scholarly journals CHYLOPERITONEUM IN NEWBORNS: ETIOLOGY, PATHOGENESIS, DIAGNOSTICS AND TREATMENT

2019 ◽  
Vol 23 (3) ◽  
pp. 139-142
Author(s):  
Yury I. Kucherov ◽  
N. V. Kholodnova ◽  
S. R. Adleiba ◽  
A. L. Belaya ◽  
L. M. Makarova ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Literature Review ◽  
Parenteral Nutrition ◽  
Present Article ◽  
Fibrin Glue ◽  
Conservative Therapy ◽  
Abdominal Cavity ◽  
Management Protocol ◽  
Conservative And Surgical Treatment

The present article is a literature review on etiopathogenesis, diagnosis, conservative and surgical treatment of chyloperitoneum in newborns. Chyloperitoneum is an extremely rare pathology in children and, not in all cases it is possible to find its cause. The management protocol for chyloperitoneum has not been developed. The most effective approach for managing this disease is a starvation pause, than transfer to full parenteral nutrition, administration of somatostatin (octreotide) and drainage of the abdominal cavity. Conservative therapy may take several months and, its effectiveness reaches 60-100%. Surgical treatment is aimed to indentify a focus of lymph leakage and its elimination; in severe cases, the fibrin glue is used.

scholarly journals MODERN TREATMENTS FOR PCOS (LITERATURE REVIEW)

2020 ◽  
pp. 27-34
Author(s):  
A.I. Korkan ◽  
A.D. Turekhanova ◽  
Y.L. Tyugay
Keyword(s):  
Endometrial Cancer ◽  
Surgical Treatment ◽  
Conservative Treatment ◽  
Literature Review ◽  
Polycystic Ovary Syndrome ◽  
Polycystic Ovary ◽  
Reproductive Age ◽  
Metabolic Dysfunction ◽  
Ovary Syndrome ◽  
Conservative And Surgical Treatment

According to world statistics, polycystic ovary syndrome (PCOS) is one of the most common forms of endocrinopathy in women of mainly reproductive age. PCOS can cause metabolic dysfunction, ovulatory infertility, endometrial cancer, pre- mature birth, perinatal mortality, and other serious consequences. The article discusses various methods of conservative and surgical treatment of PCOS. The main focus is on conservative treatment of infertility caused by PCOS.

scholarly journals HEMORRHOIDS IN THE PEDIATRIC POPULATION: CLINICAL MANIFESTATIONS, DIAGNOSTICS AND TREATMENT

2019 ◽  
Vol 23 (3) ◽  
pp. 119-123
Author(s):  
Pyae Swe Aung ◽  
Viktoria V. Kholostova
Keyword(s):  
Surgical Treatment ◽  
Conservative Therapy ◽  
Ultrasound Examination ◽  
Pediatric Population ◽  
Age Groups ◽  
Clinical Manifestations ◽  
Pain Syndrome ◽  
Effective Technique ◽  
Younger Age ◽  
Conservative And Surgical Treatment

Introduction. Hemorrhoids in childhood is a rare disease. That is why one can find only few works on this problem. Material and methods. 56 children with diagnosed hemorrhoids aged 4-18 were taken into the study. They had various clinical manifestations of the disease: perianal protrusion (76.4%), bleeding (82.3%), pain syndrome (71.5%). 51 patient (91.1%) had external hemorrhoids; 3 children (5.3%) - internal; 2 children (3.6%) - combined. Patients, by their clinical course, were distributed as follows: acute hemorrhoids - 33 children (58.9%), chronic one - 23 (41.1%). Ultrasound examination and sigmoidoscopy were used for diagnostics. Different curative techniques followed the developed curative algorithm: conservative therapy and surgery (open surgery and with the LigaSure apparatus) as well as sclerotherapy. Results. The most effective technique, having better cosmetic and clinical outcomes, was hemorrhoidectomy. Conservative treatment (more than 80%) can be a method of choice at early stages of the disease and at younger age groups. Outcomes after sclerotherapy are comparable with outcomes of conservative and surgical treatment. Sclerotherapy is recommended at the internal stages of hemorrhoids and in case of any contraindications to surgical treatment.

A case report of refractory congenital chylous ascites in infant – surgical treatment with Fibrin glue

2021 ◽  
Vol 148 (12) ◽  
pp. 128-133
Author(s):  
Nguyen Van Tinh ◽  
Nguyen Thi Viet Ha ◽  
Dang Thuy Ha ◽  
Le Dinh Cong ◽  
Vu Manh Hoan ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Parenteral Nutrition ◽  
Total Parenteral Nutrition ◽  
Fibrin Glue ◽  
Medium Chain Triglyceride ◽  
Chylous Ascites ◽  
Abnormal Development ◽  
Bowel Rest ◽  
No Gold Standard ◽  
Abdominal Paracentesis

Congenital chylous ascites is a rare disease that results from abnormal development of the intra-abdominal lymphatic system. No gold standard treatment has been described so far, however, a combination of medium–chain triglyceride based diet or total parenteral nutrition along with octreotide and abdominal paracentesis is considered as a conservative management. This treatment is often a challenge to physicians since chylous ascites is often refractory and result in malnutrition and immune deficiency because of the loss of proteins and lymphocytes. We report a four-month old boy with congenital chylous ascites who was refractory to medical treatment with prolonged bowel rest, total parenteral nutrition, octreotide and repeated paracentesis. The baby well responded to surgical treatment with application of fibrin glue on the surface area of the leak site and was discharged after 2 month of hospitalization. When following up the patient had no recurrence of the ascites and he was growing up normally.

scholarly journals Flat and valgus deformation of feet in children: ways of treatment (literature review)

2020 ◽  
Vol 20 (5-6) ◽  
pp. 114-118
Author(s):  
Pavel V. Ryzhov ◽  
Nataliya V. Pirogova ◽  
Olga D. Bagdulina ◽  
Andrey V. Shmelkov
Keyword(s):  
Surgical Treatment ◽  
Literature Review ◽  
Minimally Invasive ◽  
Basic Concept ◽  
Valgus Deformity ◽  
Surgical Correction ◽  
Modern Methods ◽  
Conservative And Surgical Treatment ◽  
Invasive Intervention

The article reviews the literature devoted to modern methods of treating children with flat-valgus deformity of the feet. The basic concept, etiology, pathogenesis of the disease, methods of conservative and surgical treatment of feet deformities in children are given, conclusions on the topic are presented, special emphasis has been placed on minimally invasive intervention. Currently one of the most popular methods of surgical correction of flat-valgus deformity of the feet in children is subtalar arthroeresis.

Plantar fascial release

1994 ◽  
Vol 84 (12) ◽  
pp. 607-613 ◽  
Author(s):  
DL White
Keyword(s):  
Retrospective Study ◽  
Surgical Treatment ◽  
Conservative Therapy ◽  
Heel Pain ◽  
Plantar Heel Pain ◽  
Conservative And Surgical Treatment ◽  
Treatment Alternatives

The author reviews the literature for the possible etiology and the conservative and surgical treatment alternatives for mechanically induced plantar heel pain. A long-term retrospective study on a plantar fascial release surgery performed on patients with recalcitrant plantar heel pain, all of whom were unresponsive to conservative therapy, is presented.

scholarly journals ГОСТРИЙ ТРОМБОЗ ГЕМОРОЇДАЛЬНИХ ВУЗЛІВ: КЛІНІЧНИЙ ПРОФІЛЬ ПАЦІЄНТА ТА ЛІКУВАЛЬНА ТАКТИКА

2019 ◽  
pp. 33-38
Author(s):  
Ю. Б. Кіндракевич ◽  
В. І. Пилипчук ◽  
А. Л. Шаповал
Keyword(s):  
Surgical Treatment ◽  
Length Of Stay ◽  
Conservative Therapy ◽  
Narcotic Analgesics ◽  
Acute Thrombosis ◽  
Surgical Tactics ◽  
Conservative And Surgical Treatment ◽  
The Relationship ◽  
Degrees Of Severity ◽  
Degree Of Severity

Мета дослідження – визначити клінічний профіль пацієнта та порівняти результати консервативного та хірургічного лікування гострого тромбозу гемороїдальних вузлів. Методи. Протягом 2014-2018 рр. в проктологічному відділенні Івано-Франківської обласної клінічної лікарні лікувались 98 пацієнтів з гострим тромбозом гемороїдальних вузлів. Серед них 60 (61,2 %) чоловіків,  38 (38,8 %) жінок. Вивчали скарги пацієнтів при поступленні, можливі причини виникнення захворювання, тривалість захворювання до звернення за допомогою, дані об’єктивного обстеження. Зв’язок між скаргами та даними об’єктивного обстеження визначали за допомогою коефіцієнтів асоціації та контингенції. Оцінювали вплив консервативного та хірургічного лікування гострого тромбозу гемороїдальних вузлів на тривалість застосування ненаркотичних анальгетиків та терміни перебування у стаціонарі. Результати дослідження. Тривалість прийому ненаркотичних анальгетиків та терміни перебування у стаціонарі скорочуються у 1,8 та 1,7 рази відповідно, при проведенні тромбектомії, та тромбектомії в поєднанні з некректомією, у пацієнтів з гострим тромбозом гемороїдальних вузлів І степені тяжкості. Тривалість прийому ненаркотичних анальгетиків скорочується у 1,4 рази при відтермінуванні гемороїдектомії по Мілігану-Моргану до 5,3±1,0 днів при ІІ степені тяжкості. Висновки. При гострому тромбозі гемороїдальних вузлів І степені тжкості потрібно дотримуватись активної хірургічної тактики, при ІІ-ІІІ степені тяжкості проводити хірургічне лікування після зменшення набряку, ознак запалення та курсу консервативної терапії   The purpose of the study is to determine the clinical profile of the patient and compare the results of conservative and surgical treatment of acute hemorrhoid thrombosis. Methods. During 2014-2018, 98 patients with acute thrombosis of hemorrhoids were treated at the proctologic department of the Ivano-Frankivsk Regional Clinical Hospital. Among them, 60 (61.2%) men, 38 (38.8%) women. Studied the complaints of patients upon admission, the possible causes of the disease, the duration of the disease before treatment, the data of objective examination. The relationship between complaints and the objective survey data was determined using association and contingency ratios. The influence of conservative and surgical treatment of acute thrombosis of hemorrhoids on the duration of use of non-narcotic analgesics and the length of stay in hospital were evaluated. Research results. The duration of admission of non-narcotic analgesics and the terms of stay in the hospital decreases by 1.8 and 1.7 times, respectively, during thrombectomy, and thrombectomy in combination with necrectomy, in patients with acute thrombosis of hemorrhoids I degrees of severity. The duration of admission of non-narcotic analgesics is reduced by 1.4 times when delayed hemorrhoidectomy by Miligan-Morgan to 5.3 ± 1.0 days with II degree of severity. Conclusions. In acute thrombosis of hemorrhoidal nodes of the I degree of severity, one must adhere to active surgical tactics, with II-III degree of severity, surgical treatment after reduction of edema, signs of inflammation and course of conservative therapy.    

scholarly journals Laparoscopic Treatment of Retrocecal Hernia: Technical Notes and Literature Review

2018 ◽  
Vol 3 (3) ◽  
Keyword(s):  
Surgical Treatment ◽  
Literature Review ◽  
Minimally Invasive ◽  
Conservative Therapy ◽  
Laparoscopic Treatment ◽  
Invasive Treatment ◽  
Emergency Laparoscopy ◽  
Jejunal Tube ◽  
The Right ◽  
Hernial Orifice

Retrocecal hernia is a rare cause of mechanical ileus and requires surgical treatment in emergency. Laparoscopy is not a frequent approach in this type of pathology. The diagnosis preoperative is not easy despite the TC can provide information to that effect. We present the case of a 52-year-old male patient with no comorbidity and never operated on the abdomen previously, which arrives in the emergency room with symptoms of acute abdomen. Practice direct Rx abdomen and TC abdomen that highlight an ileal stop without signs of decompensation. It is implemented, first instance, a conservative therapy, naso-jejunal tube and gastrographin intake by the way oral. Due to the persistence of occlusive symptoms, he underwent surgery after 24 hours. In laparoscopy we highlight a retrocecocolic hernia that strangles the last ileal loops. Proceed to section of the throttling track and to the opening of the entire laterocolic shower on the right with the resolution of the occlusive frame. Laparotomy has been avoided; laparoscopy made it possible to diagnose and guarantee a minimally invasive treatment with rapid recovery of the patient. We did not consider it appropriate to close the hernial orifice as described by several authors in the literature. The technique is described laparoscopy comparing it with other authors.

Cesarean scar defects: diagnosis and treatment in non-pregnant women

GYNECOLOGY ◽  
2020 ◽  
Vol 22 (3) ◽  
pp. 6-10
Author(s):  
Sergey A. Martynov
Keyword(s):  
Magnetic Resonance Imaging ◽  
Surgical Treatment ◽  
Magnetic Resonance ◽  
Genital Tract ◽  
Conservative Therapy ◽  
Clinical Manifestations ◽  
Subsequent Pregnancy ◽  
Resonance Imaging ◽  
Diagnostic Features ◽  
Pregnancy And Childbirth

The aim of the review was to summarize information on clinical manifestations, diagnostic features, as well as methods for correction of scar defects after cesarean section (CS) outside pregnancy. Lack of the scar after CS, niche, isthmocele are a myometrium defect in the area of scar after CS, which is most often detected by ultrasound, sonohysterography or magnetic resonance imaging and is manifested by postmenstrual bleeding from the genital tract. In some cases, it can cause menorrhagia, dyspareunia, pelvic pain, infertility, uterine rupture during subsequent pregnancy and childbirth. Conservative therapy or surgical treatment with laparoscopy, laparotomy or vaginal approach is carried out depending on the symptoms, size of the defect, the thickness of the residual myometrium, as well as the womans reproductive plans.

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