scholarly journals FEATURES OF REHABILITATION TREATMENT IN CHILDREN WITH CONGENITAL AND ACQUIRED DISORDERS OF THE FIRST RAY OF THE HAND

2014 ◽  
Vol 2 (2) ◽  
pp. 38-43
Author(s):  
Anna Dmitrievna Ovsyannikova ◽  
Sergei Ivanovich Golyana ◽  
Anton Vladimirovich Govorov
Keyword(s):  
Comparative Analysis ◽  
Surgical Treatment ◽  
Functional Ability ◽  
Older Age ◽  
Rehabilitation Treatment ◽  
First Ray ◽  
Second Toe ◽  
Standard Techniques ◽  
Oriented Approach ◽  
Main Subgroup

In this paper we evaluated the results of rehabilitation treatment in 55 children aged from 1 to 6 years after the following surgical treatment: pollicization of the second finger and microsurgical autografting of the second toe in the position of the thumb. A comparative analysis of standard techniques of rehabilitation treatment and the technique developed at the department was carried out. Application of individual-oriented approach depending on the functionality of the hand provided better results in rehabilitation. In the main subgroup of children after the operation of the second finger pollicization, excellent results were obtained in 11 patients (50 %), good - 9 patients (40.9 %), satisfactory - 2 patients (9.1 %). In the control subgroup, excellent results were obtained in 5 patients (20.83 %), good - in 9 (37.5 %), satisfactory - in 8 (33.33 %), poor - in 2 (8.33 %). In the group of children who underwent free autografting of toes, in the main subgroup the excellent results were obtained in 3 patients (60 %), good - in 2 patients (40 %). In the control subgroup good results were obtained in 3 patients (75 %), satisfactory - in 1(25 %). Also we revealed a correlation between the timing of the appearance of bilateral grip and functional ability of the hand in older age.

Surgical Treatment of the Clasped Thumb

1989 ◽  
Vol 14 (1) ◽  
pp. 72-79 ◽  
Author(s):  
Esther Lipskeir ◽  
M. Weizenbluth
Keyword(s):  
Surgical Treatment ◽  
Tendon Transfer ◽  
Pathological Feature ◽  
Tendon Transfers ◽  
Extensor Tendons ◽  
The Third ◽  
First Ray ◽  
Intrinsic Muscles

We report a series of 12 patients (19 hands) with clasped thumb who underwent surgical treatment. The series is divided into three groups. In the first group, the prominent pathological feature was hypoplasia of the extensor tendons which was treated by tendon transfer. The second group, the arthrogryphotic type, had contracture of the intrinsic muscles of the thumb and shortening of the skin; these needed mainly release operations. In only three hands out of nine was tendon transfer performed. The third group was defined by a combination of skeletal, muscular and tendon hypoplasia. Instability of the M.P. joint and adduction contracture of the first ray were found in all hands of this group. The adduction deformity was corrected by skin-plasty of the first web and the extension was improved by tendon transfers. Only one case needed stabilisation of the M.P. joint. The final results were related to the extent of the contractures and to the age of the patient when treatment started.

Cytological substantiation of application of vacuum therapy in combustiology

2021 ◽  
Vol 179 (6) ◽  
pp. 44-49
Author(s):  
S. B. Bogdanov ◽  
D. N. Marchenko ◽  
K. C. Pavlyk ◽  
O. V. Gospirovish ◽  
E. A. Artemova ◽  
...  
Keyword(s):  
Comparative Analysis ◽  
Surgical Treatment ◽  
Cytological Study ◽  
Scientific Research Institute ◽  
Vacuum Therapy ◽  
Cytological Analysis ◽  
Burn Wound ◽  
Burn Wounds ◽  
Healing Wounds ◽  
Clinic Hospital

The OBJECTIVE was to perform a comparative cytological analysis of the wound exudate in healing wounds during autodermoplasty on a granulating burn wound with and without vacuum therapy.METHODS AND MATERIALS. The article presents the results of the cytological study substantiated the use of vacuum therapy in combustiology. The comparative analysis was performed in 2 groups of patients. The first group consisted of patients with granulating burn wounds, who underwent surgical treatment with vacuum therapy. The second group consisted of patients who underwent surgical treatment without vacuum therapy. In both groups, the complex of surgical treatment included autodermoplasty on a granulating burn wound. All the patients were treated in the Burn Department of the «Scientific research institute – Ochapovsky regional clinic hospital № 1».RESULTS. The application of vacuum-associated dressings in the surgical treatment of patients in burn hospitals helps to reduce the time of graft retention in the plasty of granulating burn wound, decrease the number of dressings and the amount of dressing material, reduce the time of treatment of patients.CONCLUSION. The obtained cytological results allow us to justify the application of vacuum therapy in the surgical treatment of granulating burn wounds.

Comparative analysis of the surgical treatment in the fracture offemoral neck.

1991 ◽  
Vol 4 (2) ◽  
pp. 215
Author(s):  
Ki Hong Choi ◽  
Chung Nam Kang ◽  
Jin Man Wang ◽  
Kwon Jae Roh ◽  
Jin Rok Oh
Keyword(s):  
Comparative Analysis ◽  
Surgical Treatment

scholarly journals MODIFIED METHODS OF SURGICAL TREATMENT REST OF THE RECT

2020 ◽  
pp. 151-155
Author(s):  
I. A. Kryvoruchko ◽  
I. V. Sorokina ◽  
K. Y. Parkhomenko ◽  
T. N. Firsik ◽  
A. P. Bozhko
Keyword(s):  
Surgical Treatment ◽  
Anal Fistula ◽  
Fistula Tract ◽  
Rectal Fistula ◽  
Complete Excision ◽  
Modified Method ◽  
Minimal Damage ◽  
Significant Addition ◽  
Standard Techniques

Summary. The use of mini-invasive technologies for the treatment of rectal fistula prevents many postoperative complications. Complete excision of the rectal fistula is not the only important result of treatment. Ensuring a high quality of life for patients is also very important. The proposed methods of surgical correction are a significant addition to the list of existing operations. Objective. To compare and analyze the results of the treatment patients with anal fistula by using standard techniques, the modified method LIFT and excision anal fistula with biowelding. Materials and methods. A retro- and prospective study of the surgical treatment of 90 patients with uncomplicated transsphincteric anal fistula using different techniques from September 2018 to February 2020 was conducted. Results. The introduction of these methods has shown a decrease in the number of relapses. This was achieved by combining complete excision of the fistula tract and minimal damage to the sphincter complex. Conclusion. The use of combined methods of surgical treatment of rectal fistula has significant advantages over standard techniques.

scholarly journals Efficiency of minimally invasive surgery for liver echinococcosis and its complications

2021 ◽  
Vol 26 (1) ◽  
pp. 84-91
Author(s):  
Z. A. Azizzoda ◽  
K. M. Kurbonov ◽  
K. R. Ruziboyzoda ◽  
S. G. Ali-Zade
Keyword(s):  
Minimally Invasive Surgery ◽  
Comparative Analysis ◽  
Surgical Treatment ◽  
Liver Resection ◽  
Minimally Invasive ◽  
Postoperative Mortality ◽  
Main Group ◽  
Control Group ◽  
Surgical Methods ◽  
Access Surgery

Aim. Improving outcomes of diagnosis and treatment of patients with liver echinococcosis and its complications. Materials and methods. A comparative analysis of the results of surgical treatment of liver echinococcosis and its complications with traditional laparotomy access surgery (control group) and minimally invasive interventions (main group) was performed.Results. The study included 300 patients (170 in the control and 130 in the main group). In the main group, 37 (28.4%) cases performed open echinococcectomy from various mini-accesses, and 27 (20.7%) performed twostage operations using minimally invasive technology. Laparoscopic echinococcectomy was performed in 23 (17.7%) patients, laparoscopic pericystectomy 12 (9.2%) and laparoscopic liver resection in 10 (7.7%) patients. The frequency of postoperative complications in the main group was 17.7%, in the control 51.8%, postoperative mortality decreased from 2.3% to 0.8%.Conclusion. Minimally invasive technologies in the surgical treatment of liver echinococcosis show the better immediate results compared to traditional open surgical methods.

Status of Physical Education for Handicapped Students: A Comparative Analysis of Teachers in 1980 and 1988

1991 ◽  
Vol 8 (1) ◽  
pp. 28-42 ◽  
Author(s):  
Vincent J. Melograno ◽  
E. Michael Loovis
Keyword(s):  
Comparative Analysis ◽  
Physical Education ◽  
Functional Ability ◽  
Motor Behavior ◽  
Self Report ◽  
Physical Education Teachers ◽  
The Status ◽  
Multidisciplinary Staff ◽  
Better Than ◽  
Lack Of Knowledge

Results of comprehensive surveys (1980 and 1988) were compared relative to physical education for handicapped students. A direct, self-report methodology was used. Statewide (Ohio) samples of 241 (1980) and 242 (1988) physical education teachers participated. Data indicated that the status of physical education for handicapped students had remained the same. By 1988, only 14% of the teachers had contributed to a multidisciplinary staff for developing IEPs. Teachers’ lack of knowledge of PL 94-142 was revealed in both years, and interest in teaching handicapped students was no better than “neutral/mixed” (1988). A majority of teachers in 1980 and 1988 indicated a general need for assistance in motor behavior assessments. By 1988 a majority of teachers (51%) had not received encouragement/support from their administration. In both years, over 75% believed that handicapped students are excluded from participation in physical education due to “nature of handicap” and “functional ability.” Overall, results in 1980 were reaffirmed in 1988. Teachers lacked the ability to provide appropriate physical education for handicapped students.

Treatment of the pilonidal sinus in children using laser radiation

2021 ◽  
Vol 24 (4) ◽  
pp. 32-36
Author(s):  
D. S. Zolotukhin ◽  
I. V. Krochek ◽  
S. V. Sergiyko
Keyword(s):  
Comparative Analysis ◽  
Surgical Treatment ◽  
Hospital Stay ◽  
Pain Syndrome ◽  
Surgical Excision ◽  
Duration Of Surgery ◽  
Invasive Method ◽  
Open Excision ◽  
Interstitial Thermotherapy ◽  
Late Postoperative Period

The work carried out a comparative analysis of the results of surgical treatment of the epithelial-coccygeal course of ECC in 133 children aged 3 to 17 years, using laser-induced interstitial thermotherapy (LIT) and open excision. Comparative analysis was carried out according to the following criteria: duration of surgery, average time of hospital stay, duration of pain syndrome on a 10-point scale (VAS), the presence of complications in the early and late postoperative period. In the main group, the average time of hospital stay was 4.9 ± 0.3; the duration of surgical treatment was 17.2 ± 2.8 minutes. The duration of the pain syndrome was 5.3 ± 2.1 hours, and its severity was 2.7 ± 0.8 points. Average terms of epithelialization of fistulas are 3.1 ± 2.8 days. Recurrence of ECC was observed in 7 patients (11.7%), which required re-intervention. In 3 (5.0%) patients, LIT was used, and in 4 (6.7%), excision using plastics according to the Bascom method. In the comparison group, the duration of surgical treatment was 32.6 ± 5.4 minutes. The duration of inpatient treatment is 16.7 ± 1.4 days. Pain syndrome averaged 71.8 ± 11.9 hours, severity 6.5 ± 2.3 points. The number of relapses was 9 (12.3%), of which 5 (6.8%) children underwent laser treatment, and 4 (5.5%) repeated surgical excision with Bascom with recovery. This technique is an effective and minimally invasive method for treating ECC, which makes it possible to recommend this method for use in pediatric surgical practice.

scholarly journals ADVANTAGES AND WEAKNESSES OF PERCUTANEOUS ENDOSCOPIC LUMBAR DISCECTOMY: ALGORITHM SELECTION

2018 ◽  
Vol 17 (3) ◽  
pp. 200-205
Author(s):  
Artem Gushcha ◽  
Andrey Vershinin ◽  
Sergey Arestov ◽  
Alexey Kashcheev ◽  
Vladimir Tjurnikov ◽  
...  
Keyword(s):  
Comparative Analysis ◽  
Surgical Treatment ◽  
Lumbar Discectomy ◽  
Herniated Disc ◽  
Treatment Level ◽  
Percutaneous Endoscopic Lumbar Discectomy ◽  
Advantages And Disadvantages ◽  
Endoscopic Method ◽  
Microendoscopic Discectomy ◽  
Endoscopic Lumbar Discectomy

ABSTRACT Objective: Degenerative diseases of the spine are the most common disorder seen in the practice of the neurosurgeon. According to many surgeons, microdiscectomy is the “gold standard” of surgical treatment. Analyzing the current literature, it is seen that the use of endoscopic techniques in spinal surgery is increasing. However, due to the lack of detailed information on the advantages and disadvantages of these methods, there is a need for continuing research in this area. Work to clarify the features of these methods, their specificity and algorithmization will increase the effectiveness of surgical treatment. Methods: This study included patients with herniated lumbar intervertebral discs, the presence of pain in the leg, and failed of conservative therapy. In the period 2014 to 2017, 172 endoscopic lumbar discectomies were performed, using microendoscopic discectomy and percutaneous endoscopic lumbar discectomy. The effectiveness of each technique was evaluated through comparative analysis. Results: In both groups, the methods used obtained high efficacy rates. Comparative analysis showed the advantages of the percutaneous technique in terms of shortening the return to normal activity time, hospitalization time, and disability, and reducing back pain in the early postoperative period. On the other hand, the microendoscopic discectomy enabled greater radicality to be achieved in cases with herniated disc ossification and complex anatomy of the vertebral segment. Conclusions: Analysis of the data obtained led to the formulation of an algorithm for selecting the optimum endoscopic method for achieving positive results of surgical treatment. Level of Evidence II; Therapeutic studies, investigating the results of treatment.

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