute of Surgery and Transplantation of the NAMS of Ukraine” in the years from 2007 to 2017. The average age of the 591 males (78,6 %) and 161 females (22,4 %) was 43,0 ± 3,2 years. Out of these, 446 (62,4 %) patients with pseudocysts and pancreatic fistula and also with isolated main pancreatic duct lithiasis underwent drainage procedures. The 269 (37.6%) patients were subjected to different types of resection, including the Frey operation, pancreatoenterostomy with artificial pancreatic duct formation, the Berne technique, the Beger procedure, pancreatoduodenectomy, distal-pancreatic resection and other procedures. After pancreatic resections, the patients did not require repeated surgical interventions for chronic pancreatitis. In some cases of chronic pancreatitis, there was an isolated lesion of the pancreas: in such cases (13 patients), we performed distal resection of the pancreas. Among the observed patients here were no fatal cases. Satisfactory results were obtained in 92.6 % of cases at longterm follow-up. Post-operative complications occurred in 27 patients (4.6 %), in 6 (1.03 %) patients there was a need for repeated surgery. Progression of the disease in patients previously operated in our clinic was observed in 32 (5.5 %), and 72 patients, initially operated in other medical institutions. Patients after direct resection of the pancreas did not require repeated surgery for chronic pancreatitis. The main causes of unsatisfactory results of the surgical treatment for chronic pancreatitis have been found to be: false indications for initial surgery, improper primary surgical techniques, insufficient use of drainage procedures, as well as, performing a drainage procedure instead of a resection. Key words: chronic pancreatitis, surgical treatment, resection and drainage procedures. For citation: Usenko OY, Kopchak VM, Nychytailo MY, Duvalko OV, Khanenko VV, Trachuk VI, Khomiak AI. Modern principles of surgical treatment of chronic pancreatitis. Journal of the National Academy of Medical Sciences of Ukraine. 2019;25(3):306–12

scholarly journals History of surgical treatment of obesity and metabolic disorders

2018 ◽  
Vol 9 (4) ◽  
pp. 87-104
Author(s):  
Dmitrij I. Vasilevsky ◽  
Yuri I. Sedletsky ◽  
Kristina A. Anisimova ◽  
Leysan I. Davletbaeva
Keyword(s):  
Bariatric Surgery ◽  
Surgical Treatment ◽  
Cultural Values ◽  
Medical Science ◽  
Surgical Techniques ◽  
Main Idea ◽  
Surgical Interventions ◽  
Minimally Invasive Surgical ◽  
Negative Side Effects ◽  
Stomach Volume

Surgery of obesity (bariatric surgery) as a separate area of medical science dates back its history from the middle of the previous century. The foundation for its development was based on the ideas of physiology of digestion, the causes and mechanisms of its disturbances that had been formed at that time. An important role was played by achievements in related areas of medicine: anesthesiology, transfusiology. Before that effective antibacterial drugs have already been created. Rich experience in various fields was brought for medicine by the Second World War. The return of society to pre-war cultural values became the impetus for bariatric surgery genesis. For two first decades, the main method of surgical treatment of overweight was shunting operations in the small intestine, aimed at reducing absorption of nutrients (malabsorption techniques). However, a significant number of negative side effects gradually forced to abandon this group of procedures and were the basis for the search for other options in surgical interventions. Since the late 60-es of the 20th century for two decades, methods have been actively developed that limited the flow of nutrients (restrictive approach). The main idea in the development of this group of operations was to reduce the volume of the stomach. At the same time, attempts were made to combine both malabsorptive and restrictive mechanisms in one technique. By the beginning of the 90-es, practically all the available variants of surgical interventions have been proposed and introduced into clinical practice. At the same time, minimally invasive surgical technologies began to be actively introduced into this area of medicine. By the beginning of the 21st century almost all surgical techniques have been adapted to endovideo- (laparoscopic-) surgery. Over the past decade, intraluminal (endoscopic) methods for reducing stomach volume and reducing nutrient absorption have been developed.

scholarly journals Features of the topographic anatomy of the rat trachea and the possibility of performing surgical interventions.

2018 ◽  
Vol 11 (3) ◽  
pp. 218-223
Author(s):  
Ilya Sergeevich Kurganskiy ◽  
Evgeniy Olegovich Inozemtsev ◽  
Svetlana Aleksandrovna Lepekhova ◽  
Oleg Aronovich Goldberg ◽  
Konstantin Anatolievich Apartsin ◽  
...  
Keyword(s):  
Surgical Techniques ◽  
Histological Structure ◽  
Lymphatic Tissue ◽  
Vocal Cords ◽  
Surgical Interventions ◽  
Anatomical Features ◽  
Results Of Treatment ◽  
Human Trachea ◽  
Multiple Clusters ◽  
Rat Trachea

Relevance: despite the improvement of surgical techniques, the number of postoperative complications in surgical interventions on the trachea remains high. One of the ways to improve the results of treatment is the development and study of new surgical interventions. Aim: The work is devoted to the study of the topographic and anatomical features of the structure of the rat trachea Materials and methods: The study was performed using rats of the Wistar line and was approved by a local ethical committee. Methods of descriptive anatomy and morphology were used. Results: the obtained results made it possible to reveal features of the topographic-anatomical structure of the rat trachea: the presence of hyaline cartilages in the form of a ring; grown-up cartilaginous rings forming the fusion of the X, Y, W forms; in the submucosal layer of the trachea there are multiple clusters of mucoses associated with lymphatic tissue; pronounced venous traheoidesis plexus; developed, dense adventitia of the trachea. In rats, the epithelial transition from a multilayer flat non-coronary to a single-stranded thief-synchoid occurs below the vocal cords. According to the histological structure, the rat trachea wall is close to the human trachea, has adventitia, a cartilaginous framework, a submucosal osseous and a mucous membrane. Conclusion: these features of the structure of the trachea of ​​Wistar rats allow them to be used to model pathology of the trachea and to develop surgical interventions.

The article contains the analysis of the literature devoted to the correction of hypospadias in children. Parallels are drawn between classical works and modern trends in the treatment of this malformation. New surgical techniques (with reference to the history of their appearance) and developments are described. There is a discussion about the use of single and staged surgical interventions in the proximal hypospadias, the analysis of literary data about the complications, results of operations. New classification parameters of hypospadias, methods of assessing the severity of the defect before surgery, functional and cosmetic results after surgery are described. Attention is paid to such direction as standardization of approaches to surgical treatment of hypospadias, unification of methods of urethroplasty and correction of penile curvature. The data of clinical studies on the use of various operational techniques are presented.

2019 ◽  
pp. 82-86
Author(s):  
A. Z. Tibilov ◽  
N. B. Kireeva
Keyword(s):  
Surgical Treatment ◽  
Clinical Studies ◽  
Surgical Techniques ◽  
Penile Curvature ◽  
New Classification ◽  
Surgical Interventions ◽  
Cosmetic Results ◽  
Proximal Hypospadias ◽  
History Of

The article contains the analysis of the literature devoted to the correction of hypospadias in children. Parallels are drawn between classical works and modern trends in the treatment of this malformation. New surgical techniques (with reference to the history of their appearance) and developments are described. There is a discussion about the use of single and staged surgical interventions in the proximal hypospadias, the analysis of literary data about the complications, results of operations. New classification parameters of hypospadias, methods of assessing the severity of the defect before surgery, functional and cosmetic results after surgery are described. Attention is paid to such direction as standardization of approaches to surgical treatment of hypospadias, unification of methods of urethroplasty and correction of penile curvature. The data of clinical studies on the use of various operational techniques are presented.

scholarly journals Myelographic diagnosis and results of surgical treatment of caudal cervical spondylomyelopathy in dogs: a retrospective study (2000–2010)

2012 ◽  
Vol 81 (4) ◽  
pp. 415-420 ◽  
Author(s):  
Robert Srnec ◽  
Pavel Proks ◽  
Petra Fedorová ◽  
Ladislav Stehlík ◽  
Milan Dvořák ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Vertebral Body ◽  
Dynamic Compression ◽  
Surgical Techniques ◽  
Static Compression ◽  
Surgical Interventions ◽  
Wobbler Syndrome ◽  
Cervical Spondylomyelopathy ◽  
Spine Diseases ◽  
The Mean

The outcomes of six different surgical techniques of caudal cervical spondylomyelopathy treatment in dogs with static and dynamic spinal cord compressions were assessed. Out of 425 dogs with cervical spine diseases, caudal cervical spondylomyelopathy was diagnosed in 69 dogs. Dynamic myelographic study was performed in 48 of them as a diagnostic method necessary for choosing the appropriate technique of surgical treatment. Twenty-five out of the 48 dogs underwent surgery. The best results of the surgical treatment of static compression were achieved with a ventral slot (89% of the nine surgical interventions) with partial improvement 48 h after surgery and marked improvement 8 weeks after surgery. For dynamic compressions, vertebral traction and stabilization with intervertebral washer plus vertebral body screws and polymethylmethacrylate bridge was found to be the most successful surgical treatment with significant improvement in 62% of the thirteen surgical interventions 8 weeks after surgery. In 5 dogs (20%), two intervertebral spaces with caudal cervical spondylomyelopathy were surgically treated. Recurrence was observed in 6 dogs (24%) after the mean period of 20 months (5 to 44 months) after surgery. Direct ventral slot decompression could be recommended for clinical cases of the caudal cervical spondylomyelopathy with static compression, and intervertebral washer plus vertebral body screws and polymethylmethacrylate bridge for dogs with dynamic compression, respectively. Our findings refer to the results of surgical treatment in a relatively large number of dogs with caudal cervical spondylomyelopathy and can help surgeons to choose an effective surgical method of treatment in dogs with wobbler syndrome based on dynamic myelographic study findings.

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