scholarly journals NEW TREATMENT OPTION FOR ESOPHAGOGASTRIC ANASTOMOTIC LEAK: A CASE REPORT

2019 ◽  
Vol 18 (4) ◽  
pp. 102-105
Author(s):  
M. M. Davydov ◽  
A. G. Abdullaev ◽  
O. A. Malikhova ◽  
A. V. Tsigankova
Keyword(s):  
Anastomotic Leak ◽  
Treatment Option ◽  
Treatment Method ◽  
Esophageal Resection ◽  
Thoracic Esophagus ◽  
Invasive Treatment ◽  
Urgent Surgery ◽  
New Treatment ◽  
Surgical Clinic

The formation of esophagogastric anastomosis has a long history due to the search for the most reliable and safe fistula. The use of invagination anastomosis, proposed in the early 90s by Professor M.I. Davydov, fully met all the requirements, allowing significantly improve the quality of life of patients and significantly reducing the frequency of failure of the anastomoses to 0.5%.Case description. We present the case of proximal gastric cancer invading the lower thoracic esophagus. The patient underwent proximal subtotal gastric and lower thoracic esophageal resection using the combination of a laparotomy and right thoracotomy. Contrast radiography performed on day 11 after surgery revealed esophagogastric anastomotic leak. The patient underwent urgent surgery.Conclusion. This article presents a new treatment option for esophagogastric anastomotic leak by using endoscopic transesophageal clipping of the defect in combination with sanitation and drainage of the pleural/mediastinsl cavity. The proposed technique can be considered as a minimally invasive treatment method and can be used in any surgical clinic. 

scholarly journals An Alternative to Current Therapies of Functional Dyspepsia: Self-Administrated Transcutaneous Electroacupuncture Improves Dyspeptic Symptoms

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Ting Ji ◽  
Xueliang Li ◽  
Lin Lin ◽  
Liuqin Jiang ◽  
Meifeng Wang ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Gastric Emptying ◽  
Functional Dyspepsia ◽  
Therapeutic Potential ◽  
Treatment Options ◽  
Treatment Method ◽  
Gastric Accommodation ◽  
Dyspeptic Symptoms ◽  
New Treatment

Functional dyspepsia is of high prevalence with little treatment options. The aim of this study was to develop a new treatment method using self-management transcutaneous electroacupuncture (TEA) for functional dyspepsia (FD). Twenty-eight patients with FD were enrolled and underwent a crossover clinical trial with 2-week TEA at ST36 and PC6 and 2-week sham-TEA at nonacupuncture sham-points. Questionnaires were used to assess symptoms of dyspepsia and quality of life. Physiological testing included gastric emptying and electrogastrography. It was found that (1) TEA but not sham-TEA significantly improved dyspeptic symptoms and 4 domains in quality of life; improvement was also noted in self-rated anxiety and depression scores; (2) gastric emptying was significantly and substantially increased with 2-week TEA but not sham-TEA; and (3) gastric accommodation was also improved with TEA but not sham-TEA, reflected as increased ingested nutrient volumes at the levels of satiety and maximum tolerance. These findings suggest a therapeutic potential of self-administrated TEA method for functional dyspepsia, possibly attributed to improvement in gastric motility.

scholarly journals Computed tomography as a method of substantiating a minimally invasive approach in the treatment of esophageal injuries and their complications

2021 ◽  
Vol 25 (2) ◽  
pp. 63-73
Author(s):  
T. G. Barmina ◽  
S. N. Danielyan ◽  
L. S. Kokov ◽  
F. A.-K. Sharifullin ◽  
O. A. Zabavskaya ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Minimally Invasive ◽  
Pleural Empyema ◽  
Complete Information ◽  
Treatment Method ◽  
Thoracic Esophagus ◽  
Minimally Invasive Approach ◽  
Invasive Treatment ◽  
Invasive Approach ◽  
Ct Data

The purpose of the study. To analyze possibilities of computed tomography (CT) for esophageal injuries and their complications as part of a differentiated approach to the choice of a minimally invasive treatment method.Materials and methods. The results of CT scans were analyzed in 25 patients with esophageal injuries of various etiologies who were treated at the N.V. Sklifosovsky Research Institute of SP in the period 2019–2020. CT was performed with oral and intravenous bolus contrast, primarily at admission and in dynamics, a total of 77 studies.Results. In all cases, direct and indirect CT signs of esophageal damage were detected, and the degree of involvement of surrounding organs and tissues in the pathological process was assessed. Based on the data obtained, the following variants of esophageal damage and its complications were identified: intramural esophageal hematoma (2); rupture of the thoracic esophagus without the development of purulent complications (2); rupture of the thoracic esophagus complicated by the development of mediastinitis (4); rupture of the thoracic esophagus with the development of mediastinitis and pleural empyema (13); rupture of the cervical calving of the esophagus, complicated by phlegmon of the neck and descending mediastinitis (4). Different patient management tactics were used for each variant. Thus, the selection and sequence of minimally invasive interventions, such as thoracoscopic sanitation mediastinal and pleural cavity, esophageal stenting, percutaneous endoscopic gastrostomy (CEG) and endoscopic vacuum aspiration system (E-VAS), were carried out taking into account CT data, including observations in dynamics.Conclusion. CT scan for esophageal injuries allows you to get complete information about both the nature of esophageal damage and its complications, to determine their type, localization and volume. CT data allow us to justify a minimally invasive approach in the treatment of esophageal injuries, to determine the order of interventions. CT studies performed in dynamics allow us to evaluate the effectiveness of treatment and to carry out timely correction of tactics.

scholarly journals Anatomical and ultrasound navigation of intra joint injections

2019 ◽  
Vol 47 (5) ◽  
pp. 454-460
Author(s):  
L. A. Knyazeva ◽  
N. Damjanov ◽  
L. I. Knyazeva ◽  
E. M. Khardikova ◽  
N. S. Meshcherina ◽  
...  
Keyword(s):  
Literature Review ◽  
Treatment Method ◽  
Diagnostic Techniques ◽  
Invasive Treatment ◽  
Diagnostic Quality ◽  
Initial Stage ◽  
Outpatient Settings ◽  
Joint Injections

Optimization of joint syndrome treatment methods, including those based on the intra- and periarticular drug administration and invasive diagnostic techniques, remains high on the agenda of modern clinical rheumatology. The implementation and quite widely spread use of ultrasonographic visualization has been an impetus to the development of this type of treatment for joint diseases. Without any doubt, the quality of intraarticular injection performance mainly depends on the professional level of the specialist and his/hers procedural skills. However, here comes a predictable question: are these conditions sufficient to enable maximal precision, safety, and efficacy of intraarticular interventions? From this perspective, it is interesting to study the possibilities to improve the results of local treatments for the joint syndrome by means of the ultrasound navigation technique. Based on data presented in the literature review, we compared a “blind” invasive treatment method to the ultrasound navigation-guided intra- and periarticular interventions in patients with skeletomuscular and connective tissue disorders. The authors of the studies published point to higher safety, efficacy, procedure precision, and diagnostic quality of the information obtained by the ultrasound navigation. Its important advantages include wider possibilities and availability of this method in outpatient settings, due to its rather low costs and patients' safety. The information from the current literature review reflects an initial stage of studies on the evaluation of the role, significance, determination of potential of the ultrasound navigation to enhance the quality of diagnosis and invasive treatment in patients with joint syndromes of various origins and to minimize adverse effects.

Cardioneuroablation as a method of therapy in vasovagal syncope

2020 ◽  
Vol 2 (55) ◽  
pp. 20-28
Author(s):  
Roman Piotrowski ◽  
Jakub Baran ◽  
Piotr Kułakowski
Keyword(s):  
Lifestyle Modification ◽  
Vasovagal Syncope ◽  
Treatment Method ◽  
Current Treatment ◽  
Loss Of Consciousness ◽  
Common Cause ◽  
Current State ◽  
Transient Loss ◽  
New Treatment

Vasovagal syncope is the most common cause of transient loss of consciousness, may significantly impair quality of life and lead to injury. Current treatment of vasovagal syncope is based on patient education, lifestyle modification, pharmacotherapy and, in extreme cases, implantation of a pacemaker. In recent years, more and more data on cardioneuroablation have been published – a new treatment method for neurally mediated asystolic syncope. This article summarizes the current state of knowledge about this method, presents indications for this procedure and shows perspectives for its development.

scholarly journals Follow-up Results in Patients with Esophageal Resection for Carcinoma of the Thoracic Esophagus, Focusing on the Quality of Life and Routes of Reconstruction.

1995 ◽  
Vol 28 (10) ◽  
pp. 2047-2051 ◽  
Author(s):  
Masamichi Baba ◽  
Takashi Aikou ◽  
Michiyo Asatani ◽  
Shigeto Kimura ◽  
Kazunobu Tokuda ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Esophageal Resection ◽  
Thoracic Esophagus

Improvement of Surface Crystalline Quality of an Epitaxial (100)ZrN Film as a Bottom Electrode Diffusion Barrier for Ferroelectric Capacitors

2001 ◽  
Vol 688 ◽  
Author(s):  
Susumu Horita ◽  
Sadayoshi Horii ◽  
Takeo Toda
Keyword(s):  
Treatment Method ◽  
Crystalline Quality ◽  
Surface Oxide Layer ◽  
Step Method ◽  
Temperature Deposition ◽  
Barrier Metal ◽  
New Treatment ◽  
Lower Temperature ◽  
Ferroelectric Capacitors

AbstractWe fabricated the double epitaxial layers of Ir on barrier metal ZrN for Pb(ZrxTi1−x)O3 (PZT), using reactive sputtering. In order to remove the surface oxide layer of the ZrN film prior to depositing the Ir film, we used a new treatment method, in which the ZrN film is dipped into a 0.5% buffered HF solution for less than 30 seconds and then immediately dipped into a hydrazine (N2H4) monohydrate solution for 60 seconds. Also, in order to suppress the generation of twin boundaries and to improve crystalline quality, the ZrN film is deposited using a two-step method, which consists of an initial high temperature deposition step at 850s°C followed by a lower temperature step at 600°C. On the ZrN film prepared by these methods, we can obtain a mainly (110)-oriented epitaxial Ir film.

scholarly journals Biological resurfacing of grade IV articular cartilage ulcers in knee joint with Hyalofast

2020 ◽  
Vol 28 (1) ◽  
pp. 230949902090515 ◽  
Author(s):  
Shijie Ian Tan ◽  
Samuel Jun Wei Tho ◽  
Kam San Tho
Keyword(s):  
Daily Living ◽  
Knee Injury ◽  
Treatment Method ◽  
Cartilage Defects ◽  
Invasive Treatment ◽  
Post Surgery ◽  
Arthroscopic Findings ◽  
Biological Resurfacing ◽  
Magnetic Resonance Imaging Mri

Introduction: Hyalofast grafting with microfracture is a new minimally invasive treatment method being proposed for joint cartilage defects. This study was done to measure the clinical efficacy of Hyalofast grafting after microfractures. Methods: Forty-six patients were assessed for knee function using knee injury and osteoarthritis outcome score (KOOS) after undergoing microfracture and Hyalofast grafting surgery. We further divided the 46 patients into a group of 10 patients who had no associated procedures done with the microfracture and Hyalofast grafting surgery. All patients had magnetic resonance imaging (MRI) of the affected knee pre-surgery and two patients had MRI done post-surgery. Due to another unrelated injury, we were also able to obtain further arthroscopic findings of another patient’s knee 18 months after microfracture and Hyalofast grafting. Results: There was a statistically significant improvement in all categories of the KOOS (symptoms, pain, daily living, sports and quality of life) compared between years 1, 2 and 3 against pre-surgery. For the subgroup of Hyalofast only, there was a statistically significant improvement in symptoms, pain and daily living categories of the KOOS compared between years 1, 2 and 3 against pre-surgery. Conclusions: Our study shows that Hyalofast grafting after microfracture is a viable alternative to treatment for patients with grade 4 cartilage ulcers.

scholarly journals Radiofrequency thermal ablation versus conventional saphenectomy

2015 ◽  
Vol 14 (1) ◽  
pp. 4-9
Author(s):  
Jeferson Freitas Toregeani ◽  
Antônio Severino Trigo Rocha ◽  
Claudio Jundi Kimura ◽  
Ricardo Adriano Gomes Araújo ◽  
Américo Kazuo Kawai ◽  
...  
Keyword(s):  
Postoperative Pain ◽  
Varicose Veins ◽  
Treatment Method ◽  
Lower Limbs ◽  
Treatment Techniques ◽  
High Prevalence ◽  
Recovery Times ◽  
New Treatment ◽  
Mean Time

BACKGROUND: Varicose veins of the lower limbs have a high prevalence worldwide. New treatment techniques have been developed with the objectives of improving patients' quality of life and reducing recovery times. OBJECTIVE: To evaluate patients with incompetent saphenous veins treated using conventional saphenectomy or radiofrequency ablation (RF), in terms of postoperative status. METHODS: From May 2012 to April 2013 146 varicose veins patients with saphenous insufficiency, 90 of whom were treated with conventional surgery (G1) and 56 with RF ablation (G2), were evaluated prospectively. RESULTS: In G1, 88.61% of patients complained of postoperative pain and needed to take analgesics, compared with 28.85% in G2 (p<0.05). Mean pain rating on an analog scale from 0 to 10 was 3.91±2.13 points for G1 and 1.76±3.01 points for G2 (p<0.05). Recovery periods ranged from 26.63±13.3 days to 18.26±19.37 days, for G1 and G2 respectively. Mean time taken to become totally asymptomatic was 66.78±60.9 days for G1 and 38.38±46.8 days for G2 (p<0.05). CONCLUSIONS: The RF treatment method caused less postoperative pain and resulted in earlier recovery, when compared to conventional saphenectomy.

Percutaneous Sacroplasty for Sacral Insufficiency Fractures: Case Series and Review of Presentation, Diagnosis, and Treatment

2019 ◽  
Vol 3 ◽  
pp. 4
Author(s):  
Andrew C. Clark ◽  
Devang Butani
Keyword(s):  
Low Back Pain ◽  
Elderly Population ◽  
Case Series ◽  
The Elderly ◽  
Treatment Method ◽  
Open Reduction Internal Fixation ◽  
Low Back ◽  
Insufficiency Fractures ◽  
Invasive Treatment ◽  
Sacral Insufficiency Fractures

Sacral insufficiency fractures (SIFs) are a cause of debilitating low back pain that is often difficult to diagnosis and manage. The diagnosis of SIF is often delayed due to inaccurately attributing symptoms to spondylosis, which is a commonly present in the elderly population where SIFs are most prevalent. Historically, treatment consisted of medical management and open reduction internal fixation reserved for severe cases. However, percutaneous sacroplasty has emerged as a minimally invasive treatment option which provides early pain relief without significant complications. The objective of this article is to raise awareness of SIFs and percutaneous sacroplasty as an effective and safe treatment method.

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