scholarly journals Minimally Invasive Method of Treatment of Biliary Tract Strictures

2021 ◽  
Vol 14 (2) ◽  
pp. 147-151
Author(s):  
Dmitry Yuryevich Semenov ◽  
Elena Sergeevna Did-Zurabova ◽  
Dmitry Viktorovich Kulikov ◽  
Michail Viktorovich Gonchar

The article presents a minimally invasive method for treating strictures of a biliodigestive anastomosis, which consists in creating access to the intestinal lumen without entering the abdominal cavity. A guideline in this is the scar on the anterior abdominal wall, which remained after the removal of the circular drainage or Volker's drainage. In this way, in our clinic, 10 patients were operated on after an operation to form a biliodigestive anastomosis on a disconnected RF loop. A clinical case with a follow-up period of more than 10 years is presented. There was no recurrence of strictures, and according to the data of clinical, echographic and biochemical examinations, all of them had a good long-term result.

1979 ◽  
Vol 6 (1) ◽  
pp. 33-40 ◽  
Author(s):  
Hans Pancherz

The long term result of orthodontic extractions of mandibular second premolars and permanent first molars was investigated by measuring the degree of tooth tipping mesial and distal to the extraction sites in cases with complete and incomplete closure of extraction spaces after treatment and/or at follow-up examination. Tooth inclination was determined from photographs taken of dental casts made after treatment and follow-up examination. The inclination of the teeth was measured in relation to each other and in relation to the occlusal line. The results of the investigation revealed that teeth which were tipped mesial and/or distal to the extraction sites after orthodontic treatment had a tendency to upright in relation to each other and in relation to the occlusal line. Uprighting was pronounced in cases which had extraction spaces remaining after treatment, but which were closed at the time of follow-up examination, and in cases with closed extraction spaces after treatment. However, minimal changes in inclination of the teeth adjacent to the extraction sites were found in cases with incomplete space closure after treatment and at follow-up.


2011 ◽  
Vol 12 (4) ◽  
pp. 280-281 ◽  
Author(s):  
Nicola Vistarini ◽  
Fabrizio Gazzoli ◽  
Marco Aiello ◽  
Gaetano Minzioni ◽  
Mario Viganò

2013 ◽  
Vol 32 (02) ◽  
pp. 110-113
Author(s):  
Matheus Fernandes de Oliveira ◽  
Koshiro Nishikuni ◽  
José Marcus Rotta

AbstractEndoscopic third ventriculostomy (ETV) is an established treatment for hydrocephalus and is an alternative method avoiding shunts and its complications. There is still controversy regarding the higher risk of failure in younger infants. NARF was a male preterm newborn of 33 weeks old, with Moebius syndrome and 1,800 grams at birth. Detailed neonatal evaluation revealed hydrocephalus with bilateral ventricular index of 0.6. It was then decided, in spite of prematurity and low birth weight to perform ETV with the age of 25 days, with 1,850 grams. After discharge, follow-up was lost due to family moving to another city. By chance, after seven years child returned to our medical facility and a follow-up magnetic resonance revealed pervious ETV with high flow, demonstrating functionality of ventriculostomy. Patient's age and etiology of hydrocephalus are the most important factors influencing the success rate of ETV. Recently, the age between 6 months and 1 year old became a cutoff below which failure rates are reported to be particularly high and there are dichotomized experience. The results in low birth weight and preterm infants is not widely known and can be poor. Our case illustrates a successful ETV in a both preterm and low birth weight newborn and a satisfactory long term result, reinforcing the security and efficacy of ETV even in newborns.


Author(s):  
Christine Steiert ◽  
Juergen Grauvogel ◽  
Roland Roelz ◽  
Theo Demerath ◽  
Daniel Schnell ◽  
...  

AbstractCraniopharyngiomas are typically located in the sellar region and frequently contain space-occupying cysts. They usually cause visual impairment and endocrine disorders. Due to the high potential morbidity associated with radical resection, several less invasive surgical approaches have been developed. This study investigated stereotactic-guided implantation of cysto-ventricular catheters (CVC) as a new method to reduce and control cystic components. Twelve patients with cystic craniopharyngiomas were treated with CVC in our hospital between 04/2013 and 05/2017. The clinical and radiological data were retrospectively analysed to evaluate safety aspects as well as ophthalmological and endocrine symptoms. The long-term development of tumour and cyst volumes was assessed by volumetry. The median age of our patients was 69.0 years and the median follow-up period was 41.0 months. Volumetric analyses demonstrated a mean reduction of cyst volume of 64.2% after CVC implantation. At last follow-up assessment, there was a mean reduction of cyst volume of 92.0% and total tumour volume of 85.8% after completion of radiotherapy. Visual acuity improved in 90% of affected patients, and visual field defects improved in 70% of affected patients. No patient showed ophthalmological deterioration after surgery, and endocrine disorders remained stable. Stereotactic implantation of CVC proved to be a safe minimally invasive method for the long-term reduction of cystic components with improved ophthalmological symptoms. The consequential decrease of total tumour volumes optimised conditions for adjuvant radiotherapy. Given the low surgical morbidity and the effective drainage of tumour cysts, this technique should be considered for the treatment of selected cystic craniopharyngiomas.


2015 ◽  
Vol 25 (6) ◽  
pp. 589-592 ◽  
Author(s):  
Önder İsmet Kılıçoğlu ◽  
Gökhan Polat ◽  
Ali Erşen ◽  
Fevzi Birişik

2012 ◽  
Vol 45 (03) ◽  
pp. 512-515 ◽  
Author(s):  
J. Rajesh Jinka ◽  
Harikiran Chekuri ◽  
Gopalakrishna Annavarapu

ABSTRACTCraniofacial clefts other than cleft lip & palate are reported to be 1.4 to 4.9 per 100,000 live births. Of these, clefts of nose are usually associated with other clefts. Isolated cleft of Ala is rare, 0.7% of all clefts reported by Monasterio. In an analysis of photographic records of 3,500 consecutive patients with craniofacial clefts including cleft lip & palate registered with us between 1985- 2012 which were accessed through our data base, 13 patients with nasal clefts were identified, seven out of which had Isolated cleft of the Ala. All were treated by a rotation flap of the Ala with good results with the longest follow up of 14Yrs. The authors have emphasised the rarity of the condition and presented a simple surgical procedure for correction. In the opinion of the authors this very simple procedure which can be performed by the junior surgeon gives a good long term result in the management of cleft Ala.


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