scholarly journals Surgery for wrist ganglia: one-hundred and twenty-two patients reviewed 8 years after operation

2014 ◽  
Vol 6 (1) ◽  
Author(s):  
Vilhjalmur Finsen ◽  
Øyvind Håberg ◽  
Grethe Elisabeth Borchgrevink
Keyword(s):  
Recurrence Rate ◽  
Radical Surgery ◽  
Common Reason ◽  
High Recurrence Rate ◽  
Hand Surgeon ◽  
Results Of Surgery

Wrist ganglia give few symptoms, but are a common reason for referral to a hand surgeon. We studied patient long-term satisfaction after operation. We reviewed 122 patients, who were operated for dorsal (n=82) and volar (n=40) wrist ganglia 8 years before (range 3-11). Three radial arteries were injured during surgery for volar a ganglion. By the time of review 33 patients (27%) had a recurrence or had been re-operated. Radical surgery did not reduce the recurrence rate significantly. Reported general complaints from the wrist improved from a mean visual analogue scores (VAS, 0=best; 100= worst) of 56 before surgery to VAS 14 at review and unsightliness from VAS 50 to VAS 14. Patients were equally happy with transverse and longitudinal scars. Ten patients (8%) stated that they would not have consented to surgery if they had known the outcome in advance. We conclude that, in spite of a high recurrence rate, most patients are happy with the results of surgery.

Abstract 2068: Systematic Undersized Rigid Ring Decreases Recurrence Rate Following Repair of Ischemic Mitral Valve

Circulation ◽  
2007 ◽  
Vol 116 (suppl_16) ◽  
Author(s):  
Raphaël Fontaine ◽  
Denis Bouchard ◽  
Philippe Demers ◽  
Raymond Cartier ◽  
Michel Carrier ◽  
...  
Keyword(s):  
Mitral Valve ◽  
Mitral Regurgitation ◽  
Recurrence Rate ◽  
Nyha Class ◽  
High Recurrence Rate ◽  
Class Iii ◽  
Term Survival ◽  
Rigid Ring

Introduction: Chronic ischemic mitral regurgitation (MR) has been associated with poor long-term survival. Suboptimal midterm results have been a growing concern in the surgical community. In recent years, our approach to repair those valves has evolved to a standardized technique using complete, rigid and small annuloplasty rings. This study aims to compare this systematic approach with our prior experience from 1996 –2001 where recurrent MR rate was high. Methods: 129 patients underwent repair for pure ischemic mitral valve regurgitation between 2002 and 2005 at our institution. Of these patients, 99 had clinical and echographic follow-up. These patients were compared to the 1996 –2001 cohort of 73 patients. Results: Preoperatively, 84% of patients were in NYHA class III or IV, 17% had moderate MR, 83% had moderate-severe to severe MR. Sixteen were redo operations, mostly of previous CABG. All patients except one were treated with a complete rigid ring (Annuloflo 46.5%, Physioring 34.9%, Etlogix 13.9%, others 3.8%). Ring size was: 24 (0.8%); 26 (55.8%); 28 (38%); or 30 (4.5%). Mortality was 8.5% at 30 days, 14.7% at 1 year and 17.8% at 2 years. Immediate postoperative regurgitation was absent or trace in all patients. Freedom from reoperation was 97%. Mean postoperative NYHA class was 1.15 at a mean follow-up of 28 months. Recurrent moderate mitral regurgitation (2+) was 15.34%, severe mitral regurgitation (3+ to 4+) was 13.4% at a mean follow-up of 16 months. In the 73 patients from the period 1996 –2001 at the same echo follow-up time, the moderate and severe recurrence were: 37% and 21%. The decrease in the recurrence rate was highly significant (p=0.001). Conclusion: A more standardized approach to ischemic mitral valve repair has improved the high recurrence rate previously reported by our group. Long-term follow-up is necessary to confirm these findings.

Causes of cardioembolic stroke

ESC CardioMed ◽  
2018 ◽  
pp. 957-959
Author(s):  
Stefan Hohnloser
Keyword(s):  
Primary Prevention ◽  
Recurrence Rate ◽  
Preventive Measures ◽  
Preventive Therapy ◽  
Sudden Onset ◽  
Cardioembolic Stroke ◽  
High Recurrence Rate ◽  
Recurrence Rates ◽  
Term Basis

Cardiogenic embolism is estimated to account for at least 20% of ischaemic strokes occurring each year worldwide. Strokes due to cardiac embolism are generally combined with greater severity, less favourable prognosis, and a particularly high recurrence rate, both on a short-term and on a long-term basis. In individual patients presenting with stroke, decreased consciousness at onset, sudden onset to maximal deficit, and simultaneous or sequential strokes in different arterial territories all increase the likelihood of a cardioembolic stroke. Cardioembolic stroke is largely preventable, emphasizing the need for primary prevention for major risk cardioembolic sources. Given the high recurrence rates of stroke in afflicted patients, secondary preventive measures are equally important. Details on the most effective primary and secondary preventive therapy are provided later in this chapter.

Lithium and SSRIs in long-term treatment of unipolar subjects with high recurrence rate

1997 ◽  
Vol 42 (1) ◽  
pp. 258S
Author(s):  
L. Franchini ◽  
M. Gasperini ◽  
J. Perez ◽  
E. Smeraldi ◽  
R. Zanardi
Keyword(s):  
Recurrence Rate ◽  
Term Treatment ◽  
High Recurrence Rate ◽  
Long Term Treatment

scholarly journals Endoscopic Bulking Materials for the Treatment of Vesicoureteral Reflux: A Review of Our 20 Years of Experience and Review of the Literature

2011 ◽  
Vol 2011 ◽  
pp. 1-7 ◽  
Author(s):  
Boris Chertin ◽  
Stanislav Kocherov ◽  
Leonid Chertin ◽  
Alaeddin Natsheh ◽  
Amicur Farkas ◽  
...  
Keyword(s):  
Recurrence Rate ◽  
Current Literature ◽  
Endoscopic Treatment ◽  
Long Term Results ◽  
High Recurrence Rate ◽  
Years Of Experience ◽  
Long Term Outcome ◽  
Term Efficacy ◽  
Endoscopic Correction

Purpose. We reviewed our 20 years of experience and the current literature regarding the long-term outcome of endoscopic treatment of vesicoureteric reflux (VUR) using the different tissue bulking substances with a special emphasis on the long-term efficacy.Material and Methods. Our own experience and the current literature on the long-term results after endoscopic treatment using various bulking agents were reviewed.Results. Short-term data following endoscopic treatment of VUR is similar to the various substances and comparable in the majority of the series to the success rate following open surgery. Recently, a relatively high recurrence rate was noticed especially with the use of dextranomer hyaluronic acid (Dx/HA) as a tissue augmenting material which raises the need for further search for alternative substances.Conclusions. Unfortunately, there is a significant shortage of evidence-based literature on the long-term followup after endoscopic correction of reflux with various substances. No doubt, there is a high recurrence rate during long-term followup after Dx/HA injection, and there is probably lack of proper evaluation regarding the long-term efficacy of other bulking materials. These facts demand long-term close observation and long-term studies beyond the routine protocols following endoscopic treatment of VUR and the correct parental counseling upon the endoscopic correction.

Outcomes of surgery for giant cell tumors of the tendon sheath within the hand.

2020 ◽  
Vol 92 (5) ◽  
pp. 1-5
Author(s):  
Andrzej Żyluk ◽  
Ada Owczarska
Keyword(s):  
Giant Cell ◽  
Recurrence Rate ◽  
Surgical Margin ◽  
Tendon Sheath ◽  
High Rate ◽  
High Recurrence Rate ◽  
Giant Cell Tumors ◽  
Proliferative Lesion

Giant cell tumor of the tendon sheath is the most common benign proliferative lesion involving the upper limb, characterised by relatively high recurrence rate after surgery. The objective of the study was a retrospective analysis of outcomes of the operative treatment of these tumours, in a long-term (a mean of 4,2 year) follow-up. Patients and methods. Preoperative examination was performed in 58 patients, 36 females (62%) and 22 males (38%), in a mean age of 41 years, and treatment outcomes were assessed in 47 persons (81% of the operated on), at a mean of 4,2 year follow-up. The final assessment was performed in a form of phone interview. Results. The tumours most frequently were located in fingers - 42 cases (72%). In 31 patients (53%) the lesion had well-defined capsule, and in 11 (19%) a satellite nodules were found around the main tumour. A total of 9 relapses (21%) occurred, all within first 2 years following surgery. Two patients had a next episode of recurrence after the second operation. In 8 out of the 9 patients with the recurrence, the primary lesion had not well-defined capsule. In 38 patients who had no relapse, 31 were completely symptom-free, whereas 7 complained from mild pain of the scar and/or numbness of the part of the involved finger. Conclusions. The main factor influencing the high rate of recurrence was incomplete tumour excision, what resulted from inadequately accurate surgery and the tumour morphology (having no well-defend capsule). The role of operating with the use of magnifying devices and keeping greater surgical margin at resection of the non-capsulated lesions was emphasised, what may translate into reducing of the recurrence rate.

Aggressive angiomyxoma of left buttock

2021 ◽  
Vol 14 (6) ◽  
pp. e241550
Author(s):  
Hassan Akram ◽  
Deanna Tran ◽  
Rafey Rehman ◽  
Zaid Al-Wahab
Keyword(s):  
Recurrence Rate ◽  
Hormonal Treatment ◽  
Final Diagnosis ◽  
Surrounding Tissue ◽  
High Recurrence Rate ◽  
Surgical Removal ◽  
Aggressive Angiomyxoma ◽  
Left Buttock ◽  
Pelvic Pressure

Aggressive angiomyxoma (AA) is a rare mesenchymal tumour that is characterised by increased incidence in women compared with men, local invasion to the surrounding tissue and high recurrence rate. A premenopausal woman presented to clinic with pelvic pressure, intermittent tingling in the thigh and pressure emptying the bladder. CT scan, vaginal and gluteal biopsies, and MRI scan were performed to conclude a final diagnosis of AA. The patient underwent complete resection of the mass. The mass tested positive for oestrogen receptor and progesterone receptor. The patient received leuprolide postoperatively to prevent recurrence. AA should be considered as a differential diagnosis for a pelvic and perineal mass. Patients should be warned of high recurrence rate, necessity of surgical removal and long-term hormonal treatment.

Rehabilitation After Hamstring-Strain Injury Emphasizing Eccentric Strengthening at Long Muscle Lengths: Results of Long-Term Follow-Up

2017 ◽  
Vol 26 (2) ◽  
pp. 131-140 ◽  
Author(s):  
Timothy F. Tyler ◽  
Brandon M. Schmitt ◽  
Stephen J. Nicholas ◽  
Malachy P. McHugh
Keyword(s):  
Recurrence Rate ◽  
Outcome Measures ◽  
Sports Medicine ◽  
Return To Sport ◽  
High Recurrence Rate ◽  
Hamstring Strain ◽  
Long Term Follow Up ◽  
Recurrent Injuries

Context:Hamstring-strain injuries have a high recurrence rate.Objective:To determine if a protocol emphasizing eccentric strength training with the hamstrings in a lengthened position resulted in a low recurrence rate.Design:Longitudinal cohort study.Setting:Sports-medicine physical therapy clinic.Participants:Fifty athletes with hamstring-strain injury (age 36 ± 16 y; 30 men, 20 women; 3 G1, 43 G2, 4 G3; 25 recurrent injuries) followed a 3-phase rehabilitation protocol emphasizing eccentric strengthening with the hamstrings in a lengthened position.Main Outcome Measures:Injury recurrence; isometric hamstring strength at 80°, 60°, 40°, and 20° knee flexion in sitting with the thigh flexed to 40° above the horizontal and the seat back at 90° to the horizontal (strength tested before return to sport).Results:Four of the 50 athletes sustained reinjuries between 3 and 12 mo after return to sport (8% recurrence rate). The other 42 athletes had not sustained a reinjury at an average of 24 ± 12 mo after return to sport. Eight noncompliant athletes did not complete the rehabilitation and returned to sport before initiating eccentric strengthening in the lengthened state. All 4 reinjuries occurred in these noncompliant athletes. At time of return to sport, compliant athletes had full restoration of strength while noncompliant athletes had significant hamstring weakness, which was progressively worse at longer muscle lengths (compliance × side × angle P = .006; involved vs noninvolved at 20°, compliant 7% stronger, noncompliant 43% weaker).Conclusion:Compliance with rehabilitation emphasizing eccentric strengthening with the hamstrings in a lengthened position resulted in no reinjuries.

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