Cataract surgery in children with congenital aniridia

2021 ◽  
pp. 33-36
Author(s):  
А. Voskresenskaya ◽  
◽  
Y. Batkov ◽  
N. Pozdeyeva ◽  
◽  
...  
Keyword(s):  
Cataract Surgery ◽  
Functional Results ◽  
Secondary Glaucoma ◽  
Routine Procedure ◽  
Treatment Results ◽  
Corneal Surface ◽  
Surgical Interventions ◽  
Congenital Aniridia ◽  
Results Of Surgery

Purpose. Analysis of clinical and functional results of cataract surgery in children with congenital aniridia. Material and methods. Retrospective analysis of treatment results of 46 children and adolescents up to 18 years (92 eyes), whose average age was 6.2±5 years. In the postoperative period, the dynamics of visual functions, the state of the corneal surface and changes in intraocular pressure were assessed. Results. The average age of surgical interventions for lens opacities was 14±3 years. The improvement in visometry data, observed in the first years after the removal of lens opacity, decreased 4 years after surgery, and visual acuity indices did not significantly differ from preoperative values (p=0.07). Regardless of the method of correcting postoperative aphakia, cataract surgery in children was associated with the risks of progression of keratopathy (45%), development of secondary glaucoma (15%) and retinal detachment (10%). In 70% of cases, regardless of the choice of the method of intraocular correction, the debut of the glaucomatous process occurred on average 13.7±5.25 years after cataract surgery. Conclusion. Cataract surgery is not a routine procedure and carries postoperative risks associated with the features of the aniridic eye (development of keratopathy, secondary glaucoma, aniridic fibrosis syndrome), which worsen the long-term functional results of surgery. Key words: congenital cataract, aniridia, keratopathy.

On Expediency of Lengthening of the Foot as Anatomical Segment

2009 ◽  
Vol 16 (2) ◽  
pp. 79-84
Author(s):  
Nikolay Aleksandrovich Tenilin ◽  
A B Bogos'yan ◽  
O A Batalov ◽  
M V Vlasov ◽  
N A Tenilin ◽  
...  
Keyword(s):  
Ankle Joint ◽  
Functional Results ◽  
Joint Contracture ◽  
Treatment Results ◽  
Surgical Interventions ◽  
Tarsal Bones ◽  
Ilizarov Apparatus

The work is based on the analysis of treatment results of 19 patients with 2 - 6 cm shortening of the foot. Foot lengthening was performed at the level of tarsal bones with Ilizarov apparatus. Due to great number of various complications (up to 4 per patient), which required additional surgical interventions as well as unsatisfactory short- and long-terms functional results, made the authors to conclude that lengthening of the foot as an entire anatomic segment was not expedient. Certain theoretical propositions in favor of higher functional suitability of the shor-tened foot in rigid ankle joint contracture adduced.

scholarly journals EFFICACY OF GASTRODUODENAL ANASTOMOSIS IN SURGERY OF DISTAL STOMACH CANCER: FROM PAST TO PRESENT

2020 ◽  
Vol 64 (1) ◽  
pp. 28-33
Author(s):  
T. Morgoshiya
Keyword(s):  
Functional Results ◽  
Long Term Results ◽  
Billroth Ii ◽  
Distal Stomach ◽  
Surgical Interventions ◽  
Billroth I ◽  
Results Of Treatment ◽  
Operated Stomach

When comparing the results of surgical interventions in the modifications of Billroth-I and Billroth-II concerning carcinoma there are no significant differences both in immediate and in long-term results of treatment. At the same time the functional results of interventions and quality of life of patients are better after reconstruction of the digestive tract with the help of gastroduodenal anastomosis. Gastric stump cancer is more often occur after Billroth-II surgery. The main cause of the development of carcinoma in this case is the appearance of atrophic gastritis as a result of denervation of the organ and the transfer of bile to the operated stomach.

Functional outcome and quality of life in patients undergoing salvage radical prostatectomy (SRPE).

2018 ◽  
Vol 36 (6_suppl) ◽  
pp. 212-212 ◽  
Author(s):  
David Pfister ◽  
Jasmin Pullankavumkal ◽  
Friederike Haidl ◽  
Vahudin Zugor ◽  
Tobias Kohl ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Radical Prostatectomy ◽  
Functional Outcome ◽  
Functional Results ◽  
High Rate ◽  
Surgical Interventions ◽  
Eortc Qlq ◽  
Salvage Radical Prostatectomy

212 Background: Salvage radical prostatectomy is one option for patients with locally recurrent disease with proven long term oncologic control. There are concerns about worse functional results due to fibrotic tissue after radiotherapy and patients are treated with palliative systemic androgendreptivation. We retrospectively analyzed continence and quality of life in patients undergoing SRPE. Methods: After biopsy proven local recurrent prostate cancer 138 patients were offered SRPE and extended lymphadenectomy. Continence and quality of life had been collected before 6 and 12 months after surgery. Validated questionaires with ICIQ and EORTC qlq 30 had been used. Results: Präoperatively at 6 monts and 12 months the feed back was available in 93, 84 and 82 patients respectively. Präoperatively there was no or mild incontinence in 38(40.8%), moderate in 33 (35.5%) and strong incontinence in 22 (23.7%) of the patients. There is a significant decrease in the rate of continence after 6 and 12 months to no or mild in 19 (23.1%), moderate in 19 (23.2%) and strong incontinence in 44 (53.7%) of the patients. In 5 patients an artifitial sphinkter was implanted. Quality of life did not change significantly before and 12 months after surgery. Median value of Question 30 was 6 and five respectively. Conclusions: Patients need to be informed about a worse functional outcome and the potential need for further surgical interventions as artificial sphinkter implantion compared to primary radical prostatectomy. Quality of life seems to be affected only moderatly. Nevertheless there is already a rather high rate of any incontinence before surgery that needs to be taken into account.

scholarly journals Long-term oncological and functional results of robot-assisted radical prostatectomy

2021 ◽  
Vol 17 (3) ◽  
pp. 121-128
Author(s):  
K. K. Ramazanov ◽  
K. B. Kolontarev ◽  
G. P. Gens ◽  
A. V. Govorov ◽  
A. O. Vasilyev ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Radical Prostatectomy ◽  
Length Of Hospital Stay ◽  
Functional Results ◽  
State University ◽  
Robot Assisted ◽  
Surgical Interventions ◽  
Long Term Follow Up

Prostate cancer (РСа), being one of the leading causes of cancer mortality in men in Russia and in a number of other countries of the world, remains an urgent problem for modern oncourology, and the choice of surgical method is an important task for a surgeon. Such a pronounced interest in robot-assisted radical prostatectomy (RARP) in patients is driven by good tolerance and effectiveness of these surgical interventions, despite the fact that radical prostatectomy is considered to be the "gold standard" for treatment of patients with clinically localized РСа with regard to European Association of Urology data. The long-term oncological and functional results and the quality of life of patients after RARP deserve close attention and thorough study. According to the data presented in this article, it is obvious that RARP is the preferred method for surgical treatment of РСа, since oncological and functional results in the long-term follow-up are comparable to the results after radical prostatectomy, and according to some authors, these results are superior to the results of radical prostatectomy. The results of the study will allow to continue further introduction of RARP into clinical practice and its popularization as a method of surgical treatment of patients with localized PCa, which will reduce the length of hospital stay of patients, accelerate their medical and social rehabilitation, and improve the quality of medical care.The amount of data on the study of distant oncological and functional results of RARP as well as its superiority over other treatment methods is limited in medical literature, which prompted us to conduct our own research. Currently the urological clinic of the A.I. Evdokimov Moscow State University of Medicine and Dentistry continues work aimed at studying the longterm results of RARP in the first patients in Russia.

scholarly journals Reconstructive-Recovery Surgeries for Replacing Defects of Lower Extremity Soft Tissues of the Lower Extremity Using a Sural Fascial Skin Flap on the Distal Base

2020 ◽  
Vol 2 (52) ◽  
pp. 24-30
Author(s):  
Serik Balgazarov ◽  
◽  
Zhanatay Ramazanov ◽  
Ruslan Abilov ◽  
Alexey Dolgov ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Sural Nerve ◽  
Soft Tissues ◽  
Skin Flap ◽  
Functional Results ◽  
Lower Leg ◽  
Fasciocutaneous Flap ◽  
Surgical Interventions

The article presents the results of the first stage treatment of 32 patients with long-term non-healing defects of lower leg and heel soft tissues. There were 14 women and 18 men. The patients age ranged from 28 to 65 years old. We used sural fasciocutaneous flap on a distal base to replace defects in all patients. All flaps survived and provided good functional results of the restored skin of the foot and lower leg. In all cases, the sural nerve was included in the flap. In three cases, marginal ischemia of the flap was observed. The use of surgical interventions according to the developed method for long-term non-healing defects of lower leg and heel soft tissues made it possible to achieve complete injury healing.

scholarly journals Modern ideas about the methods of surgical organ-preserving treatment of kidney cancer

2018 ◽  
Vol 20 (2) ◽  
pp. 249-253
Author(s):  
E E Samartseva ◽  
A K Nosov ◽  
S B Petrov
Keyword(s):  
Renal Cell ◽  
Invasive Procedure ◽  
Functional Results ◽  
Late Complications ◽  
Long Term Results ◽  
General Interest ◽  
Renal Cell Carcinomas ◽  
Surgical Interventions ◽  
Kidney Resection

Renal cell carcinomas account for about 3% of all cancers in adults. The annual increase in the detection of this disease is 2,9%, which is due both to a true increase in the number of cases and to the widespread introduction of modern research methods (ultrasounds examination, computerized tomography, magnetic resonance imaging) that allow us to detect small asymptomatic lesions. This, in turn, makes it possible to perform organ-preserving surgical interventions. Comparative analysis of long-term results of treatment in patients after kidney resection does not differ from those after radical nephrectomy, at the same time, the functional results of organ-preserving surgical interventions are more attractive, especially in patients with an initially present renal dysfunction. Currently, there are three methods of performing organ-preserving operations: open, laparoscopic and robot-assisted kidney resection. Contrary to the general interest in the problem of nephron-preserving surgery of renal cell carcinomas, the choice of operative access while performing kidney resection remains the subject of discussion. In this light, the use of intermuscular mini-lumbotomy access can act as an optimal replacement for laparoscopic access or resection from traditional lumbotomy. This technique of operative intervention allows to combine the positive properties of both minimally invasive procedure (laparoscopic resection) and open surgical intervention: reduction of the volume of blood loss and duration of the operation, reduction of hospitalization time, fewer late complications, good cosmetic result. Also, the issues of processing the resected surface of the organ, the time of ischemia, and the choice of the vascular clamp when clamping the renal artery, the distance from the tumor edge to the line of resection are also disputable. In addition, the functional results of organ-preserving resections of the kidney are not sufficiently studied in the long term after surgical interventions.

scholarly journals Uticaj obima hirurske resekcije kod totalne laringektomije na uspostavljanje ezofagusnog glasa i govora

2004 ◽  
Vol 51 (1) ◽  
pp. 37-41 ◽  
Author(s):  
P. Stankovic ◽  
Vojko Djukic ◽  
M. Vukasinovic ◽  
Ljiljana Janosevic
Keyword(s):  
Total Laryngectomy ◽  
Surgical Intervention ◽  
Functional Results ◽  
Surgical Interventions ◽  
Term Adverse Effect ◽  
Anatomic Results ◽  
Base Of The Tongue ◽  
Voice And Speech

The study of functional results of total laryngectomy carmot be separated from articulation of esophageal voice and speech. To achieve success of phoniatric rehabilitation in laringectomized patients, it is necessary to be well aware of pathological sequelae of the veiy operation, long-term adverse effect of oncological risk factors as well as postoperative anatomo-physiological changes. Anatomic results of total laryngectomy depend on the type of surgical intervention and probable radiotherapy. The extent of surgical procedure, primary dictated by oncological indications, has the essential effect to articulation of esophageal voice and speech. If possible for oncological reasons, hyoid bone should be particularly left intact. Extensive surgical interventions of hypopharynx and the base of the tongue during laryngectomy, neck dissection - especially the radical one, and subsequent radiotherapy, all of them significantly reduce the possibility to produce esophageal voice and speech. Total laryngectomy eliminates the creator of voice and vibrations, which are acoustically perceived as esophageal voice, proceeding at the level of pharyngoesophageal junction. For this reason, the quality of newly created vibrating narrowing is especially important.

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