scholarly journals Cranial Occipital Meningocoele in a Buffalo Calf

2021 ◽  
Vol 25 (02) ◽  
pp. 539-540
Author(s):  
Sayyed Aun Muhammad
Keyword(s):  
Surgical Treatment ◽  
General Anesthesia ◽  
Ultrasound Examination ◽  
Skin Incision ◽  
Uneventful Recovery ◽  
Congenital Defects ◽  
Occipital Region ◽  
Buffalo Calf ◽  
Defect Site ◽  
Operative Care

The report presents a case of rear congenital defects of occipital meningocoele in male buffalo calf of Neeli-Ravi breed. A soft fluctuating, fluid filled swelling was observed in the occipital region of skull. On the base of grass clinical examination and ultrasound examination, the case was diagnosed as occipital meningocoele and was recommended for surgical treatment under general anesthesia. An elliptical skin incision was made at the base of the swelling involving the skin. Fluid filled meningeal membranes were identified protruding out from the defect site. About one litter accumulated fluid in the sac was drained. The meninges close to the defect were resected and remaining part of meninges were sutured to close the defect. The animal got an uneventful recovery after 15 days of post-operative care. © 2021 Friends Science Publishers

scholarly journals Pulmonary Valve Insufficiency as a Complication of Radical Surgical Treatment of Tetralogy of Fallot

2017 ◽  
Vol 34 (2) ◽  
pp. 179-188
Author(s):  
Milovan Stojanović ◽  
Marina Deljanin-Ilić ◽  
Aleksa Vuković ◽  
Dejan Petrović
Keyword(s):  
Surgical Treatment ◽  
Tetralogy Of Fallot ◽  
Pulmonary Valve ◽  
Surgical Intervention ◽  
Ultrasound Examination ◽  
Clinical Signs ◽  
Common Complication ◽  
Pulmonary Valve Insufficiency ◽  
Valve Insufficiency ◽  
Additional Imaging

Summary Tetralogy of Fallot is the most common cyanogenic congenital heart defect. The diagnosis is based on clinical signs, ECG examination, ultrasound examination of the heart, additional imaging methods and invasive testing. The therapeutic approach to the patient with tetralogy is complex and based on conservative and radical methods. Patients who have not undergone a radical surgical intervention have a poor prognosis, whereas the prognosis is much better for patients who have been operated. The most common complication of the surgical treatment is the pulmonary valve insufficiency which usually requires reintervention, as was the case with our patient.

scholarly journals Cystic form of biliary atresia. Treatment experience

2020 ◽  
Vol 10 (1) ◽  
pp. 17-24
Author(s):  
Irina I. Borisova ◽  
Anatoliy V. Kagan ◽  
Svetlana A. Karavaeva ◽  
Aleksey N. Kotin
Keyword(s):  
Surgical Treatment ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Biliary Atresia ◽  
Bile Ducts ◽  
Surgical Intervention ◽  
Ultrasound Examination ◽  
Duct Cyst ◽  
Cystic Form ◽  
The Common

Background. The cystic form of biliary atresia is a rare form of atresia of the biliary tract, which is a relatively favorable variant of the defect and can be diagnosed antenatally. In practice, it is important not only to suspect this diagnosis, but also to differentiate this variant of impaired development of the external bile duct from the cyst of the common bile duct. This is due to the difference in approaches and methods of surgical treatment of choledochal cysts and biliary atresia. Obliteration (atresia) of the bile ducts in the absence of timely surgical intervention quickly leads to the progression of cirrhosis and the development of liver failure. The method of choice in the treatment of AD is Kasai surgery, often palliative in nature, but allowing to delay the time until liver transplantation. The cyst of the common bile duct rarely requires early surgical treatment, and the risk of cirrhosis is significantly lower. Surgical intervention is aimed at removing the cyst and restoring the flow of bile by anastomosing the external bile ducts with the intestines, which is a radical method of treatment and leads to the recovery of the child. External similarity in ultrasound examination of the fetus and newborn baby of the cystic form of biliary atresia of the bile ducts with a cyst of the common bile duct does not always allow differentiation of one defect from another, which can lead to untimely correction of the defect and an unfavorable outcome. Aim. Demonstrate a rare type of biliary atresia. Materials and methods. Between 2001 and 2019, 33 patients with biliary atresia were treated in the Childrens City Multidisciplinary Clinical Specialized Center for High Medical Technologies in St. Petersburg, only two patients had a cystic form. Both children were initially treated as patients with bile duct cyst. Children were operated on at the age of 2 and 3.5 months. The first patient underwent surgery Kasai, the second hepaticoyunoanastomosis. Results. During the observation period (9 years and 4 years), the synthetic function of the liver is normal, and there are currently no indications for transplantation. Conclusion. If a fetus or a newborn with neonatal jaundice is detected during ultrasound examination of a cystic formation in the gates of the liver, it is very important to correctly and quickly make a differential diagnosis between the cystic form of biliary atresia of the biliary tract and the common bile duct cyst.

Successful Surgical Treatment of a Suspected Iatrogenic Arytenoid Cartilage Fracture in a Dog

2009 ◽  
Vol 45 (4) ◽  
pp. 181-184 ◽  
Author(s):  
Ivan Doran ◽  
Robert N. White
Keyword(s):  
Surgical Treatment ◽  
General Anesthesia ◽  
Sudden Onset ◽  
Arytenoid Cartilage ◽  
Golden Retriever ◽  
Intact Female ◽  
Laryngeal Examination

A 3-year-old, intact female golden retriever was presented with a sudden onset of inspiratory obstructive dyspnea following general anesthesia to perform a mastectomy. The cuneiform process of the left arytenoid cartilage was found to be extremely mobile on laryngeal examination. Fracture of the cuneiform process of the left arytenoid cartilage was diagnosed. A combined cricoarytenoid and thyroarytenoid caudolateralization procedure was performed on the left side, and no further dyspnea was observed during a follow-up period of 7 months. Fracture of the cuneiform process of the arytenoid cartilage has not been previously reported in dogs. The condition may respond favorably to cricoarytenoid and thyroarytenoid caudolateralization surgery.

scholarly journals Varicocele in children and adolescents. History and current view and state of problem (literature review)

2021 ◽  
pp. 68-73
Author(s):  
V.A. Dihtiar ◽  
◽  
D.H. Vernihora ◽  
Keyword(s):  
Surgical Treatment ◽  
Literature Review ◽  
Gold Standard ◽  
Ultrasound Examination ◽  
Sperm Count ◽  
Lymphatic Vessels ◽  
Testicular Tissue ◽  
Current View ◽  
Sufficient Information ◽  
Testicular Artery

A literature review on the subject of varicocele in children which include historical data and question about: etiopathogenesis, epidemiology, diagnostics, treatment and long-term outcomes. The diagnostic method of varicocele unchanged until the XX century and consisted of visual examination and palpation with or without Valsava maneuver. But after entering in diagnostic protocol contrast venography, thermography of testis and ultrasound examination, this protocol have significant changes. For a long time, phlebography has been considered the «gold standard» for the diagnosis of varicocele. But the big disadvantage of this procedure is high invasiveness. Doppler ultrasound mapping has given a new impuls to the diagnosis of varicocele due to minimally invasiveand accessible. G. Liguori, C. Trombetta in their work showed that surgical treatment of varicocele should begin when the testicle size is reduced by more than 20%, or 2 ml of volume in ultrasound examination. Also, the visualization of reflux into the seminal vein is more specific in the ultrasound examination. G. Sigmund et al. introduced the concept of stop-type, shunt-type reflux into the seminal vein. However, in the case of unexplained recurrent varicocele, only antegrade venography can provide sufficient information. The review presents the classic and alternative surgical treatments of varicocele in children. Today it is safe to say that the treatment of varicocele has entered to the era of modern evidence-based medicine. A large number of studies indicate that the expansion of the testicular plexus has a progressive detrimental effect on testicular tissue and leads to a deterioration in sperm count. The methods witch used to correct varicocele earlier was traumatic, but modern surgery has brought many innovative technologies and methods of surgical correction. In addition, there have been impressive developments in bimolecular and functional sperm tests. Nowdays gold standard of surgical treatment varicocele is microsurgical subgingival varicocelectomy but this operation has one big disadvantage. This is possible damage of the testicular artery. The solution of this problem can be obtained by finding new intraoperative way of visualization and defending testicular artery and lymphatic vessels. No conflict of interest was declared by the authors. Key words: varicocele, microsurgical subgingival varicocelectomy, children.

scholarly journals Diagnosis and treatment of noncommunicating extradural spinal thoracolumbar arachnoid cyst

2020 ◽  
Vol 11 ◽  
pp. 405
Author(s):  
Shahidul Islam Khan ◽  
Nazmin Ahmed ◽  
Bipin Chaurasia ◽  
Kamrul Ahsan
Keyword(s):  
Subarachnoid Space ◽  
Spastic Paraparesis ◽  
Cord Compression ◽  
Arachnoid Cysts ◽  
Csf Leak ◽  
Uneventful Recovery ◽  
Congenital Defects ◽  
Surgical Removal ◽  
Intradural Extramedullary ◽  
Extradural Cyst

Background: Noncommunicating extradural spinal arachnoid cysts are extremely rare. They are believed to arise from congenital defects in the dura mater and become enlarged as a consequence of increased cerebro-spinal fluid (CSF) pressure within the subarachnoid space. Most retain a communicating pedicle through which the extradural cyst maintains connection with the subarachnoid space, and only rarely does this communication become sealed. The optimal treatment consists of complete surgical removal of the cyst with ligation of the communicating pedicle. Case Description: A 29-year-old male presented with a progressive spastic paraparesis of 6 months’ duration. The MRI showed a circumscribed intradural extramedullary cystic lesion located from D11-L2. Notably, peroperatively, the cyst appeared to be entirely extradural, without a communicating intradural pedicle. Further, no CSF leak was observed even after Valsalva maneuvers. Following surgical extirpation of the cyst, the patient sustained an uneventful recovery within 1 postoperative month. Conclusion: Noncommunicating extradural arachnoid cysts are extremely rare causes of spinal cord compression and should be fully excised.

scholarly journals Remifentanil at induction of general anesthesia for cesarean section: Double blind, randomized clinical trial

2013 ◽  
pp. 87-91 ◽  
Author(s):  
Shokoufeh Behdad ◽  
Vida Ayatollahi ◽  
Hamid Harrazi ◽  
Naderali Nazemian ◽  
Najemh Heiranizadeh ◽  
...  
Keyword(s):  
Cesarean Section ◽  
General Anesthesia ◽  
Obstetric Anesthesia ◽  
Skin Incision ◽  
Assisted Ventilation ◽  
Elective Cesarean Section ◽  
Control Group ◽  
Double Blind ◽  
Duration Of Action ◽  
Hemodynamic Variables

Introduction: Remifentanil, with its rapid activity onset and short duration of action, may be more effective than other opioids for providing hemodynamic stability during obstetric anesthesia. However, there is some evidence of adverse effects on neonatal respiratory function. We investigated maternal and fetal effects of remifentanil during cesarean section surgery. Methods: Eighteen women with singleton term pregnancies, and physical class status of I or II as defined by the American Society of Anesthesia (ASA), who were undergoing general anesthesia for semi-elective cesarean section were randomized into two groups (40 in each group) that received either and intravenous bolus of 0.5 µg/kg remifentanil or the same dose of saline as a placebo. Maternal hemodynamic variables and neonatal umbilical artery pH and Apgar score at first and fifth min were evaluated in both groups. Results: Systolic and diastolic blood pressure were significantly lower after tracheal intubation and skin incision in the remifentanil group as compared with the control group (p<0.05). There were no significant differences regarding heart rate between groups at any time (p>0.05). Apgar scores at first and fifth min were not significantly different among groups (p>0.05). No neonate required assisted ventilation or naloxan administration. Conclusion: Remifentanil may be a safe and effective drug for the induction of general anesthesia and surgical stimulation without subsequent neonatal depression.

scholarly journals Complication of facial cellulitis: muscle hematoma after surgical treatment of complicated pericoronitis

2018 ◽  
Vol 24 (3) ◽  
pp. 122-124
Author(s):  
Hugo Compain ◽  
Alexandre Berquet ◽  
Ludwig-Stanislas Loison-Robert ◽  
Victorin Ahossi
Keyword(s):  
Emergency Department ◽  
Surgical Treatment ◽  
General Anesthesia ◽  
Secondary Infection ◽  
Third Molar ◽  
Two Stage ◽  
Drainage Procedure ◽  
Mandibular Third Molar ◽  
Dental Emergency

Observation: A 24-year-old man was referred to the dental emergency department for the management of a left submandibular cellulitis. The origin was a mandibular third molar. Drainage of the cellulitis and avulsion of the tooth were performed under general anesthesia. The follow-up was marked by a secondary infection of peri-zygomatic hematoma requiring a second drainage procedure. Discussion: The origin of the hematoma was a tear of the insertions of the mandibular elevators secondary to the trismus. The patient underwent two back-to-back general anesthesia procedures with tight trismus making induction and intubation difficult. Conclusion: A two-stage treatment with initial drainage and delayed avulsion after improvement of trismus is discussed.

scholarly journals Intubação Submentoniana: Quando indicar? – Revisão de literatura

2020 ◽  
Author(s):  
Laryssa Dos Santos Pinheiro
Keyword(s):  
Surgical Treatment ◽  
Literature Review ◽  
General Anesthesia ◽  
Surgical Procedures ◽  
Orotracheal Intubation ◽  
Dental Occlusion ◽  
Facial Fractures ◽  
Submental Intubation ◽  
Elective Tracheostomy ◽  
Neurovascular Anatomy

A intubação submentoniana (ISM), é uma derivação da intubação orotraqueal sem que o tubo passe pela oclusão dentária e lábios do paciente, tendo sua maior indicação a possibilidade da realização da ventilação mecânica do paciente durante um procedimento sob anestesia geral, sem que o tubo atrapalhe as manobras cirúrgicas que exijam um bloqueio maxilo-mandibular transoperatório associado à manipulação da região naso-órbito-etmoidal, evitando assim,a necessidade de uma traqueostomia eletiva. O objetivo deste trabalho é realizar uma revisão de literatura sobre a ISM, abordando suas indicações, contraindicações, vantagens e desvantagens na realização desta técnica. Onde apesar de simples, é fundamental que o profissional tenha o domínio da anatomia óssea e neurovascular da região e do exato posicionamento das glândulas sublinguais, submandibulares e seus ductos, a fim de evitar complicações trans e pós-operatórias imediatas ou tardias. Essa técnica é extremamente bem indicada para facilitar o tratamento cirúrgico de pacientes portadores de múltiplas fraturas da face, reduzindo riscos de complicações graves durante o manejo das vias aéreas pelo médico anestesiologista, sendo de realização rápida, segura e de baixa morbidade.Palavras-chave: intubação submentoniana, intubação endotraqueal, trauma de face.AbstractA submental intubation (ISM) is a derivation of orotracheal intubation without a tube or passes through the patient's dental occlusion and lips, with its greatest indication being the possibility of performing the patient's mechanical technique during the procedure under general anesthesia, without a tube disturbing maneuvers surgical procedures that require a maxillomandibular transoperative block associated with manipulation of the naso-abortion-ethmoidal region, thus avoiding the need for an elective tracheostomy. The objective of this work is to carry out a literature review on ISM, addressing its indications, contraindications, advantages and advantages in carrying out this technique. Where, although simple, it is essential that the professional has mastery of the bone and neurovascular anatomy of the region and the exact level of the sublingual, submandibular glands and their ducts, an end to prevent overflow and immediate or late postoperative. This technique is extremely well indicated to facilitate the surgical treatment of patients with multiple facial fractures, risks of serious complications during the management of the airways by the anesthesiologist, being fast and safe and safe and with low morbidity. Keywords: submental intubation, endotracheal intubation, face trauma.

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