Long-term results of trabeculotomy ab interno in surgery of glaucoma and cataract

GlaucomaNews ◽  
2020 ◽  
pp. 69-71
Author(s):  
A.V. Postupaev ◽  
◽  
V.V. Egorov ◽  
N.V. Postupaeva ◽  
◽  
...  
Keyword(s):  
Hypotensive Effect ◽  
Drug Regimen ◽  
Long Term Results ◽  
Safe Operation ◽  
Combined Surgery ◽  
Antihypertensive Regimen ◽  
Initial Stage ◽  
Observation Period ◽  
Ab Interno

Purpose. To study long-term results of combined surgery for glaucoma and cataract by trabeculotomy ab interno. Material and Methods. 62 patients (64 eyes) with combination of glaucoma and cataract. The age of patients is from 53 to 84 years. The initial stage of glaucoma - 10 eyes, developed - 33 eyes, far-advanced - 21 eyes, level of intraocular pressure (IOP) before surgery in all eyes was intolerant for these stages of glaucoma and ranged from 21 to 36 mmHg. Indications for surgical treatment were absence of persistent IOP level compensation in hypotensive mode, the presence of lens opacification, which affects central visual acuity (VA). Best corrected VA is from 0.01 to 0.6. The technique of combined surgery included: 1st stage - phacoemulsification with implantation of flexible IOL; 2nd stage - trabeculotomy ab interno. The observation period is 18 months. Results. During the observation period of up to 18 months, IOP decreased on average to 20.8±3.1 mmHg. The target level of IOP without an additional antihypertensive regimen remained in 22 eyes (34.37%), with antihypertensive regimen - in 42 eyes (65.63%). In most patients VA increased to 0.2–1.0 and only in 2 cases decreased due to development of posterior capsular fibrosis. Conducting trabeculotomy ab interno has significantly reduced number of drugs used. However, 3-12 months after surgery, IOP increase up to 26-30 mmHg was observed in 4 eyes with antihypertensive drug regimen; microinvasive non-penetrating deep sclerectomy was performed to compensate for it. Conclusion. Trabeculotomy ab interno in combination with phacoemulsification with IOL implantation was effective and safe operation. Sufficient hypotensive effect and high visual functions observe at 18 months observation period.

Temporary “liquid” Implant for Congenital Glaucoma (long-term results)

2020 ◽  
pp. 49-65
Author(s):  
N Bobrova ◽  
N Trofimova
Keyword(s):  
Surgical Treatment ◽  
Postoperative Complications ◽  
Hypotensive Effect ◽  
Congenital Glaucoma ◽  
Long Term Results ◽  
General Will ◽  
Visual Functions ◽  
Advanced Stages ◽  
Intraocular Fluid

The aim of the work was to analyze the long-term results of using a temporary “liquid” implant in the surgery of congenital glaucoma in children. The basis of the developed method of filtrative antiglaucomatous surgery (Patent of Ukraine No. 45099 of 2009) – viscosinusotrabeculotomy – has been set the task of reducing the risk of developing intra- and postoperative complications, reducing the scarring rate and maintaining the newly created ways of the intraocular fluid outflow, which in general will increase the effectiveness of surgical treatment of congenital glaucoma in children. 54 children (91 eyes) with simple congenital glaucoma at the age of 1 to 36 months were operated on average (8.7 ± 8.2) months. The persistent and long-lasting hypotensive effect achieved due to viscosinusotrabeculotomy in children with developed and far-advanced stages of congenital glaucoma stops the processes of stretching of the membranes of the eye and stabilizes their size, which in general allows preserving and visual functions improving, in infancy – creating conditions for their formation.

scholarly journals EXTRAPLEURAL PNEUMOLYSIS FOR CAVITARY PULMONARY TUBERCULOSIS TREATMENT

2020 ◽  
pp. 15-20
Author(s):  
P. G. Gadzhieva ◽  
D. B. Giller ◽  
A. A. Glotov ◽  
O. Sh. Kesaev ◽  
V. V. Koroev ◽  
...  
Keyword(s):  
Pulmonary Tuberculosis ◽  
Multidrug Resistant ◽  
Pathological Process ◽  
Tuberculosis Treatment ◽  
Long Term Results ◽  
Filling Material ◽  
Different Types ◽  
Positive Effect ◽  
Observation Period

Objective. To increase efficiency of cavitary pulmonary tuberculosis treatment by developing modern indications and technology of extrapleural pneumolysis with filling material.Material and methods. We reviewed 25 patients with cavitary pulmonary tuberculosis and bacterial excretion who had undergone extrapleural pneumolysis with different types of filling material in 2004–2015. In 16 cases, we performed surgery in patients with one lung.Results. 56% of operated patients demonstrated extensively drug-resistant TB, 40% had multidrug-resistant TB. Cavities were closed and bacterial excretion ceased in 92% of patients at discharge. Long-term results with observation period from 1 to 12 years were analyzed in 24 patients, 17 (71%) of them had complete clinical efficacy.Conclusion. Extrapleural pneumolysis is a mini-invasive surgical treatment that can prove positive effect in patients with non-fibrotic changes in a cavity wall and pathological process in upper parts of the lungs. 

LONG-TERM RESULTS OF COMBINED AB INTERNO TRABECULOTOMY (TRABECTOME) AND SMALL-GAUGE PARS PLANA VITRECTOMY

Retina ◽  
2016 ◽  
Vol 36 (6) ◽  
pp. 1076-1080
Author(s):  
Brian Toussaint ◽  
Michael R. Petersen ◽  
Robert A. Sisk ◽  
Christopher D. Riemann ◽  
Daniel M. Miller ◽  
...  
Keyword(s):  
Pars Plana Vitrectomy ◽  
Long Term Results ◽  
Small Gauge ◽  
Pars Plana ◽  
Ab Interno

Coronary-coronary bypass grafting: artery or vein?

2020 ◽  
Vol 28 (6) ◽  
pp. 316-321
Author(s):  
Vladlen Bazylev ◽  
Evgeny Rosseikin ◽  
Dmitriy Tungusov ◽  
Artur Mikulyak
Keyword(s):  
Myocardial Revascularization ◽  
Coronary Bypass ◽  
Long Term Results ◽  
Bypass Grafting ◽  
Coronary Bypass Grafting ◽  
Coronary Bypass Grafts ◽  
Long Term Follow Up ◽  
Observation Period

Background The method of coronary-coronary bypass grafting was described in 1987 but has not been widely used, and there are only a few studies that report good short-term and mid-term results as well as some individual cases of long-term follow-up. In our medical institution, we carried out an analysis of the long-term results of coronary-coronary bypass grafting, which are presented in this study. Methods This was a retrospective single-center study on 95 patients who underwent coronary-coronary bypass grafting as a supplement to the standard coronary bypass grafting procedure. All patients underwent angiographic assessment of the coronary bypass grafts during the long-term follow-up period. The observation period was up to 123 months. Angiographic assessment of 109 coronary-coronary grafts was carried out. Results Twelve (7.6%) arterial and 11 (19.3%) venous conduits were found to be occluded, and 8 (10.3%) arterial and 10 (31.3%) venous coronary-coronary grafts were occluded during the observation period. Conclusion Arterial coronary-coronary artery bypass grafting represents an alternative technique that allows complete myocardial revascularization.

Long-term results of combined surgery for open-angle glaucoma

2017 ◽  
Vol 133 (1) ◽  
pp. 32 ◽  
Author(s):  
I. Ya. Baranov ◽  
I. V. Shiryaev ◽  
N. V. Mitrofanova ◽  
N. A. Molodkina ◽  
L. I. Balashevich
Keyword(s):  
Open Angle Glaucoma ◽  
Long Term Results ◽  
Open Angle ◽  
Combined Surgery

Combined Surgery in the Treatment of Patients with Cataract and Primary Open-angle Glaucoma

2012 ◽  
Vol 06 (04) ◽  
pp. 218
Author(s):  
Giovanni Taibbi ◽  
Gianmarco Vizzeri ◽  
◽  
Keyword(s):  
Cataract Surgery ◽  
Primary Open Angle Glaucoma ◽  
Open Angle Glaucoma ◽  
Ageing Population ◽  
Efficacy And Safety ◽  
Combined Surgery ◽  
Operative Complications ◽  
Significant Cataract ◽  
Ab Interno

Cataract and glaucoma are the two leading causes of blindness worldwide and frequently co-exist in the ageing population. No uniform recommendations can be proposed when the two conditions are associated. In the presence of a visually significant cataract and uncontrolled glaucoma, clinicians should consider performing combined cataract surgery and trabeculectomy. Numerous phacotrabeculectomy techniques have been proposed. However, in the absence of strong evidence in support of a specific technique, surgeons’ preference and experience may dictate the choice. Unless contraindicated, mitomycin-C should be considered in all combined procedures. In addition, novel and minimally invasive glaucoma surgical procedures, such as ab interno trabeculotomy, have recently emerged and gained in popularity. In general, these procedures have shown the potential to be combined with phacoemulsification to further lower intraocular pressure (IOP) with relatively few post-operative complications. However, available data suggest that these techniques seem unlikely to be able to achieve a degree of IOP reduction comparable with that of trabeculectomy. Rigorous studies are necessary to better understand the long-term efficacy and safety profile of these novel procedures, when performed alone or in combination with cataract surgery.

“Complex” hepatic echinococcosis

2021 ◽  
Vol 26 (4) ◽  
pp. 32-40
Author(s):  
A. B. Goncharov ◽  
Y. A. Kovalenko ◽  
Kh. A. Ayvazyan ◽  
R. Z. Ikramov ◽  
L. A. Marinova ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Lung Damage ◽  
Long Term Results ◽  
Tubular Structures ◽  
National Medical ◽  
Laparoscopic Intervention ◽  
Hepatic Echinococcosis ◽  
Isolated Liver ◽  
Observation Period

Aim. To study the long-term results of surgical treatment in patients with “complex” hepatic echinococcosis.Materials and methods. The results of surgical treatment of 118 patients with hepatic echinococcosis from 2015 to 2020 at the A.V. Vishnevsky National Medical Research Center of Surgery were analyzed. The term “complex” hepatic echinococcosis has been proposed. A comparative analysis of the number and type of complications and surgical interferences 2 groups of patients was carried out: 66 patients with hepatic echinococcosis, 52 patients with complex hepatic echinococcosis.Results. During the observation period, no any recurrence was recorded. 55 (44%) of 118 patients had complex hepatic echinococcosis. Isolated liver damage was found in 74% of cases, combined liver and lung damage in 20% cases and with other organs – in 6%. In most cases, pericystectomy was performed (82%), 8% of patients underwent atypical hepatectomy, 4% – segmental resection, 3% – laparoscopic intervention, 3% – hemihepatectomy. Postoperative complications were recorded in 22 (18,6%) of cases. Accumulations of bile and biliary fistulas formed in 45% of cases, pneumotothorax or hydrothorax – in 23%, wound abscess – in 18%, hematomas in the hepatectomy zone – in 14% of the cases.Conclusion. Surgical treatment of complex hepatic echinococcosis requires an individual approach to the choice of the operation option. Preference should be given to parenchyma-preserving radical operations. When the liver lobe is totally replaced with a hydatid cyst and in case of cystobiliary fistulas hemihepatectomy should be performed, and it is acceptable to leave the fibrous capsule on large tubular structures.

scholarly journals RESULTS OF PALLIATIVE SURGICAL CORRECTION FOR PATIENTS WITH RESPIRATORY FAILURE DEPENDING ON THE VARIANT OF EMPHYSEMATOUS LESION

2018 ◽  
Vol 177 (4) ◽  
pp. 10-14
Author(s):  
S. D. Gorbunkov ◽  
V. V. Varlamov ◽  
S. M. Cherny ◽  
O. V. Lukina ◽  
A. L. Akopov
Keyword(s):  
Respiratory Failure ◽  
Pulmonary Emphysema ◽  
Early Postoperative Period ◽  
Surgical Correction ◽  
Long Term Results ◽  
Lung Volume Reduction ◽  
Pulmonary Tissue ◽  
Clinically Significant ◽  
Observation Period

The  OBJECTIVE  is  to  estimate the  immediate and  long-term   results of  palliative  surgical   correction of  the  respiratory failure (RF) depending on the  variants of emphysematous lesion  of   the  lungs.  MATERIAL AND METHODS.  175  patients with  the  severe  pulmonary emphysema  (PE)  were  operated, 111  resections of  large  and  giant  bullas  (RB)  (55.5  %), 85  lung  volume   reduction surgery  (LVRS)  (42.5  %)  were   performed,  the  proportion   of  repeated  interventions on  the contralateral lung  were  12  %.  RESULTS.   Complications in  the  early  postoperative period  were  in  107  patients  (53.5 %),  postoperative lethality  was  12.0  %  (n=24).  Complications in  the  group  of  patients with  the  absence of  practically preserved lobe  were  in 84  patients (69.4  %)  while  the  complications in the  group  with practically  preserved lobe  were revealed only  in  23  patients (29.1  %)  (p=0.001). After  RB  in  the  groups where   bullas  adjoined to  almost   unchanged pulmonary tissue,  the  lethality  during  the  five-year  observation period  was  much  less,   than  in the  groups with clinically significant   pulmonary emphysema  in  the   remaining  after   operation  part   of  a  lung,  4.1  %  and   40.0   %  respectively (p=0.001). CONCLUSION.  After the  palliative  surgical  correction of RF  through  RB or LVRS, the  most  favorable survival criterion is the presence of parenchyma in the operated lung, which is practically not affected with emphysema.

Sign in / Sign up

Export Citation Format

Share Document