SURGICAL MANAGEMENT OF DEPIGMENTATION IN HYPERPIGMENTATION WITH SCRAPPING METHOD USING SURGICAL SCALPEL

2021 ◽  
Vol 17 (2) ◽  
pp. 74-79
Author(s):  
Ida Bagus Dhedy Widyabawa ◽  
◽  
Agus Gede Sutamaya ◽  
Keyword(s):  
Soft Tissue ◽  
Case Management ◽  
Surgical Management ◽  
Male Patient ◽  
Surgical Procedure ◽  
Melanin Pigmentation ◽  
Diamond Drill ◽  
Pathological Conditions ◽  
Surgical Methods ◽  
Gingival Depigmentation

Introduction:The color of healthy gingiva is often influenced by melanin pigmentation as an abnormal deposition of melanocytes located in basal and suprabasal cells. Gingival hyperpigmentation that exceeds normal causes a variety of physiological and pathological conditions. Gingival depigmentation is a periodontal surgical procedure to remove or reduce gingival hyperpigmentation by various techniques to improve aesthetics. The procedures include the use of chemicals such as 90% phenol, diamond drill abrasion, gingivectomy, soft tissue autograft, partial thickness flap, cryosurgery and laser. Case: A 19-year-old male patient came to periodontist office, after an examination he had Smoker's melanosis hyperpigmentation in the upper anterior region. Case Management: The patient was given depigmentation surgery using the scrapping method using a scalpel No. 15c.Discussion: Surgical management of gingival depigmentation with scrapping provides good esthetic results. Conclusion: It is necessary to take a proper history and adequate examination and be wise in determining the various surgical methods of depigmentation.

Juvenile idiopathic arthritis: surgical management

2011 ◽  
Author(s):  
Nicholas D. Riley ◽  
A. Hashemi–Nejad
Keyword(s):  
Juvenile Idiopathic Arthritis ◽  
Soft Tissue ◽  
Surgical Management ◽  
Surgical Procedure ◽  
Articular Surface ◽  
Normal Growth ◽  
Operative Management ◽  
Soft Tissue Release ◽  
Non Operative Management

♦ Approximately 10% of juvenile idiopathic arthritis cases will require a surgical procedure♦ Non-operative management aims to prevent deformity, promote normal growth, and maintain function♦ Perioperative problems must be anticipated and managed appropriately♦ Deformity may be treated by soft tissue release and/or osteotomy♦ Synovectomy may be useful if the articular surface is well-preserved♦ Arthrodesis is rarely indicated except in the wrist/hand♦ Arthroplasty is successful in restoring function.

scholarly journals Penatalaksanaan Perawatan Hiperpigmentasi Pada Gingiva Dengan Metode Scrapping Menggunakan Pisau Bedah: Studi Kasus

2019 ◽  
Vol 5 (2) ◽  
Author(s):  
Nita Nurniza ◽  
Ina Hendiani ◽  
Yanti Rusyanti ◽  
Agus Susanto
Keyword(s):  
Female Patient ◽  
Surgical Management ◽  
Male Patient ◽  
Melanin Pigment ◽  
Smoking Habits ◽  
Surgical Method ◽  
Gingival Depigmentation

Hyperpigmentation is a disorder of the gingiva caused by various factors including heredity, disease, drugs, smoking habits. This can occur because of the accumulation of melanin pigment in the basal gingival layer resulting in a brownish or blackish color on the surface of the gingiva which when viewed aesthetically is not good because it is not like the normal gingival color of coral pink. Objective: to get the gingival color back to normal, namely coral pink. Management in cases of pigmentation using the surgical method by scrapping using a scalpel No.15. In this study there were 3 cases, namely, case 1, a 20-year-old female patient had genetic or genetic hyperpigmentation. Case 2, a 27-year-old male patient had genetic or genetic hyperpigmentation. Case 3, a 24-year-old female patient had gingival pigmentation due to smoking habits. The results of surgical management in all three cases, namely the gingival depigmentation method by scrapping gave a good esetetic result, but for gingival hyperpigmentation in cases 1 and 2 it could recur later.

Achilles Tenorrhaphy in Five Dogs: A Modified Surgical Technique and Evaluation of a Cranial Half Cast

1998 ◽  
Vol 11 (04) ◽  
pp. 205-210 ◽  
Author(s):  
H. Burbidge ◽  
E. Firth ◽  
S. Fox ◽  
S. Guerin
Keyword(s):  
Soft Tissue ◽  
Surgical Technique ◽  
Surgical Procedure ◽  
Normal Function ◽  
Surgical Reconstruction ◽  
Bone Apposition ◽  
Cast Material ◽  
Bilateral Lesions ◽  
Bone Tunnels

SummaryAchilles mechanism rupture in four of five dogs was treated with tenorrhaphy using a modified surgical technique designed to optimise accurate apposition of tendon to bone. Two bone tunnels were drilled in the calcaneal tuber from a plantomedial - dorsolateral, and plantolateral – dorsomedial direction respectively. The distal ends of the tendons were sutured to the calcaneal tuber using a Krachow suture pattern. The remaining dog had a mid-tendon Achilles mechanism rupture. A resinous half cast was placed on the cranial aspect of the tarsocrural joint of all five dogs, for a minimum of six weeks, in order to provide limited post operative support. Du e to insufficient cast material two of the support splints failed and one of these cases also required a second surgical procedure. A varying amount of soft tissue irritation was noted in each case. All of the five Achilles mechanisms healed, and all of the dogs returned to normal function.Five dogs with surgical reconstruction of the Achilles mechanism were stabilised postoperatively with a resinous half cast placed on the cranial aspect of the tarsocrural joint for a minimum of six weeks. Two of these casts failed at the tarsocrural joint when six folds of casting material were used; all subsequent cases had eight folds applied. Variable soft tissue irration was observed under the cast in each case. A modified surgical technique using a Krachow suture pattern allowed good tendon-bone apposition. All five Achilles mechanisms healed, and all dogs returned to normal function. Bilateral lesions were identified in 3 of the 4 dogs examined.

scholarly journals 592 Surgical Management of Open Tibia Fractures at A Major Trauma Centre: A Review of Cases Over A One-Year Period

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
A Khajuria
Keyword(s):  
Soft Tissue ◽  
Surgical Management ◽  
Open Fracture ◽  
Major Trauma ◽  
Trauma Centre ◽  
Soft Tissue Coverage ◽  
Internal Stabilization ◽  
Major Trauma Centre ◽  
Tibia Fractures ◽  
One Year

Abstract Introduction The BOAST/BAPRAS updated the open fracture guidelines in December 2017 to replace BOAST 4 Open fracture guidelines; the changes gave clearer recommendations for timing of surgery and recommendations for reducing infection rates. Method Our work retrospectively evaluates the surgical management of open tibia fractures at a Major Trauma Centre (MTC), over a one-year period in light of key standards (13,14 and 15 of the standards for open fractures). Results The vast majority of cases (93%) had definitive internal stabilization only when immediate soft tissue coverage was achievable. 90% of cases were not managed as ‘clean cases’ following the initial debridement. 50% of cases underwent definitive closure within 72 hours. The reasons for definitive closure beyond 72hours were: patients medically unwell (20%), multiple wound debridement’s (33%) and no medical or surgical reason was clearly stated (47%). Conclusions The implementation of a ‘clean surgery’ protocol following surgical debridement is essential in diminishing risk of recontamination and infection. Hence, this must be the gold standard and should be clearly documented in operation notes. The extent of availability of a joint Orthoplastic theatre list provides a key limiting step in definitive bony fixation and soft tissue coverage of open tibia fractures.

Surgical management of soft tissue tumors of the abdominal wall: A retrospective study in a high‐volume sarcoma center

2021 ◽  
Author(s):  
Maud Neuberg ◽  
Olivier Mir ◽  
Antonin Levy ◽  
Isabelle Sourrouille ◽  
Sarah Dumont ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Soft Tissue ◽  
Abdominal Wall ◽  
Surgical Management ◽  
High Volume ◽  
Soft Tissue Tumors

scholarly journals Blister like aneurysm: a review about its surgical management / Aneurismas blister-like: uma revisão sobre seu manejo cirúrgico

2019 ◽  
Vol 64 (2) ◽  
pp. 131
Author(s):  
Rodrigo Salmeron de Toledo Aguiar ◽  
Guilherme Brasileiro de Aguiar ◽  
Rafael Gomes dos Santos ◽  
André Freitas Nunes ◽  
Renan Maximilian Lovato ◽  
...  
Keyword(s):  
Surgical Management ◽  
Intracranial Aneurysms ◽  
Surgical Techniques ◽  
Vascular Lesion ◽  
High Morbidity ◽  
Good Efficiency ◽  
Treatment Techniques ◽  
Pubmed Database ◽  
Surgical Methods ◽  
Ruptured Intracranial Aneurysms

ABSTRACT Introduction: Blister aneurysms are of uncertain pathogenesis and are a vascular lesion located in the brain. Overall, they represent 0.3% - 1.0% of all intracranial aneurysms and 0.9% - 6.5% of ruptured intracranial aneurysms. They are associated with high morbidity and mortality. Even with the first description being from 1969, there is still debate in the literature about which type of treatment is the best: surgical or endovascular. In this review, we focus on the surgical management. Method: The authors performed a review of available surgical techniques used for blood blister-like aneurysms treatment. Pubmed database was used as search source introducing blister-like aneurysm and blister aneurysms as keywords. The most relevant articles and those that focused on surgical treatment techniques were selected. Discussion: The most used surgical methods are clipping, trapping, wrapping and bypass. As main features of each technique, we can highlight clipping with good efficiency, when there is good neck exposure; trapping being employed in ruptured aneurysm; wrapping for avulsion and bypass that promotes vascularization to the distal territory of the aneurysm. Conclusion: The endovascular method has shown to be promising and efficient. However, different surgical techniques are still being employed based on their efficiency when facing certain surgical scenarios.Keywords: Neurosurgery, Subarachnoid hemorrhage, Intracranial aneurysm, Endovascular proceduresRESUMOIntrodução: Aneurismas cerebrais blister-like são lesões vasculares de patogenia incerta. De modo geral, representam 0.3%-1.0% de todos aneurismas intracranianos e 0.9% - 6.5% dos aneurismas intracranianos que rompem. Estão associados a alta morbimortalidade. Mesmo com a primeira descrição sendo de 1969, ainda há debate na literatura sobre qual tipo de tratamento é o melhor: cirúrgico ou endovascular. Nessa revisão, focamos no tratamento cirúrgico. Métodos: Os autores realizaram uma revisão das técnicas cirúrgicas utilizadas para tratamento de aneurismas blister-like. A plataforma Pubmed foi utilizada para a pesquisa das palavras chaves “blister-like aneurysm” e “blister aneurysm”. Os artigos de maior relevância e aqueles que enfatizam as técnicas cirúrgicas foram selecionados. Discussão: Os métodos cirúrgicos empregados são clipagem, trapping, wrapping e bypass. Quanto às características de cada método, podemos salientar a eficácia da clipagem, quanto melhor for a exposição do aneurisma; o uso do trapping em situações de rompimento do aneurisma; wrapping para casos em que houve avulsão do aneurisma e by-pass que promove a vascularização distal ao aneurisma. Conclusão: O método endovascular tem se mostrado promissor e efetivo. No entanto, as diferentes técnicas cirúrgicas ainda são empregadas e defendidas devido a sua eficiência frente certos cenários cirúrgicos.Descritores: Neurocirurgia, Hemorragia subaracnóidea, Aneurisma intracraniano, Procedimentos endovasculares

scholarly journals Surgical management of soft tissue sarcomas of the hand and foot

Cancer ◽  
2002 ◽  
Vol 95 (4) ◽  
pp. 852-861 ◽  
Author(s):  
Patrick P. Lin ◽  
Volkan B. Guzel ◽  
Peter W. T. Pisters ◽  
Gunar K. Zagars ◽  
Kristin L. Weber ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Surgical Management ◽  
Soft Tissue Sarcomas

The Birmingham bone anchored hearing aid programme: surgical methods and complications

1996 ◽  
Vol 110 (21) ◽  
pp. 7-12 ◽  
Author(s):  
David W. Proops
Keyword(s):  
Soft Tissue ◽  
Hearing Aids ◽  
Hearing Aid ◽  
Surgical Method ◽  
Surgical Methods ◽  
Bone Anchored Hearing Aid

AbstractSince 1988, 309 patients have been referred to the Birmingham bone anchored hearing aid programme for assessment. One hundred and eighty-eight have been fitted with bone anchored hearing aids (BAHA). Of these 169 have been fitted with a BAHA alone and 20 with a BAHA and auricular prosthesis(es).Only four (2.1 per cent) are not wearing their BAHAs. Three cases because the hearing had continued to deteriorate and in one case because of repeated failure to integrate. Nineteen patients (10.1 per cent) have lost fixtures but all but one of these have been successfully reimplanted. Of these 19 patients 10 (52.6 per cent) were syndromal and 10 (52.6 per cent) were under 16 years of age.A surgical method has been evolved both to cope with predictable failure of integration and soft tissue control.

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