scholarly journals New minimally invasive technique of treating patients with de Quervain’s disease

2018 ◽  
Vol 20 (1) ◽  
pp. 78-85
Author(s):  
A V Zhigalo ◽  
A S Bushmakin ◽  
S Yu Stadnichenko ◽  
V V Pochtenko ◽  
V V Morozov
Keyword(s):  
Minimally Invasive ◽  
High Efficiency ◽  
Minimally Invasive Technique ◽  
Long Term Results ◽  
Invasive Technique ◽  
Minimal Risk ◽  
Duration Of Treatment ◽  
De Quervain’S Disease ◽  
Results Of Treatment

A new minimally invasive technique is presented to improve the results and reduce the duration of treatment of patients with stenosing ligamentitis of dorsal carpal ligament (de Quervain’s disease). The high efficiency of the proposed method (on the Disabilities of the Arm, Shoulder, and Hand scales and Visual Analogue Scale) is established, comparable with de Quervain’s open ligamentotomy but with the reduction of rehabilitation period after the surgery from 16-21 days to3-4 days. Clinical approbation of minimally invasive ligamentotomy in all patients revealed excellent long-term results of treatment, with minimal risk of complications. Comparison of the results of treatment of patients of both groups showed the advantage of minimally invasive ligamentotomy before open ligamentotomy in the early postoperative period with the same long-term results, which allows patients to start their labor and professional duties in the early stages. The proposed method can be performed in an outpatient mode and does not require special post-operative treatment, as well as special instruments and equipment, which allows reducing the costs of both the patient and the medical institution.

Lumbar periarticular cysts of arcorray joint

2020 ◽  
pp. 47-57
Author(s):  
Anton Yarikov ◽  
Maxim Shpagin ◽  
Iliya Nazmeev ◽  
Sergey Gorelov ◽  
Olga Perlmutter
Keyword(s):  
Minimally Invasive ◽  
Severe Pain ◽  
Pain Syndrome ◽  
Long Term Results ◽  
Lumbar Region ◽  
Results Of Treatment ◽  
Invasive Method ◽  
Facet Syndrome

The immediate and long-term results of treatment of 30 patients with severe pain syndrome of the lumbar region, who underwent operations on denervation of DOS, were studied. The aim of the study was to evaluate the effectiveness of minimally invasive technologies for the treatment of pain in the lumbar region (denervation of DOS), to study the near and distant results of these treatment methods. Denervation DOS is an effective minimally invasive method for the treatment of facet syndrome caused by spondylarthrosis. It allows in the early and distant postoperative periods to significantly reduce the pain syndrome and improve the quality of life of patients.

Minimally invasive technique for stage III adult-acquired flatfoot deformity: a mid- to long-term retrospective study

2020 ◽  
Author(s):  
Sergio Tejero ◽  
Andres Carranza-Pérez-Tinao ◽  
Maria Dolores Zambrano-Jiménez ◽  
Estefanía Prada-Chamorro ◽  
Jose Juan Fernández-Torres ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Minimally Invasive ◽  
Minimally Invasive Technique ◽  
Stage Iii ◽  
Invasive Technique ◽  
Adult Acquired Flatfoot Deformity

scholarly journals JUSTIFICATION AND DIRECT RESULTS OF ENDOSCOPIC GYNRYOPLASTICS WITH TAPP AND TEP TECHNIQUES

2019 ◽  
Vol 21 (1) ◽  
pp. 125-129
Author(s):  
P N Romashchenko ◽  
Al A Kurygin ◽  
V V Semenov ◽  
S U Polushin ◽  
A A Mamoshin ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Economic Efficiency ◽  
Pain Syndrome ◽  
Long Term Results ◽  
Results Of Treatment ◽  
Inguinal Hernias ◽  
Laparoscopic Hernioplasty ◽  
Mesh Prosthesis ◽  
Invasive Intervention

Inguinal hernioplasty is one of the most common planned surgical interventions. With the advent of minimally invasive technologies in herniology, a new page in the field of inguinal hernia surgery has opened. The emergence of laparoscopic techniques (TAPP) and fully pre-peritoneal surgery using the TEP method allowed us to achieve good long-term results. However, there remain unresolved questions of justifying the choice of a particular method of minimally invasive intervention in patients with inguinal hernias, as well as minimal information about the comparison of long-term results of treatment of this category of patients. As a result of the study, the results of treatment of 987 patients with inguinal hernias, operated from 2014 to 2018, were evaluated. in the clinic by the endoscopic method (319 by the laparoscopic method TAPP and 668 patients operated by the TEP method). The criteria for the comparison of endoscopic techniques of hernioplasty were: the duration of the operation, the intensity of the pain syndrome, the postoperative bed-day, the economic costs for one treated herniological patient. It was established that in the absence of significant contraindications, the operation of choice was hernioplasty according to the TER method due to the lower risk of damage to internal organs and its greater economic efficiency, while maintaining all the positive qualities of minimally invasive intervention. The average bed-day after surgery according to the TAPP method was 3.8 ± 0.2, and according to the TEP method - 2.6 ± 0.3. The complications, the frequency and the cause of relapses after endoscopic hernioplasty were studied. Analyzing long-term results, in 3 cases (0.9%) after laparoscopic hernioplasty, a relapse of the disease was diagnosed. After hernioplasty using the TEP method, relapse was diagnosed in 2 cases (0.3%). In 2 patients, the hernia recurred was due to the small size of the established mesh prosthesis (less than 10x15 cm), in 3 patients it was caused by turning the lower edge of the mesh prosthesis and was observed at the stage of mastering the technique. As a result of the study, it was found that the TEP technique, in contrast to laparoscopic hernioplasty TAPP, leads to a reduction in the postoperative hospital bed, is accompanied by a significantly lower pain syndrome and recurrence rate of the disease, and also has greater economic efficiency.

scholarly journals RESULTS OF SURGICAL TREATMENT OF NON-PARASITIC SPLENIC CYSTS IN CHILDREN

2018 ◽  
Vol 22 (1) ◽  
pp. 32-35
Author(s):  
A. V. Myzin ◽  
Vasily G. Kuleshov ◽  
A. E. Stepanov ◽  
N. V. Gerasimova ◽  
K. Yu. Ashmanov
Keyword(s):  
Surgical Treatment ◽  
High Efficiency ◽  
Clinical Symptoms ◽  
Abdominal Cavity ◽  
Long Term Results ◽  
Surgical Interventions ◽  
Results Of Treatment ◽  
Splenic Cysts ◽  
Good Cosmetic

Introduction. Currently, there are different views on the treatment of non-parasitic spleen cysts in children. The choice of method of treatment is under discussion. The aim of our study was to evaluate and analyze the immediate and long-term results of surgical interventions performed on nonparasitic spleen cysts in children. Material and methods. There are presented results of surgical treatment of the 21 patient, who was on treatment at the Department of Abdominal Surgery of the Russian Children Clinical Hospital over the period from 2013 to 2016. Patients were examined by means of ultrasound of the abdominal cavity, CT, MRI. All patients have been operated. 22 surgical interventions were performed by using laparoscopic access, out of which 2 partial resections of the spleen, 1 splenectomy, 19 fenestrations of spleen cysts.Results. During the course of the operation and in the immediate postoperative period there were no complications. Patients were observed for the period of from 1 year to 3 years. Good results of treatment were obtained in 20 (95.2%) children. In a long-term period a relapse occurred in the one patient one year after the operation. The patient was reoperated, splenectomy was performed. Conclusion. The surgical treatment of spleen cysts is the basic one. It is indicated for cysts sized larger than 5 cm and cysts with clinical symptoms. Minimally invasive interventions in children are optimal because of their low traumatism and good cosmetic effect. Our study showed a high efficiency of laparoscopic operations in children suffered from non-parasitic spleen cysts with good long-term results.

scholarly journals Experience of using scleroobliteration in venous angiodysplasia (results of 12-month follow-up)

2021 ◽  
Vol 29 (3) ◽  
pp. 410-418
Author(s):  
Sergey V. Sapelkin ◽  
Natal'ya A. Druzhinina ◽  
Alexander F. Kharazov ◽  
Andrey V. Chupin
Keyword(s):  
Minimally Invasive ◽  
Minimally Invasive Technique ◽  
Invasive Technique ◽  
Laser Coagulation ◽  
Surgical Interventions ◽  
Results Of Treatment ◽  
Local Spread ◽  
Initial Symptoms ◽  
Radiofrequency Obliteration ◽  
Invasive Techniques

AIM: To evaluate the results of using the minimally-invasive technique of scleroobliteration in patients with venous malformations. MATERIALS AND METHODS: From 2006 to 2020, 41 interventions were performed for venous-cavernous angiomatosis of various localization through scleroobliteration. Nineteen patients (46.3%) underwent complex treatment, which included a combination of this minimally-invasive technique with other surgical interventions (resection of angiomatous tissues, laser coagulation, and radiofrequency obliteration). RESULTS: Clinical improvement was achieved in 38 (92.7%) patients. According to the data of ultrasound control, 25 patients (61%) experienced no blood flow in the obliteration zone, and there was regression of the initial symptoms within 1 year of observation following intervention. The results of treatment were better due to the local spread of the angiomatous process. With diffuse forms, it was not possible to achieve a positive effect in 3 patients (11.1%). CONCLUSION: Scleroobliteration can provide a positive result in the treatment of patients with venous-cavernous angiodysplasia, both as an independent method and in combination with other minimally-invasive techniques.

scholarly journals LONG-TERM RESULTS OF TREATMENT OF OSTEOCHONDRITIS DISSECANS OF THE FEMORAL CONDYLES USING OSTEOPERFORATIONS OF THE SUBCHONDRAL BONE

2020 ◽  
Vol 18 (5) ◽  
pp. 532-537
Author(s):  
O. L. Eismont ◽  
Keyword(s):  
Subchondral Bone ◽  
Osteochondritis Dissecans ◽  
High Efficiency ◽  
Long Term Results ◽  
Surgical Interventions ◽  
Results Of Treatment ◽  
Minimally Invasive Surgical ◽  
Arthroscopically Assisted ◽  
Femoral Condyles

The long-term results of treatment were analyzed for 104 patients (72 men and 32 women) who underwent 120 minimally invasive surgical interventions for various stages of osteochondritis dissecans of the femoral condyles of the knee joint. According to the indications, 4 different types of arthroscopically assisted deep osteoperforations of the subchondral bone were used: anterograde tunneling, anterograde tunneling with penetration, transchondral tunneling and retrograde tunneling.The immediate treatment results were evaluated in all patients within 12 months after surgery; the long-term results were assessed in 98 (94.2%) individuals within 2 years and in 82 (78.8%) after 9 years. The analysis of the long-term results showed the high efficiency of the previously developed algorithm for the surgical treatment of patients with osteochondritis dissecans through the use of osteoperforations of the subchondral bone.

scholarly journals Incisionless Pubovaginal Fascial Sling Using Transvaginal Bone Anchors for the Treatment of Stress Urinary Incontinence

2004 ◽  
Vol 4 ◽  
pp. 357-363 ◽  
Author(s):  
Sandip P. Vasavada ◽  
Craig V. Comiter ◽  
Shlomo Raz
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Minimally Invasive ◽  
Urge Incontinence ◽  
Bladder Neck ◽  
Long Term Results ◽  
Invasive Technique ◽  
Fascial Sling

Introduction: Bladder neck suspension (BNS) for stress urinary incontinence (SUI) can have significant morbidity, including bleeding, infection and pain. In an effort to reduce this potential morbidity, we have devised a technique which provides the same suburethral support as a standard anterior vaginal wall sling (AVWS), but without a vaginal or suprapubic incision. We describe this minimally invasive technique. Methods: From April 1998 to February 1999, 85 women underwent an incisionless suburethral fascial sling procedure. A transvaginal bone drill was used to place a bone anchor loaded with #1 prolene suture into the inferior aspect of the pubic bone on either side of the urethra. A subepithelial tunnel was created at the level of the bladder neck. A 2 x 7 cm segment of cadaveric fascia lata was placed through the subepithelial tunnel. The sutures were passed through the fascia 5mm from either edge, effectively creating a 6.0 cm sling. Finally, the sutures are tied up to the pubic symphysis.Results: Follow-up was via a self-administered questionnaire and patient interview. Recurrent SUI was noted in 2/85 (3%). New onset urge incontinence was present in 4/85 (5%). Permanent urinary retention has not occurred in either group. All procedures were performed on an outpatient basis and no operative complications occurred.Conclusions: Early results for the incisionless sling compare favorably with the long term results for the AVWS. This minimally invasive approach has thus far not been associated with any significant complications. Elimination of the vaginal and suprapubic incisions has not compromised efficacy, and appears to reduce the incidence of urge incontinence. Long term follow-up will establish the lasting efficacy of this novel surgical technique.

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