scholarly journals Surgical treatment of the parieto-occipital region extensive scalped wound

2021 ◽  
Vol 8 (1) ◽  
pp. 42-49
Author(s):  
V. А. Mitish ◽  
P. V. Medinsky ◽  
V. G. Bagaev
Keyword(s):  
Surgical Treatment ◽  
Plastic Surgery ◽  
Soft Tissues ◽  
Early Postoperative Period ◽  
Occipital Region ◽  
Primary Wound Closure ◽  
Combined Use ◽  
Scalp Wound ◽  
Cutaneous Flap ◽  
Post Traumatic

In the presented clinical case, we consider the surgical treatment of a 9-year-old girl with an extensive post-traumatic scalp wound in the parieto-occipital region resulting from hair getting into the moving mechanism of a go-kart car and incomplete separation of the scalp in the parieto-occipital region of the head. The early postoperative period (surgical treatment with primary wound closure) was complicated by the development of skin necrosis. An extensive wound defect in the soft tissues of the scalp (up to 150 cm2) was replaced with local related tissues. For this, various methods of plastic surgery were used in different areas of the wound defect: plastic surgery with local tissues, replacement of the defect with a rotated fascio-cutaneous flap and plastic surgery with local tissues using the dosed stretching method. The combined use of these methods made it possible to completely restore full-fledged soft tissues and hair of the injured parieto-occipital region. 

Post traumatic CSF fistulas – a solved problem?

2021 ◽  
Vol 28 (05) ◽  
pp. 630-634
Author(s):  
Sidra Aftab Satti ◽  
Kashif Ramooz ◽  
Muhammad Usman Malik ◽  
Nadeem Akhtar ◽  
Yasar Shahzad
Keyword(s):  
Surgical Treatment ◽  
Head Trauma ◽  
Late Onset ◽  
District Hospital ◽  
Significant Risk ◽  
Csf Leakage ◽  
Scalp Wound ◽  
Post Traumatic ◽  
Study Setting ◽  
Csf Leaks

Objective: To find the frequency of post-traumatic fistulas in acquire data in neurosurgery department of District Hospital Rawalpindi. Study Design: Descriptive Retrospective Study. Setting: Department of Neurosurgery in District Hospital Rawalpindi. Period: July 2017 to 2019. Material & Methods: Total 70 Patients presented with CSF leaks from either ear or nose or scalp wound following head trauma. All these patients underwent treatment in the emergency room because the study of patients included only those to who presented to emergency with head trauma, including some who underwent some surgical procedure as well, apart from the standard conservative management for all patients. Mean and standard deviation of quantitative data (age), was recorded. Categorical data like gender, early and late onset of disease, surgical treatment were expressed in frequencies & percentage. Results: 70 patients including 52(74.2%) male and 18(25.7%) female. The mean ages was 38.34­­+13.21 year. CSF leakage was from nose 33(47%) and ear was 37(53%). At the postoperative period, 8(11%) patients had meningitis and 62(89%) patients had no meningitis. Those patients who treated non surgically as 56(80%) as compared to those who underwent some surgical procedures 14(20%). Majority of the patients 59(84%) had early onset < 48 hours of presentation, while 11(16%) had delayed > 48 hours of CSF leakage. Conclusion: CSF fistulas remain a problem after head trauma, with a significant risk of complications and rarely death, hence requiring prompt diagnosis and careful management. Failure of CSF fistula to heal within an average time of 2 weeks of conservative treatment, usually requires surgical treatment.

scholarly journals Complications after toe-to-hand transfers in children with pathologies of the hand

2017 ◽  
Vol 5 (4) ◽  
pp. 16-23
Author(s):  
Sergey I. Golyana ◽  
Tatiana I. Tikhonenko ◽  
Anton V. Govorov ◽  
Natal’ya V. Zaytseva ◽  
Aleksey V. Balashov
Keyword(s):  
Surgical Treatment ◽  
Soft Tissue ◽  
Blood Supply ◽  
Conservative Therapy ◽  
Treatment Method ◽  
Early Postoperative Period ◽  
Ischemic Complications ◽  
Microcirculatory Disorders ◽  
Post Traumatic

Background. Complications after microsurgical toe-to-hand transfer is a problem for which there is no common approach to treatment. The aim of this study was to analyze the ischemic complications after microsurgical operations in children with pathologies of the hand to improve the quality of surgical treatment. Materials and methods. From 2007 to 2016, we performed 210 microsurgical toe-to-hand transfers involving 306 transplants, 267 (87.3%) of which were performed in patients with congenital pathologies and 39 (12.7%) in patients with post-traumatic deformities of the hand. In total, 352 fingers were reconstructed. Results. Blood supply disturbance following toe transplants occurred in 19 (6.2%) of the 306 transplants, most often in the early postoperative period (73.7%). The main cause of microcirculatory disorders was thrombosis of the venous or arterial trunks (8 cases). In 6 patients, the blood supply disturbance occurred because of thrombosis of autovenous grafts. Two patients underwent necrectomy at days 7 and 18 because conservative and operative treatments were not successful. Conclusion. The treatment method of choice after the first appearance of signs of blood supply disturbance in a transferred toe is conservative therapy, which includes disaggregants, anticoagulants, and hirudotherapy. Conservative therapy should be performed within 3 hours from the beginning of ischemia; if ischemia is absent, the patient must undergo surgery. The operation includes soft tissue decompression, mechanical pumping across vascular anastomoses, and if necessary, excision of the abnormal vessel part with subsequent autoplasty.

scholarly journals COMPLICATIONS IN SURGICAL TREATMENT OF PATIENTS WITH CHRONIC DACRIOCYSTITIS

2020 ◽  
Vol 16 (4) ◽  
Author(s):  
O.O. Minaiev
Keyword(s):  
Surgical Treatment ◽  
Lower Eyelid ◽  
Early Postoperative Period ◽  
Control Group ◽  
Local Complications ◽  
Chronic Dacryocystitis ◽  
Combined Use ◽  
Traditional Algorithm ◽  
Group 3 ◽  
The Difference

Relevance. Effective treatment of chronic dacryocystitis (CD) remains an urgent problem of modern ophthalmology and rhinology. When studying this issue, not enough attention is always paid to complications. Objective – to analyze the existing complications in the surgical treatment of patients with СD. Material and methods. The study group (1st group) consisted of 45 patients with CD, who underwent endonasal endoscopic dacryocystorhinostomy (EEDCR) according to the developed own method, the comparison group (2nd group) included 36 patients who after performing the developed EEDCR a polyvinyl chloride (PVC) conductor was installed in the area of the dacryonostoma. The control group (3rd group) included 28 patients who underwent EEDCR according to the traditional method: with the preservation and plastic placement of mucous flaps and with the installation of PVC-conductor. Patients of the 1st and 2nd groups were divided into 2 subgroups: 1A and 2A included patients who underwent computed tomography (CT) of the lacrimal ducts in the preoperative period according to the developed method and patients of subgroups 1B and 2B – according to the traditional algorithm. Statistical analysis was performed using the licensed program MedCalc (MedCalc Software bvba, Ostend, Belgium; 2017). Results. In patients of subgroups 2A, 2B, and group 3 in the period of 1.5 months after surgery, local complications of the eyeball were recorded: epiphora during implant wearing, severe conjunctivitis, prolapse and displacement of the implant, granulation in the lower lacrimal duct, ectopia of the lower lacrimal point. No such complications were observed in patients of subgroups 1A and 1B. In patients of subgroups 1B, 2B, and group 3 in the early postoperative period were recorded varying degrees of swelling of the lower eyelid, as well as nosebleeds after removal of tampons. No such complications were observed in patients of subgroups 1A and 2A, and the difference between the groups was statistically significant (p <0.05). Conclusion. CT of the lacrimal ducts and EEDCR according to the developed methods are effective and allow their combined use to avoid local complications from the nasal cavity and eyeball.

scholarly journals Surgical treatment of liver alveococcosis

2019 ◽  
Vol 24 (3) ◽  
pp. 124-131
Author(s):  
B. Kh. Bebezov ◽  
Kh. S. Bebezov ◽  
T. M. Umetaliev ◽  
N. D. Mamashev ◽  
T. M. Belekbaev ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Liver Resection ◽  
Soft Tissues ◽  
Intraoperative Ultrasound ◽  
Distant Metastases ◽  
Early Postoperative Period ◽  
R0 Resection ◽  
Final Decision ◽  
Great Vessels ◽  
Atypical Resection

Aim. To improve the results of diagnosis and surgical treatment of liver alveococcosis.Material and methods. There were 415 patients with liver alveococcosis for the period 2009–2018. Liver resection was performed in 364 patients. Metastases in the brain were detected in 7 patients, lungs – in 3 cases, soft tissues involvement – in another 3 ones. Hepatic-bronchial fistula occurred in 2 cases. Mean age of patients was 41 ± 2.3 years. There were 128 (30.8%) men and 287 (69.2%) women.Results. Advanced liver resection was performed in 187 patients, atypical resection – in 177 cases. R0-resection was carried out in 62.4% of cases, R1–2 procedures – in 37.6%, diagnostic laparotomy – in 4.4%. Four patients died in early postoperative period.Conclusion. The final decision about resectability may be made after intraoperative assessment, intraoperative ultrasound, Doppler sonography and liver mobilization. Liver resection for advanced alveococcosis is extensive, needs for resection and replacement of great vessels, as well as bile ducts repair. Radical treatment is R0-resection if distant metastases are absent. Redo surgery is advisable for liver alveococcosis.

Surgical treatment of extensive perianal hidradenitis

2020 ◽  
Vol 99 (9) ◽  
Keyword(s):  
Surgical Treatment ◽  
Hidradenitis Suppurativa ◽  
Soft Tissues ◽  
Case Reports ◽  
Radical Excision ◽  
Skin Flaps ◽  
Perianal Area ◽  
Apocrine Glands ◽  
Patient Preparation ◽  
Two Stages

Introduction: Perianal hidradenitis suppurativa is a chronic recurrent inflammatory, suppurative, and fistulising disease of apocrine glands, adjacent anal canal and soft tissues. Perianal area is the second most common affected area after axilla. There are three grades of the disease. Hidradenitis suppurativa represents a chronic, recurrent, deep-seated folliculitis resulting in abscesses, followed by the formation of sinus tracts and subsequent scarring. Perianal hidradenitis suppurativa is the last and the most serious grade of the disease and a specific access is needed for patient preparation and surgical treatment alone. The currently preferred method of treatment for patients with extensive perianal hidradentitis is excision and closure with combination of skin flaps, primary suture and skin graft in one or two stages. Case reports: There are three case reports of perianal hidradenitis suppurativa in this article. The local and overall initial treatment of patients followed by a radical excision and closure with a rotation skin flaps and skin grafts is described. The final results were satisfactory, with no recurrence or serious complication.

Satisfaction With Life And Disease Acceptance By Patients With A Stomy Related To Surgical Treatment Of The Rectal Cancer – Determinants Of Quality Of Life?

2015 ◽  
Vol 87 (9) ◽  
Author(s):  
Andrzej Nowicki ◽  
Justyna Marciniak ◽  
Paulina Farbicka ◽  
Zbigniew Banaszkiewicz
Keyword(s):  
Rectal Cancer ◽  
Surgical Treatment ◽  
Satisfaction With Life ◽  
Early Postoperative Period ◽  
Moderate Level ◽  
University Hospital ◽  
Satisfaction With Life Scale ◽  
Satisfaction Level ◽  
Level Of Satisfaction ◽  
Acceptance Score

AbstractSatisfaction with life and disease acceptance by patients with a stomy related to surgical treatment of the rectal cancer depend on multiple factors. Such factors as social support, life conditions and time that elapsed after stomy creation, are very important in this context.was to conduct an early evaluation of life satisfaction and disease acceptance by patients with a stomy related to surgical treatment of the rectal cancer.The study was conducted at Dr. Jan Biziel University Hospital No. 2 in Bydgoszcz and at the prof. F. Łukaszczyk Oncology Centre in Bydgoszcz in 2014. The final analysis included 96 subjects aged 41-87 years (median 59 years). Satisfaction With Life Scale (SWLS) and Acceptance of Illness Scale (AIS) adapted by Zygfryd Juczyński, were used in this study.Most patients had satisfaction with life score of 5 or 6, 23 (24%) and 28 (29.2%) subjects, respectively. Twenty nine (30.2%) study subjects had low satisfaction level, while 16 (16.7%) had high satisfaction level. Average disease acceptance score was 23.2 points. Most patients, 71 (74%) had a moderate disease acceptance score, while the lowest number of subjects, 9 (9.4%), had high disease acceptance score. None of the study subjects who were under the care of a psychologist (14/100%) did not have a low acceptance level.Half of the study subjects had a moderate level of satisfaction with life. Most patients with stomy related to surgical treatment of the rectal cancer in an early postoperative period had moderate level of the disease acceptance. Patients with high level of satisfaction with life, accept the disease better. Few patients who used help by a psychologist, were two- and three-fold more likely to have higher level of satisfaction with life and disease acceptance, respectively.

652 SURGICAL TREATMENT OF POST-TRAUMATIC COMPLETE URETHRAL RUPTURE: DEFERRED URGENT URETHRAL SUTURE OR DELAYED REPAIR?

2007 ◽  
Vol 6 (2) ◽  
pp. 185
Author(s):  
M. Sfaxi ◽  
A. Bouzouita ◽  
M.R. Ben Slama ◽  
R. El Attat ◽  
M. Chebil
Keyword(s):  
Surgical Treatment ◽  
Delayed Repair ◽  
Post Traumatic ◽  
Urethral Rupture

scholarly journals Minimum Invasive Stabilizing and Decompressive-Stabilizing Methods of Surgical Treatment for Degenerative-Dystrophic Lesions of Spine

2011 ◽  
Vol 18 (4) ◽  
pp. 3-10
Author(s):  
A V Krut'ko ◽  
Shamil' Al'firovich Akhmet'yanov ◽  
D M Kozlov ◽  
A V Peleganchuk ◽  
A V Bulatov ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Lumbar Spine ◽  
Surgical Techniques ◽  
Pain Syndrome ◽  
Early Postoperative Period ◽  
Main Group ◽  
Control Group ◽  
Surgical Interventions ◽  
Comparative Group ◽  
Operative Wound

Results of randomized prospective study with participation of 94 patients aged from 20 to 70 years with monosegmental lumbar spine lesions are presented. Minimum invasive surgical interventions were performed in 55 patients from the main group. Control group consisted of 39 patients in whom decompressive-stabilizing operations via conventional posteromedian approach with skeletization of posterior segments of vertebral column were performed. Average size of operative wound in open interventions more than 10 times exceeded that size in minimum invasive interventions and made up 484 ± 56 and 36 ± 12 sq.cm, respectively. Mean blood loss was 326.6 ± 278.0 ml in the main group and 855.1 ± 512.0 ml in the comparative one. In the main group no one patient required substitution hemotransfusion, while in 13 patients from the comparative group donor erythrocytic mass and/or fresh-frozen plasma were used to eliminate the deficit of blood components. Intensity of pain syndrome in the zone of surgical intervention by visual analog scale in the main group was lower than in comparative group. In the main and comparative groups the duration of hospitalization made up 6.1 ± 2.7 and 9.7 ± 3.7 bed days, respectively. In no one patient from the main group complications in the zone of operative wound were noted. Three patients from the comparative group required secondary debridement and in 1 patient early deep operative wound suppuration was observed. Application of low invasive surgical techniques for the treatment of patients with degenerative lumbar spine lesions enabled to perform radical surgical treatment with minimal iatrogenic injury. The method possessed indubitable advantages over the conventional open operations especially intraoperatively and in early postoperative period.

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