Surgical approaches to the hand and wrist

Surgical Approaches to the Brain Stem

Neurosurgery Clinics of North America ◽

10.1016/s1042-3680(18)30570-9 ◽

1993 ◽

Vol 4 (3) ◽

pp. 457-468 ◽

Cited By ~ 16

Author(s):

Dennis Y. Wen ◽

Roberto C. Heros

Keyword(s):

Brain Stem ◽

Surgical Approaches ◽

The Brain

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Current Strategies in the Management of Spinal Metastatic Disease

Swiss Surgery ◽

10.1024/1023-9332.9.2.55 ◽

2003 ◽

Vol 9 (2) ◽

pp. 55-62 ◽

Cited By ~ 7

Author(s):

Bartanusz ◽

Porchet

Keyword(s):

Spinal Cord ◽

Surgical Techniques ◽

Cord Compression ◽

Treatment Modalities ◽

Surgical Approaches ◽

Spinal Stabilization ◽

Management Algorithm ◽

Specific Manner ◽

Extensive Surgery ◽

Selection Of

The treatment of metastatic spinal cord compression is complex. The three treatment modalities that are currently applied (in a histologically non-specific manner) are surgery, radiotherapy and the administration of steroids. The development of new spinal instrumentations and surgical approaches considerably changed the extent of therapeutic options in this field. These new surgical techniques have made it possible to resect these tumours totally, with subsequent vertebral reconstruction and spinal stabilization. In this respect, it is important to clearly identify those patients who can benefit from such an extensive surgery. We present our management algorithm to help select patients for surgery and at the same time identifying those for whom primary non-surgical therapy would be indicated. The retrospective review of surgically treated patients in our department in the last four years reveals a meagre application of conventional guidelines for the selection of the appropriate operative approach in the surgical management of these patients. The reasons for this discrepancy are discussed.

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Surgical Approaches to the Suprasellar Infrachiasmatic Region: Comparison among Pterional, Subfrontal, and Endoscopic Endonasal Approaches

Journal of Neurological Surgery Part B Skull Base ◽

10.1055/s-0033-1336155 ◽

2013 ◽

Vol 74 (S 01) ◽

Author(s):

Francisco A. Filho ◽

Rodrigo Cavalcante ◽

Milton Rastelli ◽

Omar Ramirez ◽

Alessandro Paluzzi ◽

...

Keyword(s):

Surgical Approaches ◽

Endoscopic Endonasal

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Factors Predicting Recurrence after Resection of Clival Chordoma using Variable Surgical Approaches and Radiation Modalities

Journal of Neurological Surgery Part B Skull Base ◽

10.1055/s-0035-1546556 ◽

2015 ◽

Vol 76 (S 01) ◽

Cited By ~ 1

Author(s):

Arman Jahangiri ◽

Aaron Chin ◽

Jeffrey Wagner ◽

Sandeep Kunwar ◽

Christopher Ames ◽

...

Keyword(s):

Surgical Approaches ◽

Clival Chordoma

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Relationship between Recurrence Rates of Rathke's Cleft Cysts and Surgical Approaches to Sellar Reconstruction

10.1055/s-0040-1702511 ◽

2020 ◽

Author(s):

Rebecca Limb ◽

James King

Keyword(s):

Surgical Approaches ◽

Recurrence Rates ◽

Rathke's Cleft Cysts ◽

Rathke's Cleft ◽

Sellar Reconstruction

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Different Surgical Approaches to the Orbit

Skull Base ◽

10.1055/s-2007-984156 ◽

2007 ◽

Vol 17 (S 1) ◽

Author(s):

U. Schick

Keyword(s):

Surgical Approaches

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Surgical Approaches and Techniques for Tuberculum Sellae Meningiomas

Skull Base ◽

10.1055/s-2008-1093300 ◽

2008 ◽

Vol 18 (S 01) ◽

Author(s):

Jiankang Shen ◽

Weiguo Zhao ◽

Liuguan Bian ◽

Yu Cai

Keyword(s):

Surgical Approaches ◽

Tuberculum Sellae

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Comparison of Fibrinolytic versus Surgical Therapy in the Treatment of Obstructive Prosthetic Valve Thrombosis: A Single-Center Experience

The Heart Surgery Forum ◽

10.1532/hsf98.20101062 ◽

2011 ◽

Vol 14 (2) ◽

pp. 87 ◽

Cited By ~ 6

Author(s):

Necip Ermis ◽

Hakan Atalay ◽

Hakan Altay ◽

Muhammet Bilgi ◽

Suleyman Binici ◽

...

Keyword(s):

New York ◽

Prosthetic Heart Valve ◽

Heart Association ◽

International Normalized Ratio ◽

Fibrinolytic Therapy ◽

Surgical Approaches ◽

Specific Patient ◽

Single Center Experience ◽

Surgery Group ◽

Valve Thrombosis

Objective: Prosthetic heart valve thrombosis (PVT) is a rare but severe cardiac condition. There are only a few data regarding comparison of the fibrinolytic and surgical approaches for the treatment of PVT. In this study, we compared the results of fibrinolytic therapy versus surgery in patients who presented to our institution with a diagnosis of obstructive-type PVT.Methods: From January 2001 to August 2008 in our institution, 33 patients who met clinical and echocardiographic criteria for obstructive-type PVT were included in the study. Fifteen of these patients underwent fibrinolytic treatment with streptokinase, which consisted of an initial bolus of 250,000 U followed by 100,000 U/h. Eighteen patients were treated with surgery.Results: The 2 groups had similar baseline characteristics, including New York Heart Association functional status, types and positions of prosthetic valves, international normalized ratio values, and presentation symptoms. Full hemodynamic success was achieved in 12 patients who underwent fibrinolytic therapy and in 15 patients in the surgery group. The mean (SD) streptokinase infusion time was 17.8 11.1 hours. Two major hemorrhages and 2 cases of systemic embolism were observed in the fibrinolytic group. The 2 groups did not differ with respect to mortality rate (P = .79). The duration of hospitalization was longer in the fibrinolytic group than in the surgery group (10.7 6.6 days versus 6.9 6.7 days, P = .045).Conclusions: Although fibrinolytic therapy is generally recommended for the treatment of PVT for specific patient groups, our results suggest that it may be as efficacious and safe as surgery, depending on patient selection.

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