scholarly journals General anesthesia for surgical treatment of urethral obstruction in nine goats

2018 ◽  
Vol 87 (6) ◽  
pp. 314-325
Author(s):  
A. J. H. C. Michielsen ◽  
K. Proost ◽  
B. Pardon ◽  
L. De Cremer ◽  
S. Schauvliege
Keyword(s):  
Surgical Treatment ◽  
General Anesthesia ◽  
Continuous Monitoring ◽  
Case Series ◽  
Urethral Obstruction ◽  
Closed Circle ◽  
Closed Circle System ◽  
Examination Preparation ◽  
Preoperative Examination ◽  
Selection Of

Nine pygmy goats underwent surgical treatment for obstructive urolithiasis in a period of six months. In two cases, (second) revision surgery was necessary resulting in a total of twelve procedures under general anesthesia. Different anesthetic protocols were applied: analgesia was provided by an opioid (12/12) combined with either benzodiazepine (10/12) or an alpha-2 agonist (2/12). Anesthesia was induced with propofol (10/12) or ketamine (2/12) and maintained with isoflurane (8/12) or sevoflurane (4/12) in oxygen in a semi-closed circle system with continuous monitoring during anesthesia. Minor complications were mild bradycardia (4/12), hypotension (3/12), metabolic acidosis (1/12) and hypothermia (12/12). In four cases, epidural anesthesia was performed; in one of those four cases, severe complications developed (paralysis, 1/4). The goat was euthanized later. Although urethral obstruction increases the risk of general anesthesia, the selection of an appropriate anesthetic protocol, adequate preoperative examination/ preparation and detailed monitoring throughout anesthesia reduced the incidence of severe complications in this case series.

Our experience in the surgical treatment of congenital cataract

Reflection ◽  
2020 ◽  
Vol 10 (1) ◽  
pp. 25-27
Author(s):  
I. V. Kuznetsov ◽  
◽  
N. V. Pasikova ◽  
Keyword(s):  
Surgical Treatment ◽  
General Anesthesia ◽  
Congenital Cataract ◽  
Functional Results ◽  
Clinical Analysis ◽  
Early Postoperative Period ◽  
Congenital Cataracts ◽  
Initial Appointment ◽  
Examination Methods ◽  
Preoperative Examination

Aim. To present our experience and evaluate the results of surgical treatment of congenital cataracts. Methods. A clinical analysis of the results of congenital cataract aspiration in 16 children (22 eyes) aged 2 months to 5 years is performed. Bilateral cataract was determined in 6 children, unilateral – in 10. Preoperative examination of children aged 3–5 years was carried out in a standard way. Children younger than 3 years of age at the initial appointment underwent non-contact examination methods, the remaining studies were performed under general anesthesia in the operating room immediately before surgery. Congenital cataract phacoaspiration was performed under general anesthesia using the Stellaris microsurgical system (Bausch and Lomb, USA) through a 1.2-mm paracentesis in the lens irrigation-aspiration regime. Hydrophobic IOL models were implanted. The posterior lens capsule was preserved in all cases. Mandatory was the appointment of cycloplegics in drops in the early postoperative period. Results. An increase in visual acuity (from 0.03 to 0.7) occurred in all cases. However, presence of obscuration amblyopia of varying degrees required regular courses of pleoptic treatment. Conclusions. The effectiveness of congenital cataracts phacoaspiration is ensured by the fulfillment of federal clinical recommendations, however, sutureless surgery allows achieving high functional results in the treatment of this pathology. Key words: congenital cataract; phacoaspiration; intraocular lens.

scholarly journals Chemical or Surgical Treatment in Ingrown Toenails? Practical Issues from a Case Series

2019 ◽  
Vol 4 (2) ◽  
pp. 94-97 ◽  
Author(s):  
Anca Chiriac ◽  
Cristina Birsan ◽  
Cristian Podoleanu ◽  
Simona Stolnicu
Keyword(s):  
Surgical Treatment ◽  
Case Series ◽  
Skin Penetration ◽  
Daily Practice ◽  
Medical Problem ◽  
History Of ◽  
Previously Treated ◽  
Ingrown Toenails ◽  
Inflammatory Changes ◽  
Selection Of

Abstract Introduction: An ingrown toenail is a serious medical problem that cannot be overlooked, and the decision of choosing between conservative versus surgical treatment may be difficult in daily practice. Case series presentation: We present the cases of two young men with a long history of ingrown toenails, previously treated by complete nail avulsion, numerous topical applications of antibiotics, and 5% silver nitrate, successfully treated with caustic chemical agents, compared to a 19-year-old athlete with debilitating pain, intense inflammatory changes, infection, granulation tissue induced by skin penetration of lateral nail edge by an incurved toenail, in whom surgical treatment was needed. Conclusion: Chemical matricectomy in the absence of any surgical intervention, along with patience allowing the nail to grow, could be an option that is easy to perform in case of ingrown nails. However, the selection of cases is important, taking into balance the benefit-risk ratio.

Transforaminal Endoscopic Surgical Treatment for Post-Laminectomy Lumbar Radiculopathy: Case Series

2021 ◽  
Author(s):  
Albert E. Telfeian ◽  
Adetokunbo Oyelese ◽  
Jared Fridley ◽  
Ziya L. Gokaslan
Keyword(s):  
Surgical Treatment ◽  
Case Series ◽  
Lumbar Radiculopathy

Midcarpal instability

2015 ◽  
Vol 41 (1) ◽  
pp. 86-93 ◽  
Author(s):  
D. G. Hargreaves
Keyword(s):  
Surgical Treatment ◽  
Treatment Options ◽  
Case Series ◽  
Definite Diagnosis ◽  
Stress Tests ◽  
Functional Instability ◽  
Painful Wrist ◽  
Relative Rarity ◽  
Passive Stress

Midcarpal instability is a collective term for a number of conditions where the instability of the wrist is predominantly between the proximal and distal carpal rows. It has been regarded as relatively rare and infrequently requires surgical treatment. Palmar midcarpal instability is the most commonly found type of midcarpal instability and can be responsible for causing a clunking and painful wrist. The diagnosis is made on clinical grounds using the midcarpal instability provocative tests. Standard imaging and arthroscopic inspection do not usually confirm a definite diagnosis, but are important in excluding other pathologies. The classification and staging has been described using the extent of palmar translocation of the distal carpal row, which is elicited on passive stress tests. As this is a functional instability, it may be that a functional staging description might be better, and a proposed scheme is described. Treatment options including partial wrist fusions, tenodesis stabilizations and arthroscopic capsular shrinkage have been described in small case series with limited follow-up. There are no comparative series or randomized studies because of the relative rarity of this condition.

Surgical treatment of bilateral temporal lobe pharmacoresistant epilepsy

2020 ◽  
pp. 60-82
Author(s):  
Igor Sergeevich Trifonov ◽  
Mikhail Vladimirovich Sinkin ◽  
Elena Vladimirovna Grigoryeva ◽  
Rashid Abdurakhmanovich Navruzov
Keyword(s):  
Surgical Treatment ◽  
Temporal Lobe ◽  
Clinical Picture ◽  
Clinical Manifestations ◽  
Epileptogenic Zone ◽  
Pharmacoresistant Epilepsy ◽  
Modern Methods ◽  
Selection For ◽  
Selection Of Patients ◽  
Selection Of

Surgical treatment of bilateral temporal lobe pharmacoresistant epilepsy is associated with some difficulties: particularly, the lack of stereotypical clinical picture in the same patient and controversial data on modern methods of diagnostics — all these statements make identifying epileptogenic zone more difficult and lack of clear criteria for the selection of patients for surgical treatment. In this review, issues of aetiology, pathogenesis, clinical manifestations and criteria for the selection for surgical treatment suggested by different authors are presented.

Current Minimally Invasive Surgical Concepts for Sacral Insufficiency Fractures

2021 ◽  
Author(s):  
Ulrich Josef Albert Spiegl ◽  
Klaus J. Schnake ◽  
Bernhard Ullrich ◽  
Max J. Scheyerer ◽  
Georg Osterhoff ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Minimally Invasive ◽  
Screw Fixation ◽  
Case Series ◽  
Fracture Morphology ◽  
Iliosacral Screw ◽  
Insufficiency Fractures ◽  
Minimally Invasive Surgical ◽  
Sacral Insufficiency Fractures ◽  
Non Surgical Treatment

AbstractAn increasing incidence of sacral insufficiency fractures in geriatric patients has been documented, representing a major challenge to our healthcare system. Determining the accurate diagnosis requires the use of sectional imaging, including computed tomography and magnetic resonance imaging. Initially, non-surgical treatment is indicated for the majority of patients. If non-surgical treatment fails, several minimally invasive therapeutic strategies can be used, which have shown promising results in small case series. These approaches are sacroplasty, percutaneous iliosacral screw fixation (S1 with or without S2), trans-sacral screw fixation or implantation of a trans-sacral bar, transiliac internal fixator stabilisation, and spinopelvic stabilisation. These surgical strategies and their indications are reported in detail. Generally, treatment-related decision making depends on the clinical presentation, fracture morphology, and attending surgeonʼs experience.

Surgical treatment of soft tissue sarcomas

1980 ◽  
Vol 61 (6) ◽  
pp. 4-6
Author(s):  
M. Z. Sigal ◽  
G. F. Fatuhova
Keyword(s):  
Surgical Treatment ◽  
Soft Tissue ◽  
Soft Tissue Sarcomas ◽  
Skin Defect ◽  
Skin Grafts ◽  
Preoperative Examination

In 46 patients with sarcomas, extensive soft tissue resections were performed using free skin defect plasty. The limits of resection were determined on the basis of preoperative examination, examination and palpation of various tissue layers during the operation. Defects were replaced with free skin grafts ranging in size from 40 to 300 cm2.

Surgical treatment of brainstem cavernous malformations: an international Delphi consensus

2021 ◽  
pp. 1-11
Author(s):  
Philipp Dammann ◽  
Adib A. Abla ◽  
Rustam Al-Shahi Salman ◽  
Hugo Andrade-Barazarte ◽  
Vladimir Benes ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Case Series ◽  
Treatment Decision ◽  
Clinical Situation ◽  
Delphi Consensus ◽  
Consensus Process ◽  
Cavernous Malformations ◽  
Clinical Scenarios ◽  
Developmental Venous Anomalies ◽  
Question Survey

OBJECTIVE Indication for surgery in brainstem cavernous malformations (BSCMs) is based on many case series, few comparative studies, and no randomized controlled trials. The objective of this study was to seek consensus about surgical management aspects of BSCM. METHODS A total of 29 experts were invited to participate in a multistep Delphi consensus process on the surgical treatment of BSCM. RESULTS Twenty-two (76%) of 29 experts participated in the consensus. Qualitative analysis (content analysis) of an initial open-ended question survey resulted in 99 statements regarding surgical treatment of BSCM. By using a multistep survey with 100% participation in each round, consensus was reached on 52 (53%) of 99 statements. These were grouped into 4 categories: 1) definitions and reporting standards (7/14, 50%); 2) general and patient-related aspects (11/16, 69%); 3) anatomical-, timing of surgery–, and BSCM-related aspects (22/37, 59%); and 4) clinical situation–based decision-making (12/32, 38%). Among other things, a consensus was reached for surgical timing, handling of associated developmental venous anomalies, handling of postoperative BSCM remnants, assessment of specific anatomical BSCM localizations, and treatment decisions in typical clinical BSCM scenarios. CONCLUSIONS A summary of typical clinical scenarios and a catalog of various BSCM- and patient-related aspects that influence the surgical treatment decision have been defined, rated, and interpreted.

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