Revaluation of the Advancement Operative Technique for the Cure of Vesicorenal Reflux

1979 ◽  
Vol 5 (1) ◽  
pp. 18-21 ◽  
Author(s):  
W. De Sy ◽  
W. Oosterlinck ◽  
A. Verbaeys
1992 ◽  
Vol 19 (2) ◽  
pp. 351-356 ◽  
Author(s):  
Harvey A. Zarem ◽  
Jeffrey I. Resnick

Skull Base ◽  
2011 ◽  
Vol 21 (S 01) ◽  
Author(s):  
Paulo Pires de Aguiar ◽  
Rogério Aires ◽  
Romulo Marques ◽  
Marcos Maldaun ◽  
Antonio Souza Filho ◽  
...  

2020 ◽  
Vol 133 (1) ◽  
pp. 119-128 ◽  
Author(s):  
Bin Tang ◽  
ShenHao Xie ◽  
GuanLin Huang ◽  
ZhiGang Wang ◽  
Le Yang ◽  
...  

OBJECTIVETransinfundibular craniopharyngioma (TC) is one of the 4 subtypes of suprasellar craniopharyngioma. In this study, the authors analyzed the clinical features of and operative technique for TC.METHODSA total of 95 consecutive cases of suprasellar craniopharyngioma that had been resected via the endoscopic expanded endonasal approach were retrospectively reviewed. Patients were divided into 2 groups: 34 in the TC group and 61 in the nontransinfundibular craniopharyngioma (NC) group. Clinical and radiographic features, intraoperative findings, histopathological and genetic findings, and surgical outcomes were analyzed and compared between groups.RESULTSCompared with NC, TC was mostly seen in adult patients (97.1%); it was rare in children (2.9%). Clinical presentations tended toward headache, hydrocephalus, and diabetes insipidus. The relatively smaller volume, midline location (consistent with the stalk position), unidentifiable stalk, no shift of the third ventricle, and greater likelihood to involve the third ventricle and cause hydrocephalus were the characteristic features of TC in the preoperative MRI study. According to the degree of vertical extension of the tumor, the 34 TCs could be classified into 3 subtypes: type 1, entity was limited to stalk (n = 2, 5.9%); type 2, tumor extended up to the third ventricle (type 2a) or down to the subdiaphragmatic cavity (type 2b) (n = 23, 67.6%); and type 3, tumor extended in both directions (n = 9, 26.5%). For TC resection, the chiasm–pituitary corridor, lamina terminalis corridor, and pituitary corridor could be used separately or jointly. Most of the TCs originated from the infundibulum–tuber cinereum, grew within and along the long axis of the infundibulum, and the pituitary stalk was not usually preserved in TCs (20.6%), whereas the rate of preservation was higher (80.3%) in NCs. Bilateral hypothalamic injury was found in nearly all TCs if radical resection was performed, whereas the relationship between NCs and hypothalamus was either compression (32.8%) or unilateral invasion (67.2%). Meanwhile, the postoperative endocrine and neuropsychological function outcomes in patients with TC were worse than in patients with NC. The genetic analysis with whole-exome sequencing studies showed no differential mutations of CTNNB1 (β-catenin) and BRAF (V600E) between TC and NC subtypes, but there was a difference between adamantinomatous craniopharyngioma and papillary craniopharyngioma.CONCLUSIONSTC is a special subtype of suprasellar craniopharyngioma, which is remarkably different from NC. Identification of this type of tumor preoperatively is essential for the planning of appropriate surgical approach and degree of excision.


2021 ◽  
Author(s):  
Bianka Hummel ◽  
Anna Nagel ◽  
Benjamin Süsoy ◽  
Linda Tarantik ◽  
Linda Michlmayr ◽  
...  

1991 ◽  
Vol 19 (1) ◽  
pp. 39-44 ◽  
Author(s):  
R. Beetz ◽  
R. Hohenfellner ◽  
O. Schofer ◽  
S. Singhof ◽  
H. Riedmiller

2005 ◽  
Vol 284-286 ◽  
pp. 1065-1068
Author(s):  
James M. Buchanan

To reduce osteolysis and loosening, alumina bearings in hip arthroplasty have been used in Sunderland since 1991. This consecutive series demonstrates the results which have been most rewarding. However, ceramic implant fractures have been encountered but these probably represent less than meticulous operative technique. The results are published and the complications discussed together with advice to reduce the incidence of implant failure.


2006 ◽  
Vol 64 (3a) ◽  
pp. 676-680 ◽  
Author(s):  
Fernando Campos Gomes Pinto ◽  
Leandro Valiengo ◽  
Pedro Paulo Mariani Lima Santos ◽  
Hamilton Matushita ◽  
José Píndaro Pereira Plese

A case of an intracranial arterial aneurysm at internal carotid bifurcation in a 10-year-old girl is described with the special features of cerebral aneurysm which occur in children, comparing with the adults. We alert for the necessity of carefully operative technique in order to avoid damage and intraoperative rupture of the aneurysm due to the very thin vessel wall that this population can develop. Our recommendation is early surgery in these patients.


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