scholarly journals Analysis of Quality of Life in Patients after Surgical Correction of Ascending Aortic Pathology Using Minimally Invasive Access

2020 ◽  
pp. 49-52
Author(s):  
V. V. Vayda ◽  
V. I. Kravchenko ◽  
I. I. Zhekov ◽  
I. M. Kravchenko
Keyword(s):  
Quality Of Life ◽  
Minimally Invasive ◽  
Treatment Method ◽  
Correct Choice ◽  
Ascending Aorta ◽  
Surgical Correction ◽  
Surgical Access ◽  
Aortic Pathology ◽  
Minimally Invasive Access

The assessment of quality of life-associated health is an important factor in determining the severity of the condition and the strategy for choosing surgical access in the treatment of patients with ascending aorta pathology. Introduction. Given that the use of minimally invasive access in the correction of aortic valve disease in combination with ascending aortic pathology accelerates the functional recovery of patients, reduces patient’s stay in hospital, this issue requires careful approach and the only correct choice of treatment method. Aim. To evaluate the quality of life of patients using post-operative SF-36 general medical questionnaire after surgical correction of ascending aorta pathology through J-shaped upper ministernotomy compared with traditional access. Materials and methods. In the SI “National Amosov Institute of Cardiovascular Surgery of the NAMS of Ukraine” from 2016 to 2019 we analyzed the data of 126 patients with ascending aorta pathology. All patients were divided into two groups, depending on the choice of surgical access. Patients were sequentially examined and selected for surgical correction of ascending aorta pathology. Conclusions. Our study has proved that the use of minimally invasive access improves the quality of life of patients in the postoperative period and is safe for patients.

Long-Term Follow-Up of Minimally Invasive Cardiac Surgery Using an Endoaortic Occlusion System

2014 ◽  
Vol 17 (2) ◽  
pp. 93 ◽  
Author(s):  
Arndt-H. Kiessling ◽  
Philipp Kisker ◽  
Alexandra Miskovic ◽  
Nestoras Papadopoulos ◽  
Andreas Zierer ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Minimally Invasive ◽  
Structural Damage ◽  
Aortic Wall ◽  
Artery Bypass ◽  
Mitral Valve Surgery ◽  
Ascending Aorta ◽  
Invasive Technique

<p><b>Objectives:</b> We reviewed the initial patient series (n=116) of our institution performing minimally invasive coronary artery bypass grafting (CABG) (n=79), mitral valve surgery (n=1), or atrial septal closure (ASD) procedures (n=26) using an endoaortic occlusion system. With this technique relevant intra-aortic pressures are exerted on the aortic wall during the clamping time. This might lead to late aortic degeneration and aneurysm formation. Our study sought to evaluate postoperative aortic complications and the quality of life (modified SF-12).</p><p><b>Methods:</b> One hundred sixteen patients (56% male; 54 years � 14.5; range 19 years to 77 years) underwent a cardiac procedure using an endoaortic clamp. The endoaortic balloon clamp catheter was used to occlude the ascending aorta at pressures >300 mmHg. Patients were rescheduled for echocardiographic examination after a mean follow-up period of 8.8 years.</p><p><b>Results:</b> The analysis performed among 78 patients showed no incidence of any structural damage to the ascending aorta at the intraoperative position of the endoaortic balloon. The physical and mental summary scores are equal to those of comparable patient groups.</p><p><b>Conclusions:</b> The endoaortic occlusion system causes no damage to the aortic wall. If the system causes any problems, they occur immediately during surgery. Patients treated with this minimally invasive technique exhibited the same quality of life as those undergoing conventional surgery.</p>

scholarly journals A modified saggital access in a H-type rectovestibular fistula

2020 ◽  
Vol 24 (4) ◽  
pp. 283-286
Author(s):  
V. A. Novozhilov ◽  
Nataliya M. Stepanova ◽  
E. M. Petrov
Keyword(s):  
Quality Of Life ◽  
Rectovaginal Fistula ◽  
Clinical Case ◽  
Functional Results ◽  
Surgical Correction ◽  
Age Group ◽  
Relevant Issue ◽  
Surgical Access ◽  
Rectovestibular Fistula

A rectovestibular / rectovaginal fistula with a normally formed anus, so-called H-type (H-type fistula), is rather rare anorectal malformation which causes a serious problem for surgical correction of the defect. A surgical correction in infancy is associated with technical difficulties because of specific anatomical relationships and perineum topography in this age group. Thus, an improved surgical access which allows to get good anatomical and functional results and a worthy quality of life in such patients in future is a relevant issue. The authors describe a clinical case of successful treatment of H-type rectovestibular fistula with improved perineal access in a 1-year old child.

scholarly journals Obvious Reduction of the Tumor Size in Dedifferentiated Liposarcoma in a Lung Metastasis Patient Receiving Individualized Treatment

2021 ◽  
pp. 1080-1084
Author(s):  
Xin-Li Wang ◽  
Jia-Yao Gong ◽  
Yan Xue
Keyword(s):  
Quality Of Life ◽  
Therapeutic Effect ◽  
Tumor Size ◽  
Systemic Treatment ◽  
Treatment Method ◽  
Palliative Surgery ◽  
Dedifferentiated Liposarcoma ◽  
Comprehensive Treatment ◽  
Back Surgery

Abdominal metastasis is relatively rare in dedifferentiated liposarcoma of the shoulder and back. Surgery is the best treatment option, whether it is radical or palliative surgery. Chemotherapy is the standard systemic treatment for advanced unresectable/metastatic patients, but the therapeutic effect is limited. Here, we treat advanced abdominal dedifferentiated liposarcoma through a comprehensive treatment method of targeting, surgery, and chemotherapy, which improves the quality of life of the patient, and shrinks the tumor significantly.

scholarly journals Telerehabilitation Intervention in Patients with COVID-19 after Hospital Discharge to Improve Functional Capacity and Quality of Life. Study Protocol for a Multicenter Randomized Clinical Trial

2021 ◽  
Vol 18 (6) ◽  
pp. 2924
Author(s):  
José-Manuel Pastora-Bernal ◽  
María-José Estebanez-Pérez ◽  
Guadalupe Molina-Torres ◽  
Francisco-José García-López ◽  
Raquel Sobrino-Sánchez ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Hospital Discharge ◽  
Study Protocol ◽  
Functional Capacity ◽  
Treatment Method ◽  
Current Evidence ◽  
Current Standard

COVID-19 can cause important sequels in the respiratory system and frequently presents loss of strength, dyspnea, polyneuropathies and multi-organic affectation. Physiotherapy interventions acquire a fundamental role in the recovery of the functions and the quality of life. Regarding the recovery phases after hospital discharge, the current evidence available is very preliminary. Telerehabilitation is presented as a promising complementary treatment method to standard physiotherapy. The main objective of this research is to evaluate the effectiveness of a personalized telerehabilitation intervention after discharge from hospital for the improvement of functional capacity and quality of life compared to a program of health education and/or care in a rehabilitation center. As secondary objectives, to identify the satisfaction and perception of patients with the telerehabilitation intervention and the presence of barriers to its implementation, as well as to evaluate the cost-effectiveness from the perspective of the health system. This study protocol will be carried out through a single blind multicenter randomized clinical trial in the south of Spain. We hypothesize that the implementation of a telerehabilitation program presents results not inferior to those obtained with the current standard intervention. If the hypothesis is confirmed, it would be an opportunity to define new policies and interventions to address this disease and its consequences. Trial registration NCT04742946.

Survival and quality of life after minimally invasive esophagectomy: a single-surgeon experience

2011 ◽  
Vol 26 (1) ◽  
pp. 168-176 ◽  
Author(s):  
Abhishek Sundaram ◽  
Juan C. Geronimo ◽  
Brittany L. Willer ◽  
Masato Hoshino ◽  
Zachary Torgersen ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Minimally Invasive ◽  
Minimally Invasive Esophagectomy ◽  
Invasive Esophagectomy ◽  
Surgeon Experience

scholarly journals Transanal minimally invasive surgery: impact on quality of life and functional outcome

2015 ◽  
Vol 30 (3) ◽  
pp. 1184-1187 ◽  
Author(s):  
Maria Verseveld ◽  
Renée M. Barendse ◽  
Martijn P. Gosselink ◽  
Cornelis Verhoef ◽  
Eelco J. R. de Graaf ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Functional Outcome ◽  
Invasive Surgery ◽  
Transanal Minimally Invasive Surgery

MP84-12 PATIENT-REPORTED QUALITY OF LIFE AND CONVALESCENCE AFTER MINIMALLY INVASIVE KIDNEY CANCER SURGERY

2015 ◽  
Vol 193 (4S) ◽  
Author(s):  
Peter Chang ◽  
Jialin Mao ◽  
Kimberly Taylor ◽  
Ostap Dovirak ◽  
Arie Carneiro ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Minimally Invasive ◽  
Kidney Cancer ◽  
Cancer Surgery ◽  
Patient Reported

scholarly journals Quality of life after ischaemic stroke—accent on patients with thrombolytic therapy

2021 ◽  
Vol 57 (1) ◽  
Author(s):  
Mihael Emilov Tsalta-Mladenov ◽  
Silva Peteva Andonova
Keyword(s):  
Quality Of Life ◽  
Ischemic Stroke ◽  
Thrombolytic Therapy ◽  
Functional Outcomes ◽  
Intravenous Thrombolysis ◽  
Treatment Method ◽  
The Third ◽  
Related Quality ◽  
Health Related

Abstract Background Intravenous thrombolysis is a widely approved treatment method for acute ischemic stroke (AIS). Nevertheless, there is a growing interest in its impact on functional outcomes and Health-related Quality of life (HR-QoL). We aimed to evaluate and compare the HR-QoL in patients receiving intravenous thrombolysis (IVT) and in those without thrombolytic therapy during the first 3-month post-stroke in a defined Bulgarian population. Results Patients treated with IVT have simillar functional outcomes and HR-QoL on the third month as the group with conservative treatment, besides their higher NIHSS on admission. Patients with IVT had better self-assessed recovery after the AIS. The higher NIHSS and mRS scores and the lower HR-QoL on discharge are reliable predictors for a poor functional outcome on the third month. A door-to-needle of 60 min or less, and the absence of pathological neuroimaging findings 24-h post IVT predict more beneficial HR-QoL outcome. Conclusion There were no significant differences in HR-QoL and functional outcomes between the groups. Nevertheless, IVT is a treatment option with great importance for improving the clinical outcomes after ischemic stroke, which should be performed in well selected patients.

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