scholarly journals V-Y anoplasty for iatrogenic anal stenosis: our initial experience in BSMMU

2014 ◽  
Vol 42 (2) ◽  
pp. 51-54 ◽  
Author(s):  
SH Sheikh ◽  
I Jahan ◽  
MR Rahman ◽  
MM Matubber ◽  
A Taher ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Colorectal Surgery ◽  
Clinical Outcome ◽  
Surgical Management ◽  
Lateral Internal Sphincterotomy ◽  
Anal Stenosis ◽  
Initial Experience ◽  
Anal Stricture ◽  
Surgical Options ◽  
Advancement Flaps

To date, ideal surgical management of anal stenosis has not been well defined. Different surgical options have been described in literature to treat anal stricture starting from partial lateral internal sphincterotomy to different flap anoplasties. For severe anal stenosis, advancement flaps are the only option and all the techniques show good result and patient satisfaction. We treated five cases of severe anal stenosis by V-Y anoplasty in Colorectal Surgery Unit of BSMMU. Here we have shown the clinical outcome of V- Y anoplas DOI: http://dx.doi.org/10.3329/bmj.v42i2.18986 Bangladesh Med J. 2013 May; 42 (2): 51-54

Effect of Manipulation under Anesthesia of the First Knee in Staged Bilateral Total Knee Arthroplasty on Clinical Outcome and Satisfaction

2020 ◽  
Author(s):  
Jung-Won Lim ◽  
Yong-Beom Park ◽  
Dong-Hoon Lee ◽  
Han-Jun Lee
Keyword(s):  
Total Knee Arthroplasty ◽  
Patient Satisfaction ◽  
Clinical Outcome ◽  
Clinical Outcomes ◽  
Knee Arthroplasty ◽  
Knee Flexion ◽  
Functional Score ◽  
Manipulation Under Anesthesia ◽  
Total Knee

AbstractThis study aimed to evaluate whether manipulation under anesthesia (MUA) affect clinical outcome including range of motion (ROM) and patient satisfaction after total knee arthroplasty (TKA). It is hypothesized that MUA improves clinical outcomes and patient satisfaction after primary TKA. This retrospective study analyzed 97 patients who underwent staged bilateral primary TKA. MUA of knee flexion more than 120 degrees was performed a week after index surgery just before operation of the opposite site. The first knees with MUA were classified as the MUA group and the second knees without MUA as the control group. ROM, Knee Society Knee Score, Knee Society Functional Score, Western Ontario and McMaster Universities (WOMAC) score, and patient satisfaction were assessed. Postoperative flexion was significantly greater in the MUA group during 6 months follow-up (6 weeks: 111.6 vs. 99.8 degrees, p < 0.001; 3 months: 115.9 vs. 110.2 degrees, p = 0.001; 6 months: 120.2 vs. 117.0 degrees, p = 0.019). Clinical outcomes also showed similar results with knee flexion during 2 years follow-up. Patient satisfaction was significantly high in the MUA group during 12 months (3 months: 80.2 vs. 71.5, p < 0.001; 6 months: 85.8 vs. 79.8, p < 0.001; 12 months: 86.1 vs. 83.9, p < 0.001; 24 months: 86.6 vs. 85.5, p = 0.013). MUA yielded improvement of clinical outcomes including ROM, and patient satisfaction, especially in the early period after TKA. MUA in the first knee could be taken into account to obtain early recovery and to improve patient satisfaction in staged bilateral TKA.

scholarly journals Isolated Duodenal Crohn's Disease: A Case Report and a Review of the Surgical Management

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Faruk Karateke ◽  
Ebru Menekşe ◽  
Koray Das ◽  
Sefa Ozyazici ◽  
Pelin Demirtürk
Keyword(s):  
Crohn’S Disease ◽  
Case Report ◽  
Gastrointestinal Tract ◽  
Crohn's Disease ◽  
Medical Treatment ◽  
Immunosuppressive Therapy ◽  
Surgical Management ◽  
Surgical Intervention ◽  
Surgical Options ◽  
Crohn’S Diseases

Crohn's disease may affect any segment of the gastrointestinal tract; however, isolated duodenal involvement is rather rare. It still remains a complex clinical entity with a controversial management of the disease. Initially, patients with duodenal Crohn' s disease (DCD) are managed with a combination of antiacid and immunosuppressive therapy. However, medical treatment fails in the majority of DCD patients, and surgical intervention is required in case of complicated disease. Options for surgical management of complicated DCD include bypass, resection, or stricturoplasty procedures. In this paper, we reported a 33-year-old male patient, who was diagnosed with isolated duodenal Crohn’s diseases, and reviewed the surgical options in the literature.

scholarly journals Skin-, nipple-, and areola-sparing mastectomy

2008 ◽  
Vol 11 (12) ◽  
Author(s):  
E. M. Umoh ◽  
N. Arora ◽  
R. M. Simmons
Keyword(s):  
Breast Cancer ◽  
Breast Carcinoma ◽  
Clinical Outcome ◽  
Surgical Management ◽  
Surgical Techniques ◽  
Oncologic Outcomes ◽  
Cancer Management ◽  
Breast Cancer Management ◽  
Feasible Option

AbstractSurgical management of breast carcinoma has evolved to include more breast conserving techniques such as skin-, nipple-, and areola-sparing mastectomies, as improved cosmesis becomes an increasing concern. However, the oncologic risk of these procedures must be strongly considered before such techniques can be widely adopted. Here we review available literature on these techniques and their associated clinical outcome. From our own experience, as well as from that reported, we conclude that nipple-, skin-, and areola-sparing mastectomies in carefully selected patients can have safe oncologic outcomes comparable to more traditional surgical techniques and therefore may be a feasible option for breast cancer management.

scholarly journals Clinical and pathologic patterns of oral leukoplakia: A retrospective study of surgical management and clinical outcome

2020 ◽  
Vol 7 (10) ◽  
pp. 63-69
Author(s):  
Fernanda Paula Yamamoto-Silva ◽  
Caroline Alves de Castro ◽  
Sandra Lúcia Ventorin von Zeidler ◽  
Leandro Brambilla Martorell ◽  
Brunno Santos de Freitas Silva
Keyword(s):  
Retrospective Study ◽  
Clinical Outcome ◽  
Surgical Management ◽  
Oral Leukoplakia

scholarly journals A survey of clinical opinions and preferences on the non-surgical management of intermittent exotropia in China

2021 ◽  
Author(s):  
Yidong Wu ◽  
Tingting Peng ◽  
Jinjing Zhou ◽  
Meiping Xu ◽  
Yi Gao ◽  
...  
Keyword(s):  
Surgical Management ◽  
Online Survey ◽  
Randomized Clinical Trials ◽  
Treatment Guidelines ◽  
Survey Study ◽  
Cross Sectional Survey ◽  
Intermittent Exotropia ◽  
Cross Sectional ◽  
Surgical Interventions ◽  
Surgical Options

Purpose: Intermittent exotropia (IXT) is the most common form of childhood exotropia. Currently, controversies exist regarding its management and non-surgical options in particular. This study reports clinical opinions and preferences on the non-surgical management among practitioners in China. The opinions within and between ophthalmologists and optometrists were also compared. Design: Cross-sectional survey study. Methods: An online survey was developed and distributed through professional bodies. The study was conducted from July 25th to August 3rd, 2019. A total of 300 ophthalmologists and 188 optometrists responded. Results: Of 488 participants, 257 (53%) considered fusion defects as the main cause of IXT, and 299 (61%) took IXT as a progressive disorder. Two hundred and seventy-one (56%) participants considered orthoptic exercises as the most effective non-surgical intervention for IXT. Likewise, 245 (50%) participants reported that orthoptic exercises was their most frequent non-surgical option, followed by observation (178, 37%). There are discrepancies between ophthalmologists and optometrists. A greater proportion of ophthalmologists (201, 67%) shared the view that IXT worsens over time compared with optometrists (98, 52%) (p = 0.001). Additionally, ophthalmologists (121, 40%) tended to prefer observation compared with optometrists (57, 30%) (p = 0.021). Conclusions: This study shows that there is no general consensus on the non-surgical management of IXT in China. Given the lack of robust evidence, the findings from this study not only show the current clinical opinions but also highlight the need for future randomized clinical trials to validate the effectiveness of non-surgical interventions, orthoptic exercises in particular, and to establish treatment guidelines accordingly.

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