Surgical treatment of a mammary gland comedocarcinoma in an Arabian mare: Post‐operative management, and histopathological and immunohistochemical features

Author(s):  
S. Sabiza ◽  
A. Rezaie ◽  
H. Naddaf ◽  
M. Sajjadi Dezfouli ◽  
M. Kaamyab Niya
2015 ◽  
Vol 17 (2) ◽  
pp. 77
Author(s):  
A. L. Krivoshapkin ◽  
A. V. Gorbatykh ◽  
A. S. Gaytan ◽  
P. A. Semin ◽  
V. V. Kobozev

In this publication we report a case of atypical, aggressive clinical course of arachnoid cyst in 19-year old female patient, which caused raised intracranial pressure and disruption of bony structures of the middle cranial fossa and the orbit. It also describes peculiarities of operative management and results of surgical treatment of this patient.


2020 ◽  
Vol 29 (10) ◽  
pp. 2477-2483
Author(s):  
Nora Fiedler ◽  
Ulrich J. A. Spiegl ◽  
Jan-Sven Jarvers ◽  
Christoph Josten ◽  
Christoph E. Heyde ◽  
...  

Abstract Purpose The purpose of this study was to gain new insights into the epidemiologic characteristics of patients with atlas fractures and to retrospectively evaluate complication rates after surgical and non-surgical treatment. Methods In a retrospective study, consecutive patients diagnosed with a fracture of the atlas between 01/2008 and 07/2018 were analyzed. Data on epidemiology, concomitant injuries, fracture patterns and complications were obtained by chart and imaging review. Results In total, 189 patients (mean age 72 years, SD 19; 57.1% male) were treated. The most frequent trauma mechanism was a low-energy trauma (59.8%). A concomitant injury of the cervical spine was found in 59.8%, a combined C1/C2 injury in 56.6% and a concomitant fracture of the thoraco-lumbar spine in 15.4%. When classified according to Gehweiler, there were: 23.3% type 1, 22.2% type 2, 32.8% type 3, 19.0% type 4 and 1.1% type 5. Treatment of isolated atlas fractures (n = 67) consisted of non-operative management in 67.1%, halo fixation in 6.0% and open surgical treatment in 26.9%. In patients with combined injuries, the therapy was essentially dictated by the concomitant subaxial cervical injuries. Conclusions Atlas fractures occurred mainly in elderly people and in the majority of the cases were associated with other injuries of the head and spine. Most atlas fractures were treated conservatively. However, surgical treatment has become a safe and valid option in unstable fracture patterns involving the anterior and posterior arch (type 3) or those involving the articular surfaces (type 4). Level of evidence IV (Retrospective cohort study). Graphic abstract These slides can be retrieved under Electronic Supplementary Material.


2020 ◽  
Vol 16 (2) ◽  
pp. 19-24
Author(s):  
S. S. Skurikhin ◽  
Yu. V. Suvorova

Objective: to analyze the 3-year experience of vacuum-assisted aspiration biopsy under ultrasound guidance in patients with focal mammary neoplasms in categories BIRADS 2–5.Materials and methods. The totals of 121 interventions were performed in 121 patients. In 9 (7.4 %) cases there were more than 1 node in the mammary gland.Results. In 97.7 % cases the removed formations were benign. The breast cancer was detected in 5 (2.3 %) cases; there were cases of malignant tumors in each category according to the BIRADS scale. The complications were registered in 15 (12.3 %) cases and did not require surgical treatment. In 77 (63.3 %) cases the results of ultrasound monitoring were obtained in 6 months after the removal of formations, residual tissue was detected in 6 (4.9 %) patients.Conclusions. The vacuum-assisted aspiration biopsy, thus, has a high diagnostic accuracy; the number of completely removed benign formations allows us to consider the method as an alternative to sectoral resection. It is worth saying that a high percentage of complications is associated with the stage of mastering the method; all complications were resolved conservatively.


2018 ◽  
Vol 132 (4) ◽  
pp. 293-298 ◽  
Author(s):  
L Pabla ◽  
J Duffin ◽  
L Flood ◽  
K Blackmore

AbstractBackground:Despite the plethora of publications on the subject of paediatric obstructive sleep apnoea, there seems to be wide variability in the literature and in practice, regarding recourse to surgery, the operation chosen, the benefits gained and post-operative management. This may reflect a lack of high-level evidence.Methods:A systematic review of four significant controversies in paediatric ENT was conducted from the available literature: tonsillectomy versus tonsillotomy, focusing on the evidence base for each; anaesthetic considerations in paediatric obstructive sleep apnoea surgery; the objective evidence for the benefits of surgical treatment for obstructive sleep apnoea; and the medical treatment options for residual obstructive sleep apnoea after surgical treatment.Results and conclusion:There are many gaps in the evidence base for the surgical correction of obstructive sleep apnoea. There is emerging evidence favouring subtotal tonsillectomy. There is continuing uncertainty around the prediction of the level of post-operative care that any individual child might require. The long-term benefit of surgical correction is a particularly fertile ground for further research.


2019 ◽  
pp. 106-107
Author(s):  
Konstantin V. Slavin

Over the last several decades, surgery became an integral part of comprehensive treatment of advanced Parkinson disease (PD).  Better understanding of disease mechanisms and advancement of technological innovations resulted in universal acceptance of deep brain stimulation (DBS) as an important part of the PD treatment algorithm. Based on experience with thousands of operated patients, the criteria for patient selection, preoperative evaluation, procedural details, and nuances of post-operative management are now well established. As a matter of fact, surgery in general and DBS in particular are now included in every guideline of PD management making it an option to consider when disease progresses and medical side effects occur.


2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Pramod B. Voleti ◽  
Surena Namdari ◽  
Samir Mehta

The scapula plays a critical role in the association between the upper extremity and the axial skeleton. Fractures of the scapula account for 0.4% to 1% of all fractures and have an annual incidence of approximately 10 per 100,000 inhabitants. Scapular fractures typically result from a high-energy blunt-force mechanism and are often associated with other traumatic injuries. The present review focuses on the presentation, diagnosis, and treatment of fractures of the scapula. Indications for surgical treatment of glenoid fossa, scapular neck, and scapular body fractures are presented in detail. Finally, the authors’ preferred surgical technique, including positioning, approach, reduction, fixation, and post-operative management, is described.


2020 ◽  
Vol 302 (4) ◽  
pp. 957-967
Author(s):  
Elene Abesadze ◽  
Vito Chiantera ◽  
Jalid Sehouli ◽  
Sylvia Mechsner

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