Long-Term Outcomes of Surgical Treatment for Secondary Aphakic Glaucoma in Children

Background and Aim of the Study: Ischemic mitral valve regurgitation (IMR) in patients undergoing coronary artery bypass grafting (CABG) is associated with worse long-term outcomes. The aim of this study was to assess the impact of mitral valve repair with CABG in patients with moderate IMR. Method: This observational study enrolled 3,215 consecutive patients from the Juntendo CABG registry with moderate IMR and multivessel coronary artery disease who underwent CABG between 2002 and 2017. The CABG alone and CABG with mitral valve surgery (MVs) groups were compared. The propensity score was calculated for each patient. Long-term all-cause death, cardiac death, and major adverse cardiac and cerebrovascular events (MACCEs) were compared between the two groups. Results: A total of 101 patients who underwent CABG had moderate IMR in our database. Propensity score matching selected 40 pairs for final analysis. MVs was associated with increased risks of postoperative atrial fibrillation, blood transfusion, and longer hospitalization. There were no differences between the two groups in long-term outcomes, including all-cause mortality, cardiac mortality, and the incidence of MACCEs. Conclusions: Surgical treatment of moderate IMR combined with CABG was as safe as CABG alone, with no differences in long-term outcomes. Further studies are needed to determine the effects of MVs in patients with moderate IMR and severe coronary artery disease.

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Surgical Treatment of 40 Patients with Pectoralis Major Ruptures: Long-Term Outcomes

Traumatology and Orthopedics of Russia ◽

10.21823/2311-2905-2020-26-1-48-61 ◽

2020 ◽

Vol 26 (1) ◽

pp. 48-61

Author(s):

A. P. Sereda ◽

S. M. Smetanin

Keyword(s):

Surgical Treatment ◽

Pectoralis Major ◽

Long Term Outcomes

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Hypoplasia of the aortic arch

Patologiya krovoobrashcheniya i kardiokhirurgiya ◽

10.21688/1681-3472-2013-3-68-72 ◽

2015 ◽

Vol 17 (2) ◽

pp. 68 ◽

Cited By ~ 1

Author(s):

Yu. S. Sinelnikov ◽

A. V. Gorbatykh ◽

S. M. Ivantsov ◽

D. S. Prokhorova ◽

M. S. Kshanovskaya

Keyword(s):

Surgical Treatment ◽

Aortic Arch ◽

Considerable Improvement ◽

Long Term Outcomes ◽

Modern Methods ◽

Aggressive Surgical Approach ◽

Arch Reconstruction ◽

Aortic Arch Hypoplasia

An aggressive surgical approach to early repair of aortic coarctation and concomitant arch hypoplasia results in considerable improvement of the long-term outcomes of surgical treatment by reducing the number of aortic re-coarctation and arterial hypertension persistence events. At present, there exist some methods of determining the degree of aortic arch hypoplasia, which allow for arch reconstruction planning. Our review focuses on the analysis of modern methods of determination of the aortic arch hypoplasia and the outcomes of surgical treatment of this disease.

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Surgery for vertigo: 10-year audit from a contemporary vertigo clinic

The Journal of Laryngology & Otology ◽

10.1017/s0022215115002935 ◽

2015 ◽

Vol 129 (12) ◽

pp. 1182-1187 ◽

Cited By ~ 1

Author(s):

U Patnaik ◽

A Srivastava ◽

K Sikka ◽

A Thakar

Keyword(s):

Surgical Treatment ◽

Neck Surgery ◽

Vestibular Nerve ◽

Fistula Repair ◽

Long Term Outcomes ◽

Nerve Section ◽

Perilymphatic Fistula ◽

Disease Modifying ◽

Surgical Treatments

AbstractObjective:To present the profile of patients undergoing surgical treatment for vertigo at a contemporary institutional vertigo clinic.Study design:A retrospective analysis of clinical charts.Methods:The charts of 1060 patients, referred to an institutional vertigo clinic from January 2003 to December 2012, were studied. The clinical profile and long-term outcomes of patients who underwent surgery were analysed.Results:Of 1060 patients, 12 (1.13 per cent) were managed surgically. Of these, disease-modifying surgical procedures included perilymphatic fistula repair (n = 7) and microvascular decompression of the vestibular nerve (n = 1). Labyrinth destructive procedures included transmastoid labyrinthectomy (n = 2) and labyrinthectomy with vestibular nerve section (n = 1). One patient with vestibular schwannoma underwent both a disease-modifying and destructive procedure (translabyrinthine excision). All patients achieved excellent vertigo control, classified as per the American Academy of Otolaryngology – Head and Neck Surgery 1995 criteria.Conclusion:With the advent of intratympanic treatments, surgical treatments for vertigo have become further limited. However, surgery with directed intent, in select patients, can give excellent results.

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Anterior diaphragmatic hernias in children: long-term surgical outcomes

Voprosy praktičeskoj pediatrii ◽

10.20953/1817-7646-2021-3-7-15 ◽

2021 ◽

Vol 16 (3) ◽

pp. 7-15

Author(s):

D.A. Morozov ◽

◽

D.V. Khaspekov ◽

E.A. Okulov ◽

V.G. Masevkin ◽

...

Keyword(s):

Surgical Treatment ◽

Diaphragmatic Hernia ◽

Complex Analysis ◽

Long Term Results ◽

Long Term Outcomes ◽

X Ray ◽

Hernial Sac ◽

Chest X Ray ◽

Diaphragmatic Hernias

Anterior diaphragmatic hernia (ADH) is a rare congenital pathology that occurs in children with a frequency of 1:4800 (1–6% of all congenital diaphragmatic hernias). There are many controversial aspects in the surgical treatment of patients with ADH: the choice of surgical approach, the method of diaphragmatic repair and the feasibility of excision of the hernial sac. Objective. To conduct a comparative analysis of the surgical treatment of patients with ADH in different clinics, assessing longterm outcomes. Patients and methods. The medical records of 7 children with ADH who underwent surgical repair in different clinics (in time period from 2009 to 2019) were retrospecively reviewed. Evaluating the long-term results of ADH repair was made by telephone and online surveys of the parents of patients and by outpatient examination of children (chest x-ray in two projections). Results. In a ten-year period, 7 patients (4 boys and 3 girls) were operated on with a diagnosis of “anterior diaphragmatic hernia” at the age of 3 months to 12 years. In most children, a hernia was discovered accidentally by chest x-ray. Laparoscopic correction was performed in 5 (71%) cases, thoracoscopic correction – in 2 cases (29%). The main difference in surgical tactics in ADH patients was the manipulation with the hernial sac – the hernial sac was excised in 4 (57%) patients, but it was left in three cases (43%). The defect closure was performed by “full-thickness” separated sutures that fix the diaphragm to the anterior abdominal wall during laparoscopy (5) and to the chest tissue during thoracoscopy (2); in some cases, additional fixation to the rib (4) was performed. Sutures were tied extracorporeally and buried in the subcutaneous layer in 6 (86%) patients. Average follow-up was 7 years. While evaluating long-term outcomes no ADH recurrence were found. Conclusions. There are still many controversial aspects in the surgical treatment of ADH patients. In our opinion, multicenter studies with complex analysis of long-term results are required to standardize the surgical treatment of such patients. Key words: anterior diaphragmatic hernia, Larrey hernia, long-term outcomes, Morgani hernia

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Long-term results of surgical treatment of gastric cancer

Kazan medical journal ◽

10.17816/kazmj65314 ◽

1986 ◽

Vol 67 (2) ◽

pp. 104-106

Author(s):

A. S. Abdullin ◽

F. Sh. Akhmetzyanov ◽

A. A. Samigullin ◽

Z. N. Shemeunova ◽

V. A. Arinin ◽

...

Keyword(s):

Gastric Cancer ◽

Surgical Treatment ◽

Stomach Cancer ◽

Stage Iv ◽

Stage Ii ◽

Stage Iii ◽

Disease Stage ◽

Long Term Results ◽

Long Term Outcomes

We analyzed long-term outcomes of the treatment of 217 patients (men - 126, women - 91), who underwent radical operations for stomach cancer in the period of 1972 till 1976. 14 patients were under 39, 52 - from 40 to 49, 50 to 59 - 52, 60 to 69 - 80, over 70 years old - 19. The youngest patient was 28 years old and the oldest - 76 years old. Most patients (185) were operated on at stage III of the disease, stage II was diagnosed in 27 patients, and stage IV - in 5 patients.

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Transsphenoidal surgery for prolactinomas: results and prognosis

Medicina ◽

10.3390/medicina43090089 ◽

2007 ◽

Vol 43 (9) ◽

pp. 691 ◽

Cited By ~ 2

Author(s):

Kęstutis Šinkūnas ◽

Daiva Rastenytė ◽

Vytenis Deltuva ◽

Robertas Knispelis ◽

Arimantas Tamašauskas

Keyword(s):

Surgical Treatment ◽

Dopamine Agonist ◽

Remission Rate ◽

Visual Field Defects ◽

Plasma Prolactin ◽

Long Term Outcomes ◽

Agonist Therapy ◽

Dopamine Agonist Therapy ◽

Younger Age

Objective. The aim of this study was to explore the long-term outcomes of surgery for transsphenoidal prolactinomas and the factors that influence them. Material and methods. Transsphenoidal approach for pituitary adenomas has been applied to 329 patients in the Department of Neurosurgery of Kaunas University of Medicine Hospital in the period of 1995 to 2006. Of these, 85 patients were operated for prolactinomas. Results. Of the 85 patients operated on for prolactinomas, 68 (80%) were females and 17 (20%) were males. Thirty-two microprolactinomas and 36 macroprolactinomas were diagnosed in women and 16 and 1, respectively, in men. Twenty (23.5%) patients (16 women and 4 men) had visual field defects before the operation. Dopamine agonist therapy was administered in 50 patients (38 women and 12 men) before the operation. Of 10 women, in whom microadenoma was diagnosed and no dopamine agonist therapy was prescribed, remission was achieved in 9 (90%) patients after the operation, while of 22 women, who was treated with dopamine agonists before the operation, remission was achieved only in 10 (45.5%) (P=0.01). Each year of age decreased the chance of remission by 8%. Conclusions. Remission after the surgical treatment was achieved in 11.8% of men and 47.1% of women hyperprowith prolactinomas. Remission rate was very high (90%) among women with microprolactinoma not treated with dopamine agonist before the surgical treatment. The probability of a good outcome of surgery among women with prolactinoma was related to younger age of the patient, noninvasive tumor growth, plasma prolactin level less than 2309 mU/L, and no use of dopamine agonist before the surgical treatment.

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