scholarly journals Two-staged tactics of treatment of postoperative sternomediastinitis using technique of negative pressure followed by two-flap omentoplasty according to K. Yoshida

2021 ◽  
Vol 38 (6) ◽  
pp. 127-136
Author(s):  
A. V. Kasatov ◽  
V. B. Arutyunyan ◽  
Victor N. Minasian ◽  
A. S. Vronsky
Keyword(s):  
Surgical Treatment ◽  
Thoracic Surgery ◽  
Chest Wall ◽  
Negative Pressure ◽  
Clinical Case ◽  
Median Sternotomy ◽  
Social Position ◽  
Severe Disability

This article presents an observation of a clinical case in a patient with the postoperative sternomediastinitis. In cardio-thoracic surgery this complication ranges from 1 to 10 % [2, 3, 14, 16, 19] depending on who the work is done by and the ratio of deaths can reach up to 40 % [13]. Due to untimely diagnosis of the pyoinflammatory process in the tracheostomy orifice, the patient developed progressive instability of the sternum followed by sternomediastinitis. A two-staged tactics of treatment of the postoperative sternomediastinitis using the technique of negative pressure followed by two-flap omentoplasty according to K. Yoshida in this case is the technique of choice for surgical treatment, which allows to restore the integrity of the chest wall frame in the shortest possible time and ensure tightness for the mediastinum. This technique is the most effective in the treatment of destructive forms of purulent complications of the sternum after a median sternotomy. The relevance and expediency of the use of omentoplasty is also justified from a financial and medico-social position, since the procedure reduces mortality among patients of this category, as well as the risk of severe disability at the able-bodied age.

scholarly journals COMPLETE THORACIC ESOPHAGUS OBLITERATION: CLINICAL CASE REPORT

2021 ◽  
Vol 74 (1) ◽  
pp. 155-160
Author(s):  
Serhii O. Savvi ◽  
Alla Yu. Korolevska ◽  
Serhii Yu. Bityak ◽  
Yevhen A. Novikov
Keyword(s):  
Surgical Treatment ◽  
Chest Wall ◽  
Esophageal Stricture ◽  
Clinical Case ◽  
Middle Colic Artery ◽  
Thoracic Esophagus ◽  
Colic Artery ◽  
Treatment Results ◽  
Food Passage ◽  
The Right

Using the example of a clinical case, to present the management features of a patient with complete esophageal obliteration as a chemical burn result, the surgical intervention features in case of a non-standard situation during the operation, and the treatment results analyze. It was described a clinical case of 41-year-old patient with thoracic esophagus obliteration due to extended post-burn cicatricial esophageal stricture, dysphagia of IV degree in very severe general condition. Stamm-Senn-Kader’s gastrostomy was performed as a first step of surgical treatment. Angiography and embolization of the right colic artery and it’s branches was performed in 8 months while preserving the middle colic artery. In 20 days the cologastroanastomosis and feeding colostomy on the right chest wall were performed. In 10 days after the colostomy was disattached from the chest wall, the end-to-side esophagocoloanastomosis was performed intrapleurally. In one month after the third surgery and restoration of the food passage by the natural way, closure of the contact gastrostomy was performed. During the observation over the patient (8 years) the postoperative complications were not observed. The patient survived. The proposed staged surgical treatment tactics of patients with complete esophageal obliteration due to post-burn esophageal stricture, dysphagia of IV degree presents effective treatment results and a significant improvement in the patient’s life quality.

Surgical treatment for primary chest wall sarcoma: a single-institution study

2019 ◽  
Author(s):  
T Stork ◽  
D Stefani ◽  
T Plönes ◽  
K Mardanzai ◽  
D Valdivia ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Chest Wall ◽  
Single Institution

Experience of surgical treatment of false popliteal artery aneurysm and tibioperoneal stem. Clinical case

2019 ◽  
Vol 17 (6 (part 2)) ◽  
pp. 84-85
Author(s):  
M. V. Plotnikov ◽  
◽  
E. A. Gaysina ◽  
R. M. Nuretdinov ◽  
L. M. Muhametdinova ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Popliteal Artery ◽  
Clinical Case ◽  
Artery Aneurysm ◽  
Popliteal Artery Aneurysm

Thyroidectomy in a patient with a giant multinodular nontoxic cervical retrosternal goiter

2020 ◽  
pp. 97-99
Author(s):  
U. V. Kukhtenko ◽  
O. A. Kosivtsov ◽  
L. A. Ryaskov ◽  
E. I. Abramian
Keyword(s):  
Surgical Treatment ◽  
Clinical Case ◽  
Clinical Signs ◽  
Disease Relapse ◽  
Cardiac Pathology ◽  
Nontoxic Goiter ◽  
Retrosternal Goiter

A clinical case of successful surgical treatment of a patient with a giant cervical retrosternal nontoxic goiter with severe cardiac pathology is presented. Thyroidectomy from cervical access without sternotomy was performed. At the follow-up examination 5 months after the operation, instrumental and clinical signs of disease relapse were not detected.

Micro-Negative Pressure Drainage Dressing: A Substitute for Surgical Treatment of Refractory Wounds after Burns

2019 ◽  
Author(s):  
Jian Jin ◽  
Bo-han Pan ◽  
Kang-an Wang ◽  
Hai-hang Li ◽  
Guo-sheng Wu ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Negative Pressure

Surgical treatment as option in treatment of metastatic hormone-sensitive prostate cancer after prior drug treatment

2022 ◽  
pp. 41-45
Author(s):  
Sh. G. Khakimova ◽  
G. G. Khakimova ◽  
G. A. Khakimov ◽  
J. B. Sadullaev
Keyword(s):  
Prostate Cancer ◽  
Surgical Treatment ◽  
Drug Treatment ◽  
Bone Metastases ◽  
Clinical Result ◽  
Metastatic Prostate Cancer ◽  
Clinical Case ◽  
Complex Treatment ◽  
Good Clinical Result ◽  
Hormone Sensitive

Currently, there is no consensus on the place of prostatectomy in the complex treatment of patients with metastatic prostate cancer. A description of a clinical case of complex treatment and observation of a patient with prostate cancer with an unfavorable baseline prognosis and the presence of bone metastases with a good clinical result is presented.

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