Role of talectomy in the treatment of rigid talipes equinovarus deformities

1995 ◽  
Vol 85 (4) ◽  
pp. 189-197 ◽  
Author(s):  
GR Johnson ◽  
P Han ◽  
JA Giacopelli
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Recurrence Rate ◽  
Satisfactory Result ◽  
Operative Technique ◽  
High Recurrence Rate ◽  
Salvage Procedure ◽  
Surgical Interventions ◽  
Talipes Equinovarus

The authors provide a review of the principles of talectomy as a surgical treatment option for severe, rigid, and resistant clubfoot deformities. Such deformities are associated with a high recurrence rate and frequently involve a large number of surgical interventions to attain a satisfactory result. Talectomy has been successfully used as both a primary and salvage procedure to treat such deformities, often eliminating the need for subsequent surgeries. A discussion of the operative technique, indications, advantages, and common complications associated with the procedure is presented. In addition, a case report of talectomy used to treat a severe, bilateral clubfoot deformity in a 4-year-old boy is included.

scholarly journals VERTEBRAL HYDATIDOSIS: BIBLIOGRAPHICAL REVIEW AND CLINICAL CASE REPORT

2018 ◽  
Vol 17 (4) ◽  
pp. 326-329
Author(s):  
Juan Manuel Velasco ◽  
Santiago Sapriza ◽  
Nicolás Galli ◽  
Fernando Garcìa
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Literature Review ◽  
Recurrence Rate ◽  
Spinal Canal ◽  
Clinical Case ◽  
High Recurrence Rate ◽  
Treatment Results ◽  
Level Of Evidence

ABSTRACT We will present a literature review of the vertebral location of hydatidosis. It is a rare, locally aggressive condition with a high recurrence rate that requires clinical treatment (antihelminthic drugs) and surgery, with decompression of the spinal canal. We report a case with more than 11 years of follow-up, which required surgical treatment on 4 occasions. Level of Evidence V; Therapeutic-investigational study of treatment results.

The Role of Navigation and Ultrasound Piezosurgery in the Surgical Treatment of Hypertelorism: A Case Report

2014 ◽  
Vol 75 (S 02) ◽  
Author(s):  
S. Heredero ◽  
J. Solivera ◽  
A. Romance ◽  
A. Dean ◽  
J. Lozano
Keyword(s):  
Case Report ◽  
Surgical Treatment

scholarly journals Pleurodesis methods in the surgical treatment of primary spontaneous pneumothorax

2021 ◽  
pp. 77-81
Keyword(s):  
Surgical Treatment ◽  
Recurrence Rate ◽  
Spontaneous Pneumothorax ◽  
Thoracoscopic Surgery ◽  
Wedge Resection ◽  
Primary Spontaneous Pneumothorax ◽  
High Recurrence Rate ◽  
Parietal Pleura ◽  
Advantages And Disadvantages ◽  
Video Assisted Thoracoscopic Surgery

Pneumothorax is the collection of air in the pleural space. Pneumothorax can be spontaneous, traumatic or iatrogenic. Primary spontaneous pneumothorax mostly occurs in healthy individuals without an apparent cause, probably due to the rupture of subpleural emphysematous bullae located on the apex of the lung. It usually occurs in tall and healthy males younger than 40 years old. Primary spontaneous pneumothorax has a recurrence rate of 20-30% after the first attack, 50% after the second attack, and 80% after the third attack. Surgery is presented as a treatment option to reduce the high recurrence rate after the second attack. It has been reported that recurrence is between 10 and 20% in patients who undergo bullectomy or wedge resection with endoscopic steps alone. Therefore, various pleural pleurodesis methods are applied in addition to bulla resection in order to reduce the recurrence rate after surgery. In mechanical pleurodesis, adhesion between visceral and parietal pleura is achieved by mechanical abrasion of the parietal pleura or by total or partial removal of the parietal pleura. In chemical pleurodesis, the visceral pleura is adhered to the parietal pleura by creating irritation in the pleura with chemical agents. In cases where pleurodesis was added, the recurrence rate was reported to be between 1.7 and 2.8%. Whether the pleurectomy, pleural mechanical or chemical abrasion methods performed with video-assisted thoracoscopic surgery is superior for preventing recurrence is still a matter of debate. In this article, we aimed to discuss the advantages and disadvantages of pleurodesis methods in the surgical treatment of primary spontaneous pneumothorax in the light of the literature.

scholarly journals Radiotherapy for Recurrent Keloid: A Case Report

2020 ◽  
Vol 6 (3) ◽  
pp. 89-91
Author(s):  
Christina Hari Nawangsih Prihharsanti ◽  
Muhamad Rizqi Setyarto ◽  
Dion Firli Bramantyo
Keyword(s):  
Connective Tissue ◽  
Recurrence Rate ◽  
Corticosteroid Injection ◽  
Inflammatory Cells ◽  
Early Postoperative Period ◽  
High Recurrence Rate ◽  
Surrounding Soft Tissue ◽  
History Of

Background: Keloid is a benign growth of connective tissue. There are several risk factors that play a role in keloid growth. Excision surgery is one of the modalities in the treatment of keloids. However, excision surgery alone has a recurrence rate of 45-100%.Case: Male, 37 years old, with complaints arising from a keloid lesions in the left earlobe since three years ago with a history of previous injuries. The lesions is then operated on but always grows back postoperatively. The number of surgeries that have been carried out three times with further treatment in the form of corticosteroid injection. However, keloid still recurrence. Finally it was decided to undergo treatment with surgery followed by radiotherapy within a period of no more than 24 hours postoperatively. Follow-up after six months gave good results without recurrence.Discussion: Keloid has a high recurrence rate after excision surgery. Surgery followed by radiotherapy has a low recurrence rate compared to surgery or surgery followed by administration of corticosteroid injections. Radiotherapy as adjuvant therapy for postoperative keloid excision has the role of sterilizing the connective tissue stem cell active fibroblasts and acute inflammatory cells that grow in the early postoperative period. A study states that administration of postoperative radiation with electrons in keloids in the earlobe at a dose of 15 Gy in three fractions gives a low recurrence rate and a low risk of side effects in the surrounding soft tissue. 

scholarly journals Functional ismico-cervical insufficiency and its therapy with dufastone in outpatient settings

1999 ◽  
Vol 48 (2) ◽  
pp. 82-83
Author(s):  
V. V. Abramchenko
Keyword(s):  
Differential Diagnosis ◽  
Surgical Treatment ◽  
Termination Of Pregnancy ◽  
Cervical Insufficiency ◽  
Surgical Interventions ◽  
Outpatient Settings ◽  
In Pregnancy

The role of ischemic-duodenal insufficiency (IDI) in spontaneous termination of pregnancy has not been fully elucidated. The development of various modifications of the surgical treatment of IDI is of great importance, which has led to a very wide use of surgical interventions on the cervix, including "prophylactic" interventions. The application of a circular suture to the cervix is appropriate only in cases where there is an organic variant of this pathology. Differential diagnosis of organic and functional IDI in pregnancy is difficult.

Treatment of an Elusive Symptomatic Sinus Pericranii: Case Report and Review of the Literature

2021 ◽  
Author(s):  
Jose F. Dominguez ◽  
Smit Shah ◽  
Eric Feldstein ◽  
Christina Ng ◽  
Boyi Li ◽  
...  
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Review Of The Literature ◽  
Vascular Abnormality ◽  
Sinus Pericranii ◽  
Dural Sinuses ◽  
Visual Motor ◽  
Vascular Connections ◽  
Neurosurgical Intervention

AbstractSinus pericranii (SP) are abnormal vascular connections between extracranial scalp venous channels and intracranial dural sinuses. This vascular abnormality rarely results in significant sequelae, but in select cases, it can be symptomatic. We describe the case of a 7-year-old girl with an SP who experienced intermittent visual, motor, and sensory symptoms not previously described in the literature. Her symptoms resolved after surgical treatment of the SP. We propose a mechanism for her symptoms and the rationale for the role of neurosurgical intervention along with a review of the literature.

The role of intestinal microbiota in the pathogenesis of host depression and mechanism of TP relieving depression

2021 ◽  
Author(s):  
Yang Liu ◽  
Zufang Wu ◽  
Lu Cheng ◽  
Xin Zhang ◽  
Haining Yang
Keyword(s):  
Mental Disorders ◽  
Recurrence Rate ◽  
Intestinal Microbiota ◽  
Intestinal Flora ◽  
High Recurrence Rate ◽  
Neuropsychiatric Disease

Depression is a prevalent neuropsychiatric disease with a high recurrence rate, affecting over 350 million people worldwide. Intestinal flora disorders and gut-brain-axis (GBA) dysfunction may cause mental disorders. Alterations in...

scholarly journals Embryonal tumor with abundant neuropil and true rosettes in the brainstem: case report

2015 ◽  
Vol 16 (3) ◽  
pp. 291-295 ◽  
Author(s):  
Hidetoshi Sato ◽  
Yuzo Terakawa ◽  
Naohiro Tsuyuguchi ◽  
Yuko Kuwae ◽  
Masahiko Ohsawa ◽  
...  
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Case Reports ◽  
Subtotal Resection ◽  
Surgical Removal ◽  
Rare Entity ◽  
Review Of The Literature ◽  
Embryonal Tumor

Embryonal tumor with abundant neuropil and true rosettes (ETANTR) is rarely seen in the brainstem, and there are few case reports of brainstem ETANTR in the literature. Accordingly, the characteristics and the role of surgical treatment of this rare entity remain unclear. The authors present a case of brainstem ETANTR involving a 33-month-old boy along with a review of the literature and discuss the role of surgical removal in the treatment of this entity. In the authors’ case, the tumor was surgically treated with subtotal resection, which resulted in improvement of the patient’s preoperative symptoms. Chemotherapy was initiated but did not appear to be effective, radiotherapy was declined, and the boy died 6 months after the operation. Based on their analysis of 10 previously reported cases and their own case, the authors conclude that, with respect to survival, surgery may be beneficial even in cases of ETANTR in the brainstem. They note, however, that further studies with a large number of cases are needed to validate the role of surgical treatment in brainstem ETANTR.

scholarly journals Role of Ayurvedic parasurgical procedures in the successful acceptance of graft in non-healing venous ulcer- A Case Study.

2021 ◽  
Vol 5 (03) ◽  
Author(s):  
Samiksha Bhuran
Keyword(s):  
Recurrence Rate ◽  
Observational Studies ◽  
Venous Ulcer ◽  
High Recurrence Rate ◽  
Complicated Case ◽  
The Common

                          Venous ulcer is one of the common and difficult to treat cases as it has a high recurrence rate and non-healing nature, failure of graft acceptance, and many agrrevating factors. Treatment is mostly surgical and not affordable to everyone. Many theories were proposed to find the exact cause of the condition and yet it is uncertain. Ayurvedic protocol based treatments helps in treating such conditions thereby improving the agni, bala, satva of such patients along with successful healing. As the treatment is time taking and the patient already has an idea about it, stepwise treatment plays a major role and hence it is a topic were observational studies are required. This paper highlights the role of Ayurvedic protocol in a complicated case with previous surgical histories, failure, and co morbid where amputation and failure of graft was already suggested to the patient previously.

scholarly journals Case Report: Ultrasound Guided Mucosal Fold Lateralization for Laryngeal Webs

2021 ◽  
Vol 8 ◽  
Author(s):  
Sohit Paul Kanotra
Keyword(s):  
Case Report ◽  
Recurrence Rate ◽  
Ultrasound Guidance ◽  
Anterior Commissure ◽  
High Recurrence Rate ◽  
Ultrasound Guided ◽  
Vocal Cords ◽  
Mucosal Flap ◽  
Mucosal Surfaces ◽  
Mucosal Fold

The surgical management of Laryngeal webs is challenging and is associated with a high recurrence rate due the presence of opposing raw mucosal surfaces of the vocal cords, especially near the anterior commissure which causes re-scarring. We describe an endoscopic technique of mucosal flap lateralization (MFL) with ultrasound guidance, which prevents the apposition of the anterior raw surfaces of the vocal cords after web incision, thus avoiding recurrence.

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