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 Milligan–Morgan hemoroidektomijos: Vilniaus universiteto ligoninės "Santariškių klinikos" Centro filialo patirtis

2004 ◽  
Vol 2 (4) ◽  
pp. 0-0
Author(s):  
Žymantas Jagelavičius ◽  
Narimantas Evaldas Samalavičius ◽  
Tomas Poškus ◽  
Liudvikas Kervys ◽  
Romanas Kęstutis Drąsutis
Keyword(s):  
Surgical Treatment ◽  
Postoperative Complications ◽  
General Anesthesia ◽  
Retrospective Analysis ◽  
Faecal Incontinence ◽  
Early Recurrence ◽  
Long Term Results ◽  
Anal Region ◽  
Age And Sex

Žymantas Jagelavičius, Narimantas Evaldas Samalavičius, Tomas Poškus, Liudvikas Kervys, Romanas Kęstutis DrąsutisKoloproktologijos poskyris, Pilvo chirurgijos III skyrius,Vilniaus universiteto ligoninės "Santariškių klinikos"Centro filialas, Žygimantų g. 3, LT-01102 VilniusEl. paštas: [email protected] Tikslas Retrospektyviai išnagrinėti Milligan–Morgan hemoroidektomijų patirtį, įvertinti vėlyvuosius rezultatus. Ligoniai ir metodai Išnagrinėtos 270 ligonių, 1985–1999 m. VUL „Santariškių klinikos“ Centro filiale operuotų nuo hemorojaus, ligos istorijos. Iš jų 252 operuoti Milligan–Morgan metodu. Registruotas ligonių amžius, lytis, ligos trukmė iki operacijos, hospitalizavimo trukmė, hemorojaus laipsnis. Antro laipsnio hemorojumi sirgo 20 (7,9%), trečio – 185 (73,4%), ketvirto – 47 (18,7%) ligoniai. Bendrinė nejautra taikyta 144 (57,1%), spinalinė – 64 (25,4%), vietinė – 44 (17,5%) ligoniams. Siekiant įvertinti vėlyvuosius rezultatus, nuo 2001 m. spalio iki 2002 m. spalio visi ligoniai buvo apklausti paštu ar telefonu pagal iš anksto paruoštą klausimyną. Į klausimus atsakė 150 (59,5%) ligonių. Rezultatai Iš 252 ligonių pooperacinė eiga komplikavosi 16 (6,3%) ligonių: devyniems (3,6%) – šlapinimosi sutrikimu, septyniems (2,8%) – kraujavimu; trys ligoniai operuoti dar kartą. Išangės sritis sugijo per 2–16, vidutiniškai per 4,6 savaites. Iš 150 apklaustųjų pakartotinai nuo recidyvo operuoti trys (2,0%) ligoniai. Jie operacinį gydymą įvertino: labai gerai – 69 (46,0%), gerai 68 – (45,3%), patenkinamai – 12 (8,0%), blogai – vienas (0,7%) ligonis. Sutrikusia išangės raukų funkcija skundėsi 25 (16,7%) ligoniai, ją vertinome pagal Klivlendo išmatų nelaikymo klasifikaciją: 1 balas – vienas (0,7%) ligonis, 2 balai – trys (2%), 3 balai – šeši (4%), 4 balai – šeši (4%), 5 balai – nebuvo, 6 balai – trys (2,0%), 7 balai – nebuvo, 8 balai – du (1,3%), 9 balai – nebuvo, 10 balų – vienas (0,7%). Išvados Hemoroidektomija Milligan–Morgan būdu yra saugi ir veiksminga. Dauguma ligonių chirurginiu gydymu buvo patenkinti. Tačiau nereikia pamiršti, kad ir nedidelei daliai ligonių gali sutrikti išangės raukų funkcija. Reikšminiai žodžiai: hemorojus, Milligan–Morgan hemoroidektomija, rezultatai, išmatų nelaikymas Milligan–Morgan hemorrhoidectomies: experience of the Center Branch of Vilnius Univerity "Santariškių klinikos" Hospital Žymantas Jagelavičius, Narimantas Evaldas Samalavičius, Tomas Poškus, Liudvikas Kervys, Romanas Kęstutis Drąsutis Objective Retrospective analysis of the experience and long-term results after Milligan–Morgan hemorrhoidectomy. Patients and methods During the period 1985–1999, 270 patients underwent hemorrhoidectomy in our hospital, of them 252 by using the Milligan–Morgan technique. We registered the age and sex of patients, time of illness and of hospitalization, degree of hemorrhoids: 20 (7.9%) had II°, 185 (73.4%) – III°, 47 (18.7%) – IV°. General anesthesia was used in 144 (57.1%), regional (spinal or epidural) in 64 (25.4%), local in 44 (17.5%) patients. To evaluate long-term results, all patients were interviewed by telephone or mail under a special questionnaire; 150 (59,5%) patients replied. Results Of 252 patients, 16 (6.3%) developed postoperative complications: nine (3.6%) troubles of urination, six (2.4%) bleeding, one (0.4%) early recurrence; three patients were reoperated on. The anal region healed over 2–16 (average 4.6) weeks. Three patients (2.0%) of the 150 interviewed were operated on repeatedly because of recurrence. They evaluated our surgical treatment: very good 69 (46.0%), good 68 (45.3%), satisfactory 12 (8.0%), bad one (0.7%) patient. Faecal incontinence was mentioned by 25 (16.7%) patients. We ranked it using Cleveland’s feacal incontinence classification: 1 point – one (0.7%) patient, 2b. – three (2%), 3b. – six (4%), 4b. – six (4%), 5b. – zero, 6b. – three (2.0%), 7b. – zero, 8b. – two (1.3%), 9b. – zero, 10b. – one (0.7%) patient. Conclusions Milligan–Morgan hemorrhoidectomy in our experience is a rather safe and effective method of treatment of hemorrhoides. The majority of the patients were satisfied with our treatment. However, we should have in mind that for a small part of patients mild faecal incontinence is possible. Keywords: hemorrhoids, Milligan–Morgan hemorrhoidectomy, results, incontinece

scholarly journals Drainage devices in refractory glaucoma surgery

2019 ◽  
Vol 12 (3) ◽  
pp. 85-93
Author(s):  
S. I. Anisimov ◽  
S. Yu. Anisimova ◽  
L. L. Arutyunyan ◽  
A. P. Voznyuk
Keyword(s):  
Surgical Treatment ◽  
Postoperative Complications ◽  
Glaucoma Surgery ◽  
Long Term Results ◽  
Refractory Glaucoma ◽  
Eye Tissues ◽  
Surgical Methods ◽  
Methods Of Treatment ◽  
Fibroblastic Activity

Glaucoma is a socially sensitive disease, being one of the leading causes of irreversible visual impairment and blindness. Refractory glaucoma is one of the most severe forms of the disease as it is resistant to conservative and surgical methods of treatment. Because of pronounced postoperative fibroblastic activity of eye tissues, leading to gross scarring and obliteration of outflow paths, modern materials and methods of drainage surgery are needed. The review presents a variety of drains used today and considers in detail their main characteristics and the biocompatibility of the material used with eye tissues. Various groups of implants are presented, whose effectiveness and safety are compared and assessed. The statistics of postoperative complications and long-term results of surgical treatment are given.

SIMULTANEOUS ESOPHAGO-GASTRECTOMY WITH COLONIC INTERPOSITION AS A METHOD OF SURGICAL TREATMENT OF GASTROESOPHAGEAL CANCER WITH HIGH INVOLVEMENT OF THE ESOPHAGUS

2017 ◽  
Vol 63 (1) ◽  
pp. 146-152
Author(s):  
Mikhail Ter-ovanesov ◽  
Aleksandr Levitskiy ◽  
E. Lesnidze ◽  
Aram Gaboyan ◽  
Mariya Kukosh ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Long Term Results ◽  
Esophageal Reconstruction ◽  
Gastroesophageal Cancer ◽  
Colonic Interposition ◽  
Simultaneous Application ◽  
High Involvement ◽  
Surgical Access ◽  
Critical Overview

In the current oncological practice surgical treatment of gastroesophageal cancer with high involvement of the esophagus can extend to total esophago-gastrectomy with colonic interposition as the main method of radical treatment. However the technical complexity and high risk of the intervention are factors in determining the divergent views on the operation itself, testimony for the criteria of patient’s selection, choice of surgical access and the formation of a colonic graft in conjunction with method of esophageal reconstruction. The long-term results of operative intervention depend primarily on the extent of tumor process but obviously higher than after conservative treatment. This article presents a brief critical overview of the main aspects of the simultaneous application of esophago-gastrectomy in surgery of gastroesophageal cancer with high esophageal involvement and our clinical case of successful surgical treatment of a woman with pregnancy-associated gastroesophageal cancer.

scholarly journals Long-term Results of Surgical Treatment for Acromioclavicular Dislocation Using Wolter Clavicular Plate.

2003 ◽  
Vol 52 (2) ◽  
pp. 389-393
Author(s):  
Shinsaku Ogimoto ◽  
Toshio Kitamura ◽  
Takuya Ikuta ◽  
Shuichi Maruta ◽  
Masanobu Hirai ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Long Term Results ◽  
Acromioclavicular Dislocation

Patient and partner satisfaction and long-term results after surgical treatment for Peyronie’s disease

Urology ◽  
2003 ◽  
Vol 62 (1) ◽  
pp. 105-109 ◽  
Author(s):  
Mustafa F Usta ◽  
Trinity J Bivalacqua ◽  
Jose Sanabria ◽  
I.Turker Koksal ◽  
Krishnarao Moparty ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Peyronie’S Disease ◽  
Long Term Results ◽  
Partner Satisfaction ◽  
Peyronie's Disease

Long-term results of surgical treatment of patients with internal endometriosis of the uterus

1985 ◽  
Vol 66 (6) ◽  
pp. 430-433
Author(s):  
M. I. Sabsay ◽  
V. A. Klein ◽  
T. A. Kravchuk ◽  
G. P. Lazaricheva
Keyword(s):  
Surgical Treatment ◽  
Long Term Results

Advances in gynecological endocrinology have significantly narrowed the range of indications for surgical treatment for genital endometriosis.

Long-term results of surgical treatment of patients with internal endometriosis of the uterus

1985 ◽  
Vol 66 (6) ◽  
pp. 471-471
Author(s):  
M. I. Sabsay ◽  
V. A. Klein ◽  
T. A. Kravchuk ◽  
G. P. Lazaricheva
Keyword(s):  
Surgical Treatment ◽  
Comparative Assessment ◽  
Long Term Results

A comparative assessment of the long-term (after 7-10 years) results of surgical treatment of 60 patients with internal uterine endometriosis was carried out.

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