scholarly journals Bilateral Pseudarthrosis of the Femoral Neck in a 25-Year-Old Male with Hereditary Hypophosphatemic Rickets

2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
Joris Anthonissen ◽  
Christian Ossendorf ◽  
Thomas Vetter ◽  
Björn Habermann ◽  
Pol M. Rommens
Keyword(s):  
Surgical Treatment ◽  
Femoral Neck ◽  
Knee Pain ◽  
Conservative Therapy ◽  
Rare Disorder ◽  
Hypophosphatemic Rickets ◽  
Sport Activities

Hereditary hypophosphatemic rickets (HHR) is a rare disorder of renal phosphate wasting and the most common form of heritable rickets. Here, we report a case of an active 25-year-old male with HHR showing atraumatic bilateral femoral neck pseudarthrosis after 4 years of consecutive knee pain. A conservative therapy was administered, taking into account both the risks of surgical treatment and the little impairment even in the sport activities which the patient experienced.

Cesarean scar defects: diagnosis and treatment in non-pregnant women

GYNECOLOGY ◽  
2020 ◽  
Vol 22 (3) ◽  
pp. 6-10
Author(s):  
Sergey A. Martynov
Keyword(s):  
Magnetic Resonance Imaging ◽  
Surgical Treatment ◽  
Magnetic Resonance ◽  
Genital Tract ◽  
Conservative Therapy ◽  
Clinical Manifestations ◽  
Subsequent Pregnancy ◽  
Resonance Imaging ◽  
Diagnostic Features ◽  
Pregnancy And Childbirth

The aim of the review was to summarize information on clinical manifestations, diagnostic features, as well as methods for correction of scar defects after cesarean section (CS) outside pregnancy. Lack of the scar after CS, niche, isthmocele are a myometrium defect in the area of scar after CS, which is most often detected by ultrasound, sonohysterography or magnetic resonance imaging and is manifested by postmenstrual bleeding from the genital tract. In some cases, it can cause menorrhagia, dyspareunia, pelvic pain, infertility, uterine rupture during subsequent pregnancy and childbirth. Conservative therapy or surgical treatment with laparoscopy, laparotomy or vaginal approach is carried out depending on the symptoms, size of the defect, the thickness of the residual myometrium, as well as the womans reproductive plans.

Role of hyperbaric oxygenation in preoperative preparation of patients with pyloroduodenal ulcers

1986 ◽  
Vol 67 (3) ◽  
pp. 164-166
Author(s):  
A. A. Chernyavsky ◽  
P. S. Zubeev ◽  
O. V. Milovidova ◽  
N. G. Mikhailova
Keyword(s):  
Surgical Treatment ◽  
Hyperbaric Oxygenation ◽  
Conservative Therapy ◽  
Selective Proximal Vagotomy ◽  
Preoperative Preparation ◽  
Duodenal Ulcers ◽  
Operative Method ◽  
Surgical Practice

Although conservative therapy remains the main treatment for duodenal ulcers, however, 20-30% of patients require surgical treatment. In recent years a new operative method - selective proximal vagotomy - has been introduced into the wide surgical practice of pyloroduodenal ulcers treatment. Its performance is connected with the decision on the surgeon's tactics concerning the ulcerous niche: should it be excised or left?

scholarly journals A perioperative phlebotropic therapy compliance study in patients with varicose veins

2020 ◽  
pp. 81-88
Author(s):  
S. N. Zhabin ◽  
A. A. Shitikov ◽  
A. V. Tsukanov ◽  
E. G. Obedkov ◽  
S. S. Dudchenko ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Lower Extremity ◽  
Varicose Vein ◽  
Conservative Therapy ◽  
Varicose Veins ◽  
Laser Coagulation ◽  
Entire Study ◽  
Wide Range ◽  
Vein Disease

Introduction: Lower extremity varicose vein disease is one of the common problems in vascular surgery. Clinically, this disease is accompanied by a wide range of complaints and external symptoms, which eventually lead to a worse patients’ quality of life. The integrated approach is being applied to the disease treatment, which involves the use of various phlebotropic drugs as conservative therapy along with minimally invasive surgical correction and sclerotherapy.Objective: to improve the quality of phlebotropic therapy for patients with lower extremity varicose vein disease, based on the study of factors that shape the patient’s compliance with the effective treatment of clinical symptoms. The term «compliance» means the precise and informed implementation of the doctor’s recommendations during the treatment by the patient. Most often, «compliance» is assessed by the drug use index, which is the quotient of dividing the number of days on which the full dose of the drug was taken by the duration of the entire study period. Materials and methods: The analysis of 368 + 111 patients with lower extremity varicose vein disease was carried out. Of these, 111 patients turned out to be beyond the correct study of compliance (a phlebectomy was performed in a hospital). 368 patients were divided into the following groups: Group 1: the patients, who were assigned modern surgical treatment of varicose veins (endovenous laser coagulation, scleroobliteration); Group 2: the patients, who withdrew from assigned interventions. As it turned out, the different groups of patients differed in compliance.Results. The patients who were shown and performed surgical treatment – 320 (86.9%), can be considered highly compliant with the prescribed conservative therapy – the average value of the compliance index is 0.83, compared to the representatives who refused to perform the recommended surgical procedures recommended by them – 48 (13.1%), the compliance index is 0.78.In the course of the investigation, the factors shaping compliance with phlebotropic drugs were identified, a comparative assessment was carried out on the main indicators of the effectiveness of phlebotropic drugs.Conclusion. Thus, the compliance of the patients suffering from LEVVV during the treatment with phlebotropic drugs varies depending on the multiplicity and convenience of the form of the drug, on the effectiveness of the proposed phlebotropic therapy according to the influence on the complaints and symptoms, on the psychological readiness of the patient to entrust the result of the final treatment of the disease to the surgeon.

scholarly journals Repeated fracture of the femoral neck. Tactics of treatment. Clinical observation

2015 ◽  
Vol 3 (2) ◽  
pp. 48-51
Author(s):  
Pavel Igorevich Bortulev ◽  
Yaroslav Nikolaevich Proshchenko ◽  
Anatoliy Vasilievich Ovsyankin ◽  
Alexey Polikarpovich Drozdetskiy ◽  
Oksana Vyacheslavovna Bortuleva
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Femoral Neck ◽  
Clinical Observation ◽  
Multiple Fractures

The article presents a case report of surgical treatment of multiple fractures of the femoral neck in 15-year old child.

scholarly journals Tertiary Hyperparathyroidism Secondary to X-linked Hypophosphatemic Rickets

2017 ◽  
Vol 9 (1) ◽  
pp. 24-26
Author(s):  
Jose Maria Fernandez Cebrian ◽  
Enrique Colás Ruiz ◽  
Laura Vega ◽  
Santiago Linacero ◽  
Edgardo Celi ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Rare Complication ◽  
Hypophosphatemic Rickets ◽  
Tertiary Hyperparathyroidism

ABSTRACT Tertiary hyperparathyroidism is a rare complication of X-linked hypophosphatemic rickets. The surgical treatment is already unclear. How to cite this article Ruiz EC, Cebrián JMF, Vega L, Linacero S, Celi E, Quintáns A. Tertiary Hyperparathyroidism Secondary to X-linked Hypophosphatemic Rickets. World J Endoc Surg 2017;9(1):24-26.

scholarly journals Comparison of Conservative and Operative Treatment of Jones Fracture

2019 ◽  
Author(s):  
Jiri Demel ◽  
Ladislav Planka ◽  
Radek Stichhauer ◽  
Leopold Pleva
Keyword(s):  
Surgical Treatment ◽  
Fracture Healing ◽  
Conservative Therapy ◽  
Aofas Score ◽  
X Ray ◽  
Jones Fracture ◽  
Conservative And Operative Treatment ◽  
O 15 ◽  
K 12 ◽  
Type Of Fracture

Abstract Background: A Jones fracture is a transverse fracture of the V. metatarsal bone, without significant dislocation in the diaphysis junction and metaphyseal metaphysis. This type of fracture is usually associated with a minimal injury mechanism, and is characterized with minimal swelling, absence of hematoma and prolonged healing. The aim of the presented study was to compare the surgical and conservative therapy of Jones fracture. The study was registered in the www.clinicaltrials.gov database, under the ClinicalTrials.gov ID: NCT04037540 on 27th July 2019. Methods: A total of 27 study subjects were randomized into two groups – Conservative (K): 12, and Operational (O): 15. The study subjects were followed after 6 and 12 weeks using X-ray and the American Orthopedic Foot and Ankle Score (AOFAS). In the absence of X-ray signs of healing and low AOFAS score in Group K, treatment was considered unsuccessful and the patient was indicated for surgical treatment. Results: Five patients in Group K showed no signs of healing on X-ray after 12 to 6 weeks. These patients also manifested poor AOFAS scores and were indicated for surgical treatment and excluded from the study. Fracture failure was observed in seven patients. Their AOFAS scores were at the least satisfactory and, the patients continued in conservative therapy. After 12 weeks, 6 patients manifested fracture healing on X-ray and the AOFAS score of 100. In one patient who refused surgery, the fracture was not healed after 12 weeks. In Group O, seven patients achieved fracture healing on X-ray after 6 weeks, 8 patients did not show fracture healing. The average AOFAS score after 6 weeks was 97 (excellent). After 12 months, 13 patients showed findings of fracture healing on X-ray. The average AOFAS score was 100 points (maximum). Conclusions: The results of the study show that 1) Surgical treatment leads to significantly faster signs of healing on X-ray than the conservative one 2) After six weeks of surgery, 93% (14 out of 15) of patients are able to fully load the limb. Keywords: Jones - Fracture - AOFAS - Herbert screw Unique protocol ID: FNO-KUCH-01-Jones

Surgical Treatment of Femoral Neck Fractures

2021 ◽  
pp. 85-117
Author(s):  
Michael B. Held ◽  
William K. Crockatt ◽  
Kyle L. McCormick ◽  
Jeffrey A. Geller
Keyword(s):  
Surgical Treatment ◽  
Femoral Neck ◽  
Femoral Neck Fractures

Successful Aneurysmorrhaphy for a Giant Idiopathic Pulmonary Artery Aneurysm

2020 ◽  
Vol 15 (3) ◽  
pp. 275-278
Author(s):  
Phung Duy Hong Son ◽  
Vu Ngoc Tu ◽  
Nguyen Huu Uoc ◽  
Hoang-Long Vo
Keyword(s):  
Surgical Treatment ◽  
Pulmonary Artery ◽  
Thoracic Surgery ◽  
Artery Aneurysm ◽  
Giant Aneurysm ◽  
Rare Disorder ◽  
Pulmonary Artery Aneurysm ◽  
Pulmonary Pressure

Idiopathic aneurysm of pulmonary artery is a rare disorder with unclear pathology and mechanism. The indications for its surgical treatment are not clear, especially in cases with normal pulmonary pressure. We report the case of a 64-year-old man with a giant idiopathic aneurysm of the pulmonary artery (max diameter 97.3 mm). The patient successfully underwent surgical treatment with the aneurysmorrhaphy in our Department of Cardiovascular and Thoracic Surgery. The patient was extubated successfully within 6 hours of the operation and discharged hospital after 10 days. In cases with giant aneurysm of the pulmonary artery, the aneurysmorrhaphy may be considered as a safe and feasible choice.

Sign in / Sign up

Export Citation Format

Share Document