scholarly journals Long-term results of conservative and surgical treatment of patients with diffuse toxic goiter

2000 ◽  
Vol 46 (6) ◽  
pp. 12-18
Author(s):  
N. D. Petrova ◽  
V. N. Khomyakova ◽  
G. A. Melnichenko
Keyword(s):  
Surgical Treatment ◽  
Conservative Treatment ◽  
Continuous Treatment ◽  
Long Term Results ◽  
Thyroid Ultrasonography ◽  
Medical Institutions ◽  
Toxic Goiter ◽  
Conservative And Surgical Treatment ◽  
Made In

The disease history, levels of ТЗ, T4, ТТН were investigated and thyroid ultrasonography was made in 111 patients with diffuse toxic goiter (DTG) admitted to hospital in 1984—1993. Of them, '83 had primary DTG, 28 had recurrent thyrotoxicosis. The diagnosis was made in 1978—1993, the treatment was performed in different medical institutions according to the patients ’ residence. The analysis showed that endocrinologists of different clinics practice different policy of thyrostatic treatment (different initial doses of the drugs, different duration of their administration). Out of 98 patients treated with mercasolil recurrence arose in 68%, persistent euthyrosis in 35%, hypothyroidism in 2%>. It is demonstrated that outcome of the conservative treatment does not depend on the initial dose of mercasolil or adjuvant levo-thyroxine but solely on the duration of continuous treatment. After 52 operations recurrences occurred in 35%, hypothyroidism in 36%, euthyrosis in 29%. Recurrent thyrotoxicosis developed as a rule within a year after thyrostatic treatment (84%) and within 5 years after operation (94%).

scholarly journals Predicting treatment outcomes for uncomplicated closed fractures of the thoracic spine

1981 ◽  
Vol 62 (5) ◽  
pp. 1-6
Author(s):  
S. G. Tinchurina ◽  
I. I. Kamalov
Keyword(s):  
Surgical Treatment ◽  
Treatment Outcomes ◽  
Thoracic Spine ◽  
Computational Prediction ◽  
Treatment Method ◽  
Long Term Results ◽  
Medical Institutions ◽  
Closed Fractures ◽  
Conservative And Surgical Treatment

The long-term results of conservative and surgical treatment of 200 patients with closed uncomplicated fractures of the thoracic spine were analyzed and tables of the frequency of signs that characterize this group of patients were compiled. Based on the data obtained, tables were compiled for the computational prediction of the outcomes of closed uncomplicated fractures of the thoracic spine with conservative and surgical treatment. The use of computational prediction tables in the practice of medical institutions will make it possible to objectively assess the condition of the victim, determine the effectiveness of a particular treatment method and recommend the most appropriate one.

Comparative long-term results of surgical treatment of patients with diffuse toxic goiter

2017 ◽  
pp. 13
Author(s):  
V. G. Aristarkhov ◽  
A. V. Kvasov ◽  
A. I. Donyukov ◽  
R. V. Aristarkhov ◽  
S. V. Biryukov ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Long Term Results ◽  
Toxic Goiter

scholarly journals Evaluation of long-term results of surgical treatment of toxic goiter

2017 ◽  
Vol 0 (2(58)) ◽  
pp. 44-50
Author(s):  
О. В. Шідловський ◽  
В. В. Кравців
Keyword(s):  
Surgical Treatment ◽  
Long Term Results ◽  
Toxic Goiter

scholarly journals Surgical method for treating ductal sialadenitis of the large salivary glands

2020 ◽  
Vol 24 (1) ◽  
pp. 8-10
Author(s):  
D. V. Dubov ◽  
S. A. Titov ◽  
V. V. Afanasjev ◽  
M. R. Abdusalamov
Keyword(s):  
Surgical Treatment ◽  
Conservative Treatment ◽  
Salivary Glands ◽  
Long Term Results ◽  
Term Result ◽  
Low Level ◽  
Surgical Method ◽  
Chronic Sialadenitis ◽  
Long Term Result

The authors indicated that pronounced deformities of the ducts of the large salivary glands occur in 70% of patients with chronic sialadenitis. Due to the fact that conservative treatment of ductal sialadenitis, especially pronounced, does not give long-term results, the authors proposed various methods of surgical treatment of ductal sialadenitis, which have a low level of trauma of collateral tissues and provides a stable long-term result.

scholarly journals Structure, diagnosis, prevention and treatment of postoperative complications of childbirth perineal tears complicated by anal incontinence

2015 ◽  
Vol 96 (5) ◽  
pp. 779-783
Author(s):  
S G Sultanova
Keyword(s):  
Surgical Treatment ◽  
Conservative Treatment ◽  
Anal Canal ◽  
Anal Incontinence ◽  
Main Group ◽  
Long Term Results ◽  
Control Group ◽  
Perineal Tears ◽  
Second Degree

Aim. Improving the results of surgical treatment of complications of second and third degree perineal tears complicated by anal incontinence. Methods. The study included 248 patients aged 16 to 50 years. The patients were allocated to three groups: the first group - 40 women who underwent traditional surgery and conservative treatment; the second group - 128 women with second degree perineal tear; group III - 80 women who underwent sphincteroplasty (I option) and sphincteroplasty combined with levatorplasty (II option) in our modification (sphincter-saving surgery with precision sutures). The main group included 111 patients who additionally received conservative treatment [1 mL of 1% enoxaparin sodium intravenously and 1 ml of 30% vitamin E (alfa-tocopherol acetate) by intramuscular injection]; control group - 97 patients who underwent standard treatment. Long-term results were assessed by a survey, physical examination in the clinic, telephone and Internet surveys in 35 patients of the main group and 31 women of the control group. Results. In 91 (82%) patients of the main group, the pain intensity decreased after 7-10 days of treatment was antioxidants, 8 (7.2%) patients had pain in the perineum or anal canal, in 12 (10.8%) cases intense pain in the anal canal were still present. Long-term results were evaluated as good in 16 (51.6%) and 25 (69.4%) patients, as satisfactory - in 9 (29%) and 8 (22.2%) patients, as unsatisfactory - 6 (19.4 %), and 3 (8.3%) patients of the main and the control groups, respectively. The test group showed earlier formation of granulation tissue (3.1±0.3 days earlier compared to the control group). At sphincterometry on the 12th day, 6 patients of the control group had first degree anal incontinence, 3 - second degree anal incontinence compared with only 1 (1.8%) case in the study group (second degree sphincter incontinence). Conclusion. A proposed diagnostic strategy in women with anal incontinence due to perineal tears of II-III degrees after the labor trauma, allowed choosing the optimal method of surgical treatment and improving treatment outcomes.

scholarly journals Closed kidney injuries in children

2021 ◽  
Vol 11 (1) ◽  
pp. 63-68
Author(s):  
Anatoly E. Solovyov
Keyword(s):  
Surgical Treatment ◽  
Conservative Treatment ◽  
Renal Hypertension ◽  
Kidney Injury ◽  
Long Term Results ◽  
Kidney Trauma ◽  
Radiological Methods ◽  
Hydronephrotic Kidney ◽  
Kidney Rupture

MATERIALS AND METHODS: Within 20 yrs, 76 children aged 28 yrs with kidney trauma were under observation, and 35 of them had associated trauma. Clinical, instrumental, and radiological methods were used in the diagnosis. RESULTS: Of the 76 children with closed kidney trauma, 23 were diagnosed with kidney contusion, 14 with kidney injury with subcapsular hematoma, 16 with kidney injury with rupture of the capsule and perirenal urohematoma, 21 with kidney rupture and damage to the calyxpelvic system, and 2 with traumatic hydronephrotic kidney. Conservative treatment was carried out in 49 (64.4%) children and surgical treatment in 28 (25.6%). In the long term, 28 children with kidney injuries and treated conservatively were examined. Complications were found in nine children: pyeloectasia, deformation of the calyxpelvic system, pyelonephritis, and renal hypertension. Organ-preserving surgery was performed in 22 (28.9%) children and nephrectomy in 5 (6.6%) children. As long-term results: the function of the operated kidneys was satisfactory, some changes occurred in the calyxpelvic systems, and no data for pyelonephritis was found. CONCLUSION: Renal injuries with subcapsular rupture and perirenal urohematoma should be surgically treated to prevent severe long-term complications. In unclear cases, the choice can be a two-stage organ-preserving operation for the so-called crushing of the kidney.

Endoscopic, Conservative, and Surgical Treatment of the Gastrogastric Fistula: The Efficacy of a Stepwise Approach and Its Long-Term Results

2015 ◽  
Vol 10 (2) ◽  
pp. 62-67 ◽  
Author(s):  
Josemberg Campos ◽  
Manoel Galvão Neto ◽  
João Martins ◽  
Amador de Gordejuela ◽  
Helga Alhinho ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Long Term Results ◽  
Stepwise Approach ◽  
Gastrogastric Fistula ◽  
Conservative And Surgical Treatment

scholarly journals Long-term results of surgical treatment in patients with toxic goiter and severe thyrotoxicosis

2020 ◽  
Vol 55 (1) ◽  
pp. 72-79
Author(s):  
Viktor O. SHIDLOVSKYI ◽  
◽  
Oleander V. SHIDLOVSKYI ◽  
Michael I. SHEREMET ◽  
Igor M. PAVLOVSKYI ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Long Term Results ◽  
Toxic Goiter
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