scholarly journals Anesthesia for arthroscopic surgery on the lower extremities in elderly patients

2020 ◽  
pp. 65-72
Author(s):  
M. V. Korolev ◽  
V. Ya. Vartanov ◽  
S. A. Stolyarov ◽  
A. A. Gusak
Keyword(s):  
Surgical Treatment ◽  
Elderly Patients ◽  
Arthroscopic Surgery ◽  
Lower Extremities ◽  
Day Surgery ◽  
Review Of Literature ◽  
Minimal Invasiveness ◽  
Surgical Methods ◽  
Methods Of Treatment

A significant increase in arthrosis and arthritis causes not only conservative but also other various methods of surgical treatment. Minimal invasiveness, less trauma compared to traditional surgical methods of treatment, the ability to carry out treatment on the principle of one-day surgery determine their greater demand.The paper presents a review of literature data on the features of anesthesia in elderly patients who underwent arthroscopic surgery on the lower extremities.

Surgical methods of treatment of intestinal passage disturbances with the characteristics of constipation in patients with intestinal stoma based on own experience

2015 ◽  
Vol 87 (4) ◽  
Author(s):  
Łukasz Krokowicz ◽  
Sylwia Sławek ◽  
Witold Ledwosiński ◽  
Adam Bobkiewicz ◽  
Maciej Borejsza-Wysocki ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Parastomal Hernia ◽  
Surgical Intervention ◽  
Intestinal Fistula ◽  
Entire Group ◽  
Stomal Prolapse ◽  
Surgical Methods ◽  
Intestinal Stoma ◽  
Inflammatory Bowel ◽  
Methods Of Treatment

AbstractStoma is an intestinal fistula created in emergency or by elective indications, and it is done to drain out the digestive tract content. In some patients there is a disturbance passage of gastric contents through the stoma, which may take the form of chronic constipation or even periodic subileus that will sooner or later require surgical treatment.The aim of the study was the assessment of the causes and method of treatment of constipation in patients with intestinal stoma.Material and methods. A total of 331 patients with stoma followed by Ostomy and Proctology Outpatient Clinic were included in the study in the years 2011-2014. The study included 146 women and 185 men and the average age was 61.3 ± 12.7 years. Within the entire froup, 273 patients had the end stoma performed whereas in 58 patients the loop stoma was created. The highest percentage of patients were the ones with diverticulosis and colorectal cancer, i.e. 132 and 114 patients respectively. A stoma was created in 35 patients due to inflammatory bowel disease (IBD), in 23 patients because of cancer, in 14 as a result of injuries and in 13 due to rectovaginal fistula.Results. Out of the entire group subject to study (331 patients) 93 patients (28.1%) suffered from constipation. 50 patients with constipation required surgical intervention. The most common indication for surgical treatment was the parastomal hernia (36 patients, 72%), other indications were the narrowing of the stoma (5 patients, 10%), its collapse (6 patients, 12%) or prolapse (3 patients, 6%). Parastomal hernia was responsible for 84% of constipation within the stoma and 86.1% were treated with laparotomy (31 out of 36 patients). Other causes of constipation were the stomal stenoses (5 patients), collapse of the stoma (6 patients) and stomal prolapse (3 patients). All patients were treated surgically with a good final result.Conclusions. Constipation associated with dysfunction of the stoma in most cases should be treated surgically. Parastomal hernia is the most common cause of constipation in the stoma. Treatment should be performed in due time because of the possibility of developing complications, especially dangerous one is a strangulated parastomal hernia and ischemia of stoma.

scholarly journals Results of surgical treatment of Peyroni’s disease

2017 ◽  
Vol 7 (1) ◽  
pp. 25 ◽  
Author(s):  
Yuliya S Moscaleva ◽  
Igor A Korneyev
Keyword(s):  
Quality Of Life ◽  
Surgical Treatment ◽  
Erectile Function ◽  
Peyronie’S Disease ◽  
Surgical Methods ◽  
Peyronie's Disease ◽  
Methods Of Treatment

Surgical methods of treatment of Peyronie’s disease by plication corporoplasty proved to be effective in the near and distant postoperative periods in the examined group of patients. These methods made it possible to quickly achieve the normalization of the shape of the penis without affecting the erectile function which enabled for patients to restore copulative activity and improve the quality of life.

scholarly journals "The effectiveness of ultrasound and CT in the diagnosis of saliva stone disease. Conservative methods of treatment of salivary stone disease as an alternative to surgery.»

2018 ◽  
Vol 14 (4) ◽  
pp. 58-63
Author(s):  
Лариса Зюлькина ◽  
Larisa Zyul'kina ◽  
Екатерина Костригина ◽  
Ekaterina Kostrigina ◽  
Евгений Афанасьев ◽  
...  
Keyword(s):  
Salivary Gland ◽  
Surgical Treatment ◽  
Salivary Glands ◽  
Stone Disease ◽  
Ct Diagnosis ◽  
Main Method ◽  
Surgical Methods ◽  
Modern Methods ◽  
Inflammatory Processes ◽  
Methods Of Treatment

Subject: Salivary stone disease is a disease that occurs as a result of inflammatory processes occurring in the salivary glands. More recently, salivary stone disease was considered a rare disease. Thanks to the available modern methods of diagnosis, the detection of salivary stone disease is significantly progressing. Purpose: In our work we aimed to figure out the most effective methods of diagnosis of salivary stone disease . Among the private methods of radiation diagnosis of salivary stone disease, we have identified ultrasound and CT examination of the salivary glands and ducts. Our task was also to determine how conservative treatment is competitive with the surgical method of treatment of this disease. Results: As a result of our studies , we concluded that the ultrasound method in the diagnosis of inflammation of the salivary glands and the presence of concretions in the glands and ducts is highly informative , safe and accessible to patients . Conservative methods of treatment used in patients who were diagnosed with the presence of concretions at the outlet of the salivary gland ducts are no less effective than surgical methods. Surgical treatment of salivary stone disease is advisable only in cases of block of the salivary gland and ducts concretions more than 0.5 cm in diameter. Conclusion: Salivary Stone disease in our medical institution is diagnosed quite often. The method of ultrasound diagnosis is the main method of examination of patients who came to us with symptoms of salivary stone disease. CT method is advisable to carry out patients in need of surgical treatment of the disease. The method of CT diagnosis allows to establish the exact coordinates and sizes of concretions located in the salivary glands and deep in the ducts.

scholarly journals Pathophysiological features of development, clinical features and treatment of malignant glaucoma

2019 ◽  
Vol 12 (3) ◽  
pp. 59-65
Author(s):  
Olga A. Kiseleva ◽  
Srbui M. Kosakyan ◽  
Liya V. Yakubova ◽  
Alexander M. Bessmertny ◽  
Lubov’ V. Vasilenkova
Keyword(s):  
Surgical Treatment ◽  
Laser Treatment ◽  
Treatment Process ◽  
Diagnostic Methods ◽  
Pathophysiological Mechanisms ◽  
Pathological Conditions ◽  
Malignant Glaucoma ◽  
Surgical Methods ◽  
Mechanisms Of Development ◽  
Methods Of Treatment

Malignant glaucoma is a difficult task for an ophthalmologist in the treatment process. This is a multifactorial condition that occurs in anatomically predisposed eyes. Malignant glaucoma remains one of the most severe clinical forms of glaucoma requiring timely diagnosis and immediate treatment. Diagnostic issues, pathophysiological mechanisms of development and methods of treatment are still controversial. The diagnosis of malignant glaucoma is often late due to similarity with some other pathological conditions. In many cases malignant glaucoma is resistant to medication and laser treatment. Surgical treatment of malignant glaucoma is complex and not always effective. The review discusses the possible pathophysiological mechanisms of development, diagnostic methods of research, as well as the applied conservative, laser and surgical methods of treatment of malignant glaucoma.

scholarly journals SURGICAL TREATMENT OF PATIENTS WITH DISLOCATION OF HEAD OF THE ARM AND ROTATIONAL CONTRACTURE OF THE FOREARM WITH BIRTH PALSY OF THE UPPER EXTREMITY

2014 ◽  
Vol 2 (1) ◽  
pp. 32-38
Author(s):  
Nikolai Alexandrovich Ovsyankin ◽  
Natalia Anatolievna Naumochkina
Keyword(s):  
Surgical Treatment ◽  
Upper Extremity ◽  
Upper Limb ◽  
Diagnostic Methods ◽  
Pediatric Orthopedics ◽  
Actual Problem ◽  
Surgical Methods ◽  
High Incidence ◽  
Birth Palsy ◽  
Methods Of Treatment

Introduction. The obstetrical upper limb paralysis and its sequelae are an actual problem of pediatric orthopedics and traumatology. Relevance of the problem is due to high incidence of this disease and increase of child disability. Purpose. To present the method of treating patients with a dislocated radius head and forearm rotation contracture in birth paralysis of the upper extremity. ^Materials and Methods. This article presents the clinical material on the survey in the Institute and the surgical treatment of 12 patients aged from three to 15 years with the pathology of the elbow and forearm, developed after the obstetrical upper limb paralysis. Results. We present the clinical picture, diagnostic methods, indications to surgical treatment, as well as new and effective methods of performing the proximal radioulnar joint arthrodesis in young children with obstetrical paralysis of the upper extremity. The use of surgical methods of treatment in such patients has improved the function of the arm and self-care in 95 per cent of cases, reduced their disability and increased their choice for occupation activities.

scholarly journals Surgical Treatment of Intracranial Aneurysms in Elderly

2018 ◽  
Vol 22 (2) ◽  
pp. 8-14
Author(s):  
Paulo Henrique Pires De Aguiar ◽  
Carlos Alexandre Zicarelli ◽  
Miguel Melgar ◽  
Sergio Georgeto ◽  
Rogério Aires ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Elderly Patients ◽  
Intracranial Aneurysms ◽  
Specific Treatment ◽  
The Elderly ◽  
Review Of Literature ◽  
Unruptured Intracranial Aneurysms ◽  
Arterial Vasospasm ◽  
Consistent Increase ◽  
Delayed Neurological Deterioration

Introduction: Twenty years ago, elderly patients who had a diagnosis of intracerebral aneurysms were considered to have a poor prognosis and, thus, were excluded of any kind of treatment. With the rapid aging of the population, there was a consistent increase on the prevalence of subarachnoid hemorrhage and, consequently, all of its complications. Delayed neurological deterioration from cerebral arterial vasospasm is a major cause of morbidity and mortality. Thus, specific treatment strategy for intracranial aneurysms in the elderly has been developed. Materials and Methods: Analysis of medical records, office charts, and imaging studies of all elderly patients who underwent surgical treatment of intracerebral aneurysms, and review of literature. Data related to these patients, like gender, aneurysm location, rupture, and comorbidities, were recorded. Results: Between June 1996 and November 2009, among 152 patients with 209 ruptured and unruptured intracranial aneurysms treated surgically, 23 patients were 65 years of age or older. Discussion: Withholding aneurysm surgery merely because of the patient’s age is not necessarily the most appropriate decision. Early surgery, in order to avoid re-rupture, vasospasm and infection, still is the better decision, independently of the treatment modality - open surgery or endovascular. 

Outcome of complete macular rupture (two clinical cases)

2021 ◽  
pp. 114-116
Author(s):  
S.I. Makogon ◽  
◽  
E.N. Kuznetsova ◽  
Y.A. Bryukhanova ◽  
◽  
...  
Keyword(s):  
Visual Acuity ◽  
Surgical Treatment ◽  
Key Words ◽  
Visual Functions ◽  
Optical Media ◽  
Surgical Methods ◽  
Modern Methods ◽  
Methods Of Treatment ◽  
Management Tactics ◽  
Clinical Cases

Purpose. To present the course of a complete macular rupture, depending on the management tactics. Material and methods. On the example of two clinical cases, the outcome of a complete macular rupture is presented: without surgical treatment and as a result of surgery. Results. Surgical methods of treatment made it possible to obtain high visual functions in the patient - visual acuity up to 0.9. Conclusions. Modern methods of surgical treatment of MR provide restoration of the structure of the outer layers of the retina and high visual functions, provided that the optical media of the eye are transparent. Key words: macular rupture, surgical treatment of macular rupture, course of macular rupture without treatment.

scholarly journals Recurrent liposarcoma surgery of upper extremity

2020 ◽  
Vol 7 (1) ◽  
pp. 66-74
Author(s):  
A. S. Samoylov ◽  
Yu. D. Udalov ◽  
S. E. Voskanyan ◽  
N. G. Stepanyants ◽  
A. V. Aksenenko ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Upper Extremity ◽  
Clinical Observation ◽  
Dynamic Control ◽  
Left Breast ◽  
Vascular Pedicle ◽  
Surgical Methods ◽  
History Of ◽  
Methods Of Treatment ◽  
History Of Cancer

Your attention is given to the clinical observation of a patient with recurrent liposarcoma of the left upper limb. According to vital indications with palliative purpose, the patient underwent surgery in the Oncology Department of surgical methods of treatment of FSBI SSC FMBC named after A.I. Burnazyan, FMBA of Russia. The operation was carried out in the amount of interscapularthoracic amputation on the left with resection of the left clavicle, plasty of the defect of rotary musclefat flap on a vascular pedicle after previous surgical treatment previous year in the amount of assertional the left upper extremity with the plastic of the wound defect myofascial flap on a vascular pedicle. Attempts to palliative embolization of blood vessels supplying the tumor node were unsuccessful, and the only option to provide medical care at this stage was surgical treatment. It should also be noted that the patient has a history of cancer of the left breast, in connection with which she was treated about 10 years ago. Currently, the patient is under our dynamic control and is undergoing adjuvant radiotherapy. The postoperative period was uneventful.

scholarly journals Drainage devices in refractory glaucoma surgery

2019 ◽  
Vol 12 (3) ◽  
pp. 85-93
Author(s):  
S. I. Anisimov ◽  
S. Yu. Anisimova ◽  
L. L. Arutyunyan ◽  
A. P. Voznyuk
Keyword(s):  
Surgical Treatment ◽  
Postoperative Complications ◽  
Glaucoma Surgery ◽  
Long Term Results ◽  
Refractory Glaucoma ◽  
Eye Tissues ◽  
Surgical Methods ◽  
Methods Of Treatment ◽  
Fibroblastic Activity

Glaucoma is a socially sensitive disease, being one of the leading causes of irreversible visual impairment and blindness. Refractory glaucoma is one of the most severe forms of the disease as it is resistant to conservative and surgical methods of treatment. Because of pronounced postoperative fibroblastic activity of eye tissues, leading to gross scarring and obliteration of outflow paths, modern materials and methods of drainage surgery are needed. The review presents a variety of drains used today and considers in detail their main characteristics and the biocompatibility of the material used with eye tissues. Various groups of implants are presented, whose effectiveness and safety are compared and assessed. The statistics of postoperative complications and long-term results of surgical treatment are given.

New indications for surgical treatment of pulmonary tuberculosis

1935 ◽  
Vol 31 (1) ◽  
pp. 139-141
Author(s):  
I. Herms
Keyword(s):  
Surgical Treatment ◽  
Pulmonary Tuberculosis ◽  
The Past ◽  
Surgical Methods ◽  
Methods Of Treatment

Herms' article should be of interest to the phthisiatricians of our Union for the very reason that the views of the author and the new measures he recommends coincide in many respects with the premises and practice that have been expressed and used in our country over the past years with almost the same indications and the same surgical methods of treatment (Prozorovskaya sanatorium - Stoyko, tubinstitutes - Einis, Garmson).

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