scholarly journals МОДИФИЦИРОВАННАЯ МАЛОИНВАЗИВНАЯ МЕТОДИКА ЛАПАРОСКОПИЧЕСКИХ ОПЕРАЦИЙ ПО ПОВОДУ ДОБРОКАЧЕСТВЕННЫХ ЗАБОЛЕВАНИЙ ПРИДАТКОВ МАТКИ

2021 ◽  
pp. 5-14
Author(s):  
Yu. E. Dobrochotova ◽  
I. A. Lapina ◽  
L. N. Aminova ◽  
А. G. Kozub ◽  
V. A. Alimov ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Surgical Treatment ◽  
Postoperative Pain ◽  
Selection Criteria ◽  
Current Trend ◽  
Surgical Trauma ◽  
Benign Diseases ◽  
Results Of Treatment ◽  
Good Cosmetic ◽  
Cosmetic Effect

The article substantiates the feasibility of developing minimally invasive operations on the adnexa and minimizing surgical trauma. The technique of the modified laparoscopic surgery method proposed by the authors for benign diseases of the adnexa is described in details. The results of treatment of 37 patients operated on by the presented method are considered. The selection criteria for patients for the application of this method of surgical treatment are determined. It is shown that the presented method corresponds to the current trend of minimizing surgical trauma, has a good cosmetic effect, helps to reduce postoperative pain, and is also economically feasible, because it does not require the use of additional endoscopic instruments.

scholarly journals SURGICAL TREATMENT OF CHRONIC VENOUS DEFICIENCY OF LOWER EXTREMITIES

2020 ◽  
pp. 68-73
Author(s):  
I. B. Babynkina ◽  
A. A. Novikova ◽  
G. P. Babynkina
Keyword(s):  
Surgical Treatment ◽  
Lower Extremities ◽  
Outpatient Basis ◽  
Perforating Veins ◽  
Results Of Treatment ◽  
Cosmetic Effect ◽  
Modern Economic ◽  
Surgical Tactics ◽  
Tissue Trauma ◽  
Standard Operations

Summary. The aim. Improving the results of treatment of patients with decompensated forms of chronic venous insufficiency in post-thrombophlebitic and varicose diseases based on the use of differentiated pathogenetically substantiated surgical tactics. Materials and methods. The basis of the work is the study of the results of surgical treatment of 102 patients not previously operated on with postthrombophlebitic disease of the lower extremities in the decompensated stage of CVI. All patients underwent combined surgical treatment, including the elimination of perforating insufficiency and various modifications of the operation on the superficial veins to eliminate vertical reflux. Results and discussion. The combined operation for clipping perforating veins allows the operation to interrupt blood circulation through insolvent perforating veins, including on an outpatient basis, minimizing tissue trauma during puncture rather than sectional access to a vein. The cosmetic effect of the operation is significantly increased, which is especially important in the treatment of women. Since the operation can be performed on an outpatient basis, the number of days of incapacity for work is significantly reduced compared to standard operations on perforating veins, which is a particularly important circumstance in modern economic conditions. Conclusion. Using the proposed method allows to achieve optimal conditions for the restoration of trophism of affected tissues, leading to a decrease in the number of complications and a reduction in hospitalization.

Laparoscopic Versus Open Appendectomy for the Treatment of Complicated Acute Appendicitis

2020 ◽  
Vol 8 (1) ◽  
pp. 15
Author(s):  
Alireza Barband ◽  
Amir Mangouri ◽  
Changiz Gholipouri ◽  
Abasad Gharedaghi
Keyword(s):  
Laparoscopic Surgery ◽  
Surgical Treatment ◽  
Postoperative Pain ◽  
Acute Appendicitis ◽  
Open Surgery ◽  
Surgery Group ◽  
Significant Difference ◽  
Duration Of Surgery ◽  
Duration Of Hospitalization ◽  
Complicated Acute Appendicitis

Background and Objective: Acute appendicitis is one of the most common and at the same time lethal if not treated promptly. Failure to treat this medical condition in a timely manner then it can lead to major complications that endanger the patient’s health. In these cases, surgical treatment can be done in an open or laparoscopic method. Despite some limited studies comparing the results of these two therapies, there is still insufficient information in patients with this complicated situation. The aim of this study was to evaluate the results of these two therapies in patients with complicated acute appendicitis. Materials and Methods: In this randomized controlled clinical trial, 52 patients with complicated acute appendicitis in the laparoscopic surgery group and 56 patients in the open surgery group were studied. Primary outcomes in this study were duration of surgery and secondary outcomes including wound infection, intra-abdominal abscess, postoperative pain, miscarriage, hospitalization, and need for re-surgery that were compared between the two groups. Results: Both groups were matched for age (mean 31.0 years in laparoscopic surgery group, 30.5 years in open surgery group, p = 0.81) and gender (28 men in laparoscopic surgery group, 32 men in surgical group, p = 0.73). The mean duration of surgery in the laparoscopic group was significantly longer (mean 66.8 vs. 55.1 min, p <0.001). In contrast, mean duration of hospitalization (85.2 vs 98.6 hours, p <0.001) and mean postoperative pain severity (6.3 vs 7.2, p <0.001) was more significant high in open surgery group. In other cases there was no significant difference between the two groups. Conclusion: Although in surgical treatment of complicated acute appendicitis the duration of laparoscopic surgery is longer than the open method, but the duration of hospitalization and pain intensity in laparoscopic method is significantly reduced.

scholarly journals RESULTS OF SURGICAL TREATMENT OF NON-PARASITIC SPLENIC CYSTS IN CHILDREN

2018 ◽  
Vol 22 (1) ◽  
pp. 32-35
Author(s):  
A. V. Myzin ◽  
Vasily G. Kuleshov ◽  
A. E. Stepanov ◽  
N. V. Gerasimova ◽  
K. Yu. Ashmanov
Keyword(s):  
Surgical Treatment ◽  
High Efficiency ◽  
Clinical Symptoms ◽  
Abdominal Cavity ◽  
Long Term Results ◽  
Surgical Interventions ◽  
Results Of Treatment ◽  
Splenic Cysts ◽  
Good Cosmetic

Introduction. Currently, there are different views on the treatment of non-parasitic spleen cysts in children. The choice of method of treatment is under discussion. The aim of our study was to evaluate and analyze the immediate and long-term results of surgical interventions performed on nonparasitic spleen cysts in children. Material and methods. There are presented results of surgical treatment of the 21 patient, who was on treatment at the Department of Abdominal Surgery of the Russian Children Clinical Hospital over the period from 2013 to 2016. Patients were examined by means of ultrasound of the abdominal cavity, CT, MRI. All patients have been operated. 22 surgical interventions were performed by using laparoscopic access, out of which 2 partial resections of the spleen, 1 splenectomy, 19 fenestrations of spleen cysts.Results. During the course of the operation and in the immediate postoperative period there were no complications. Patients were observed for the period of from 1 year to 3 years. Good results of treatment were obtained in 20 (95.2%) children. In a long-term period a relapse occurred in the one patient one year after the operation. The patient was reoperated, splenectomy was performed. Conclusion. The surgical treatment of spleen cysts is the basic one. It is indicated for cysts sized larger than 5 cm and cysts with clinical symptoms. Minimally invasive interventions in children are optimal because of their low traumatism and good cosmetic effect. Our study showed a high efficiency of laparoscopic operations in children suffered from non-parasitic spleen cysts with good long-term results.

MODERN APPROACHES IN MANAGING WOUND DEFECTS IN CHILDREN WITH SURGICAL INFECTION

2020 ◽  
pp. 169-175
Author(s):  
Kuzmin A.I. ◽  
Munin A.G. ◽  
Zavyalkin V.A. ◽  
Barskaya M.A. ◽  
Terekhina M.I.
Keyword(s):  
Surgical Treatment ◽  
Hospital Stay ◽  
Soft Tissues ◽  
Local Treatment ◽  
Wound Management ◽  
Innovative Technologies ◽  
Surgical Infection ◽  
Results Of Treatment ◽  
Inadequate Antibiotic Therapy ◽  
Good Cosmetic

The results of treatment of 57 children with wound defects of soft tissues that have appeared at the background of surgical infections of various origins have been analyzed. The causes of the wound defects formation were analyzed according to the T.I.M.E. system.[7,8,9]. While treating the wound defects the strategy of creating the conditions close to the ones in an acute wound was followed («Wound bed preparation») [7,8,11]. We used several types of debridement aimed at shortening the phases of the wound process with the following closure of the wound defects by different methods [1,2,5,7]. The assessment of the effectiveness of local treatment was carried out taking into account the nature and severity of the phases of the wound process by the method of clinical observation of the state of the wound (the severity of symptoms of inflammation, the nature and amount of exudate, the presence and appearance of granulations, the presence of signs of wound epithelialization and scarring, the size of the wound), microbiological, cytological and histology and research [10]. The study revealed factors that disrupt wound healing during primary surgical treatment, in the management of foci of surgical infection, in the management of postoperative wounds, in the treatment of pressure ulcers in children with neurological pathology. During the initial surgical treatment of the received wounds, its inadequacy was noted - the abandonment of necrotic, defective tissues, foreign bodies, the presence of an undiagnosed infection, the absence or inadequate antibiotic therapy, constant tension of the skin edges, impaired blood flow and innervation, inadequate sanitation and drainage. The use of modern innovative technologies in wound management reduces hospital stay, reduces the duration of the use of antibiotics and other medications, contributes to a good cosmetic effect. Application of the current innovative technologies in wounds treatment shortens the hospital stay, decreases the duration of the use of antibiotics and other medicines, and contributes to better cosmetics effects [1,4,6]. The current trends in wounds treating with the choice of local treatment according to the phases of the wound process are presented in this article. The methods of active wound defects therapy and different types of debridement considering their pros and cons are analyzed.

scholarly journals Application of Fresnel Prism in the Complex Treatment of Friendly Strabismus

2018 ◽  
Vol 15 (2S) ◽  
pp. 98-105
Author(s):  
V. N. Kurochkin ◽  
T. V. Terekhova ◽  
Y. D. Glumskova ◽  
Y. I. Triludina ◽  
O. A. Shelikhova
Keyword(s):  
Surgical Treatment ◽  
Binocular Vision ◽  
Main Group ◽  
The State ◽  
Control Group ◽  
Double Vision ◽  
Complex Treatment ◽  
Good Cosmetic ◽  
Cosmetic Effect ◽  
And Control

Purpose: To analyze the effectiveness of Fresnel prism in the complex treatment of friendly strabismus.Patients and methods. The main group consisted of 428 patients with strabismus, who were assigned Fresnel prisms in combination with pleoptoorthoptic and surgical treatment. Indication for the appointment of Fresnel prism with a friendly strabismus was: angle of strabismus to 25 degrees, postoperative residual angles. The age of the patients ranged from 4 to 60 years. We evaluated the visual acuity without correction and with correction, refraction, character of vision, ability to bifoveal fusion evaluated with synoptophore. The results were compared with a control group treated without Fresnel prisms.Results. During initial selection of Fresnel prisms, doubling was revealed in 73% cases. With the constant wearing of glasses with Fresnel prisms, in which the state of orthotropy is achieved, in most patients doubling was cupped in the period from 2 weeks to 3 months. During the first month, doubling stopped in 72% of patients, and the minimum periods for arresting double vision were noted in preschool children. The absence of doubling served was an indication for surgical correction of strabismus. After the surgery, a good cosmetic effect was achieved in 392 persons (97%), and the state of orthotropy was in 330 of people (81.7%). Doubling after the operation was not observed, there was no relapse of strabismus. Comparative analysis of the main and control groups showed that in the main group of patients the use of prisms combined with pleoptoorthoptic and surgical treatment made it possible to restore binocular vision in 32.9% of cases.Conclusion. The use of Fresnel prism in the complex treatment of friendly strabismus in children allows to obtain not only a good cosmetic effect, but also to develop binocular vision in 32.9% of cases. The use of Fresnel prisms in the preoperative period in adults allows avoiding postoperative double vision, thereby reducing the risk of recurrence of strabismus because of the development of mechanisms for the formation of a single binocular image. 

Kết quả điều trị phẫu thuật nội soi viêm ruột thừa ở phụ nữ mang thai tại Bệnh viện Đa khoa Tỉnh Thái Bình

2021 ◽  
Author(s):  
Tuan Dat Pham
Keyword(s):  
Laparoscopic Surgery ◽  
Pregnant Woman ◽  
Preterm Birth ◽  
Surgical Treatment ◽  
Pregnant Women ◽  
General Hospital ◽  
Results Of Treatment ◽  
Hospital Transfer ◽  
Key Words Acute Appendicitis ◽  
Low Rate

TÓM TẮT Mục tiêu: Đánh giá kết quả điều trị phẫu thuật nội soi viêm ruột thừa ở phụ nữ mang thai tại bệnh viện Đa khoa tỉnh Thái Bình. Phương pháp nghiên cứu: Mô tả hồi cứu 35 trường hợp viêm ruột thừa ở phụ nữ mang thai được điều trị phẫu thuật nội soi. Kết quả: 100% bệnh nhân được mổ cắt ruột thừa nội soi. Thời gian phẫu thuật trung bình 50,7 ± 13,6 phút (30 - 70 phút). Thời gian phẫu thuật kéo dài hơn ở nhóm viêm phúc mạc ruột thừa (56,7 ± 8 (40 - 70) phút) so với viêm ruột thừa mà không có viêm phúc mạc (p < 0,05). Có 3 trường hợp phải chuyển viện do sốt, dọa sẩy thai, dọa đẻ non. Kết quả điều trị 91,4 % kết quả tốt; 8,6% kết quả trung bình, không có trường hợp nào thai phụ bị tử vong, không có thai nhi bị tử vong. Kết luận: Phẫu thuật nội soi ổ bụng có thể ứng dụng an toàn để điều trị viêm ruột thừa ở phụ nữ mang thai, với tỉ lệ tai biến và biến chứng thấp cho thai phụ và thai nhi. ABSTRACT THE RESULTS OF TREATING APPENDICITIS USING LAPAROSCOPIC SURGERY IN PREGNANT WOMEN IN THAI BINH PROVINCIAL GENERAL HOSPITAL Objective: To evaluate the results of appendicitis endoscopic surgical treatment in pregnant women at Thai Binh Provincial General Hospital. Method: Retrospective describe of 35 pregnant women diagnosed with appendicitis treated using laparoscopic surgery. Results: 100% of patients underwent laparoscopic appendectomy. Average surgery time 50,7 ± 13,6 minutes (30 - 70 minutes). Surgery time was longer in the group of appendicitis (56,7 ± 8 (40 - 70) minutes) compared with appendicitis without peritonitis (p < 0,05). There were 3 cases of hospital transfer due to fever, threat of miscarriage, threat of preterm birth. Results of treatment 91,4% of the results were good; 8,6% of the average results, no case of death of the pregnant woman, no death of the fetus. Conclusion: Abdomen endoscopic surgical treatment can be used to treat appendicitis in pregnant women with low rate of complications for both the women and fetus. Key words: Acute appendicitis, appendicitis in pregnant women

scholarly journals PECULIARITIES OF SURGICAL TREATMENT OF BENIGN FORMATION OF MAMMARY GLAND

2018 ◽  
Keyword(s):  
Mammary Gland ◽  
Surgical Treatment ◽  
Postoperative Period ◽  
Surgical Intervention ◽  
Remote Access ◽  
Surgical Approaches ◽  
Surgical Interventions ◽  
Good Cosmetic ◽  
Cosmetic Effect ◽  
Standard Set

The effectiveness of the use of remote surgical approaches in patients with benign formation of mammary gland was studied in this paper,. Before surgery, all patients underwent a standard set of instrumental examinations: mammography, ultrasound examination of the mammary gland, puncture biopsy of the formation with subsequent cytology, which was also performed in the postoperative period. The use of remote access, taking into account the localization of formations of the mammary gland is a radical surgical intervention. The duration of surgical intervention among these accesses, the severity of pain in the postoperative period are identical, as with the use of traditional accesses. In these patients, a good cosmetic effect was observed in the early and late periods of surgical intervention, which makes it possible to recommend these surgical interventions for a broader introduction of surgical treatment of patients with benign formation of mammary gland to the technology.

scholarly journals Clinical effect of minimally invasive surgery for inguinal cryptorchidism

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yunjin Wang ◽  
Liu Chen ◽  
Xu Cui ◽  
Chaoming Zhou ◽  
Qing Zhou ◽  
...  
Keyword(s):  
Minimally Invasive Surgery ◽  
Laparoscopic Surgery ◽  
Minimally Invasive ◽  
Invasive Surgery ◽  
Clinical Effect ◽  
Testicular Atrophy ◽  
Surgery Group ◽  
Significant Difference ◽  
Good Cosmetic ◽  
Scrotal Hematoma

Abstract Background The purpose of this study was to investigate the clinical effect of minimally invasive surgery for inguinal cryptorchidism. Methods The patients were divided into the minimally invasive surgery group (n = 100) and the traditional surgery group (n = 58). In the minimally invasive surgery group, patients with low inguinal cryptorchidism (n = 54) underwent surgery with a transscrotal incision, and patients with high inguinal cryptorchidism (n = 46) underwent laparoscopic surgery. Results There was no difference in the hospital stay duration or cost between the minimally invasive surgery group and the traditional surgery group (P > 0.05). As for the operative time, minimally invasive surgery of low inguinal cryptorchidism was shorter than traditional surgery (P = 0.033), while minimally invasive surgery of high inguinal cryptorchidism was comparable to traditional surgery (P = 0.658). Additionally, there were no cases of testicular atrophy, testicular retraction, inguinal hernia or hydrocele in either group. There was no significant difference in the incidence of poor wound healing between the two groups (P > 0.05). Although there was no significant difference in the incidence of scrotal hematoma between the two groups (P > 0.05), the incidence in the minimally invasive surgery group was higher than that in the traditional surgery group. Conclusions Minimally invasive surgery including a transscrotal incision for low inguinal cryptorchidism and laparoscopic surgery for high inguinal cryptorchidism is as safe and effective as traditional surgery, and could also provide a good cosmetic effect for children.

Nursing considerations for patients undergoing robotic-arm assisted joint replacements

2021 ◽  
Vol 30 (10) ◽  
pp. 580-587
Author(s):  
Ajay Asokan ◽  
Joanna Baawa-Ameyaw ◽  
Babar Kayani ◽  
Ganan T Radhakrishnan ◽  
Ahmed A Magan ◽  
...  
Keyword(s):  
Postoperative Pain ◽  
Nursing Care ◽  
Functional Outcomes ◽  
Multidisciplinary Approach ◽  
Robotic Arm ◽  
Surgical Trauma ◽  
Pragmatic Approach ◽  
Joint Replacements ◽  
The Past ◽  
Implant Positioning

Robotic-arm assisted arthroplasty (RAA) has gained popularity over the past decade because of its ability to provide more accurate implant positioning with less surgical trauma than conventional manual arthroplasty. It has shown better early functional outcomes, less postoperative pain and shorter inpatient stays. A multidisciplinary approach is crucial in improving overall outcomes and ensuring this technology is implemented efficiently and safely, but there is limited published literature on the nursing considerations for managing patients undergoing RAA. This article aims to provide a pragmatic approach for nursing care in the pre-, intra-, and postoperative phases of RAA.

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