scholarly journals Experience in Treatment of Total Hand Syndactyly in a Child with Apert Syndrome

2014 ◽  
pp. 70-73
Author(s):  
O. V. Kozhevnikov ◽  
A. V. Ivanov ◽  
Yu. V. Gavrilova
Keyword(s):  
Surgical Treatment ◽  
Surgical Technique ◽  
Functional Result ◽  
Apert Syndrome ◽  
Good Functional Result ◽  
Cosmetic Effect

Experience in surgical treatment of total hand syndactyly in a child with Apert syndrome is presented. Surgical technique that includes the application of МЦТ-01 apparatus, distraction period and interdigital space formation with local tissues, i.e. interchanging triangular or oblique-trapeziform flaps is described. Within 18 months interdigital spaces between II and III, III and IV, IV and V fingers were formed in turn. Besides marked cosmetic effect comparatively good functional result was achieved.

scholarly journals Experience in Treatment of Total Hand Syndactyly in a Child with Apert Syndrome

2014 ◽  
Vol 21 (4) ◽  
pp. 70-73
Author(s):  
O. V Kozhevnikov ◽  
A. V Ivanov ◽  
Yu. V Gavrilova
Keyword(s):  
Surgical Treatment ◽  
Surgical Technique ◽  
Functional Result ◽  
Apert Syndrome ◽  
Good Functional Result ◽  
Cosmetic Effect

Experience in surgical treatment of total hand syndactyly in a child with Apert syndrome is presented. Surgical technique that includes the application of МЦТ-01 apparatus, distraction period and interdigital space formation with local tissues, i.e. interchanging triangular or oblique-trapeziform flaps is described. Within 18 months interdigital spaces between II and III, III and IV, IV and V fingers were formed in turn. Besides marked cosmetic effect comparatively good functional result was achieved.

Analysis of surgical treatment results of the traumatic cataract with the lens capsule-ligament apparatus destruction and suture fixation of IOL

2021 ◽  
pp. 30-33
Author(s):  
A.S. Zotov ◽  
◽  
A.S. Balalin ◽  
S.V. Balalin ◽  
A.M. Marukhnenko ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Functional Result ◽  
Lens Capsule ◽  
Suture Fixation ◽  
Traumatic Cataract ◽  
Treatment Results ◽  
Good Functional Result ◽  
Iol Implantation ◽  
The Mean ◽  
Observation Results

Purpose. To evaluate the surgical treatment results of traumatic cataract with the lens capsule-ligament apparatus destruction and suture fixation of IOLs. Materials and methods. 33 patients with traumatic cataract with the lens capsule-ligament apparatus destruction and suture fixation of IOLs aged 22 to 68 years were examined. All patients underwent phacoemulsification of traumatic cataract with IOL implantation using standard technology with a 2.0 mm tunnel incision. The result was evaluated on the first day, first and third months of observation. Results. On the 1st day after the operation the BCVA increased from 0.11±0.12 to 0.43±0.26, the IOP decreased from 21.67±1.5 to 20.97±1.2 mm Hg. By the 3rd month of observation the mean BCVA value was 0.61±0.29, IOP – 19.33±1.0 mm Hg. Conclusion. Traumatic cataract phacoemulsification with implantation and suture fixation of IOL is an effective method of treatment, allowing to achieve not only anatomical, but also a good functional result. Key words: traumatic cataract, phacoemulsification, IOL suture fixation.

Repair of Femoral Capital Physeal Injuries in Cats -14 Cases

1996 ◽  
Vol 09 (04) ◽  
pp. 182-185 ◽  
Author(s):  
A. P. Black ◽  
K. F. Lorkin ◽  
W. A. Bradley ◽  
J. A. Culvenor
Keyword(s):  
Surgical Treatment ◽  
Femoral Head ◽  
Surgical Technique ◽  
Internal Fixation ◽  
Head And Neck ◽  
Open Reduction ◽  
Functional Result ◽  
Clinical Results ◽  
Non Union ◽  
Physeal Fractures

SummaryFemoral capital physeal fractures (CPF) are common injuries in the immature cat. Fractures of the femoral head and neck have been classified by Daly (1) as capital, physeal, subcapital and transcervical. Physeal fractures may also be classified according to Salter (2) and those covered in this paper are Salter I and II.Perez-Aparicio and Fjeld (2) found that many cats become functional without surgical treatment although most developed malunion or non-union. Some of the untreated cats had persistent lameness.While femoral head and neck ostectomy (3), is often recommended and will usually lead to a functional result, particularly in the cat, open reduction and internal fixation is preferred (5, 6) as is recommended in the dog (8, 21).Fourteen femoral capital physeal fractures in 13 cats were repaired with fine pins. The surgical technique and clinical results are described. The authors feel that the ease of the technique and the clinical results make this the treatment of choice for injuries of this type in cats.

A case of resection of the upper jaw with the use of a prosthesis (demonstration of the patient and preparations)

1909 ◽  
Vol 9 (7-8) ◽  
pp. 365-377
Author(s):  
I. M. Timofeev
Keyword(s):  
Surgical Treatment ◽  
Surgical Technique ◽  
Digestive Tract ◽  
Human Body ◽  
Postoperative Care ◽  
Upper Jaw

Many diseases of the human body, which need surgical treatment, require from the surgeon not only the elimination of this disease according to all the rules of surgical technique and modern asepsis, but also proper postoperative care. The latter is sometimes quite difficult, especially on wounds located near the so-called natural openings and on the path of the respiratory and digestive tract, due to the constant contamination of the wound by the separation and discharge of these pathways.

scholarly journals Distally Based Sural Flap in Children: Reliability Technique

2021 ◽  
Vol 3 (5) ◽  
pp. 29-31
Author(s):  
A. Benjelloun ◽  
N. Belmoudden ◽  
M. Habla ◽  
M. Benkhaldoun ◽  
A. Elharti ◽  
...  
Keyword(s):  
Functional Result ◽  
Vascular Complications ◽  
Sural Flap ◽  
Good Functional Result ◽  
Distally Based ◽  
The Aesthetic ◽  
Distally Based Sural Flap

The distally based sural flap often poses the problem of venous suffering that can lead to necrosis. We present a reconstruction of a loss of substance of the ankle in a 6 years old child, using a distal pedicle sural flap, made reliable by a racket like flap method, which reduces the risk of vascular complications and led to good integration of the flap, with a good functional result. Nevertheless, the aesthetic sequelae remain significant.

scholarly journals Calcaneonavicular coalition resection

2020 ◽  
Vol 14 (3) ◽  
pp. 297-300
Author(s):  
Mercedes Juncay ◽  
Rafael Sposeto ◽  
Alexandre Godoy-Santos ◽  
Túlio Fernandes
Keyword(s):  
Surgical Treatment ◽  
Surgical Technique ◽  
Conservative Treatment ◽  
Treatment Option ◽  
Expert Opinion ◽  
Tarsal Bone ◽  
Tarsal Coalition ◽  
Level Of Evidence ◽  
Calcaneonavicular Coalition ◽  
Tarsal Bones

Tarsal coalition is an abnormal connection between tarsal bones, caused by an embryogenic failure. Its most common forms are calcaneonavicular and talocalcaneal coalition, which are present in 53% and 37% of the cases, respectively. The onset of symptoms is related to tarsal bone ossification, and mean age for this event is estimated at 16 years for calcaneonavicular coalition. Surgical treatment is indicated for patients who did not improve symptoms with conservative treatment. The aim of this study is to present a surgical technique as a treatment option for resection of calcaneonavicular coalition associated with abnormal cuboid-navicular joint. Level of Evidence V; Therapeutic Studies; Expert Opinion.

scholarly journals SURGICAL TREATMENT OF CHRONIC VENOUS DEFICIENCY OF LOWER EXTREMITIES

2020 ◽  
pp. 68-73
Author(s):  
I. B. Babynkina ◽  
A. A. Novikova ◽  
G. P. Babynkina
Keyword(s):  
Surgical Treatment ◽  
Lower Extremities ◽  
Outpatient Basis ◽  
Perforating Veins ◽  
Results Of Treatment ◽  
Cosmetic Effect ◽  
Modern Economic ◽  
Surgical Tactics ◽  
Tissue Trauma ◽  
Standard Operations

Summary. The aim. Improving the results of treatment of patients with decompensated forms of chronic venous insufficiency in post-thrombophlebitic and varicose diseases based on the use of differentiated pathogenetically substantiated surgical tactics. Materials and methods. The basis of the work is the study of the results of surgical treatment of 102 patients not previously operated on with postthrombophlebitic disease of the lower extremities in the decompensated stage of CVI. All patients underwent combined surgical treatment, including the elimination of perforating insufficiency and various modifications of the operation on the superficial veins to eliminate vertical reflux. Results and discussion. The combined operation for clipping perforating veins allows the operation to interrupt blood circulation through insolvent perforating veins, including on an outpatient basis, minimizing tissue trauma during puncture rather than sectional access to a vein. The cosmetic effect of the operation is significantly increased, which is especially important in the treatment of women. Since the operation can be performed on an outpatient basis, the number of days of incapacity for work is significantly reduced compared to standard operations on perforating veins, which is a particularly important circumstance in modern economic conditions. Conclusion. Using the proposed method allows to achieve optimal conditions for the restoration of trophism of affected tissues, leading to a decrease in the number of complications and a reduction in hospitalization.

scholarly journals Results obtained after the surgical treatment of Graves’ disease depending on the levels of anti-thyroid antibodies

2021 ◽  
Author(s):  
S. L. Shliakhtych ◽  
V. R. Antoniv
Keyword(s):  
Surgical Treatment ◽  
Postoperative Complications ◽  
Surgical Technique ◽  
Hormone Receptors ◽  
Thyroid Stimulating Hormone ◽  
Endocrine Surgery ◽  
Graves Disease ◽  
Autoimmune Thyroid ◽  
Early Postoperative Complications ◽  
Surgery Duration

Graves' disease (GD) is a hereditary autoimmune disease which is characterized by persistent abnormal hypersecretion of thyroid hormones and thyrotoxicosis syndrome development. GD affects from 0.5 % to 2.0 % of population in different regions. 46 % of these patients develop ophthalmopathy. GD is a common cause of disabilities in patients under 60 years of age. In recent years, the incidence of GD in Ukraine has increased by 9.9 % — from 106.2 to 117.9 per 100,000 individuals. This can be connected with the improved diagnostic possibilities and active disease detection as well as with the increased number of autoimmune thyroid disorders. The recent studies focus on prevention of specific complications and recurrences of GD after surgery. Objective — to compare the levels of antibodies to the thyroid‑stimulating hormone receptors (TSHR‑Ab) during different postoperative periods as well as the incidence of early and late complications depending on the surgical technique used for the treatment of GD. Materials and methods. The results of surgical treatment of 130 patients, with GD were compared. 29 male patients and 101 female patients aged from 19 to 76 (average — 44.1 ± 3.2 years), receiving their treatment for GD in Kyiv Center of Endocrine Surgery during 2010—2018, were randomly selected and divided into two groups. At the time of operation the duration of disease was from 1 to 30 years (average — 4.6 ± 1.2 years). Group  1 included 65 patients that underwent total thyreoidectomy (TT) and group 2 included 65 patients that underwent subtotal thyreoidectomy (ST). The following parameters were compared: surgery duration, the incidence of early postoperative complications, including bleedings and damage to the recurrent laryngeal nerves, and late outcomes of surgical treatment (persistent hypoparathyreoidism disorder and disorder recurrences) depending on the method of surgery (ST or TT). Furthermore, the patterns of the TSHR‑Ab level reduction were studied for different postoperative periods. Results. The comparison of surgical outcomes following TТ and ST didn’t reveal any statistically significant differences in such evaluation criteria as the average surgery duration, the average volume of intraoperative blood loss and the average duration of the postoperative inpatient treatment. The comparative assessment of the thyroid stump volume and the average amount of drained discharge showed statistically significant differences for TТ. It allows considering TТ as a surgery which causes less complications than ST. The studied parameters of early postoperative complications had no significant differences for ST and TТ. The long‑term (5 years) postoperative level of TSHR‑Ab was statistically significantly lower in patients after TT and made up 1.15 ± 0.13 IU/L (thus corresponding to the normal level). Conclusions. Total thyroidectomy is an optimal surgical technique and is more appropriate compared with subtotal thyroid gland resection. It should be noted that TT provides lower risk of complications due to significantly lower level of TSHR‑Ab in late postoperative period.  

scholarly journals Surgery of cholesteatoma: Surgical technique and cholesteatoma recurrences

2004 ◽  
Vol 51 (1) ◽  
pp. 103-107
Author(s):  
Nenad Arsovic ◽  
Radomir Radulovic ◽  
Snezana Jesic ◽  
S. Krejovic-Trivic ◽  
P. Stankovic ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Surgical Technique ◽  
Complete Removal ◽  
Initial Surgery ◽  
Group I ◽  
Number Of Patients ◽  
Significant Difference ◽  
Diffuse Form ◽  
Surgical Failure

Past experience with open and closed techniques of tympanoplasty in surgery of cholesteatoma has shown that recurring illness is one of the major causes of surgical failure. The literature has reported varying trend of surgical treatment of cholesteatoma. The objective of the study was to analyze the significance of surgical technique in relation to the incidence and most frequent localization of recurrent cholesteatoma. Our study analyzed 120 patients operated on for cholesteatoma. The patients were divided into two groups, group I (45) with recurring disease and group II (75) without any recurring condition, which were followed up three years. Statistical analysis was carried out by modified t-test. The largest number of patients was re-operated in the first two years from the initial surgery (50%), In the majority of patients (50%), recurrent cholesteatoma was most commonly localized (stage I) in attic (20%) and much rarely in mesotympanum (11,9%). Stage III recurrent cholesteatoma was verified in 35% of patients, most frequently diffuse form (13,4%). The involvement of attic by all three stages of disease accounted for over 60%. The analysis of the used techniques of surgical treatment in both groups revealed significant difference. Open techniques of tympanoplasty were used in 60% of patients with no recurrence. Closed techniques were used more frequently in patients with recurring disease, i.e. in over 90% of cases. Recurrent cholesteatoma develops, in the majority of cases, during the first two years after the surgical intervention. Attic is the most common localization of cholesteatoma. More frequent utilization of open technique of tympanoplasty for surgery of cholesteatoma significantly reduces the incidence of recurring condition. The indications for CWD technique are the initial spread of cholesteatoma, possibility of complete removal of cholesteatoma and postoperative follow-up of patients.

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