scholarly journals CRIO-INFLUENCE IN SURGICAL TREATMENT OF BENIGN TUMOURS OF FOOT BONES

2010 ◽  
Vol 16 (3) ◽  
pp. 74-78
Author(s):  
S. V. Dianov ◽  
K. M. Halagummaev
Keyword(s):  
Surgical Treatment ◽  
Bone Cyst ◽  
Border Line ◽  
Foot Bones ◽  
Solitary Bone Cyst ◽  
Results Of Treatment ◽  
Number Of Patients ◽  
Benign Tumours ◽  
Pathological Focus ◽  
Positive Results

The material of investigation was the results of treatment of 131 patients with foot bones tumours. The largest number of patients referred, to age interval from 11 to 30 years (69,6%). More than half of cases were osteochondromas (54%), then solitary bone cyst (14,5%) and chondromas (13%). Other nosologic forms were met significantly seldom. Two groups of patients were examined: the main group (with crio-influence) - 44 patients and group of comparison (without crio-influence) - 87 patients. The plot of operation was in flat, border-line, intrafocusal or segmental resection of damaged section, crio-instillation or contact curio-processing of bone and auto- or allopathic of respected defect. The results of treatment were estimated in a year after operation. After usage of curio-surgical method there were observed positive results in 41 patients, satisfactory - in 2 and unsatisfactory - in 1. The results of treatment with traditional method were positive in 79 cases, satisfactory - in 2, unsatisfactory - in 6. The worked-out method of curio-surgical treatment of foot bone tumours includes resection of pathological focus, itraoperative crio-influence on bone tissue and bone plastic transplantation of resected, defect. The analysis of criosurgical operations of foot gave the foundation to consider such interventions significant and perspective in treatment of patients with tumours and tumour similar damages of foot bone.

scholarly journals Surgical treatment of solitary bone cysts in children by parietal resection with plastic reconstruction with bone replacement materials

2020 ◽  
pp. 49-51
Author(s):  
S. V. Busarov ◽  
A. S. Zolotov
Keyword(s):  
Surgical Treatment ◽  
Bone Cyst ◽  
Bone Cysts ◽  
Study Objective ◽  
Radiological Criteria ◽  
Plastic Reconstruction ◽  
Solitary Bone Cyst ◽  
Results Of Treatment ◽  
Bone Replacement ◽  
Residual Cavity

Objective. The study objective is to assess the effectiveness of bone cysts treatment by parietal resection of a bone cyst with plastic reconstruction with bone replacement materials.Methods: We have analyzed surgical treatment of 13 patients aged from 6 to 16 years with the diagnosis “solitary bone cyst”. As bone replacement material we used “Osteomatriks” (9 cases), (2 cases) and Chronos (2 cases). Surgical operations were performed in the active stage of cyst in eight patients and in the passive stage – five patients. To assess the results of treatment we used radiological criteria C.S. Neer et al. (1973).Results: Recovery was registered in 11 cases, residual cavity – in 1 case, relapse – in 1 case.Conclusions: Parietal resection with plastic reconstruction with bone replacement materials is a quite effective method of treatment of solitary cysts in children. In this case “Osteomatriks” can be an alternative to more expensive and less available materials. 

Surgical treatment and follow-up of solitary bone cyst of the mandible:a report of seven cases

2001 ◽  
Vol 39 (3) ◽  
pp. 221-223 ◽  
Author(s):  
M. Peñarrocha-Diago ◽  
J.M. Sanchis-Bielsa ◽  
J. Bonet-Marco ◽  
J.M. Minguez-Sanz
Keyword(s):  
Surgical Treatment ◽  
Bone Cyst ◽  
Solitary Bone Cyst

Results of open and endoscopy-guided removal of hypertensive intracerebral hematomas

2018 ◽  
Vol 20 (2) ◽  
pp. 50-57
Author(s):  
Ya. A. Shesterikov ◽  
К. G. Petrosyan ◽  
E. N. Pospelov ◽  
Е. G. Melidi ◽  
S. V. Tsilina ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Death Rate ◽  
Surgical Navigation ◽  
Outer Diameter ◽  
Endoscopic Intervention ◽  
Results Of Treatment ◽  
Surgical Navigation System ◽  
Group I ◽  
Number Of Patients ◽  
Luminal Area

The objectiveis to compare the effectiveness of surgical treatment of the patients with hypertensive intracerebral hematomas (ICH) using endoscopic aspiration and craniotomy removal.Materials and methods.Analysis of the results of surgical treatment of 132 patients with ICH. Patients of group I (n = 72) underwent craniotomy removal of ICH, group II (n = 60) underwent endoscopic intervention. Endoscopic ICH aspiration was performed using surgical navigation system and ventriculoscope (outer diameter – 6.5 mm, operating length – 13 cm, luminal area of the working channel – 20 mm2), with a high light-transmitting capacity.Results.Death rate in the patients over the age of 71 after endoscopic intervention was significantly lower than after craniotomy removal (45.4 and 86 %, respectively). In patients with soporose condition, death rate after open removal was 86.4 %, and after endoscopic aspiration – 44 %; in patients with wakefulness reduced to coma this indicator was 100 and 75 %, respectively. Death rate in the patients with thalamic ICH was 20 % after endoscopic intervention and 83.3 % after open surgery, with putaminal ICH – 39.5 and 50 %, respectively, with subcortical ICH – 22.7 and 0 %. Among patients with a hematoma with volume of up to 40 ml, death rate was 17.2 and 4.7 % in the groups I and II, respectively, with volume from 61 to 100 ml – 81.8 and 66.7 %.Conclusion. After endoscopy-guided removal of ICH the number of patients with good recovery increased 3-fold, and the post-operative mortality decreased by 19 %. The use of endoscopic technique in the treatment of hypertensive ICH under the control of neuronavigation (in comparison with open craniotomy removal and microsurgical ICH evacuation) improved the results of treatment due to decreasing of mortality rate and improvement of functional outcomes of the disease.

scholarly journals ECONOMIC INDICATORS OF SURGICAL TREATMENT OF ATHEROSCLEROSIS OF THE FEMORAL-POPLITEAL SEGMENT IN PATIENTS FOR CRITICAL LIMB ISHEMIA

2021 ◽  
Vol 4 (18) ◽  
pp. 51-57
Author(s):  
O.A. Holyachenko ◽  
Y.M. Gupalo ◽  
O.I. Nabolotnuy ◽  
B.L. Kulikovskuy ◽  
A.V. Shamrai-Sas ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Lower Extremity ◽  
Bypass Surgery ◽  
Transluminal Angioplasty ◽  
Economic Indicators ◽  
Surgical Interventions ◽  
Results Of Treatment ◽  
Number Of Patients ◽  
Patients With Diabetes ◽  
Average Patient

Introduction: is to analyze the economic indicators of different types of surgical treatment of atherosclerosis of the femoral-popliteal segment of the lower extremity in patients for сritacal limb ishemia. Materials and methods. were analyzed 173 cases of atherosclerosis of the femoral-popliteal segment of the lower extremity in patients for сritacal limb ishemia, of which 93 underwent arterial percutaneous transluminal angioplasty and 80 bypass surgery of the affected vessels. For this an original model of determining the value of medical care was used. It included the determination of costs that was given as a payment for medical workers, material and technical costs, the surgical interventions costs, the drugs that were used, additional examinations, and etc. Results. Economic analysis of costs per average patient that underwent PTA was UAH 5025.85, and bypass surgery UAH 4351.1. However,analyzing the results of treatment showed that there are small differences between the two methods, in particular a larger number of patients with diabetes. Conclusions. Both methods of treatment gave almost the same result in terms of the cost of treatment, which requires consideration of other factors, especially the clinical course of the disease.

scholarly journals Modern Methods of Treating Erectile Dysfunction in Young Men

Health of Man ◽  
2021 ◽  
pp. 49-58
Author(s):  
Oleksandr Knigavko ◽  
Viktoriia Dorina
Keyword(s):  
Erectile Dysfunction ◽  
Surgical Treatment ◽  
Chronic Prostatitis ◽  
Young Patients ◽  
Young Men ◽  
Sexual Life ◽  
Modern World ◽  
Subjective Data ◽  
Results Of Treatment ◽  
Number Of Patients

Traditionally, the incidence of erectile dysfunction (ED) increases with the age of a man, evolutionarily protecting him from passing on old, defective genes to his offspring by limiting his participation in sexual activity. Nevertheless, in the modern world, only 1 % of sexual contacts are carried out for the purpose of reproduction, the rest – with a recreational and social purpose. In addition, there has been an increasing number of cases of ED in young men lately. The problem of treating ED in young patients (up to 45 years old) requires an etiological approach. The objective: to determine the effectiveness of etiological non-surgical (treatment of prostatitis, psychotherapy) or minimally invasive (Marmara operation, veno-occlusive surgery, PRP-therapy) treatment of young men with ED. Materials and methods. On the basis of the Kharkiv Regional Medical Clinical Center for Urology and Nephrology named after V.I. Shapoval and on the basis of the P. Mogila Black Sea National University (Nikolaev) during 2014–2020. a comprehensive examination and treatment of 563 patients was carried out, which were divided into three supergroups (A, B and C) according to the prevailing factor: 156 patients with venoocclusive erectile dysfunction – supergroup A, 353 patients with chronic prostatitis – supergroup B and 54 patients with predominant psychoneurological disorders and the absence of organic pathology - supergroup C. Results. The effectiveness of surgical treatment in supergroup A according to subjective data after 2 months was almost equal in groups and subgroups, but after 18 months it was significantly higher in subgroups 1b and 2b (65.4 % and 83.7 %) according to ICEF results, and according to objective data after 18 months – 73.4 % and 91.4 %, respectively. After 1 and 7 months, the effectiveness of treatment in supergroup B was determined by the indices of satisfaction with sexual intercourse on the IIEF scale, the number of patients satisfied with the results of treatment, the absence of prostatic complaints and the eradication of infectious agents. Convincing results were obtained when assessing the quality of life of patients in supergroup C. Conclusion. Chronic prostatitis is the most common cause of erectile dysfunction ED in young men. Three-week antibacterial etiological treatment demonstrates the highest rates of infection eradication and ICEF recovery in patients with prostatitis. Operation Marmara reduces venous hyperemia of the prostate, lowers the IPSS score, and improves erectile function in patients with comorbid pathology. The use of an etiological approach allows to improve the sexual function of young patients, returning them to a normal sexual life, creating an alternative to falloprosthetics.

scholarly journals SURGICAL TREATMENT OF SUPERIOR THORACIC OUTLET SYNDROME

2015 ◽  
Vol 174 (1) ◽  
pp. 78-83 ◽  
Author(s):  
A. D. Gaibov΄ ◽  
A. Z. Kakhorov ◽  
O. N. Sadriev ◽  
Kh. A. Yunusov
Keyword(s):  
Surgical Treatment ◽  
Thoracic Outlet Syndrome ◽  
Cervical Vertebrae ◽  
Diagnostic Procedures ◽  
Long Term Results ◽  
Raynaud’S Syndrome ◽  
Results Of Treatment ◽  
Positive Results ◽  
Cervical Ribs

The authors present immediate and long-term results of treatment of 117 patients with superior thoracic outlet syndrome (STOS). There were different reasons for compression of neurovascular fascicle in outlet of the thorax. The costaclavicular syndrome was a reason in 48 patients, additional cervical ribs had 36 patients. Skalenus syndrome was noted in 26 cases, rudimentary cervical ribs or hypertrophy of cervical vertebrae C7 had 7 patients. Raynaud’s syndrome took place in 19 cases. The required volume of diagnostic procedures and surgical treatment of STOS were determined according to the cause of the syndrome. Differentiated approach to the different forms of STOS was used in relation to dominant symptoms of the disease and reasons for compression of neurovascular fascicle. This allowed getting positive results in majority of patients (90,4%) in long-term period.

scholarly journals ESTIMATION OF RESERVES FOR IMPROVING THE RESULTS OF PATIENTS WITH MULTIPRESISTANT PULMONARY TUBERCULOSIS IN THE APPLICATION OF SURGICAL METHODS BASED ON ANALYSIS OF THE EFFICIENCY OF CONSERVATIVE TREATMENT OF A SPECIFIED COHORT

2018 ◽  
Vol 5 ◽  
pp. 33-39
Author(s):  
Oleg Khmel ◽  
Igor Kalabukha ◽  
Vladimir Ivashchenko
Keyword(s):  
Surgical Treatment ◽  
Conservative Treatment ◽  
Pulmonary Tuberculosis ◽  
Surgical Intervention ◽  
Cohort Analysis ◽  
Multidrug Resistant ◽  
Complete Cure ◽  
Results Of Treatment ◽  
Number Of Patients ◽  
Surgical Methods

In order to improve the results of treatment of patients with multi-resistant pulmonary tuberculosis with the use of surgical methods, the effectiveness estimation of conservative treatment of 176 patients with this form of tuberculosis according to cohort analysis data in two districts of Kyiv were done. In the list were included following parameters: type of the tuberculosis, its clinical-radiological form and the prevalence of the process, the results of conservative treatment in patients who completely finished the course of anti-TB chemotherapy and the results of conservative treatment of 81 patients who had indications for surgical treatment but had not been operated. Processing of the materials of the study was carried out with the use of licensed software products included in the Microsoft Office Professional 2007 package. The predicted results of treatment were calculated on the condition of surgical intervention. Out of the total sample of patients, 31.3 % of the patients completed treatment. Mortality was 16.5 %, transferred to palliative care 11.9 %. More than one in three patients (35.2 %) stopped treatment at different times from the start. According to the clinic of thoracic surgery SU "National Institute of Phthisiology and Pulmonology named after F.G. Yanovsky NAMS of Ukraine ", the overall effectiveness of treatment for patients with limited multidrug-resistant tuberculosis with the use of surgical intervention is about 95 % in the absence of mortality. We have modelled the potential results of treatment of the selected cohort in case of the surgical stage is fully and timely applied in a complex of therapeutic treatment. If all 81 patients with indications for surgical treatment used that way, then, with the above efficiency, a complete cure could be predicted in 77 patients (44.5 % of the total number of observations), which in turn would allow predicting the achievement completion of treatment at 64.2 % with complete cure for 60.6 % of patients. Thus, it is established that the positive result of surgical treatment in the general complex of treatment measures in patients with multidrug-resistant pulmonary tuberculosis is able to improve the results of treatment of this contingent more than twice, reduce the mortality almost by three times, reduce the need for repeated courses of treatment from 7.4 % to 1.7 %, as well as to reduce the epidemiological reservoir of infection due to a significant decrease in the number of patients with failure to treat tuberculosis, interrupted and palliative treatment.

scholarly journals A case of long-term staged treatment of a patient suffering from a peptic ulcer of the gastroduodenal zone. Case report

2021 ◽  
Vol 23 (5) ◽  
pp. 444-447
Author(s):  
Dmitry Yu. Semenov ◽  
◽  
Elena S. Did-Zurabova ◽  
Zeynur Kh. Osmanov ◽  
Polina A. Pankova ◽  
...  
Keyword(s):  
Peptic Ulcer ◽  
Surgical Treatment ◽  
Duodenal Mucosa ◽  
Number Of Patients ◽  
Ulcerative Lesions ◽  
Gastroduodenal Zone ◽  
Conservative And Surgical Treatment ◽  
Staged Treatment ◽  
Positive Results

Currently, a unified approach to the treatment of peptic ulcer of the upper gastrointestinal tract has been developed, based on knowledge of the pathogenesis of the disease. However, standard methods of conservative and surgical treatment do not bring positive results to a number of patients. The reason may lie in the impossibility of establishing the true etiological factor of this pathology. It must be remembered that patients with of the gastroduodenal zone are not a homogeneous group and require a differentiated approach to diagnosis and treatment. The article describes a clinical case of successful of complicated ulcerative lesions of the gastric and duodenal mucosa, resistant to various methods of conservative and surgical treatment.

Physical activity and consolidation of proximal hip fractures among seniors

2020 ◽  
pp. 17-21
Author(s):  
Sergey A. EMELYANOV ◽  
Anton N. PETRUKHIN ◽  
Sergey A. MORDOVIN
Keyword(s):  
Surgical Treatment ◽  
Hip Fractures ◽  
Lower Limb ◽  
Postoperative Treatment ◽  
The Third ◽  
Femur Neck ◽  
Results Of Treatment ◽  
Fracture Consolidation ◽  
Additional Support ◽  
Positive Results

We analyzed the results of treatment of 23 patients of old age with proximal hip fractures. We carried out the work on the basis of the trauma department of Kotovsk City Clinical Hospital in the period from 2017 to 2019. After the surgical treatment, patients underwent monthly control examinations, as well as control radiographs after three, six, ten and twelve months. As a result of the study we highlighted three groups. The first group is 8 patients with normal fracture consolidation in accordance with the postoperative treatment term; the second group – 10 patients whose period of consolidation of fracture y exceeded the planned ones; the third group - patients with a non-growing fracture of the femur neck, revealed at control examinations. It is worth noting that all patients, regardless of belonging to one of the groups, performed movement independently or with additional support in the form of walkers, while walking slightly relying on the operated lower limb. Among all patients, we were able to achieve positive results through surgical treatment and subsequent early activation of patients. There were no fatalities.

scholarly journals Treatment and prophylaxis of scarry and comissural lumbosacral radiculopathies

2001 ◽  
Vol XXXIII (1-2) ◽  
pp. 25-28
Author(s):  
S. A. Kholodov
Keyword(s):  
Surgical Treatment ◽  
Surgical Approach ◽  
Vertebral Canal ◽  
Surgical Measures ◽  
Results Of Treatment ◽  
Fibrous Tissues ◽  
Positive Results

Aiming at treatment of compressive-comissural radiculopathies in patients with lumbar damage with discs involvement surgical treatment was used including set of procedures, directed to minimization of scarry and comissural process and its consequences in microsurgery of lumbar disease with discs damage. Peculiarities of surgical approach to the structures of vertebral canal, reconstructive elements of surgery, and also techniques of implantation of silicon microneuroprotectors and polytetrafluoroethylenic spinal membranes into neural structures zones are discussed. The proposed complex of surgical measures provides maximal decompression of neural structures of vertebral cord, their protection from the effect of musculocutaneous scars and fibrous tissues and positive results of treatment.

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