KEEL-SHAPED DEFORMITY OF THE CHEST

Purpose.To analyze the results of treatment of children with keel-shaped deformity of the chest using various methods.Materials and methods.The work is based on the retrospective analysis of treatment outcomes for 28 children who obtained treatment for KSDC at pediatric surgical departments of Regional Clinical Hospital No. 2 in Tyumen and Children’s Regional Clinical Hospital in Kirov. These are clinical bases of pediatric surgery departments of Tyumen and Kirov State Medical Universities. Various treatment methods were applied including chest constant pressure devices and thoracoplasties.Results and discussion. The Ravich procedure was done in 14 children. The patients stayed at the hospital for 18±3 days and required prolonged anesthesia and long-term antibacterial therapy; discharge was followed by long-term immobilization with a plaster or polymer corset. 6 children had surgeries using smallinvasive thoracoplasty based on the method offered by H. Abramson. The hospital treatment stage was 7 to 11 days. 8 children had therapy using orthosis.Conclusion. The authors believe that mental traumas caused by a keel-shaped deformity require minimally invasive techniques for correction that eliminate the deformity considering esthetic requirements of a patient.

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What do Patients Think About Minimally Invasive Total Hip Arthroplasty?

Annals of The Royal College of Surgeons of England ◽

10.1308/003588407x205431 ◽

2007 ◽

Vol 89 (7) ◽

pp. 685-688 ◽

Cited By ~ 3

Author(s):

C Gerrand ◽

G McNulty ◽

N Brewster ◽

J Holland ◽

A McCaskie

Keyword(s):

Minimally Invasive ◽

Hip Arthroplasty ◽

Complication Rates ◽

Minimally Invasive Techniques ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Patient Stay ◽

The Cost ◽

Invasive Techniques

INTRODUCTION The introduction of minimally invasive techniques for hip replacement into clinical practice has been driven by the perceived benefits of smaller incisions, shorter in-patient stays and faster rehabilitation. This may be at the cost of higher complication rates. The purpose of this study was to explore the opinions and priorities of patients in relation to these techniques. PATIENTS AND METHODS A cross-sectional survey was performed in an elective out-patient setting. RESULTS Of 44 patients approached, 36 agreed to participate. From most important to least important, patients rated the following items in order: ‘rate of complications’; ‘implant survival’; ‘length of rehabilitation’; ‘time in hospital’ and ‘length of scar’. Despite this, 21 of 35 (60%) responders stated they would accept the offer of minimally invasive techniques if made. CONCLUSIONS Patients appear to prioritise long-term outcomes and low complication rates over the shorter scars, reduced in-patient stay and reduced rehabilitation times potentially offered by minimally invasive hip arthroplasty. Despite this, the technique remains popular among patients.

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Minimally Invasive Techniques in Pediatric Surgery

Current Review of Minimally Invasive Surgery ◽

10.1007/978-1-4612-1692-6_14 ◽

1998 ◽

pp. 137-143

Author(s):

Steven J. Fishman

Keyword(s):

Minimally Invasive ◽

Pediatric Surgery ◽

Minimally Invasive Techniques ◽

Invasive Techniques

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Role of Laparoscopic Antireflux Surgery in the Management of Chronic GERD Symptoms

Canadian Journal of Gastroenterology ◽

10.1155/1999/674565 ◽

1999 ◽

Vol 13 (9) ◽

pp. 761-764 ◽

Cited By ~ 2

Author(s):

Mehran Anvari

Keyword(s):

Minimally Invasive ◽

Medical Therapy ◽

Proton Pump ◽

Antireflux Surgery ◽

Laparoscopic Antireflux Surgery ◽

Minimally Invasive Techniques ◽

Invasive Techniques ◽

Gerd Symptoms

Since the application of minimally invasive techniques to antireflux surgery eight years ago, there has been a rapid increase in the use of laparoscopic antireflux surgery. It is increasingly used as an alternative to long term medical therapy with proton pump inhibitors. The factors responsible for the rapid popularity of this procedure are reviewed, and the choice of techniques, current indications and available literature on the outcomes of these procedures are discussed.

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Long-term outcomes comparing conventional surgical management versus new minimally invasive techniques of pilonidal sinus disease. Meta-analysis and review of literature

Surgery for Obesity and Related Diseases ◽

10.1016/j.soard.2018.09.383 ◽

2018 ◽

Vol 14 (11) ◽

pp. S168-S169

Author(s):

Grace Yi ◽

Bo Soyele ◽

Maxwell Bempah ◽

Luis Valdes ◽

Judy Trang ◽

...

Keyword(s):

Minimally Invasive ◽

Pilonidal Sinus ◽

Meta Analysis ◽

Pilonidal Sinus Disease ◽

Minimally Invasive Techniques ◽

Review Of Literature ◽

Long Term Outcomes ◽

Sinus Disease ◽

Invasive Techniques

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Gyermeksebészeti szakképzés kulcslyukon keresztül

Orvosi Hetilap ◽

10.1556/650.2018.31189 ◽

2018 ◽

Vol 159 (43) ◽

pp. 1747-1753

Author(s):

Brigitta Balogh ◽

Tamás Kovács

Keyword(s):

Animal Models ◽

Minimally Invasive ◽

Pediatric Surgery ◽

Trauma Surgery ◽

Minimally Invasive Techniques ◽

Surgical Practice ◽

Subjective Opinion ◽

Invasive Techniques ◽

E Mail ◽

Laparoscopic Experience

Abstract: Introduction and aim: Minimally invasive techniques are gaining popularity in pediatric surgery, confident knowledge in endoscopies is one of the main purposes of the training. This survey analyzed the laparoscopic training for pediatric surgeons. Method: We sent questionnaires to all trainees and pediatric surgeons specialized after 2012 by e-mail. The questionnaire focused on their opportunities for laparoscopy during the training and their subjective opinions. Results: 34 questionnaires were sent by email. 17 trainees and 11 specialists responded (82%). The rate of endoscopic surgeries is 15% in the clinical centers without trauma surgery, and 2–10% in other training centers. Routine laparoscopies are performed in all centers, and in 40–60% of the centers, advanced endoscopies are also applied. Half of the surgeons performed laparoscopy in the first 2 years of training. An average of 20 laparoscopies were carried out by trainees in the 3–6th year. 50% of the trainees had the opportunity to use pelvitrainer, however, video-watching (100%) is the most common preparation before endoscopies. The surgeons’ subjective opinion about having enough laparoscopic experience by the time of the specialty exam was yes: n = 6 (21%), sufficient: n = 12 (43%) and no: n = 10 (36%). The training could be more effective with more equipment, free courses on pelvitrainers or animal models, and with more patient and dedicated attitude of the instructors. Conclusion: Laparoscopy is in everyday practice in major centers, however, trainees do not have enough experience in terms of its confident use. Endoscopic training could be better with the regular use of pelvitrainers and more surgical practice. Revision of the operation list and the rise in the number of laparoscopies are necessary. Orv Hetil. 2018; 159(43): 1747–1753.

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The case of the multistage treatment of acute pancreatitis using a variety of minimally invasive techniques

Russian Military Medical Academy Reports ◽

10.17816/rmmar64959 ◽

2020 ◽

Vol 39 (3) ◽

pp. 40-49

Author(s):

Sergey Y. Ivanusa ◽

Maksim Lazutkin ◽

Dmitriy Shershen ◽

Anton Chebotar

Keyword(s):

Acute Pancreatitis ◽

Postoperative Complications ◽

Minimally Invasive ◽

Surgical Procedures ◽

Infectious Complications ◽

Minimally Invasive Techniques ◽

Septic Complications ◽

Results Of Treatment ◽

Invasive Techniques ◽

Surgical Injury

Treatment of acute pancreatitis and infectious complications is a complex multidisciplinary task. The use of traditional surgical procedures for the rehabilitation of foci of pancreatogenic infection often aggravates the course of the disease, leads to the development of postoperative complications, does not improve the results of treatment. On the contrary, the use of minimally invasive techniques avoids additional surgical injury. The case of stage treatment of acute pancreatitis and its purulent-septic complications with the use of minimally invasive technologies is presented to the readers.

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Choice of Thyroid Nodules Treatment

Galician Medical Journal ◽

10.21802/gmj.2016.3.5 ◽

2016 ◽

Vol 23 (3) ◽

Author(s):

A. V. Shidlovskyy

Keyword(s):

Connective Tissue ◽

Minimally Invasive ◽

Thyroid Nodules ◽

High Efficiency ◽

Minimally Invasive Techniques ◽

Results Of Treatment ◽

Functional Autonomy ◽

Invasive Techniques ◽

Interstitial Thermotherapy ◽

Harmful Effects

Introduction. Questions regarding indications and contraindications to the use of minimally invasive technologies in the treatment of various types of thyroid nodules remain still disputable. The objective of the research was to analyse the results of minimally invasive technologies use in the treatment of thyroid nodules and develop the indications for their use.Materials and methods. Results of treatment of 643 patients with thyroid nodules were analysed. Results. Indications to separate use of minimally invasive techniques and cases where they should be combined were determined. The absence of harmful effects of laser-induced interstitial thermotherapy and sclerotherapy with 70 % ethanol on paranodular tissue was proven. High efficiency of laser-induced interstitial thermotherapy in the treatment of functional autonomy of thyroid nodules with gradual achievement of clinical and laboratory stable euthyroidism was observed.Conclusions. When the indications to their use are observed, minimally invasive technologies result in the nodule replacement unit with the connective tissue in 98% of cases.

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Single-Port Laparoscopic Surgery in Children: Concept and Controversies of the New Technique

Minimally Invasive Surgery ◽

10.1155/2012/232347 ◽

2012 ◽

Vol 2012 ◽

pp. 1-5 ◽

Cited By ~ 10

Author(s):

Felix C. Blanco ◽

Timothy D. Kane

Keyword(s):

Laparoscopic Surgery ◽

Minimally Invasive ◽

Pediatric Surgery ◽

Single Incision ◽

Single Port ◽

Single Incision Laparoscopic Surgery ◽

Alternative Technique ◽

Minimally Invasive Techniques ◽

Broad Application ◽

Invasive Techniques

Single-incision laparoscopic surgery (SILS) is emerging as an alternative technique to conventional laparoscopy for the treatment of common surgical diseases. Despite its wide use, the adoption of SILS in children has been slower since the broad application of minimally invasive techniques in children, in general, has historically lagged behind those in adults. This paper reviews the evolution of SILS from its original conception and its application in the field of pediatric surgery.

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