scholarly journals Successful Outcome of Refractory Chronic Constipation by Surgical Treatment: A Series of 34 Patients

2013 ◽  
Vol 19 (1) ◽  
pp. 78-84 ◽  
Author(s):  
Ashok Kumar ◽  
HM Lokesh ◽  
Uday C Ghoshal
Keyword(s):  
Surgical Treatment ◽  
Chronic Constipation ◽  
Successful Outcome

scholarly journals Preoperative evaluation of the venous system during the surgery of parasagittal meningioma

2019 ◽  
Vol 10 (1) ◽  
pp. 79-83
Author(s):  
Yury G. Yakovlenko ◽  
Vladimir A. Moldovanov ◽  
Larisa V. Araslanova ◽  
Igor M. Blinov ◽  
Olga P. Suhanova
Keyword(s):  
Surgical Treatment ◽  
Clinical Observation ◽  
Superior Sagittal Sinus ◽  
Preoperative Evaluation ◽  
Successful Outcome ◽  
Main Task ◽  
Sagittal Sinus ◽  
Minimally Invasive Methods ◽  
Parasagittal Meningioma ◽  
Angiographic Diagnosis

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.

scholarly journals CHRONIC CONSTIPATION AND ITS MEDICAL AND SURGICAL TREATMENT

BMJ ◽  
1905 ◽  
Vol 1 (2309) ◽  
pp. 700-702 ◽  
Author(s):  
W. A. Lane
Keyword(s):  
Surgical Treatment ◽  
Chronic Constipation

scholarly journals Surgical Treatment for Chronic Constipation

2019 ◽  
Vol 72 (10) ◽  
pp. 628-634
Author(s):  
Akira Tsunoda ◽  
Tomoko Takahashi
Keyword(s):  
Surgical Treatment ◽  
Chronic Constipation

scholarly journals Anterior Shoulder Instability in the Professional Athlete: Return to Competition, Time to Return, and Career Length

2020 ◽  
Vol 8 (11) ◽  
pp. 232596712095972
Author(s):  
Travis J. Dekker ◽  
Brandon Goldenberg ◽  
Lucca Lacheta ◽  
Marilee P. Horan ◽  
Peter J. Millett
Keyword(s):  
Surgical Treatment ◽  
Shoulder Instability ◽  
Bankart Repair ◽  
Professional Athletes ◽  
Successful Outcome ◽  
Anterior Shoulder Instability ◽  
Shoulder Stabilization ◽  
Arthroscopic Bankart Repair ◽  
The Mean ◽  
Return To Competition

Background: Anterior shoulder instability is a common condition in professional athletes, yet little is known about the success of surgery. Return to competition (RTC) is a metric indicative of a successful outcome for professional athletes who undergo anterior shoulder stabilization surgery. Purpose: To determine the rate of RTC, time to RTC, recurrence rate, and length of career after surgery in professional athletes who had undergone surgical treatment for anterior shoulder instability. Study Design: Case series; Level of evidence, 4. Methods: We evaluated professional athletes who underwent surgical treatment for anterior shoulder instability by a single surgeon between 2007 and 2018. Data from patients’ medical records, a patient data registry, basic search engines, sports websites, and individual team websites were used to determine length of professional play before injury, duration of career after surgery, and RTC level. Results: Overall, 23 professional athletes (25 shoulders from 12 contact and 13 noncontact athletes) were identified. The mean age at the time of surgery was 24.3 ± 4.9 years (range, 16-35 years). Primary procedures included arthroscopic Bankart repair (76%; 19/25), open Latarjet (20%; 5/25), and bony Bankart repair (4%; 1/25). Of the 23 athletes, 22 returned to their previous level of competition (96%; 95% CI, 78%-100%). The mean time between surgery and RTC was 4.5 months (range, 3-8 months). There was no difference in time to RTC between contact and noncontact athletes (4.1 vs 4.4 months). There was no difference in RTC rates and time to return for players who received a Bankart repair versus a Latarjet procedure (4.6 vs 4.2 months). A total of 12 participants were still actively engaged in their respective sport at an average of 4.3 years since surgery, while 11 athletes went on to retire at an average of 4.8 years. Duration of play after surgery was 3.8 years for contact athletes and 5.8 years for noncontact athletes ( P > .05). Conclusion: In this series, professional athletes who underwent surgical shoulder stabilization for the treatment of anterior glenohumeral instability returned to their presurgical levels of competition at a high rate. No differences in RTC rate or time to RTC were observed for contact versus noncontact athletes or for those who received arthroscopic Bankart repair versus open Latarjet. However, contact athletes had shorter careers after surgery than did noncontact athletes.

scholarly journals Transanal Irrigation for Neurogenic Bowel Disease, Low Anterior Resection Syndrome, Faecal Incontinence and Chronic Constipation: A Systematic Review

2021 ◽  
Vol 10 (4) ◽  
pp. 753
Author(s):  
Mira Mekhael ◽  
Helle Ø Kristensen ◽  
Helene Mathilde Larsen ◽  
Therese Juul ◽  
Anton Emmanuel ◽  
...  
Keyword(s):  
Systematic Review ◽  
Predictive Factors ◽  
Anterior Resection ◽  
Chronic Constipation ◽  
Low Anterior Resection ◽  
Bowel Function ◽  
Bowel Dysfunction ◽  
Successful Outcome ◽  
Low Anterior Resection Syndrome ◽  
Neurogenic Bowel

Transanal irrigation (TAI) has received increasing attention as a treatment option in patients with bowel dysfunction. This systematic review was conducted according to the PRISMA guidelines and evaluates the effect of TAI in neurogenic bowel dysfunction (NBD), low anterior resection syndrome (LARS), faecal incontinence (FI) and chronic constipation (CC). The primary outcome was the effect of TAI on bowel function. Secondary outcomes included details on TAI, quality of life (QoL), the discontinuation rate, adverse events, predictive factors for a successful outcome, and health economics. A systematic search for articles reporting original data on the effect of TAI on bowel function was performed, and 27 eligible studies including 1435 individuals were included. Three randomised controlled trials, one non-randomised trial, and 23 observational studies were included; 70% of the studies were assessed to be of excellent or good methodological quality. Results showed an improvement in bowel function among patients with NBD, LARS, FI, and CC with some studies showing improvement in QoL. However, discontinuation rates were high. Side effects were common, but equally prevalent among comparative treatments. No consistent predictive factors for a successful outcome were identified. Results from this review show that TAI improves bowel function and potentially QoL; however, evidence remains limited.

scholarly journals Chronic constipation: modern view on the problem. A review

2021 ◽  
Author(s):  
I. M. Leshchyshyn ◽  
Y. M. Susak ◽  
O. I. Okhots’ka ◽  
P. L. Byk ◽  
L. Y. Markulan ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Surgical Treatment ◽  
Chronic Constipation ◽  
Treatment Method ◽  
Slow Transit Constipation ◽  
Adequate Treatment ◽  
Wide Range ◽  
Slow Transit ◽  
Transit Constipation

Chronic constipation is a frequently diagnosed heterogeneous pathology that significantly impairs the quality of life in all population groups and its frequency increases with age. It commonly affects up to 10 — 15  % of the population. There are numerous classifications of constipation due to a great number of disorders that cause it. The types of constipation are identified based on the etiology or mechanism of its development. Different criteria are used to specify the categorization of constipation, but it is still difficult to find one general classification including all types of constipation. The Rome IV criteria categorize disorders of chronic constipation into four subgroups. The treatment depends on the subtype. The significant increase of constipation cases is observed nowadays. This disorder is facilitated by a sedentary lifestyle, insufficient amount of fiber and fluid in the diet, a wide range of diseases that directly lead to the development of chronic constipation, congenital and acquired pathologies, abnormal intake of laxatives and opioids or a combination of these factors. Despite numerous publications on slow transit constipation, the latter is still the subject of research for many specialists. A lot of recent scientific works have been dedicated to the immunohistochemical studies of interstitial pacemaker cells. The numbers of markers they express were found. Consequently, the investigations of modern scientists are aimed to develop and implement new laboratory methods for determining the indications for surgical treatment depending on a diagnosed disorder of the intestinal neurophysiology. These methods will ensure a differentiated selection of patients for surgical treatment. The step approach to the diagnosis of chronic constipation allows choosing an adequate treatment method in order to improve symptoms, the quality of life, and patient satisfaction. The literature review indicates that surgery still remains the most radical treatment method for patients with slow transit constipation.  

scholarly journals Features of the clinic, diagnosis and tactics of surgical treatment of Hirshprung's disease in infants

2021 ◽  
pp. 32-37
Author(s):  
B.B. Ergashev ◽  
◽  
U.A. Khamroev ◽  
Keyword(s):  
Surgical Treatment ◽  
Early Diagnosis ◽  
Chronic Constipation ◽  
Hirschsprung's Disease ◽  
Hirschsprung’S Disease ◽  
Clinical Course ◽  
Abdominal Cavity ◽  
Transitional Zone ◽  
Excretory Urography ◽  
General Physical

The aim is to present optimal ways of early diagnosis and tactics of Hirschsprung's disease (HD) surgical correction in newborns and young children based on literature data and our own experience. Materials and methods. Clinical observations on early diagnosis and optimization of the tactics of surgical treatment of HD in 58 infants over the past 9 years have been carried out. All patients underwent a complex of general physical examinations, including the collection of anamnesis and follow-up of patients, clinical examination with rectal examination, laboratory, bacteriological, radiological (survey, polypositional irrigography) and morphological (intraoperatively remote area of the colon agangliosis zone) studies. The features of the clinical course and tactics of surgical treatment of HD in infants, the choice of the surgical method were analyzed, and the risk of complications during the operation was studied. The patients were divided into two groups. The first group included 32 (55.2%) infants with a typical clinical course of HD, radiographically confirmed agangliosis in the rectosigmoid zone, and chronic constipation. The second group included 26 (44.8%) infants with an atypical clinical course of HD with diarrheal syndrome against the background of dysbiosis, enterocolitis, among them there were 2 children with symptoms of Hirschsprung-associated enterocolitis. Research methods: General clinical and biochemical analysis of blood and urine. Scatological examination of feces, sowing on the pathogenic flora of feces and urine. EKG. Ultrasound examination of the abdominal cavity and echocardiography. X-ray examination: an overview roentgenogram of the abdominal and thoracic cavity vertically, irrigoraphy, excretory urography. Results and conclusions. In newborns with sub- and decompensated typical course of chronic constipation in the absence of the effect of conservative therapy, after the diagnosis of HD is established, an early radical operation or colostomy application above the agangliosis zone is recommended. In infants with a favorable typical clinical course and a left-sided form of HD, transanal endorectal reduction of the large intestine (TENTC) can be performed according to indications, starting from one month of age. In this case, the operation of choice is TENTK without colostomy. In subtotal and rectosigmoidal forms of HD with a long aganglionic zone, laparoscopic assistance is recommended, which makes it possible to release the splenic flexure of the colon from ligaments and constrictions, take a full-thickness biopsy of the transitional zone of aganglionicosis, and this makes it possible to conduct express diagnostics, establish resection levels and freely lower the proximal area colon during TENTC. The research was carried out in accordance with the principles of the Helsinki Declaration. The study protocol was approved by the Local Ethics Committee of all participating institution. The informed consent of the patient was obtained for conducting the studies. No conflict of interest was declared by the authors. Key words: Hirschsprung’s disease, clinic, infants, trans anal colon reduction.

scholarly journals Chronic constipation: diagnostics and surgical treatment issues

2015 ◽  
Vol 96 (6) ◽  
pp. 1004-1009
Author(s):  
A V Kostyrnoy ◽  
E R Shevketova
Keyword(s):  
Surgical Treatment ◽  
Chronic Constipation ◽  
Anorectal Function ◽  
Function Evaluation ◽  
Surgical Interventions ◽  
Assessment Tests ◽  
Long Time ◽  
Functional Features ◽  
Low Efficiency ◽  
Selection Of

The article reviews chronic constipation diagnostics and treatment issues. According to the russian and foreign authors data, chronic constipation is a common pathology, which requires an individual approach to the patient and a spacious approach to a diagnostics and treatment problem. Chronic constipation syndrome feature is the delicacy of the problem which makes patients do not seek medical help for a long time, abuse laxatives, trying to eliminate the consequence but not the cause of a latent disease which leads to constipation. The article gives constipation syndrome definition from modern positions and its main classifications, considers the commonest risk factors for chronic constipation in clinical practice. It presents the different pathogenesis theories of the constipation syndrome. Various methods of the intestine anatomical and functional features instrumental diagnostics, as well as anorectal function assessment tests are described. Chronic constipation medicamental treatment results are given. Views on the colostasis resistant forms surgical treatment and different approaches to the selection of surgery type are covered. It is concluded that the chronic constipation problem remains relevant in abdominal surgery due to its wide prevalence, pathophysiological heterogeneity and low efficiency of therapy. At this stage, there are no evidence-based recommendations on the treatment choice for chronic constipation, made on the therapy effectiveness analysis. Rational use of the known diagnostics methods, new directions in diagnostics and therapy, for example, the determination of intestinal microbiota metabolites and designing metabolite-type drugs offers the prospects in solving this problem. The main causes of failure in chronic constipation surgery are inadequate selection of the surgery extent and marked disturbance of the colon evacuation function. Evaluation of the chronic constipation new surgical treatment methods value in the arsenal of modern coloproctology requires the accumulation of more meaningful experience. In addition, surgical interventions methods should be individual and based on understanding of the disease etiopathogenetic aspects. The review is of interest for general practitioners, gastroenterologists, coloproctologists and surgeons.

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