Experience in prenatal ultrasound and MRI diagnosis of 49 fetal ovarian cysts

2019 ◽  
Author(s):  
I.V. Tsikhanenka , Y.Y. Buchel
Keyword(s):  
Surgical Treatment ◽  
Spontaneous Regression ◽  
Surgical Intervention ◽  
Prenatal Ultrasound ◽  
Ovarian Cysts ◽  
Outcomes Analysis ◽  
Antenatal Ultrasound ◽  
Mri Features ◽  
Mri Diagnosis ◽  
Complex Lesions

Analysis of 49 cases of prenatally diagnosed ovarian cysts are presented. The outcomes of prenatally diagnosed ovarian cysts were studied on their antenatal ultrasound and MRI images. Outcomes analysis of fetal ovarian cysts depending on their ultrasound and MRI features are presented. Prenatal features, complications of pregnancy, cysts evolution, outcomes and postnatal surgical intervention on 49 cases of fetal ovarian cysts are presented. 1/3 of the ovarian cysts were visualized partly or completely in the abdomen, 1/3 — laterally from the bladder. Simple cysts were of less dimension compared to complex lesions. Increase in size is presumably of higher risk of complications. Spontaneous regression by the time of delivery was in 34.7%. 100% of lesions  2 cm disappeared, the rate of regression of simple and complex cysts was equal, the lowest rate of regression was seen in cysts  4 cm. The frequency of surgical treatment was in 26.5%.

Prenatal ultrasound diagnosis of fetal pelvic tumors. II. Fetal ovarian cysts – what does really matter? Literature review

2019 ◽  
Author(s):  
I.V. Tsikhanenka , A.N. Chukanov
Keyword(s):  
Literature Review ◽  
Ovarian Cyst ◽  
Surgical Intervention ◽  
Prenatal Ultrasound ◽  
Ultrasound Diagnosis ◽  
Ovarian Cysts ◽  
Pelvic Tumors ◽  
Related Risk ◽  
Mri Diagnosis ◽  
Ultrasound Features

Literature review of prenatal ultrasound and MRI-diagnosis of fetal ovarian cyst is presented. Cysts evolution, ultrasound features and related risk of complications and postnatal surgical intervention are reviewed. Authors analyzed data of publications in aspects of time of diagnosis, complications and outcomes of antenatal diagnosed ovarian cysts. Antenatal and postnatal management are discussed.

Bilateral complicated ovarian cysts of the fetus

2019 ◽  
Author(s):  
N.V. Mashinets, V.N. Demidov
Keyword(s):  
Case Report ◽  
Prenatal Diagnosis ◽  
Surgical Treatment ◽  
Ovarian Cyst ◽  
Spontaneous Regression ◽  
Surgical Intervention ◽  
Ovarian Cysts

Case report of prenatal diagnosis of bilateral complicated ovarian cysts of the fetus at 34 weeks of pregnancy is presented. The particularity of this case is that one ovarian cyst in the fetus was complicated by intrauterine torsion, which required surgical treatment after birth. In the cavity of the second cyst, hemorrhage occurred with spontaneous regression, which did not require surgical intervention.

scholarly journals Surgical treatment of ovarian endometriomas using intraoperative ultrasound

2020 ◽  
Vol 27 (1) ◽  
pp. 49-58
Author(s):  
Viktoriya A. Krutova ◽  
Natal’ya V. Naumova ◽  
Elena A. Boldovskaya
Keyword(s):  
Surgical Treatment ◽  
Surgical Intervention ◽  
Ultrasound Examination ◽  
Intraoperative Ultrasound ◽  
Reproductive Function ◽  
Laparoscopic Ultrasound ◽  
Ovarian Cysts ◽  
Control Group ◽  
Before And After ◽  
Ovarian Endometriomas

Aim. To improve the results of the surgical treatment of patients with ovarian endometriomas using intraoperative echography.Materials and methods. The results of the surgical treatment of 138 patients with endometrioid ovarian cysts were prospectively and retrospectively analyzed. The main group consisted of 69 patients, who underwent standard ultrasound examination before and after surgery, as well as intraoperative laparoscopic ultrasound imaging. The control group (retrospectively) consisted of 69 patients with endometrioid ovarian cysts, who were not subject to laparoscopic ultrasound examination.Results. The use of intraoperative transvaginal and laparoscopic echography can reduce the time of surgical revision, reduce the number of intra- and postoperative complications, as well as the frequency of relapses in the postoperative period.Conclusion. According to the obtained results, intraoperative ultrasound echography has a high diagnostic accuracy of up to 99.2%. This method of intraoperative diagnosis allows the optimal volume and method of surgical intervention to be determined, and the safety and adequacy of surgical treatment to be ensured, thus maximizing the reproductive function. 

scholarly journals PECULIARITIES OF SURGICAL TREATMENT OF OVARIAN CYSTS IN NEWBORNS

2018 ◽  
Vol 22 (5) ◽  
pp. 250-253
Author(s):  
A. V. Leiga ◽  
K. G. Volovik ◽  
Gennady I. Chepurnoy ◽  
M. G. Chepurnoy ◽  
M. V. Kovalev ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Pediatric Surgery ◽  
Unique Feature ◽  
Surgical Intervention ◽  
Neonatal Period ◽  
Ovarian Cysts ◽  
Surgical Removal ◽  
Aseptic Necrosis ◽  
Pfannenstiel Incision ◽  
Inflammatory Changes

The aim of the work is to improve the results of the surgical treatment of congenital ovarian cysts in newborns. Material and methods. From 1982 to 2017, 147 newborns with simple ovarian cysts were treated at the clinic. The main diagnostic method was clinical - ultrasound. Two groups of patients were compared: with access according to Pfannenstiel incision and paraumbilical access. The technology of surgical intervention with paraumbilical access is described in detail. Results. In comparative studies, the benefits of parumbilical access are fully in line with the requirements of modern “open” pediatric surgery for the removal of ovarian cysts (OC) in newborns. There was noted a unique feature of the torsion of simple congenital OK: the emerging ischemia of the cysts leads only to the development of aseptic necrosis without purulent-inflammatory changes in the cyst itself and the adhesive process around. Conclusion. Para-umbilical access during surgical removal of OC may be an alternative to laparoscopic when the latter can not be used. Bearing in mind the torsion of most simple OC to occur in the antenatal period, as well as the asymptomatic course of the disease in the neonatal period, we consider it necessary to operate children with this pathology in the first 2 days after birth.

The Use of Eye Tracking to Discern the Threshold at Which Metopic Orbitofrontal Deformity Attracts Attention

2020 ◽  
Vol 57 (12) ◽  
pp. 1392-1401
Author(s):  
Mark P. Pressler ◽  
Emily L. Geisler ◽  
Rami R. Hallac ◽  
James R. Seaward ◽  
Alex A. Kane
Keyword(s):  
Surgical Treatment ◽  
Graduate Students ◽  
Eye Tracking ◽  
Dwell Time ◽  
Surgical Intervention ◽  
Three Dimensional ◽  
Average Dwell Time ◽  
Eye Tracker ◽  
Gaze Patterns ◽  
Areas Of Interest

Introduction and Objectives: Surgical treatment for trigonocephaly aims to eliminate a stigmatizing deformity, yet the severity that captures unwanted attention is unknown. Surgeons intervene at different points of severity, eliciting controversy. This study used eye tracking to investigate when deformity is perceived. Material and Methods: Three-dimensional photogrammetric images of a normal child and a child with trigonocephaly were mathematically deformed, in 10% increments, to create a spectrum of 11 images. These images were shown to participants using an eye tracker. Participants’ gaze patterns were analyzed, and participants were asked if each image looked “normal” or “abnormal.” Results: Sixty-six graduate students were recruited. Average dwell time toward pathologic areas of interest (AOIs) increased proportionally, from 0.77 ± 0.33 seconds at 0% deformity to 1.08 ± 0.75 seconds at 100% deformity ( P < .0001). A majority of participants did not agree an image looked “abnormal” until 90% deformity from any angle. Conclusion: Eye tracking can be used as a proxy for attention threshold toward orbitofrontal deformity. The amount of attention toward orbitofrontal AOIs increased proportionally with severity. Participants did not generally agree there was “abnormality” until deformity was severe. This study supports the assertion that surgical intervention may be best reserved for more severe deformity.

scholarly journals MEAN 6 YEAR CLINICAL OUTCOMES, SURVIVORSHIP, AND RETURN TO SPORTS AFTER ARTHROSCOPIC CAPSULAR REPAIR WITH SUTURE ANCHORS FOR ADOLESCENT MULTIDIRECTIONAL SHOULDER INSTABILITY

2021 ◽  
Vol 9 (7_suppl3) ◽  
pp. 2325967121S0002
Author(s):  
Brendon C. Mitchell ◽  
Matthew Y. Siow ◽  
Alyssa Carrol ◽  
Andrew T. Pennock ◽  
Eric W. Edmonds
Keyword(s):  
Risk Factors ◽  
Surgical Treatment ◽  
Shoulder Instability ◽  
Surgical Intervention ◽  
Operation Time ◽  
Demographic Variables ◽  
Return To Sports ◽  
Suture Anchors ◽  
Surgical Failure

Background: Multidirectional shoulder instability (MDI) refractory to rehabilitation can be treated with arthroscopic capsulolabral reconstruction with suture anchors. No studies have reported on outcomes or examined the risk factors that may contribute to poor outcomes in adolescent athletes. Hypothesis/Purpose: To identify risk factors for surgical failure by comparing anatomic, clinical, and demographic variables in adolescents who underwent surgical intervention for MDI. Methods: All patients undergoing arthroscopic shoulder surgery at one institution between January 2009 and April 2017 were reviewed. Patients >20 years old at presentation were excluded. Multidirectional instability was defined by positive drive-through sign on arthroscopy plus positive sulcus sign and/or multidirectional laxity on anterior and posterior drawer testing while under anesthesia. Two-year minimum follow-up was required, but those whose treatment failed earlier were included for reporting purposes. Demographics and intraoperative findings were recorded, as were Single Assessment Numeric Evaluation (SANE) scoring, Pediatric and Adolescent Shoulder Survey (PASS), and the short version of the Disabilities of the Arm, Shoulder and Hand (QuickDASH) results. Results: Eighty adolescents (88 shoulders) were identified for having undergone surgical treatment of MDI. Of these 80 patients, 42 (50 shoulders; 31 female, 19 male) were available at a minimum of 2-year follow-up. Mean follow-up was 6.3 years (range, 2.8-10.2 years). Thirteen (26.0%) shoulders experienced surgical failure defined by recurrence of subluxation and instability, all of which underwent re-operation. Time to re-operation occurred at a mean of 1.9 years (range, 0.8-3.2). Our cohort had an overall survivorship of 96% at 1 year after surgery and 76% at 3 years. None of the anatomic, clinical, or demographic variables tested, or the presence of generalized ligamentous laxity, were correlated with subjective outcomes or re-operation. Number of anchors used was not different between those that failed and those that did not fail. Patients reported a mean SANE score of 83.3, PASS score of 85.0, and QuickDASH score of 6.8. Return to prior level of sport (RTS) occurred in 56% of patients. Conclusion: Multidirectional shoulder instability is a complex disorder that can be challenging to treat. Adolescent MDI that is refractory to non-surgical management appears to have long-term outcomes after surgical intervention that are comparable to adolescent patients with unidirectional instability. In patients who do experience failure of capsulorraphy, we show that failure will most likely occur within 3 years of the index surgical treatment. [Table: see text][Figure: see text]

Changing Profile of Congenital Heart Disease

PEDIATRICS ◽  
1989 ◽  
Vol 83 (5) ◽  
pp. 790-791
Author(s):  
D. WOODROW BENSON ◽  
James Moller ◽  
Donald C. Fyler ◽  
David E. Fixler
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Surgical Treatment ◽  
Congenital Heart ◽  
Considerable Change ◽  
Diagnostic Methods ◽  
Younger Patients ◽  
The Past ◽  
Steady Improvement ◽  
Complex Lesions

In the past 20 years, considerable change has occurred in the profile of congenital heart disease regarding both diagnosis and treatment. The profile has changed from older to younger patients; the essence of this change has been from pediatric to infant to neonatal cardiology. There has been a shift from palliative to more definitive surgical procedures and a change from invasive (cardiac catheterization) to noninvasive (echocardiography) diagnostic methods. The profile has changed from definitive surgical treatment limited to simple lesions to surgical treatment of the most complex lesions. There has been steady improvement in the recognition of cases of congenital heart disease. Of all children admitted to hospitals for treatment of congenital heart disease, the portion less than three days of age has increased from 24% in 1969 to 1972 to 33% in 1982 to 1986.

Predictors of Surgical Intervention in Patients with Inflammatory Bowel Disease

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Khaled Hamdy Abd El Megeed ◽  
Shereen Abou Bakr Saleh ◽  
Christina Alphonse Anwar ◽  
Ahmed Elkattary Mohamed Elkattary
Keyword(s):  
Inflammatory Bowel Disease ◽  
Surgical Treatment ◽  
Bowel Disease ◽  
Surgical Intervention ◽  
High Sensitivity ◽  
Medical Patients ◽  
Mayo Score ◽  
Calprotectin Level ◽  
Inflammatory Bowel ◽  
The Mean

Abstract Background Inflammatory bowel disease (IBD) is comprised of two major disorders: Ulcerative Colitis and Crohn’s disease. Ulcerative Colitis affects the colon, where as Crohn’s disease can involve any component of the gastrointestinal tract from the mouth to the perianal area. These disorders have somewhat different pathologic and clinical characteristics, but with substantial overlap; their pathogenesis remains poorly understood. Objective To determine & detect different predictors that help us to characterize patients with high probability of undergoing surgical intervention for inflammatory bowel diseases. Patients and Methods The present study was designed to detect & identify possible factors that can be used to predict surgical intervention in patients with IBD. The present study was a case control study that was conducted on 80 patients with inflammatory bowel disease (either controlled by medical treatment or needed surgical intervention as a part of disease control) who were recruited form Ain-Shams university hospitals and El Quabbary general hospital in Alexandria. In the present study, the mean age of the included patients was 36.67 ±8.5 years old and 50% of the patients were males. The mean age at the onset of the disease was 25.81 ±6.8 years old. Results In the present study, there were statistically significant differences between surgical and medical patients in terms of CDAI for CD (p &lt; 0.001) and Mayo score for UC (p &lt; 0.001). Surgical patients were more likely to have higher scores. CDAI and Mayo score were negative predictors of surgical treatment. CDAI score &gt; 287 and Mayo score &gt; 8.5 achieved high sensitivity and specificity for the detection of surgical treatment. In the present study, we found that there was statistically significant differences between surgical and medical patients in terms of Stool Calprotectin level. Surgical patients were more likely to have higher Stool Calprotectin level. Stool Calprotectin level was negative predictor of surgical treatment at a level of &gt; 341.5 microgm/gm with high sensitivity and specificity. Conclusion Surgical treatment is a common outcome in IBD. Certain clinical features and the extent of disease are risk factors for surgical intervention. Our study indicates that smoking, Chron’s disease, perianal disease, granulomas, higher severity scores, higher stool Calprotectin level, CRP, and ESR were associated with higher risks of surgical intervention. In addition, smoking, peri-anal disease, CDAI, Mayo score, Stool Calprotectin level, and CRP level were predictors of surgical treatment. The findings of our analysis have implications for practice, particularly in the promotion of preoperative individualized risk prediction. The ability to predict which patients will need surgery and target more intensive, early treatment to that group would be invaluable. Further research through large prospective cohort studies is needed to confirm our findings and conclusions.

scholarly journals Pulmonary Valve Insufficiency as a Complication of Radical Surgical Treatment of Tetralogy of Fallot

2017 ◽  
Vol 34 (2) ◽  
pp. 179-188
Author(s):  
Milovan Stojanović ◽  
Marina Deljanin-Ilić ◽  
Aleksa Vuković ◽  
Dejan Petrović
Keyword(s):  
Surgical Treatment ◽  
Tetralogy Of Fallot ◽  
Pulmonary Valve ◽  
Surgical Intervention ◽  
Ultrasound Examination ◽  
Clinical Signs ◽  
Common Complication ◽  
Pulmonary Valve Insufficiency ◽  
Valve Insufficiency ◽  
Additional Imaging

Summary Tetralogy of Fallot is the most common cyanogenic congenital heart defect. The diagnosis is based on clinical signs, ECG examination, ultrasound examination of the heart, additional imaging methods and invasive testing. The therapeutic approach to the patient with tetralogy is complex and based on conservative and radical methods. Patients who have not undergone a radical surgical intervention have a poor prognosis, whereas the prognosis is much better for patients who have been operated. The most common complication of the surgical treatment is the pulmonary valve insufficiency which usually requires reintervention, as was the case with our patient.

scholarly journals Retrospective analysis of patients ineffectively operated on for the polycystic ovaries syndrome

1997 ◽  
Vol 43 (2) ◽  
pp. 29-31
Author(s):  
A. G. Khomasuridze ◽  
E. G. Feinberg ◽  
R. A. Manusharova ◽  
N. I. Bablidze
Keyword(s):  
Retrospective Analysis ◽  
Treatment Strategy ◽  
Surgical Intervention ◽  
Ovarian Cysts ◽  
Postoperative Adhesions ◽  
Polycystic Ovaries ◽  
Pelvic Organs ◽  
Hypothalamic Syndrome

A retrospective analysis of the efficacy of surgical intervention (demedullation of both ovaries) for the polycystic ovaries syndrome (POS) in 245 women aged 28 to 40 was carried out. Primary POS was diagnosed in 138 women (the ovarian form) and the endocrine metabolic form of the hypothalamic syndrome with secondary POS in 107. The findings showed anovulation to be responsible for infertility in 34.5% of cases, postoperative adhesions in the pelvic organs and obstruction of the uterine tubes in 34.2%, hyperprolactinemia in 11%, endometriosis in 18.3%, and ovarian cysts in 1% of cases. Treatment strategy in patients ineffectively operated on for POS cannot be standard and depends on the diseases which is diagnosed after surgery.  

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