The Outcome of Conservative Treatment of Closed Fracture Shaft Humerus in Adult Patients

Background: Internal jugular phlebectasia (IJP), the abnormal dilatation of internal jugular vein, is generally considered a benign anomaly. However, because IJP is uncommon, little is known about its natural history, and currently, no consensus on the best treatment modality is available. Methods: The purpose of this article is to conduct a systematic review of available literature on recently reported IJP cases to understand the main characteristics of IJP and its most frequent therapeutic approaches. Following the preferred reporting items for systematic reviews and meta-analyses guidelines, literature search for IJP cases was conducted in the COCHRANE, PUBMED, EBSCOHOST, SCOPUS, OVID, and SCIELO databases. Results: A total of 97 original articles were found, with a total of 247 IJP cases reported including both pediatric and adult patients. Conclusions: To the best of our knowledge, this study is the largest systematic review analyzing all the reported cases of IJP. IJP is considered by most authors as a benign abnormality that predominantly affects the right jugular vein. It is most commonly diagnosed in children. At present, conservative treatment is preferred for pediatric but not for adult patients. Multicenter randomized prospective studies are required to further understand this rare anomaly.

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Features of defeat of ent organs at adult patients with CF

Medical Council ◽

10.21518/2079-701x-2019-8-48-53 ◽

2019 ◽

pp. 48-53

Author(s):

V. M. Svistushkin ◽

E. V. Sinkov ◽

G. L. Shumkova ◽

E. L. Amelina ◽

S. A. Krasovsky

Keyword(s):

Surgical Treatment ◽

Conservative Treatment ◽

Chronic Rhinosinusitis ◽

Paranasal Sinus ◽

Antibacterial Therapy ◽

Treatment Method ◽

Adult Patients ◽

Lung Pathology ◽

Facial Skeleton ◽

Continuous Use

Among diseases of ENT organs at patients with the CF prevails chronic rhinosinusitis. Stagnation of the infected dense slime in the paranasal sinus and violation of nasal breath aggravates weight of a course of lung pathology. Timely inspection and treatment of pathology of the top airways at patients with CF is necessary. In surgical treatment method of a choice is expanded FESS. This technique allows to keep anatomy of a facial skeleton and to provide a drainage the paranasal sinus. Supervision by the ENT specialist and conservative treatment of a chronic rhinosinusitis has to is carried out during all life of the patient with CF. Continuous use of local mukolitichesky and antibacterial therapy is necessary. As method of delivery of medicines the compressor inhaler with the mode for the chronic rhinosinusitis can serve.

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Success of Calcaneonavicular Coalition Resection in the Adult Population

Foot & Ankle International ◽

10.1177/107110079601700912 ◽

1996 ◽

Vol 17 (9) ◽

pp. 569-572 ◽

Cited By ~ 39

Author(s):

Bruce E. Cohen ◽

W. Hodges Davis ◽

Robert B. Anderson

Keyword(s):

Conservative Treatment ◽

Adult Population ◽

Adult Patients ◽

Radiographic Evidence ◽

Degenerative Arthritis ◽

Calcaneonavicular Coalition ◽

Hindfoot Arthrodesis

Twelve adult patients (13 feet), average age 33 years (range, 19–48 years), with calcaneonavicular coalitions remained symptomatic after a trial of conservative treatment. Surgical resections were performed. Before surgery, there was <5° of inversion/eversion in 11 patients, radiographic evidence of degenerative arthritis in 10 feet (77%), and talar beaking in 7 feet. At an average postoperative follow-up of 36 months, subjective relief of preoperative symptoms was achieved in all but two patients. Two patients required subsequent hindfoot arthrodesis. Resection of calcaneonavicular coalition in the adult can be successful and provides an option to arthrodesis after nonoperative methods have failed.

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Spontaneous remission in adult patients with IgA nephropathy treated with conservative therapy

PLoS ONE ◽

10.1371/journal.pone.0251294 ◽

2021 ◽

Vol 16 (5) ◽

pp. e0251294

Author(s):

Hirotaka Sato ◽

Daisuke Ichikawa ◽

Eri Okada ◽

Tomo Suzuki ◽

Shiika Watanabe ◽

...

Keyword(s):

Renal Function ◽

Conservative Treatment ◽

Iga Nephropathy ◽

Conservative Therapy ◽

Spontaneous Remission ◽

Adult Patients ◽

High Power Field ◽

Renal Function Decline ◽

Lower Egfr ◽

Observation Period

Background There are few studies describing the clinical course and spontaneous remission of IgA nephropathy (IgAN) in adult patients receiving conservative treatment. Method Data from 62 adult patients with biopsy-diagnosed IgAN, who received conservative treatment at least 5 years prior, were retrospectively investigated. No patients received corticosteroids, other immunosuppressants, or tonsillectomy. Remission of proteinuria and hematuria were defined as proteinuria <0.3 g/gCr and urine red blood cells (RBC) <5 / high power field (HPF) on three consecutive urinalyses obtained during an observation period of ≥6 months. Result Thirty-eight (61.3%) patients had remission of hematuria, 24 (38.7%) had remission of proteinuria, and 19 (30.6%) had remission of both. Remission rates increased in patients with proteinuria <0.5 g/g Cr at diagnosis. The median time to remission of hematuria was 2.8 years and that of proteinuria was 2.6 years. Patients who showed renal function decline (defined as 30% decline of estimated glomerular filtration rate [eGFR] from baseline) were older, had significantly lower eGFR, and higher proteinuria at diagnosis. Two patients with preserved renal function and normal proteinuria at diagnosis experienced renal function decline. Renal function did not decline within 3 years of diagnosis in patients with proteinuria <1 g/gCr at diagnosis. Conclusions Relatively high rates of spontaneous remission were observed. Remission of both hematuria and proteinuria were frequent within 3 years after diagnosis, and renal function was well preserved during this period. These data indicate that it is rational to use conservative treatment for 3 years after the diagnosis instead of aggressive treatments.

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Osteosynthesis With Elastic Titanium Nail For Fractures Of Long Bones Of The Lower Extremities In Children

The American Journal of Medical Sciences and Pharmaceutical Research ◽

10.37547/tajmspr/volume03issue06-17 ◽

2021 ◽

Vol 03 (06) ◽

pp. 109-115

Author(s):

Shomatov Khasan Shavkatovich ◽

◽

Khodjanov Iskandar Yunusovich ◽

Lutpillaev Azamjon Khabibullo Ugli ◽

◽

...

Keyword(s):

Retrospective Study ◽

Conservative Treatment ◽

Long Bones ◽

Elastic Rod ◽

Closed Fracture ◽

Fractures In Children ◽

Flexible Rods ◽

Diaphyseal Fractures ◽

Elastic Titanium Nail ◽

Fractures Of The Femur

In recent years, approaches have been used to treat diaphyseal fractures in children and adolescents, which make it possible to shorten immobilization and hospitalization time as soon as possible, as well as return to normal life as soon as possible. In a retrospective study, the conservative treatment of diaphyseal hip fractures was compared with the closed elastic method of rod fixation. In the period from 2014 to 2019. In our clinic, 11 diaphyseal fractures of the femur and 16 tibia were treated. In all cases, elastic rod osteosynthesis was used. Conservative treatment gave more complications (difference in limb length and inaccurate reduction). In case of the closed fracture fixation with the help of flexible rods the consolidation and fast mobilization with small number of complications was achieved.

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