The choice of surgical treatment of inguinal hernia (literature review)

Inguinal hernioplasty is one of the most common surgical procedures, but the long-term results of operations leave much to be desired: there are recurrences of hernias, chronic pain syndrome, violation of testicular function in men. A modern review of the literature on the most common surgical methods of treatment of inguinal hernias is presented. Separately, describes the methods of hernioplasty with using local tissue (autodermaplasty) and with the use of mesh implants (allohernioplasty). Material allohernioplasty set out on the basis of their surgical approaches are used: traditional (open) and laparoscopic. Special attention is paid to the necessary properties of the mesh implant, the choice of the method of its fixation. The advantages and disadvantages of the most common methods of hernioplasty are listed. Currently, there is no single standard for inguinal hernioplasty. The choice of the method is based on the experience of the surgeon, technical capabilities and desires of the patient. The most commonly used methods for autoplasty are Desarda and Shouldies, and among allogernioplasty - Liechtenstein technique (traditional surgical access) and laparoscopic methods (transabdominal preperitoneal hernioplasty, total extraperitoneal hernioplasty).

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Detoxification of Implant Surfaces Affected by Peri-Implant Disease: An Overview of Non-surgical Methods

The Open Dentistry Journal ◽

10.2174/1874210601408010077 ◽

2014 ◽

Vol 8 (1) ◽

pp. 77-84 ◽

Cited By ~ 17

Author(s):

Pilar Valderrama ◽

Jonathan A Blansett ◽

Mayra G Gonzalez ◽

Myrna G Cantu ◽

Thomas G Wilson

Keyword(s):

Clinical Trials ◽

Case Series ◽

Human Studies ◽

Surgical Approaches ◽

Specific Method ◽

Implant Surface ◽

Advantages And Disadvantages ◽

Surgical Methods

Objective: The aim of this review is to summarize the findings of studies that have evaluated non-surgical approaches for detoxification of implant body surfaces in vitro and in vivo, and to evaluate clinical trials on the use of these methodologies for treating peri-implant disease. Materials and methods: A literature search was conducted using MEDLINE (Pubmed) from 1966 to 2013. In vitro and in vivo studies as well as clinical trials on non-surgical therapy were evaluated. The outcome variables were the ability of the therapeutic method to eliminate the biofilm and endotoxins from the implant surface, the changes in clinical parameters including probing depth, clinical attachment levels, bleeding on probing; radiographic bone fill and histological re-osseointegration. Results: From 134 articles found 35 were analyzed. The findings, advantages and disadvantages of using lasers as well as mechanical and chemical methods are discussed. Most of the in vivo and human studies used combination therapies which makes determining the efficacy of one specific method difficult. Most human studies are case series with short term longitudinal analysis without survival or failure reports. Conclusion: Complete elimination of the biofilms is difficult to achieve using these approaches. All therapies induce changes of the chemical and physical properties of the implant surface. Re-osseointegration may be difficult to achieve if not impossible without surgical access to ensure thorough debridement of the defect and detoxification of the implant surface. Combination protocols for non-surgical treatment of peri-implantitis in humans have shown some positive clinical results but long-term evaluation to evaluate the validity and reliability of the techniques is needed.

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Detoxification of Implant Surfaces Affected by Peri-Implant Disease: An Overview of Surgical Methods

International Journal of Dentistry ◽

10.1155/2013/740680 ◽

2013 ◽

Vol 2013 ◽

pp. 1-9 ◽

Cited By ~ 35

Author(s):

Pilar Valderrama ◽

Thomas G. Wilson Jr

Keyword(s):

In Vivo Studies ◽

Surgical Approaches ◽

Validity And Reliability ◽

Implant Surface ◽

Advantages And Disadvantages ◽

Surgical Methods ◽

Term Evaluation

Purpose. Peri-implantitis is one of the major causes of implant failure. The detoxification of the implant surface is necessary to obtain reosseointegration. The aim of this review was to summarize in vitro and in vivo studies as well as clinical trials that have evaluated surgical approaches for detoxification of the implant body surfaces.Materials and Methods. A literature search was conducted using MEDLINE (PubMed) from 1966 to 2013. The outcome variables were the ability of the therapeutic method to eliminate the biofilm and endotoxins from the implant surface, the changes in clinical parameters, radiographic bone fill, and histological reosseointegration.Results. From 574 articles found, 76 were analyzed. The findings, advantages, and disadvantages of using mechanical, chemical methods and lasers are discussed.Conclusions. Complete elimination of the biofilms is difficult to achieve. All therapies induce changes of the chemical and physical properties of the implant surface. Partial reosseointegration after detoxification has been reported in animals. Combination protocols for surgical treatment of peri-implantitis in humans have shown some positive clinical and radiographic results, but long-term evaluation to evaluate the validity and reliability of the techniques is needed.

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Surgical approaches in juxtarenal and pararenal aortic aneurysms repair

Asian Cardiovascular and Thoracic Annals ◽

10.1177/0218492321997384 ◽

2021 ◽

pp. 021849232199738

Author(s):

Eduard R Charchyan ◽

Anna B Stepanenko ◽

Andrey P Gens ◽

Nail A Galeev ◽

Yuri V Belov

Keyword(s):

Operative Time ◽

Surgical Intervention ◽

Pain Syndrome ◽

Reliable Data ◽

Aortic Aneurysms ◽

Retroperitoneal Approach ◽

Surgical Approaches ◽

Midline Laparotomy ◽

Advantages And Disadvantages ◽

Case Basis

Background In this study, surgical tactic features and juxtarenal and pararenal treatment immediate results were analyzed depending on the use of various surgical approaches. Methods Between 2015 and 2019, a total of 89 patients received surgical treatment, of which 52(58%) had juxtarenal aneurysms and 37 (42%) – pararenal aneurysms. During repairs, three types of surgical approaches were used: midline laparotomy, extended retroperitoneal approach and thoraco-phreno-retroperitoneal approach. The patients were divided into three groups accordingly. Results At the immediate postoperative period, mortality rate equaled 2 (2.2%). The reasons were pulmonary embolism and sepsis. Statistically reliable data were obtained, confirming the advantages of midline laparotomic approach over the lateral retroperitoneal ones, which consisted in a shorter operative time, less pronounced pain syndrome, lesser blood loss, fewer postoperative days. The disadvantages were that enteroparesis occurred more often when the midline laparotomy was used in comparison to extended retroperitoneal or thoraco-phrenoretroperitoneal approaches. Conclusion Thus, open repairs of juxtarenal and pararenal aortic aneurysms have some specific technical and strategical features which are associated with intraoperative renal ischemia. During open surgical intervention, it is important to first consider the possibility of repair with midline laparotomy. However, lateral retroperitoneal approaches can also be used on a case-by-case basis noting their advantages and disadvantages.

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Spondyloarthrosis: pathogenesis, clinic, diagnosis and treatment (literature review and own experience)

Clinical Practice ◽

10.17816/clinpract18813 ◽

2020 ◽

Vol 10 (4) ◽

pp. 61-73

Author(s):

Anton V. Yarikov ◽

A. A. Denisov ◽

O. A. Perlmutter ◽

M. Yu. Dokish ◽

A. G. Sosnin ◽

...

Keyword(s):

Facet Joint ◽

Perioperative Complications ◽

Pain Syndrome ◽

Clinical Work ◽

The Elderly ◽

Advantages And Disadvantages ◽

Surgical Methods ◽

Facet Syndrome ◽

Frequency Laser ◽

Intraarticular Administration

8590% of the elderly people are diagnosed with spondyloarthrosis There are various synonyms for this disease in the literature: facet syndrome, facet pain syndrome, arthrosis of the intervertebral joints, zygapophysial joint arthrosis and spondyloarthropathy. The article analyzes the pathogenesis, clinical picture and methods of diagnosis of this disease. Modern types of conservative and surgical treatment are presented. The advantages and disadvantages of the surgical methods for the facet syndrome treatment are analyzed: instrumental denervation (radio frequency, laser, etc.), chemical denervaion and intraarticular administration of drugs. The results of our own clinical work are presented. The facet joint denervation appears to be a productive minimally invasive method of treatment of the reflex forms of spondyloarthrosis. In the early and long-term postoperative period, it leads to a persistent decrease in the intensity of pain and improvement of the quality of life with a low risk of perioperative complications.

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Some experience of trigeminal neuralgia treatment by glycerol rhizolysis

Patologiya krovoobrashcheniya i kardiokhirurgiya ◽

10.21688/1681-3472-2016-3-98-107 ◽

2016 ◽

Vol 20 (3) ◽

pp. 98

Author(s):

A V Semenov ◽

J A Rzaev ◽

E I Pyataikina ◽

G I Moisak ◽

Z S Saakyan

Keyword(s):

Trigeminal Neuralgia ◽

Conflict Of Interest ◽

Long Term Results ◽

City Hospital ◽

Strict Adherence ◽

Advantages And Disadvantages ◽

Surgical Methods ◽

Glycerol Rhizolysis ◽

Trigeminal Region

Aim. The study was to evaluate the advantages and disadvantages of trigeminal neuralgia treatment by Hakanson S. glycerol rhizolysis method. Methods. The results of glycerol rhizolysis treatment were retrospectively evaluated in 96 patients with trigeminal neuralgia, who had been operated at Neurosurgical Department of Irkutsk City Hospital over a period from 2009 to 2016. To study the prospective follow-up, 53 patients operated during 2009 – 2014 were surveyed over the phone. The comparison of our long-term results and the results of other authors from literature sources was then performed. Results. The median of follow-up period was 43 months. The pain recurrence (III-V rate of Barrow Neurological Institute score for trigeminal neuralgia) was observed in 30.2 % of patients, with the mean rate of the visual analogue scale amounting to 1.96. Complications included aseptic meningitis in 3.1 % cases, intracerebral hematoma – 1.04 %, hyperesthesia in appropriate trigeminal region – 3.8%, labial herpes – 40.7 %, temporary anesthesia in appropriate trigeminal region – 30.2%, temporary decrease of corneal reflex sensitivity – 41.5 %. There was no postoperative mortality. Conclusion. Glycerol rhizolysis is an effective method of trigeminal neuralgia treatment and its results are comparable with those of other surgical methods. Strict adherence to all surgical steps and contrast cistenography is the key to success of intervention. The method is minimally invasive, applicable for anesthesia and particularly promising for patients over 70 years old.Received 25 May 2016. Accepted 14 September 2016.Funding: The study had no sponsorship. Conflict of interest: The authors declare no conflict of interest.

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SURGERY OF THORACIC DISC HERNIATION: A SYSTEMATIC REVIEW OF ENGLISH-LANGUAGE LITERATURE

Hirurgiâ pozvonočnika ◽

10.14531/ss2019.1.70-80 ◽

2019 ◽

Vol 16 (1) ◽

pp. 70-80 ◽

Cited By ~ 1

Author(s):

A. E. Simonovich

Keyword(s):

Disc Herniation ◽

English Language ◽

Pain Syndrome ◽

Surgical Approaches ◽

Scientific Publications ◽

Optimal Method ◽

Good Opportunity ◽

Advantages And Disadvantages ◽

Reliable Assessment ◽

Thoracic Disc

The presented review of scientific publications from the Medline (PubMed) and Scopus databases considers modern surgical approaches used to remove intervertebral hernias in the thoracic spine. The advantages and disadvantages of anterior and posterior approaches are analyzed. It has been revealed that the anterior approaches, providing a good opportunity to remove a hernia, are associated with the risk of serious complications, including pulmonary ones, and often lead to the formation of a post-thoracotomy pain syndrome. Mini-thoracotomy and percutaneous thoracoscopy, although less invasive, do not exclude the development of complications inherent in conventional thoracotomy. Modern posterior approaches are less traumatic and allow, with minimal contact with the spinal cord, to successfully remove not only soft tissue, but also ossified disc herniation. The choice of the optimal method of discectomy remains an unsolved problem and depends on practical skills, experience and preferences of the surgeon. For an objective and reliable assessment of the efficiency of surgical technologies and the determination of optimal indications for each of them, a prospective multicenter study is necessary.

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Atípusos aortacoarctatiók sebészi kezelésének hosszú távú eredményei

Orvosi Hetilap ◽

10.1556/650.2016.30343 ◽

2016 ◽

Vol 157 (26) ◽

pp. 1043-1051

Author(s):

Csaba Dzsinich ◽

László Entz ◽

Péter Berek ◽

Gábor Vallus ◽

László Barta ◽

...

Keyword(s):

Aortic Coarctation ◽

Severe Hypertension ◽

Somatic Growth ◽

Cardiovascular Disorder ◽

Long Term Results ◽

Surgical Approaches ◽

Time Period ◽

Surgical Methods ◽

Atypical Aortic Coarctation

Introduction: Aortic coarctation is a frequent congenital cardiovascular disorder representing 5–8% of all cases. It is typically localized in the isthmic region. However, in about 1% of cases coarctation may develop in atypical sites of the aorta and it is frequently complicated with severe hypertension. Aim: The aim of the authors was to present diagnostic and surgical methods used in 27 patients with atypical aortic coarctation during the last 35 years with special interest on long-term results. Method: There was a great advance in diagnostic and surgical treatment methods during the time period analyzed in this study. Nowadays morphologic diagnosis is most commonly obtained using computed tomography angiography and magnetic resonance angiography. Some cases were treated with endovascular techniques, but the authors used also a wide variety of surgical approaches in these patients with atypical aortic coarctation. Results: No patient died after surgery and hypertension was reduced in all patients, too. Reintervention was necessary in patients operated in childhood due to change of body measures. Conclusions: Atypical aortic coarctation can be treated surgically with good early and late outcomes. Somatic growth of children may indicate surgical revision. Orv. Hetil., 2016, 157(26), 1043–1051.

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Lumbar periarticular cysts of arcorray joint

Vestnik nevrologii, psihiatrii i nejrohirurgii (Bulletin of Neurology, Psychiatry and Neurosurgery) ◽

10.33920/med-01-2003-06 ◽

2020 ◽

pp. 47-57

Author(s):

Anton Yarikov ◽

Maxim Shpagin ◽

Iliya Nazmeev ◽

Sergey Gorelov ◽

Olga Perlmutter

Keyword(s):

Minimally Invasive ◽

Severe Pain ◽

Pain Syndrome ◽

Long Term Results ◽

Lumbar Region ◽

Results Of Treatment ◽

Invasive Method ◽

Facet Syndrome

The immediate and long-term results of treatment of 30 patients with severe pain syndrome of the lumbar region, who underwent operations on denervation of DOS, were studied. The aim of the study was to evaluate the effectiveness of minimally invasive technologies for the treatment of pain in the lumbar region (denervation of DOS), to study the near and distant results of these treatment methods. Denervation DOS is an effective minimally invasive method for the treatment of facet syndrome caused by spondylarthrosis. It allows in the early and distant postoperative periods to significantly reduce the pain syndrome and improve the quality of life of patients.

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SIMULTANEOUS ESOPHAGO-GASTRECTOMY WITH COLONIC INTERPOSITION AS A METHOD OF SURGICAL TREATMENT OF GASTROESOPHAGEAL CANCER WITH HIGH INVOLVEMENT OF THE ESOPHAGUS

Problems in oncology ◽

10.37469/0507-3758-2017-63-1-146-152 ◽

2017 ◽

Vol 63 (1) ◽

pp. 146-152

Author(s):

Mikhail Ter-ovanesov ◽

Aleksandr Levitskiy ◽

E. Lesnidze ◽

Aram Gaboyan ◽

Mariya Kukosh ◽

...

Keyword(s):

Surgical Treatment ◽

Long Term Results ◽

Esophageal Reconstruction ◽

Gastroesophageal Cancer ◽

Colonic Interposition ◽

Simultaneous Application ◽

High Involvement ◽

Surgical Access ◽

Critical Overview

In the current oncological practice surgical treatment of gastroesophageal cancer with high involvement of the esophagus can extend to total esophago-gastrectomy with colonic interposition as the main method of radical treatment. However the technical complexity and high risk of the intervention are factors in determining the divergent views on the operation itself, testimony for the criteria of patient’s selection, choice of surgical access and the formation of a colonic graft in conjunction with method of esophageal reconstruction. The long-term results of operative intervention depend primarily on the extent of tumor process but obviously higher than after conservative treatment. This article presents a brief critical overview of the main aspects of the simultaneous application of esophago-gastrectomy in surgery of gastroesophageal cancer with high esophageal involvement and our clinical case of successful surgical treatment of a woman with pregnancy-associated gastroesophageal cancer.

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Estimating Risk of Pituitary Apoplexy after Resection of Giant Pituitary Adenomas

Journal of Neurological Surgery Part B Skull Base ◽

10.1055/s-0041-1722993 ◽

2021 ◽

Author(s):

John T. Butterfield ◽

Takako Araki ◽

Daniel Guillaume ◽

Ramachandra Tummala ◽

Emiro Caicedo-Granados ◽

...

Keyword(s):

Pituitary Adenomas ◽

Pituitary Apoplexy ◽

Residual Tumor ◽

Extent Of Resection ◽

Morbidity And Mortality ◽

Surgical Approaches ◽

Subtotal Resection ◽

Advantages And Disadvantages ◽

Cranial Nerve Palsies ◽

Giant Pituitary Adenomas

Abstract Background Pituitary apoplexy after resection of giant pituitary adenomas is a rare but often cited morbidity associated with devastating outcomes. It presents as hemorrhage and/or infarction of residual tumor in the postoperative period. Because of its rarity, its incidence and consequences remain ill defined. Objective The aim of this study is to estimate the rate of postoperative pituitary apoplexy after resection of giant pituitary adenomas and assess the morbidity and mortality associated with apoplexy. Methods A systematic review of literature was performed to examine extent of resection in giant pituitary adenomas based on surgical approach, rate of postoperative apoplexy, morbidities, and mortality. Advantages and disadvantages of each approach were compared. Results Seventeen studies were included in quantitative analysis describing 1,031 cases of resection of giant pituitary adenomas. The overall rate of subtotal resection (<90%) for all surgical approaches combined was 35.6% (95% confidence interval: 28.0–43.1). Postoperative pituitary apoplexy developed in 5.65% (n = 19) of subtotal resections, often within 24 hours and with a mortality of 42.1% (n = 8). Resulting morbidities included visual deficits, altered consciousness, cranial nerve palsies, and convulsions. Conclusion Postoperative pituitary apoplexy is uncommon but is associated with high rates of morbidity and mortality in subtotal resection cases. These findings highlight the importance in achieving a maximal resection in a time sensitive fashion to mitigate the severe consequences of postoperative apoplexy.

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