scholarly journals Uticaj obima hirurske resekcije kod totalne laringektomije na uspostavljanje ezofagusnog glasa i govora

2004 ◽  
Vol 51 (1) ◽  
pp. 37-41 ◽  
Author(s):  
P. Stankovic ◽  
Vojko Djukic ◽  
M. Vukasinovic ◽  
Ljiljana Janosevic
Keyword(s):  
Total Laryngectomy ◽  
Surgical Intervention ◽  
Functional Results ◽  
Surgical Interventions ◽  
Term Adverse Effect ◽  
Anatomic Results ◽  
Base Of The Tongue ◽  
Voice And Speech

The study of functional results of total laryngectomy carmot be separated from articulation of esophageal voice and speech. To achieve success of phoniatric rehabilitation in laringectomized patients, it is necessary to be well aware of pathological sequelae of the veiy operation, long-term adverse effect of oncological risk factors as well as postoperative anatomo-physiological changes. Anatomic results of total laryngectomy depend on the type of surgical intervention and probable radiotherapy. The extent of surgical procedure, primary dictated by oncological indications, has the essential effect to articulation of esophageal voice and speech. If possible for oncological reasons, hyoid bone should be particularly left intact. Extensive surgical interventions of hypopharynx and the base of the tongue during laryngectomy, neck dissection - especially the radical one, and subsequent radiotherapy, all of them significantly reduce the possibility to produce esophageal voice and speech. Total laryngectomy eliminates the creator of voice and vibrations, which are acoustically perceived as esophageal voice, proceeding at the level of pharyngoesophageal junction. For this reason, the quality of newly created vibrating narrowing is especially important.

scholarly journals EFFICACY OF GASTRODUODENAL ANASTOMOSIS IN SURGERY OF DISTAL STOMACH CANCER: FROM PAST TO PRESENT

2020 ◽  
Vol 64 (1) ◽  
pp. 28-33
Author(s):  
T. Morgoshiya
Keyword(s):  
Functional Results ◽  
Long Term Results ◽  
Billroth Ii ◽  
Distal Stomach ◽  
Surgical Interventions ◽  
Billroth I ◽  
Results Of Treatment ◽  
Operated Stomach

When comparing the results of surgical interventions in the modifications of Billroth-I and Billroth-II concerning carcinoma there are no significant differences both in immediate and in long-term results of treatment. At the same time the functional results of interventions and quality of life of patients are better after reconstruction of the digestive tract with the help of gastroduodenal anastomosis. Gastric stump cancer is more often occur after Billroth-II surgery. The main cause of the development of carcinoma in this case is the appearance of atrophic gastritis as a result of denervation of the organ and the transfer of bile to the operated stomach.

Functional outcome and quality of life in patients undergoing salvage radical prostatectomy (SRPE).

2018 ◽  
Vol 36 (6_suppl) ◽  
pp. 212-212 ◽  
Author(s):  
David Pfister ◽  
Jasmin Pullankavumkal ◽  
Friederike Haidl ◽  
Vahudin Zugor ◽  
Tobias Kohl ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Radical Prostatectomy ◽  
Functional Outcome ◽  
Functional Results ◽  
High Rate ◽  
Surgical Interventions ◽  
Eortc Qlq ◽  
Salvage Radical Prostatectomy

212 Background: Salvage radical prostatectomy is one option for patients with locally recurrent disease with proven long term oncologic control. There are concerns about worse functional results due to fibrotic tissue after radiotherapy and patients are treated with palliative systemic androgendreptivation. We retrospectively analyzed continence and quality of life in patients undergoing SRPE. Methods: After biopsy proven local recurrent prostate cancer 138 patients were offered SRPE and extended lymphadenectomy. Continence and quality of life had been collected before 6 and 12 months after surgery. Validated questionaires with ICIQ and EORTC qlq 30 had been used. Results: Präoperatively at 6 monts and 12 months the feed back was available in 93, 84 and 82 patients respectively. Präoperatively there was no or mild incontinence in 38(40.8%), moderate in 33 (35.5%) and strong incontinence in 22 (23.7%) of the patients. There is a significant decrease in the rate of continence after 6 and 12 months to no or mild in 19 (23.1%), moderate in 19 (23.2%) and strong incontinence in 44 (53.7%) of the patients. In 5 patients an artifitial sphinkter was implanted. Quality of life did not change significantly before and 12 months after surgery. Median value of Question 30 was 6 and five respectively. Conclusions: Patients need to be informed about a worse functional outcome and the potential need for further surgical interventions as artificial sphinkter implantion compared to primary radical prostatectomy. Quality of life seems to be affected only moderatly. Nevertheless there is already a rather high rate of any incontinence before surgery that needs to be taken into account.

scholarly journals Long-term oncological and functional results of robot-assisted radical prostatectomy

2021 ◽  
Vol 17 (3) ◽  
pp. 121-128
Author(s):  
K. K. Ramazanov ◽  
K. B. Kolontarev ◽  
G. P. Gens ◽  
A. V. Govorov ◽  
A. O. Vasilyev ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Radical Prostatectomy ◽  
Length Of Hospital Stay ◽  
Functional Results ◽  
State University ◽  
Robot Assisted ◽  
Surgical Interventions ◽  
Long Term Follow Up

Prostate cancer (РСа), being one of the leading causes of cancer mortality in men in Russia and in a number of other countries of the world, remains an urgent problem for modern oncourology, and the choice of surgical method is an important task for a surgeon. Such a pronounced interest in robot-assisted radical prostatectomy (RARP) in patients is driven by good tolerance and effectiveness of these surgical interventions, despite the fact that radical prostatectomy is considered to be the "gold standard" for treatment of patients with clinically localized РСа with regard to European Association of Urology data. The long-term oncological and functional results and the quality of life of patients after RARP deserve close attention and thorough study. According to the data presented in this article, it is obvious that RARP is the preferred method for surgical treatment of РСа, since oncological and functional results in the long-term follow-up are comparable to the results after radical prostatectomy, and according to some authors, these results are superior to the results of radical prostatectomy. The results of the study will allow to continue further introduction of RARP into clinical practice and its popularization as a method of surgical treatment of patients with localized PCa, which will reduce the length of hospital stay of patients, accelerate their medical and social rehabilitation, and improve the quality of medical care.The amount of data on the study of distant oncological and functional results of RARP as well as its superiority over other treatment methods is limited in medical literature, which prompted us to conduct our own research. Currently the urological clinic of the A.I. Evdokimov Moscow State University of Medicine and Dentistry continues work aimed at studying the longterm results of RARP in the first patients in Russia.

scholarly journals The Long-Term Follow-Up of Patients with Cystine Stones: A Single-Center Experience for 13 Years

2021 ◽  
Vol 10 (7) ◽  
pp. 1336
Author(s):  
Toshifumi Takahashi ◽  
Shinya Somiya ◽  
Katsuhiro Ito ◽  
Toru Kanno ◽  
Yoshihito Higashi ◽  
...  
Keyword(s):  
Surgical Intervention ◽  
Median Number ◽  
Small Sample ◽  
Age At Diagnosis ◽  
Surgical Interventions ◽  
Significant Difference ◽  
Long Term Follow Up ◽  
Cystine Stones

Introduction: Cystine stone development is relatively uncommon among patients with urolithiasis, and most studies have reported only on small sample sizes and short follow-up periods. We evaluated clinical courses and treatment outcomes of patients with cystine stones with long-term follow-up at our center. Methods: We retrospectively analyzed 22 patients diagnosed with cystine stones between January 1989 and May 2019. Results: The median follow-up was 160 (range 6–340) months, and the median patient age at diagnosis was 46 (range 12–82) years. All patients underwent surgical interventions at the first visit (4 extracorporeal shockwave lithotripsy, 5 ureteroscopy, and 13 percutaneous nephrolithotripsy). The median number of stone events and surgical interventions per year was 0.45 (range 0–2.6) and 0.19 (range 0–1.3) after initial surgical intervention. The median time to stone events and surgical intervention was 2 years and 3.25 years, respectively. There was a significant difference in time to stone events and second surgical intervention when patients were divided at 50 years of age at diagnosis (p = 0.02, 0.04, respectively). Conclusions: Only age at a diagnosis under 50 was significantly associated with recurrent stone events and intervention. Adequate follow-up and treatment are needed to manage patients with cystine stones safely.

Pierwotna małopłytkowość immunologiczna u dzieci

2018 ◽  
Vol 22 (4) ◽  
Author(s):  
Anna Dusza ◽  
Michał Matysiak
Keyword(s):  
Immune Thrombocytopenia ◽  
Clinical Symptoms ◽  
Pediatric Population ◽  
Current Data ◽  
Current Investigation ◽  
Surgical Interventions ◽  
Hematological Disorders ◽  
Primary Immune Thrombocytopenia

In this article we present current investigation on primary immune thrombocytopenia in children. There are described pathomorphology, clinical symptoms, diagnosis and treatment. We also present current data from literature about genetic tests and latest data on treating options in children. Primary immune thrombocytopenia (ITP) is one of the most frequent hematological disorders in pediatric population. Although the majority of children have a self-limited and short duration of the disease. However, approximately 20-30% of those patients can develop chronic ITP, which can cause significant complications and higher mortality and reduced quality of life. Especially regarding to long-term immunosupression or surgical interventions, such like splenectomy and restrictions on daily activities to avoid trauma. Over the past decades a lot of informations has been reported about pathogenic features of ITP. Nowdays, we know that it is not only caused by increased platet destruction and decreased platet production, but also complex, multifactorial immune dysregulation, like loss of immune tolerance and generation of platelet autoantibodies. In this article we present current investigation on ITP including clinical symptoms, diagnosis, pathomorphology and latests options on treatment in children. We also present current data about genetic biomarker, such as Vanin-1 (VNN-1) which has been suggested as one of predictors of chronic disease and potentially can offer early prognosis estimation.

scholarly journals Esophagoplasty in patients with burn strictures of the esophagus

2011 ◽  
Vol 4 (1) ◽  
pp. 57-62
Author(s):  
Yury Vladimirovich Cikini ◽  
Evgeny Aleksandrovich Drobyazgin ◽  
Anton Vadimovich Kutepov ◽  
Inessa Viktorovna Berkasova
Keyword(s):  
Quality Of Life ◽  
Disease Duration ◽  
Surgical Intervention ◽  
Long Term Results ◽  
Stomach Tube ◽  
Left Half

Esophagoplasty in cicatricial narrowing of the esophagus is made postburns 116 patients. Disease duration - from 1 month to 31 years. Subtotal shunt esophagocolonoplastik left half of the colon made 68, extirpation of the esophagus with a plastic colon 9, extirpation of the esophagus with a plastic stomach tube in 38 patients. Long-term results of surgical intervention were studied in all patients during the period from 1 month to 13 years. Study of long-term results and quality of life after esophagoplasty showed significant benefits extirpation of the esophagus with esophagogastroplasty before esophagocolonoplastik.

scholarly journals ALGORITHM OF TREATMENT AND DIAGNOSIS IN RESISTANT FORMS OF COLONIC CONSTIPATION IN ADULTS

2021 ◽  
Vol 14 (3) ◽  
pp. 38-43
Author(s):  
KIRILL A. SAKULIN ◽  
◽  
OLEG YU. KARPUKHIN ◽  
Keyword(s):  
Functional State ◽  
Chronic Constipation ◽  
Surgical Intervention ◽  
Detailed Examination ◽  
Diagnosis And Treatment ◽  
Positive Outcomes ◽  
Surgical Interventions ◽  
Individual Approach ◽  
Treatment And Diagnosis

The variety of etiological causes of chronic constipation requires an individual approach to diagnosis and treatment. Outdated views do not consider a detailed examination of patients with long-term constipation. Today, surgical interventions for refractory colonic constipation are used more and more often and have begun to demonstrate positive outcomes. The choice of surgical intervention largely depends on the results of the detected abnormality of the structure and location of the colon, as well as on the functional state of its various parts.

Long-term functional results and quality of life after ileal pouch-anal anastomosis and cholecystectomy

1992 ◽  
Vol 16 (6) ◽  
pp. 1126-1131 ◽  
Author(s):  
Lothar W. Köhler ◽  
John H. Pemberton ◽  
David O. Hodge ◽  
Alan R. Zinsmeister ◽  
Keith A. Kelly
Keyword(s):  
Quality Of Life ◽  
Ileal Pouch ◽  
Functional Results ◽  
Ileal Pouch Anal Anastomosis ◽  
Anal Anastomosis
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