scholarly journals Application of NPWT in the surgical treatment of wounds and injuries of various locations - case series

2018 ◽  
Vol 5 (3) ◽  
pp. 10
Author(s):  
Yaroslav Zarutskii ◽  
S.A. Aslanyan ◽  
I.B. Plis ◽  
A.O Kompaniiets ◽  
V.S. Goncharuk
Keyword(s):  
Surgical Treatment ◽  
Wounds And Injuries ◽  
Case Series ◽  
Combat Trauma ◽  
Modern World ◽  
Military Conflicts ◽  
New Challenges ◽  
Trauma Victims ◽  
Treatment Of Wounds ◽  
Serious Injuries

In the modern world, local military conflicts are not uncommon. A feature of local wars is a dynamically changing tactical situation, which can lead to massive losses and more serious injuries. This creates new challenges related to the treatment of combat trauma victims. We analyzed our experience of application of NPWT in complex surgical treatment of combat wounds and injuries of various locations.

Diverticulization Duodenal Distal Technique for Injury Angle Duodenojejunal

2016 ◽  
Vol 3 (1) ◽  
pp. 265-268
Author(s):  
Luis R. Martinez ◽  
Pablo Valsangiacomo ◽  
Gabriela Espinosa ◽  
Gabriela Wagner ◽  
Roberto Taruselli
Keyword(s):  
Case Series ◽  
Average Hospital ◽  
Single Anastomosis ◽  
Observational Technique ◽  
Mortality Case ◽  
Management Techniques ◽  
The Right ◽  
Serious Injuries ◽  
Suture Failure ◽  
Initial Results

Duodenojejunal injuries region at the angle of Treitz are rare, variable etiology and often associated with other serious injuries. In trauma situations with perforations and bleeding, his approach is often difficult. The primary suture, resection / anastomosis and duodenal exclusion are the usual for trauma management techniques in this region. The aim of this paper is to show the initial results of an alternative for injuries duodenojejunal angle (IDJA) by filling a retrospective, descriptive and observational technique, 12 patients operated were analyzed over a period of 15 years, carriers IDJA, age: 34, 11 gunshot wound. 92% of the cases had other associated visceral injuries. The average for the ISS was 29. In all cases located in duodenum duodenojejunoanastomosis II, via the right lateromesenterica upon closing section and duodenum level III was performed. 58% of cases were complicated. Mortality case series were 1 (8%) digestive suture failure colon. Average Hospital stay 26 days. Conclusion: A simple, safe and maintaining gut physiology is proposed technique; with a single anastomosis, located in well-vascularized area and away from bruising and contaminated areas. The complications were pancreatic fistula and digestive suture failure.

Transforaminal Endoscopic Surgical Treatment for Post-Laminectomy Lumbar Radiculopathy: Case Series

2021 ◽  
Author(s):  
Albert E. Telfeian ◽  
Adetokunbo Oyelese ◽  
Jared Fridley ◽  
Ziya L. Gokaslan
Keyword(s):  
Surgical Treatment ◽  
Case Series ◽  
Lumbar Radiculopathy

Midcarpal instability

2015 ◽  
Vol 41 (1) ◽  
pp. 86-93 ◽  
Author(s):  
D. G. Hargreaves
Keyword(s):  
Surgical Treatment ◽  
Treatment Options ◽  
Case Series ◽  
Definite Diagnosis ◽  
Stress Tests ◽  
Functional Instability ◽  
Painful Wrist ◽  
Relative Rarity ◽  
Passive Stress

Midcarpal instability is a collective term for a number of conditions where the instability of the wrist is predominantly between the proximal and distal carpal rows. It has been regarded as relatively rare and infrequently requires surgical treatment. Palmar midcarpal instability is the most commonly found type of midcarpal instability and can be responsible for causing a clunking and painful wrist. The diagnosis is made on clinical grounds using the midcarpal instability provocative tests. Standard imaging and arthroscopic inspection do not usually confirm a definite diagnosis, but are important in excluding other pathologies. The classification and staging has been described using the extent of palmar translocation of the distal carpal row, which is elicited on passive stress tests. As this is a functional instability, it may be that a functional staging description might be better, and a proposed scheme is described. Treatment options including partial wrist fusions, tenodesis stabilizations and arthroscopic capsular shrinkage have been described in small case series with limited follow-up. There are no comparative series or randomized studies because of the relative rarity of this condition.

Current Minimally Invasive Surgical Concepts for Sacral Insufficiency Fractures

2021 ◽  
Author(s):  
Ulrich Josef Albert Spiegl ◽  
Klaus J. Schnake ◽  
Bernhard Ullrich ◽  
Max J. Scheyerer ◽  
Georg Osterhoff ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Minimally Invasive ◽  
Screw Fixation ◽  
Case Series ◽  
Fracture Morphology ◽  
Iliosacral Screw ◽  
Insufficiency Fractures ◽  
Minimally Invasive Surgical ◽  
Sacral Insufficiency Fractures ◽  
Non Surgical Treatment

AbstractAn increasing incidence of sacral insufficiency fractures in geriatric patients has been documented, representing a major challenge to our healthcare system. Determining the accurate diagnosis requires the use of sectional imaging, including computed tomography and magnetic resonance imaging. Initially, non-surgical treatment is indicated for the majority of patients. If non-surgical treatment fails, several minimally invasive therapeutic strategies can be used, which have shown promising results in small case series. These approaches are sacroplasty, percutaneous iliosacral screw fixation (S1 with or without S2), trans-sacral screw fixation or implantation of a trans-sacral bar, transiliac internal fixator stabilisation, and spinopelvic stabilisation. These surgical strategies and their indications are reported in detail. Generally, treatment-related decision making depends on the clinical presentation, fracture morphology, and attending surgeonʼs experience.

Surgical treatment of brainstem cavernous malformations: an international Delphi consensus

2021 ◽  
pp. 1-11
Author(s):  
Philipp Dammann ◽  
Adib A. Abla ◽  
Rustam Al-Shahi Salman ◽  
Hugo Andrade-Barazarte ◽  
Vladimir Benes ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Case Series ◽  
Treatment Decision ◽  
Clinical Situation ◽  
Delphi Consensus ◽  
Consensus Process ◽  
Cavernous Malformations ◽  
Clinical Scenarios ◽  
Developmental Venous Anomalies ◽  
Question Survey

OBJECTIVE Indication for surgery in brainstem cavernous malformations (BSCMs) is based on many case series, few comparative studies, and no randomized controlled trials. The objective of this study was to seek consensus about surgical management aspects of BSCM. METHODS A total of 29 experts were invited to participate in a multistep Delphi consensus process on the surgical treatment of BSCM. RESULTS Twenty-two (76%) of 29 experts participated in the consensus. Qualitative analysis (content analysis) of an initial open-ended question survey resulted in 99 statements regarding surgical treatment of BSCM. By using a multistep survey with 100% participation in each round, consensus was reached on 52 (53%) of 99 statements. These were grouped into 4 categories: 1) definitions and reporting standards (7/14, 50%); 2) general and patient-related aspects (11/16, 69%); 3) anatomical-, timing of surgery–, and BSCM-related aspects (22/37, 59%); and 4) clinical situation–based decision-making (12/32, 38%). Among other things, a consensus was reached for surgical timing, handling of associated developmental venous anomalies, handling of postoperative BSCM remnants, assessment of specific anatomical BSCM localizations, and treatment decisions in typical clinical BSCM scenarios. CONCLUSIONS A summary of typical clinical scenarios and a catalog of various BSCM- and patient-related aspects that influence the surgical treatment decision have been defined, rated, and interpreted.

Adjunctive use of antimicrobial photodynamic therapy in the surgical treatment of periapical lesions: a case series

2021 ◽  
pp. 102598
Author(s):  
Pier Paolo Poli ◽  
Francisley Ávila Souza ◽  
Giovanni Damiani ◽  
Henrique Hadad ◽  
Carlo Maiorana ◽  
...  
Keyword(s):  
Photodynamic Therapy ◽  
Surgical Treatment ◽  
Case Series ◽  
Antimicrobial Photodynamic Therapy ◽  
Periapical Lesions

Surgical Treatment of Cavernous Malformations Involving the Midbrain: A Single-Center Case Series of 34 Patients

2017 ◽  
Vol 107 ◽  
pp. 753-763 ◽  
Author(s):  
Yanming Ren ◽  
Jin Li ◽  
Chuanyuan Tao ◽  
Jun Zheng ◽  
Si Zhang ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Case Series ◽  
Single Center ◽  
Cavernous Malformations

scholarly journals They Arrived Completely Intact: The Evacuation of Chersonese Museum Collections to Sverdlovsk

2020 ◽  
Vol 8 (2) ◽  
Author(s):  
Anton Mokhov ◽  
Andrey Shamanaev ◽  
Karina Kapsalykova
Keyword(s):  
Cultural Heritage ◽  
Emergency Evacuation ◽  
Modern World ◽  
Cultural Institutions ◽  
Museum Exhibits ◽  
Military Conflicts ◽  
Great Patriotic War ◽  
Archival Documents ◽  
Public Organisations ◽  
The Military

This article considers the emergency evacuation of the collections of the Chersonese Historical and Archaeological Museum from Sevastopol to Sverdlovsk during the Great Patriotic War, between September and December 1941. The authors analyse some issues concerning the preparation and transportation of the museum collection and the interaction between state structures and cultural institutions in wartime conditions. The study is based on unpublished archival materials from the funds of the State Archive of Sverdlovsk Region and the Documentation Centre of Public Organisations of Sverdlovsk Region. The study of problems connected with saving cultural heritage during military conflicts is relevant considering the threat of local wars in the modern world. At present, military actions pose serious risks of the destruction, damage, and illicit transfer of museum exhibits. The authors employ the historical and anthropological approach, paying a great deal of attention to the historiography of the issue of cultural heritage preservation during the Great Patriotic War. The experience of evacuating heritage collections from the Chersonese Museum is both unique and typical. One hundred and eight crates of artifacts, books, and archival documents were sent from Sevastopol to Sverdlovsk, accompanied by a single employee of the museum, S. F. Strzelecki. Owing to his effort, the priceless collection was successfully delivered to the rear. Most problems faced during the emergency evacuation of the Chersonese collections related to the deficit of material resources, rapid changes in the situation at the front, inefficient interaction between the bodies of power, academic and cultural institutions, and deficiencies in the transportation system. The authors argue that during the early stages of the Great Patriotic War, the conditions in the military and cultural spheres posed a significant threat to the preservation of cultural heritage. There were no mobilisation plans for museums and the authorities failed to assess the real risks of wartime. Taking these factors into account should help diminish the threat of cultural heritage loss during military conflicts.

scholarly journals Surgical treatment of synchronous multiple neuroendocrine lung tumours (case series): is more always better?

2017 ◽  
Vol 5 (21) ◽  
pp. 423-423
Author(s):  
Jury Brandolini ◽  
Luca Bertolaccini ◽  
Alessandro Pardolesi ◽  
Piergiorgio Solli
Keyword(s):  
Surgical Treatment ◽  
Case Series ◽  
Lung Tumours
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