scholarly journals MODERN FEATURES OF VATS TREATMENT OF SPONTANEOUS PNEUMOTHORAX AS A COMPLICATION OF BULLOUS LUNG EMPHYSEMA: A SYSTEMATIC LITERATURE REVIEW

2016 ◽  
Vol 1 (4) ◽  
pp. 162-167
Author(s):  
Бадмаев ◽  
Dymbryl Badmaev ◽  
Будаев ◽  
Anatoliy Budaev ◽  
Токтохоев ◽  
...  
Keyword(s):  
Literature Review ◽  
Treatment Outcomes ◽  
Systematic Literature Review ◽  
Efficient Method ◽  
Spontaneous Pneumothorax ◽  
Lung Parenchyma ◽  
Surgical Interventions ◽  
Lung Emphysema ◽  
Treat Ment ◽  
Main Target

The article presents a literature review on the VATS treatment of spontaneous pneumothorax as a complication of bullous lung emphysema. The review considers questions of etiology, diagnostics and therapeutic tactics in VATS treat-ment of spontaneous pneumothorax with bullous emphysema. The main target of surgeons is not only elimination of spontaneous pneumothorax, but quick exposure of lung parenchyma pathology in order to predict possible reoccurrence of spontaneous pneumothorax. Video-assisted thoracoscopy in this case is a mini-invasive, less traumatic and highly efficient method of treatment of spontaneous pneumothorax. Anti-relapsing surgical interventions with pleurodesis are unanimously considered to be necessary. An integrated and differentiated approach to the treatment of spontane-ous pneumothorax as a result of bullous emphysema helps to determine diagnostic and therapeutic tactics of VATS treatment and choice of pleurodesis induction leading to improved treatment outcomes in this category of patients.

Surgical treatment of rectovaginal fistulas (systematic literature review)

2021 ◽  
pp. 30-48
Author(s):  
Andrei Anatolevich Mudrov ◽  
Aleksandr Yur’evich Titov ◽  
Mariyam Magomedovna Omarova ◽  
Sergei Alekseevich Frolov ◽  
Ivan Vasilevich Kostarev ◽  
...  
Keyword(s):  
Systematic Review ◽  
Clinical Trials ◽  
Literature Review ◽  
Systematic Literature Review ◽  
Meta Analysis ◽  
High Recurrence Rate ◽  
Surgical Interventions ◽  
Rectovaginal Fistulas ◽  
Surgical Treatments

Despite the large number of available surgical interventions aimed at the treatment of rectovaginal fistulas, the results of their use remain extremely disappointing, associated with the high recurrence rate of the disease reaching 80 %, as well as the lack of a single tactic to minimize the risk of anal incontinence and the need for colostomy. Objective: to conduct a systematic literature review in order to summarize information related to the rectovaginal fistulas surgery. The systematic review includes the results of an analysis of 97 clinical trials selected from 756 publications found in databases. Inclusion criteria: a full-text article, the presence of at least 5 patients in the study, as well as data on the outcome of surgery. Clinical trials with different surgical treatments were identified and classified into the following categories: elimination of the rectovaginal septal defect with a displaced flap (rectal and vaginal); Martius surgery; gracilis muscle transposition; transperineal procedure; abdominal procedure including endoscopic and laparoscopic methods; use of biological or biocompatible materials. Treatment outcomes vary significantly from 0 % to > 80 %. None of the studies were randomized. Due to the low quality of the identified studies, comparison of results and meta-analysis conduction were not possible. Conclusion: as a result of the systematic review, data for the analysis and development of any strategic and tactical algorithms for the treatment of RVF were not obtained. The most important questions still remain open: what and when surgical method to choose, is it necessary to form a disconnecting stoma?

scholarly journals PIH3 SYSTEMATIC LITERATURE REVIEW OF THE GYNECARE PROLIFT, PELVIC FLOOR REPAIR SYSTEM TREATMENT OUTCOMES

2009 ◽  
Vol 12 (3) ◽  
pp. A162
Author(s):  
V Sikirica ◽  
D Robinson ◽  
A Kirkemo ◽  
P Hinoul ◽  
J Meek ◽  
...  
Keyword(s):  
Literature Review ◽  
Pelvic Floor ◽  
Treatment Outcomes ◽  
Systematic Literature Review ◽  
Repair System ◽  
Pelvic Floor Repair

scholarly journals Catamenial pneumotorax as a special form of spontaneous pneumotorax (literature review)

2020 ◽  
pp. 10-15
Author(s):  
Alexandr I. Bezhin ◽  
Iryna V. Lytvynenko ◽  
Anna A. Fisyuk
Keyword(s):  
Spontaneous Pneumothorax ◽  
Lung Parenchyma ◽  
Suture Line ◽  
Polyglycolic Acid ◽  
Reproductive Age ◽  
Fibrin Gel ◽  
Surgical Interventions ◽  
Catamenial Pneumothorax ◽  
Surgical Methods ◽  
Thoracic Endometriosis

Spontaneous pneumothorax is a common (more than 12.5% of all urgent conditions in thoracic surgery) life-threatening condition, statistically more commonly found in men with pulmonary emphysema. However, a rare and difficult diagnostic form of spontaneous pneumothorax that develops in more than 73% of women of reproductive age with thoracic endometriosis is spontaneous catamenial pneumothorax. In the prevailing majority of patients, this pneumothorax turns out to be right-sided and recurrent in more than 70% of cases. The “gold standard” for verification of thoracic endometriosis is the visual inspection of the chest organs and biopsy using video-assisted mini-thoracotomy (VATS). The signs of thoracic endometriosis detected intraoperatively include the identification of fenestrations of the diaphragm, endometriosis of the visceral pleura, bullae of various calibers, cicatricial changes in lung parenchyma, etc. There is no consensus on the tactics of patients´ management, however, the primary importance in the treatment of thoracic endometriosis and spontaneous catamenial pneumothorax as its main manifestation should be given to surgical interventions: suturing diaphragm defects, typical (anatomical) or atypical resection of the lungs in different volumes, pleurodesis to prevent the recurrence of pneumothorax, etc. The most effective pleurodesis methods are chemical pleurodesis with sterile talc, the use of YAG-ND and CO2 lasers. Apical pleurectomy is actively used; various materials (fibrin gel, polyglycolic acid, etc.) are being studied as suture-line coverage to create aerostasis. Along with surgical methods, the use of COCs, analogues of gonadotropin-releasing hormone, danazole, progestins, and aromatase inhibitors minimizes the recurrence of spontaneous pneumothorax in patients with thoracic endometriosis.

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