he Short-Term and Long-Term Results of Surgical Treatment for Diabetic Foot Syndrome and Evaluation of the Quality of Life of Patients (Literature Review)

Aim. Compare the short-term and long-term results of the traditional and original methods of terminoterminal pancreaticojejunostomy with subtotal resection of the pancreatic head.Materials and methods. The results of subtotal resection of the pancreatic head in 20 patients with chronic pancreatitis with pancreatic duct obstruction at the level of the head are analyzed. In 10 cases at the final stage of the operation, the traditional terminoterminal pancreaticojejunostomy was performed, in 10 – in the original way.Results. Biliary tract decompression was performed in 65% of patients. The average duration of operation from original terminoterminal pancreaticojejunostomy operation was 170 min. [165; 180], intraoperative blood loss – 210 ml [200; 240], the average duration of postoperative hospital stay – 16 days [14; 17]; there were no mortality. After 5 years, in all patients who underwent the original terminoterminal pancreaticojejunostomy, the expressiveness of pain according to the developed ten-point scale was <4 points. Frequency for the first time diagnosed diabetes was 50–60%. The need for enzyme drugs was noted in 37.5–40% of cases. The frequency of complications requiring repeated surgical interventions is 12%, persistent disability – 50%. The quality of life indicators for Medical Outcome Study Short Form-36 and European Organisation for Research and Treatment of Cancer quality of life questionnaire – C30 exceeded those of the traditional method of completing the surgery by 3.9–8.4% and 9.3–16.7%.Conclusion. The original way of a single-row terminoterminal pancreaticojejunostomy with subtotal resection of the pancreatic head allows to reduce averages operative time and postoperative hospital stay. The risk of hemorrhagic complications from the resected pancreatic head does not decrease (10%). After 5 years, an insignificant advantage of the original method of terminoterminal pancreaticojejunostomy compared with the traditional one was noted. The incidence of permanent disability was 15% less, the quality of life indicators for the Medical Outcome Study Short Form-36 and European Organisation for Research and Treatment of Cancer quality of life questionnaire – C30 were better.

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Assessment of the outcomes of the treatment of patients with suppurative necrotic complications of diabetic foot syndrome with the use of programmed rehabilitation technologies

Grekov s Bulletin of Surgery ◽

10.24884/0042-4625-2018-177-6-63-68 ◽

2018 ◽

Vol 177 (6) ◽

pp. 63-68 ◽

Cited By ~ 1

Author(s):

A. A. Glukhov ◽

V. V. Sergeev ◽

G. A. Semyonova

Keyword(s):

Diabetic Foot ◽

Reference Group ◽

Postoperative Mortality ◽

Diabetic Foot Syndrome ◽

Study Group ◽

Long Term Outcomes ◽

Short Term ◽

Critical Ischemia

Objective.To assess the outcomes of the treatment of patients with suppurative necrotic complications of diabetic foot syndrome (DFS) without critical ischemia with the use of programmed rehabilitation technologies (PRT).Materialand methods.The study included 82 patients. 40 patients (reference group) underwent conventional rehabilitation, while 42 patients (study group) were treated with PRT with the use of the original equipment AMP-01.Results.Use of PRT has been established to significantly improve the quality of rehabilitation, which helps to reduce the duration of inpatient treatment. The number of suppurative complications in the study group proved to be significantly less (p=0.014), and postoperative mortality was lower. The long-term outcomes of the treatment (number of late suppurative complications, ischemia progression, maintenance of foot support ability) in the study group was also found to be significantly better compared to the reference group.Conclusion.The use of PST promotes the improvement of short-term and long-term outcomes of the treatment of the patients with DFS suppurative necrotic complications.

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Efficacy of the trans‑obturator and retropubic mid‑urethral slings for stress urinary incontinence

Slovenian Medical Journal ◽

10.6016/zdravvestn.2859 ◽

2019 ◽

Vol 88 (3-4) ◽

pp. 115-124

Author(s):

Matej Keršič ◽

Maruša Keršič ◽

Tina Kunič ◽

Matija Barbič ◽

Ivan Verdenik ◽

...

Keyword(s):

Quality Of Life ◽

Urinary Incontinence ◽

Surgical Treatment ◽

Short Form ◽

Long Term Results ◽

Efficacy And Safety ◽

Severity Scale ◽

Exclusion Criteria

Background: The aim of our study was to report the extended long-term results of the use of tension-free vaginal tape (TVT) and trans-obturator tape (TOT) for the treatment of female urinary stress incontinence (SUI) at the Division of Gynaecology and Obstetrics / UMC Ljubljana. There are few data on this topic in the literature. Our aim was to find out whether and how the procedure improved the patients’ quality of life and for how long, whether the patients had complications after the procedure, and how this type of procedure affected the long-term results.Methods: A retrospective clinical trial comparing the use of TVT and TOT was carried out from January to August 2017 and included all the patients operated on at the Division of Gynaecology and Obstetrics / UMC Ljubljana with TVT or TOT procedure for stress or mixed urinary incontinence (UI) associated with urethral hyper mobility (the stress component was clinically predominant). The exclusion criteria were more than 10 years from procedure, age more than 80 years in 2016, previous anti-incontinence surgery and/or pelvic organ prolapse more than stage I on POP–q in any vaginal compartment. After inclusion and exclusion criteria, 1104 patients were sent quality-of-life questionnaires (PGI-S, PGI-I, SANDVIK SEVERITY SCALE, UDI-6, IIQ-7, ICIQ-UI Short Form (Slovenian)) with questions about the diagnosis, procedures, complications, reoperations, post-operative results, and satisfaction with the procedure. Till August 2017 (6 months after sending) we received 466 questionnaires (42.2 % response rate). After 225 questionnaires were excluded due to incomplete data, 241 questionnaires were analysed.Results: In the analysed group of patients (N = 241), 189 (78 %) had TOT and 52 (22 %) had TVT. Our retrospective study has confirmed that the efficacy and safety of TOT and TVT in the surgical treatment of SUI are comparable. The TOT and TVT groups did not differ significantly from each other in PGI-S, PGI-I, SANDVIK SEVERITY SCALE, UDI-6, IIQ-7, and ICIQ-UI Short Form or in postoperative complication rate. Repeat surgery was needed in 25/189 (13.2 %) TOT patients and 12/52 (23.1 %) TVT patients; p = 0.082. Urinary retention appeared in 18/189 (9.5 %) TOT patients and 7/52 (13.5 %) TVT patients; p = 0.411. Mesh erosion/inflammation appeared in 12/189 (6.3 %) TOT patients and 2/52 (38 %) TVT patients; p = 0495.Conclusion: We can conclude that the efficacy and safety of TOT and TVT in the surgical treatment of SUI are comparable. The choice of the technique should be based on the relative pros and cons of techniques and the surgeon’s experience.

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Quality of life after low-dose rate-brachytherapy for prostate carcinoma – long-term results and literature review on QLQ-C30 and QLQ-PR25 results in published brachytherapy series

Health and Quality of Life Outcomes ◽

10.1186/s12955-018-0844-8 ◽

2018 ◽

Vol 16 (1) ◽

Cited By ~ 4

Author(s):

Daniel Buergy ◽

Vincent Schneiberg ◽

Joerg Schaefer ◽

Grit Welzel ◽

Lutz Trojan ◽

...

Keyword(s):

Quality Of Life ◽

Literature Review ◽

Dose Rate ◽

Prostate Carcinoma ◽

Low Dose ◽

Long Term Results ◽

Low Dose Rate ◽

Low Dose Rate Brachytherapy

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Quality of life and self-esteem in patients submitted to surgical treatment of skin carcinomas: long-term results

Anais Brasileiros de Dermatologia ◽

10.1590/abd1806-4841.20142742 ◽

2014 ◽

Vol 89 (4) ◽

pp. 594-598 ◽

Cited By ~ 4

Author(s):

Paula Curitiba Maciel ◽

Joel Veiga-Filho ◽

Marcelo Prado de Carvalho ◽

Fernando Elias Martins Fonseca ◽

Lydia Masako Ferreira ◽

...

Keyword(s):

Quality Of Life ◽

Surgical Treatment ◽

Self Esteem ◽

Long Term Results

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Long-Term Results of Surgically Treated Radial Polydactyly – An Outcome Correlation Study

The Journal of Hand Surgery (Asian-Pacific Volume) ◽

10.1142/s2424835519500322 ◽

2019 ◽

Vol 24 (03) ◽

pp. 264-269

Author(s):

Ching Man Yeung ◽

Alexander Kai Yiu Choi ◽

Jennifer Wing Sze Tong ◽

Winnie Fok ◽

Yat Fai Chan ◽

...

Keyword(s):

Quality Of Life ◽

Surgical Treatment ◽

Well Being ◽

Structure And Function ◽

Long Term Results ◽

Activity Restriction ◽

Patient Reported ◽

And Function

Background: Thumb polydactyly is one of the commonest congenital hand differences. Traditional surgeon-based outcome scores capture outcomes mainly on bodily structure and function. Outcomes on the long-term well-being of the patients in the domains of activity and participation are not fully studied. Methods: Forty-eight thumbs in forty-five Chinese patients with radial polydactyly underwent surgical treatment at or before 3 years old were recruited. Mean follow-up was 11.6 years. Surgical outcomes were collected and compared to the normal opposite thumb. The results were compiled into the Japanese Society for Surgery of the Hand (JSSH) score, Cheng score and Tada score. Patients’ activity involving hands were assessed by both objective tools and patient-reported outcome measure while their health-related quality of life (HRQoL) was assessed by Patient- and Parent-reported Pediatric Quality of Life Inventory (PedsQL). Correlations between outcomes were analysed. Results: Overall, both parents and patients themselves reported good quality of life with mean score of 86.6% and 92.1% respectively in PedsQL. The combined surgical scores ranged from 52% good or excellent results using JSSH score to 100% good result using Cheng score. None of the outcomes on bodily structure and function showed positive correlation with patient’s well-being. Negative correlation was noted in total passive range of movement, active movement and Cheng score. All patients reported no activity restriction. Writing test did not show significant slowing. The operated hands had significantly poorer fine motor dexterity than normal. No significant correlation is noted between activity outcomes and PedsQL. Conclusions: Outcomes on bodily structure, function and activity showed little correlation with patients’ well-being after thumb polydactyly correction. It should be careful in using or analysing patient/parent-reported outcome measures on HRQoL as outcome assessment of surgical treatment of radial polydactyly.

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