Treatment of the pilonidal sinus in children using laser radiation

2021 ◽  
Vol 24 (4) ◽  
pp. 32-36
Author(s):  
D. S. Zolotukhin ◽  
I. V. Krochek ◽  
S. V. Sergiyko
Keyword(s):  
Comparative Analysis ◽  
Surgical Treatment ◽  
Hospital Stay ◽  
Pain Syndrome ◽  
Surgical Excision ◽  
Duration Of Surgery ◽  
Invasive Method ◽  
Open Excision ◽  
Interstitial Thermotherapy ◽  
Late Postoperative Period

The work carried out a comparative analysis of the results of surgical treatment of the epithelial-coccygeal course of ECC in 133 children aged 3 to 17 years, using laser-induced interstitial thermotherapy (LIT) and open excision. Comparative analysis was carried out according to the following criteria: duration of surgery, average time of hospital stay, duration of pain syndrome on a 10-point scale (VAS), the presence of complications in the early and late postoperative period. In the main group, the average time of hospital stay was 4.9 ± 0.3; the duration of surgical treatment was 17.2 ± 2.8 minutes. The duration of the pain syndrome was 5.3 ± 2.1 hours, and its severity was 2.7 ± 0.8 points. Average terms of epithelialization of fistulas are 3.1 ± 2.8 days. Recurrence of ECC was observed in 7 patients (11.7%), which required re-intervention. In 3 (5.0%) patients, LIT was used, and in 4 (6.7%), excision using plastics according to the Bascom method. In the comparison group, the duration of surgical treatment was 32.6 ± 5.4 minutes. The duration of inpatient treatment is 16.7 ± 1.4 days. Pain syndrome averaged 71.8 ± 11.9 hours, severity 6.5 ± 2.3 points. The number of relapses was 9 (12.3%), of which 5 (6.8%) children underwent laser treatment, and 4 (5.5%) repeated surgical excision with Bascom with recovery. This technique is an effective and minimally invasive method for treating ECC, which makes it possible to recommend this method for use in pediatric surgical practice.

scholarly journals Result of using a minimally invasive method of surgical treatment of purulent-necrotic complications in a patient with diabetic foot syndrome

2020 ◽  
Vol 39 (3) ◽  
pp. 60-64
Author(s):  
Sergey Y. Ivanusa ◽  
Boris V. Risman ◽  
Andrey V. Yanishevskiy
Keyword(s):  
Surgical Treatment ◽  
Minimally Invasive ◽  
Diabetic Foot ◽  
Pain Syndrome ◽  
Diabetic Foot Syndrome ◽  
Military Medical Academy ◽  
Results Of Treatment ◽  
Medical Academy ◽  
Invasive Method ◽  
Short Time

The article presents an analysis of the results of treatment of a patient with purulent-necrotic complications of diabetic foot syndrome, who, in the framework of surgical treatment, used a minimally invasive method of treatment of purulent-necrotic complications of diabetic foot syndrome, developed at the departments of general surgery and normal anatomy of the S.M. Kirov Military Medical Academy. The effectiveness of the developed method has been demonstrated, which makes it possible to sanitize the purulent cavity in a short time, stop pain syndrome and restore the support ability of the foot (4 figs, 1 table, bibliography: 7 refs).

scholarly journals Comparative Analysis of the Results of Various Methods for Pancreatic Head Resection in Chronic Pancreatitis

2020 ◽  
Vol 9 (2) ◽  
pp. 238-250
Author(s):  
A. R. Propp ◽  
E. N. Degovtsov
Keyword(s):  
Chronic Pancreatitis ◽  
Comparative Analysis ◽  
Surgical Treatment ◽  
Pancreatic Head ◽  
Late Results ◽  
Controlled Study ◽  
Optimal Method ◽  
Duration Of Surgery ◽  
Eortc Qlq C30 ◽  
Eortc Qlq

Background In more than half of cases of chronic pancreatitis (CP), enlargement of the pancreatic head is diagnosed with the presence of complications that serve as an indication for organ resection. The development of an optimal method for the surgical treatment of CP with damage to the pancreatic head (PH) is one of the tasks of surgical pancreatology.Aim of study To perform comparative evaluation of immediate and late results of different types of PH resection in CP.Material and methods A prospective controlled study was conducted with a comparative analysis of the results of surgical treatment of 131 patients with CP with pancreatic head enlargement. In 29% (n=38) cases inflammatory complications were revealed, in 86.3% (n=113), they have been associated with compression of adjacent organs, jaundice also developed (n=60), as well as duodenal obstruction at the level of duodenum (n=43), regional portal hypertension (n=10). A total of 47 pancreatoduodenal, 58 subtotal, and 26 partial resections of the pancreas were performed.Results Duodenum preserving pancreatic head resections had significantly better short-term results compared to pancreatoduodenal resections. Subtotal PH resection in the Bern’s version was superior to all other resections in terms of average duration of surgery, postoperative inpatient treatment, and intraoperative blood loss. The frequency of relaparotomy for intraperitoneal complications of hemorrhagic etiology was 8.2% (n=4). The frequency of the adverse effect according to pain preservation 5 years after duodenum preserving resection tract was 0.125; after pancreatoduodenal resection - 0.357 with a statistically significant relative risk (RR) of 0.350 (CI95% = 0.13–0.98). According to other indicators of clinical long-term surgical treatment depending on the various methods of PH resection, there were no statistically significant differences (p>0.05). The quality of life of patients 5 years after the operation according to the EORTC QLQ-C30 questionnaire was statistically significant (p=0.0228) by only two indicators: dyspnea (DY:8.3) and insomnia (SL:16.67; 27.4) with higher values after operations of Beger and the Bern’s version of the subtotal PH resection, respectively.

scholarly journals A comparative study of short term results of open haemorrhoidectomy and stapler haemorrhoidopexy

2017 ◽  
Vol 4 (10) ◽  
pp. 3358
Author(s):  
Chandrasekhar S. Neeralagi ◽  
Yogesh Kumar ◽  
Surag K. R. ◽  
Lakkanna Suggaiah ◽  
Preetham Raj
Keyword(s):  
Surgical Treatment ◽  
Postoperative Pain ◽  
Return To Work ◽  
Hospital Stay ◽  
Stapled Hemorrhoidopexy ◽  
Short Term ◽  
Post Operative Pain ◽  
Duration Of Surgery ◽  
Operative Complications ◽  
Post Operative Complications

Background: Haemorrhoids are the most common benign anorectal problems worldwide. Treatments of third and fourth degree hemorrhoids include surgical haemorrhoidectomy. Milligan Morgan haemorrhoidectomy (MMH) as described in 1937 has remained the most popular among many techniques proposed. In order to avoid the postoperative drawbacks of Milligan Morgan haemorrhoidectomy, a new surgical treatment for prolapsing haemorrhoids has been described by Longo in 1995, procedure called stapled haemorrhoidopexy which is associated with less postoperative pain and a quicker recovery. The objective of this study was to compare the short-term outcome between stapled hemorrhoidopexy and Milligan-Morgan hemorrhoidectomy.Methods: Prospective randomized study of 120 patients with grade 3 and grade 4 haemorrhoids requiring surgical treatment either MMH or SH, 60 in each group for the period of 18 months from June 2014 to November 2015. Post-operative pain, duration of surgery, duration of hospital stays, post-operative complications and time taken to return to work were compared with mean follow up period of 6 months.Results: Duration of surgery is significantly low in stapled group with P <0.001, duration of hospital stay is significantly low in stapled group with P <0.001, post-operative pain low in staple group with P <0.05, time taken to return to work is significantly early in stapled group with P <0.001. Post-operative complications incontinence not found in the present study but recurrence of two cases in each group noted.Conclusion: Stapled hemorrhoidopexy is associated with less postoperative pain, shorter duration of surgery and hospital stay, earlier return to work as compared with Milligan-Morgan open hemorrhoidectomy. The procedure is not associated with major post-operative complications.

Results of surgical treatment of aggressive hemangiomas of the treatmental spine by the method of punctive vertebroplasty

2021 ◽  
Vol 19 (3) ◽  
pp. 75-80
Author(s):  
Sh. Sh. SHATURSUNOV ◽  
◽  
S. A. MIRZAKHANOV ◽  
A. R. SATTAROV ◽  
A. O. KOBILOV ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Minimally Invasive ◽  
Thoracolumbar Spine ◽  
Pain Syndrome ◽  
Average Score ◽  
Treatment Results ◽  
Antitumor Effects ◽  
X Ray ◽  
Mri Studies ◽  
Invasive Method

The purpose — to analyze the results of surgical treatment of patients with hemangiomas of the thoracolumbar spine by puncture vertebroplasty. Material and methods. Clinical data and results of surgical treatment of 124 patients operated on in 2014-2020 were analyzed. Preoperative examinations included clinical studies, WAS, Oswestry, X-ray, MSCT, and MRI. MSCT and MRI studies were carried out for diagnosis and to study the treatment results. Single hemangiomas were present in 63 (50,8%) patients, 44 (35,4%) patients had hemangiomas at two or more levels. In 17 (13,7%) patients, hemangiomas were present in both the thoracic and lumbar regions. Results. In 87,8% of cases, MSCT studies in the postoperative period showed filling the hemangioma cavity by more than 80%. Control MRI studies 6 months and a year after surgery in none of the cases revealed a continued growth of hemangioma. Pain syndrome according to WAS before surgery averaged 46/56 points, after 12 months — 15/20 points. According to the Oswestry questionnaire, the average score reduced from 32 to 6 points after 6 months. Conclusion. Puncture vertebroplasty with bone cement is an effective, safe and minimally invasive method for treating hemangiomas of the thoracolumbar spine. The main goals of vertebroplasty are to restore the supporting ability of the affected vertebra, achieve analgesic and antitumor effects.

scholarly journals Muscular syndrome manifestations at the patients in the late postoperative period after the herniation of invertebral disk surgical treatment

2008 ◽  
Vol 7 (5-2) ◽  
pp. 448-450
Author(s):  
S. A. Fedyanin
Keyword(s):  
Surgical Treatment ◽  
Postoperative Period ◽  
Spinal Canal ◽  
Pain Syndrome ◽  
Neurological Status ◽  
Resonance Imaging ◽  
Canal Stenosis ◽  
Adjacent Segments ◽  
Ultrasound Investigation ◽  
Late Postoperative Period

Checkup of 215 patients in the late period after the dick herniation surgical treatment. Middle age (45,6 ± 0,6) years. Postoperative period is (7,4 ± 0,4) years. The patients were examined: neurological status, lumbar spine radiography, magnetic resonance imaging procedure, spinal canal ultrasound investigation, muscular syndrome index determination. Revealed pain syndrome caused by the disk herniation relapse in operated and adjacent segments, spondylosis and spondylarthrosis, spinal canal stenosis, aseptic epiduritis. The pain syndrome at those patients entails by development of the muscular syndrome and pathologic motor skill.

scholarly journals Surgical treatment of liver echinococcosis

2021 ◽  
Vol 38 (3) ◽  
pp. 32-40
Author(s):  
M. F. Zarivchatskiy ◽  
I. N. Mugatarov ◽  
E. D. Kamenskikh ◽  
M. V. Kolyvanova ◽  
N. S. Teplykh
Keyword(s):  
Surgical Treatment ◽  
Liver Resection ◽  
Postoperative Complications ◽  
Hospital Stay ◽  
Average Length ◽  
Enzyme Linked Immunosorbent Assay ◽  
Percutaneous Puncture ◽  
Echinococcal Cyst ◽  
Duration Of Surgery ◽  
Methods Of Treatment

Objective. To improve the results of treatment of patients with liver echinococcosis and carry out a comparative assessment of techniques of surgical treatment depending on the nature of postoperative complications, hospital stay and antirecurrent efficacy. Materials and methods. The experience of complex examination and treatment of 65 patients with liver echinococcosis for the period of 1999-2019 was analyzed. Open echinococectomy was performed in 21 patients, atypical liver resection in 18 patients, anatomical liver resection in 14 patients, pericystectomy in 10, laparoscopic echinococectomy in 1, percutaneous puncture of an echinococcal cyst under ultrasound control in 1 patient. Results. The time of inpatient treatment of patients after open echinococectomy was 23.5 4.3 days, after pericystectomy 19.8 1.4 days, after liver resection 14.4 2.7 days, after laparoscopic echinococcectomy 6, after percutaneous puncture echinococcal cyst 7 days. Postoperative complications were observed in 52.4 % of patients who underwent open echinococectomy, in 20 % of patients after pericystectomy, and in 15.6 % after liver resection. There were no relapses of liver echinococcosis in all the groups. Mortality was 1.5 % and was recorded after open echinococectomy. Conclusions. The most effective techniques for preventing postoperative complications are pericystectomy and liver resection. The duration of surgery and the average length of hospital stay with minimally invasive methods of treatment are shorter. However, the use of these methods of treatment remains controversial due to the possibility of intra-abdominal spread of the parasite. Patients with parasitic liver cysts after surgical treatment are subjected to dynamic follow-up observation (ultrasound examination of the liver, enzyme-linked immunosorbent assay, computed tomography of the abdominal organs) after 3-6 months for at least 5 years.

Analysis of the severity of clinical manifestations of endometriosis in the long term after radical surgical treatment

2021 ◽  
Vol 50 (4) ◽  
pp. 21-24
Author(s):  
V. I. Konovalov ◽  
A. V. Vorontsova
Keyword(s):  
Comparative Analysis ◽  
Surgical Treatment ◽  
Clinical Manifestations ◽  
Pain Syndrome ◽  
Pelvic Area

Comparative analysis of the endometriosis main clinical manifestations (pain syndrome in the small pelvic area, menstrual and generative functions disorders, adjacent organs dysfunction) has been carried out in 111 women in long-term period after efficient operative interventions and 371 women with endometriosis who didnt get any treatment. None of the above-mentioned methods of the efficient surgical treatment turned to be optimal (long-term and effective) for cutting short the main clinical manifestations of endometriosis.

Choice of Classification for Determining the Tactics of Surgical Treatment of Pancreatic Injuries

10.12737/7272 ◽  
2014 ◽  
Vol 21 (4) ◽  
pp. 71-76
Author(s):  
Шнейдер ◽  
V. Shneyder
Keyword(s):  
Comparative Analysis ◽  
Surgical Treatment ◽  
Hospital Stay ◽  
Objective Assessment ◽  
Length Of Hospital Stay ◽  
Traumatic Injuries ◽  
Pancreatic Injuries ◽  
New Variant ◽  
Severity Of Injury ◽  
Discharged Patients

The purpose of this study was the choice of classification for objective assessment of the severity of traumatic injuries of the pancreas on the basis of a comparative analysis of the immediate results of surgical treatment. A new variant of the classification of severity traumatic injuries of the pancreas was proposed. Comparative analysis of classifications D. Smego et al. (1985) and A.K. Eramishanсev et al. (1994) with the proposed option stratification affected by severity of damage was carried out. The study is based as a retrospective analysis of 202 patients with the treatment of traumatic injuries of the pancreas, made during the period from 1990 to 2006. For each of the classifications of all the patients were divided into 4 groups depending on the severity of the damage and determined the number and severity of specific postoperative complications, mortality, and length of hospital stay of discharged patients. Directly propor-tional to a statistically significant dependence of the increase in the number of unfavorable outcomes of treatment and duration of hospital stay with increased severity of damage to the pancreas when using the proposed classification author’s scheme was revealed. Other classifications were not statistically significant differences in complications and mortality in groups of patients with different degrees of severity of injury to the pancreas.

scholarly journals Comparative analysis of the effectiveness of the incision designs by Bayne and Evans in the correction of congenital radial clubhand in children

2017 ◽  
Vol 5 (2) ◽  
pp. 36-41
Author(s):  
Anton V. Govorov ◽  
Natalia V. Avdeychik ◽  
Andrey V. Safonov
Keyword(s):  
Comparative Analysis ◽  
Surgical Treatment ◽  
Postoperative Period ◽  
Functional Result ◽  
Analog Scale ◽  
Male Predominance ◽  
Rotation Flap ◽  
Early Postoperative Complications ◽  
Block Randomization ◽  
Late Postoperative Period

Introduction. In 1733, Petit first described the deformation of the forearm, congenital radial clubhand. A large number of modifications in the surgical treatment of this deformation have been developed. In the available literature, there is no comparative analysis of the applied designs of the sections. Aim. The goal is a comparative analysis of the effectiveness of the use of dorsal rotation flap by Evans, and incision designs by Bayne, in the correction of congenital radial clubhand in children. Material and methods. Between 2013 and 2016, block randomization of 40 children with congenital radial clubhand was used and grouped by procedures. Surgical correction was performed using two different incision designs (the first group by Bayne and the second by Evans). The analysis of the early postoperative complications was performed. The evaluation in the late postoperative period of soft tissue condition of the forearm using a pinch test, Vancouver scale, and a visual analog scale was carried out. Results. Based upon gender, patients were divided with male predominance in both groups with 7 girls and 13 boys in the first group, and 8 girls and 12 boys in the second group. In the immediate postoperative period, marginal necrosis was observed in the first group (35%). In the late postoperative period, the study showed an advantage of using dorsal rotation flap by Evans versus the incision designs by Bayne. Conclusion. Using incision designs by Evans with the formation of a dorsal rotation flap provided a more aesthetic and functional result.

scholarly journals Surgical Treatment of Benign Retrorectal Masses in Adults: A Retrospective Study

2021 ◽  
Vol 12 (8) ◽  
pp. 54-59
Author(s):  
Hüseyin Bilge ◽  
Ömer Başol ◽  
Abdullah Oğuz
Keyword(s):  
Retrospective Study ◽  
Surgical Treatment ◽  
Surgical Techniques ◽  
Length Of Hospital Stay ◽  
Surgical Excision ◽  
Diagnostic Methods ◽  
Retrorectal Space ◽  
Retrorectal Tumors ◽  
Duration Of Surgery ◽  
The Mean

Background: Tumors that occur in the retrorectal space are called retrorectal tumors. These tumors arise from various tissues. Late symptoms may therefore outweigh diagnosis and treatment. Therefore, the surgery becomes difficult. Aims and Objectives: Our study aims to reveal the difficulties in the diagnosis of retrorectal tumors, radiological diagnostic methods, and safe surgical excision surgical techniques. Materials and Methods: Twelve patients operated for retrorectal tömür between 2014 and 2020 were included in the retrospective study. Demographic features, clinical findings, diagnostic methods, surgical treatment procedures, evaluations of preoperative/postoperative complications, pathological classifications, length of hospital stay, and duration of surgery were studied. Results: Twelve patients [9 females, 3 males; the mean age was 39.3 ± 11.8 (22-56)] due to retrorectal tumors. All lesions were evaluated preoperatively using magnetic resonance imaging (MRI). According to the preoperative examination and radiological findings; Surgical resection was performed with an anterior approach to 3 patients, a posterior approach to 4 patients, and a combined approach to 5 patients. The mean tumor size was 8 ± 2.24 cm. Immature teratoma and epidermoid cyst (n = 6) were the most common tumors. We did not have any patients with features of malignancy on final histopathology. Conclusion: Although retrorectal tumors are difficult to diagnose, it is important to suspect clinically. A good evaluation of the patients with radiological imaging facilitates the resection of the tumor surgically. Surgery of the patient in centers specialized in these tumors increases surgical success.

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