scholarly journals Presacral Tumor: Insights From a Decade’s Experience of This Rare and Diverse Disease

2021 ◽  
Vol 11 ◽  
Author(s):  
Zeyu Li ◽  
Min Lu
Keyword(s):  
Malignant Tumor ◽  
Lower Limb ◽  
Digital Rectal Examination ◽  
Operation Time ◽  
Diagnosis And Treatment ◽  
Benign Tumors ◽  
Presacral Space ◽  
Hormonal Changes ◽  
Presacral Tumor ◽  
Advantages And Disadvantages

BackgroundPresacral tumors are a group of rare and heterogeneous tumors that arise from the potential presacral space between the rectum and sacrum. The low occurrence and diverse origins make the diagnosis and treatment of these tumors a challenge. The aim of the study was to retrospectively review patient demographics and to identify advantages and disadvantages in the diagnosis and treatment of these tumors.MethodsRetrospectively collected and reviewed data from patients who received treatment of presacral tumors at the First Affiliated Hospital of China Medical University between August 2009 and June 2019.ResultsThe data from forty-four patients (33 females) with a median age of 50 years who were diagnosed with a presacral/retrorectal tumor were analyzed. The majority of tumors were congenital (61.4%) and benign tumors are more common (59.1%). The median age of patients with benign tumor was significantly higher than that of malignant tumor. The most common symptoms were sacrococcygeal/perianal pain (56.8%) and mass (36.4%), and 8 out of 9 patients having lower limb symptoms diagnosed with malignant tumor. The tumor detection rate of digital rectal examination was 75% and more than 90% of all patients underwent one or more radiology imaging exams for tumor diagnosis. Every patient had a biopsy result. The most common type of tumor was presacral cyst (40.9%) with overall tumor median size of 5.6 cm. Thirty-one (70.5%) patients underwent surgery, most often via the posterior route (83.9%). Posterior route surgery had significantly shorter operation time and tumors operated via posterior route were significantly smaller. The survival rate after surgery was 100%. The median course of disease was 6 months and median follow-up was 25 months.ConclusionsPresacral tumors have low occurrence and are more frequently observed in females in their 30s and 50s indicating a possible link between tumor occurrence and hormonal changes. Patients with lower limb symptoms were more likely to have a malignant presacral tumor. Posterior route was the most commonly utilized surgical approach. Supplementary iodine tincture treatment of cysts ruptured in operation could potentially be helpful in reducing the chance of recurrence.

scholarly journals Intraductal cystadenopapillomas of the mammary glands: diagnosis and treatment

2021 ◽  
Vol 70 (2) ◽  
Author(s):  
Diana Danilov ◽  
◽  
Veronica Svet ◽  
Ion Mereuta ◽  
◽  
...  
Keyword(s):  
Mammary Gland ◽  
Mammary Glands ◽  
Diagnosis And Treatment ◽  
Benign Tumors ◽  
Hormonal Changes ◽  
Basic Treatment

About one in two women has symptoms of breast formation. According to various data, the frequency of detection of benign pathologies of the mammary gland is much higher compared to the frequency of referring women to the doctor with these pathologies. Benign tumors of the mammary gland are characterized by a slow, expansive growth (compresses the neighboring tissue), are well encapsulated, most are the result of hormonal changes (hyperestrogenemia, hyperprolactinemia), after excision rarely recur, do not invade local tissues and do not metastasize to others. organs. The basic treatment is surgery – excision of the breast formations. Recurrences rarely occur, do not invade adjacent tissues and do not metastasize to other organs.

Leg Varices Originating from the Pelvis: Diagnosis and Treatment

Vascular ◽  
2007 ◽  
Vol 15 (2) ◽  
pp. 70-78 ◽  
Author(s):  
Milka Greiner ◽  
Geoffrey L. Gilling-Smith
Keyword(s):  
Effective Treatment ◽  
Lower Limb ◽  
Varicose Veins ◽  
Diagnosis And Treatment ◽  
Repeat Surgery ◽  
Recurrent Reflux ◽  
Venous Circulation ◽  
Platinum Coils

This article reports the investigation and treatment of 24 women presenting with recurrent lower limb varicosities secondary to reflux within the pelvic venous circulation. Diagnosis based on selective retrograde pelvic phlebography enabled precise identification and classification of sites of incompetence. A total of 74 veins were treated by embolization with platinum coils and glue prior to repeat surgery to the lower limb veins. At 4-year follow-up, signs of stasis had disappeared in all patients. Repeat phlebography revealed no evidence of recurrent reflux at the sites of treatment. One patient developed recurrent varices due to incomplete embolization of incompetent pelvic veins. Endovascular occlusion of incompetent pelvic veins is an effective treatment for varicose veins secondary to pelvic venous incompetence.

Application of Sit-To-Stand Assistive Device Based on Hip Support

2021 ◽  
Vol 14 ◽  
Author(s):  
Huaiqiang Zhang ◽  
Qiang Xue ◽  
Shuo Yang ◽  
Tongtong Wang ◽  
Binwei Zhou
Keyword(s):  
Lower Limb ◽  
Independent Living ◽  
Structural Characteristics ◽  
Assistive Devices ◽  
Assistive Device ◽  
Technology Application ◽  
Assist Devices ◽  
Advantages And Disadvantages ◽  
Sit To Stand

Background: Completing the transition from a sitting position to a standing position is a basic skill in people’s daily lives and is crucial for independent living. Lower limb dysfunction will bring many inconveniences into a person’s life and greatly affect their quality of life. Patients with lower limb dysfunction are a specialized group, and nursing problems for this group are becoming increasingly serious. Helping patients with lower limb dysfunction restore their lower limb mobility or assisting them to walk is a social problem necessary to be solved. Objective: : To review the recent sit-to-stand assistive devices based on hip support, classify them systematically and introduce their characteristics, including the mechanisms and the types of patients for which such mechanisms are applicable; to help patients with lower limb dysfunction or doctors (therapists) understand and choose a reasonable sit-to-stand assist device based on hip support. Methods: This paper summarizes literatures and patents about sit-to-stand assistive devices. From the aspects of structural characteristics, drive type and support modes based on the hip and applications situation, the advantages and disadvantages of the typical sit-to-stand assist devices are represented. Results: Current and future development trends on the structural characteristics, drive type and support modes based on the hip and applications situation of sit-to-stand assist devices are discussed to improve the humanization, modularization and applicability of sit-to-stand assist devices. Conclusion: Sit-to-stand assistive devices based on hip support can help patients improve the quality of their life, assist patients carrying out rehabilitation training, and delay the decline of lower limb function. However, the existing sit-to-stand assistive devices based on hip support need further improvement in the aspects of motion mechanism, new technology application and ergonomics design.

Laparoscopic Right Hepatectomy

2020 ◽  
Author(s):  
Omid Salehi ◽  
Eduardo A. Vega ◽  
Claudius Conrad
Keyword(s):  
Minimally Invasive ◽  
Future Liver Remnant ◽  
Benign Tumors ◽  
Right Hepatectomy ◽  
Liver Remnant ◽  
Advantages And Disadvantages ◽  
Historical Perspectives ◽  
Virtual Hepatectomy ◽  
Laparoscopic Right Hepatectomy ◽  
Caudal Approach

Laparoscopic right hepatectomy (LRH) is an important technique in a modern hepatobiliary surgeon’s arsenal. It’s application extends to many different disease processes including both malignant and benign tumors as well as infections and in trauma. The procedure involves using minimally invasive methods to remove Couinaud segments 5-8 delineated by the portion of the liver right and lateral to Cantlie’s line. In this chapter, we explain the approach to performing this operation by delving into preoperative considerations with a focus on high quality imaging, 3D reconstruction, and virtual hepatectomy, optimizing the future liver remnant (FLR) with PVE and use of parenchymal sparing methods, and detailed intraoperative steps emphasizing caudal view, Glissonian approach, MHV roadmap, and communication with anesthesia. We also give context to LRH by discussing the two most common diseases addressed by it, namely colorectal liver metastases (CRLM) and hepatocellular carcinoma (HCC), as well as historical perspectives and how LRH use has evolved. We also address complication management such as post-operative liver failure and intra-operative bleeding accidents, variants on exposure with hand assist and transthoracic view, and comparing the advantages and disadvantages between open and laparoscopic right hepatectomy. This review contains 12 figures, 4 tables, and 111 references. Keywords: augmented reality, laparoscopic right hepatectomy, laparoscopic PVE and ALPPS, low CVP anesthesia, MHV roadmap, minimally invasive liver resection, parenchymal sparing right hepatectomy, Takasaki caudal approach, virtual hepatectomy,

scholarly journals Imaging Review of Skeletal Tumors of the Pelvis—Part I: Benign Tumors of the Pelvis

2012 ◽  
Vol 2012 ◽  
pp. 1-10 ◽  
Author(s):  
Gandikota Girish ◽  
Karen Finlay ◽  
Yoav Morag ◽  
Catherine Brandon ◽  
Jon Jacobson ◽  
...  
Keyword(s):  
Plain Film ◽  
Clinical History ◽  
Benign Tumors ◽  
Resonance Imaging ◽  
Advantages And Disadvantages ◽  
Radiologic Evaluation ◽  
Imaging Characteristics ◽  
The Common ◽  
Magnetic Resonance Imaging Mri ◽  
Pelvic Lesions

The osseous pelvis is a well-recognized site of origin of numerous primary and secondary musculoskeletal tumors. The radiologic evaluation of a pelvic lesion often begins with the plain film and proceeds to computed tomography (CT), or magnetic resonance imaging (MRI) and possibly biopsy. Each of these modalities, with inherent advantages and disadvantages, has a role in the workup of pelvic osseous masses. Clinical history and imaging characteristics can significantly narrow the broad differential diagnosis for osseous pelvic lesions. The purpose of this review is to familiarize the radiologist with the presentation and appearance of some of the common benign neoplasms of the osseous pelvis and share our experience and approach in diagnosing these lesions.

scholarly journals Rare presentation of a testicular angiofibroma treated with testis sparing surgery

2016 ◽  
Vol 88 (4) ◽  
pp. 330 ◽  
Author(s):  
Luca Leone ◽  
Paola Fulvi ◽  
Giulia Sbrollini ◽  
Alessandra Filosa ◽  
Enrico Caraceni ◽  
...  
Keyword(s):  
Case Report ◽  
Malignant Tumor ◽  
Gold Standard ◽  
Conservative Surgery ◽  
Pathological Examination ◽  
Benign Tumors ◽  
Frozen Sections ◽  
Rare Presentation ◽  
Final Histology

Introduction: Testicular benign tumors are very rare (< 5%). Testicular Angiofibroma (AF) is one of those, however the gold standard of treatment and follow-up is still unclear. Case report: A 47 years-old man with only one functioning testis was referred to our clinic for a palpable right testicular mass and atrophic contralateral testis. Patient underwent testis-sparing surgery with inguinal approach and intraoperative frozen sections examination with diagnosis of AF. Final histology confirmed AF. Post-operative follow-up was uneventful. Clinical and ultrasonographic follow-up was negative after 8 months. Conclusion: We report a conservative surgery in a patient with AF of the solitary testis. AF is a benign para-testicular fibrous neoplasm that could be misinterpreted as malignant tumor and treated with orchiectomy. Testis-sparing surgery is recommended in this case with intraoperative pathological examination. The excision of the mass is enough but in front of a possible recurrence a long follow-up is advisable.

scholarly journals Modern therapeutic options in the treatment of bacterial vaginosis

2020 ◽  
Vol 69 (3) ◽  
pp. 39-45
Author(s):  
Evgeny F. Kira ◽  
Yulia V. Khalturina
Keyword(s):  
Bacterial Vaginosis ◽  
Therapeutic Options ◽  
Diagnosis And Treatment ◽  
Therapeutic Approaches ◽  
Advantages And Disadvantages ◽  
Modern Methods

This article reviews the pathogenetic aspects of bacterial vaginosis and modern methods of diagnosis and treatment of vaginal microbiocenosis disorders. The advantages and disadvantages of the available therapeutic approaches are discussed, and new opportunities and prospects in the treatment of bacterial vaginosis are highlighted.

scholarly journals ADVANTAGES AND DISADVANTAGES OF DIGITAL SURGERY IN DENTAL REHABILITATION. LITERATURE REVIEW WITH A DESCRIPTION OF THE CLINICAL CASE

2021 ◽  
Vol 16 (4) ◽  
pp. 13-19
Author(s):  
Aleksandr Ivashov ◽  
Kristina Dement'eva ◽  
Petros Nersesyan ◽  
Yuliya Mandra ◽  
Valery Khodko
Keyword(s):  
Clinical Case ◽  
Treatment Protocol ◽  
Operation Time ◽  
Treatment Method ◽  
Bibliographic Databases ◽  
Navigation Surgery ◽  
Advantages And Disadvantages ◽  
Implant Placement ◽  
Dental Implantation ◽  
Surgical Template

Subject. With the advent of advanced imaging technology and CAD/CAM technologies, the possibility of guided surgery has become of wide interest among implantology. The article is devoted to the use of surgical template implantation in the rehabilitation of a dental patient. It provides information about some advantages and disadvantages of the digital protocol in comparison with traditional dental implantation. The main stages of navigation surgery in a clinical case are described. Goal. To evaluate the actual clinical advantages and disadvantages of dental implant placement using a surgical template compared to the traditional treatment protocol. Methodology. The literature search was conducted in scientific search bibliographic databases such as PubMed, eLIBRARY, Medline, and Google Academy. More than 384 studies up to 2014 were found under the thematic headings "Dental implantation" and "Surgical template". During the study of these works, the sample included 56 articles and literature reviews. Conclusions. Recently, implant placement using a surgical template has become a popular treatment method among dental surgeons. The study of modern literature allowed us to formulate the main advantages and disadvantages of this method. Advantages of the method: precise positioning of implants; flap-free surgery reduces the operation time and is characterized by a favorable postoperative course; integration of restoration determinants in surgical planning, which leads to a more aesthetic, functional and predictable result of prosthetics; the possibility of pre-manufacturing a prosthesis based on the planned position of the implant; simplification of the surgical procedure for the dentist. However, this method is not without its drawbacks: the surgeon's inability to visualize anatomical structures; the risk of axis and depth deviation during implant placement; requires additional digital planning.

scholarly journals Prosthetics for Lower Limb Amputation

2021 ◽  
Author(s):  
P. Senthil Selvam ◽  
M. Sandhiya ◽  
K. Chandrasekaran ◽  
D. Hepzibah Rubella ◽  
S. Karthikeyan
Keyword(s):  
Gait Analysis ◽  
Lower Limb ◽  
Lower Limb Amputation ◽  
Complete Picture ◽  
Limb Amputation ◽  
Advantages And Disadvantages ◽  
Diagrammatic Representation ◽  
Mechanical Component ◽  
Lower Limb Prosthesis ◽  
Limb Prosthesis

The Chapter will include a brief note on Amputation, Particularly Lower Limb Amputation (LLA), Levels and Causes of LLA. Importance of Prosthetics for LLA are explained in detail. The types of Prosthesis, Application (Donning & Doffing) of prosthesis are included in this chapter. Diagrammatic representation of the prosthesis are added too. Bio mechanical component is explained in detail within this chapter. The advantages and disadvantages of each and every Lower limb Prosthesis are clearly mentioned. Moreover, the Gait analysis & Training after the application of prosthesis are discussed. The reader will get a complete picture of Prosthetics for Lower limb Amputation by going through this chapter for lower limb prosthesis.

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