Complex Obstetric Perineal Injury Reconstruction Using Antropyloric Valve Transposition

Despite significant advancements in the field of medicine, management of complex obstetric perineal injuries remains a challenge. Although several surgical techniques have been described, no techniques have provided satisfactory long-term results. Recently, a perineal transposed antropyloric valve has been used for anorectal reconstruction in patients with damaged or excised anal sphincters. We describe this technique in the case of complex obstetric perineal trauma with extensive tissue loss, presenting with end stage fecal incontinence. The functional outcome after this procedure was evaluated. The patient tolerated the surgery well, and there were no procedure-related upper gastrointestinal disturbances. Short-term functional outcomes were encouraging. At the 36-month follow-up, the patient’s neoanal resting and squeeze pressures were 50 and 70 mmHg, respectively. The postoperative St. Mark’s incontinence score was 7. Perineal antropyloric valve transposition is feasible and can be successfully applied in the management of end-stage fecal incontinence associated with complex obstetric perineal injury.

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P2894 End-stage heart failure associated with end-stage coronary disease: long-term results after myocardial revascularization

European Heart Journal ◽

10.1016/s0195-668x(03)95672-7 ◽

2003 ◽

Vol 24 (5) ◽

pp. 555

Author(s):

N RADOVANOVIC

Keyword(s):

Heart Failure ◽

Coronary Disease ◽

Myocardial Revascularization ◽

Long Term Results ◽

End Stage Heart Failure ◽

End Stage

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Combined Replacement of Aortic Valve and Ascending Aorta—A 70-Year Evolution of Surgical Techniques

Aorta ◽

10.1055/s-0041-1729913 ◽

2021 ◽

Author(s):

Igor Vendramin ◽

Uberto Bortolotti ◽

Davide Nunzio De Manna ◽

Andrea Lechiancole ◽

Sandro Sponga ◽

...

Keyword(s):

Aortic Valve ◽

Elderly Patients ◽

Aortic Valve Disease ◽

Surgical Techniques ◽

Ascending Aorta ◽

Valve Disease ◽

Long Term Results ◽

The Past ◽

Technical Advances

AbstractSimultaneous replacement of the ascending aorta and aortic valve has always been a challenging procedure. Introduction of composite conduits, through various ingenious procedures and their modifications, has changed the outlook of patients with aortic valve disease and ascending aorta pathology. In the past 70 years, progress of surgical techniques and prosthetic materials has allowed such patients to undergo radical procedures providing excellent early and long-term results in both young and elderly patients. This article aims to review the most important technical advances in the treatment of aortic valve disease and ascending aorta aneurysms recognizing the important contributions in this field.

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Long-term results of total pelvic floor repair for postobstetric fecal incontinence

Diseases of the Colon & Rectum ◽

10.1007/bf02055443 ◽

1997 ◽

Vol 40 (7) ◽

pp. 835-839 ◽

Cited By ~ 33

Author(s):

S. Körsgen ◽

K. I. Deen ◽

M. R. B. Keighley

Keyword(s):

Fecal Incontinence ◽

Pelvic Floor ◽

Long Term Results ◽

Pelvic Floor Repair ◽

Total Pelvic Floor Repair

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Gefäßchirurgie an der Jahrtausendwende

VASA ◽

10.1024/0301-1526.29.1.17 ◽

2000 ◽

Vol 29 (1) ◽

pp. 17-27 ◽

Cited By ~ 1

Author(s):

Polterauer ◽

Nanobachvili ◽

Fuegl ◽

Huk

Keyword(s):

Gene Therapy ◽

Vascular Surgery ◽

Intimal Hyperplasia ◽

Surgical Techniques ◽

Aortic Aneurysms ◽

Long Term Results ◽

Prosthetic Material ◽

Vascular Medicine ◽

The Future

Modern diagnostic modalities as well as ongoing improvement of vascular prosthetic material and surgical techniques have stimulated progress in vascular surgery. New discoveries concerning the mechanism of endothelial function, atherosclerosis, developments in gene therapy and endovascular techniques will expand the future therapeutic spectrum of vascular surgery. Endoluminal implantation of stent grafts for the treatment of aortic aneurysm may be a reasonable alternative to conventional surgery, especially in high-risk patients. Long-term results of this procedure, however, are not yet available. Stenting of internal carotid artery stenosis may be considered as an experimental method of treatment. Its feasibility, efficacy, safety and long-term results must be analyzed before the application of the method may be restricted or recommended. Endoluminal irradiation (brachytherapy) reduces intimal hyperplasia/restenosis and can improve the long-term results of percutaneous transluminal angioplasty. Anti-atherosclerotic and anti-aggregatory therapy (with statins, estrogens, antibiotics, nitric oxide precursor/donors, glycoprotein IIb/IIIa receptor inhibitors) will play an important role in the prevention of ischemic diseases and improve the results of surgical/interventional treatment by reducing intimal hyperplasia and restenosis. Gene therapy opens new vistas in vascular medicine. Angiogenetic factors can be used for the treatment of patients with distal occlusion of the peripheral arteries. Gene transfer may be useful in the conservative treatment of progressive aortic aneurysms. A more unified vision toward vascular medicine might be the key for research and development in the future.

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Valve Replacement Surgery in Patients With End-stage Renal Disease: Long-term Results.

Artificial Organs ◽

10.1111/j.1525-1594.2005.00171.x ◽

2005 ◽

Vol 29 (12) ◽

pp. 972-975 ◽

Cited By ~ 6

Author(s):

Bahadir Gultekin ◽

Suleyman Ozkan ◽

Emrah Uguz ◽

Hakan Atalay ◽

Tankut Akay ◽

...

Keyword(s):

Renal Disease ◽

Valve Replacement ◽

End Stage Renal Disease ◽

Long Term Results ◽

Replacement Surgery ◽

Stage Renal Disease ◽

End Stage ◽

Valve Replacement Surgery

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Cartilage-sparing otoplasty: a review with long-term results

The Journal of Laryngology & Otology ◽

10.1017/s0022215100137545 ◽

1997 ◽

Vol 111 (5) ◽

pp. 424-430 ◽

Cited By ~ 23

Author(s):

H. D. Vuyk

Keyword(s):

Surgical Technique ◽

Head And Neck ◽

Surgical Techniques ◽

Neck Region ◽

Psychological Aspects ◽

Long Term Results ◽

Congenital Deformity ◽

Head And Neck Region ◽

Prominent Ears

AbstractProminent ears are the most frequent congenital deformity in the head and neck region. Anatomy of normal and prominent ears as well as the psychological aspects of prominent ears are reviewed. Two types of surgical technique are described with emphasis on the cartilage-sparing technique.A sound pre-operative analysis, focusing on all partsof the deformity, and surgical techniques which are gradually applied to these deformities should result in pleasing, permanent changes for the vast majority of patients. In our opinion, a combination of cartilage-sparing techniques augmented with cartilage-weakeningprocedures give predictable long-term results with a natural appearing ear and concomitant few, easily treated complications.

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