scholarly journals Post-traumatic coccygodynia: current issues. Review of foreign literature

2021 ◽  
Vol 24 (2) ◽  
pp. 12-20
Author(s):  
Ildar I. Khidiyatov ◽  
Nazhip M. Galimov ◽  
Aitbai A. Gumerov ◽  
Maxim V. Gerasimov
Keyword(s):  
Surgical Treatment ◽  
Radiofrequency Ablation ◽  
Conservative Treatment ◽  
Diagnostic Methods ◽  
Diagnosis And Treatment ◽  
Scientific Publications ◽  
Optimal Method ◽  
Current State ◽  
Post Traumatic ◽  
Conservative And Surgical Treatment

There are no clear clinical recommendations for the diagnosis and treatment of patients with coccygodynia, and there are still debates about the choice of the best method of diagnosis, the effectiveness of blockades, the indications for surgical treatment and the most appropriate method of surgical treatment, and the need for antibiotics. The aim of the study is to evaluate the current state of the problem of diagnosis, conservative and surgical treatment of patients with post-traumatic coccygodynia based on the analysis of scientific publications. Materials and methods. A review of the literature data published on the problem of diagnosis and treatment of patients with post-traumatic coccigodenia is presented. The features of the anatomical structure of the coccyx are considered. Radiation methods for the diagnosis of coccygodynia, publication materials on the evaluation of the effectiveness of conservative and surgical treatment, and methods of surgical treatment of patients with coccygodynia are presented. The indications for surgical treatment and the results of surgical treatment of patients with coccygodenia are considered. Results. In coccygodynia, surgical treatment is indicated only in patients in whom comprehensive conservative treatment, the combined repeated blockades or radiofrequency ablation of the unpaired sympathetic ganglion are ineffective. Surgical treatment should only be carried out after the diagnosis has been precisely established, including the use of modern radiological diagnostic methods such as CT, MRI. The best method of coccyx resection is subperiosteal total proximal coccygectomy according to Key, with antibiotic therapy. The effectiveness of surgical treatment in patients with idiopathic coccygodynia is lower than in post-traumatic coccygodynia. Conclusion. Complex conservative treatment of patients with coccygodynia in most cases leads to recovery. Steroid blockades or radiofrequency ablation of the impair ganglion prove to be effective. Surgical treatment of post-traumatic coccygodynia is indicated only in cases of resistance to complex conservative treatment and ineffectiveness of blockades. The most optimal method of surgical treatment is subperiosteal proximal complete resection of the coccyx against the background of antibiotics.

FIBROCYSTIC MASTOPATHY

2020 ◽  
Vol 6 (3) ◽  
pp. 19-32
Author(s):  
Arif Guseynov
Keyword(s):  
Surgical Treatment ◽  
General Practitioners ◽  
Current Data ◽  
Diagnostic Methods ◽  
Diagnosis And Treatment ◽  
Differential Diagnostics ◽  
Advantages And Disadvantages ◽  
Fibrocystic Mastopathy ◽  
Conservative And Surgical Treatment

The lecture provides information for specialist doctors: oncologists, surgeons, mammologists, general practitioners on the diagnosis and treatment of fibrocystic mastopathy. The current data on the etiology and pathogenesis, classification and clinic of the disease are presented, well-known and new diagnostic methods, advantages and disadvantages of each method are described in detail. Issues of differential diagnostics are highlighted, optimal tactics, methods of conservative and surgical treatment are proposed

CROHN’S DISEASE IN CHILDREN: THE CURRENT STATE OF THE PROBLEM

2021 ◽  
Vol 100 (6) ◽  
pp. 78-85
Author(s):  
A.S. Bekin ◽  
◽  
E.Yu. Dyakonova ◽  
A.N. Surkov ◽  
A.P. Fisenko ◽  
...  
Keyword(s):  
Crohn’S Disease ◽  
Surgical Treatment ◽  
Crohn's Disease ◽  
Granulomatous Inflammation ◽  
Unknown Etiology ◽  
Systemic Complications ◽  
Current State ◽  
Conservative And Surgical Treatment ◽  
Scientific Ideas ◽  
Local And Systemic Complications

Crohn's disease (CD) is chronic recurrent bowel disease of unknown etiology, characterized by segmental transmural granulomatous inflammation, mainly with the development of local and systemic complications. Despite the active development of conservative therapy methods, the number of drug-resistant forms of CD and complications of the disease requiring surgical treatment continues to increase. The article reflects modern scientific ideas about the methods of diagnosis, conservative and surgical treatment of CD in children.

BENIGN TUMORS BREAST GLASS

2021 ◽  
Vol 7 (2) ◽  
pp. 2-11
Author(s):  
Arif Guseynov ◽  
T. Guseynov ◽  
V. Odincov
Keyword(s):  
Surgical Treatment ◽  
General Practitioners ◽  
Clinical Picture ◽  
Relevant Information ◽  
Diagnostic Methods ◽  
Diagnosis And Treatment ◽  
Differential Diagnostics ◽  
Benign Tumors

The lecture provides relevant information for doctors of various specialties: oncologists, surgeons, mammologists, general practitioners on the problems of diagnosis and treatment of benign breast formations. The issues of etiology and pathogenesis, classification and clinical picture of various formations are highlighted, diagnostic methods, differential diagnostics, treatment tactics and methods of surgical treatment are described in detail.

scholarly journals Anastomotic Leakage Following Colorectal Cancer Surgery: Comparison Between Conservative and Surgical Treatment

2020 ◽  
Author(s):  
Yasuhiro Ishiyama ◽  
Masaki Oneyama ◽  
Yuki Tomizawa ◽  
Manabu Amiki ◽  
Shingo Ito ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Overall Survival ◽  
Surgical Treatment ◽  
Conservative Treatment ◽  
Anastomotic Leakage ◽  
Disease Free Survival ◽  
Colorectal Cancer Surgery ◽  
Free Survival ◽  
Conservative And Surgical Treatment ◽  
Disease Free

Abstract Backgrounds Anastomotic leakage following colorectal cancer is associated with significant morbidity and mortality. However, whether the choice of the treatment for anastomotic leakage may affect the oncological outcomes is under debate. We evaluated the oncological outcomes after colorectal cancer surgery for anastomotic leakage between conservative and surgical treatment. Methods We retrospectively analyzed data for patients with colorectal cancer who underwent curative colectomy from April 2010 to January 2020. Results A total 1039 patients underwent surgery colorectal cancer in our hospital. After exclusion, a total of 915 patients underwent a low anastomosis with diverting stoma for colorectal cancer of which 92 (10.0%) anastomotic leakage occurred. After stage Ⅳ and emergency surgery case were excluded, a total of 75 patients were included for the analysis. The surgical treatment group was 25 cases. The conservative treatment group was 50 cases. Early anastomotic leakage was more than in surgical treatment compared to conservative treatment (84% vs 54%, P =0.008). The 5-year overall survival rates and the 5-year disease free survival did not differ significantly between the two groups. The recurrence location of liver metastasis was more than in surgical treatment compared to conservative treatment (20% vs 2 %, P=0.02). On a multivariable analysis, anastomotic leak did not impact overall survival and disease free survival. Conclusion We found that the treatment for anastomotic leakage was not depended on increased local, distance recurrence, overall survival, and disease free survival. Our findings may help surgeons determine which AL treatment is most appropriate, when the decision is unclear.

scholarly journals Therapeutic tactics in cholelithiasis in children

2020 ◽  
Vol 10 (6) ◽  
pp. 53-57
Author(s):  
Vyacheslav G. Svarich ◽  
Ilya M. Kagantsov ◽  
Violetta A. Svarich
Keyword(s):  
Surgical Treatment ◽  
Conservative Treatment ◽  
Gall Bladder ◽  
Research Methods ◽  
Hemolytic Anemia ◽  
Gallstone Disease ◽  
Research Result ◽  
Diagnosis And Treatment ◽  
Subsequent Formation ◽  
Long Time

There are still many questions concerning the choice of tactics for the treatment of cholelithiasis in childhood. For a long time, cholelithiasis traditionally considered a pathology of adults. Accordingly, virtually all research was devoted to the diagnosis and treatment of this pathology in the above group of patients. Purpose of research. Justification of tactics in surgical treatment of cholelithiasis in children. Patients and research methods. The work formed observations on 135 children aged from 2 to 17 years with cholelithiasis. In 70.4% of cases the disease is observed in girls and boys, respectively at 29.6%. 7.8% of patients have children disease arose against the backdrop of hemolytic anemia. One patient, who received urgent indications, had manifestations of mechanical jaundice: an increase in the level of common bilirubin and its direct fraction, pronounced jaundice of the skin. In the second group, 140 children with chronic stoneless cholecystitis were compared. Research result. All patients with cholelithiasis identified different ways deformation in the area of gallbladder duct. One of the major causes of cholelithiasis in children are changes in the gallbladder duct. No patient has ever been found in concretions extrahepatic biliary passages. In patients with chronic stone-free cholecystitis pathology in the area of bladder flow was not found. Conclusion. One of the major causes of gallstone disease in children are changes in the gallbladder duct, that most likely leads to obstruction of outflow of bile from the gall bladder, with the subsequent formation of concrements. Therefore, the conduct of conservative treatment of cholelithiasis in children appear to be ineffective and the method of choice in the treatment of this pathology can be a cholecystectomy.

scholarly journals Mitral insufficiency: systematization, conservative and surgical treatment

2017 ◽  
Vol 14 (1) ◽  
pp. 30-36
Author(s):  
E V Cherepanova ◽  
M A Gurevich
Keyword(s):  
Surgical Treatment ◽  
Case Management ◽  
Clinical Features ◽  
Diagnostic Methods ◽  
Mitral Insufficiency ◽  
Conservative And Surgical Treatment

The article concerns mechanisms, clinical features, diagnostics, possible complications and treatment of mitral insufficiency. Much attention is given to modern diagnostic methods, principles for case management and indications for surgical treatment.

scholarly journals Diagnostic criteria and result of treatment of Eagle syndrome

2020 ◽  
pp. 80-86
Author(s):  
Sergey M. Pukhlik ◽  
Anatoly P. Shchelkunov ◽  
A.A. Shchelkunov
Keyword(s):  
Surgical Treatment ◽  
Clinical Signs ◽  
Symptomatic Treatment ◽  
Styloid Process ◽  
Diagnostic Methods ◽  
Number Of Patients ◽  
Facial Area ◽  
One Year ◽  
Conservative And Surgical Treatment

Relevance: Styloid process syndrome – a disease which is caused by irritation of the styloid process of the temporal bone surrounding the nerve, vascular and muscle structures. The syndrome is manifested by chronic painin deep division of the facial area referred to the root of the tongue, throat and ear, dysphagia, symptoms of circulatory disorders of the brain. Because of the low awareness of the disease practical specialists usually miss the diagnoses. Patients with different diagnoses are treated by different specialists; most often the prescribed symptomatic treatment is ineffective or does not give any result at all. The syndrome causes severe suffering to patients, reduces the quality of life. Purpose of the study: Assess the most significant clinical signs of the disease, mutual work between hypertrophied styloid process with the neurovascular neck formations, the effectiveness of conservative and surgical treatment. Materials and methods: 144 people were examined and treated by us. Of these, 103 women (71,5%), 41 men (28,5%), aged 25 to 70 years. The disease lasts from one year until 10-15 years. Tomography of the styloid processes with 3D reconstruction and contrasting of the main vessels of the neck was used. Results of the study and the discussion: we proposed a grading scale for the quality of the treatment, the five-point scale. The quality of the treatment was assessed by the number of reduction in scores and, accordingly, patient complaints. Of the total number of patients – 144 people, the success of the treatment by 0 points was assessed by 60 people (that is, absence of any symptomatology) (41,7%), 1 point – 44 (30,5%), 2-3 points – 27 (18,7%), 4-5 points – 13 (9%), that is significant effect of the treatment was not achieved. To all those people with the result of the treatment was estimated at 4-5 points, respectively, was proposed an operative method of the treatment – the resection of the styloid process from the corresponding side. Conclusions: Because of the lack of knowledge of such important topic it is necessary to improve diagnostic methods. Hypertrophy of the styloid process is not the main reason of the development of styloid syndrome; the degree of deviation of the process is important. Conservative treatment in most cases has a lasting effect, but has repeated symptoms after a certain period of time; surgical treatment should be directed to the maximal resection of styloid process for decreasing the axis pressure on the neurovascular bundle of the neck.

scholarly journals Paraganglioma of the urinary bladder. Experience in surgical treatment

2021 ◽  
Vol 14 (1) ◽  
pp. 156-160
Author(s):  
A.Yu. Pavlov ◽  
◽  
A.G. Dzidzaria ◽  
A.D. Tsybulsky ◽  
S.V. Fastovets ◽  
...  
Keyword(s):  
Bladder Cancer ◽  
Clinical Case ◽  
Clinical Course ◽  
Intraoperative Complications ◽  
Diagnostic Methods ◽  
Diagnosis And Treatment ◽  
Federal State ◽  
Optimal Method ◽  
Correct Treatment

Introduction. Pheochromocytoma is a tumor that develops from the chromaffin tissues of the sympathetic nervous system. The most frequent localization is the adrenal medulla. However, in about 10% of cases, pheochromocytomas can occur in ectopic or extrarenal localities (the brain and up to the pelvic organs). An ectopic pheochromocytoma is called a paraganglioma. It may be difficult for doctors to determine an accurate diagnosis due to the fact that the disease emits bladder cancer in its clinical manifestation. The rare localization and poorly understood structure of the tumor also makes it difficult for specialists to determine the correct treatment strategy. This article describes a rare clinical case that clearly demonstrates all stages of the clinical course, diagnosis, and treatment of bladder parganglioma. Materials and methods. We are looking at a clinical case that occurred in the clinic of the Federal state budgetary institution RSCR. This article describes in detail all stages of the clinical course, methods of diagnosis and treatment of paraganglioma of the bladder. Clinical practice and results. Paragangliomas are rare tumors of the bladder. They may have clinical, radiological, and pathological features similar to bladder cancer. Typical symptoms are catecholamine secretion, especially associated with periods of urination. Conclusions. The optimal method of treatment is laparoscopic or open resection of the bladder. Other methods of treatment, such as transurethral resection, can be considered as effective diagnostic methods, but as an independent treatment option, they are associated with non-radicality and a high risk of intraoperative complications. In the future, it is critical to standardize the principles of examination, treatment and follow-up of patients with paraganglioma of the bladder.

Peroral drainage of post-traumatic sialocoeles: report of three cases

2009 ◽  
Vol 123 (8) ◽  
pp. 922-924 ◽  
Author(s):  
O Edkins ◽  
A C van Lierop ◽  
J J Fagan ◽  
D E Lubbe
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Surgical Technique ◽  
Conservative Treatment ◽  
Conservative Management ◽  
Simple Procedure ◽  
Minimal Risk ◽  
Initial Management ◽  
Parotid Duct ◽  
Post Traumatic

AbstractObjective:To discuss the technique and outcome of this simple procedure and the management of post-traumatic parotid sialocoeles, and to review the literature regarding this condition.Case report:We report the successful surgical treatment, by peroral drainage, of three patients with post-traumatic parotid sialocoele resistant to conservative management.Discussion:We discuss the method and outcome of the surgical procedure performed, along with the causes, presentation and management of parotid sialocoele.Conclusion:Correct initial management of a parotid duct injury may prevent the formation of a sialocoele. When conservative treatment of post-traumatic parotid sialocoele fails, we advocate the surgical technique described in this report as it is effective, simple and carries minimal risk to the patient.

scholarly journals DEGENERATIVE SPINE DISORDERS COMPLICATED BY RADICULAR SYNDROME IN CHILDREN: AN EPIDEMIOLOGICAL AND CLINICAL ANALYSIS OF A 17-YEAR REGIONAL COHORT STUDY

2019 ◽  
Vol 16 (1) ◽  
pp. 38-47 ◽  
Author(s):  
V. P. Snishchuk ◽  
A. Yu. Mushkin
Keyword(s):  
Surgical Treatment ◽  
Conservative Treatment ◽  
Clinical Manifestations ◽  
Clinical Analysis ◽  
Leningrad Region ◽  
Operating Table ◽  
Degenerative Diseases ◽  
Epidemiological Analysis ◽  
Radicular Syndrome ◽  
Conservative And Surgical Treatment

Objective.To analyze epidemiological and clinical features of degenerative disease of the spine complicated by radicular syndrome in children, as well as the effectiveness of its treatment on the example of one of the largest regions of the Russian Federation.Material and Methods.Design of the study corresponds to a retrospective cohort clinical and epidemiological study for 17 years. The study included 201 patients aged 10–17 years with degenerative changes in the spine complicated by radicular syndrome. An epidemiological analysis included the assessment of the regional incidence of degenerative diseases of the spine in children, and clinical analysis – the effectiveness of conservative and surgical treatment. The age and sex structure of the cohort, the level of pathology, the effectiveness of surgical treatment, and age-related features of early spinal discosis in children as compared with degenerative lesions of the spine in adults were analyzed.Results.The epidemiological frequency of degenerative diseases accompanied by clinical manifestations and requiring special treatment in the Leningrad Region was assessed as 8.7 per 100 thousand children aged 10–17 years. Conservative treatment was effective in 172 patients, and 29 patients were treated with surgery. Surgical results were followed up for 1 to 16 years after surgery and were evaluated as excellent, good, and satisfactory respectively in 4 (14 %), 20 (69 %), and 5 (17 %) cases. Complications were reported in two cases: migration of the interbody stabilizing implant and positional neuropathy of the peroneal nerve associated with the position on the operating table.Conclusion. The epidemiological analysis conducted on a regional cohort of the Leningrad Region can be used in assessing the potential need for conservative and surgical treatment of children with degenerative pathology in other regions of Russia. Conservative treatment of this pathology is quite effective, and surgical decompression of nerve roots was required only in 14.4 % of cases.

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