scholarly journals Multiple Primary Thyroid Cancer in combination with Malignant Paraganglioma of the Neck complicated by Acute Cerebrovascular Event in the Postoperative Period: Clinical Case

2020 ◽  
Vol 56 (2) ◽  
pp. 35-43
Author(s):  
G. B. Adilbayev ◽  
M. E. Kaibarov ◽  
G. Z. Kydyrbayeva ◽  
B. T. Mykhamadiev ◽  
N. V. Sloneva
Keyword(s):  
Thyroid Cancer ◽  
Postoperative Complications ◽  
Postoperative Period ◽  
Clinical Case ◽  
Patient Specific ◽  
Symptomatic Therapy ◽  
Cerebrovascular Event ◽  
Malignant Paraganglioma ◽  
Successful Recovery ◽  
Multiple Primary

Actuality: Paraganglioma originates from the nerve ganglia along a.carotis, the ganglion of n.vagus, and the nerve plexuses around the sigmoid sinus, and has a rich tumor vasculature. Paraganglioma accounts for 0.8% of all CNS tumors and occurs most often at 40-60 years. Chemodectoma is located in the common carotid artery bifurcation zone and accounts for 2/3 of all glomus tumors. Purpose: The article describes a clinical case of multiple primary thyroid cancer in combination with malignant paraganglioma of the neck complicated by acute cerebrovascular event (ACE) in the postoperative period treated at the Head and Neck Tumor Center of the Kazakh Institute of Oncology and Radiology. Results: The presented clinical case demonstrates the results of the treatment of multiple primary cancer complicated by an ACE in the postoperative period. The qualification of doctors, adequate diagnostics contributed to choosing the right ACE treatment tactics taking into account all the patient-specific features, the tumor localization, and possible postoperative complications. Conclusion: The presented clinical case confirms the available data on the necessity of all diagnostic procedures and their effectiveness in the assessment of the prevalence of the process and the involvement of the adjacent anatomical structures in the suspected chemodectoma to avoid postoperative consequences that can lead to disability and fatal outcome. A wrong choice of the volume of surgical intervention can result in severe postoperative complications. Timely diagnosis and knowledge of the clinical course of the ACE helped restore the patient’s general condition and stop signs of cerebral ischemia. Successful recovery of a patient depends on the qualifications of the doctors and the prevalence of the tumor process. Adequate symptomatic therapy has a huge impact on the course of a complicated postoperative period.

scholarly journals Multiple primary thyroid cancer in combination with malignant paraganglioma of the neck complicated by acute cerebrovascular event in the postoperative period: Clinical case

2020 ◽  
Vol 56 (2) ◽  
pp. 26-33
Author(s):  
G. B. ADILBAYEV ◽  
M. E. KAIBAROV ◽  
G. Z. KYDYRBAYEVA ◽  
B. T. MYKHAMADIEV ◽  
N. V. SLONEVA
Keyword(s):  
Thyroid Cancer ◽  
Postoperative Complications ◽  
Postoperative Period ◽  
Clinical Case ◽  
Patient Specific ◽  
Symptomatic Therapy ◽  
Multiple Primary Cancer ◽  
Cerebrovascular Event ◽  
Malignant Paraganglioma ◽  
Multiple Primary

Actuality: Paraganglioma originates from the nerve ganglia along a.carotis, the ganglion of n.vagus, and the nerve plexuses around the sigmoid sinus, and has a rich tumor vasculature. Paraganglioma accounts for 0.8% of all CNS tumors and occurs most often at 40-60 years. Chemodectoma is located in the common carotid artery bifurcation zone and accounts for 2/3 of all glomus tumors. Purpose: The article describes a clinical case of multiple primary thyroid cancer in combination with malignant paraganglioma of the neck complicated by acute cerebrovascular event (ACE) in the postoperative period treated at the Head and Neck Tumor Department of the Kazakh Institute of Oncology and Radiology. Results: The presented clinical case demonstrates the results of the treatment of multiple primary cancer complicated by an ACE in the postoperative period. The qualification of doctors, adequate diagnostics contributed to choosing the right ACE treatment tactics taking into account all the patient-specific features, the tumor localization, and possible postoperative complications. Conclusion: The presented clinical case confirms the available data on the necessity of all diagnostic procedures and their effectiveness in the assessment of the prevalence of the process and the involvement of the adjacent anatomical structures in the suspected chemodectoma to avoid postoperative consequences that can lead to disability and fatal outcome. A wrong choice of the volume of surgical intervention can result in severe postoperative complications. Timely diagnosis and knowledge of the clinical course of the ACE helped restore the patient’s general condition and stop signs of cerebral ischemia. Successful recovery of a patient depends on the qualifications of the doctors and the prevalence of the tumor process. Adequate symptomatic therapy has a huge impact on the course of a complicated postoperative period.

scholarly journals Clinical case of surgical treatment of giant central anastomosis aneurysm after autovenous femoropopliteal bypass

2021 ◽  
Vol 38 (1) ◽  
pp. 144-150
Author(s):  
Vladimir A. Samartsev ◽  
Dmitry S. Vaganov ◽  
Andrey Yu. Oparin ◽  
Ilya A. Karasov ◽  
Eugeny V. Kruglov ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Postoperative Complications ◽  
Efficient Method ◽  
Postoperative Period ◽  
Clinical Case ◽  
Lower Extremities ◽  
Femoropopliteal Bypass ◽  
Proximal Anastomosis ◽  
Surgical Revascularization ◽  
Aneurysm Development

Ahterosclerosis of vessels of the lower extremities is widely distributed in the population. Open surgical revascularization is an efficient method for treatment of this pathology. One of the rare postoperative complications is an anastomosis aneurysm development. We report about a clinical case of a 74-year-old male with a giant (25 cm in diameter) aneurysm of the proximal anastomosis after femoropopliteal bypass. Open aneurysmectomy was performed, and the postoperative period was uneventful.

CLINICAL CASE OF COMPLICATION WITH THYROIDECTOMY FOR THYROID CANCER

2018 ◽  
Vol 20 (4) ◽  
pp. 124-127
Author(s):  
S.N. Styazhkina ◽  
◽  
T.E. Chernyshova ◽  
R.M. Idiatullin ◽  
A.A. Akimov ◽  
...  
Keyword(s):  
Thyroid Cancer ◽  
Clinical Case

Combined Extended High Spinal Anesthesia and Endotracheal Narcosis: a Clinical Case

2019 ◽  
Vol 4 (2) ◽  
pp. 152-154
Author(s):  
A. B. Yakushevsky ◽  
A. N. Plekhanov ◽  
A. B. Ayusheev
Keyword(s):  
Abdominal Surgery ◽  
Spinal Anesthesia ◽  
Postoperative Period ◽  
Initial Dose ◽  
Clinical Case ◽  
Central Hemodynamics ◽  
Narcotic Analgesics ◽  
Spinal Catheter ◽  
The Right ◽  
Endotracheal Anesthesia

Background. In recent years, various methods of combined anesthesia during abdominal surgery have been introduced into clinical practice.Aim. To demonstrate the possibilities of a combination of high prolonged spinal anesthesia and endotracheal anesthesia during abdominal surgery.Materials and methods. A clinical case of combined use of high prolonged spinal anesthesia and endotracheal anesthesia in a 48-year-old patient with a tumor in the right half of the ascending part of the right half of the colon is presented.Results. The patient received a puncture of the spinal space at a standard point and was installed a spinal catheter in the cranial direction for 3 cm. An isobaric solution of marcaine in the initial dose of 20 mg was injected into the catheter. The regulation of the development of the block was regulated by the inclination of the head end of the table by 60°. After that endotracheal anesthesia was performed on the basis of fentanyl and propofol. This combination allowed to expand the scope of surgical intervention, provided adequate pain relief intraoperatively and in the postoperative period, without the use of narcotic analgesics. With the appearance of signs of recovery of pain sensitivity, intraoperatively or in the postoperative period, re-introduction of the anesthetic into the spinal catheter was performed in half of the initial dose with liquor barbotage. In the early postoperative period, the patient was on strict bed rest with a head end of the bed raised at 30–45°. The method provides complete segmental blockade and muscle relaxation in the area of operation, stability of central hemodynamics during surgery and in the postoperative period.Conclusion. This type of anesthesia is more easily tolerated by patients, accompanied by early awakening and extubation, characterized by stability of central hemodynamics, reduced risk of complications, the possibility of prolonging anesthesia with lower doses of narcotic analgesics in the intraoperative period, providing high-quality anesthesia in the postoperative period without resorting to the use of narcotic analgesics.

Working of an oncological surgical nurse in the prevention of postoperative complications after undergoing radical mastectomy

2020 ◽  
pp. 10-14
Author(s):  
Natalya Fedosova ◽  
Anatoly Volodin
Keyword(s):  
Postoperative Complications ◽  
Nursing Care ◽  
Postoperative Period ◽  
Radical Mastectomy

The article presents the results of a study conducted to determine the effect of the organization of nursing care on reducing the duration of the postoperative period in women who underwent radical mastectomy.

THERAPEUTIC MANAGEMENT OF ASCITES IN SPITZ DOG IN BANGLADESH WITH A BRIEF REVIEW ON CANINE ASCITES

2019 ◽  
Vol 1 (1) ◽  
Author(s):  
M. A. Samad
Keyword(s):  
Ascitic Fluid ◽  
Clinical Examination ◽  
Clinical Case ◽  
Abdominal Distension ◽  
Multiple Organ ◽  
Therapeutic Management ◽  
Vitamin Supplement ◽  
Case Record ◽  
Successful Recovery ◽  
History Of

Background: Ascites is one of the most important clinical syndromes, caused by multiple organ disorders, characterized by abdominal distension with accumulation of fluid of various colors and consistencies depending on the etiology that are encountered commonly in canine practice worldwide. Although it has been reported from different countries including India but it has not yet been documented from Bangladesh. Objectives: To evaluate the successful therapeutic management of a clinical case of ascites in dog supported with its brief review for its appropriate application Materials and Methods: A female Spitz dog two and half years old brought for treatment with the history of abdominal distension on 1st November 2009. Clinical examination, abdominocentesis and laboratory examination of ascitic fluid were used for the diagnosis of ascites in dog. Results: Clinical examination revealed dyspnea, discomfort, lethargy, weakness, pale mucous membrane, normal rectal temperature 103.2 0F and distended abdomen with fluid thrill on palpation. Examination of ascitic fluid revealed clear white fluid (pure transudate) which is mainly hepatic origin resulting portal hypertension and hypoproteinaemia. Treatment with restricted sodium diet, antibiotic (amoxicillin), diuretic (furosemide; Lasix, Sanofi Aventis) and vitamin B-complex and C- vitamin supplement with regular monitoring assisted in successful recovery. The recovered dog survived for next five years up to 2014 and then died due to other reasons. Conclusions: This clinical case record on canine ascites with successful treatment along with review especially on the methods of diagnosis and cause-wise treatment would certainly help the clinician for proper management of the clinical cases of canine ascites. Keywords: Ascites, Spitz dog, Diagnosis, SAAG, Therapeutic management, Brief review

INTRAOPERATIVE CONTINUOUS NEUROMONITORING OF LARYNGEAL RECCURENT NERVES IN PATIENTS WITH THYROID CANCER

2019 ◽  
Vol 65 (3) ◽  
pp. 342-348
Author(s):  
Viktor Makarin ◽  
Anna Uspenskaya ◽  
Arseniy Semenov ◽  
Natalya Timofeeva ◽  
Roman Chernikov ◽  
...  
Keyword(s):  
Thyroid Cancer ◽  
Postoperative Complications ◽  
Recurrent Laryngeal Nerve ◽  
Thyroid Surgery ◽  
Intraoperative Neuromonitoring ◽  
Laryngeal Nerve ◽  
Laryngeal Muscles ◽  
Neural Transmission ◽  
Continuous Neuromonitoring ◽  
Surgical Manipulation

Laryngeal muscles paresis ranks second in prevalence of postoperative complications after thyroid surgery. Intraoperative neuromonitoring (IONM) of recurrent laryngeal nerve (RLN) results in reduction of cases with dysphonia and prevents such severe complication as bilateral paresis. Currently there are two types of monitoring: intermittent and continual. When using intermittent IONM surgeon has no opportunity to control electrophysiology state of RLN during intervals between stimulations. In case of continual IONM date on amplitude and latency are available to surgeon in real time every second, allowing him instantly react to any disturbance of neural transmission to prevent its damage by changing surgical manipulation. This work presents the first experience of using continual neuromonitoring of RLN in Russia, the procedure is described in details its safety. It is represented the possibility of prevention of bilateral laryngeal muscles paresis.

scholarly journals Brain Tumor Resection in Elderly Patients: Potential Factors of Postoperative Worsening in a Predictive Outcome Model

Cancers ◽  
2021 ◽  
Vol 13 (10) ◽  
pp. 2320
Author(s):  
Paolo Ferroli ◽  
Ignazio Gaspare Vetrano ◽  
Silvia Schiavolin ◽  
Francesco Acerbi ◽  
Costanza Maria Zattra ◽  
...  
Keyword(s):  
Brain Tumor ◽  
Postoperative Complications ◽  
Elderly Patients ◽  
Performance Status ◽  
Tumor Resection ◽  
Patient Specific ◽  
Invasive Treatment ◽  
Tertiary Referral Center ◽  
Surgical Complexity

The decision of whether to operate on elderly patients with brain tumors is complex, and influenced by pathology-related and patient-specific factors. This retrospective cohort study, based on a prospectively collected surgical database, aims at identifying possible factors predicting clinical worsening after elective neuro-oncological surgery in elderly patients. Therefore, all patients ≥65 years old who underwent BT resection at a tertiary referral center between 01/2018 and 12/2019 were included. Age, smoking, previous radiotherapy, hypertension, preoperative functional status, complications occurrence, surgical complexity and the presence of comorbidities were prospectively collected and analyzed at discharge and the 3-month follow-up. The series included 143 patients (mean 71 years, range 65–86). Sixty-five patients (46%) had at least one neurosurgical complication, whereas 48/65 (74%) complications did not require invasive treatment. Forty-two patients (29.4%) worsened at discharge; these patients had a greater number of complications compared to patients with unchanged/improved performance status. A persistent worsening at three months of follow-up was noted in 20.3% of patients; again, this subgroup presented more complications than patients who remained equal or improved. Therefore, postoperative complications and surgical complexity seem to influence significantly the early outcome in elderly patients undergoing brain tumor surgery. In contrast, postoperative complications alone are the only factor with an impact on the 3-month follow-up.

scholarly journals Assessment of pain during rest and during activities in the postoperative period of cardiac surgery

2014 ◽  
Vol 22 (1) ◽  
pp. 136-143 ◽  
Author(s):  
Larissa Coelho de Mello ◽  
Silvio Fernando Castro Rosatti ◽  
Priscilla Hortense
Keyword(s):  
Cardiac Surgery ◽  
Postoperative Pain ◽  
Postoperative Complications ◽  
Postoperative Period ◽  
Pain Assessment ◽  
Descriptive Study ◽  
Deep Breathing ◽  
Cohort Design ◽  
Surgical Recovery ◽  
Over Time

OBJECTIVE: to assess the intensity and site of pain after Cardiac Surgery through sternotomy during rest and while performing five activities. METHOD: descriptive study with a prospective cohort design. A total of 48 individuals participated in the study. A Multidimensional Scale for Pain Assessment was used. RESULTS: postoperative pain from cardiac surgery was moderate during rest and decreased over time. Pain was also moderate during activities performed on the 1st and 2nd postoperative days and decreased from the 3rd postoperative day, with the exception of coughing, which diminished only on the 6th postoperative day. Coughing, turning over, deep breathing and rest are presented in decreased order of intensity. The region of the sternum was the most frequently reported site of pain. CONCLUSION: the assessment of pain in the individuals who underwent cardiac surgery during rest and during activities is extremely important to adapt management and avoid postoperative complications and delayed surgical recovery.

The inconsistencies between conventional and global lab tests in cardiosurgeric patient (a clinical case)

2020 ◽  
Vol 1 (1) ◽  
pp. 68-70
Author(s):  
Eugene Roitman ◽  
◽  
Keyword(s):  
Postoperative Period ◽  
Clinical Case ◽  
Early Postoperative Period ◽  
The Other ◽  
Laboratory Methods ◽  
Hemostatic System

The clinical case demonstrates inconsistencies between the results of thromboelastography and conventional coagulation lab tests at the early postoperative period of patient undergoing cardiosurgery. The analyzing of the revealed discrepancy proves that the opposition of laboratory methods as 'one against the other' for studying the hemostatic system is unacceptable.

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