scholarly journals Surgical management of pancreatoduodenal tumors: the experience of using the developed operation technique

2021 ◽  
Vol 61 (3) ◽  
pp. 21-26
Author(s):  
M. D. Zhumakaev ◽  
K. Т. Shakeyev ◽  
N. А. Kabildina ◽  
A. M. Zhumakaev ◽  
B. U. Usembekov ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Surgical Technique ◽  
Postoperative Complication ◽  
Surgical Management ◽  
Surgical Intervention ◽  
Operation Technique ◽  
Significant Extent ◽  
Preventive Actions ◽  
Pancreaticojejunal Anastomosis ◽  
Results Of Surgery

Relevance: The results of surgery in patients with pancreaticoduodenal cancer remain unsatisfactory. This complicates the choice of an optimal surgical technique in modern oncology. Surgery in the pancreaticoduodenal zone is associated with complications due to anatomical and physiological features of the pancreas and technical challenges of this surgical intervention. Despite preventive actions and innovative technologies, such a traumatic operation as pancreatoduodenal resection often produces complications, though recently fewer. This article describes a pancreaticoduodenal resection technique that reduces postoperative complication frequency and lethality in operable pancreaticoduodenal cancer. The purpose of the study was to assess the efficiency of an authorial pancreaticoduodenal resection technique (pancreaticojejunal invagination anastomosis) in pancreaticoduodenal cancer. The proposed pancreaticojejunal anastomosis-forming technique allowed reducing the postoperative complication frequency from 54.2% to 38,0% and postoperative lethality from 22.8% to 9,5%. Conclusion: This highly traumatic surgery is associated with postoperative complications (up to 50-70% of cases), which are quite severe and difficult to resolve and result in high fatality. The proposed pancreaticojejunal anastomosis forming technique has efficiently reduced postoperative complications and fatality to a significant extent.

Surgical management of pancreatoduodenal tumors: the experience of using the developed operation technique

2021 ◽  
Vol 61 (3) ◽  
pp. 21-26
Author(s):  
M. D. Zhumakaev ◽  
K. Т. Shakeyev ◽  
N. А. Kabildina ◽  
A. M. Zhumakaev ◽  
B. U. Usembekov ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Surgical Technique ◽  
Postoperative Complication ◽  
Surgical Management ◽  
Surgical Intervention ◽  
Operation Technique ◽  
Significant Extent ◽  
Preventive Actions ◽  
Pancreaticojejunal Anastomosis ◽  
Results Of Surgery

Relevance: The results of surgery in patients with pancreaticoduodenal cancer remain unsatisfactory. This complicates the choice of an optimal surgical technique in modern oncology. Surgery in the pancreaticoduodenal zone is associated with complications due to anatomical and physiological features of the pancreas and technical challenges of this surgical intervention. Despite preventive actions and innovative technologies, such a traumatic operation as pancreatoduodenal resection often produces complications, though recently fewer. This article describes a pancreaticoduodenal resection technique that reduces postoperative complication frequency and lethality in operable pancreaticoduodenal cancer. The purpose of the study was to assess the efficiency of an authorial pancreaticoduodenal resection technique (pancreaticojejunal invagination anastomosis) in pancreaticoduodenal cancer. Results: The proposed pancreaticojejunal anastomosis forming technique allowed reducing the postoperative complication frequency from 54.2% to 38.0% and postoperative lethality from 22.8% to 9.5%. Conclusion: This highly traumatic surgery involves quite severe and difficult to resolve postoperative complications (up to 50-70% of cases) and the resulting high fatality. The proposed pancreaticoduodenal anastomosis forming technique has efficiently reduced postoperative complications and fatality to a significant extent

Iatrogenic injury of duodenum: malady of a therapeutic misadventure

2021 ◽  
Vol 14 (4) ◽  
pp. e242294
Author(s):  
Swastik Mishra ◽  
Pankaj Kumar ◽  
Prakash Kumar Sasmal ◽  
Tushar Subhadarshan Mishra
Keyword(s):  
Duodenal Ulcer ◽  
Postoperative Complications ◽  
Surgical Management ◽  
Surgical Intervention ◽  
Gastroduodenal Artery ◽  
Duodenal Stump ◽  
Duodenal Injury ◽  
Acute Bleeding ◽  
Endoscopic Procedures ◽  
Bleeding Duodenal Ulcer

Endoscopic procedures are the front-runner of the management of bleeding duodenal ulcer. Rarely, surgical intervention is sought for acute bleeding, not amenable to endoscopic procedures. Oversewing of the gastroduodenal artery at ulcer crater by transduodenal approach is the most acceptable and recommended method of treatment. We describe a case of an intraoperative duodenal injury that occurred during an attempt to oversew the gastroduodenal artery after a duodenotomy, leading to an unsatisfactory and meagre duodenal stump. This case will highlight the intraoperative turmoil, postoperative complications and management of a series of anticipated but unfortunate events that have rendered us wiser in terms of surgical management of a bleeding duodenal ulcer.

Surgical management and outcome of large orbitocranial osteomas

2008 ◽  
Vol 109 (3) ◽  
pp. 472-477 ◽  
Author(s):  
Halil Ibrahim Secer ◽  
Engin Gonul ◽  
Yusuf Izci
Keyword(s):  
Postoperative Complications ◽  
Surgical Technique ◽  
Surgical Management ◽  
Porous Polyethylene ◽  
Orbital Reconstruction ◽  
Military Medical Academy ◽  
Intact Bone ◽  
Medical Academy ◽  
The Mean

Object The goal of this study is to review the surgical management and outcome of patients who were treated for large orbitocranial osteomas at Gulhane Military Medical Academy over a period of 7 years. Methods Twenty-one patients with large orbitocranial osteomas were evaluated retrospectively. All patients were male and between 19 and 25 years old. Surgery was performed in all patients. The main surgical procedure was resection of the osteoma using orbitotomy and/or craniotomy followed by orbital reconstruction and cranioplasty. Cranioplasty was performed in 16 patients, using methyl methacrylate in 5 patients (31%) and porous polyethylene in 11 patients (69%). Thin, flexible, porous polyethylene was preferred for orbital reconstruction in 10 patients. The cranioplasty materials were attached to the intact bone using miniplates. Results There were no severe postoperative complications. Mild transient periorbital ecchymosis was noted in 19 patients. The mean follow-up period was 11.7 months (range 9–24 months) after surgery. No tumor regrowth was observed in any patient at the end of the follow-up period. Conclusions Large osteomas of the orbitocranial region must be resected for cosmetic and functional reasons. Selection and planning of the surgical technique should be based on the direction of the tumor growth and on the size of the tumor and the structures that are compressed by the tumor.

scholarly journals Complicated Diverticular Disease

2020 ◽  
Author(s):  
Kathleen M. Coakley ◽  
Bradley R. Davis ◽  
Kevin R. Kasten
Keyword(s):  
Postoperative Complications ◽  
Diverticular Disease ◽  
Surgical Intervention ◽  
Management Strategies ◽  
Significant Risk ◽  
Complicated Diverticulitis ◽  
Careful Attention ◽  
Correct Treatment ◽  
Treatment Paradigm ◽  
Colonic Diverticular Disease

AbstractThe modern management of colonic diverticular disease involves grouping patients into uncomplicated or complicated diverticulitis, after which the correct treatment paradigm is instituted. Recent controversies suggest overlap in management strategies between these two groups. While most reports still support surgical intervention for the treatment of complicated diverticular disease, more data are forthcoming suggesting complicated diverticulitis does not merit surgical resection in all scenarios. Given the significant risk for complication in surgery for diverticulitis, careful attention should be paid to patient and procedure selection. Here, we define complicated diverticulitis, discuss options for surgical intervention, and explain strategies for avoiding operative pitfalls that result in early and late postoperative complications.

Tracheoinnominate fistula: surgical management of an iatrogenic disaster

2006 ◽  
Vol 120 (8) ◽  
pp. 676-680 ◽  
Author(s):  
R W Ridley ◽  
J B Zwischenberger
Keyword(s):  
Operating Room ◽  
Surgical Management ◽  
Surgical Repair ◽  
Surgical Intervention ◽  
Pectoralis Major Muscle ◽  
Muscle Flap ◽  
Rare Condition ◽  
Innominate Artery ◽  
Significant Potential ◽  
High Index Of Suspicion

Tracheoinnominate fistula (TIF) is a rare condition with significant potential for mortality if surgical intervention is not immediate. We present two cases of successfully managed TIF. Both cases involve ligation and resection of the innominate artery at the TIF followed by a pectoralis major muscle flap. In both cases, success was largely due to a high index of suspicion and immediate control of the bleeding with transport to the operating room for surgical repair. The history, aetiology, and pathogenesis of TIF are reviewed, yielding an algorithm for recommended management of TIF.

scholarly journals Surgical management of spontaneous pneumothorax: are there any prognostic factors influencing postoperative complications?

2015 ◽  
Vol 49 (3) ◽  
pp. 862-867 ◽  
Author(s):  
Jean-Philippe Delpy ◽  
Pierre-Benoit Pagès ◽  
Pierre Mordant ◽  
Pierre-Emmanuel Falcoz ◽  
Pascal Thomas ◽  
...  
Keyword(s):  
Prognostic Factors ◽  
Postoperative Complications ◽  
Surgical Management ◽  
Spontaneous Pneumothorax ◽  
Factors Influencing

scholarly journals Isolated Duodenal Crohn's Disease: A Case Report and a Review of the Surgical Management

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Faruk Karateke ◽  
Ebru Menekşe ◽  
Koray Das ◽  
Sefa Ozyazici ◽  
Pelin Demirtürk
Keyword(s):  
Crohn’S Disease ◽  
Case Report ◽  
Gastrointestinal Tract ◽  
Crohn's Disease ◽  
Medical Treatment ◽  
Immunosuppressive Therapy ◽  
Surgical Management ◽  
Surgical Intervention ◽  
Surgical Options ◽  
Crohn’S Diseases

Crohn's disease may affect any segment of the gastrointestinal tract; however, isolated duodenal involvement is rather rare. It still remains a complex clinical entity with a controversial management of the disease. Initially, patients with duodenal Crohn' s disease (DCD) are managed with a combination of antiacid and immunosuppressive therapy. However, medical treatment fails in the majority of DCD patients, and surgical intervention is required in case of complicated disease. Options for surgical management of complicated DCD include bypass, resection, or stricturoplasty procedures. In this paper, we reported a 33-year-old male patient, who was diagnosed with isolated duodenal Crohn’s diseases, and reviewed the surgical options in the literature.

1239 Postoperative Complication Rate of Facial Injury Repairs Treated by Maxillofacial On-Call Team: Surgical Audit

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
G Dhanjal ◽  
M Ghouri ◽  
S Crank
Keyword(s):  
Soft Tissue ◽  
Postoperative Complications ◽  
Postoperative Complication ◽  
Complication Rate ◽  
Maxillofacial Surgery ◽  
General Anaesthetic ◽  
Facial Injury ◽  
Postoperative Complication Rate ◽  
Female Ratio ◽  
Facial Injuries

Abstract Introduction A significant aspect of Oral and Maxillofacial Surgery workload relates to trauma, particularly soft-tissue injuries. Contingent on the aetiology of injury, facial wounds require debridement and rapid closure to reduce risk of infection and degree of scarring. The aim was to identify possible risks and frequency of postoperative complications, including problems identified by patients following treatment of facial injuries by the Maxillofacial on-call team. Method Data was retrospectively collected from patients who sustained soft-tissue facial injuries treated by the Maxillofacial team and provided with follow-up appointments from January to August 2020. Computerised clinical notes were accessed to determine patient demographics, mechanism and site of injury, location and time of repair, operator grade and postoperative complications (if any). Results 153 patients required debridement and suturing of a facial injury under local or general anaesthetic. Among these, the male to female ratio was 65:35. 47% of facial injuries resulted from mechanical fall. Lips were found to be the most common site (31%) of injury. Postoperative complication rate was 8% within the 8-month period, with reports of infection, wound dehiscence and haematoma requiring further treatment. 58% of complications resulted from treatment carried out between 5pm-5am with a sole operator (DCT/SHO). 83% of complications followed treatment carried out within the Emergency Department rather than Maxillofacial clinical setting. Conclusion Following facial injury repair, just less than 8% of patients experienced complications, which required corrective treatment. Although facial injuries require immediate care, careful planning and performing treatment in a specialised setup may improve perioperative care, thus clinical outcomes.

Non-syndromic double upper lip with triple frena: cosmetic cheiloplasty

2021 ◽  
Vol 14 (9) ◽  
pp. e243156
Author(s):  
Monika Gupta ◽  
Harshita Vig ◽  
Yajas Kumar ◽  
Aliza Rizvi
Keyword(s):  
Psychological Distress ◽  
Present Article ◽  
Surgical Management ◽  
Surgical Intervention ◽  
The Other ◽  
Upper Lip ◽  
Lower Lip ◽  
Facial Anomaly ◽  
The Aesthetic ◽  
Functional Problems

Double lip or macrocheilitis is a rare facial anomaly, mostly congenital in origin. It commonly involves the upper lip than the lower lip. It may occur in isolation or as part of the Ascher’s syndrome. It results due to deposition of excessive areolar tissue and non-inflammatory hyperplasia of labial mucosa gland of pars villosa. It may be acquired as a result of injury to the lips or lip-biting habit. The double lip becomes conspicuous when the lips are retracted during smiling resulting in the characteristic ‘cupid’s bow’ appearance. This disfigurement can pose aesthetic and functional problems and may result in psychological distress. A surgical intervention is must for restoration of functions and to address the aesthetic concerns. The present article reports a case of non-syndromic double upper lip with triple labial frena and its surgical management with laser on one side and with scalpel on the other side.

Nephrometric score based on 3D modeling (3D nephrometry score) for the probability prediction of intra- and postoperative complications for kidney surgery

2021 ◽  
pp. 039156032110364
Author(s):  
Georgiy Andreevich Mashin ◽  
Vasiliy Vladimirovich Kozlov ◽  
Denis Vladimirovich Chinenov ◽  
Yaroslav Nikolaevich Chernov ◽  
Alexandra Vladimirovna Proskura ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Blood Loss ◽  
3D Modeling ◽  
Roc Analysis ◽  
Linear Models ◽  
Surgical Intervention ◽  
Renal Tumors ◽  
Discriminant Functions ◽  
Nephrometry Score ◽  
Probability Prediction

Aim: The purpose of the study is the development and evaluation of the informativeness of the author’s 3D nephrometric score application to predict the probability of intraoperative and postoperative complications in kidney operations. Material and methods: The study includes 264 patients who underwent surgical treatment of renal tumors, before that CT and 3D modeling were carried out. All patients underwent an analysis of the surgical intervention complexity on the C-index, PADUA, R.E.N.A.L., and developed 3D nephrometric score. To determine the set of variables that allow to classify patients, the method of discriminant analysis was used to predict the nature, volume of blood loss, duration of ischemia, and the number of complications. The sensitivity and specificity of the predictors were estimated with the help of ROC analysis. Results: Indicators have been established to classify patients according to the probability of complications, the amount of blood loss and the duration of ischemia during surgery for kidney cancer. We have created linear models that predict the development of bleeding during surgery, the volume of blood loss of more than 200 ml and the duration of ischemia more than 20 min, as well as the likelihood of complications using discriminant functions. The proposed author’s nephrometric score exceeds the capabilities of C-index, PADUA, R.E.N.A.L in many ways in blood loss and time of ischemia predicting, which allows us to recommend it for the assessment of resectability in kidney operations.

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