scholarly journals PATIENTS' CONTENTMENT WITH TRANSANAL HEMORRHOIDAL DEARTERIALISATION

2019 ◽  
pp. 25
Author(s):  
Branko Branković ◽  
Milica Nestorović ◽  
Goran Stanojević ◽  
Dejan Petrović ◽  
Dragan Mihajlović ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Surgical Treatment ◽  
Length Of Stay ◽  
Average Duration ◽  
Clinical Center ◽  
Duration Of Surgery ◽  
Effect Of Treatment ◽  
Grade 3 ◽  
Complications Rate ◽  
Surgical Option

Hemorrhoidectomy was the method of choice for treating grade 3 and 4 hemorrhoids. Due to a large number of complications, a new surgical treatment called transanal hemorrhoidal dearterialization (THD) was introduced. The aim of the study was to evaluate the effect of treatment with THD in patients with hemorrhoids. This study included 70 patients, 48 males and 22 females, who were hospitalized at the Clinical Center Nis in the period from September 2016 to September 2018. Fifteen patients had grade 4 hemorrhoids, 54 were with grade 3, one patient with grade 2. The average duration of the operation was 33.33 minutes, and patients were hospitalized for 1-2 days. We recorded: sex, age, stage, type of anesthesia, duration of surgery, length of stay, patient satisfaction, combinations of THD with other procedures, and surgical complications. In 46 patients, surgery was performed under general anesthesia, in 18 patients in spinal and in 6 patients in local anesthesia with analgesia. In 37 subjects we used THD only, and in 33 we used THD in combination with other methods. We observed the development of complications in 9 patients. Bleeding occurred in 2 patients, pain in 2, and urinary retention in 4, and abscess in 1. The majority of the patients (62.9%) were satisfied with this method, 27.1% were partially satisfied and 10% were unsatisfied. This method provides a shorter stay in the hospital, low complications rate and is a safe, fast and simple initial surgical option.

Surgery for Peyronie'S Disease: Comparison of Results

1998 ◽  
Vol 65 (1_suppl) ◽  
pp. 31-35
Author(s):  
P. Traverso ◽  
A. Simonato ◽  
S. Galli ◽  
A. Romagnoli ◽  
C. Corbu ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Surgical Treatment ◽  
Objective Assessment ◽  
Self Assessment ◽  
Induratio Penis Plastica ◽  
Anatomical Structures ◽  
Degree Of Satisfaction ◽  
Almost All ◽  
Surgical Option

Many, varied techniques have been used over the years in the surgical treatment of Induratio Penis Plastica (IPP). From December 1994 to March 1998, 83 patients were operated for IPP and assessed with an average follow-up of 20 months (range 2–24). Results were analysed, the overall assessment taking into consideration not only the objective clinical finding by the doctor, but also the degree of satisfaction expressed by patients. The patients were given a subjective self-assessment test considering the pre and post-operative changes in the following parameters: rigidity, curvature, glandular sensitivity, length of penis and satisfaction with general result. Another doctor in the department (not the operator) clinically assessed the same parameters during follow-up. Results showed that the above parameters were more favourable in patients operated for plaque and incision of the same than in those who had undergone removal. The subjective version of almost all patients and the clinical follow-up assessment were, however, in disagreement with these results. Moreover, only 60% of patients reported that they were generally satisfied. The subjective and objective assessment by the patients and doctor respectively are not always in agreement, highlighting the fact that patient satisfaction is sometimes unrelated to the clinical evaluation of “success” of the surgical option. In IPP therapy, results for the patient would seem to be better when less aggressive surgery is carried out on the plaque as described, i.e. with minimum dissection of the anatomical structures of the penis.

scholarly journals LAPAROSCOPY IN THE TREATMENT OF COLONIC DIVERTICULAR BLEEDING

2021 ◽  
pp. 92-95
Author(s):  
O. B. Tymchuk ◽  
M. A. Kashtalyan ◽  
V. Yu. Shapovalov
Keyword(s):  
Diverticular Disease ◽  
Postoperative Period ◽  
Average Duration ◽  
Bowel Function ◽  
Intestinal Bleeding ◽  
Diverticular Bleeding ◽  
Surgical Interventions ◽  
Left Hemicolectomy ◽  
Clinical Center ◽  
Duration Of Surgery

Summary. Objective. To analyze the experience of treatment of patients with diverticular disease of the colon, complicated by bleeding. Materials and methods. Analyzed the treatment of 221 patients, hospitalized in the Military Medical Clinical Center of the Southern region of Odessa, who underwent 263 surgeries for diverticular disease of the colon and its complications. Intestinal bleeding as a cause of hospitalization was noted in 17 (7.6 %) patients. Results and discussion. In 9 patients, bleeding was stopped by conservative methods. 8 patients underwent surgical treatment. The following surgical interventions were performed: laparoscopic left hemicolectomy (4), laparoscopic resection of the sigmoid colon (1), left hemicolectomy (3), righthemicolectomy (1). At laparoscopic left hemicolectomy the average duration of operation made (205 ± 12,5) min. The average duration of the postoperative period was (9.75 ± 1.2) days. The average duration of the postoperative period was (9.75 ± 1.2) days. With left-sided traditional hemicolec-tomy — the average duration of the operation — (215 ± 16.3) min, the average duration of the postoperative period — (14.5 ± 2.1) days. Conclusions. Our experience showed the relative duration of surgery in both laparoscopic and «traditional» open, the duration of the postoperative period with laparoscopic intervention is lower, the intensity of pain and recovery time of bowel function in the group of patients who also performed laparoscopic surgery. compared to traditional access operations.

scholarly journals SURGICAL TREATMENT OF THE COMBINED NON-NEOPLASTIC PATHOLOGY OF THE ANAL CHANNEL AND RECTUM

2016 ◽  
pp. 22-25
Author(s):  
A. V. Borota ◽  
F. I. Gulmamedov ◽  
V. A. Gulmamedov ◽  
G. E. Polunin ◽  
I. A. Plahotnikov ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Postoperative Complications ◽  
Anal Canal ◽  
Average Duration ◽  
Surgical Pathology ◽  
Control Group ◽  
Duration Of Surgery ◽  
Duration Of Hospitalization ◽  
Repeated Surgery

PURPOSE. To evaluate the results of surgical treatment of hemorrhoids in combination with other pathologies of the rectum and anal canal. MATERIALS AND METHODS. 331 patients are operated in clinic concerning non-neoplastic surgical pathology of the anal channel (AC) and the rectum (R) from 2012 to 2015. The probed group (PG) was 159 (48,0±2,7%) patients who underwent combined surgical treatment of hemorrhoids and other pathology AC and R. Control group (CG) was 172 (52,0±2,7%) patients who underwent hemorrhoidectomy. RESULTS. The average duration of surgery in PG was 28±5 min, in CG - 19±3 minutes (p>0.05). The amounts of long-term postoperative complications in the PG was 4,4±1,6/, in the CG - 2,3±1,1% (p> 0,05).The average duration of hospitalization in the PG was 5,1±1,0 days, in СG - 3,2±1,0 days (p> 0,05), the duration of rehabilitation in the PG was 20,3±3,2 days, in CG -15,1±2,0 days (p>0,05). CONCLUSION. Existence of the pathology of AC and R in combination with hemorrhoids is the indication to the combined surgical treatment. The increation in the duration ofsurgery, postoperative complications, duration of hospitalization and rehabilitation in the PG compared with the CG are not statistically significant. Simultaneous surgical treatment of hemorrhoids and other pathologies AC and R relieves the patient from having to perform repeated surgery and its possible complications.

Experience of conservative treatment of genital prolapse with urogynecological pessaries

GYNECOLOGY ◽  
2019 ◽  
Vol 21 (4) ◽  
pp. 24-26
Author(s):  
Gennady Y Yarin ◽  
Inna A Vilgelmi ◽  
Evgeny V Liuft
Keyword(s):  
Patient Satisfaction ◽  
Pelvic Organ Prolapse ◽  
Conservative Treatment ◽  
Genital Prolapse ◽  
Treatment Method ◽  
Pelvic Organ ◽  
Safety And Efficacy ◽  
Treatment Methods ◽  
Complications Rate

Background. Pelvic organ prolapse is one of the most common women's diseases worldwide. Genital prolapse incidence among women over 50 is on average 41%. There are variety methods for genital prolapse treatment; they are divided into surgical and non-surgical ones. One of the conservative treatment methods is a use of pessaries. According to different studies an efficacy of pessary therapy is approximately 60%. Aim to estimate a safety and efficacy of genital prolapse conservative treatment with a cube pessary on the basis on standardized questionnaires. Outcomes and methods. In ANO “NRITO Clinic” Urology and Gynecology Center 26 women with various degree genital prolapse were treated with pessary within the period from August 2015 to March 2016. Efficacy of pessaries use, patient satisfaction with this treatment method and complications rate were estimated. Results. Urogynecological cube pessary use in a treatment of various types of genital prolapse is quite an effective method (p

scholarly journals Microsurgical unilateral laminotomy for bilateral decompression of degenerative lumbar canal stenosis: a comparative study

2019 ◽  
Vol 55 (1) ◽  
Author(s):  
Mohamed I. Refaat ◽  
Amr K. Elsamman ◽  
Adham Rabea ◽  
Mohamed I. A. Hewaidy
Keyword(s):  
Patient Satisfaction ◽  
Blood Loss ◽  
Minimally Invasive ◽  
Invasive Technique ◽  
Decompression Surgery ◽  
Microsurgical Decompression ◽  
Significant Difference ◽  
Duration Of Surgery ◽  
Group A ◽  
Group B

Abstract Background The quest for better patient outcomes is driving to the development of minimally invasive spine surgical techniques. There are several evidences on the use of microsurgical decompression surgery for degenerative lumbar spine stenosis; however, few of these studies compared their outcomes with the traditional laminectomy technique. Objectives The aim of our study was to compare outcomes following microsurgical decompression via unilateral laminotomy for bilateral decompression (ULBD) of the spinal canal to the standard open laminectomy for cases with lumbar spinal stenosis. Subjects and methods Cases were divided in two groups. Group (A) cases were operated by conventional full laminectomy; Group (B) cases were operated by (ULBD) technique. Results from both groups were compared regarding duration of surgery, blood loss, perioperative complication, and postoperative outcome and patient satisfaction. Results There was no statistically significant difference between both groups regarding the improvement of visual pain analogue, while improvement of neurogenic claudication outcome score was significant in group (B) than group (A). Seventy-three percent of group (A) cases and 80% of group (B) stated that surgery met their expectations and were satisfied from the outcome. Conclusion Comparing ULBD with traditional laminectomy showed the efficacy of the minimally invasive technique in obtaining good surgical outcome and patient satisfaction. There was no statistically significant difference between both groups regarding the occurrence of complications The ULBD technique was found to respect the posterior spinal integrity and musculature, accompanied with less blood loss, shorter hospital stays, and shorter recovery periods than the open laminectomy technique.

Discussion: “Long-Term Follow-Up of Recurrence and Patient Satisfaction After Surgical Treatment of Gynecomastia”

2017 ◽  
Vol 41 (5) ◽  
pp. 1242-1243 ◽  
Author(s):  
Alessandro Innocenti ◽  
Dario Melita ◽  
Francesco Ciancio ◽  
Marco Innocenti
Keyword(s):  
Patient Satisfaction ◽  
Surgical Treatment ◽  
Long Term Follow Up

Efficacy and safety of surgery for spontaneous pneumothorax in elderly patients

2019 ◽  
Author(s):  
Shunichi Nagata ◽  
Mitsugu Omasa ◽  
Kosuke Tokushige ◽  
Takao Nakanishi ◽  
Hideki Motoyama
Keyword(s):  
Risk Factors ◽  
Surgical Treatment ◽  
Postoperative Complications ◽  
Elderly Patients ◽  
Spontaneous Pneumothorax ◽  
Performance Status ◽  
Multivariable Analysis ◽  
Efficacy And Safety ◽  
Air Leaks ◽  
Grade 3

Abstract OBJECTIVES There is no clear consensus on the surgical indications for spontaneous pneumothorax in elderly patients. In this study, we aimed to assess the efficacy and safety of surgical treatment of spontaneous pneumothorax in patients aged ≥70 years. We also sought to identify the risk factors for postoperative prolonged air leaks and complications in such patients. METHODS Data pertaining to 104 elderly patients who underwent surgery out of 206 patients (aged ≥70 years) who were diagnosed with spontaneous pneumothorax at our institution between 1994 and 2018 were retrospectively reviewed. The incidences of postoperative persistent air leaks (≥2 days) and postoperative complications (≥grade 3; Clavien–Dindo classification) were analysed for efficacy and safety assessment, respectively. RESULTS Median postoperative air leaks continued for 0 days (range 0–25); 14.4% patients developed ≥grade 3 postoperative complications. On the basis of results of multivariable analysis, it was observed that a higher PaCO2 level was significantly associated with prolonged postoperative air leaks [odds ratio (OR) 1.08, 95% confidence interval (CI) 1.00–1.17; P = 0.047]. Poorer performance status was associated with a significantly increased risk of postoperative complications, as assessed by multivariable analysis (OR 6.13, 95% CI 1.38–27.3; P = 0.017). The recurrence rate was 4.8%; mortality rate of patients was 2.9%. Three-year survival rate after surgery was 73.8%. CONCLUSIONS Surgical treatment of spontaneous pneumothorax may be effective and safe in selected elderly patients. Moreover, higher PaCO2 and poorer performance status were independent risk factors for postoperative persistent air leaks and complications, respectively.

scholarly journals Comparison of the reliability and efficacy of LigaSure hemorrhoidectomy and a conventional Milligan-Morgan hemorrhoidectomy in the surgical treatment of grade 3 and 4 hemorrhoids

2017 ◽  
Vol 33 (4) ◽  
pp. 233-236 ◽  
Author(s):  
Mustafa Celalettin Haksal ◽  
Ali Ciftci ◽  
Cagri Tiryaki ◽  
Murat Burc Yazicioglu ◽  
Mehmet Ozyildiz ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Grade 3

scholarly journals Analysis of epidemiological characteristics and surgical treatment of patients with pressure ulcer

2021 ◽  
pp. 93-93
Author(s):  
Dragana Petrovic-Popovic ◽  
Milan Stojicic ◽  
Maja Nikolic-Zivanovic
Keyword(s):  
Surgical Treatment ◽  
Pressure Ulcer ◽  
Traffic Accidents ◽  
Pressure Ulcers ◽  
Stage Iv ◽  
Clinical Center ◽  
Bony Prominence ◽  
The University ◽  
Epidemiological Characteristics ◽  
Reconstructive Methods

Introduction/Objective. A pressure ulcer is a localized injury to the skin and/or underlying tissue, usually over a bony prominence. It appears as a result of pressure or combination of pressure and shear. Pressure ulcers can be identified within a wide variety of patient subpopulations and a major role in their treatment plays epidemiological and etiological aspects. Methods. A retrospective study of data analysis included 72 patients with pressure ulcers that were hospitalized and surgically treated during a five-year period at the Clinic for Burns, Plastic and Reconstructive Surgery of the University Clinical Center of Serbia in Belgrade. Main data features used in the analysis were: gender, age, principal diseases, comorbidities and biochemical indicators of malnutrition. The patients' data was obtained from the existing patients? records. Additionally, the study analyzed the method of treating pressure ulcers, types of reconstructive methods in surgical treatment, as well as the incidence rate of partial osteotomy. Results. A total of 72 patients with pressure ulcers were included into this study with 54.7 ? 16.1 mean age. Three times more patients injured in traffic accidents were male (75% vs. 25%), while the most of the patients with multiple sclerosis were female (85.7%). More than 95% of patients who had pressure ulcers of III or IV stage were treated surgically with a reconstructive method of transposition or rotation myocutaneous flap. The patient with pressure ulcer of stage IV was usually treated with partial osteotomy. Conclusion. A surgical reconstructive treatment with fasciocutaneous and myocutanaeous flaps represents a gold standard for treating patients with pressure ulcers. These procedures provide reconstruction with adequate flap coverage and obliteration of dead space with well-vascularized tissue but with necessity of further implementation of antidecubitus measures.

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