EXPERIENCE USING LASER IN THE TREATMENT OF POLYPES OF THE EXTERNAL URETHRAL ORIFICE

2021 ◽  
Vol 74 (10) ◽  
pp. 2627-2629
Author(s):  
Stepan S. Filip ◽  
Rudolf M. Slyvka ◽  
Andriy M. Bratasyuk ◽  
Anton I. Batchynsky
Keyword(s):  
Minimally Invasive ◽  
Mechanical Load ◽  
Duration Of Treatment ◽  
Results Of Treatment ◽  
Minimally Invasive Surgical ◽  
Surgical Methods ◽  
Duration Of Surgery ◽  
High Intensity Laser ◽  
Urethral Orifice ◽  
Rehabilitation Period

The aim: To improve the results of treatment of patients with polyps of the external urethral orifice by using minimally invasive surgery. Materials and methods: The materials of the work are based on clinical examination and treatment of 22 patients with polyps of the external urethral orifice in the treatment of which, along with classical treatment were used minimally invasive methods of removal of polyps of the external urethral orifice using high-intensity laser. Results: We managed to reduce the duration of surgery and treatment twice less, to avoid typical complications, which accelerated the regeneration process and the rehabilitation period. Conclusions: The use of minimally invasive surgical methods to remove urethral polyps can reduce the duration of treatment by reduction of the thermal and mechanical load on the surrounding tissues and reducing the time of surgery.

scholarly journals THE POSSIBILITY OF MINIMALLY INVASIVE ROENTGEN-SURGICAL TECHNIQUES IN ABDOMINAL SURGERY

2014 ◽  
Vol 5 (3) ◽  
pp. 35-42
Author(s):  
Yu V Ivanov ◽  
D P Lebedev ◽  
A V Alekhnovich
Keyword(s):  
Minimally Invasive ◽  
Correct Diagnosis ◽  
Surgical Techniques ◽  
Specific Treatment ◽  
Clinical Situation ◽  
Diagnosis And Treatment ◽  
Minimally Invasive Surgical ◽  
Clinical Observations ◽  
Surgical Methods ◽  
Subhepatic Abscess

The clinical observations showing the diagnostic and therapeutic capacities of minimally invasive percutaneous roentgen-surgical techniques in the diagnosis and treatment of hepatopancreatoduodenal zone diseases are presented. In these cases, the use of minimally invasive surgical techniques on various stages of diagnosis and treatment have helped to correct diagnosis, and effective treatment, discarding traditional traumatic surgery. In the first clinical observation percutaneous radiosurgical method drainage of an abscess of the liver allowed to reveal chronic form of fascioliasis and conduct specific treatment. In the second - to establish the cause of recurrent subhepatic abscess, in the third-to remove concrements of common bile duct, if unable to perform open surgery or endoscopic papillosfinkterotomiya and remove concrements. Common to all three clinical observations is the fact that up to minimally invasive roentgen-surgical methods of treatment were carried out public activities, which for various reasons proved ineffective. The latest minimally invasive radiosurgical methods allow not only to establish an accurate diagnosis, but may be intermediate or final treatment.This is especially important in severe patients at impossibility of the surgery and if necessary, stabilization of the general status and improving metabolic and functional parameters of the upcoming radical operation. In most cases, a variety of minimally invasive surgical techniques are not competing among themselves, but only complement or substitute one another in every concrete clinical situation.

scholarly journals Minimally Invasive Approaches in the Thoracic Surgery

2021 ◽  
Author(s):  
Güntuğ Batıhan ◽  
Kenan Can Ceylan
Keyword(s):  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Thoracic Surgery ◽  
Invasive Surgery ◽  
Minimally Invasive Techniques ◽  
The Past ◽  
Minimally Invasive Surgical ◽  
First Choice ◽  
Surgical Methods ◽  
Invasive Techniques

Minimally invasive techniques in thoracic surgery have made great progress over the past 20 years and are still evolving. Many surgical procedures performed with large thoracotomy incisions in the past can now be performed with much smaller incisions. With many studies, the advantages of minimally invasive surgery have been clearly seen, and thus its use has become widespread worldwide. Today, minimally invasive surgical methods have become the first choice in the diagnosis and treatment of lung, pleural and mediastinal pathologies. Minimally invasive approaches in thoracic surgery include many different techniques and applications. In this chapter, current minimally invasive techniques in thoracic surgery are discussed and important points are emphasized in the light of the current literature.

scholarly journals Evaluation of suitability of simultaneous laparoscopic surgery for the treatment of diseases of the hepatobiliary system

2020 ◽  
Vol 24 (3) ◽  
pp. 418-424
Author(s):  
M. Halei ◽  
I. Dzubanovsky ◽  
I. Marchuk
Keyword(s):  
Blood Pressure ◽  
Gallstone Disease ◽  
Recovery Period ◽  
Duration Of Treatment ◽  
Creatinine Concentration ◽  
Oral Nutrition ◽  
Results Of Treatment ◽  
Significant Difference ◽  
Duration Of Surgery ◽  
The Impact

Annotation. Aim of work - to investigate the impact of the developed technique of simultaneous laparoscopic operations on the results of treatment of surgical hepatobiliary pathology, to analyze and compare the main indicators of efficiency and safety of own technique with the "French" technique of cholecystectomy. During period from 2013 to 2019, 253 patients with combined hepatobiliary pathology and gallstone disease were treated using our own simultaneous surgery technique (group 1) and 328 patients with only gallstone disease treated using standard 'French technique' (group 2). The comparison was made through the analysis and comparison of such indicators as the duration of treatment, duration of surgery, serum creatinine concentration, glycemia, blood pressure. Shapiro-Wilk statistical methods, Mann-Whitney criteria or U-test were used. The following results were obtained: the duration of the operation was 66.14±6.21 minutes in the first group against 42.6±4.72 minutes in the second and did not exceed 2 hours; blood creatinine concentration did not exceed the allowable 2 mg/dl in both groups and differed slightly (p = 0.937), normalized in the period 6-12 h; glycemia also did not differ between the study and control groups and normalized during the recovery period of oral nutrition (p=0.822); Blood pressure was monitored to maintain normotony, the difference between intraoperative parameters in both groups was insignificant (p=0.912); the length of stay had no statistically significant difference between the groups (p=0.784) and was 3.53 days for the first and 3.45 for the second group. The method is valid for modern requirements, and the technique justifies its use.

scholarly journals Diagnosis and Surgical Treatment of Traumatic Intracranial Hematomas in Young Children

2021 ◽  
pp. 1-7
Author(s):  
Igor Ivanovich Larkin ◽  
Igor Ivanovich Larkin ◽  
Valeriy Ivanovich Larkin ◽  
Tadeush Petrovich Milcharek ◽  
Svetlana Yurievna Vegner ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Young Children ◽  
Minimally Invasive ◽  
Pediatric Neurosurgery ◽  
Volume Index ◽  
Minimally Invasive Surgical ◽  
Surgical Methods ◽  
Intracranial Hematomas ◽  
Surgical Tactics ◽  
Group B

Objective: To improve the treatment of young children with traumatic intracranial hematomas by improving the diagnosis and use of minimally invasive surgical methods based on calculations of the intracranial hematoma volume index (VICH). Subjects and Methods: An analysis of the clinical course as well as the surgical treatment of 111 patients was carried out. The patients were under the age of 3, with severe traumatic brain injury, and formation of intracranial hematomas. The children were treated at the Department of Pediatric Neurosurgery of the City Children’s Clinical Hospital No.3 in Omsk, Russia, from 2008 to 2018. Three groups were identified: Group A - children with epidural hematomas (n=30), Group B - children with subdural hematomas (n=43), Group C - children with multiple hematomas (n=38). The volume index of intracranial hematomas (VICH) was calculated, and the surgical tactics were determined based on the value of the VICH. Results: Children with a VICH less than 2% received conservative treatments. Those with a VICH from 2 to 4% were treated with minimally invasive methods (puncture, drainage). Children with VICH above 4% underwent decompressive surgery. Conclusion: The effectiveness of the developed differentiated tactics of treatment of young children with traumatic intracranial hematomas (ICH) is characterized by a decrease in the risk of an unfavourable outcome by 74.2% and mortality by 1.2%.

scholarly journals ROLE OF MINI-INVASIVE SURGERY IN TREATMENT OF LACTATION MASTITIS

2021 ◽  
pp. 25-31
Author(s):  
O. I. Yakovenko ◽  
T. V. Yakovenko ◽  
V. P. Akimov ◽  
A. N. Tkachenko
Keyword(s):  
Minimally Invasive ◽  
Surgical Techniques ◽  
Treatment Programs ◽  
Breast Abscess ◽  
Complex Treatment ◽  
Minimally Invasive Surgical ◽  
Parturient Woman ◽  
Surgical Methods ◽  
Lactational Mastitis ◽  
Duration Of Breastfeeding

Introduction. Lactation mastitis is not a rear pathology. It is observed at every tenth parturient woman, mainly in the case of premature termination of breastfeeding. When analyzing the structure of postpartum purulent-inflammatory complications, most researchers report about high frequency lactational mastitis (in 26-67% cases). The technique of conducting wide incisions to drain the breast abscess and drug cessation of lactation was adopted to treat lactational abscess.Purpose. Specify the location for minimally invasive surgical techniques (puncture and drainage of the nidus of infection under ultrasound guidance) in the complex treatment of lactational abscesses of the mammary glands.Materials and methods. 64 parturient women suffering from verified lactation abscesses were observed. Average age of patients was 24,9±4,5 years (from 21 to 44). The research was carried out during 3 years: from 2018 to 2020. All patients were on outpatient treatment and under observation. Conservative and surgical (minimally invasive) methods of breast abscess treatment were applied. Puncture of the lactation abscess was carried out with a thick needle (18g «pink»), at the greatest distance from the areola, after expressing / feeding.Results. 41% of breast abscesses occurred during lactation up to 1 month, while in 34% of cases, the period of lactation was in the range from 1 to 3 months. In 16% of patients, an abscess formed during lactation from 3 to 7 months, in 7% of cases - from 7 to 18 months. Duration of breastfeeding was investigated at the 3rd day, 3rd week and 12th week after surgery. Breastfeeding was interrupted on women’s request. As a result we found out, that minimally invasive (puncture, drainage) surgical methods for treating breast abscesses should be prioritized at complex treatment programs for lactational mastitis.

scholarly journals Minimally invasive method and device for removal of hypertensive intracerebral hematomas

2008 ◽  
Vol 7 (5-1) ◽  
pp. 7-10
Author(s):  
M. K. Agzamov ◽  
V. P. Bersnev ◽  
N. Ye. Ivanova ◽  
D. A. Ahtamov ◽  
O. A. Pavlov ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Minimally Invasive ◽  
Intracerebral Hemorrhage ◽  
Minimally Invasive Surgical ◽  
Significant Damage ◽  
Surgical Methods ◽  
Invasive Method ◽  
Radical Removal ◽  
Hypertensive Intracerebral Hemorrhage ◽  
Improving Patient Care

Hypertensive intracerebral hemorrhage - a common form of cardiovascular disease, characterized by high mortality and disability. One area in improving patient care remains the development of new minimally invasive surgical methods and devices. We describe a new method and device (funnel cannula), which after the special markings to the use of CT punktion entered into the cavity, followed by the evacuation of hematoma. In each case, depending on the depth of hematoma and its volume is cannula certain size. The device allows for a more radical removal of hematoma without significant damage to brain tissue.

scholarly journals Method of treatment of duodenal fistula

2021 ◽  
Vol 25 (1) ◽  
pp. 83-87
Author(s):  
O. Yu. Usenko ◽  
Ya. Yu. Voitiv ◽  
I. S. Tereshkevich
Keyword(s):  
Minimally Invasive ◽  
Clinical Laboratory ◽  
Statistical Processing ◽  
Self Healing ◽  
Duration Of Treatment ◽  
Statistical Research ◽  
Results Of Treatment ◽  
Invasive Method ◽  
Endoscopic Placement ◽  
Complications And Mortality

Annotation. The aim of the study is to improve the treatment outcomes of patients with duodenal fistulas. The object of retro- and prospective study were 14 patients with external unformed high-flow duodenal fistulas, who were treated in the Shalimov National Institute of Surgery and Transplantology during 2016–2019. All patients were performed a complex examination, which included general clinical, laboratory, instrumental and statistical research methods. We have developed and patented a minimally invasive method of treatment of duodenal fistulas, which involves endoscopic placement of a nitinol-coated self-healing stent in the area of the defect and VAC therapy from the outer opening of the fistula. Statistical processing of research results was performed using spreadsheets Microsoft® Office Excel (2017) and statistical processing program Statgraphics Professional 16.0.03. Student's test and Wilcoxon-Mann-Whitney test were used. The use of the developed method of treatment allowed reducing the number of postoperative complications by 32%, to reduce the duration of treatment (from 41,16±5,14 to 27,2±4,7 days, p>0.05). The overall mortality in the experimental group decreased by 43% compared with the mortality of the comparison group. Our proposed minimally invasive method of treatment of duodenal fistulas helps to improve the results of treatment of patients, namely to reduce the duration of treatment and reduce the number of complications and mortality rate.

Combined minimally invasive surgical treatment of chronic internal hemorrhoids

2020 ◽  
pp. 76-83
Author(s):  
S. Egupov ◽  
G. Rodoman
Keyword(s):  
Minimally Invasive Surgery ◽  
Surgical Treatment ◽  
Surgical Technique ◽  
Minimally Invasive ◽  
Invasive Surgery ◽  
Long Term Results ◽  
Minimally Invasive Surgical ◽  
Surgical Methods ◽  
Internal Hemorrhoids ◽  
Minimally Invasive Surgical Treatment

This article is devoted to the results of applying the original minimally invasive surgical technique for the treatment of chronic internal hemorrhoids. The purpose of the study is to improve the outcomes of treatment in patients with chronic internal hemorrhoids by the simultaneous use of pathogenically substantiated low-traumatic surgical methods: dearterialization of internal hemorrhoids with Doppler guidance and clamping with latex rings. Materials and methods. Study included 204 patients with chronic hemorrhoids of the II–III degree, divided into 3 groups depending on the technique of minimally invasive surgery. The standard research methods for coloproctology were used. Results. It was found that the best short-term and long-term results of the surgical treatment of chronic internal hemorrhoids were obtained using the combined surgical technique proposed by the authors. Conclusions. The proposed combination of minimally invasive surgery may be the method of choice in the surgical treatment of chronic hemorrhoids of the II–III degree.

scholarly journals Laparoscopic ovariectomy in a pygmy goat

2020 ◽  
Vol 65 (No. 9) ◽  
pp. 409-414
Author(s):  
I Butkovic ◽  
S Vince ◽  
K Marjanovic ◽  
I Folnozic ◽  
N Macesic ◽  
...  
Keyword(s):  
Veterinary Medicine ◽  
Postoperative Complications ◽  
Surgical Technique ◽  
Minimally Invasive ◽  
Surgical Procedure ◽  
Minimally Invasive Surgical ◽  
Incision Size ◽  
Duration Of Surgery ◽  
First Time

The aim of this study was to describe a laparoscopic ovariectomy in a pygmy goat. This minimally invasive surgical technique was performed for the first time on this type of animal at the Clinic for Reproduction and Obstetrics, Faculty of Veterinary Medicine, University of Zagreb. The owner requested this surgical procedure because of its advantages, such as the reduction of the incision size, the duration of surgery, the improved visualisation of the surgical site, the minimum extent of the anatomical approach and the reduction in any trauma, pain and postoperative complications including improved cicatrisation.

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