scholarly journals SURGICAL TREATMENT FOR NON-TUMOROUS DISEASES OF CRANIOVERTEBRAL REGION

2018 ◽  
pp. 36-41 ◽  
Author(s):  
A. A. Kuleshov ◽  
A. N. Shkarubo ◽  
I. S. Gromov ◽  
M. S. Vetrile ◽  
I. N. Lisyanskiy ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Surgical Treatment ◽  
Fatal Outcome ◽  
Cord Compression ◽  
Long Term Results ◽  
Surgical Interventions ◽  
Custom Made ◽  
Spinal Cord Decompression ◽  
Ventral Spinal Cord

Purpose:to evaluate the efficacy of surgical treatment for the non-tumorous diseases of the craniovertebral region.Patients and Methods. Forty five patients aged 4 – 63 years (mean age 27 years) with non-tumorous diseases of the craniovertebral region were operated on. Either one- or two-step surgical interventions for spinal cord decompression were performed. Early and long term results were evaluated by Frankel, JAO and River scales. In 5 cases the assessment of volumetric craniovertebral interrelationships (VCVI).Results.Good results were obtained in 43 (96%) patients at terms from 1 to 15 years. In 1 patient with mucopolysaccharidoses the aggravation of neurologic symptoms was observed and in 1 case a fatal outcome occurred. VCVI analysis showed a significant improvement of liquor dynamics right up to its normalization in the zone of decompression.Conclusion.Treatment of craniovertebral region diseases requires a differential approach. When necessary to eliminate ventral spinal cord compression it is expedient to perform either transoral or endoscopic transnasal decompression, or transoral spinal cord (myelencephalon) decompression with anterior stabilization by custom-made device (plate).

scholarly journals Surgical treatment for nontumorous diseases of craniovertebral region

2018 ◽  
Vol 25 (1) ◽  
pp. 36-41
Author(s):  
A. A Kuleshov ◽  
A. N Shkarubo ◽  
Il’ya S. Gromov ◽  
M. S Vetrile ◽  
I. N Lisyanskiy ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Surgical Treatment ◽  
Fatal Outcome ◽  
Cord Compression ◽  
Long Term Results ◽  
Surgical Interventions ◽  
Custom Made ◽  
Spinal Cord Decompression ◽  
Ventral Spinal Cord

Purpose: to evaluate the efficacy of surgical treatment for the non-tumorous diseases of the craniovertebral region. Patients and Methods. Forty five patients aged 4 - 63 years (mean age 27 years) with non-tumorous diseases of the craniovertebral region were operated on. Either one- or two-step surgical interventions for spinal cord decompression were performed. Early and long term results were evaluated by Frankel, JAO and River scales. In 5 cases the assessment of volumetric craniovertebral interrelationships (VCVI). Results. Good results were obtained in 43 (96%) patients at terms from 1 to 15 years. In 1 patient with mucopolysaccharidoses the aggravation of neurologic symptoms was observed and in 1 case a fatal outcome occurred. VCVI analysis showed a significant improvement of liquor dynamics right up to its normalization in the zone of decompression. Conclusion. Treatment of craniovertebral region diseases requires a differential approach. When necessary to eliminate ventral spinal cord compression it is expedient to perform either transoral or endoscopic transnasal decompression, or transoral spinal cord (myelencephalon) decompression with anterior stabilization by custom-made device (plate).

METHODOLOGY FOR ASSESSING THE LONG-TERM RESULTS OF SURGICAL TREATMENT ON THE SPINE AND SPINAL CORD IN CHILDREN

Vestnik ◽  
2021 ◽  
pp. 170-174
Author(s):  
М.М. Сахипов ◽  
Г.М. Еликбаев ◽  
М.Ю. Бирючков ◽  
Д. Амирали ◽  
М.У. Темирбеков
Keyword(s):  
Spinal Cord ◽  
Surgical Treatment ◽  
Long Term Results ◽  
Neurologic Symptoms ◽  
Functional Parameters ◽  
The Republic

Разработанная шкала применяется для оценки результатов лечения после корригирующих операций на позвоночнике и спинном мозге и является основанием для проведения патогенетически обоснованных реабилитационных мероприятий. Методика основана на балльной оценке общеклинических, неврологических, рентгенологических, функциональных показателей, в результате которой объективно отражается степень выраженности неврологических дефицитов, нарушение функций костно-суставной системы и тазовых органов. Получен патент на изобретение Республики Казахстан №26019 от 14.09.2012. Бюлл. №9 Rehabilitation actions are spent depending on a condition of the patient according to this scale. The technique allows to investigate objectively a degree of neurologic symptoms, infringements of functions of spine and urinare function after operation. The scale is based on an estimation of clinical, neurologic, radiological and functional parameters. Patent for inventions of the Republic of Kazakhstan № 26019 dated 14.09.2012 was obtained. Byul. № 9

scholarly journals SURGICAL TREATMENT OF TUMORS OF THE UPPER-THORACIC SPINE

2010 ◽  
Vol 16 (2) ◽  
pp. 143-145
Author(s):  
A. L. Heylo ◽  
A. G. Aganesov
Keyword(s):  
Spinal Cord ◽  
Surgical Treatment ◽  
Surgical Procedures ◽  
Thoracic Spine ◽  
Surgical Approach ◽  
Long Term Results ◽  
Upper Thoracic Spine ◽  
Short And Long Term ◽  
Upper Thoracic

The experience of surgical treatment of 19 patients with tumors of the upper-thoracic spine is analyzed. All the patients had undergone decompressive-stabilizing surgical procedures. Surgical approach, form of decompression and fixation were determined depending on the signs of compression of the spinal cord and neural structures, etiology and degree of the vertebral body destruction. Good and satisfactory short- and long-term results were achieved in all the patients. The case of surgical treatment of female patient with giant neurofibromas of Th2 vertebrae is also reported.

scholarly journals RESULTS OF SURGICAL TREATMENT OF NON-PARASITIC SPLENIC CYSTS IN CHILDREN

2018 ◽  
Vol 22 (1) ◽  
pp. 32-35
Author(s):  
A. V. Myzin ◽  
Vasily G. Kuleshov ◽  
A. E. Stepanov ◽  
N. V. Gerasimova ◽  
K. Yu. Ashmanov
Keyword(s):  
Surgical Treatment ◽  
High Efficiency ◽  
Clinical Symptoms ◽  
Abdominal Cavity ◽  
Long Term Results ◽  
Surgical Interventions ◽  
Results Of Treatment ◽  
Splenic Cysts ◽  
Good Cosmetic

Introduction. Currently, there are different views on the treatment of non-parasitic spleen cysts in children. The choice of method of treatment is under discussion. The aim of our study was to evaluate and analyze the immediate and long-term results of surgical interventions performed on nonparasitic spleen cysts in children. Material and methods. There are presented results of surgical treatment of the 21 patient, who was on treatment at the Department of Abdominal Surgery of the Russian Children Clinical Hospital over the period from 2013 to 2016. Patients were examined by means of ultrasound of the abdominal cavity, CT, MRI. All patients have been operated. 22 surgical interventions were performed by using laparoscopic access, out of which 2 partial resections of the spleen, 1 splenectomy, 19 fenestrations of spleen cysts.Results. During the course of the operation and in the immediate postoperative period there were no complications. Patients were observed for the period of from 1 year to 3 years. Good results of treatment were obtained in 20 (95.2%) children. In a long-term period a relapse occurred in the one patient one year after the operation. The patient was reoperated, splenectomy was performed. Conclusion. The surgical treatment of spleen cysts is the basic one. It is indicated for cysts sized larger than 5 cm and cysts with clinical symptoms. Minimally invasive interventions in children are optimal because of their low traumatism and good cosmetic effect. Our study showed a high efficiency of laparoscopic operations in children suffered from non-parasitic spleen cysts with good long-term results.

Vertebral hydatid disease

1976 ◽  
Vol 44 (1) ◽  
pp. 72-76 ◽  
Author(s):  
Werner L. Apt ◽  
Juan L. Fierro ◽  
Ciro Calderón ◽  
Carlos Pérez ◽  
Patricio Mujica
Keyword(s):  
Surgical Treatment ◽  
Lumbar Spine ◽  
Postoperative Period ◽  
Long Term Results ◽  
Common Procedure ◽  
Laboratory Findings ◽  
Content Type ◽  
Surgical Interventions ◽  
Fine Print

✓ The authors present 27 cases of vertebral hydatidosis with clinical and laboratory findings. The most frequent location of the lesion was the lumbar spine. Principal neurological symptoms were paraparesis, sphincter disturbances, paresthesia and paraplegia. The average number of surgical interventions per patient was 2.6; the most common procedure was laminectomy with extirpation of the cyst and surgical toilet. The results of surgical treatment were generally good in the immediate postoperative period, but long-term results were poor.

scholarly journals SURGICAL TREATMENT OF RECURRENT HIATAL HERNIAS

2019 ◽  
Vol 178 (5) ◽  
pp. 69-73
Author(s):  
D. I. Vasilevsky ◽  
G. T. Bechvaya ◽  
A. M. Ahmatov
Keyword(s):  
Surgical Treatment ◽  
Hiatal Hernia ◽  
High Frequency ◽  
Common Type ◽  
Long Term Results ◽  
Revision Operation ◽  
Surgical Interventions ◽  
The People ◽  
Visceral Anatomy

OBJECTIVE. Hiatal hernias are the most common type of visceral anatomy disorder. The unresolved problem of surgical treatment of this pathology remains the high frequency of its relapse. Currently, it is believed that repeated surgical interventions for hiatal hernia are technically difficult, carry a high risk of complications and have unsatisfactory long-term results.MATERIAL AND METHODS. In the period from 2015 to 2019, 55 patients with this pathology were operated. In 52 (94.5 %) cases, the revision operation was performed laparoscopically, in 3 (5.5 %) – through left-side thoracotomy. The technique of the operation implied the removal of hiatal hernia and the implementation of antireflux reconstruction. In five (9.9 %) patients with a shortened esophagus, the fundoplication wrap was originally created in the chest; in 50 (90.1 %), normal anatomy was restored.RESULTS. Long-term results ranging from 12 to 48 months were evaluated in 53 (96.4 %) cases. The natural position of the esophagus and stomach in relation to the diaphragm was detected in 43 (81.1 %) patients, relapse of hiatal hernia – in 5 (9.4 %). In 5 patients, the fundoplication wrap formed in the chest was functional. The absence of gastroesophageal reflux was observed in 41 (91.8 % of patients who had GERD before surgery). In 4 (8.8 %) cases, including one patient with antireflux reconstruction in the chest, a relapse of the disease occurred.CONCLUSION. The presented results allowed the surgical treatment of recurrent hiatal hernias reasonable and effective.The authors declare no conflict of interest.The authors confirm that they respect the rights of the people participated in the study, including obtaining informed consent when it is necessary, and the rules of treatment of animals when they are used in the study. Author Guidelines contains the detailed information.

scholarly journals Surgery of infectious endocarditis (40 years of treatment experience)

2021 ◽  
Vol 98 (8) ◽  
pp. 600-605
Author(s):  
Yu. L. Shevchenko
Keyword(s):  
Surgical Treatment ◽  
Clinical Features ◽  
Infectious Endocarditis ◽  
Long Term Results ◽  
Surgical Interventions ◽  
Treatment Experience

The issues of etiology, pathogenesis, clinical features and diagnosis of intracardiac infection are considered on the basis of the experience of surgical treatment of 3700 patients with infectious endocarditis. The principles of surgical interventions for various forms of infectious endocarditis, as well as for its most severe variants, accompanied by destruction of intracardiac structures and damage to other organs, are presented. The immediate and long- term results o f treatment and opportunities for their improvement are analyzed.

scholarly journals Primary Intradural Extramedullary Spinal Melanoma in the Lower Thoracic Spine

2016 ◽  
Vol 2016 ◽  
pp. 1-3
Author(s):  
Kathrin Hering ◽  
Anke Bresch ◽  
Donald Lobsien ◽  
Wolf Mueller ◽  
Rolf-Dieter Kortmann ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Thoracic Spine ◽  
Primary Melanoma ◽  
Cord Compression ◽  
Long Term Follow Up ◽  
Intradural Extramedullary ◽  
Lower Thoracic Spine ◽  
Spinal Cord Decompression

Background Context.Up to date, only four cases of primary intradural extramedullary spinal cord melanoma (PIEM) have been reported. No previous reports have described a case of PIEM located in the lower thoracic spine with long-term follow-up.Purpose. Demonstrating an unusual, extremely rare case of melanoma manifestation.Study Design. Case report.Methods. We report a case of a 57-year-old female suffering from increasing lower extremity pain, left-sided paresis, and paraesthesia due to spinal cord compression caused by PIEM in the lower thoracic spine.Results. Extensive investigation excluded other possible primary melanoma sites and metastases. For spinal cord decompression, the tumor at level T12 was resected, yet incompletely. Adjuvant radiotherapy was administered two weeks after surgery. The patient was recurrence-free at 104 weeks after radiotherapy but presents with unchanged neurological symptoms.Conclusion. Primary intradural extramedullary melanoma (PIEM) is extremely rare and its clinical course is unpredictable.

scholarly journals LONG-TERM RESULTS OF SURGICAL TREATMENT IN PATIENTS WITH INTRADURAL SPINAL TUMORS

2018 ◽  
Vol 73 (2) ◽  
pp. 88-95 ◽  
Author(s):  
V. A. Byvaltsev ◽  
I. A. Stepanov ◽  
E. G. Belykh ◽  
M. A. Aliyev
Keyword(s):  
Spinal Cord ◽  
Surgical Treatment ◽  
Long Term Results ◽  
Neurophysiological Monitoring ◽  
Spinal Cord Tumors ◽  
Intramedullary Tumors ◽  
Neurological Outcomes ◽  
Factors Influencing ◽  
Significant Difference

Background: Intradural spinal cord tumors include extramedullary and intramedullary tumors. The search for literature sources in the Pubmed, Medline, and E-Library databases detected a little number of researches on the long-term results of the surgical treatment of intradural spinal cord tumors. These clinical series include a small number of patients and do not consider the factors influencing clinical outcomes of surgical treatment.Aim: To evaluate the long-term results of surgical treatment in patients with intradural spinal cord tumors, to identify the main factors influencing the clinical and neurological outcomes of surgical interventions in this group of patients.Materials and methods: The study included 277 medical records of 244 patients with intradural extramedullary and 33 patients with intradural intramedullary tumors of the spinal cord. Clinical-neurological outcomes of surgical treatment in patients with intradural spinal cord tumors and factors influencing the outcomes were analyzed.Results: When comparing the degree of neurologic deficit in patients with intradural extramedullary tumors prior to surgery, no significant differences were found (p=0.241) both in the early postoperative period and 6 months after the surgery. Nevertheless, when comparing these indicators in a period of 12, 24, 36, 48, and 60 months after the surgery, statistically significant differences were revealed (p0.001). There was no statistically significant difference (p=0.437) between the scores in patients with intramedullary tumors on the modified McCormick Scale preoperatively, at the 6-month and one-year follow-up; however, comparison of the clinical and neurological indicators at 24, 26, 48, and 60 months revealed a significant difference (p0.001). The surgery outcomes in considered groups of patients were significantly influenced by the following indicators: the ASA risk level (odds ratio (OS) 2.138; 95% confidence interval (95% CI) 3.346–12.145) and intraoperative neurophysiological monitoring (OR 2.84; 95% CI 1.67–9.56).Conclusion: The study registered good and excellent long-term outcomes in most cases of intradural spinal cord tumors when the maximum possible tumor excision was performed. Analysis of the influence of various factors on the clinical and neurological outcomes in the study group of patients showed that the use of intraoperative neurophysiological monitoring and the degree of operational and anesthetic risk according to the ASA scale have a significant effect.

scholarly journals SURGICAL TREATMENT AND POSTOPERATIVE MANAGEMENT OF PATIENTS WITH BROAD FOREFOOT

2017 ◽  
Vol 2 (3) ◽  
pp. 55-57
Author(s):  
DA A Rasputin
Keyword(s):  
Surgical Treatment ◽  
Postoperative Management ◽  
Long Term Results ◽  
Long Term Outcomes ◽  
Surgical Interventions ◽  
New Methods ◽  
Results Of Treatment ◽  
Based Medicine

The article considers the problem of broad forefoot, which is one of the most frequent deformities of the musculoskeletal system. Aim - to improve the results of treatment of patients with transverse platypodia by the use of new methods of surgical interventions, and to improve the tactics of postoperative management of such patients. Material and methods. The study involved analysis of the results of treatment of 375 patients. For evaluating the long-term outcomes of treatment, methods of evidence-based medicine were used, reflecting a reduction in the relative risk of interventions and an increase in their relative benefit. Results. The study of the long-term results of treatment showed that there were good and satisfactory outcomes in 92.7% cases (267 patients) and only 7.3% of unsatisfactory results (21 patients) in the main group; in comparison group - 74.7% (65 patients) and 25.3% (22 patients) respectively. The evaluation of the adequacy of anesthesia on the first day after the operation revealed good and satisfactory quality of anesthesia in the first group in 89.9% patients (259), in the second - only in 55.2% patients (48). Conclusion. The use of the above mentioned methods of surgical treatment and enhancement of tactics of postoperative management improve outcomes of patients with transverse flatfoot, and, consequently, are recommended for widespread use in clinical practice.

Sign in / Sign up

Export Citation Format

Share Document