scholarly journals Paralytic stenosis of the larynx

2021 ◽  
Vol 5 (3) ◽  
pp. 386-392
Author(s):  
U. N. Vokhidov ◽  
O. N. Shernazarov ◽  
D. D. Yakubdjanov ◽  
J. A. Djuraev ◽  
S. S. Sharipov
Keyword(s):  
Surgical Treatment ◽  
Vocal Fold ◽  
Surgical Intervention ◽  
Postoperative Management ◽  
Arytenoid Cartilage ◽  
Vocal Process ◽  
Results Of Treatment ◽  
Medical Academy ◽  
Multidisciplinary Clinic ◽  
Partial Excision

The aim of the study was to evaluate the effectiveness of various types of surgical treatment of patients with bilateral paralytic stenosis of the larynx. Study involved 28 patients aged 18 to 75 years, suffering from paralytic stenosis of the larynx, who was treated at the ENT department of the multidisciplinary clinic of the Tashkent Medical Academy in the period from 2015 to 2020. The results of treatment with the use of laterofixation of the vocal fold, partial excision of the vocal fold in the posterior third and the vocal process of the arytenoid cartilage showed that after the above methods of surgical intervention, recurrence of stenosis occurs in 20-25% of cases, therefore it is necessary to develop tactics of surgical treatment and postoperative management of this category patients.

scholarly journals Result of using a minimally invasive method of surgical treatment of purulent-necrotic complications in a patient with diabetic foot syndrome

2020 ◽  
Vol 39 (3) ◽  
pp. 60-64
Author(s):  
Sergey Y. Ivanusa ◽  
Boris V. Risman ◽  
Andrey V. Yanishevskiy
Keyword(s):  
Surgical Treatment ◽  
Minimally Invasive ◽  
Diabetic Foot ◽  
Pain Syndrome ◽  
Diabetic Foot Syndrome ◽  
Military Medical Academy ◽  
Results Of Treatment ◽  
Medical Academy ◽  
Invasive Method ◽  
Short Time

The article presents an analysis of the results of treatment of a patient with purulent-necrotic complications of diabetic foot syndrome, who, in the framework of surgical treatment, used a minimally invasive method of treatment of purulent-necrotic complications of diabetic foot syndrome, developed at the departments of general surgery and normal anatomy of the S.M. Kirov Military Medical Academy. The effectiveness of the developed method has been demonstrated, which makes it possible to sanitize the purulent cavity in a short time, stop pain syndrome and restore the support ability of the foot (4 figs, 1 table, bibliography: 7 refs).

DACRYOCYSTITIS AS AN OTOLARYNGOLOGICAL PROBLEM: OWN TREATMENT EXPERIENCE

2021 ◽  
pp. 76-82
Author(s):  
S. O. Samusenko ◽  
I. V. Filatova
Keyword(s):  
Chronic Disease ◽  
Surgical Treatment ◽  
Surgical Intervention ◽  
Clinical Effectiveness ◽  
Postoperative Management ◽  
Eye Diseases ◽  
Social Significance ◽  
Endoscopic Dacryocystorhinostomy ◽  
Chronic Dacryocystitis ◽  
Post Traumatic

The urgency of improving the effectiveness of dacryocystitis treatment is determined by: their stable proportion among eye diseases, a high percentage of post−traumatic, iatrogenic and chronic forms, ability to be a source of dangerous complications and social significance. Existing anatomical and physiological relations and values of rhinogenic factors determine the involvement of otolaryngologists in dacryocystitis treatment. In order to determine the characteristics of the contingent of patients with dacryocystitis, structure of rhinogenic factors, methods of examination, surgical treatment and principles of postoperative management of patients, a study was conducted with 107 patients with chronic disease. The clinical effectiveness in diagnosis and planning of surgical intervention of the combination of endonasal optical rhinoscopy, probing and contrast of the nasolacrimal pathway with triombrast with subsequent radiological and (or) CT examination was determined. It is shown that the correction of endonasal structures should be performed simultaneously with dacryocystorhinostomy. The efficiency of the classical West−Bokstein surgery has been determined, the necessity of an individual approach to its planning has been shown. The main tasks of each stage of the surgery, which significantly affect its outcome, are established. When performed correctly, the effectiveness of "plastic" and "simple" rhinostomy, management of patients with and without stenting is almost the same. It has been proven that the use of radio wave and shaver techniques can greatly simplify the stages of the surgery and improve healing. Based on the obtained results, a conclusion was made about the expediency of involving an otolaryngologist in the consultation of patients with chronic dacryocystitis in each case. The criterion for choosing treatment tactics in favor of endonasal endoscopic dacryocystorhinostomy is the presence of rhinogenic factors of dacryocystitis. Key words: dacryocystitis, endonasal endoscopic dacryocystorhinostomy, rhinogenic factors, stenting, surgical treatment, epiphora, lacrimation.

scholarly journals Arytenoid Subluxation Reduction Using 28-Jackson Dilator

2020 ◽  
pp. 014556132094690
Author(s):  
Annette Kim ◽  
Ghiath Alnouri ◽  
Robert T. Sataloff
Keyword(s):  
Operating Room ◽  
Vocal Fold ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Arytenoid Cartilage ◽  
Vocal Process ◽  
Vehicle Accident ◽  
Patient Reported ◽  
Cricoarytenoid Joint ◽  
Arytenoid Subluxation

Arytenoid dislocation and subluxations commonly are reduced surgically using Holinger and straight Miller-3 laryngoscopes. We present a case of arytenoid cartilage subluxation returned to good position using a 28-Jackson dilator. A 66-year-old man was diagnosed previously with right vocal fold paresis and left vocal fold paralysis following a motor vehicle accident that required a 14-day intubation and tracheotomy maintained for 3 weeks. Evaluation by strobovideolaryngoscopy 3 months following the accident showed severe left vocal fold hypomotility and arytenoid height disparity; laryngeal electromyography showed only mild-to-moderate decreased recruitment in laryngeal muscles. No abnormalities were appreciated on neck computed tomography. Upon palpation of both arytenoid cartilages in the operating room, the left joint was found to be subluxed anteriorly and immobile. A 28-Jackson dilator was used to mobilize and reduce the left arytenoid cartilage, and steroid was injected into the cricothyroid joint. Increased mobility was obtained in the operating room and the patient reported significant improvement in his voice. Six months later, we saw improvement in arytenoid height disparity and left vocal fold movement, better glottic closure, and voice handicap index was improved. A 28-Jackson dilator can be used to manipulate the cricoarytenoid joint without trauma to the vocal process.

scholarly journals Surgical Treatment Of Obliterating Arterosclerosis

2020 ◽  
Vol 2 (09) ◽  
pp. 41-48
Author(s):  
Zainiddin Norman Ugli ◽  
Makhmudov K.O., ◽  
Tinibekov M.Х.
Keyword(s):  
Surgical Treatment ◽  
Surgical Intervention ◽  
New Methods ◽  
Diagnosis And Prognosis ◽  
Results Of Treatment ◽  
Effective Diagnosis ◽  
Atherosclerosis Obliterans ◽  
Timely Treatment ◽  
Preoperative Examination ◽  
Prevention And Therapy

In the literature review, according to publications of recent years, the state of surgical treatment of obliterating atherosclerosis does not meet the requirements of the time. Currently, all research is aimed at improving the early diagnosis of the disease and their timely treatment by improving the quality and efficiency of surgical intervention. However, despite a large number of works devoted to diagnosis and prognosis of treatment, there are still many unresolved issues. The accumulated experience indicates the need to standardize the preoperative examination of patients in order to predict the outcome of treatment. One of the important aspects of this problem is the development of modern tactics and approaches to surgical treatment. Along with them, it is necessary to evaluate the results of treatment, analyze the quality and determine the effectiveness of traditional operations in modern angiosurgery. It should be noted that today there are a considerable number of new methods of treating atherosclerosis obliterans for early and effective diagnosis, prevention and therapy of the disease. However, some issues are insufficiently studied or contradictory and require further research.

scholarly journals Results of treatment for Boerhaave syndrome

2019 ◽  
Vol 27 (1) ◽  
pp. 66-74
Author(s):  
Aleksey V. Mikheev ◽  
Sergey N. Trushin
Keyword(s):  
Primary Care ◽  
Surgical Treatment ◽  
Spontaneous Rupture ◽  
Surgical Intervention ◽  
Esophageal Rupture ◽  
Results Of Treatment ◽  
Boerhaave Syndrome ◽  
The Moment ◽  
Suture Failure

Background. Spontaneous rupture of the esophagus (Boehaave syndrome, BS) is a rare pathology in the surgical practice. Esophageal rupture makes no more than 2-3% of all cases of damage to the esophagus and is associated with a significant number of diagnostic errors and with high mortality. Aim. The aim of the study was to analyze the quality of diagnostics and the results of treatment of patients with spontaneous rupture of the esophagus. Materials and Methods. We performed a retrospective analysis of medical histories and of treatment results of 10 patients with Boerhaave syndrome hospitalized in the department of thoracic surgery of the Ryazan Regional Clinical Hospital, Ryazan in 2007-2018. Results. Four of ten patients were transferred from other medical institutions. At the primary care stage six patients were misdiagnosed; two of them underwent diagnostic laparoscopy for suspicion of acute pancreatitis and perforated gastric ulcer. The average time from the onset of the disease to surgery was 71.723.4 hours. Closure of the esophageal perforation was performed in all cases. Regarding the timing of surgery, all patients with Boerhaave syndrome were divided into 2 groups: patients with early intervention (4 patients operated within 24 hours); patients with late intervention (5 patients operated after 48 hours from the onset of the disease). One patient underwent surgical treatment within 24 hours in a medical facility outside the Ryazan region. In nine out of ten patients the rupture was localized in a typical place in the lower third of the esophagus along the left lateral wall. In the postoperative period eight patients had complete or partial esophageal suture failure, which required prolonged inpatient treatment (54.712.1 days). Postoperative mortality was 10% (1 patient of 10) and was caused by the progressive multi-organ failure and the development of cerebral ischemic stroke. Conclusion. The quality of diagnostics of Boerhaave syndrome remains unsatisfactory: due to rare occurrence of this pathology, most specialists of primary care settings, including surgeons, are not well acquainted with the etiopathogenesis and peculiarities of clinical presentation of Boerhaave syndrome. Diagnostic and treatment errors in rendering primary medical assistance reaches 60%. Results of surgical treatment directly correlate with the time from the moment of perforation and development of septic complications. Even with early surgical intervention performed within 24 hours from the moment of perforation, esophageal suture failure may occur in up to 75% of cases. Thus, the success of treatment is determined by early diagnosis, timely hospitalization in a specialized facility, and adequate surgical intervention.

scholarly journals ESTIMATION OF RESERVES FOR IMPROVING THE RESULTS OF PATIENTS WITH MULTIPRESISTANT PULMONARY TUBERCULOSIS IN THE APPLICATION OF SURGICAL METHODS BASED ON ANALYSIS OF THE EFFICIENCY OF CONSERVATIVE TREATMENT OF A SPECIFIED COHORT

2018 ◽  
Vol 5 ◽  
pp. 33-39
Author(s):  
Oleg Khmel ◽  
Igor Kalabukha ◽  
Vladimir Ivashchenko
Keyword(s):  
Surgical Treatment ◽  
Conservative Treatment ◽  
Pulmonary Tuberculosis ◽  
Surgical Intervention ◽  
Cohort Analysis ◽  
Multidrug Resistant ◽  
Complete Cure ◽  
Results Of Treatment ◽  
Number Of Patients ◽  
Surgical Methods

In order to improve the results of treatment of patients with multi-resistant pulmonary tuberculosis with the use of surgical methods, the effectiveness estimation of conservative treatment of 176 patients with this form of tuberculosis according to cohort analysis data in two districts of Kyiv were done. In the list were included following parameters: type of the tuberculosis, its clinical-radiological form and the prevalence of the process, the results of conservative treatment in patients who completely finished the course of anti-TB chemotherapy and the results of conservative treatment of 81 patients who had indications for surgical treatment but had not been operated. Processing of the materials of the study was carried out with the use of licensed software products included in the Microsoft Office Professional 2007 package. The predicted results of treatment were calculated on the condition of surgical intervention. Out of the total sample of patients, 31.3 % of the patients completed treatment. Mortality was 16.5 %, transferred to palliative care 11.9 %. More than one in three patients (35.2 %) stopped treatment at different times from the start. According to the clinic of thoracic surgery SU "National Institute of Phthisiology and Pulmonology named after F.G. Yanovsky NAMS of Ukraine ", the overall effectiveness of treatment for patients with limited multidrug-resistant tuberculosis with the use of surgical intervention is about 95 % in the absence of mortality. We have modelled the potential results of treatment of the selected cohort in case of the surgical stage is fully and timely applied in a complex of therapeutic treatment. If all 81 patients with indications for surgical treatment used that way, then, with the above efficiency, a complete cure could be predicted in 77 patients (44.5 % of the total number of observations), which in turn would allow predicting the achievement completion of treatment at 64.2 % with complete cure for 60.6 % of patients. Thus, it is established that the positive result of surgical treatment in the general complex of treatment measures in patients with multidrug-resistant pulmonary tuberculosis is able to improve the results of treatment of this contingent more than twice, reduce the mortality almost by three times, reduce the need for repeated courses of treatment from 7.4 % to 1.7 %, as well as to reduce the epidemiological reservoir of infection due to a significant decrease in the number of patients with failure to treat tuberculosis, interrupted and palliative treatment.

scholarly journals Clinical observation: giant uterine myoma. The tactic of surgical treatment and postoperative management

2018 ◽  
pp. 22-26
Author(s):  
N. A. Buralkina ◽  
G. A. Vlasov ◽  
A. V. Veredchenko ◽  
V. V. Chursin ◽  
A. V. Asaturova ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Clinical Case ◽  
Clinical Observation ◽  
Surgical Intervention ◽  
Postoperative Management ◽  
Uterine Myoma ◽  
Reproductive Outcomes ◽  
Uterine Myomas

The article deals with the clinical case of a patient with giant uterine myoma. It presents the features of surgical intervention and postoperative management of the patient. In the publication, the authors discuss the issues concerning the scope of the surgery in patients with large and giant uterine myomas and prognosis of reproductive outcomes in this cohort of women.

scholarly journals Laserska hirurgija malignih tumora glotisne regije larinksa

2009 ◽  
Vol 56 (3) ◽  
pp. 101-107
Author(s):  
V.B. Djukic ◽  
J.P. Milovanovic ◽  
A.P. Milovanovic ◽  
I.S. Baljosevic ◽  
A.B. Ugrinovic ◽  
...  
Keyword(s):  
Lamina Propria ◽  
Vocal Fold ◽  
Surgical Intervention ◽  
Anterior Commissure ◽  
Superficial Layer ◽  
New Classification ◽  
Vocal Process ◽  
Extent Of Surgery ◽  
Anatomical Extent ◽  
European Laryngological Society

The Nomenclature Committee of the European Laryngological Society taken the personal classification used by various members were analyzed and integrated into a common format. Thus, a new classification (Remacle et al., 2000) end next modification (Remacle et al., 2007) in was proposed and accepted by the members. This nomenclature takes into account both the histological and anatomical extent of surgery, and groups it into several categories. Subepithelial cordectomy- excision of the epithelium and the superficial layer of the lamina propria. Subligamentous cordectomy- excision of the epithelium, Reinke's space, and vocal ligament is undertaken. Transmuscular cordectomy- resection consists of the epithelium, lamina propria, and part of the vocal fold muscle, and may extend from the vocal process to the anterior commissure. Total or complete cordectomy-excision extends from the vocal process to the anterior commissure. Anteriorly, the incision is made at the anterior commissure. Type Va extended cordectomy - includes the anterior commissure and contralateral vocal fold, if necessary. In type Vb extended cordectomy, the excision is extended to remove part or all of the arytenoids. The posterior arytenoids mucosa is preserved. In Type Vc extended cordectomy, the whole of the ventricle and the ventricular fold is removed together with the vocal fold. In Type Vd extended cordectomy, surgery is extended inferiorly to include the subglottic mucosa Type VI cordectomy - Anterior billateral cordectomy in this operation surgical intervention is focused on anterior commissure, therefore some authors name it commissurectomy.

scholarly journals Surgical intervention in the complex treatment of patients with nonunion of the tibia

2018 ◽  
Vol 27 (3) ◽  
pp. 33-38
Author(s):  
O. Bebykh
Keyword(s):  
Surgical Treatment ◽  
Conservative Treatment ◽  
Surgical Intervention ◽  
Plastic Material ◽  
Complex Treatment ◽  
Fibrin Matrix ◽  
Results Of Treatment ◽  
Vitamin Therapy

The work presents the results of treatment of 47 patients with nonunion of the tibia. Applied surgical treatment of the hearth, plastic, fixation of the fragments with a spin-rod core ring, and conservative treatment was performed. Promised results are obtained. The purpose – to improve the results of treatment of patients with neoplasm of the tibia based on the introduction of literary data and properties of existing methods of surgical and conservative treatment based on analysis. Surgical intervention in patients with tenderness of the tibia included treatment of the hearth, the use of as a plastic material a mixture of autopsigenic, hydroxyapatite, fibrin matrix PRF, hemostatic sponge;  fixation by knitting needles and rod machines.  The conservative component of the rehabilitation complex consisted of multimodal anesthesia, vitamin therapy, the use of antioxidants, kinesitherapy and physiotherapy.

scholarly journals Video-assisted thoracoscopy in the treatment of patients with acute purulent mediastinitis

2018 ◽  
Vol 22 (3) ◽  
pp. 498-502
Author(s):  
S.S. Snizhko
Keyword(s):  
Surgical Treatment ◽  
Minimally Invasive ◽  
Pleural Cavity ◽  
Surgical Intervention ◽  
Video Assisted ◽  
Results Of Treatment ◽  
Minimally Invasive Surgical ◽  
Surgery Mortality ◽  
Time Of Operation ◽  
Lateral Thoracotomy

Treatment of patients with acute purulent mediastinitis (APM) is one of the most complex problems of modern surgery. Mortality in patients with APM can reach 17–80%. The aim of the work was to improve the results of treatment of patients with acute purulent mediastinitis using video-assisted thoracoscopy (VATS). During 2000–2018, 87 patients with APM were treated at the thoracic department of the Ivano-Frankivsk Regional Clinical Hospital. The main methods of surgical treatment in primary APM were lateral thoracotomy, mediastinotomy, suturing of the perforation opening of the esophagus with active drainage of the mediastinum and pleural cavity. The VATS with perforations of the esophagus (EP) with APM was applied in 9 (29.1%) patients and with secondary APM in 8 (13.8%) patients. The advantages of the VATS are minimal operational trauma, reducing the time of operation. According to the diagnosis of the EP, complicated APM, the minimally invasive surgical intervention in some cases can provide sufficient radicalism of intervention with minimal traumatism. The purpose of the VATS should be considered sanation and drainage of paraoesophageal fiber and fiber mediastinum. Thus, the choice of the method of surgical treatment of patients with acute purulent mediastinitis should be strictly individual in each case. Video-assisted thoracoscopy is a method of choice in surgical treatment of patients with acute purulent mediastinitis, which is a little traumatic method, provides a good visualization of all mediastinal units, allows for adequate detection and drainage of affected areas. Prospects for further research — improvement of methods of surgical treatment of patients with APM using the method of the VATS.

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