Clinical observation of the patient with parasagittal meningioma at the level of the middle third of the superior sagittal sinus and falx is presented. When such tumors are removed, the main task is to prevent damage to the parasagittal veins, the injury of which can cause a persistent neurological defi cit in the postoperative period. A feature of this case is the complex use of advanced minimally invasive methods of angiographic diagnosis when planning surgical treatment, which signifi cantly increases the chances of a successful outcome of the operation.
Aim. Demonstration of potentials of preoperative planning and implementation of surgical resection in patients with adrenal cysts.
A clinical observation of a successful surgical treatment of a rare pathology cyst of the right adrenal is presented. The choice of surgical treatment tactics is determined by the size of tumor and clinical presentation of the disease. The surgical treatment was accomplished laparoscopically which permitted to reduce the time of recovery and rehabilitation of the patient. In this clinical observation, the benefit of using 3D-modeling of the surgical area was shown for visualization of topographic and anatomic peculiarities and facilitation of the intraoperative navigation with the help of Avtoplan program developed by Samara State Medical University.
Conclusion. Preoperative 3D-modeling permits to prepare to surgical intervention taking into account individual anatomic peculiarities of a patient, and to determine the optimal volume of the operation.
Abstract
Cervical C2-C3 herniated disc is rare. It is characterized by its clinical polymorphism. Several surgical approaches have been described for the discectomy of a herniated disc. This work aims at discussing through personal observations and literature review clinical semiology and surgical treatment.
The paraurethral cysts are benign cystic formations, the clinical symptoms of which vary depending on the size of the cyst. The presented clinical observation describes the clinical picture, stages of surgical treatment, and results of histological examination of a large paraurethral cyst in a 36-year-old woman. The review of modern methods of diagnostics and treatment of paraurethral formations in women is made.
The article is presented the description of rare clinical observation of the patient with pharyngeal lipofibroma complicated by compression syndrome, accompanied by impaired swallowing and breathing. The patient was successfully operated on with cervical access.
Clinical observation and surgical treatment of osteoma occupying several paranasal sinuses are presented.
Keywords: osteoma, paranasal sinuses, surgical treatment.
Repeated fracture of the femoral neck. Tactics of treatment. Clinical observation
