scholarly journals Perianal Inflammation or Something More?

2021 ◽  
Vol 11 ◽  
pp. 47
Author(s):  
Romina Geraldine Dsouza ◽  
Mohamed Rizwan Haroon Al Rasheed ◽  
Gavin Low
Keyword(s):  
Surgical Resection ◽  
Surgical Management ◽  
Tissue Sampling ◽  
Fluid Component ◽  
Perianal Fistulae ◽  
Unusual Appearance

Perianal fistulae are commonly complicated by abscesses and ramifications, which have well-recognized imaging morphology. Less commonly, atypical findings of solid enhancing mass-like lesions with no fluid component are associated with chronic and recurrent fistulae, the etiology of which includes inflammatory masses as well as locally aggressive malignancy. The latter predicts poorer prognosis and warrants extensive surgical resection. The reading radiologist must identify the unusual appearance, be aware of the possible etiologies, and if appropriate recommend prompt tissue sampling to exclude malignancy. This is pertinent as it determines surgical management, which is crucial in achieving a potential curative outcome.

Anomalous splenic artery aneurysm

Vascular ◽  
2013 ◽  
Vol 21 (2) ◽  
pp. 105-108 ◽  
Author(s):  
Sydney S N Wong ◽  
T F Lindsay ◽  
G Roche-Nagle
Keyword(s):  
Superior Mesenteric Artery ◽  
Surgical Resection ◽  
Surgical Management ◽  
Mesenteric Artery ◽  
Splenic Artery ◽  
Artery Aneurysm ◽  
Anomalous Origin ◽  
Splenic Artery Aneurysm ◽  
Visceral Aneurysm ◽  
Preservation Of The Spleen

Aneurysms of the splenic artery are the most common visceral aneurysm. A splenomesenteric trunk, which involves the splenic artery arising from the superior mesenteric artery (SMA), is rare and occurs in less than 1% of patients. Thus splenic artery aneurysms (SAAs) with an anomalous origin from the SMA are quite rare. We report our experience with the surgical management of a 2.6-cm aneurysm involving a splenic artery arising from the SMA in a 40-year-old woman. This was treated with surgical resection with preservation of the spleen. A discussion about SAAs and the management of aneurysms arising from a splenomesenteric trunk follows.

scholarly journals Presentation and Surgical Management of Duodenal Duplication in Adults

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Caroline C. Jadlowiec ◽  
Beata E. Lobel ◽  
Namita Akolkar ◽  
Michael D. Bourque ◽  
Thomas J. Devers ◽  
...  
Keyword(s):  
Gastric Mucosa ◽  
Gastrointestinal Bleeding ◽  
Surgical Resection ◽  
Surgical Management ◽  
Biliary Obstruction ◽  
Clinical Success ◽  
Ectopic Gastric Mucosa ◽  
Combined Approach ◽  
Duodenal Duplication ◽  
Clinical Presentations

Duodenal duplications in adults are exceedingly rare and their diagnosis remains difficult as symptoms are largely nonspecific. Clinical presentations include pancreatitis, biliary obstruction, gastrointestinal bleeding from ectopic gastric mucosa, and malignancy. A case of duodenal duplication in a 59-year-old female is presented, and her treatment course is reviewed with description of combined surgical and endoscopic approach to repair, along with a review of historic and current recommendations for management. Traditionally, gastrointestinal duplications have been treated with surgical resection; however, for duodenal duplications, the anatomic proximity to the biliopancreatic ampulla makes surgical management challenging. Recently, advances in endoscopy have improved the clinical success of cystic intraluminal duodenal duplications. Despite these advances, surgical resection is still recommended for extraluminal tubular duplications although combined techniques may be necessary for long tubular duplications. For duodenal duplications, a combined approach of partial excision combined with mucosal stripping may offer advantage.

Chondrosarcoma of the Larynx: Excision of Massive Recurrence

1982 ◽  
Vol 91 (4) ◽  
pp. 392-394 ◽  
Author(s):  
Francis E. LeJeune ◽  
Herbert W. Van Horn ◽  
Gist H. Farr
Keyword(s):  
Surgical Resection ◽  
Surgical Management ◽  
Malignant Tumor ◽  
Conservative Management ◽  
Slow Growing

Chondrosarcoma of the larynx is an uncommon, slow-growing malignant tumor of the larynx which tends to metastasize late. This paper adds to the literature a case which was followed for 18 years. During the first three years is was thought to be a benign chondroma. Conservative management by limiting surgical resection, at the patient's direction, allowed observation of the disease for this unusual length of time. Massive enlargement finally necessitated laryngectomy. The lesion, though unquestionably malignant, had not infiltrated adjacent neck structures and appears to have been totally excised, with the patient now being free of disease six months after surgery. This supports the view of conservative surgical management.

scholarly journals Sacral Chordoma: A Pitfall in Surgical Management

2020 ◽  
Vol 4 (2) ◽  
pp. 53-57
Author(s):  
Kow R.Y. ◽  
Goh K.L. ◽  
Mohamed Amin M.A. ◽  
Low C.L. ◽  
Mustaffa F.
Keyword(s):  
Surgical Resection ◽  
Surgical Management ◽  
Bowel Perforation ◽  
Locally Advanced ◽  
Surgical Margin ◽  
Wide Resection ◽  
Term Survival ◽  
Sacral Chordoma ◽  
Invasive Tumour ◽  
Close Proximity

Chordomas are rare primary, locally invasive tumour of the bone which derived from notochordal remnants. Currently, the mainstay of treatment of chordomas is surgical resection. Despite the clear advantages of adequate surgical margin, the locally advanced nature of chordomas makes wide resection of the tumour difficult as they are often in close proximity with the surrounding vital organs. The published literatures of sacral chordomas mainly focus on the approach of surgery, reconstruction post-resection, long-term survival and reports on successful surgical resection. We report a case which highlights the pitfall in the surgical management of a sacral chordoma. Our patient developed delayed bowel perforation which may be associated with the sacrum osteotomy.   Keywords: chordoma; sacrum; surgery; pitfall; outcome.

scholarly journals Growing Teratoma Syndrome

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Anna Scavuzzo ◽  
Zael Arturo Santana Ríos ◽  
Nancy Reynoso Noverón ◽  
Miguel Angel Jimenez Ríos
Keyword(s):  
Germ Cell ◽  
Surgical Resection ◽  
Surgical Management ◽  
Systemic Chemotherapy ◽  
Intraoperative Complications ◽  
Tumour Markers ◽  
Clinical Entity ◽  
Optimal Management ◽  
Rare Clinical Entity ◽  
Growing Teratoma Syndrome

Growing teratoma syndrome (GTS) is a rare clinical entity, which presents with enlarging teratomas masses of the retroperitoneum or other locations, occurring during or after systemic chemotherapy for the treatment of nonseminomatous germ cell of the testis (NSGCT), with normalised tumour markers. Awareness of this syndrome is necessary in order to prevent unnecessary chemotherapy and allow optimal management. Prognosis is excellent after the excision of these tumors, but surgery has to be as complete as possible. Surgical resection of bulky GTS lesions is technically challenging; intraoperative complications may occur; that is, why the treatment must not be delayed. Our experience in the surgical management of these lesions is reviewed in the following work.

Surgical Management of Liver Metastases From Colorectal Cancer

2016 ◽  
Vol 12 (1) ◽  
pp. 33-39 ◽  
Author(s):  
Mashaal Dhir ◽  
Aaron R. Sasson
Keyword(s):  
Colorectal Cancer ◽  
Prognostic Factors ◽  
Liver Metastases ◽  
Surgical Resection ◽  
Surgical Management ◽  
Colorectal Liver Metastases ◽  
Multidisciplinary Approach ◽  
Treatment Options ◽  
Optimal Timing ◽  
Medical Oncologists

Surgical resection remains one of the major curative treatment options available to patients with colorectal liver metastases. Surgery and chemotherapy form the backbone of the treatment in patients with colorectal liver metastases. With more effective chemotherapy regimens being available, the optimal timing and sequencing of treatments are important. A multidisciplinary approach with the involvement of medical oncologists and surgical oncologists from the beginning is crucial. Identification of the clinical and molecular prognostic factors may help personalize the treatment approaches for these patients. This article provides an overview of the surgical management of colorectal liver metastases.

A Case Series of Long-Term Surgical Outcomes of Primary Pulmonary Artery Sarcomas With Opportunities for 3D-Printed Models in Surgical Planning

2020 ◽  
pp. 155698452096071
Author(s):  
Nandita N. Mahajan ◽  
Sertac M. Cicek ◽  
Christopher G.A. McGregor ◽  
Jennifer M. Boland ◽  
Jonathan M. Morris ◽  
...  
Keyword(s):  
Pulmonary Artery ◽  
Surgical Resection ◽  
Surgical Management ◽  
Care Pathway ◽  
Case Series ◽  
Radical Resection ◽  
Postoperative Survival ◽  
Incomplete Resection ◽  
Radical Surgical Resection

There are limited data regarding the surgical management of primary pulmonary artery sarcomas (PPAS) because of their rarity and complicated diagnostic history. The objective of this study was to analyze our institution’s long-term surgical management outcomes for PPAS in the absence of a care pathway. From May 1997 to June 2013, 8 patients (mean age 60.6 ± 11.8 years; range, 40-73 years; 5 women and 3 men) underwent surgical intervention for PPAS at our institution. The most common computed tomography finding was a luminal filling defect obstructing the pulmonary artery (PA), without evidence of extraluminal extension. Three patients underwent debulking/pulmonary endarterectomy alone and 5 patients underwent a more radical resection with PA patch angioplasty, PA resection and reconstruction, pulmonary valve replacement, and unilateral pneumonectomy. The mean postoperative survival in this series was 3.8 ± 3.6 years (range, 1-11.9 years), with 2 radical surgical resection patients alive at 4.9 and 11.9 years, respectively. For those patients with incomplete resection, 3-dimensional (3D) models were created to demonstrate the advantage of a preoperative guide for a more complete resection and what it would entail. Six patients had local recurrences with mean disease-free interval of 14 ± 10.9 months (range, 2 months-2.5 years), and 2 patients with re-resections had an overall postoperative survival of 2.8 and 11.9 years, respectively. In our small cohort of PPAS, patients treated with radical surgical resection had better survival. The small number of PPAS cases in this series makes proving this association unlikely but warrants consideration.

Surgical Management of Tarsal Coalition in Adolescent Athletes

Foot & Ankle ◽  
1986 ◽  
Vol 7 (3) ◽  
pp. 183-194 ◽  
Author(s):  
Randall C. Morgan ◽  
Alvin H. Crawford
Keyword(s):  
Surgical Resection ◽  
Surgical Management ◽  
Surgical Excision ◽  
Nonoperative Treatment ◽  
Extensor Digitorum ◽  
Tarsal Coalition ◽  
Adolescent Athletes ◽  
Adolescent Patients ◽  
Extensor Digitorum Brevis

The authors studied 12 adolescent patients with a known diagnosis of tarsal coalition. These patients were also active participants in athletics. Of the 12 patients studied, there were eight with calcaneonavicular bars and four with talocalcaneal bars. Even though nonoperative treatment was not successful, only eight of the 12 elected to have surgery. Following surgical resection of the tarsal coalition, five of six patients who had calcaneonavicular bar excisions as well as two patients with talocalcaneal bar excisions were able to return to competitive athletics. Nonoperative treatment of the tarsal coalition did not result in alleviation of symptoms and full return to athletics. The surgical excision of the calcaneonavicular bar with extensor digitorum brevis arthroplasty afforded the best results.

scholarly journals Speech and Swallowing Outcomes Following Surgical Resection with Immediate Free Tissue Transfer Reconstruction for Advanced Osteoradionecrosis of the Mandible Following Radiation Treatment for Head and Neck Cancer

Dysphagia ◽  
2021 ◽  
Author(s):  
Grainne Brady ◽  
Lauren Leigh-Doyle ◽  
Francesco Mattia Giovanni Riva ◽  
Cyrus Kerawala ◽  
Justin Roe
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Surgical Resection ◽  
Surgical Management ◽  
Neck Cancer ◽  
Free Tissue Transfer ◽  
Post Surgery ◽  
Tissue Transfer ◽  
The Impact ◽  
Swallowing Outcomes

AbstractDespite recent advances in the radiation techniques used for the treatment of head and neck cancer (HNC) including intensity-modulated radiotherapy (IMRT), mandibular osteoradionecrosis (ORN) remains a significant complication. Advanced stage ORN is managed surgically with resection and immediate free tissue transfer reconstruction. An evaluation of the functional speech and swallowing outcomes was undertaken for patients undergoing surgical management of advanced ORN. We retrospectively reviewed consecutive patients, at a single, tertiary cancer centre, who underwent surgical resection for advanced Notani grade III ORN. Outcomes investigated included use and duration of tracheostomy and swallowing and speech status using Performance Status Scale for Head and Neck Cancer Normalcy of Diet (PSS-NOD) and Understandability of Speech (PSS-Speech) at baseline and 3 months following surgery. Ten patients underwent surgical resection with free tissue transfer reconstruction between January 2014 and December 2019. Two patients required supplemental nutrition via a gastrostomy at three months post surgery. As per the PSS-NOD data half of the patients’ (n = 5) diet remained stable (n = 2) or improved (n = 3) and half of the participants experienced a decline in diet (n = 5). The majority of patients had no speech difficulties at baseline (n = 8). The majority of patients’ speech remained stable (n = 8) with two patients experiencing a deterioration in speech clarity following surgery. Well-designed studies with robust, sensitive multidimensional dysphagia and communication assessments are required to fully understand the impact of surgical management of advanced ORN using resection with free tissue transfer reconstruction.

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