Surgical techniques used for tonsil disease in children

The authors review the techniques described for the surgical treatment of the tonsils. Each new method has its own advantages and disadvantages. The difference can be evaluated by studying the intraoperative blood loss and safety of the procedure. Also, the postoperative complications and quality of life can be used as an adjunct to objectively appreciate the different surgical techniques. There is no literature consensus about the superiority of one technique over the other. Multiple studies brought multiple significant results. It is also hard to evaluate the entire panel of surgical methods described concomitantly. The experience of one surgeon and his/her mastering of a certain technique is the actual cause of so many surgical options still in use for tonsil treatment in children.

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EXTRAPERITONEOSCOPIC PROSTATEСTOMY: SURGICAL TECHNIQUES PRESERVING THE QUALITY OF LIFE OF THE PATIENT

Vestnik of Russian military medical Academy ◽

10.17816/brmma13068 ◽

2019 ◽

Vol 21 (1) ◽

pp. 140-143

Author(s):

V V Parshin ◽

B R Gvasalia ◽

D I Stegantsev ◽

A S Esipov ◽

A D Kochetov

Keyword(s):

Quality Of Life ◽

Prostate Cancer ◽

Urinary Incontinence ◽

Surgical Treatment ◽

Postoperative Period ◽

Erectile Function ◽

Surgical Techniques ◽

Surgical Anatomy ◽

Nerve Preservation

Objective.Radical prostatectomy (RPE) performed without preserving the neurovascular bundles and the pubovesical complex has a great risk of developing urinary incontinence and erectile dysfunction, which significantly impairs the quality of life of patients with prostate cancer in the postoperative period. Methods. The effectiveness of surgical treatment was assessed in 22 patients (mean age 57.6 ± 6.4 years) with a diagnosis of prostate cancer, who underwent extraperitoneoscopic intrafascial nerve-saving radical prostatectomy with preservation of the pubovesical complex. The criteria for the effectiveness of this technique of surgical treatment were considered the preservation of erectile function and the absence of urinary incontinence in the early and late postoperative period. Results. In the postoperative period, all patients were continent; in 3-4 months, erectile function was restored without additional stimulation by phosphodiesterase-5 inhibitors. Conclusions.The described technique demands detailed understanding by the surgeon of the surgical anatomy of the prostate and the basic surgical principles of nerve preservation in order to significantly improve the quality of life of patients in the postoperative period.

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Results of surgical treatment of Peyroni’s disease

Urologicheskie vedomosti ◽

10.17816/uroved7125-29 ◽

2017 ◽

Vol 7 (1) ◽

pp. 25 ◽

Cited By ~ 1

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.

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Hemorrhoids and quality of life: “… two things incompatible”?

Ambulatory surgery hospital-replacing technologies ◽

10.21518/1995-1477-2020-3-4-74-79 ◽

2021 ◽

pp. 74-79

Author(s):

M. V. Abritsova ◽

A. M. Bogomazov ◽

E. B. Golovko ◽

E. A. Zagriadskii

Keyword(s):

Quality Of Life ◽

Surgical Treatment ◽

Social Life ◽

Well Being ◽

Treatment Method ◽

Social Adaptation ◽

Treatment Modalities ◽

Surgical Approaches ◽

Surgical Methods

Hemorrhoids is one of the most common diseases in human. According to the latest data for 2017, the prevalence rates of hemorrhoids per 100 000 population in Russia are 410,3 in adults, 26.7 in children aged 15 to 17 years and 4,0 in children under 14 years old. Quality of life (QoL) is an important non-specific subjective parameter of well-being, representing an integrative characteristic of the physical, psychological, social and emotional status of the patient. Despite the high prevalence of hemorrhoids and the variety of modern methods of surgical treatment, there are very few studies addressing the QoL in this category of patients. There are significant differences between the patient and the Coloproctologist in the perception of HD, which, possibly, can lead to the hypertrophy of indications for surgical treatment. Understanding the effect of HD on social life and the concept of the well-being of a particular patient can help the doctor choose between conservative and surgical approaches in the treatment of hemorrhoids. On the other hand, due to the excessive shyness and mentality in our country, patients with HD tend to adapt to their disease, which leads to later seeking medical help and suboptimal efficacy of conservative therapy and minimally invasive surgical methods.This review presents the first Russian multicenter observational program EQUALISER (impact of different trEatment modalities on QUAlity of life of the patientS with acute and chronic hEmorRhoid disease) aimed at assessing the QoL of patients with HD, as well as the effect of the treatment method and types of surgical treatment on the social adaptation of the population.

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Quality of Life of Patients With Endometrial Cancer Undergoing Laparoscopic International Federation of Gynecology and Obstetrics Staging Compared With Laparotomy: A Gynecologic Oncology Group Study

Journal of Clinical Oncology ◽

10.1200/jco.2009.22.3529 ◽

2009 ◽

Vol 27 (32) ◽

pp. 5337-5342 ◽

Cited By ~ 205

Author(s):

Alice B. Kornblith ◽

Helen Q. Huang ◽

Joan L. Walker ◽

Nick M. Spirtos ◽

Jacob Rotmensch ◽

...

Keyword(s):

Quality Of Life ◽

Endometrial Cancer ◽

Return To Work ◽

Gynecologic Oncology ◽

Surgical Techniques ◽

Gynecologic Oncology Group ◽

Oncology Group ◽

Gynecology And Obstetrics ◽

The Difference

Purpose The study's objective was to compare the quality of life (QoL) of patients with endometrial cancer undergoing surgical staging via laparoscopy versus laparotomy. Patients and Methods The first 802 eligible patients (laparoscopy, n = 535; laparotomy, n = 267) participated in the QoL study in a Gynecologic Oncology Group (GOG) randomized trial of laparoscopy versus laparotomy (GOG 2222). Patients completed QoL assessments at baseline; at 1, 3, and 6 weeks; and at 6 months postsurgery. Results In an intent-to-treat analysis, laparoscopy patients reported significantly higher Functional Assessment of Cancer Therapy–General (FACT-G) scores (P = .001), better physical functioning (P = .006), better body image (BI; P < .001), less pain (P < .001) and its interference with QoL (P < .001), and an earlier resumption of normal activities (P = .003) and return to work (P = .04) over the 6-week postsurgery period, as compared with laparotomy patients. However, the differences in BI and return to work between groups were modest, and the adjusted FACT-G scores did not meet the minimally important difference (MID) between the two surgical arms over 6 weeks. By 6 months, except for better BI in laparoscopy patients (P < .001), the difference in QoL between the two surgical techniques was not statistically significant. Conclusion Although the FACT-G did not show a MID between the two surgical groups, and only modest differences in return to work and BI were found between the two groups, statistically significantly better QoL across many parameters in the laparoscopy arm at 6 weeks provides modest support for the QoL advantage of using laparoscopy to stage patients with early endometrial cancer.

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Organ-Preserving Surgery for Penile Carcinoma

Advances in Urology ◽

10.1155/2008/634216 ◽

2008 ◽

Vol 2008 ◽

pp. 1-7 ◽

Cited By ~ 13

Author(s):

Francisco E. Martins ◽

Raul N. Rodrigues ◽

Tomé M. Lopes

Keyword(s):

Quality Of Life ◽

Negative Impact ◽

Psychological Impact ◽

Surgical Techniques ◽

Penile Carcinoma ◽

Current Status ◽

Radical Radiotherapy ◽

Surgical Options ◽

Cosmetic Outcomes

Introduction. Penile carcinoma has traditionally been treated by either surgical amputation or radical radiotherapy, both associated with devastating anatomical, functional, and psychological impact on the patient's life. Innovative surgical techniques have focused on penile preservation in well-selected patients to minimize physical disfigurement and consequently maximize quality of life. The objective of this article is to define the current status of these organ-preserving surgical options for penile carcinoma.Materials and Methods. An extensive review of the Pubmed literature was performed to find articles discussing only reconstructive surgery which have contributed significantly to change traditional, frequently mutilating treatments, to develop less disfiguring surgery, and to improve patients' quality of life over the last two decades.Results. Several articles were included in this analysis in which a major contribution to the change in therapy was thought to have occurred and was documented as beneficial. Some articles reported novel techniques of less-mutilating surgery involving different forms of glans reconstruction with the use of flaps or grafts. The issue of safe surgical margins was also addressed.Conclusion. The development of less-disfiguring techniques allowing phallus preservation has reduced the negative impact on functional and cosmetic outcomes of amputation without sacrificing oncological objectives in appropriately selected patients based on stage, grade, and location of the tumour. Until more prospective studies are available and solid evidence is documented, organ preservation should be offered with caution.

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Subtotal laryngectomy with formation of a laryngotracheal shunt in vocal rehabilitation of patients with stage III and IV locally advanced larynx and laryngopharynx cancer (literature review)

Head and neck tumors (HNT) ◽

10.17650/2222-1468-2021-11-1-96-100 ◽

2021 ◽

Vol 11 (1) ◽

pp. 96-100

Author(s):

E. N. Menkova ◽

D. E. Kulbakin ◽

E. A. Krasavina ◽

M. R. Mukhamedov ◽

V. A. Alekseev ◽

...

Keyword(s):

Quality Of Life ◽

Surgical Treatment ◽

Locally Advanced ◽

Stage Iii ◽

Advanced Stage ◽

Vocal Rehabilitation ◽

Vocal Function ◽

Advantages And Disadvantages ◽

Accepted Standard

Currently accepted standard of surgical treatment of patients with locally advanced stage III and IV laryngeal and laryngopharyngeal cancer is laryngectomy which leads to loss of vocal function. Therefore, vocal rehabilitation is one of the most important tasks of the doctor. It allows to increase quality of life of patients after treatment. Currently used techniques of vocal rehabilitation have their advantages and disadvantages. The article considers various techniques of vocal rehabilitation, primarily, subtotal laryngectomy with laryngotracheal shunt as a promising method of surgical rehabilitation of patients with locally advanced caner of the larynx and laryngopharynx.

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Treatment of congenital spinal deformities in children: yesterday, today, tomorrow

Hirurgiâ pozvonočnika ◽

10.14531/ss2020.1.15-24 ◽

2020 ◽

Vol 17 (1) ◽

pp. 15-24

Author(s):

S. O. Ryabykh ◽

E. V. Ulrikh ◽

A. Yu. Mushkin ◽

A. V. Gubin

Keyword(s):

Quality Of Life ◽

Surgical Treatment ◽

Functional Status ◽

Treatment Planning ◽

Anesthetic Management ◽

Surgical Techniques ◽

Spinal Deformities ◽

The Past ◽

Control Introduction

The paper presents an unsystematized review of technologies, techniques and options for surgical treatment of congenital spinal deformities in children over the past 40 years. The main trends in the surgery of spinal deformities are highlighted: evolution of methods of visual diagnostic, treatment planning, and surgeon action control, introduction of adapted functional status scales and questionnaires for quality of life, hybridization of surgical techniques, evolution of spinal implants and instruments, and progress of anesthetic management. At the same time, new clinical and scientific problems are also discussed in the paper: questions of unifying terminology, planning the volume of treatment, the difficulty of comparing treatment methods and technologies, education, and integration.

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The problem of postoperative analgesia in hip re-placement

Journal of New Medical Technologies ◽

10.12737/5007 ◽

2014 ◽

Vol 21 (2) ◽

pp. 86-89

Author(s):

Киреев ◽

Semen Kireev ◽

Матвеенкова ◽

L. Matveenkova

Keyword(s):

Quality Of Life ◽

Surgical Treatment ◽

Hip Joint ◽

Epidural Anesthesia ◽

Joint Pain ◽

Standard Treatment ◽

Post Operative Pain ◽

The Difference ◽

Endotracheal Anesthesia

Standard treatment for patients with diseases of the hip joint, accompanied by pain and restriction of movements, is joint replacement , which can significantly improve the quality of life of patients in this category were The object of the study, 120 pa-tients with coxarthrosis of both sexes aged 49-80 years who were on the surgical treatment in the Tula Oblast hospital in 2012, 2013. Analyzing the results obtained , we have identified some features of post-operative pain in response to the prosthetic hip joint. Pain impulses by VAS score of 4-7 patients after surgery under general endotracheal anesthesia , appeared after 20-40 minutes, and after epidural anesthesia and mixed for 20-50 minutes later. And the more pronounced these figures were in patients after surgery under general endotracheal anesthesia, and the temperature and oxygen saturation were significantly lower on the operated leg: the difference with the indicators on health reached 1-1.2 C0 and 1.5-2% respectively.

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Bone Diaphysis Metastases, the Ways and Results of Surgical Treatment Saving the Joints

Ortopedia Traumatologia Rehabilitacja ◽

10.5604/01.3001.0013.1914 ◽

2019 ◽

Vol 21 (2) ◽

pp. 99-108 ◽

Cited By ~ 1

Author(s):

Piotr Szczerba ◽

Grzegorz Guzik ◽

Andrzej Bohatyrewicz ◽

Daniel Kotrych

Keyword(s):

Quality Of Life ◽

Surgical Treatment ◽

Bone Metastases ◽

Surgical Management ◽

Surgical Techniques ◽

Long Bone ◽

Pathological Fractures ◽

Oncological Treatment ◽

Modular Prostheses

Background. A consequence of the progress in oncological treatment is an increasing number of bone complications associated with metastases. With appropriate choice of oncological treatment and appropriate surgical management, patients may recover their physical function and maintain the previous level of quality of life. Available surgical techniques include intramedullary nailing, stabilisation with plates and screws and the use of modular prostheses. Aim of the study: to retrospectively assess the techniques and outcomes of surgical treatment of long bone metastases at the Oncology Orthopaedics Department of the Speciality Hospital in Brzozów, present the possibilities of surgical management and benefits of the chosen method and tentatively choose the most effective approach for restoring function. Material and methods. Between 2013 and 2017, a total of 82 patients were treated for long bone metastases at the Department of Oncological Orthopaedics. The most common cancers causing bone metastases were breast cancer (37%), myeloma (16%), lung cancer (8%), kidney (15%), prostate (8%), thyroid 4%, colon 1%, uterus 1%, with other sites accounting for 10%. Pathological fractures were diagnosed in 68 patients. Before the surgical treatment, the patients’ quality of life was assessed using the Karnofsky scale, Bollen prognostic scale, severity of pain in a VAS scale, and MSTS performance scale. Metastasis morphology was evaluated with conventional radiographs, CT and PET-CT. Types of surgery comprised intramedullary nailing, the use of plates and screws and the placement of modular prostheses. Patients were divided into three groups with regard to the stabilisation systems used and another three related to tumour location (humerus, femur or tibia). Results. Post-operatively, there was a reduction of pain in the VAS scale. Function (MSTS) was best in patients treated with minimally invasive methods and modular prostheses (p <0.05). An improvement in quality of life in the Karnofsky scale was also noted. The complication rate was 7% and was related to wound healing and thromboembolic complications. Conclusions. 1. Patients with long-bone cancer metastases with pathological fractures or risk of fracture require surgical management. 2. Nailing or modular prosthesis produced the best functional result at 6 weeks post-operatively. 3. All methods of surgical treatment reduced pain and improved the quality of life.

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