scholarly journals Paradigmaváltás a csontmetasztázisok sebészetében. I. Végtagi és medencelokalizációjú áttétek

2017 ◽  
Vol 158 (40) ◽  
pp. 1563-1569
Author(s):  
Miklós Szendrői ◽  
János Kiss ◽  
Tamás Perlaky ◽  
Imre Antal ◽  
Krisztián Szalay ◽  
...  
Keyword(s):  
Pathological Fracture ◽  
Minimal Invasive ◽  
Curative Surgery ◽  
First Choice ◽  
Choice Of Treatment ◽  
Minimal Invasive Techniques ◽  
Invasive Techniques ◽  
Tumor Registries ◽  
Fracture Surgery

Abstract: According to the statistical data of tumor registries the incidence of cancer has increased in the last decade, however the mortality shows only a slight change due to the new and effective multimodal treatments. The aim of our overview article is to present the changes in the survival of the metastatic patients, and to demonstrate which factors influence their prognosis. The improvement of survival resulted in a more active surgical role both in metastases of the bone of the extremities and the pelvis. We present a diagnostic flow chart and current options for the reconstruction of the different regions of the bone and skeleton, and we will discuss their potential advantages, disadvantages and complications. It is evident that apart from the impending and pathological fracture surgery it is not the first choice of treatment but rather a palliative measure. The aim of surgery is to alleviate pain, to regain mobility and improve quality of life. If possible minimal invasive techniques are performed, as they are less demanding and allow fast rehabilitation for the patient, and they are solutions that last for a lifetime. In optimal conditions radical curative surgery can be performed in about 10 to 15 per cent of the cases, and better survival is encouraging. Orv Hetil. 2017; 158(40): 1563–1569.

OPTIMIZATION OF SURGICAL TREATMENT OF PATIENTS WITH ACUTE PANCREATITIS USING MINIINVASIVE TECHNIQUES

2020 ◽  
pp. 16-18
Author(s):  
A. G. Drozdova
Keyword(s):  
Acute Pancreatitis ◽  
Surgical Treatment ◽  
Minimally Invasive ◽  
Pancreatic Necrosis ◽  
Minimal Invasive ◽  
Hospital Treatment ◽  
Bed Days ◽  
Minimal Invasive Techniques ◽  
Invasive Techniques

Summary. The aim of the study. To improve the results of surgical treatment of patients with acute pancreatitis using minimal invasive techniques. Matherials and Methods of the study. The results of surgical treatment of 75 patients with different forms of acute pancreatitis were analyzed. All patients were examined and operated on. Results of the study. Minimally invasive interventions were performed in 92 % of the analyzed patients. Intraoperatively acute pancreatic edema was observed in 43 % of patients, hemorrhagic pancreatic necrosis – in 24 %, infected pancreatic necrosis – in 33 %. The postoperative period was complicated by 13.3 %, the mortality rate was 9.3 %. Conclusions. The use of minimally invasive techniques for treating acute pancreatitis can significantly improve the results of surgical treatment of patients with this pathology. The frequency of complications and lethality decreases. Also, it is possible to significantly reduce operational trauma, and hence the number of bed-days of stay in hospital treatment. This contributes to reducing the financial cost of treatment in patients with acute pancreatitis, as well as improving the quality of life of this category of patients.

scholarly journals Intramedullary Nailing of Intertrochanteric Fractures - Minimal Invasive Techniques for Reduction

2021 ◽  
Author(s):  
Xuzhou Duan ◽  
Dake Tong ◽  
Hao Zhang ◽  
Fang Ji
Keyword(s):  
Closed Reduction ◽  
Intertrochanteric Fracture ◽  
External Rotation ◽  
Minimal Invasive ◽  
Intertrochanteric Fractures ◽  
Good Reduction ◽  
Anatomical Reduction ◽  
Minimal Invasive Techniques ◽  
Invasive Techniques

Abstract Background: An intramedullary nail has become the implant of choice for intertrochanteric fractures. This paper introduced some minimal invasive techniques were used to improve quality of intertrochanteric fracture reduction. Methods: Of 119 intertrochanteric fractures treated from January 2014 to October 2019. All patients who received internal fixation on traction bed, and who could not achieve satisfactory closed reduction through the process of "external rotation, abduction, traction, adduction and internal rotation". Reductions were classified as good, acceptable, or poor. We had acceptable reduction in 83 cases and poor reduction in 37 cases though closed reduction. The displacement was reduced using some minimal invasive techniques. Results: After performing the relative techniques in these cases, no case had a poor result. 112(94.9%) cases were in a good reduction. Anatomical reduction should always be achieved in intertrochanteric fractures. Conclusion: The minimal invasive techniques could help the surgeon achieve satisfactory reduction in intertrochanteric fractures. This work had the potential to improve the cognition of reduction of intertrochanteric fractures for surgeons, especially beginners and juniors.

scholarly journals OPTIMIZATION OF SURGICAL TREATMENT OF PATIENTS WITH ACUTE PANCREATITIS USING MINIINVASIVE TECHNIQUES

2019 ◽  
pp. 63-65
Author(s):  
A. G. Drozdova
Keyword(s):  
Acute Pancreatitis ◽  
Surgical Treatment ◽  
Minimally Invasive ◽  
Pancreatic Necrosis ◽  
Minimal Invasive ◽  
Hospital Treatment ◽  
Bed Days ◽  
Minimal Invasive Techniques ◽  
Invasive Techniques

Abstract. The aim of the study. To improve the results of surgical treatment of patients with acute pancreatitis using minimal invasive techniques. Matherials and Methods of the study. The results of surgical treatment of 75 patients with different forms of acute pancreatitis were analyzed. All patients were examined and operated on. Results of the study. Minimally invasive interventions were performed in 92% of the analyzed patients. Intraoperatively acute pancreatic edema was observed in 43% of patients, hemorrhagic pancreatic necrosis – in 24%, infected pancreatic necrosis – in 33%. The postoperative period was complicated by 13.3%, the mortality rate was 9.3%. Conclusions. The use of minimally invasive techniques for treating acute pancreatitis can significantly improve the results of surgical treatment of patients with this pathology. The frequency of complications and lethality decreases. Also, it is possible to significantly reduce operational trauma, and hence the number of bed-days of stay in hospital treatment. This contributes to reducing the financial cost of treatment in patients with acute pancreatitis, as well as improving the quality of life of this category of patients.

Practice points for surgical oncology

2016 ◽  
pp. 163-172
Author(s):  
Petra G. Boelens ◽  
C.B.M. van den Broek ◽  
Cornelis J.H. van de Velde
Keyword(s):  
Locally Advanced ◽  
Laparoscopic Approach ◽  
Oncologic Outcome ◽  
Surgical Oncology ◽  
Infectious Complications ◽  
Minimal Invasive ◽  
Locoregional Recurrence Rate ◽  
Cancer Types ◽  
Minimal Invasive Techniques ◽  
Invasive Techniques

Cancer surgery remains the cornerstone of curative cancer treatment for most solid cancers. Staging, resectability and timing of surgery should be discussed in a multidisciplinary team. Complete resection offers the best prognosis at many stages. Anatomical planes of surgery need to be taught and respected to reduce locoregional recurrence rate. Age, comorbidities, and patient preferences are important to consider before surgical treatment is advised. Minimal invasive techniques have shown equivalence in oncologic outcome for certain cancer types and established benefits in short-term outcomes. A laparoscopic approach is even sometimes possible. It remains important to select patients for these techniques according to medical history, staging, and fitness. In specialized centres locally advanced disease can be treated by a multimodal approach. The quality of surgery can be improved using standardized audit structures to monitor and feed back on outcome of surgery such as resected margins, infectious complications, and disease-free and overall survival.

Computerized tomography compared with radiography in the diagnosis of lateral trochlear ridge talar osteochondritis dissecans in dogs

2005 ◽  
Vol 18 (02) ◽  
pp. 77-81 ◽  
Author(s):  
B. van Ryssen ◽  
H. van Bree ◽  
I. Gielen
Keyword(s):  
Retrospective Study ◽  
Computerized Tomography ◽  
Osteochondritis Dissecans ◽  
Minimal Invasive ◽  
Ct Imaging ◽  
Minimal Invasive Techniques ◽  
Invasive Techniques

SummaryIn this retrospective study, we compared the value of radiographic and computerized tomographic (CT) imaging for the diagnosis of lateral trochlear ridge talar osteochondritis dissecans (LTRT-OCD) in 11 tarsocrural joints. The flexed dorsoplantar skyline and the plantarolateral-dorsomedial projections were the most reliable for radiographic detection of OCD fragments (in 7 of the 11 joints). Overall, radiography detected OCD fragments in 8 of 11 joints. By contrast, the OCD fragments could be visualized and exactly localized by CT in all 11 joints. Computerized tomography allowed the talar ridges to be inspected without superimposition of any bony structures. This information may be very useful when minimal invasive techniques are used to treat LTRT-OCD lesions. The findings of this study suggest that CT is superior to radiography for making a diagnosis of LTRT-OCD in the dog.

scholarly journals New Classification System of Minimal Invasive Techniques based on the Location of the Pathologic Lesions in the Spinal Canal

2015 ◽  
Vol 5 (1_suppl) ◽  
pp. s-0035-1554560-s-0035-1554560
Author(s):  
Peter Banczerowski ◽  
Zoltán Papp ◽  
Róbert Veres ◽  
János Vajda
Keyword(s):  
Classification System ◽  
Spinal Canal ◽  
Minimal Invasive ◽  
New Classification ◽  
Pathologic Lesions ◽  
Minimal Invasive Techniques ◽  
Invasive Techniques

scholarly journals The Use of Omalizumab in Chronic Urticaria: Available Data and Future Aspects of Anti-IgE Treatment

2021 ◽  
Author(s):  
Young-Min Ye
Keyword(s):  
Chronic Urticaria ◽  
Efficacy And Safety ◽  
Chronic Inducible Urticaria ◽  
First Choice ◽  
H1 Antihistamines ◽  
Choice Of Treatment ◽  
Inducible Urticaria ◽  
Disease Modifying ◽  
Impaired Quality

Chronic urticaria (CU) defined as repeatedly occurred itchy wheals and/or angioedema for at least 6 weeks. Due to the unpredictability, recurrent and disabling symptoms, and a considerably impaired quality of life, effective and tolerable treatment for CU patients is crucial. Almost a half of patients with CU are refractory to H1-antihistamines, even though the dose of antihistamines is increased up to 4-fold. Recently treatment modulating IgE levels and activities provides an efficient therapeutic approach. Omalizumab, the only approved anti-IgE treatment for chronic spontaneous urticaria (CSU) patients until now, with a strong evidence of the efficacy and safety, opened a new horizon in the care of the patients whose urticaria is not controlled with antihistamines. Recent international guidelines recommend omalizumab as the first choice of treatment for antihistamine-refractory CSU. However, as it is not curative neither disease-modifying agent, there is a subpopulation of CSU patients responding partly or never to omalizumab. The other things to be solved in the treatment of CU is that clinical evidence is still limited on chronic inducible urticaria (CIndU) and special populations. Thus, a new anti-IgE treatment, ligelizumab is actively evaluated in the efficacy compared with both placebo and omalizumab. Further understandings on the pathogenesis of CU can lead to the development of new mechanism-based therapeutics for CU patients.

scholarly journals Minimal Invasive Techniques for Implant Dentistry: A Review

2019 ◽  
Vol 04 (11) ◽  
pp. 770-772
Author(s):  
Navneet Kaur ◽  
Kala Bagavathy ◽  
Sankara Rao Sanaka ◽  
Rishabh Bhanot ◽  
Anas Abdul Khader ◽  
...  
Keyword(s):  
Minimal Invasive ◽  
Implant Dentistry ◽  
Minimal Invasive Techniques ◽  
Invasive Techniques

scholarly journals Splenic Rupture After Minimal Invasive Lateral Retropleural Corpectomy

2020 ◽  
pp. 1-3
Author(s):  
Michele Cappuccio ◽  
Michele Cappuccio ◽  
Gregorio Tugnoli ◽  
Tiziano Fidilio ◽  
Federico De Iure
Keyword(s):  
Lateral Approach ◽  
Minimal Invasive ◽  
Thoracolumbar Junction ◽  
General Surgeon ◽  
Invasive Approach ◽  
Thoracoscopic Approach ◽  
Minimal Invasive Approach ◽  
Tissue Sparing ◽  
Minimal Invasive Techniques ◽  
Invasive Techniques

Retropleural minimal invasive approach to the thoracolumbar junction has become more popular in the last decade both for degenerative and traumatic spine surgery as it marries the advantages of direct vision typical of open surgery and the philosophy of tissue sparing which characterizes the thoracoscopic approach. Nevertheless, as with the just mentioned techniques, this approach also requires the caudal displacement of the diaphragm with the organs below including the spleen. The authors report one case of postoperative spleen disruption following a retropleural minimal invasive approach in a patient with an underlying grade II spleen lesion occurred 8 days before and considered safe by the general surgeon. We conclude that even negligible spleen injuries must be considered an absolute contraindication to thoracolumbar junction lateral approach even with minimal invasive techniques.

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