scholarly journals A case of large middle mediastinal tumor (Castleman disease): Usefulness of preoperative embolization and the selection of an appropriate surgical approach

2015 ◽  
Vol 29 (1) ◽  
pp. 95-100
Author(s):  
Shinsuke Uchida ◽  
Kazuya Takamochi ◽  
Yoshitaka Kitamura ◽  
Tomoaki Kinno ◽  
Shiaki Oh ◽  
...  
Keyword(s):  
Surgical Approach ◽  
Mediastinal Tumor ◽  
Castleman Disease ◽  
Preoperative Embolization ◽  
Middle Mediastinal Tumor ◽  
Selection Of

Revising the Indications of Transtemporal Surgical Approaches in the Modern Endoscopic Era of Skull Base Surgery: A Dying Art

2020 ◽  
Author(s):  
Ravi Sankar Manogaran ◽  
Raj Kumar ◽  
Arulalan Mathialagan ◽  
Anant Mehrotra ◽  
Amit Keshri ◽  
...  
Keyword(s):  
Skull Base ◽  
Surgical Approach ◽  
Nerve Palsy ◽  
Tertiary Care ◽  
Surgical Approaches ◽  
Microsurgical Anatomy ◽  
Complete Excision ◽  
Lateral Skull Base ◽  
The Individual ◽  
Selection Of

Abstract Objectives The aim of the study is to emphasize and explore the possible transtemporal approaches for spectrum of complicated lateral skull base pathologies. Design Retrospective analysis of complicated lateral skull base pathologies was managed in our institute between January 2017 and December 2019. Setting The study was conducted in a tertiary care referral center. Main Outcome Measures The study focused on the selection of approach based on site and extent of the pathology, the surgical nuances for each approach, and the associated complications. Results A total of 10 different pathologies of the lateral skull base were managed by different transtemporal approaches. The most common complication encountered was facial nerve palsy (43%, n = 6). Other complications included cerebrospinal fluid (CSF) collection (15%, n = 2), cosmetic deformity (24%, n = 4), petrous internal carotid artery injury (7%, n = 1), and hypoglossal nerve palsy (7%, n = 1). The cosmetic deformity included flap necrosis (n = 2) and postoperative bony defects leading to contour defects of the scalp (n = 2). Conclusion Surgical approach should be tailored based on the individual basis, to obtain adequate exposure and complete excision. Selection of appropriate surgical approach should also be based on the training and preference of the operating surgeon. Whenever necessary, combined surgical approaches facilitating full tumor exposure are recommended so that complete tumor excision is feasible. This requires a multidisciplinary team comprising neurosurgeons, neuro-otologist, neuroanesthetist, and plastic surgeons. The surgeon must know precise microsurgical anatomy to preserve the adjacent nerves and vessels, which is necessary for better surgical outcomes.

scholarly journals Assessment of reproductive potential in patients after myomectomy

2021 ◽  
Vol 8 (1) ◽  
pp. 35-39
Author(s):  
Yan Van ◽  
Yuliya A. Romadanova ◽  
Alla A. Bakhvalova ◽  
Ekaterina V. Fedina ◽  
Aleksandr A. Zinov’yev ◽  
...  
Keyword(s):  
Surgical Approach ◽  
Ovarian Function ◽  
Reproductive Potential ◽  
Morphological Structure ◽  
Clinical Situation ◽  
Functional Restoration ◽  
Hormonal Profile ◽  
Abdominal Myomectomy ◽  
Time Required ◽  
Selection Of

The aim of the study is to assess the restoration of anatomical and functional integrity of the uterus and identify changes in hormonal profile in women after laparoscopic and abdominal myomectomy. Material and methods. 58 patients aged 36,2 5,9 years old with uterine myoma underwent myomectomy: 31 patients underwent laparoscopic myomectomy and 27 patients underwent abdominal myomectomy. The selection of surgical approach didnt depend on the size, the number and localization of uterine myomas and the patients concomitant pathology. The hormonal profile of the patients including AMH level was assessed befor myomectomy and in the 6 months after the operation. Postoperative assessment was performed on day 5th8th after surgery and in 1 and 6 months after myomectomy. Results. No significant differences were found in the processes of reparation of the uterus and in hormonal profile of the patients after laparoscopic or abdominal myomectomy. The time required for the patients reabilitation and for the restoration of the ovarian function and uterine morphological structure was similar in both groups. Conclusion. The hormonal profile of the patients and the anatomical and functional restoration of myometrium after myomectomy doesnt depend on the surgical approach if myomectomy is performed by an experienced surgeon after the correct assessment of the clinical situation.

A middle mediastinal tumor

2011 ◽  
Vol 28 (5) ◽  
pp. 993-994
Author(s):  
Andrew L. Rivard ◽  
Robert P. Gallegos ◽  
James M. Melotek ◽  
David C. Wymer
Keyword(s):  
Mediastinal Tumor ◽  
Middle Mediastinal Tumor

scholarly journals Anterior Temporal Approach and Extra-Dural Temporopolar Approach for the Surgery of Basilar Bifurcation and Posterior Projecting Carotid Aneurysm(Selection of Surgical Approach and Pitfall I)

2010 ◽  
Vol 19 (10) ◽  
pp. 733-741
Author(s):  
Makoto Katsuno ◽  
Rokuya Tanikawa ◽  
Nakao Ota ◽  
Hirotaka Yoshida ◽  
Takahiro Maeda ◽  
...  
Keyword(s):  
Surgical Approach ◽  
Special Issue ◽  
Selection Of

scholarly journals Selection of Surgical Approach for Cerebellar Hemangioblastomas Based on Venous Drainage Patterns

2021 ◽  
Author(s):  
Takashi Watanabe ◽  
Yuuki Suematsu ◽  
Kiyotaka Saitou ◽  
Go Takeishi ◽  
Shinji Yamashita ◽  
...  
Keyword(s):  
Surgical Approach ◽  
Drainage System ◽  
Venous Drainage ◽  
Transverse Sinus ◽  
Jugular Bulb ◽  
Neurological Deficits ◽  
Surgical Approaches ◽  
Drainage Systems ◽  
Drainage Patterns ◽  
Selection Of

Abstract Cerebellar hemangioblastomas remain surgically challenging because of the narrow, deep surgical corridors and tumor hypervascularity. Various surgical approaches are used according to the location, but optimal approaches have not been established. We propose a system of surgical approaches based on the venous drainage systems to facilitate surgical planning and achieve acceptable neurological outcomes. Cerebellar hemangioblastomas were divided into fivefour types based on the main drainage systems: suboccipital hemangioblastomas draining to the transverse sinus (TS) or torcular, tentorial hemangioblastomas draining to the tentorial and straight sinus, petrosal hemangioblastomas draining to the superior petrosal sinus (SPS),, and quadrigeminal hemangioblastomas draining to the galenic system, and tonsillar hemangioblastomas draining to the TS or torcular in conjunction with jugular bulb or SPS. Microsurgical approaches and patient outcome were retrospectively reviewed according to this classification. This study included 17 patients who underwent 21 operations for resection of 19 cerebellar hemangioblastomas, classified into 911 suboccipital, 4 tentorial, 2 petrosal, and 2 quadrigeminal, and 2 tonsillar. Standard suboccipital craniotomies were utilized for suboccipital hemangioblastomas, the occipital transtentorial approach (OTA) and supracerebellar infratentorial approach for tentorial hemangioblastomas, the retrosigmoid approach for petrosal hemangioblastomas, and OTA for quadrigeminal hemangioblastomas, and midline suboccipital approach for tonsillar hemangioblastomashemangioblastomass. Gross total resection was achieved in all patients except one. Two patients with large hemangioblastomas (tonsillarsuboccipital and quadrigeminal) required second-stage operation which finally achieved gross total removal. No single approach had a significantly higher incidence of postoperative neurological deficits. Selection of the optimum surgical approach for cerebellar hemangioblastomas was successful based on the main drainage systems. Understanding of tumor growth and extension with respect to the venous drainage system is critical to select the appropriate surgical approach.

scholarly journals Therapy for descending necrotizing mediastinitis, especially the selection of the surgical approach

2013 ◽  
Vol 27 (6) ◽  
pp. 687-692 ◽  
Author(s):  
Hironosuke Watanabe ◽  
Naoya Yamasaki ◽  
Takuro Miyazaki ◽  
Keitaro Matsumoto ◽  
Tomoshi Tsuchiya ◽  
...  
Keyword(s):  
Surgical Approach ◽  
Descending Necrotizing Mediastinitis ◽  
Selection Of
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