scholarly journals FIBRO-ADIPOSE VASCULAR ANOMALY IS A NEW DIAGNOSIS IN THE PRACTICE OF A PEDIATRIC VASCULAR SURGEON. EXPERIENCE IN DIAGNOSTICS AND TREATMENT

2020 ◽  
Vol 24 (1) ◽  
pp. 11-15
Author(s):  
A. G. Narbutov ◽  
M. N. Sukhov ◽  
I. I. Serkov ◽  
R. V. Garbuzov ◽  
I. S. Kletskaya
Keyword(s):  
Quality Of Life ◽  
Surgical Treatment ◽  
Surgical Approach ◽  
Vascular Anomaly ◽  
Complete Disappearance ◽  
Vascular Surgeon ◽  
Surgeon Experience ◽  
Basic Features ◽  
New Diagnosis

The article discusses results of surgical treatment of 25 children, aged 1 to 14, with fibro-adipose vascular anomaly (FAVA) of lower extremities. The patients were treated in Pirogov Russian Pediatric Clinical Hospital in 2015-2019. Diagnostic findings are presented; basic features of the discussed pathology are described. As the obtained results have shown, in the authors’ opinion, the discussed surgical approach turned to be quite effective, since it significantly improves the quality of life, and in some cases brings complete disappearance of complaints and symptoms in patients with FAVA.

scholarly journals Some characteristics of the treatment of generalized and disseminated renal cell carcinoma

2004 ◽  
Vol 3 (2) ◽  
pp. 66-73
Author(s):  
O. V. Leonov ◽  
V. T. Dolgikh ◽  
V. I. Shirocorad ◽  
Ye. I. Kopyltsov ◽  
D. V. Dolgikh
Keyword(s):  
Quality Of Life ◽  
Renal Cell Carcinoma ◽  
Surgical Treatment ◽  
Cell Carcinoma ◽  
Surgical Approach ◽  
Postoperative Period ◽  
Renal Cell ◽  
Treatment Results ◽  
Combined Surgery

In the article 206 treatment results of generalized and disseminated renal cell carcinoma are presented. It has been found that disseminated forms of hypernephroma required a combined surgical treatment without fail; nephrectomy added by adrenalectomy is recommended insuperpolar tumour localization. Combined surgery with resection or ablation of the affected organ seems to be advisable in disseminated renal cell carcinoma. Such an active surgical approach improves the prognosis. Medicamental antineoplastic therapy including immunotherapy in postoperative period can raise patients survivability and quality of life.

scholarly journals TREATMENT OF PATIENTS LOW WEIGHT WITH ESOPHAGUS ATRESIA

2019 ◽  
Vol 9 (1) ◽  
pp. 37-46
Author(s):  
A. Y. Razumovskiy ◽  
O. G. Mokrushina ◽  
I. I. Afukov ◽  
V. S. Shumikhin ◽  
O. V. Koshko ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Surgical Treatment ◽  
Surgical Approach ◽  
Tracheoesophageal Fistula ◽  
Primary Anastomosis ◽  
Intestinal Atresia ◽  
Treatment Results ◽  
Preterm Children ◽  
Low Weight

Introduction. Surgical treatment of intestinal atresia with distal tracheoesophageal fistula involves resection of fistula and intestinal primary anastomosis. However, premature children often have complications associated with delayed anastomosis. Thus, an optimal surgical approach is not determined. Purpose. Analyzing treatment results in newborns with intestinal atresia and very low weight. Materials and methods. Treatments outcomes in infants with intestinal atresia and very low weight (less than 1500 g) from 2008 to 2017 were assessed retrospectively. The patients were divided into 2 groups: (1) fistula dressing and crossing with subsequent delayed anastomosis reconstruction and (2) primary anastomosis. Demographic, surgical and postoperative complications were compared. Results. 23 preterm children with IA/TEF were operated. Twelve patients (52%) underwent primary anastomosis, whereas 11 (48%) of them had a stepwise surgery. Anastomotic leak confirmed by esophagram was similar in both groups (17% and 18%). Stenosis was more common in step-wise surgery (83%) as compared to the group of primary anastomosis (27%) (р<0.05). The esophagus was preserved in two patients who underwent step-wise surgery. 4 patients had coloesophagoplasty. The postoperative period was similar in both groups. 6 patients (50%) from the step-wise group and 5 patients (45%) from the group of primary anastomosis died. Conclusion. Staging plasty of IA/TEF in newborns does not improve the quality of life. In this group, gastro- and esophagostomy exteriorization is a preferable surgical approach.

Rhinophyma: Combined Surgical Treatment and Quality of Life

2020 ◽  
Author(s):  
Mahmoud Daoud ◽  
Gautham Ullas ◽  
Rakesh Kumar ◽  
Ullas Raghavan
Keyword(s):  
Quality Of Life ◽  
Surgical Treatment ◽  
Retrospective Analysis ◽  
Surgical Approach ◽  
Classification System ◽  
Sebaceous Glands ◽  
Middle Aged ◽  
Level Of Evidence ◽  
Glasgow Benefit Inventory

AbstractRhinophyma is a progressive and disfiguring thickening of the nasal skin. It is typically found in middle-aged or elderly Caucasian males. The exact cause of the disease is unknown. There is excessive formation of scar-like tissue and hyperplasia of the sebaceous glands. This article will demonstrate our experience of treating rhinophyma using a combined surgical approach and propose a novel classification system. This is a retrospective analysis of cases operated by a single surgeon over 9 years using the Glasgow Benefit Inventory (GBI) tool. Thirty-three patients were identified. Twenty-nine patients had three techniques used in one sitting, two patients had two techniques used, and two further patients had one technique used. Total GBI showed a +50.99 result following surgery. Rhinophyma treatments can benefit patients as demonstrated by the GBI outcome. This can improve the patients' quality of life. The use of more than one technique in the same sitting potentially improves the outcome. Our classification system helps categorize the disease better as well as choosing the treatment and comparing disease and treatment. The Level of Evidence for the study is 4.

scholarly journals Quality of life assessment in patients treated with chronic pancreatitis

2021 ◽  
pp. 54-54
Author(s):  
Sasa Dragovic ◽  
Maja Vulovic ◽  
Dusica Stamenkovic ◽  
Nemanja Rancic ◽  
Miroslav Mitrovic ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Chronic Pancreatitis ◽  
Surgical Treatment ◽  
Surgical Approach ◽  
Pancreatic Insufficiency ◽  
Life Assessment ◽  
Quality Of Life Assessment ◽  
Female Ratio ◽  
Euroqol 5D

Introduction. Chronic pancreatitis (CP) causes inflammatory changes in the tissue of the pancreas, resulting in irreversible tissue damage. Pain, endocrine, and exocrine pancreatic insufficiency develop, thereby reducing the quality of life of patients. The study aims to explore the role of surgical treatment in improving the quality of life of patients with CP. Methods. Quality of life assessment of 50 patients diagnosed with CP was performed using a certified Euro Quality of life-5 dimension-5 level questionnaire translated into Serbian (EuroQol-5D-5L). Patients completed the questionnaire. Patients were divided into two groups (conservative - CT vs. surgical - ST), and all comparations was made between groups. Results. Patients in stage B chronic pancreatitis were divided into two groups of 25 patients. The first group of patients with CP was treated with conservative, and the second group with surgical approach. Mane age in surgically treated (ST) group was 48.56 ? 11.91, and in conservatively treated (CT) group was 51.08 ? 11.61 (p=0.452). Male/female ratio in ST group was 18/7, and in CT group was 22/3 (p=0.289). Pain in ST group was present in 23 patients, and in CT group was present in 18 patients (p=0.141). Loss of appetite in ST group was present in 7 patients, and in CT group was present in 10 patients (p=0.256). Weight loss in both groups was equal (p=1.000). Based on EuroQol-5D-5L it was found significant differences (p<0.001) between group in Mobility and Pain / Discomfort; in Anxiety / Depression (p=0.003); in Self-care (p=0.004); in Usual activities (p=0.008). Conclusion. CP significantly reduce the quality of life (QoL) of patients treated conservatively or by surgical approach. This study showed that surgical treatment is more beneficial in QoL in patients with CP then conservative approach

Health-related quality of life one year after surgical treatment of the type I chronic aortic dissection

2019 ◽  
Vol 38 (1) ◽  
Author(s):  
Oksana Kamenskaya ◽  
Asya Klinkova ◽  
Irina Loginova ◽  
Alexander Chernyavskiy ◽  
Dmitry Sirota ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Surgical Treatment ◽  
Aortic Dissection ◽  
Type I ◽  
Health Related Quality ◽  
Chronic Aortic Dissection ◽  
Related Quality ◽  
Health Related ◽  
One Year

Psychiatric and psychosocial morbidity 1 year after epilepsy surgery

2020 ◽  
pp. 1-8
Author(s):  
S. Patel ◽  
M. Clancy ◽  
H. Barry ◽  
N. Quigley ◽  
M. Clarke ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Surgical Treatment ◽  
Epilepsy Surgery ◽  
Refractory Epilepsy ◽  
Post Surgery ◽  
Axis I ◽  
Patients With Epilepsy ◽  
The Impact

Abstract Objectives: There is a high rate of psychiatric comorbidity in patients with epilepsy. However, the impact of surgical treatment of refractory epilepsy on psychopathology remains under investigation. We aimed to examine the impact of epilepsy surgery on psychopathology and quality of life at 1-year post-surgery in a population of patients with epilepsy refractory to medication. Methods: This study initially assessed 48 patients with refractory epilepsy using the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I), the Hospital Anxiety and Depression Scale (HADS) and the Quality of Life in Epilepsy Inventory 89 (QOLIE-89) on admission to an Epilepsy Monitoring Unit (EMU) as part of their pre-surgical assessment. These patients were again assessed using the SCID-I, QOLIE-89 and HADS at 1-year follow-up post-surgery. Results: There was a significant reduction in psychopathology, particularly psychosis, following surgery at 1-year follow-up (p < 0.021). There were no new cases of de novo psychosis and surgery was also associated with a significant improvement in the quality of life scores (p < 0.001). Conclusions: This study demonstrates the impact of epilepsy surgery on psychopathology and quality of life in a patient population with refractory surgery. The presence of a psychiatric illness should not be a barrier to access surgical treatment.

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