Surgical Interventions in Osteoarticular Infection—Indications, Procedures and Postoperative Management

2013 ◽  
pp. 30-30
Author(s):  
Alok Sud
Keyword(s):  
Postoperative Management ◽  
Osteoarticular Infection ◽  
Surgical Interventions

Endoscopic treatment of emergency conditions in gynecology: tactics and treatment

2020 ◽  
pp. 64-70
Author(s):  
V.I. Boyko ◽  
◽  
V.A. Terekhov ◽  
Keyword(s):  
Endoscopic Treatment ◽  
Abdominal Cavity ◽  
Medical Science ◽  
Operative Management ◽  
Postoperative Management ◽  
Abdominal Incision ◽  
Surgical Interventions ◽  
Advantages And Disadvantages ◽  
Prolonged Observation ◽  
The Right

Diagnosis and treatment of acute surgical diseases in gynecology, despite the modern achievements of medical science, has been and remains a difficult and responsible task. In urgent situations, there is always a danger of operating the patient when it was not necessary, or viewing the acute surgical process with prolonged observation, which contributes to the development of complications and even death of the patient. Often, not only health, but also the woman’s life depends on how quickly and correctly the doctor will orient in the situation and apply the right organizational and medical measures. The development of endoscopic technology has allowed us to go from a simple visual examination of the abdominal cavity and pelvic organs to complex surgical interventions without an abdominal incision, and in emergency conditions, in case of acute abdominal pathology, in most cases, resolve diagnostic doubts. The article describes the advantages and disadvantages of endoscopic treatment of the most common urgent gynecological pathologies, especially the postoperative management of patients, rehabilitation and preventive measures to restore their reproductive health. Key words: urgent gynecological conditions, ectopic pregnancy, laparotomy, laparoscopy, semi-operative management, rehabilitation, prevention.

scholarly journals Propofol-Associated Priapism in a Prepubescent Pediatric Patient

2019 ◽  
Vol 6 ◽  
pp. 2333794X1985973
Author(s):  
Cody Savoie ◽  
Veena Rajanna ◽  
Paras Khandhar
Keyword(s):  
Muscle Relaxation ◽  
Pediatric Intensive Care ◽  
Postoperative Management ◽  
Low Flow ◽  
Smooth Muscle Relaxation ◽  
Flow State ◽  
Sedative Medication ◽  
Surgical Interventions ◽  
Laryngotracheal Reconstruction ◽  
Urological Emergency

Introduction. Propofol is a commonly used sedative medication for procedural sedation with a limited side effect profile. Although well tolerated with minimal adverse reactions, uncommon side effects have been reported. Methods. Case report of priapism in a 9-year-old male following the use of propofol for sedation in the pediatric intensive care unit (PICU) setting. The patient was admitted to the PICU for postoperative management following laryngotracheal reconstruction. On postoperative day 2, our patient was initiated on continuous infusion of propofol and he developed priapism. Propofol was then immediately discontinued, and the priapism quickly resolved without any medical or surgical interventions. Results. Priapism is a low-flow state and is considered a urological emergency requiring prompt recognition, withdrawal of suspected offending agents, and possible need for urologic consultation to alleviate complications. Although rare, priapism with propofol has been reported but never in a prepubescent male. The mechanism of propofol-associated priapism is not well understood, but it is thought that it may result from an autonomic system imbalance, leading to an increase in parasympathetic activity. In addition, propofol has been shown to affect nitric oxide–mediated smooth muscle relaxation. In our patient, we suspected propofol to be contributing factor to his priapism based on the temporal relationship between the initiation of the medication and symptoms and resolution of symptoms after propofol discontinuation. Discussion. Given the expansive use of propofol in pediatrics for sedation and anesthesia, pediatric clinicians should be cognizant of this rare adverse effect in pediatric patients with potentially disastrous complications.

Staged Male Bladder Exstrophy Repair

2019 ◽  
Author(s):  
Timothy S. Baumgartner ◽  
John P. Gearhart
Keyword(s):  
Bladder Exstrophy ◽  
Pelvic Osteotomy ◽  
Postoperative Management ◽  
Urinary Continence ◽  
Antireflux Procedure ◽  
Surgical Interventions ◽  
Urethral Closure ◽  
Bladder Neck Reconstruction ◽  
Selection For ◽  
Primary Bladder

This chapter details the latest surgical advances and outcomes in the modern surgical management of male classic bladder exstrophy to include patient selection for closure, operative considerations, newborn primary bladder and posterior urethral closure, early epispadias repair, bladder neck reconstruction with an antireflux procedure, and postoperative management. It highlights how to achieve the primary objectives of (1) a secure abdominal closure, (2) reconstruction of a functional and cosmetically acceptable penis, and (3) urinary continence with the preservation of renal function. In addition, it addresses the most common pitfalls and challenges encountered when accomplishing each of the major surgical interventions. This review contains 3 figures, 5 tables, and 47 references. Key Words: Congenital defect, Bladder exstrophy, Epispadias, Reconstruction, Urinary Continence, Magnetic Resonance Imaging, Pain management, Pelvic osteotomy

Surgical management of spinal deformities in cerebral palsy

2010 ◽  
Vol 13 (6) ◽  
pp. 672-685 ◽  
Author(s):  
Sean M. Jones-Quaidoo ◽  
Scott Yang ◽  
Vincent Arlet
Keyword(s):  
Cerebral Palsy ◽  
Nutritional Status ◽  
Multidisciplinary Approach ◽  
Surgical Techniques ◽  
Pedicle Screws ◽  
Postoperative Management ◽  
Pelvic Obliquity ◽  
Spinal Deformities ◽  
Surgical Interventions ◽  
Sacropelvic Fixation

Cerebral palsy (CP) spinal deformities encompass a spectrum of deformities that are often initially treated nonoperatively, only to result in progression of scoliotic curves and further morbidity. Various surgical interventions have been devised to address the progressive curvature of the spine. This endeavor cannot be taken lightly and at times can be encumbered by prior treatments such as the use of baclofen pumps or dorsal rhizotomies. Care of these patients requires a multidisciplinary approach and comprehensive preoperative and postoperative management, including nutritional status, orthopedic assessment of functional level with specific emphasis on the hips and pelvic obliquity, and wheelchair modifications. The surgical techniques in CP scoliosis have progressively evolved from the classic Luque-Galveston fixation methods, the use of unit rods, and lately the use of pedicle screws, to modern sacropelvic fixation. With the latter method, the spinal deformity in patients with CP can usually be almost completely corrected.

scholarly journals Regeneration of ciliated epithelium of nasal cavity in normal conditions and after surgery

2021 ◽  
Vol 20 (1) ◽  
pp. 78-88
Author(s):  
M. A. Zavalii ◽  
◽  
A. N. Orel ◽  
T. A. Krylova ◽  
A. G. Balabantsev ◽  
...  
Keyword(s):  
Wound Healing ◽  
Nasal Mucosa ◽  
Transforming Growth Factor Beta ◽  
Transforming Growth Factor ◽  
Postoperative Management ◽  
Surgical Interventions ◽  
Functional Changes ◽  
Intranasal Surgery ◽  
Nasal Pathology ◽  
Different Levels

The problem of postoperative management of patients after surgical interventions on intranasal structures is still actual. Statistically the frequency of nasal pathology that required surgical correction is on rise. These facts stimulate to make an analysis of wound healing processes of nasal mucosa and triggers that influence on these processes. In this paper morphological and functional changes of nasal mucosa during different pathological conditions are observed. The wound healing is regulated on different levels and one of the most significant role some tissue and cells mediators are played. The effects of transforming growth factor beta (TGF-b) and matrix metalloproteinases (MMP) on nasal mucosa regeneration are shown based on literature search. Possibility of correction of these substances for better and faster restoring of nasal mucosa after intranasal surgery is discussed.

scholarly journals SURGICAL TREATMENT AND POSTOPERATIVE MANAGEMENT OF PATIENTS WITH BROAD FOREFOOT

2017 ◽  
Vol 2 (3) ◽  
pp. 55-57
Author(s):  
DA A Rasputin
Keyword(s):  
Surgical Treatment ◽  
Postoperative Management ◽  
Long Term Results ◽  
Long Term Outcomes ◽  
Surgical Interventions ◽  
New Methods ◽  
Results Of Treatment ◽  
Based Medicine

The article considers the problem of broad forefoot, which is one of the most frequent deformities of the musculoskeletal system. Aim - to improve the results of treatment of patients with transverse platypodia by the use of new methods of surgical interventions, and to improve the tactics of postoperative management of such patients. Material and methods. The study involved analysis of the results of treatment of 375 patients. For evaluating the long-term outcomes of treatment, methods of evidence-based medicine were used, reflecting a reduction in the relative risk of interventions and an increase in their relative benefit. Results. The study of the long-term results of treatment showed that there were good and satisfactory outcomes in 92.7% cases (267 patients) and only 7.3% of unsatisfactory results (21 patients) in the main group; in comparison group - 74.7% (65 patients) and 25.3% (22 patients) respectively. The evaluation of the adequacy of anesthesia on the first day after the operation revealed good and satisfactory quality of anesthesia in the first group in 89.9% patients (259), in the second - only in 55.2% patients (48). Conclusion. The use of the above mentioned methods of surgical treatment and enhancement of tactics of postoperative management improve outcomes of patients with transverse flatfoot, and, consequently, are recommended for widespread use in clinical practice.

Preoperative and Postoperative Management of the Body Contour Patient

1996 ◽  
Vol 16 (4) ◽  
pp. 218-223
Author(s):  
R. Rohrich ◽  
P. B. Fodor ◽  
J. J. Petry ◽  
P. Vash
Keyword(s):  
Postoperative Management ◽  
The Body ◽  
Body Contour

The association of gynaecological malignancies with hemorheological parameters during the surgical interventions

2016 ◽  
Vol 76 (10) ◽  
Author(s):  
P Pinidis ◽  
A Liberis ◽  
Z Koukouli ◽  
P Naoumis ◽  
C Bouschanetsis ◽  
...  
Keyword(s):  
Surgical Interventions ◽  
Gynaecological Malignancies

Kirschner-Ehmer Device Alone to Stabilize Caudal Lumbar Fractures in Small Dogs

1991 ◽  
Vol 4 (04) ◽  
pp. 112-115 ◽  
Author(s):  
Julia Blackmore ◽  
Lesley Phillips
Keyword(s):  
General Anaesthesia ◽  
Broad Spectrum ◽  
Healing Process ◽  
Postoperative Management ◽  
Lumbar Fractures ◽  
Systemic Antibiotics

SummaryA Kirschner-Ehmer device was used to stabilize caudal lumbar fractures/luxations in three dogs weighing 12 kg or less. A through and through Kirschner-Ehmer device maintained alignment during the healing process using the appropriate sized rods and clamps. Postoperative management included strict cage confinement and oral broad spectrum systemic antibiotics for up to two weeks after removal of the Kirschner-Ehmer device. In all three cases, the fractures/luxations were healed within six to eight weeks. The Kirschner-Ehmer device could then be removed with sedation or general anaesthesia.

Antiplasmin Deficiency in Polycythaemia: a Form of Thrombopathy

1961 ◽  
Vol 06 (03) ◽  
pp. 445-461 ◽  
Author(s):  
S. I de Vries ◽  
M. A. J Braat-van Straaten ◽  
E Müller ◽  
M Wettermark
Keyword(s):  
Fibrinolytic Activity ◽  
Alcoholic Extract ◽  
Surgical Interventions ◽  
Fallot's Tetralogy ◽  
Naturally Occurring ◽  
Fallot’S Tetralogy

SummaryA marked fibrinolytic activity could be demonstrated in the blood of 10 patients with polycythaemia. In these cases fibrinolysis was considered the result of a deficiency an antiplasmin. It could be demonstrated that this naturally occurring inhibitor of fibrinolysis is present in normal platelets but is lacking in the patient’s own thrombocytes. This factor is probably attached to the surface of the thrombocytes. It could be removed by repeatedly washing. Lack of antiplasmin is a dysfunction of platelets and a form of thrombopathy. It does not respond on treatment with ACA or prednisone. In primary polycythaemia busulfan (Myleran) was considered to be the treatment of choice, whereas in 1 case of secundary erythrocytosis (Fallot’s tetralogy) the reaction on unroasted peanuts was unmistakable. In 4 more patients an alcoholic extract of peanuts was given, and promising results were obtained in 3 of them. The importance of this “thrombopathic type’ of fibrinolysis has been pointed out especially in view of surgical interventions.

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