Thyroidectomy in a patient with a giant multinodular nontoxic cervical retrosternal goiter

2020 ◽  
pp. 97-99
Author(s):  
U. V. Kukhtenko ◽  
O. A. Kosivtsov ◽  
L. A. Ryaskov ◽  
E. I. Abramian
Keyword(s):  
Surgical Treatment ◽  
Clinical Case ◽  
Clinical Signs ◽  
Disease Relapse ◽  
Cardiac Pathology ◽  
Nontoxic Goiter ◽  
Retrosternal Goiter

A clinical case of successful surgical treatment of a patient with a giant cervical retrosternal nontoxic goiter with severe cardiac pathology is presented. Thyroidectomy from cervical access without sternotomy was performed. At the follow-up examination 5 months after the operation, instrumental and clinical signs of disease relapse were not detected.

scholarly journals Surgical treatment of a thoracic oesophageal duplication cyst causing recurrent dysphagia in an adult dog

2018 ◽  
Vol 63 (No. 4) ◽  
pp. 175-180
Author(s):  
A. Foglia ◽  
S. Del Magno ◽  
M. Pietra ◽  
V. Cola ◽  
M. Joechler ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Differential Diagnosis ◽  
Surgical Treatment ◽  
Physical Examination ◽  
Clinical Signs ◽  
Duplication Cyst ◽  
Intact Male ◽  
Normal Limits ◽  
Oesophageal Duplication Cyst

A 7-year-old intact male Rottweiler dog was evaluated for recurrent dysphagia and regurgitation. Physical examination was unremarkable and routine blood works were within normal limits. Computed tomography revealed a defined lesion in the caudal mediastinum arising from the oesophagus. The lesion was excised using intercostal thoracotomy and the histological diagnosis was oesophageal duplication cyst. The dog recovered uneventfully and at a 3-year follow-up no clinical signs were reported. Although extremely rare, oesophageal duplication cysts should be considered in the differential diagnosis in cases of chronic regurgitation and dysphagia associated with evidence of an oesophageal lesion.

scholarly journals Endodontic Surgery Associated with Guided Tissue Regeneration Technique: Case Report

2019 ◽  
Vol 21 (4) ◽  
pp. 336
Author(s):  
Danielle Alves Pinto Baia ◽  
André Augusto Franco Marques ◽  
Emílio Carlos Sponchiado-Júnior ◽  
Lucas Da Fonseca Roberti Garcia ◽  
Mariana Travi Pandolfo ◽  
...  
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Tissue Regeneration ◽  
Clinical Case ◽  
Mineral Trioxide Aggregate ◽  
Guided Tissue Regeneration ◽  
Collagen Membrane ◽  
Endodontic Surgery ◽  
Endodontic Retreatment

AbstractNon-surgical endodontic retreatment should always be the first option for reintervention when the initial endodontic treatment fails. The surgical treatment, called periradicular surgery, will be the procedure of choice when there is no success after the conventional endodontic retreatment. The purpose of this article is to describe clinical case of endodontic surgery, associated with guided tissue regeneration (GTR). A male patient, 24 years old, was referred for endodontic surgery on tooth 12 after two unsuccessful endodontic interventions. During the surgery, osteotomy, lesion curettage, apicectomy, retrograde obturation with Mineral Trioxide Aggregate (MTA), and filling of the bone failure with lyophilized bone and reabsorbable collagen membrane were performed. After six months of follow-up, the patient did not present any type of painful symptomatology. The endodontic surgery, associated with a technique of guided tissue regeneration, was efficient to solve this clinical case. Keywords: Endodontics. Apicoectomy. Guided Tissue Regeneration. Resumo O retratamento endodôntico não cirúrgico deve sempre ser a primeira opção de reintervenção quando o tratamento endodôntico inicial falha. Já o tratamento cirúrgico, ou cirurgia parendodôntica, será o procedimento de escolha quando não há sucesso após o retratamento endodôntico convencional. O objetivo deste artigo é descrever um caso clínico de cirurgia parendodôntica, associada à regeneração tecidual guiada (RTG). O paciente, gênero masculino, 24 anos, foi encaminhado para cirurgia parendodôntica no dente 12 após duas intervenções endodônticas sem sucesso. Durante a cirurgia foram realizadas manobras de osteotomia, curetagem da lesão, apicectomia, obturação retrógrada com Mineral Trióxido Agregado (MTA), além de preenchimento da falha óssea com osso liofilizado e membrana de colágeno reabsorvível. Após seis meses de acompanhamento do caso, o paciente não apresentou nenhum tipo de sintomatologia dolorosa. A cirurgia parendodôntica, associada à técnica de regeneração tecidual guiada, foi eficiente para solucionar este caso clínico. Palavras-chave: Endodontia. Apicectomia. Regeneração Tecidual Guiada.

scholarly journals Peri-Implantitis - Decontaminating and Regenerative Treatment Protocol

2020 ◽  
Author(s):  
Fernando Duarte ◽  
Leonel De Oliveira
Keyword(s):  
Surgical Treatment ◽  
Bone Repair ◽  
Clinical Case ◽  
Treatment Protocol ◽  
Implant Surface ◽  
Inflammatory Reactions ◽  
Osseointegrated Implants ◽  
Defect Area ◽  
Soft Tissue Inflammation

Peri-implant diseases are defined as pathological inflammatory reactions in the tissue surrounding the osseointegrated implants. They are classified into two categories: mucositis - defined as peri-implant soft tissue inflammation and peri-implantitis - bone loss in the peri-implant region. A clinical case of a 61-years-old woman with an implant in the 46 anatomical position and a 5-year follow-up is presented. A probe depth of 5mm and a bone defect length of 35% was observed. The Implacure® Protocol was applied, with the main objective of eliminating the biofilm present on the exposed implant surface. There are multiple approaches to treat peri-implant diseases. While non-surgical treatment is essential for mucositis control, the treatment of peri-implantitis surgical treatment should be considered. Regenerative bone reconstruction promotes bone repair in the defect area and reduces bleeding during probing. To achieve that, autologous fibrin combined with Cerasorb M® was used. The proposed approach in the exposed clinical case involves the application of Implacure® Protocol, whose combination of the physical decontamination technique, together with the use of chlorhexidine and orthophosphoric acid, added with the combination Piperacillin + Tazobactam together with hyaluronic acid, provide a base that allows to regenerate bone using platelet-rich fibrin with Cerasorb M® and increase the survival time of the implant.

scholarly journals A clinical case of surgical treatment of primary angle-closure glaucoma in a dog by implantation of antiglaucoma mini-shunt Ex-PRESS R50

2020 ◽  
Vol 2020 (3) ◽  
pp. 14-19
Author(s):  
Sergey Boyarinov ◽  
Aleksandr Kuroedov
Keyword(s):  
Drug Therapy ◽  
Surgical Treatment ◽  
Clinical Case ◽  
Angle Closure ◽  
Refractory Glaucoma ◽  
Primary Angle Closure ◽  
Primary Angle Closure Glaucoma ◽  
Mixed Breed ◽  
A New Technique

A clinical case of surgical treatment of PAGC is presented with implantation of Ex-PRESS R50 mini-shunt in an 8-year-old mixed breed dog. This method of treatment was chosen as a result of patient's resistance to drug therapy. Postoperative follow-up period was 210 days from time of surgery. IOP over entire period remained within physiological norm. Article describes in detail a new technique for surgical treatment of refractory glaucoma with a long follow-up period.

scholarly journals EN BLOCK RESECTION OF THE GIANT INVASIVE SCHWANNOMA IN THE THORACOLUMBAR SPINE

2019 ◽  
Vol 16 (1) ◽  
pp. 81-87
Author(s):  
D. V. Kuklin ◽  
D. G. Naumov ◽  
M. V. Belyakov ◽  
I. A. Sovpenchuk ◽  
M. S. Serdobintsev
Keyword(s):  
Surgical Treatment ◽  
Clinical Case ◽  
Thoracolumbar Spine ◽  
Pain Syndrome ◽  
Single Stage ◽  
Lower Limbs ◽  
Vas Scores

The paper presents a rare clinical case of surgical treatment of a patient with a giant invasive schwannoma of the thoracolumbar spine. A single-stage en block resection of the tumor through a combined posteroanterior approach was performed followed by replacement of post-resection interbody diastasis with a carbon implant and by posterior instrumental fixation of the spine. The pain syndrome regressed from VAS scores 7 and 8 (back, lower limbs) to scores 4 and 1, respectively. The follow-up examination was conducted at 6 and 12 months after surgery: there were no signs of relapse. Publications on giant invasive spinal schwannomas were analyzed.

scholarly journals Aspects of Surgical Treatment of Spinal Pathology in the Patient with Gurler Syndrome

2021 ◽  
Vol 18 (1) ◽  
pp. 23-30
Author(s):  
Polina V. Ochirova ◽  
Sergey O. Ryabykh ◽  
Tatyana V. Ryabykh
Keyword(s):  
Risk Factors ◽  
Surgical Treatment ◽  
Clinical Case ◽  
Craniovertebral Junction ◽  
Mucopolysaccharidosis Type ◽  
Case Description ◽  
Functional Disorders ◽  
Internal Organs ◽  
Craniovertebral Junction Instability

The clinical case of surgical treatment of combined spinal pathology in the child with Gurler syndrome is described in the article. Indications, major risk factors and aspects of surgical treatment of spinal pathology at this nosology are described in detail; all the approaches are analyzed according to the literature. Background. We would like to draw the attention of our colleagues to this problem with this clinical case. We want to emphasize the peculiarities of orthopedic manifestations in patients with mucopolysaccharidosis type IH (MPS IH). The most crucial is timely detection and surgical treatment. Clinical case description. This article describes the aspects of surgical treatment of spinal pathology in the patient with MPS IH: progressive kyphotic deformation, stenosis and craniovertebral junction instability, significant neurological deficit, internal organs functional disorders. Conclusion. Patients with MPS are characterized by multilevel orthopedic pathology which requires continuous follow-up throughout the life by single multidisciplinary team of specialists.

scholarly journals Diagnosis and Surgical Treatment of Idiopathic Primary Sino-Nasal Obstruction in Miniature Horse Breeds: Long-Term Follow-Up of Seven Cases

2021 ◽  
Vol 8 ◽  
Author(s):  
Lieven Vlaminck ◽  
Elke Pollaris ◽  
Katrien Vanderperren ◽  
W. Henry Tremaine ◽  
Els Raes
Keyword(s):  
Surgical Treatment ◽  
Nasal Obstruction ◽  
Clinical Signs ◽  
Nasal Discharge ◽  
Cosmetic Appearance ◽  
Median Period ◽  
Long Term Follow Up ◽  
Good Cosmetic

Idiopathic sino-nasal obstruction resulting in retention of large amounts of liquid in the paranasal sinus compartments was diagnosed in seven young (2. 2 ± 0.7 years) miniature-breed horses based on clinical, endoscopic, radiographic, and CT scan examinations. The most prevalent clinical signs included decreased or no airflow from the nostril(s) (7/7) and nasal discharge (6/7). The problem presented bilaterally in six of seven cases. An alternative sino-nasal communication was created through bone flap osteotomy surgery and perforation of the ventromedial floor of the dorsal conchae in all cases, followed by fixation of silicone irrigation tubes/Foley catheters in six of seven cases to keep the newly created ostium patent. This resulted in long-term resolution of the problem with good cosmetic appearance in all animals following a median period of 19 months. Premature loss of fixed tubes was reported in three cases.

scholarly journals Peculiarities of operative treatment of goiter on background of autoimmune thyroiditis

2020 ◽  
Vol 87 (1-2) ◽  
pp. 43-46
Author(s):  
O. P. Kovalov ◽  
O. M. Liulka ◽  
V. I. Liakhovskyi ◽  
I. I. Nemchenko ◽  
A. V. Sydorenko
Keyword(s):  
Surgical Treatment ◽  
Thyroid Gland ◽  
Autoimmune Thyroiditis ◽  
Malignant Tumors ◽  
Laboratory Data ◽  
Clinical Signs ◽  
Endocrine System ◽  
Nodular Goiter ◽  
Subtotal Resection ◽  
Retrosternal Goiter

Objective. To determine the peculiarities of operative technique in surgical treatment of patients with nodular goiter on background of autoimmune thyroiditis. Materials and methods. The results of surgical treatment of nodular goiter, basing on data from surgical clinic of the Second Clinical Hospital in City of Poltava through 2003 - 2017 yrs were adduced. There were operated 549 patients, suffering nodular goiter. There were 58 (10.6%) men and 491 (89.4%) women. Unilateral nontoxic nodular goiter was observed in 187 (34.1%) patients, multinodular nontoxic – in 322 (58.7%), multinodular toxic – in 30 (5.5%), thyreotoxic adenoma – in 21 (3.8%) patients. Cervico-retrosternal goiter was in 110 (20.0%) patients. For recurrent goiter 21 (3.8%) patients were operated. Malignant tumors were revealed intraoperatively or after definite histological investigation in 22 (4/0%) patients. Of 108 patients, to whom, basing on the disease clinical signs, laboratory data and preoperative cytological investigation the diagnosis of nodular goiter on background of autoimmune thyroiditis was established, while performing of definite postoperative investigation macromicrofollicular colloidal goiter was revealed in 41 (38%), nodular goiter with the autoimmune thyroiditis – in 51 (47.2%), cancer (papillary, follicular) – in 8 (14.8%) patients. Subtotal resection of thyroid gland was performed in 8 (15.7%) patients, hemithyroidectomy - in 12 (23.5%), extrafascial thyroidectomy – in 23 (45.1%). In patients, suffering thyroidal gland cancer, extrafascial thyroidectomy was performed, while in 3 – with central lymphodissection. Intraoperatively visual macroscopic estimation of thyroid gland and obligatory suboperative cyto- and histological investigations of the specimen obtained were performed. Operative tactics was applied in accordance to actual clinical protocols for treatment of patients, suffering surgical pathology of endocrine system. Results. Some technical measures were proposed to minimize the risk of injury of anatomic structures: lower laryngeal nerve, parathyroidal glands, trachea, the neck vessels. Conclusion. Extrafascial procedure guarantees a visual control in the risk zones and radicality of operation, minimizes the specific complications rate.

scholarly journals Tumor-induced osteomalacia: a clinical case report

2019 ◽  
Vol 21 (4) ◽  
pp. 24-28
Author(s):  
Tatiana A. Grebennikova ◽  
Diliara Sh. Umiarova ◽  
Konstantin Y. Slashchuk ◽  
Mikhail V. Degtyarev ◽  
Svetlana S. Rodionova ◽  
...  
Keyword(s):  
Clinical Case ◽  
Fibroblast Growth Factor 23 ◽  
Tumor Resection ◽  
Clinical Signs ◽  
Complete Relief ◽  
Term Management ◽  
Complete Tumor

Tumor-induced osteomalacia (TIO) is a rare paraneoplastic syndrome usually caused by small-sized tumors. Tumors secrete fibroblast growth factor 23 (FGF23), which has a phosphaturic effect. The clinical signs of TIO are non-specific, and include fatigue, bone pain and muscle weakness, which makes timely diagnosis of the disease difficult and treatment is often delayed. Well-timed diagnosis is essential and combined with complete tumor resection it leads to complete relief of symptoms and good postoperative prognosis. In cases of undetected tumors, medical treatment with phosphate supplements and active vitamin D medications is usually successful, however, treatment is associated with numerous complications and side effects can be burdensome for the patients. Due to the risk of recurrence or metastasis, patients with TIO require long-term management and follow-up. In this article, we present a clinical case of successful diagnosis and treatment of TIO in a young patient with type 1 diabetes mellitus.

scholarly journals Vidinės miego arterijos kilpos ir linkiai. Cerebrovaskulinė liga

2010 ◽  
Vol 8 (2) ◽  
pp. 0-0
Author(s):  
Irena Bičkutė ◽  
Kęstutis Laurikėnas
Keyword(s):  
Surgical Treatment ◽  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Clinical Case ◽  
Internal Carotid ◽  
Clinical Symptoms ◽  
District Hospital ◽  
Double Loop ◽  
Cerebrovascular Insufficiency

Irena Bičkutė1, Kęstutis Laurikėnas21Švenčionių rajono ligoninė,Partizanų g. 4, LT-18126 Švenčionys2Vilniaus universitetinė greitosios pagalbos ligoninė,Šiltnamių g. 29, LT-04130 VilniusEl paštas: [email protected] Smegenų išemijos ir vidinės miego arterijos linkio ryšys pirmą kartą literatūroje paminėtas 1951 metais. Tačiau iki šiol nėra iki galo aiški smegenų kraujotakos sutrikimų priežastis. Nagrinėtos galimos jos teorijos. Straipsnyje pateikiamas vidinės miego arterijos dvigubos kilpos ir pasikartojančios hemiparezės klinikinis atvejis. Po kilpos rezekcijos ligonis stebėtas trejus metus. Hemiparezė nesikartojo. Reikšminiai žodžiai: vidinė miego arterija, linkiai ir kilpos, chirurginis gydymas Internal carotid artery loops and kinks. cerebrovascular disease Irena Bičkutė1, Kęstutis Laurikėnas21Švenčionys District Hospital,Partizanų Str. 4, LT-18126 Švenčionys, Lithuania2Vilnius University Emergency Hospital,Šiltnamių Str. 29, LT-04130 Vilnius, LithuaniaE-mail: [email protected] In 1951, a relation between internal carotid artery tortuosity and cerebral ischaemia was first mentioned. Until now, the cause of cerebrovascular insufficiency is not clear enough. Probable theories of dyscirculation were discussed. A clinical case of internal carotid artery double loop related to repeated hemiparesis is presented. The three-year follow-up after loop resection did not show any clinical symptoms. Key words: internal carotid artery, kinks and loops, surgical treatment

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