Laparoscopic Surgical Management of Giant Post-Traumatic Lymphocele Involving Sacrum and the Lower Extremity

2000 ◽  
Vol 10 (6) ◽  
pp. 341-345 ◽  
Author(s):  
C.S. RAMACHANDRAN ◽  
VIJAY ARORA
Keyword(s):  
Lower Extremity ◽  
Surgical Management ◽  
Post Traumatic

scholarly journals Autologous staged fat tissue transfer in post-traumatic lower extremity reconstruction

2015 ◽  
Vol 2015 (11) ◽  
pp. rjv141-rjv141 ◽  
Author(s):  
M. A. Benjamin ◽  
G. Schwarzman ◽  
M. Eivazi ◽  
L. Zachary
Keyword(s):  
Lower Extremity ◽  
Fat Tissue ◽  
Tissue Transfer ◽  
Lower Extremity Reconstruction ◽  
Extremity Reconstruction ◽  
Post Traumatic

Prognostic factors influencing the outcome of empyema surgical management: prospective study in a Moroccan university center.

2021 ◽  
Vol 1 (1) ◽  
Author(s):  
Sara Hafidi ◽  
Souheil Boubia ◽  
Abdellah Fatene ◽  
Najat Id El Haj ◽  
Mohammed Ridai
Keyword(s):  
Surgical Treatment ◽  
Surgical Management ◽  
Public Health Problem ◽  
Pleural Empyema ◽  
Chronic Alcoholism ◽  
University Teaching ◽  
University Center ◽  
Post Traumatic ◽  
Surgery Department ◽  
Delay Of Diagnosis

Background: Pleural empyema is a public health problem, and is the most frequent complication of pleural infection with significant morbidity and mortality worldwide. Our study aims to highlight the management of pleural empyema and evaluate its prognosis factors involved especially in surgical treatment. Patients and Methods: A prospective analysis of 53 patients who underwent surgical treatment of pleural empyema, from January 2015 to December 2019 at the thoracic surgery department in a tertiary referral university teaching hospital. Our study included patients who required surgical treatment for pleural empyema and were excluded patients with destroyed lungs associated with pyothorax. Results: The mean age of patients was 39.24±15.89 years and 79,24% of them were males. In 85.7% of the cases, the etiology was undetermined in 34%, parapneumonic in 1.9%, of tuberculosis in 54.71%, post-traumatic in 11, 3%, postoperative in 7.5% and iatrogenic in 1.9%. 45 patients were treated with broad-spectrum antibiotics therapy adapted after antibiogram 14.38±21.76 days before the operation. A complete debridement and decortications were performed by VATS in 28 and by PLT in 22 patients. No major complications occurred. At a mean term follow-up of 20 months (3months—3 years); all patients were alive with no recurrence. The analysis of the results showed 4 factors of poor prognosis: delay of diagnosis and surgery (P = 0.02), chronic alcoholism (P = 0.034), preoperative ventilation disorder/COPD (P = 0.04) and active tuberculosis (P= 0, 05). Conclusion: The success of surgical management of pleural empyema depends on several factors, which predict the prognosis, but can be prevented.

scholarly journals Surgical Management of Idiopathic Ulcerative Calcinosis Cutis in the Lower Extremity: A Case Report

2020 ◽  
Vol 59 (3) ◽  
pp. 603-607
Author(s):  
Alton R. Johnson ◽  
Danielle Mooshol ◽  
Vikram Thakar ◽  
Marie Williams
Keyword(s):  
Case Report ◽  
Lower Extremity ◽  
Surgical Management ◽  
Calcinosis Cutis

scholarly journals Post-traumatic bronchobiliary fistula

2019 ◽  
Vol 12 (4) ◽  
pp. e228294 ◽  
Author(s):  
Niladri Banerjee ◽  
Amulya Rattan ◽  
Pratyusha Priyadarshini ◽  
Subodh Kumar
Keyword(s):  
Early Diagnosis ◽  
Surgical Management ◽  
Gold Standard ◽  
Complete Recovery ◽  
Rare Entity ◽  
Bronchobiliary Fistula ◽  
Confirmatory Tests ◽  
Post Traumatic ◽  
Torso Trauma ◽  
Individualised Treatment

Post-traumatic bronchobiliary fistula (BBF) is a rare entity, with only a few cases reported worldwide. Bilioptysis is pathognomonic of the condition, however, bronchoscopy and bronchoalveolar lavage along with CT are used for confirmation. We describe this condition in a young woman who presented to us with bilioptysis following a laparotomy for blunt torso trauma. Diagnosis was made of BBF, followed by surgical management and complete recovery. We emphasise the signs of early diagnosis, confirmatory tests, individualised treatment and advocate surgical management as the gold standard of treatment.

Neurological outcome after surgical management of adult tethered cord syndrome

2009 ◽  
Vol 11 (3) ◽  
pp. 304-309 ◽  
Author(s):  
Giannina L. Garcés-Ambrossi ◽  
Matthew J. McGirt ◽  
Roger Samuels ◽  
Daniel M. Sciubba ◽  
Ali Bydon ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Surgical Management ◽  
Tethered Cord ◽  
Symptomatic Improvement ◽  
Urinary Dysfunction ◽  
Urinary Symptoms ◽  
Motor Symptoms ◽  
Lower Extremity Weakness ◽  
The Mean ◽  
First Time

Object Although postsurgical neurological outcomes in patients with tethered cord syndrome (TCS) are well known, the rate and development of neurological improvement after first-time tethered cord release is incompletely understood. The authors reviewed their institutional experience with the surgical management of adult TCS to assess the time course of symptomatic improvement, and to identify the patient subgroups most likely to experience improvement of motor symptoms. Methods The authors retrospectively reviewed 29 consecutive cases of first-time adult tethered cord release. Clinical symptoms of pain and motor and urinary dysfunction were evaluated at 1 and 3 months after surgery, and then every 6 months thereafter. Rates of improvement in pain and motor or urinary dysfunction over time were identified, and presenting factors associated with improvement of motor symptoms were assessed using a multivariate survival analysis (Cox model). Results The mean patient age was 38 ± 13 years. The causes of TCS included lipomyelomeningocele in 3 patients (10%), tight filum in 3 (10%), lumbosacral lipoma in 4 (14%), intradural tumor in 3 (10%), previous lumbosacral surgery in 2 (7%), and previous repair of myelomeningocele in 14 (48%). The mean ± SD duration of symptoms before presentation was 5 ± 7 months. Clinical presentation included diffuse pain/parasthesias in both lower extremities in 13 patients (45%), or perineal distribution in 18 (62%), lower extremity weakness in 17 (59%), gait difficulties in 17 (59%), and bladder dysfunction in 14 (48%). Laminectomy was performed in a mean of 2.5 ± 0.7 levels per patient, and 9 patients (30%) received duraplasty. At 18 months postoperatively, 47% of patients had improved urinary symptoms, 69% had improved lower extremity weakness and gait, and 79% had decreased painful dysesthesias. Median time to symptomatic improvement was least for pain (1 month), then motor (2.3 months), and then urinary symptoms (4.3 months; p = 0.04). In patients demonstrating improvement, 96% improved within 6 months of surgery. Only 4% improved beyond 1-year postoperatively. In a multivariate analysis, the authors found that patients who presented with asymmetrical lower extremity weakness (p = 0.0021, hazard ratio 5.7) or lower extremity hyperreflexia (p = 0.037, hazard ratio = 4.1) were most likely to experience improvement in motor symptoms. Conclusions In the authors' experience, pain and motor and urinary dysfunction improve postoperatively in the majority of patients. The rate of symptomatic improvement was greatest for pain resolution, followed by motor, and then urinary improvement. Patients who experienced improvement in any symptom had done so by 6 months after tethered cord release. Patients with asymmetrical motor symptoms or lower extremity hyperreflexia at presentation were most likely to experience improvements in motor symptoms. These findings may help guide patient education and surgical decision-making.

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