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Giancarlo D'Ambrosio, Gianfrancesco Intini, Andrea Balla, Silvia Quaresima, Andrea Picchetto, Ardit Seitaj, Salvatore Campo, Francesca De Laurentis, Alessandro M Paganin
AIM: Recto-Urinary Fistula (RUF) is a rare complication of pelvic surgery. Different approaches are reported in literature but a gold standard treatment has not yet been achieved. Transanal Endoscopic Microsurgery (TEM) is a miniinvasive approach with well known advantages as magnification, 3D view and lighting of the operative field. Aim of the present review is to report the current evidence in literature about technique and results of RUF treatment by TEM and to suggest some key points for its correct management...
2016: Annali Italiani di Chirurgia
D V Osadchuk, A V Chornomydz
Peculiarities of clinical course, diagnosis and treatment of elderly patients for an acute pancreatitis were analyzed. There was established, that the clinical course of an acute pancreatitis is atypical with obscure symptoms. Late admittance to hospital, presence of concomitant diseases, low reactivity of the organism defense systems, morpho-functional changes in pancreatic gland complicate the early diagnosis. While the abdominal pain occurrence in the patient it is necessary always to keep in mind the diagnosis of an acute pancreatitis and not to rely on the diagnosis with which the patient was delivered to hospital...
April 2016: Klinichna Khirurhiia
P Libánský, P Broulík, M Fialová, J Kubinyi, R Lischke, D Táborská, J Tvrdoň, J Šedý, S Adámek
INTRODUCTION: Primary hyperparathyroidism is a disease caused by elevated secretion of parathyroid hormone from pathological parathyroid glands. After the diagnosis, the success of its surgical solution depends predominantly on surgical management and experience of the surgeons. A special group is formed by ectopic localizations of pathologically enlarged parathyroid glands in the mediastinum, which require a modified surgical approach. When the adenoma is deep in the mediastinum, sternotomy or thoracotomy is indicated; alternatively, a minimally invasive approach can be used - videothoracoscopic thymectomy...
2016: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
S V Malyk, M V Bezruchko, O S Osipov, S P Kravchenko, A V Khomenko
The results of treatment of 21 patients, suffering nonparasitic hepatic cysts, using laparoscopic draining and puncture under ultrasonographic control, were analyzed. Minimal traumaticity of the intervention, absence of necessity to apply general anesthesia, low rate of postoperative morbidity (7.1%), reduction of duration of the patients stationary treatment down to (3.3 ± 0.61) days, reduction of economic wastes on the treatment constitute the advantages of such method.
January 2016: Klinichna Khirurhiia
I M Shevchuk, S M Gedzyk, T M Dzvonkovskiy, N V Omehlchuk, R T Kuzenko
The results of treatment of 89 patients, suffering an acute accumulations of liquid (AAL)and postnecrotic pancreatic pseudocysts (PPP) on background of an acute necroticpancreatitis, were studied. The volume of AAL and PPP have constituted from 65 to2750 cm3. The alcohol abuse and alimentary factor--in 63 (70.7%) patients, biliary calculous disease--in 21 (23.6%), and other--in 5 (5.7%) have constituted the diseasecauses. In 33 (37%) patients miniinvasive interventions were performed, and in the rest--the endoscopic...
December 2015: Klinichna Khirurhiia
M S Opanasenko, B M Konik, I M Kupchak, O E Kshanovskyi, O V Tereshkovych, T M Stasiv, E V Klymets
Enhancement of rate of the intrathoracic lymphadenopathy syndrome (ILS) revealing have caused a necessity to find out the informative, secure and miniinvasive method of its diagnosis. There was established, that sensitivity, specificity and accuracy of videothoracoscopic (VTS) biopsy of intrathoracic lymph nodes (ILN) have constituted, accordingly, 96.0, 98.1 and 97.1%, and of videoassisted thoracoscopy (VATS) - 93.8, 93.6 and 93.5%. Low frequency of intraoperative and postoperative complications (accordingly 4...
October 2015: Klinichna Khirurhiia
Alban Benezech, Michel Bouvier, Véronique Vitton
Faecal incontinence (FI) is a disabling and frequent symptom since its prevalence can vary between 5% and 15% of the general population. It has a particular negative impact on quality of life. Many tools are currently available for the treatment of FI, from conservative measures to invasive surgical treatments. The conservative treatment may be dietetic measures, various pharmacological agents, anorectal rehabilitation, posterior tibial nerve stimulation, and transanal irrigation. If needed, patients may have miniinvasive approaches such as sacral nerve modulation or antegrade irrigation...
February 15, 2016: World Journal of Gastrointestinal Pathophysiology
S Benallal, M N Bouayed
OBJECTIFS: La coarctation de l'aorte représente environ 7 % des malformations cardiaques congénitales, associée dans 50 % des cas à une bicuspidie aortique ; diagnostiquée le plus souvent chez l'enfant, rarement à l'âge adulte à l'occasion d'une complication. Le but de notre étude est de montrer l'apport du traitement endovasculaire dans la prise en charge des coarctations aortiques chez l'adulte, et d'évaluer les résultats à court, moyen et long terme. MéTHODES: Étude mono-centrique prospective, non randomisée sur 28 mois, allant de mars 2013 à juillet 2015, portant sur 15 cas, traités pour coarctation de l'aorte découverte à l'âge adulte, dont l'âge moyen était de 37,3ans, avec des extrêmes allant de 15ans à 50ans, et un Sex-ratio de 1/1...
December 2015: Annales de Cardiologie et D'angéiologie
Monika Romanowska, Tomasz Okniński, Jacek Pawlak
INTRODUCTION: There are many techniques which may be involved in abdominal hernia repair, from classical to tension-free. Treatment of complicated hernias has undergone evolution. Many surgeons consider the laparoscopic method as a method of choice for incisional hernia repair. Sometimes miniinvasive repair of complicated hernia is not so easy to perform. We are convinced that selected patients may benefit from combined open and laparoscopic techniques. AIM: To present the operating technique and early results of treatment of 15 patients operated on using the 3 hybrid technique...
January 2016: Wideochirurgia i Inne Techniki Mało Inwazyjne, Videosurgery and Other Miniinvasive Techniques
F A Eyubov, A Ya Ahmedzade, Z R Ragimov, A D Abdullayev
The apparatus for external fixation of the long bones fractures of various localization, applied in 118 injured persons, was proposed. In 86.8% patients a good results of treatment were achieved.
September 2015: Klinichna Khirurhiia
I L Nastashenko
The results of endoscopic diagnosis and treatment of 127 patients for iatrogenic injuries of biliary ducts while laparoscopic cholecystectomy performance are adduced. Taking into account a necessity to follow principles of miniinvasiveness while performing laparoscopic cholecystectomy, it is expedient to apply miniinvasive methods for elimination of its possible complications as well. In presence of clinical signs of an acute abdomen, free liquid in abdominal cavity (in accordance to ultrasonographic investigation data), application of endoscopic methods of diagnosis and treatment of the biliary ducts iatrogenic injuries is not indicated...
September 2015: Klinichna Khirurhiia
O O Buchok
Renal function was studied, using radionuclide renography, in 142 patients, suffering acute obstructive pyelonephritis, in 73 of whom transcutaneous nephrostomy was applied and in 69--the ureter's stenting, for the urine passage restoration. The investigation was peformed in 1 month and 1 year after miniinvasive treatment. After comparison of the investigation results there was established, that after transcutaneous nephrostomy, using miniinvasive technologies, the affected kidney's functional inhibition was trustworthy less, than after stenting...
May 2015: Klinichna Khirurhiia
O Yu Joffe, T V Tarasyuk, O P Stetsenko, Yu P Tsyura, M S Kryvopustov
Methods and results of treatment of 119 patients, suffering postoperative abdominal hernia, were analyzed. There was established, that application of laparoscopic miniinvasive technologies permits to improve the results of treatment in patients in comparison with those after open operative interventions, due to shortening of the operation duration, better visualization during viscerolysis conduction, shortening of rehabilitation period, the patients postoperative quality of life improvement.
May 2015: Klinichna Khirurhiia
P Chaveeva, N Persico, R Maslarska, Tsv Georgiev, I Dimova, A Shterev
We present a case of miniinvasive fetal surgery for CDH treated at 28 and 34 weeks of gestation. The first step was successfully performed at 28 weeks with Fetal Endoscopic Tracheal Occlusion with ballon. The second step was performed at 34 weeks for balloon removal. The necessity of fetal cytogenetic assessment and array CGH was carried out to exclude gene disorders that could lead to poor long-term outcome. A planned SC and optimal neonatology management were followed by a surgical operation of the newborn...
2015: Akusherstvo i Ginekologii︠a︡
M Májovský, D Netuka, V Masopust, V Beneš
INTRODUCTION: Clivus is a central structure of the skull base located in the vicinity of the brainstem and vital brain vessels. Clival fractures are usually caused by a high-energy trauma. Cerebrospinal fluid leak is one of the most common complications. CASE REPORT: A middle-aged male sustained a mild head trauma, followed by a nasal cerebrospinal fluid leak. CT scan revealed the massive pneumocephalus and the fracture of the clivus in the posterior wall of the sphenoidal sinus...
July 2015: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
O G Kotenko, V A Kondratyuk, D A Fedorov, A V Grinenko, A A Korshak, A V Gusev, A O Popov, M S Grigoryan
The results of surgical treatment of 316 patients, suffering focal hepatic diseases, in whom for preoperative preparation a portal vein embolization (PVE) was performed, were analyzed. PVE was applied in a small planned hepatic residual volume. The patients have aged from 21 to 77 yrs, (57 ± 10.6) yrs at average. During (22 ± 7) days after the procedure a hypertrophy of a planned postresectional hepatic volume by 58.6% was observed, while a hypertrophy degree have depended on the embolization volume performed: 57...
April 2015: Klinichna Khirurhiia
Tanyang Zhou, Junhui Sun, Yuelin Zhang, Chunhui Nie, Guanhui Zhou, Tongyin Zhu, Weilin Wang, Shusen Zheng
OBJECTIVE: To evaluate the clinical diagnosis and treatment of hemorrhage after pancreatoduodenectomy via digital subtraction angiography (DSA) and transcatheter arterial embolization (TAE). METHODS: The clinical and imaging data of 23 patients receiving DSA examination and TAE treatment due to hemorrhage after pancreatoduodenectomy at our interventional center from October 2012 to October 2014 were retrospectively reviewed. And the manifestations of DSA and therapeutic efficacies of TAE were summarized and analyzed...
February 3, 2015: Zhonghua Yi Xue za Zhi [Chinese medical journal]
Artur Gądek, Henryk Liszka
BACKGROUND: The surgical treatment of hallux valgus deformity is connected with significant postoperative pain. Spinal and general anesthesia as well as peripheral blocks are successfully used in foot surgery. The purpose of this study was to evaluate the influence of local anesthetic infiltration before hallux valgus one-day surgery on postoperative pain and the need for analgesics. MATERIAL AND METHODS: 134 patients underwent chevron or miniinvasive Mitchell-Kramer osteotomy of the first distal metatarsal...
2015: Przegla̧d Lekarski
B M Todurov
The literature data, concerning expediency of miniinvasive access in aortal valve prosthesis for its failures of various etiologies, are analyzed. Advantages and failures, occurring while its application, are discussed. Own clinical observation of successful conduction of operative intervention for aortal valve failure, using miniinvasive access, is adduced.
March 2015: Klinichna Khirurhiia
Heinrich Ebner, Markus Falk, Francesco Ferrara, Enzo Cacciatore, Giovanni Dompè, Augusto Farina, Juliane Anna Ebner
AIM: To find out how and when Italian phlebologically-active physicians apply perioperative sclerotherapy. MATERIAL AND METHODS: A questionnaire was e-mailed to the members of three different Italian Societies of Phlebology. The answers were collected in a database (SPSS19 for Windows) and statistically evaluated. RESULTS: Ninety surgeons (87.4%) and 13 (12.6%) phlebologists responded, 57 (56,3%) worked in hospital and 46 (44.7%) in an outpatient clinic...
March 2015: Annali Italiani di Chirurgia
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