scholarly journals Pulmonary Echinococcosis Surgery

2021 ◽  
Vol 03 (04) ◽  
pp. 68-75
Author(s):  
Zafar Isrаfulovich Murtazaev ◽  
Keyword(s):  
Surgical Treatment ◽  
Minimally Invasive ◽  
Single Stage ◽  
Minimally Invasive Techniques ◽  
Surgical Interventions ◽  
Anterolateral Thoracotomy ◽  
Echinococcal Cyst ◽  
Residual Cavity ◽  
Invasive Techniques ◽  
Pulmonary Echinococcosis

We present an analysis of the results of surgical treatment of 182 patients with pulmonary echinococcosis (126 patients with uncomplicated and 56 with complicated pulmonary echinococcosis). Of these, only in 23 patients out of 25 planned, it was possible to carry out echinococcectomy purely thoracoscopically through trocar punctures. In 134 cases, videothoracoscopic echinococectomy was performed using a mini-access. In case of bilateral localization of cysts, stage-by-stage operations were performed in 7 patients, and in 3 (36.36%) cases - single-stage echinococcectomy. Echinococcectomy from the lung was performed in 25 patients using a wide thoracotomy approach. In 134 cases, videothoracoscopic echinococectomy was performed using a mini-access. In case of bilateral localization of cysts, stage-by-stage operations were performed in 7 patients, and in 3 (36.36%) cases - single-stage echinococcectomy. Echinococcectomy from the lung was performed in 25 patients using a wide thoracotomy approach. All patients underwent anterolateral thoracotomy. Basically (97.67%) performed organ-preserving operations with the elimination of the residual cavity in the light suture plastics in various modifications. In 2 patients with marginal location and pneumocirrhosis, marginal resection of the lung with an echinococcal cyst was performed.With combined echinococcosis of the lungs and liver, 10 patients were operated on. 6 patients underwent surgical interventions on the lungs and liver through separate approaches at the same time. The use of minimally invasive techniques for pulmonary echinococcosis is possible in more than 2/3 of patients.

OUTCOME SURGICAL TREATMENT OF METATARSALGIA USING MINIMALLY INVASIVE TECHNIQUES

2018 ◽  
Vol 4 ◽  
pp. 7-15
Author(s):  
Bobrov D.S. ◽  
◽  
Shubkina A.A. ◽  
Lychagin A.V. ◽  
Slinyakov L.Yu. ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Minimally Invasive ◽  
Minimally Invasive Techniques ◽  
Invasive Techniques

scholarly journals Treatment of intra-articular calcaneus fractures – a review of current treatment options

2020 ◽  
Vol 86 (2) ◽  
pp. 44-49
Author(s):  
Andrzej Bargiel ◽  
◽  
Mirosław Falis
Keyword(s):  
Surgical Treatment ◽  
Minimally Invasive ◽  
Operative Treatment ◽  
Minimally Invasive Techniques ◽  
Calcaneal Fractures ◽  
Poor General Health ◽  
Articular Fractures ◽  
Sinus Tarsi Approach ◽  
The Stability ◽  
Invasive Techniques

Treatment of calcaneal fractures remains a challenge for the orthopedic surgeon and is still controversial. There is no consensus on whether surgery is a better option that non-operative treatment. The indications for non-operative treatment are non-displaced extra-articular fractures and intra-articular fractures with fragment displacement of less than 2 mm on CT image (Sanders type 1) This type of treatment should be considered in patients with peripheral vascular disease, uncontrolled diabetes mellitus, uncooperative patients and in poor general health. Open repositioning and internal stabilization with LCP plateand screws is now considered the gold standard in the surgical treatment of DIACF. Despite the atraumatic surgical technique and modification of operational approach (limited-incision sinus tarsi approach [STA]) the risk of local complications is as high as 18 percent. Hence the observed constant development of minimally invasive methods. Their aim is to reduce the number of complications in relation to the ORIF method while ensuring anatomical reposition and equally stable osteosynthesis. The most popular minimally invasive techniques include closed reposition using the Westhus method and stabilisation with Kirschner wires, cannulated screws, treatment with external fixators or percutaneous balloon plasty. Each of the techniques listed above can be successfully used to treat transarticular fractures as early as the first few days after injury. The problem is the stability of the union, the quality of reduction and its maintenance until union is achieved and the long period of required weight relief of the operated limb.The methods using intramedullary nails offer new possibilities among minimally invasive techniques. The technique of surgery and implant designs differ significantly, but the possibility of correct reposition, the stability of osteosynthesis and the results of treatment obtained, according to the authors of the studies, are promising. Ultimately, the choice of the method of surgical treatment of calcaneal fractures should be selected taking into account the type of fracture, comorbidities, local condition of periarticular tissues as well as the experience and preferences of the operator. It seems that due to the development of imaging techniques and the lower number of complications after minimally invasive procedures, further development of these techniques should be expected.

scholarly journals Local Fibrinolysis in Spontaneous Supratentorial Hematomas: Comparison with Surgical and Medical Treatment

2016 ◽  
Vol 5 (3-4) ◽  
pp. 165-173 ◽  
Author(s):  
Eugeniu Condrea ◽  
Valeriu Timirgaz ◽  
Stanislav Groppa ◽  
Ion Codreanu ◽  
Natalia Rotaru
Keyword(s):  
Mortality Rate ◽  
Minimally Invasive ◽  
Assisted Ventilation ◽  
The Other ◽  
Minimally Invasive Techniques ◽  
Spontaneous Intracerebral Hemorrhage ◽  
Surgical Interventions ◽  
Local Fibrinolysis ◽  
Invasive Techniques ◽  
Overall Mortality

Objective: To evaluate the effectiveness of minimally invasive craniopuncture with local fibrinolysis in the management of supratentorial spontaneous intracerebral hemorrhage (SICH). Methods: The study included 218 consecutive patients with supratentorial SICH who were assigned to one of three groups: treated with minimally invasive craniopuncture with local fibrinolysis, treated with craniotomy or other minimally invasive techniques without local fibrinolysis, or receiving conservative management alone. Results: Minimally invasive craniopuncture with local fibrinolysis was associated with a lower rate of assisted ventilation, a shorter period of in-hospital stay, a more frequent initiation of early rehabilitation, and a lower mortality rate at all periods of assessment. The overall mortality at 12 months was 19.4% (vs. 50.0 and 33.3% in the two other therapy groups). Lobar (subcortical and cortical) SICHs treated with local fibrinolysis had an overall mortality of 4.8% (vs. 43.5 and 41.7% in the two other therapy groups). On the other hand, SICHs having mixed (basal ganglia and lobar) locations treated with medical therapy alone had an overall mortality of 28.6%, while associated surgery with or without local fibrinolysis increased the overall mortality to over 65%. Conclusions: The study demonstrated the applicability of minimally invasive craniopuncture with local fibrinolysis for the management of supratentorial SICHs and the advantages it may have in certain categories of patients. The method proved particularly useful in lobar SICHs, being associated with the lowest mortality. Mixed SICHs do not represent a predilection for surgical interventions; however, the results related to mixed supratentorial locations need confirmation in larger cohorts.

Single-stage minimally invasive nephroureterectomy for upper tract urothelial carcinoma: Perioperative and early oncological outcomes

2020 ◽  
Vol 13 (5) ◽  
pp. 332-338
Author(s):  
PC Ryan ◽  
UM Haroon ◽  
RA Keenan ◽  
PJ O’Donoghue ◽  
M Hegazy ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Urothelial Carcinoma ◽  
Single Stage ◽  
Upper Tract Urothelial Carcinoma ◽  
Perioperative Outcomes ◽  
Minimally Invasive Techniques ◽  
Upper Tract ◽  
Oncological Outcomes ◽  
Invasive Techniques

Objective: The purpose of this article is to present our minimally-invasive techniques for upper tract urothelial carcinoma and review the perioperative and early oncological outcomes at our centre. Materials and methods: A retrospective review of all patients undergoing minimally-invasive surgery for upper tract urothelial carcinoma over a 3-year period following institutional approval was performed. Perioperative and early oncological outcomes were assessed. Results: Twenty-three cases of minimally-invasive single-stage nephroureterectomy were performed with a mean patient age of 69.45 years. Twelve (52%) of these cases were for high-grade disease and six (27%) had received neo-adjuvant chemotherapy. There were no intraoperative complications, no positive surgical margins and four (17.4%) of patients had a post-operative complication. Mean length of stay was 5.5 days and there was one readmission within 30 days of surgery. Seven patients (30%) experienced either local or distant recurrences with a median time to recurrence of 6 months. Recurrence free survival was 69.6%. Two patients died during the follow-up period. Conclusion: Our minimally-invasive techniques provides a safe and reproducible approach for upper tract urothelial carcinoma. Our perioperative outcomes and oncological are comparable to similar studies, but more long-term follow-up and larger patient numbers are required to validate oncological efficacy. Level of evidence: 4.

819 Venous Air Embolism during the Surgical Treatment of Craniosynostosis Using Minimally Invasive Techniques

Neurosurgery ◽  
2004 ◽  
Vol 55 (2) ◽  
pp. 492-493
Author(s):  
David F. Jimenez ◽  
Constance M. Barone ◽  
Joseph D. Tobias ◽  
Joel O. Johnson
Keyword(s):  
Surgical Treatment ◽  
Minimally Invasive ◽  
Air Embolism ◽  
Minimally Invasive Techniques ◽  
Venous Air Embolism ◽  
Invasive Techniques
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