scholarly journals SURGICAL TECHNIQUES FOR TREATMENT OF COMPLICATED LARGE SIZE TRAUMATIC DIAPHRAGM HERNIA (CLINICAL CASE ANALYSIS)

2021 ◽  
Vol 20 (1) ◽  
pp. 25-30
Author(s):  
Vasyl Yatskyv ◽  
I. Polyansky ◽  
Vadim Sokolov ◽  
Sergiy Frimet ◽  
Yan Hyrla
Keyword(s):  
Surgical Treatment ◽  
Clinical Case ◽  
Bowel Perforation ◽  
Surgical Techniques ◽  
Diagnostic Methods ◽  
Surgical Approaches ◽  
Extensive Experience ◽  
Advantages And Disadvantages ◽  
Large Size ◽  
Diaphragm Hernia

The analysis of a clinical case of surgical treatment of a traumatic hernia of the left cupola of the diaphragm in a patient 66 years old, diagnosed 5 years after injury. The hernia was complicated by bowel perforation, gastrointestinal and cardiorespiratory syndrome due to organ translocation into the pleural cavity. Are noted the features of complications of traumatic hernias in the late period of their occurrence and associated diagnostic methods. The stages of diagnostics and treatment of this patient from the central district hospital to the regional clinical hospital have been analyzed; are presented the algorithm and methods of surgical treatment, the features of the postoperative period.The Department of Surgery No. 1 of the BSMU has extensive experience in the treatment of complicated diaphragm hernias, on the basis of which the article substantiates the indications for decompression of the mediastinal organs, gives the causes of pneumothorax, surgical techniques for its correction.Also are analyzed the types of surgical approaches for this pathology were are indicated the advantages and disadvantages of isolated laparotomy, thoracotomy, combined thoracoabdominal interventions.

scholarly journals Problems of diagnostics and treatment of diffuse — toxic goiter (Graves’ disease)

2019 ◽  
Vol 14 (2) ◽  
Author(s):  
Saydiganikxodja I. Ismailov ◽  
Komila Kh. Khayitboyeva
Keyword(s):  
Surgical Treatment ◽  
Iodine Deficiency ◽  
Diagnostic Methods ◽  
Graves Disease ◽  
Minimal Risk ◽  
Familial Predisposition ◽  
Advantages And Disadvantages ◽  
Radioiodine Ablation ◽  
Treatment Indications ◽  
Toxic Goiter

The article is devoted to prevalence, contemporary diagnostic methods and treatment of Grave’s disease. Advantages and disadvantages of different treatment options are discussed. The cause of the disease can be environmental conditions, infectious diseases, severe operational intervention, drugs, trauma, especially brain traumas, iodine deficiency and radiation damage of thyroid in iodine deficiency conditions, familial predisposition. The ideal treatment of Graves’ disease should ensure a fairly rapid elimination of clinical symptoms of thyrotoxicosis, return to an euthyroid state, with minimal risk of complications. The relapse rate of the disease can reach up to 80 %, using conservative treatment. The radioiodine ablation is relatively simple, non-invasive, effective and cheap. There are special indications for surgical treatment. Indications for surgical treatment: 1) large goiter (the volume of the thyroid gland is more than 45 ml); 2) frequent recurrences of thyrotoxicosis and failure of the drug and RIT; 3)malignancy of goiter; 4) allergic and toxic (leukopenic) reactions to thyreostatics. Patients with Graves’ disease should referred to a specialized center with multidisciplinary team.

Energy Sources for the Surgical Treatment of Atrial Fibrillation

2019 ◽  
Vol 14 (6) ◽  
pp. 503-508
Author(s):  
Robert M. MacGregor ◽  
Spencer J. Melby ◽  
Richard B. Schuessler ◽  
Ralph J. Damiano
Keyword(s):  
Atrial Fibrillation ◽  
Surgical Treatment ◽  
Tissue Injury ◽  
Surgical Techniques ◽  
Maze Procedure ◽  
Energy Sources ◽  
Surgical Approaches ◽  
Surgical Ablation ◽  
The Past ◽  
Minimally Invasive Surgical

The surgical treatment of atrial fibrillation has evolved over the past 2 decades due to the advent of ablation technology, and the introduction of less invasive surgical approaches. Current devices produce ablation lines that aim to replace the incisions of traditional surgical ablation strategies, such as the Cox-Maze procedure. This has helped to simplify and shorten surgical ablation procedures and has allowed for the development of minimally invasive surgical techniques. This review discusses surgical ablation energy sources and devices, providing background on device characteristics, mechanism of tissue injury, and success in creating transmural lesions.

scholarly journals Management of anterior inferior cerebellar artery aneurysms: an illustrative case and review of literature

2009 ◽  
Vol 26 (5) ◽  
pp. E6 ◽  
Author(s):  
Nicholas C. Bambakidis ◽  
Sunil Manjila ◽  
Shervin Dashti ◽  
Robert Tarr ◽  
Cliff A. Megerian
Keyword(s):  
Surgical Techniques ◽  
Surgical Approaches ◽  
Anterior Inferior Cerebellar Artery ◽  
Parent Artery ◽  
Illustrative Case ◽  
Detailed Knowledge ◽  
Clinical Effects ◽  
Advantages And Disadvantages ◽  
Parent Artery Occlusion ◽  
Cerebellar Artery

Aneurysms of the anterior inferior cerebellar artery (AICA) are relatively rare among intracranial aneurysms. They can occur in 1 of 3 regions of the AICA: 1) craniocaudal (high or low riding), 2) mediolateral-premeatal (proximal), and 3) meatal-postmeatal (distal). The management strategies for treatment differ according to the location and configuration of the aneurysm. The existing body of neurosurgical literature contains articles published on aneurysms arising from the AICA near the basilar artery (BA), intracanalicular/meatal aneurysms, and distal AICA. Several therapeutic options exist, encompassing microsurgical and endovascular techniques. The authors describe a case of treatment involving a large BA-AICA aneurysm approached via exposure of the presigmoid dura using a retromastoid suboccipital craniectomy and partial petrosectomy. Treatment of these lesions requires detailed knowledge of the anatomy, and an anatomical overview of the AICA with its arterial loops and significant branches is presented, including a discussion of the internal auditory (labyrinthine) artery, recurrent perforating arteries, subarcuate artery, and cerebellosubarcuate artery. The authors discuss the various surgical approaches (retromastoid, far lateral, subtemporal, and transclival) with appropriate illustrations, citing the advantages and disadvantages in accessing these AICA lesions in relation to these approaches. The complications of these different surgical techniques and possible clinical effects of parent artery occlusion during AICA surgery are highlighted.

Other surgical approaches in the management of osteoarthritis

2016 ◽  
Author(s):  
Jonas Bloch Thorlund ◽  
L. Stefan Lohmander
Keyword(s):  
Stem Cells ◽  
Surgical Treatment ◽  
Adverse Events ◽  
Surgical Procedures ◽  
Joint Replacement ◽  
Hip Arthroscopy ◽  
Surgical Techniques ◽  
Risk Of Bias ◽  
Surgical Approaches ◽  
Surgical Treatments

Joint replacement is often considered the surgical treatment for patients with osteoarthritis (OA). However, several other surgical treatments, of which some are more frequently performed, have been advocated for patients with OA in order to relieve symptoms, stall progression, and avoid or postpone joint replacement. This chapter briefly describes the most common procedures such as knee and hip arthroscopy and knee and hip osteotomy. It also reviews the evidence for the efficacy of these treatments compared with non-surgical alternatives, which is frequently insufficient due to lack of controlled low-risk-of-bias studies. The risk of adverse events is also reported when data is available. Some of the more recent surgical techniques such as implantation of chondrocytes or stem cells are also described and discussed but their utility for treating osteoarthritis remains uncertain. There is a great need for continued innovation and development of surgical techniques for managing in particular the earlier stages of osteoarthritis. To reduce the risk of future costly failures, a stepwise introduction of new surgical procedures and devices must be encouraged.

Novel Surgical Treatment Strategies for Unstable Lumbar Osteodiscitis: A 3-Patient Case Series

2017 ◽  
Vol 14 (6) ◽  
pp. 639-646 ◽  
Author(s):  
Michael A Bohl ◽  
Randall J Hlubek ◽  
Jay D Turner ◽  
Edward M Reece ◽  
U Kumar Kakarla ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Iliac Crest ◽  
Surgical Techniques ◽  
Case Series ◽  
Recurrent Infection ◽  
Surgical Approaches ◽  
Spinal Instability ◽  
Iliac Crest Graft ◽  
Imaging Results ◽  
Novel Methods

Abstract BACKGROUND Lumbar osteomyelitis frequently affects patients with medical comorbidities and poor preoperative health. Surgery is indicated when medical management fails or patients present with spinal instability or neural compromise. Successful arthrodesis can be difficult and sometimes requires alternative surgical techniques. OBJECTIVE To report 3 novel methods, each illustrated by a case, for achieving arthrodesis for lumbar osteomyelitis. METHODS A retrospective review was performed of 3 cases of surgical treatment of lumbar osteomyelitis. Novel aspects of the surgical techniques are reported, as are perioperative clinical details and imaging results. RESULTS In the first patient, a vascularized iliac crest graft on a quadratus lumborum pedicle was rotated into the posterolateral fusion bed of the affected level. In the second, an anterior approach with debridement of affected lumbar levels was followed by rotation of a vascularized iliac crest graft on an iliacus muscle pedicle into the anterior lumbar defect. In the third, a structural, nonvascularized iliac crest graft was harvested via a lateral approach to provide better surgical access, and an autologous tricortical bone graft was obtained for placement in the debridement defect. Follow-up imaging suggested successful early incorporation of all the grafts in the fusion beds. CONCLUSION Patients with multiple risk factors for pseudarthrosis and recurrent infection often require alternative surgical strategies to augment fusion. These 3 novel methods for lumbar debridement, fixation, and fusion using vascularized or nonvascularized autograft accommodate posterior, anterior, and lateral surgical approaches. Further experience with these techniques is required to compare outcomes with those of traditional techniques.

scholarly journals CLINICAL CASE OF APPLICATION OF AN OBTURIRUYUSHCHY ARTIFICIAL LIMB, AT MAINTENANCE SURGICAL TREATMENT OF DEFECT OF THE LOWER JAW

2018 ◽  
Vol 14 (3) ◽  
pp. 45-48
Author(s):  
Наталья Нуриева ◽  
Natal'ya Nurieva ◽  
Юрий Васильев ◽  
Yuri Vasilev
Keyword(s):  
Surgical Treatment ◽  
Oral Cavity ◽  
Clinical Case ◽  
Surgical Techniques ◽  
Artificial Limb ◽  
Surgical Interventions ◽  
Lower Jaw ◽  
Orthopedic Rehabilitation ◽  
The Moment ◽  
Temporary Closure

Subject. The obturator for dissociation of an oral cavity from a nose cavity, the maxillary of cavities, the post surgeons of defects of maxillary bones. Purpose ― to carry out stomatology rehabilitation of the patient with the acquired defect of the lower jaw with use of the obturator. Methodology. Surgical treatment in maxillofacial area, often doesn't do without appearance of defects of maxillary bones. Elimination of the arising deformations unconditionally perhaps both surgical techniques, and orthopedic designs. Temporary closure of the formed defects and restoration of functions of breath, the speech and food can be the purpose of orthopedic maintenance, at surgical interventions, as division of an oral cavity from cavities of a nose, a bosom, and. We made use of experience of production of various obturator at more than 50 patients needing orthopedic rehabilitation for writing of this article, and in honesty in production of various designs the obturator of artificial limbs, at the moment and after the surgical and combined methods of treatment of new growths of maxillary bones postponed. All of them are at different stages of rehabilitation. Results. On example of a clinical case is shown a possible orthopedic way of closing of temporary defect of the lower jaw, by production of the obturator artificial limb adapted in an oral cavity. The Obturator artificial limb has the small sizes, can independently be established and be taken by the patient, for hygienic leaving, doesn't influence diction and an articulation, helps to avoid of postoperative defect and also to normalize meal. Conclusions. The assessment of results of the carried-out orthopedic treatment is carried out, its efficiency is established, practical recommendations about clinical use and ways of production are made.

FIBROCYSTIC MASTOPATHY

2020 ◽  
Vol 6 (3) ◽  
pp. 19-32
Author(s):  
Arif Guseynov
Keyword(s):  
Surgical Treatment ◽  
General Practitioners ◽  
Current Data ◽  
Diagnostic Methods ◽  
Diagnosis And Treatment ◽  
Differential Diagnostics ◽  
Advantages And Disadvantages ◽  
Fibrocystic Mastopathy ◽  
Conservative And Surgical Treatment

The lecture provides information for specialist doctors: oncologists, surgeons, mammologists, general practitioners on the diagnosis and treatment of fibrocystic mastopathy. The current data on the etiology and pathogenesis, classification and clinic of the disease are presented, well-known and new diagnostic methods, advantages and disadvantages of each method are described in detail. Issues of differential diagnostics are highlighted, optimal tactics, methods of conservative and surgical treatment are proposed

scholarly journals Peyronie's Disease: Evolving Surgical Management and the Role of Phosphodiesterase 5 Inhibitors

2009 ◽  
Vol 9 ◽  
pp. 822-845 ◽  
Author(s):  
Tariq F. Al-Shaiji ◽  
Gerald B. Brock
Keyword(s):  
Tunica Albuginea ◽  
Surgical Techniques ◽  
Peyronie’S Disease ◽  
Surgical Approaches ◽  
Penile Curvature ◽  
Advantages And Disadvantages ◽  
Phosphodiesterase 5 Inhibitors ◽  
Peyronie's Disease ◽  
Phosphodiesterase 5

Peyronie's disease (PD) is a fibrotic disorder of the tunica albuginea of the penis. It is characterized by different degrees of penile curvature and sexual dysfunction. Several medical treatments have been employed to manage the disorder, with variable success rates. Surgical therapy is reserved for patients with severe penile deformity that fails to improve with medical treatment and impedes coital function. The advantages and disadvantages of various surgical approaches have long been debated. Herein, we describe the evolving surgical techniques for PD using knowledge obtained from the contemporary literature. In addition, we discuss the emerging data regarding the role of phosphodiesterase 5 inhibitors in the management of PD.

scholarly journals Eagle’s syndrome - a report of two cases

2015 ◽  
Vol 72 (5) ◽  
pp. 458-462 ◽  
Author(s):  
Aleksandar Kiralj ◽  
Miroslav Ilic ◽  
Bojan Pejakovic ◽  
Borislav Markov ◽  
Sasa Mijatov ◽  
...  
Keyword(s):  
Surgical Techniques ◽  
Styloid Process ◽  
Surgical Approaches ◽  
Advantages And Disadvantages ◽  
Postoperative Control ◽  
First Case ◽  
Intraoral Approach ◽  
Body Sensation ◽  
Eagle Syndrome ◽  
Stylohyoid Ligament

Introduction. Eagle?s syndrome is defined as elongation of the styloid process or the stylohyoid ligament mineralization complex which consist of styloid process, stylohyoid ligament and lesser horn of hyoid bone. It is a rare entity, is not commonly suspected in clinical practice. It is characterized by recurrent facial and throat pain, dysphagia, odynophagia, parapharingeal foreign body sensation, otalgia and neck pain. Eagle?? syndrome can be treated conservatively (lacing local anesthetic into the styloid process and stylomandibular ligament attachment) or surgically. Its pathogenesis and threatment modalities are still being debated while different theories have been presented. Case report. The two traditional surgical approaches to styloidectomy (removal of the elongated portion of the styloid process) were presented the intraoral approach and the extraoral approach. We presented two cases (49 years and 34 years old males), with bilateral and unilateral elongated styloid process. The surgical treatment included unilateral right side stiloidectomy by intraoral approach in the first case and right styloidectomy by extraoral approach in the second case. In both eases post-operative course passed regularly with no complaints at regular postoperative control. Conclusion. Surgical techniques for treatment of Eagle?s syndrome have many advantages and disadvantages. We believe that the length of the styloid process or the calcified ligament is a decisive parameter for the selection of techniques and approach.

scholarly journals Review of the Surgical Approaches for Peyronie's Disease: Corporeal Plication and Plaque Incision with Grafting

2008 ◽  
Vol 2008 ◽  
pp. 1-4 ◽  
Author(s):  
Viet Q. Tran ◽  
Dennis H. Kim ◽  
Timothy F. Lesser ◽  
Sherif R. Aboseif
Keyword(s):  
Patient Satisfaction ◽  
Surgical Management ◽  
Vein Graft ◽  
Surgical Techniques ◽  
Peyronie’S Disease ◽  
Surgical Approaches ◽  
Clinical Aspects ◽  
Advantages And Disadvantages ◽  
Exact Etiology ◽  
Peyronie's Disease

The understanding and management of Peyronie's disease (PD) has improved but elucidating the exact etiology of the disease has yet to be achieved. In this paper, we review the historical and clinical aspects of PD. We focus on the evolution of surgical management for PD and review recent published articles that compare popular surgical techniques such as plication and plaque incision with vein graft. These two techniques have been reported to be equivalent with respect to patient satisfaction; however, each technique has its own advantages and disadvantages.

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