scholarly journals Modern trends in diagnostics and treatment of gastroduodenal ulcers

2003 ◽  
Vol 2 (4) ◽  
pp. 5-14
Author(s):  
G. K. Zherlov
Keyword(s):  
Functional Activity ◽  
Life Quality ◽  
Long Term Results ◽  
Duodenal Ulcers ◽  
Gastroduodenal Ulcers ◽  
Organ Modeling

In the lecture the modern views on diagnistics and tactic choice in the treatment of complicated and uncomplicated gastroduodenal ulcers have been presented and long-term results of organ-saving and organ-modeling surgery experience during complicated stomach and duodenal ulcers have been analyzed. Achievements in life quality saving of operated patients have been cited. Novel classifications of gastroduodenal anastomosis functional activity and anastomositis degrees have been proposed.

scholarly journals Surgical management of recurrent disc herniations with microdiscectomy and long-term results on life quality: Detailed analysis of 70 cases

2016 ◽  
Vol 7 (01) ◽  
pp. 87-90 ◽  
Author(s):  
Serdal Albayrak ◽  
Sait Ozturk ◽  
Emre Durdag ◽  
Ömer Ayden
Keyword(s):  
Quality Of Life ◽  
Facet Joint ◽  
Lumbar Disc ◽  
Life Quality ◽  
Early Period ◽  
Long Term Results ◽  
Disc Herniations

ABSTRACT Background: Aim of this paper is to recall the surgical technique used in the recurrent lumbar disc herniations (LDHs) and to share our experiences. Materials and Methods: Out of series of 1115 patients who underwent operations for LDH between 2006 and 2013, 70 patients underwent re-operations, which were included in this study. During surgery, lateral decompression performed over the medial facet joint to the superior facet joint border was seen after widening the laminectomy defect, and microdiscectomy was performed. The demographic findings of the patients, their complaints in admission to hospital, the level of operation, the condition of dural injury, the first admission in the prospective analysis, and their quality of life were evaluated through the Oswestry scoring during their postoperative 1st, 3rd, 6th-month and 1st, 3rd, 5th and 7th-year follow-up. In the statical analysis, Friedman test was performed for the comparison of the Oswestry scores and Siegel Castellan test was used for the paired nonparametrical data. A P < 0.05 was considered statistically significant. Results: Considering the Oswestry Index during the follow-ups, the values in the postoperative early period and follow-ups were seen to be significantly lower than those at the time of admission to hospital (P < 0.05). None of the patients, who re-operated by microdiscectomy, presented with iatrogenic instability in 7 years follow-up period. Conclusion: Microdiscectomy performed through a proper technique in the re-operation of recurrent disc herniations eases complaints and improves the quality of life. Long-term follow-ups are required for more accurate results.

scholarly journals Friberg. End Results in gastric Surgery with Sjiecial Refereme to „Resection for Exclusion“. (Acta chir. Scand., vol. LXXVIII fase. I—III, P. 157—18)

1937 ◽  
Vol 33 (4) ◽  
pp. 506-506
Author(s):  
V. S. Mayat
Keyword(s):  
Gastric Surgery ◽  
Long Term Results ◽  
Duodenal Ulcers ◽  
Acta Chir ◽  
End Results

The author examined long-term results in 398 patients operated on for gastric and duodenal ulcers. In 68 cases. a resection was made with the shutdown of the gatekeeper according to Finsterer.

scholarly journals Long term results in the life quality of children with obstructive sleep disorders

2008 ◽  
Vol 74 (5) ◽  
pp. 718-724 ◽  
Author(s):  
José Mário de Lima Júnior ◽  
Viviane Carvalho da Silva ◽  
Marcos Rabelo de Freitas
Keyword(s):  
Sleep Disorders ◽  
Life Quality ◽  
Long Term Results ◽  
Obstructive Sleep

scholarly journals THE FIRST EXPERIENCE IN THE EMBOLIZATION OF PROSTATIC ARTERIES IN PATIENTS WITH BENIGN PROSTATIC HYPERPLASIA

2018 ◽  
Vol 8 (1) ◽  
pp. 28-32
Author(s):  
V. N. Pavlov ◽  
S. A. Kapranov ◽  
R. I. Safiullin ◽  
V. V. Plechev ◽  
O. V. Galimov ◽  
...  
Keyword(s):  
Benign Prostatic Hyperplasia ◽  
Prostate Volume ◽  
Life Quality ◽  
Prostatic Hyperplasia ◽  
Long Term Results ◽  
Successful Operation ◽  
Chronic Urinary Retention ◽  
Medical Indications ◽  
Prostatic Artery

Introduction. Our first experience in embolization of prostatic arteries at patients with benign prostatic hyperplasia had comprised patients with the symptoms of chronic urinary retention.Material and methods. The average age of patients (n=3) was 61.0±4 years. Among medical indications to embolization there were dysuria significantly degrading the patients’ life quality and their unwillingness to proceed to transurethral resection. Before the embolization of the prostatic artery, it is necessary to identify the place of its departure and its anastomosis by computed tomography. Successful operation was effectuated without microcatheter guides in 3 cases and with the application of microcatheter guides in 3 cases. For the purposes of embolization there were used spherical embolus HydroPearl sized 400 nm. No complications were reported neither in the operational nor in the post-operational periods.Results. All patients admitted a decrease in dysuria as well as the improvement in life quality already in 7–15 days after the endovascular invasion. Control ultrasound dopplerography was performed 3 months after intervention. Two patients with embolization showed decrease of prostate volume by 26%, and one patient — by 35%.Conclusions. Embolization of the prostatic arteries is a promising low-traumatic and safe method for treating patients with benign prostatic hyperplasia. It is necessary to further study its long-term results, to develop an optimized methodology — fast, simple and cheap, but not at the expense of efficiency and safety. 

scholarly journals Valgus knee bracing may have no long-term effect on pain improvement and functional activity in patients with knee osteoarthritis: A meta-analysis of Randomized Trials

2020 ◽  
Author(s):  
Yinuo Fan ◽  
zhongfeng Li ◽  
Haitao Zhang ◽  
Guoju Hong ◽  
Zhongshu Wu ◽  
...  
Keyword(s):  
Knee Osteoarthritis ◽  
Pain Score ◽  
Functional Activity ◽  
Meta Analysis ◽  
Life Quality ◽  
Current Evidence ◽  
Valgus Knee ◽  
Clinical Effects ◽  
Functional Changes

Abstract Background: KOA, with a high incidence in old-age population, adversely affects their life quality. The valgus knee bracing is an important physical therapy for KOA, but its clinical effects on pain release and functional improvment are remained unclear. This meta-analysis is to systematically evaluate the clinical outcomes of valgus knee bracing in patients with knee osteoarthritis (KOA). Methods : A meta-analysis of clinical randomized controlled trials (RCTs) on pain and functional changes in patients with KOA after using valgus knee braces. The search period was ranged from the inception of the database to May, 2020. The enrolled research databases included PubMed, Embase, and Web of Science databases. Two investigators independently formulated inclusion criteria and exclusion criteria, screened and determined the final enrolled literatures. Then the outcome indicators were extracted and organized from the included literature, and the risk of bias was assessed by Cochrane Handbook 5.0.1.Results :A total of 10 articles were included in this study, including 739 patients. Eight articles were related to the Visual Analogue Scale (VAS) pain score, the results showed that RR = -0.29, 95% CI [-0.73, 0.15], P = 0.20; Four articles were related to the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) function score, the results showed that RR = -0.15, 95% CI [-0.41,0.11], P = 0.26; Two articles were related to the Knee Injury and Osteoarthritis Outcome Score (KOOS), the results showed that RR = 0.58, 95% CI [-4.25, 5.42], P = 0.81; Three articles were related to the KOOS activities of daily living (KOOS-ADL), the results showed that RR = 0.04, 95% CI [-0.62,0.69], P = 0.91.These results indicated that the valgus knee bracing have no statistically significant in pain and functional activity improvement of patients with KOA. The subgroup analysis showed that the follow-up time was the source of the heterogeneity of the VAS pain score. Conclusion : Our current evidence suggests that valgus knee bracing may not improve pain release and function activates in KOA patients in the long-term period, but only being beneficial to the short-term rehabilitation.

Long-term results of duodenectomy with highly selective vagotomy in the treatment of complicated duodenal ulcers

2001 ◽  
Vol 181 (4) ◽  
pp. 372-376 ◽  
Author(s):  
Tzu-Ming Chang ◽  
De-Chuan Chan ◽  
Yao-Chi Liu ◽  
Shung-Sheng Tsou ◽  
Tzu-Hung Chen
Keyword(s):  
Long Term Results ◽  
Duodenal Ulcers ◽  
Selective Vagotomy ◽  
Highly Selective Vagotomy

scholarly journals Perforated ulcer in the elderly – is there a generic operation?

2011 ◽  
Vol 4 (1) ◽  
pp. 29-30
Author(s):  
Sergei Vasilyevich Tarasenko ◽  
Oleg Vladimirovich Zaitsev
Keyword(s):  
The Elderly ◽  
Breast Conserving Surgery ◽  
Long Term Results ◽  
Perforated Ulcer ◽  
Gastroduodenal Ulcers

Comment on the article J. S. winnik et al.: "Long-term results of radical breast conserving surgery in treatment of perforated gastroduodenal ulcers in patients of elderly and senile age"

scholarly journals Long-term outcome of the laparoscopic repair of hiatus hernia

2018 ◽  
Vol 9 (3) ◽  
pp. 26-33
Author(s):  
M. A. Burikov ◽  
I. V. Skazkin ◽  
O. V. Shulgin ◽  
A. I. Kinyakin ◽  
I. A. Sokirenko
Keyword(s):  
Surgical Treatment ◽  
Hiatus Hernia ◽  
Nissen Fundoplication ◽  
Life Quality ◽  
Long Term Results ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Sf 36 ◽  
Basic Characteristics

Presently, the improvement in the quality of life of patients who underwent a laparoscopic surgical repair of hiatus hernia and the absence of the gastroesophageal reflux disease (GERD) recurrence are the basic characteristics of the surgical treatment. In this connection, further perfection of the tactics and techniques of the surgical GERD treatment becomes an important problem of modern surgery. Here, we present a comparative analysis of the remote results of the surgical treatment of 159 patients with GERD-complicated hiatus hernia. The patients were divided into two groups, depending on the technique of the performed endosurgical treatment. The first group consisted of patients operated via the standard laparoscopic Nissen fundoplication. In the second group, we included those patients who underwent surgical treatment using a modified procedure of Nissen fundoplication with the formation of a non-tension cuff (RF patent No. 2529415 of 27.09.2014). Evaluation of the results, based on the survey questionnaires Gerd-Q, GSRS, SF-36 and the data of instrumental research methods, was performed 1 to 5 years post-treatment. The treatment of the GERD-complicated hiatus hernia patients with application of the technique of forming a non-hanging fundoplication cuff shows the best long-term results: the incidence of the reflux syndrome and signs of hyperfunction of the fundoplication cuff is lower. The revealed differences coincide with the data of the Gerd-Q and GSRS questionnaires, as well as the life quality estimation by the SF-36 questionnaire. The developed techniques do not require application of sophisticated technical skills and re-equipment and may be recommended for the practical use in the everyday practice in surgical hospitals of all levels.

scholarly journals Pūlinio mediastinito gydymo taukinės pakėlimu vėlyvieji rezultatai

2010 ◽  
Vol 8 (1) ◽  
pp. 0-0
Author(s):  
Gediminas Kundrotas ◽  
Jonas Jorašūnas ◽  
Barbora Markevičiūtė ◽  
Vilija Jakumaitė
Keyword(s):  
Median Sternotomy ◽  
Life Quality ◽  
Long Term Results ◽  
Greater Omentum ◽  
Sf 36 ◽  
G 21 ◽  
History Of ◽  
Vilnius University ◽  
Pain Symptoms

Gediminas Kundrotas1, Jonas Jorašūnas2, Barbora Markevičiūtė2, Vilija Jakumaitė11 Klaipėdos jūrininkų ligoninės Kardiochirurgijos skyrius,Liepojos g. 45, LT-92288 Klaipėda2 Vilniaus universiteto Medicinos fakultetas,M. K. Čiurlionio g. 21, LT-03101 VilniusEl paštas: [email protected] Įvadas / tikslasTaukinė yra unikalus organas dėl savo didelio ploto, beformės struktūros ir puikios vaskuliarizacijos, todėl yra labai tinkama didelėms infekuotoms ertmėms užpildyti ir mediastinitui gydyti. Šio straipsnio tikslas – aprašyti ir įvertinti posternotominio mediastinito gydymo didžiosios taukinės pakėlimu (omentoplastika) vėlyvuosius rezultatus. Ligoniai ir metodaiPo taukinės pakėlimo operacijos praėjus vidutiniškai 4,3 metų buvo atlikta 6 pacientų apklausa, apžiūra, pacientai užpildė gyvenimo kokybės klausimyną SF-36. Keturi pacientai, kurių priešoperaciniai spirometrijos duomenys buvo žinomi, mėginius atliko pakartotinai. RezultataiIš šešių pacientų keturi jaučia krūtinės ląstos skausmą, penki – krūtinės ląstos nestabilumo simptomus, penkiems susiformavo pooperacinės baltosios pilvo linijos išvarža. Visų pacientų su sveikata susijusi gyvenimo kokybė prastesnė negu daugumos. Visų pacientų FEV1 ir FVC rodikliai sumažėjo, palyginti su buvusiais prieš operaciją. IšvadosOmentopastika gydyti pacientai dažniau jaučia skausmą, krūtinės ląstos nestabilumo simptomus, jiems formuojasi baltosios pilvo linijos išvaržos, vystosi restrikcinis kvėpavimo funkcijos sutrikimas, jų gyvenimo kokybė blogesnė.Omentoplastika – veiksmingas, tačiau žalojantis pūlinio mediastinito gydymo metodas. Reikšminiai žodžiai: vidurinė sternotomija, mediastinitas, omentoplastika, didžioji taukinė The role of greater omentum in treating poststernotomy mediastinitis: long-term results Gediminas Kundrotas1, Jonas Jorašūnas2, Barbora Markevičiūtė2, Vilija Jakumaitė11 Klaipėda Seamen’s Hospital, Department of Cardiac Surgery,Liepojos Str. 45, LT-92288 Klaipėda, Lithuania2 Vilnius University, Faculty of Medicine, M. K. Čiurlionio Str. 21, LT-03101 Vilnius, LithuaniaE-mail: [email protected] Background /objectiveGreater omentum has an amorphic shape, large size, and excellent vascularization. These characteristics make it ideal for use in reconstruction of large contaminated spaces. The aim of this article is to describe and evaluate long-term results of poststernotomy mediastinitis treatment by transposition of the greater omentum. MethodsOn the average 4.3 years after transposition of the greater omentum, six patients were asked about their complaints, an inspection was performed and they completed the SF-36 health survey. Four patients with known preoperative spirometry results repeated the test. ResultsFour of six patients feel chest pain, five of six feel symptoms of chest instability, and five of six had a history of herniation after the transposition of the greater omentum. All the patients had a lower than average life quality. All the patients had lower FEV1 and FVC values compared to the preoperative ones. ConclusionsPatients treated by the transposition of the greater omentum more often feel pain, symptoms of chest instability, are prone to herniation, have restrictive respiratory insufficiency and a lower life quality.Omental flap transposition is an effective though damaging method of treatment. Keywords: median sternotomy, mediastinitis, omental transposition, greater omentum.

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