scholarly journals Madelung Disease – Between Lipectomy and Liposuction. Report of a Case and Literature Review

2021 ◽  
Vol 26 (2) ◽  
pp. 36-40
Author(s):  
Alin Miheţiu ◽  
Alexandra Sandu ◽  
Florin Fluture ◽  
Florin Duţă
Keyword(s):  
Literature Review ◽  
Surgical Resection ◽  
Information Gathering ◽  
Physical Exam ◽  
Anatomical Structures ◽  
Risk Of Recurrence ◽  
Characteristic Appearance ◽  
Madelung Disease ◽  
The Aesthetic ◽  
Direct Results

Abstract Madelung’s disease or multiple symmetric lipomatosis could be described as being anything, but an ordinary entity. The etiopathogenetic mechanisms are admittedly multifactorial, debatable and not marked by promptness. Despite the aesthetic, most of the symptoms are direct results of the compression which occurs on the adjacent anatomical structures. Because of their characteristic appearance, patients with this condition can be clinically diagnosed, during the information-gathering process or while performing a physical exam. So far, the treatment of choice was surgical resection, leading to a well-pleasing outcome and reducing the risk of recurrence.

scholarly journals The concept of “Four Walls, Two Poles” in the lesions of the thalamus and ganglion regions: case report and literature review

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Haiyang Yang ◽  
Gang Bai ◽  
Yongli Zhang ◽  
Guolong Chen ◽  
Lei Duan ◽  
...  
Keyword(s):  
Basal Ganglia ◽  
Literature Review ◽  
Surgical Resection ◽  
Three Dimensional ◽  
Surgical Techniques ◽  
Surgical Approaches ◽  
Surgical Results ◽  
Case Presentation ◽  
Operation Process ◽  
Thalamic Glioma

Abstract Background There are few articles about the surgical techniques of thalamic glioma and the lesions in the basal ganglia area. According to three existing cases and the literature review (Twelve articles were summarized which mainly described the surgical techniques), we discuss the surgical characteristics of lesions of the thalamus and basal ganglia area and summarize the relevant surgical skills. Case presentation Of the three cases, two were thalamic gliomas and one was brain abscess in basal ganglia. According to the three-dimensional concept of the “Four Walls, Two Poles”, lesions of the thalamus and basal ganglia were surgically removed, and the operative effect was analysed by relevant surgical techniques. Surgical resection of the lesions of the thalamus and basal ganglia area according to the three-dimensional concept of the “Four Walls, Two Poles” has achieved good surgical results. Relevant surgical techniques, such as the use of retractors, the use of aspirators, the choice of surgical approaches, and the haemostasis strategy, also played an important role in the operation process. Conclusions In the presented three cases the three-dimensional concept of the “Four Walls, Two Poles” allowed for safe surgical resection of lesions of the thalamus and basal ganglia.

Recurrence and disease-specific survival after 10-year disease-free interval in patients with primary retroperitoneal liposarcoma: Implications for long-term surveillance.

2021 ◽  
Vol 39 (15_suppl) ◽  
pp. 11546-11546
Author(s):  
Mark Archer Eckardt ◽  
Danielle S. Graham ◽  
Brian E. Kadera ◽  
Kyle D. Klingbeil ◽  
Scott D. Nelson ◽  
...  
Keyword(s):  
Surgical Resection ◽  
Surgical Margin ◽  
Disease Specific Survival ◽  
Risk Of Recurrence ◽  
Retroperitoneal Liposarcoma ◽  
Initial Surgery ◽  
Surveillance Imaging ◽  
Disease Specific

11546 Background: Surveillance imaging of patients with retroperitoneal liposarcoma (RP-LPS) following surgical resection is based on a projected risk of locoregional and distant recurrence. The duration of surveillance is not well defined as the long-term natural history of RP-LPS after treatment is poorly understood. We evaluate a cohort of RP-LPS patients—without evidence of disease 10 years following initial resection—to assess the long-term risk of recurrence and disease-specific survival (DSS). Methods: The prospectively maintained UCLA Sarcoma Database was used to identify RP-LPS patients who demonstrated 10-year progression-free survival (10yr-PFS) after initial diagnosis and treatment. Patients in the 10yr-PFS cohort were subsequently evaluated for recurrence and DSS. Time intervals start at date of initial surgical resection. Cox proportional hazards models were used to determine factors associated with recurrence and DSS. Results: From 1972-2010, 76 patients with RP-LPS had at least 10 years of follow-up. Of these, 37 (49%) demonstrated 10yr-PFS. Median follow-up was 15 years (range 10-35 years). Among the 10yr-PFS patients, 43% (16/37) developed a recurrence >10 years after the initial surgery, and 19% (7/37) died of disease. Neither long-term recurrence nor DSS were significantly associated with age, sex, tumor size, LPS subtype, surgical margin, or peri-operative treatment with radiation or chemotherapy (Table). Conclusions: Patients with primary RP-LPS treated with surgical resection +/- multimodality therapy have a long-term risk of recurrence and disease-specific death that is unacknowledged by current surveillance imaging guidelines. Among the patients with a 10yr-PFS, 43% developed a recurrence and 19% died of disease. These findings suggest a need for lifelong surveillance imaging in patients with RP-LPS.[Table: see text]

scholarly journals Massive obscure GI bleeding from Idiopathic Jejunal varices identified using single balloon enteroscopy

2019 ◽  
Vol 16 (1) ◽  
pp. 62-71
Author(s):  
Natasha Harris ◽  
Alaa Rostom ◽  
Husein Moloo
Keyword(s):  
Small Bowel ◽  
Literature Review ◽  
Gastrointestinal Bleeding ◽  
Surgical Resection ◽  
Obscure Gastrointestinal Bleeding ◽  
Gi Bleeding ◽  
Jejunal Varices ◽  
Single Balloon ◽  
Single Balloon Enteroscopy ◽  
Small Bowel Varices

Background:  Obscure gastrointestinal bleeding from idiopathic small bowel varices is both a diagnostic and management challenge for physicians. There are very few cases reported in the literature and there is no consensus on management recommendations. Aims:  To present the case of a 34-year-old male patient with bleeding from idiopathic jejunal varices and to review similar cases in the literature.  Methods:  A case of idiopathic jejunal varices is reported. A literature review was conducted and a total of 24 articles describing idiopathic small bowel varices were identified. Results:  Case Report: A 34-year-old gentleman was referred for worsening obscure gastrointestinal bleeding and anemia. Anterograde single balloon enteroscopy revealed several petechial like lesions that were not classic for angiodysplasia. These lesions were initially treated with argon plasma coagulation and clipped, which did not resolve the patient’s persistent anemia. No venous abnormalities were identified on computed tomography of the abdomen and pelvis with contrast. The patient underwent an endoscopically assisted exploratory laparoscopy that was converted to a laparotomy upon finding of grossly abnormal distal jejunum. Dilated and tortuous varicosities were identified involving approximately 150 cm of small bowel. It was decided to resect the 40 cm segment of jejunum in which varices were visible endoscopically. There was no evidence of thrombosis in the resected specimen. The patient suffered a pulmonary embolism post-operatively, believed to be provoked by the surgery.  The patient has had no re-bleeding 12 months post-resection. Literature Review: Both familial and non-familial accounts of small bowel varices in the absence of a primary cause have been reported in the literature. When supportive therapy is insufficient, the most common treatment modality chosen is surgical resection. Select cases have also demonstrated that sclerotherapy and varix dissection can be used for to treat these lesions. Conclusions:  Idiopathic small bowel varices pose both diagnostic and therapeutic challenges for physicians. In the literature, several treatment modalities have been shown to be successful; these include surgical resection, varix dissection and sclerotherapy. There is no consensus on the preferred treatment strategy. This report demonstrates endoscopically assisted surgical resection as a viable management strategy for bleeding of idiopathic small bowel varices, an uncommon cause of occult GI bleeding.

3D Printing of Medical Models: A Literature Review

2017 ◽  
Author(s):  
Xingjian Wei ◽  
Li Zeng ◽  
Zhijian Pei
Keyword(s):  
3D Printing ◽  
Literature Review ◽  
Medical Curriculum ◽  
Industrial Applications ◽  
Physical Models ◽  
Research Directions ◽  
Anatomical Structures ◽  
Medical Models ◽  
3D Printed ◽  
Anatomy Teaching

Medical models are physical models of human or animal anatomical structures such as skull and heart. Such models are used in simulation and planning of complex surgeries. They can also be utilized for anatomy teaching in medical curriculum. Traditionally, medical models are fabricated by paraffin wax or silicone casting. However, this method is time-consuming, of low quality, and not suitable for personalization. Recently, 3D printing technologies are used to fabricate medical models. Various applications of 3D printed medical models in surgeries and anatomy teaching have been reported, and their advantages over traditional medical models have been well-documented. However, 3D printing of medical models bears some special challenges compared to industrial applications of 3D printing. This paper reviews more than 50 publications on 3D printing of medical models between 2006 and 2016, and discusses knowledge gaps and potential research directions in this field.

Surgical Resection with Uterine Preservation in Uterine Arteriovenous Fistula: A Case Report and Literature Review

2019 ◽  
Vol 35 (4) ◽  
pp. 264-269
Author(s):  
Albaro Jose Nieto-Calvache ◽  
Clara Ivette Campos-García ◽  
Ana Maria Granados-Sánchez ◽  
Juan Pablo Benavides-Calvache ◽  
Juan Pablo Suso-Palau ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Arteriovenous Fistula ◽  
Surgical Resection ◽  
Uterine Preservation

scholarly journals Endoscopic and Microsurgical Approaches to the Cavernous Sinus – Anatomical Review

2017 ◽  
Vol 36 (03) ◽  
pp. 160-166
Author(s):  
Flavio Romero ◽  
Daphyne Ramires ◽  
Luigi Cristiano ◽  
Marcos Silva ◽  
Rodolfo Vieira
Keyword(s):  
Literature Review ◽  
Cavernous Sinus ◽  
Surgical Anatomy ◽  
Sinus Surgery ◽  
High Morbidity ◽  
Anatomical Structures

AbstractCavernous sinus surgery has always represented a surgical challenge due to the great importance of the surrounding anatomical structures and to the high morbidity associated to it. Although the anatomy of this region has been extensively described, controversy remains related to the best treatment and approaches for different kinds of lesions. In this article, a literature review was performed on the surgical anatomy and approaches to the cavernous sinus.

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