Comparative analysis of clinical outcomes of surgically stabilised atlanto-axial instability with various surgical methods

<sec><title>Study Design</title>Retrospective review of prospectively collected outcome data.</sec><sec><title>Purpose</title>To compare 5-year outcomes following decompression with fusion (FU) and microendoscopic decompression (MED) in patients with degenerative lumbar spondylolisthesis (DLS) and to define surgical indication limitations regarding the use of MED for this condition.</sec><sec><title>Overview of Literature</title>There have been no comparative studies on mid- or long-term outcomes following FU and MED for patients with DLS.</sec><sec><title>Methods</title>Forty-one consecutive patients with DLS were surgically treated. Sixteen patients first underwent FU (FU group), and 25 then underwent MED (MED group). The 5-year clinical outcomes following the two surgical methods were compared using the Japanese Orthopaedic Association Back Pain Evaluation Questionnaire.</sec><sec><title>Results</title>The degree of improvement (DOI) for social life function was significantly greater in the MED group than in the FU group. Although not statistically significant, DOIs for the other four functional scores were also greater in the MED group than in the FU group. However, patients with a large percentage of slippage in the neutral position might experience limited improvement in low back pain, those with a large percentage of slippage at maximal extension might experience limited improvement in three functional scores, and those with a small intervertebral angle at maximal flexion might have limited improvement in three functional scores after MED for DLS. Therefore, we statistically compared the DOIs between the FU and MED groups regarding the preoperative percentage of slippage in the neutral position among patients with greater than 20% slippage, the preoperative percentage of slippage at maximal extension among patients with greater than 15% slippage, and the intervertebral angle at flexion among patients with angles lesser than −5°; however, there were no statistically significant differences between the two groups.</sec><sec><title>Conclusions</title>MED is a useful minimally invasive surgical procedure that possibly offers better clinical outcomes than FU for DLS.</sec>

Download Full-text

INDICATIONS FOR INJECTION OF BULKING AGENTS FOR THE TREATMENT OF ANAL INCONTINENCE

Koloproktologia ◽

10.33878/2073-7556-2017-0-1-43-48 ◽

2017 ◽

pp. 43-48

Author(s):

A. I. Nedozymovany ◽

E. A. Dementeva ◽

D. E. Popov ◽

S. V. Vasiliev

Keyword(s):

Comparative Analysis ◽

Anal Canal ◽

Anal Incontinence ◽

Bulking Agents ◽

Study Objective ◽

Relevant Today ◽

Surgical Methods ◽

The Mean ◽

Methods Of Treatment

Despite of lots conservative and surgical methods of treatment, the problem of anal incontinence is relevant today and remains unresolved. Since the beginning of the 1990s attempts ofimplantation of bulking agents in order to increase the basal pressure in the anal canal were begun. Domestic product “ДАМ+” used in the study. OBJECTIVE. To determine the indications for injection of bulking agents for the treatment of anal incontinence. Research the possibility of using the drug “ДАМ+,” with assessment of treatment outcomes. During a period of 2014 to 2016 there were 30 patients with anal incontinence of various etiologies involved in research. The mean age was 47,5 ± 6,5 years. Injection of bulking agent “ДАМ+” were performed by the punction of submucosa of the anal canal in 3 points, andfollowed by a comparative analysis of the survey after treatment. Average follow-up was 12,1 ± 0,97 months. The study we have identified indications for the implementation of bulking agents for correction of anal incontinence, and the estimation results.

Download Full-text

Efficiency of minimally invasive surgery for liver echinococcosis and its complications

Annaly khirurgicheskoy gepatologii = Annals of HPB surgery ◽

10.16931/1995-5464.2021184-91 ◽

2021 ◽

Vol 26 (1) ◽

pp. 84-91

Author(s):

Z. A. Azizzoda ◽

K. M. Kurbonov ◽

K. R. Ruziboyzoda ◽

S. G. Ali-Zade

Keyword(s):

Minimally Invasive Surgery ◽

Comparative Analysis ◽

Surgical Treatment ◽

Liver Resection ◽

Minimally Invasive ◽

Postoperative Mortality ◽

Main Group ◽

Control Group ◽

Surgical Methods ◽

Access Surgery

Aim. Improving outcomes of diagnosis and treatment of patients with liver echinococcosis and its complications. Materials and methods. A comparative analysis of the results of surgical treatment of liver echinococcosis and its complications with traditional laparotomy access surgery (control group) and minimally invasive interventions (main group) was performed.Results. The study included 300 patients (170 in the control and 130 in the main group). In the main group, 37 (28.4%) cases performed open echinococcectomy from various mini-accesses, and 27 (20.7%) performed twostage operations using minimally invasive technology. Laparoscopic echinococcectomy was performed in 23 (17.7%) patients, laparoscopic pericystectomy 12 (9.2%) and laparoscopic liver resection in 10 (7.7%) patients. The frequency of postoperative complications in the main group was 17.7%, in the control 51.8%, postoperative mortality decreased from 2.3% to 0.8%.Conclusion. Minimally invasive technologies in the surgical treatment of liver echinococcosis show the better immediate results compared to traditional open surgical methods.

Download Full-text