scholarly journals Surgical treatment of locally advanced undifferentiated spindle cell paravertebral soft tissue sarcoma. Case report

2020 ◽  
Vol 27 (3) ◽  
pp. 73-78
Author(s):  
Nikolai V. Zagorodnii ◽  
Vadim Y. Karpenko ◽  
Gennady N. Berchenko ◽  
Anatoly L. Karasev ◽  
Alexander S. Zelyanin ◽  
...  

Abstract: Soft tissue sarcomas are a rare heterogeneous group of malignant tumor of different origin. The small quantity patients with this diagnosis leads to a lack of scientific data on the treatment of such patients. This article presents a clinical case of a patient with spindle-cell paravertebral sarcoma of soft tissues of pelvic localization, who get surgical treatment in the volume of reconstructive plastic surgery with endoprosthesis of the sacroiliac joint.

2019 ◽  
Vol 26 (1) ◽  
pp. 42-48
Author(s):  
A. V Yadrina ◽  
V. Y Karpenko ◽  
O. V Novikova ◽  
N. M Bychkova ◽  
V. A Derzhavin ◽  
...  

Desmoid fibroids (DF) are mesenchymal tumours consisting of differentiated fibroblasts and excessive amounts of collagen fibres. DF are extremely rare pathology, its frequency is 2-4 cases per 1 million people per year and it is less than 3% of all soft tissue tumours. The surgical method is the main in the treatment of DF, however, while a surgeon ensuring a negative border of resection, there are functional and cosmetic defects that require reconstruction. This study presents the results of surgical treatment of 40 patients with DF extraabdominal localization using reconstructive plastic surgery, as well as adjuvant drug treatment with a positive border of resection. Conflict of interest: the authors state no conflict of interest Funding: the study was performed with no external funding


2021 ◽  
Vol 10 (3) ◽  
pp. 20-25
Author(s):  
A.  A. Mukhin ◽  
A.  V. Vazhenin ◽  
V.  V. Saevets ◽  
A.  V. Taratonov

The article discusses the choice of different surgical procedures in patients with locally advanced vulvar cancer, depending on the volume of resected tissues and the possibility of reconstructive plastic surgery. The advantages and disadvantages of various plastic reconstructive techniques are provided. The issue of wound closing after the vulvectomy and the plastic techniques has always been controversial and led to the sophistication of the reconstructive component, as well as to the limitations or refusal of this surgical procedure use.


2004 ◽  
Vol 27 (3) ◽  
pp. 307-311 ◽  
Author(s):  
Haralabos P. Kalofonos ◽  
Dimitrios Bafaloukos ◽  
Theodoros G. Kourelis ◽  
Michalis V. Karamouzis ◽  
Panagiotis Megas ◽  
...  

1980 ◽  
Vol 61 (6) ◽  
pp. 4-6
Author(s):  
M. Z. Sigal ◽  
G. F. Fatuhova

In 46 patients with sarcomas, extensive soft tissue resections were performed using free skin defect plasty. The limits of resection were determined on the basis of preoperative examination, examination and palpation of various tissue layers during the operation. Defects were replaced with free skin grafts ranging in size from 40 to 300 cm2.


2017 ◽  
Vol 4 (3) ◽  
pp. 120-122
Author(s):  
V.V. Boyko ◽  
V.V. Makarov ◽  
A.L. Sochnieva ◽  
V.V. Kritsak

Boyko V.V., Makarov V.V., Sochnieva A.L., Kritsak V.V.Residual foreign bodies in soft tissues are one of the main causes of chronical infection lesions and decrease in life quality. Surgical treatment is the most common way to relieve the patient from a foreign body. Often there is a question whether to remove a foreign body? On the one hand, all foreign bodies that are in the human body must be removed. On the other hand, in the absence of symptoms, the risk of surgery performed for the purpose of removal exceeds the risk associated with finding the foreign body. We would like to describe a practical case of removing a foreign body (Kirschner`s wires) from the left supraclavicular region. The young patient lived with a fragment of Kirschner's wire left after the osteosynthesis of the fractured clavicle for 5 years. Surgery to remove the residual foreign body was successful. On the 7th postoperative day the patient was discharged from the hospital under the supervision of surgeons at the place of residence.Key words: foreign body in soft tissue, Kirschner`s wire, surgical treatment. КЛІНІЧНИЙ ВИПАДОК ВИДАЛЕННЯ ЗАЛИШКОВ СТОРОННЬОГО ТІЛА З ЛІВОЇ НАДКЛЮЧИЧНОЇ ОБЛАСТІБойко В.В., Макаров В.В., Сочнева А.Л.,  Крицак В.В.Залишкові чужорідні тіла м'яких тканин залишаються однією з основних причин виникнення вогнища хронічної інфекції та зниження рівня якості життя. Хірургічне лікування основний спосіб позбавити хворого від наявності чужорідного агента. Часто виникає питання чи видаляти чужорідне тіло. З одного боку, усі сторонні тіла, що знаходяться в тілі людини, підлягають видаленню, з іншого боку при відсутності симптомів ризик операції, проводимої з метою видалення, перевищує ризик, пов'язаний з перебуванням чужорідного тіла. Ми хотіли б поділитися випадком видалення залишкового стороннього тіла (спиці Кіршнера) лівої надключичної ділянки із власної практики. Молода пацієнтка прожила з уламком спиці Кіршнера, залишеної після металлоостеосинтезу поламаної ключиці протягом 5 років. Операція з видалення залишкового стороннього тіла пройшла успішно. На 7 післяопераційну добу пацієнтка була виписана зі стаціонару під спостереження хірурги за місцем проживання.Ключові слова: чужорідне тіло м'яких тканин, спиця Кіршнера, хірургічне лікування. кЛИНИЧЕСКИЙ СЛУЧАЙ УДАЛЕНИЯ ОСТАТКОВ ИНОРОДНОГО ТЕЛА ИЗ ЛЕВОЙ ПОДКЛЮЧИЧНОЙ ОБЛАСТИ Бойко В.В., Макаров В.В., Сочнева А.Л.,  Крицак В.В.Остаточные инородные тела мягких тканей остаются одной из основных причин возникновения очага хронической инфекции и снижения уровня качества жизни. Хирургическое лечение основной способ избавить больного от наличия чужеродного агента. Часто возникает вопрос удалять ли инородное тело? С одной стороны, все инородные тела, находящиеся в теле человека, подлежат удалению, с другой стороны при отсутствии симптомов риск операции, производимой с целью удаления, превышает риск, связанный с нахождением инородного тела. Мы хотели бы поделится случаем удаления остаточного инородного тела (спицы Киршнера) левой надключичной области из собственной практики. Молодая пациентка прожила с обломком спицы Киршнера, оставленной после металлоостеосинтеза поломанной ключицы в течении 5 лет. Операция по удалению остаточного инородного тела прошла успешно. На 7 послеоперационные сутки пациентка была выписана из стационара под наблюдение хирурги по месту жительства.Ключевые слова: инородное тело мягких тканей, спица Киршнера, оперативное лечение.


2021 ◽  
Vol 26 (4) ◽  
pp. 188-195
Author(s):  
K.D. Babov ◽  
I.P. Khomenko ◽  
S.V. Tertyshnyi ◽  
Babova I.K. Babova I.K. ◽  
R.S. Vastianov

Building a modern system of rehabilitation of servicemen in Ukraine is an integral part of providing medical care in armed conflict. Rehabilitation of servicemen after gunshot wounds with soft tissue defects of the lower extremities is a common but difficult problem for surgical and rehabilitation teams. The process of rehabilitation requires the implementation of certain methodological provisions. At present, medical care for servicemen is a four-levels’ one. Rehabilitation service is provided at the third and fourth levels of medical care. The aim of the study was to improve the quality of medical care for servicemen after gunshot wounds with soft tissue defects of the lower extremities by introducing a system of staged rehabilitation. Organizational and methodological bases of the system of staged rehabilitation of wounded servicemen with soft tissue defects at different levels of medical care have been developed. Two models of rehabilitation depending on the severity of the injury and the tactics of surgical treatment are proposed. The division of the stage of early sanatorium rehabilitation for the wounded with severe soft tissue injuries depending on the stage of surgical treatment and the formation of a "skin patch" is justified. The introduction of the proposed models of rehabilitation of wounded with soft tissue defects in the practice of early sanatorium rehabilitation will provide increasing of medical care quality.


2006 ◽  
pp. 3-35 ◽  
Author(s):  
Barry Shmookler ◽  
Jacob Bickels ◽  
James Jelinek ◽  
Paul Sugarbaker ◽  
Martin Malawer

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