scholarly journals REHABILITATION OF PATIENTS AFTER OPERATIONS ON THE THYROID

2019 ◽  
Vol 21 (1) ◽  
pp. 91-94
Author(s):  
S N Pamputis ◽  
Yu K Aleksandrov ◽  
A D Dyakiv ◽  
I E Belyakov
Keyword(s):  
Surgical Treatment ◽  
Thyroid Gland ◽  
Skin Incision ◽  
Comprehensive Treatment ◽  
Surgical Interventions ◽  
Recurrent Goiter ◽  
Original Scheme ◽  
Upper Mediastinum ◽  
Preoperative Examination

Scientists and specialists, who works in the field of treatment thyroid gland diseases, identify and eliminate the effects of surgical interventions with nodular, multinodular and recurrent goiter with symptoms of compression of the organs of the neck and upper mediastinum. In total, the study included 119 patients who underwent extirpation of the thyroid gland (43), resection of the thyroid gland (33) and hemithyroidectomy (43). Comparisons were made on the basis of the volume of the preoperative examination, the immediate surgical intervention and the features of the intraoperative technique. It was established that the severity of local pain, postoperative complications such as neck edema during hematoma and gray formation reliably depended on the size of the skin incision, dissection of the short neck muscles, mobilization of the nodding muscles and removal of the tissue from the lymph nodes. 6 months after the surgical treatment, the patients had no complaints. If hypocalcemia occurs (in 14 cases), patients undergo a comprehensive treatment according to the original scheme. As a result of the treatment in all cases, the action of hypocalcemia was stopped. The study shows that the effectiveness of surgical treatment, the postoperative period, complications, cosmetic results and quality of life, as well as rehabilitation studies aimed at reducing the effectiveness of preoperative examination, increasing the amount of operational benefits and late statement of complications.

scholarly journals Assessing Quality of Life in Patients with Graves’ Disease Following Thyroidectomy

2019 ◽  
Vol 9 (1) ◽  
pp. 26-30
Author(s):  
S. N. Styazhkina ◽  
A. V. Ledneva ◽  
E. L. Poryvaeva
Keyword(s):  
Quality Of Life ◽  
Hormone Replacement Therapy ◽  
Surgical Treatment ◽  
Thyroid Gland ◽  
Replacement Therapy ◽  
Hormone Replacement ◽  
Subtotal Resection ◽  
Graves Disease ◽  
The Impact

Introduction. Graves’ disease is a disorder associated with thyroid gland producing excessive amounts of hormones which causes changes in the functional status of various organs and systems. Among thyroid disorders it takes the second place (after endemic goitre) in prevalence. Until now, there is no consensus on a single strategy for the treatment of disorders of the thyroid gland. This is why this paper aims to assess the impact of surgical treatment of Graves’ disease on patients’ quality of life and whether it would be possible to improve it by following the surgery with hormone replacement therapy.Materials and methods. This paper presents a retrospective analysis of 70 case histories of patients who received surgical treatment for diffuse toxic goitre at the BIH UR “First Republican Teaching Hospital” MH UR,Izhevsk, in the period from 2008 to 2014. Percentages of the disease by stage were as follows: stage II — 20%, stage III — 70%, stage 4 — 10%. One lobe resection was performed in 3% of patients, two lobe resection — in 1%, hemithyroidectomy — in 18±4.6%, subtotal resection — in 8%, thyroidectomy — in 70±5.5%.Results. Percentages of patients with various degrees of severity of postoperative hypothyroidism were as follows: severe — 66%, medium — 29%, light — 5%; there were no Graves’ disease recurrences. Patients’ complaints following thyroidectomy included body weight gain — 79.1±4.8%, cold in extremities — 83.3±4.4%, cardiac arrhythmia — 85.2±4.2%, oedemas — 84.3±4.3%, drowsiness, atonia — 67.1±5.6%, changes in appetite — 21±4.8%, skin pallor — 47.6±5.9%, brittle nails, hair loss — 51.2±5.9%, joint pain — 31.2±5.53%.Conclusion. Hypothyroidism always follows thyroidectomy and requires ongoing hormone replacement therapy with L-thyroxine. Th quality of life does not have to suffer if an individual dosage is established and followed on a permanent basis.

scholarly journals Long-term oncological and functional results of robot-assisted radical prostatectomy

2021 ◽  
Vol 17 (3) ◽  
pp. 121-128
Author(s):  
K. K. Ramazanov ◽  
K. B. Kolontarev ◽  
G. P. Gens ◽  
A. V. Govorov ◽  
A. O. Vasilyev ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Radical Prostatectomy ◽  
Length Of Hospital Stay ◽  
Functional Results ◽  
State University ◽  
Robot Assisted ◽  
Surgical Interventions ◽  
Long Term Follow Up

Prostate cancer (РСа), being one of the leading causes of cancer mortality in men in Russia and in a number of other countries of the world, remains an urgent problem for modern oncourology, and the choice of surgical method is an important task for a surgeon. Such a pronounced interest in robot-assisted radical prostatectomy (RARP) in patients is driven by good tolerance and effectiveness of these surgical interventions, despite the fact that radical prostatectomy is considered to be the "gold standard" for treatment of patients with clinically localized РСа with regard to European Association of Urology data. The long-term oncological and functional results and the quality of life of patients after RARP deserve close attention and thorough study. According to the data presented in this article, it is obvious that RARP is the preferred method for surgical treatment of РСа, since oncological and functional results in the long-term follow-up are comparable to the results after radical prostatectomy, and according to some authors, these results are superior to the results of radical prostatectomy. The results of the study will allow to continue further introduction of RARP into clinical practice and its popularization as a method of surgical treatment of patients with localized PCa, which will reduce the length of hospital stay of patients, accelerate their medical and social rehabilitation, and improve the quality of medical care.The amount of data on the study of distant oncological and functional results of RARP as well as its superiority over other treatment methods is limited in medical literature, which prompted us to conduct our own research. Currently the urological clinic of the A.I. Evdokimov Moscow State University of Medicine and Dentistry continues work aimed at studying the longterm results of RARP in the first patients in Russia.

State of the problem of early diagnosis and treatment of benign ovarian tumors in postmenopausal patients (literature review)

GYNECOLOGY ◽  
2021 ◽  
Vol 23 (4) ◽  
pp. 294-299
Author(s):  
Nataliia M. Podzolkova ◽  
Roman E. Kuznetsov ◽  
Olga L. Glazkova ◽  
Larisa G. Sozaeva ◽  
Luiza B. Tumgoeva
Keyword(s):  
Quality Of Life ◽  
High Risk ◽  
Early Diagnosis ◽  
Clinical Manifestations ◽  
Ovarian Tumors ◽  
Diagnostic Methods ◽  
Comprehensive Treatment ◽  
Surgical Interventions ◽  
Benign Ovarian Tumors

As life expectancy increases, older people require strict individualization of management and treatment, taking into account all age and pathophysiological characteristics of a particular patient, a more attentive approach to the features of clinical manifestations of diseases, the presence of comorbid pathology. Timely diagnosis and comprehensive treatment of postmenopausal patients with benign ovarian tumors is a debatable issue, since none of the existing diagnostic methods of research in practice provides sensitivity and specificity equal to or at least approaching 100% of the indicator. The progressive aging of the population raises the question of whether it is necessary to operate on menopausal patients with benign ovarian tumors of small size (up to 5 cm), given the low percentage of malignancy of these formations and the high risk of deterioration in the patients quality of life after surgical interventions.

Concept «quality of life» and method of its assessment in patients after surgical treatment of the aortal valve faults

2019 ◽  
pp. 46-50
Author(s):  
A. N. Molchanov
Keyword(s):  
Quality Of Life ◽  
Heart Disease ◽  
Surgical Treatment ◽  
The Elderly ◽  
Underlying Disease ◽  
Point Of View ◽  
Optimal Method ◽  
Surgical Interventions ◽  
Age Related

The review of the literature examines the study of the quality of life of patients in the older age group after cardiac surgery for heart disease. In recent years, the number of elderly people has increased significantly in many countries. As a result of this phenomenon, cardiologists and cardiac surgeons are increasingly confronted in their practice with elderly patients. There are features of the management of cardiac and cardiac surgical patients of advanced age, caused both by the specifics of the underlying disease and by concomitant diseases. With the emergence of new options for evaluating the effectiveness of various methods of surgical correction of heart disease in age patients, new questions arise that require evidentiary consideration and an optimal answer. Opinions of experts about the feasibility of surgical interventions in the elderly are often different. The urgency of the problem is due to the recent increase in the number of heart operations in the group of age-related patients. The study of the quality of life of patients in the postoperative period helps to determine the most rational and optimal method of surgical treatment, not only from the point of view of the cardiac surgeon, but also from the standpoint of assessing the patient himself. In addition, frequent postoperative complications and recurrences of diseases force specialists to focus on the quality of life of patients after surgery, which makes the problem extremely urgent.

scholarly journals Non-surgical interventions for excessive anterior pelvic tilt in symptomatic and non-symptomatic adults: a systematic review

2020 ◽  
Vol 5 (1) ◽  
pp. 37-45 ◽  
Author(s):  
Anders Falk Brekke ◽  
Søren Overgaard ◽  
Asbjørn Hróbjartsson ◽  
Anders Holsgaard-Larsen
Keyword(s):  
Surgical Treatment ◽  
Pelvic Tilt ◽  
Clinical Symptoms ◽  
Risk Of Bias ◽  
Low Back ◽  
Surgical Interventions ◽  
Anterior Pelvic Tilt ◽  
Grade Approach ◽  
Non Surgical Treatment

Excessive anterior pelvic tilt is suspected of causing femoroacetabular impingement, low back pain, and sacroiliac joint pain. Non-surgical treatment may decrease symptoms and is seen as an alternative to invasive and complicated surgery. However, the effect of non-surgical modalities in adults is unclear. The aim of this review was to investigate patient- and observer-reported outcomes of non-surgical intervention in reducing clinical symptoms and/or potential anterior pelvic tilt in symptomatic and non-symptomatic adults with excessive anterior pelvic tilt, and to evaluate the certainty of evidence. MEDLINE, EMBASE, Web of Science and Cochrane (CENTRAL) databases were searched up to March 2019 for eligible studies. Two reviewers assessed risk of bias independently, using the Cochrane Risk of Bias tool for randomized trials and the ROBINS-I tool for non-randomized studies. Data were synthesized qualitatively. The GRADE approach was used to assess the overall certainty of evidence. Of 2013 citations, two randomized controlled trials (RCTs) (n = 72) and two non-RCTs (n = 23) were included. One RCT reported a small reduction (< 2°) in anterior pelvic tilt in non-symptomatic men. The two non-RCTs reported a statistically significant reduction in anterior pelvic tilt, pain, and disability in symptomatic populations. The present review was based on heterogeneous study populations, interventions, and very low quality of evidence. No overall evidence for the effect of non-surgical treatment in reducing excessive anterior pelvic tilt and potentially related symptoms was found. High-quality studies targeting non-surgical treatment as an evidence-based alternative to surgical interventions for conditions related to excessive anterior pelvic tilt are warranted. Cite this article: EFORT Open Rev 2020;5:37-45. DOI: 10.1302/2058-5241.5.190017

scholarly journals THE STRUCTURE OF THYROID NODULES IN CHILDREN SUBJECTED TO SURGICAL TREATMENT

2019 ◽  
Vol 21 (1) ◽  
pp. 63-66
Author(s):  
A V Gostimskii ◽  
Y L Skorodok ◽  
A A Taraikovich ◽  
S S Peredereev
Keyword(s):  
Thyroid Cancer ◽  
Surgical Treatment ◽  
High Risk ◽  
Thyroid Gland ◽  
Thyroid Nodules ◽  
Age Groups ◽  
Case Histories ◽  
Surgical Interventions ◽  
High Incidence ◽  
Surgical Tactics

The article provides the literary information and the results of our own research on the structure of the thyroid nodules in operated children.The clinical significance of nodular neoplasms of the thyroid gland is determined by the relatively high risk of carcinomas. Along with this, the relevance of this research is due to the increasing of surgical interventions and the fact that the features of nodules in children and tactics of management of patients remain debatable.The aim of the work was to study the structure of thyroid nodules in childrenin various age groups. The case histories of 225 operated childrenfrom 4 to 17 years oldfrom 2007 to 2017 were analyzed. Nodular neoplasms of the thyroid in children were more common. Tumor-like diseases - colloid nodes in childhood were rare, only in 2.2% of cases. The high incidence of thyroid cancer (35.6%) under the mask of nodal goiter determines active surgical tactics in patients with nodal neoplasms in childhood.

scholarly journals SIMULATION MODEL OF OPERATIONAL INTERVENTIONS TAKING INTO ACCOUNT NEW NECK TOPOGRAPHIC–ANATOMICAL DATA

2020 ◽  
Vol 23 (2) ◽  
pp. 124-132
Author(s):  
Yu. V. Maleev ◽  
P. N. Romashchenko ◽  
N. F. Fomin ◽  
A. V. Chernykh ◽  
D. S. Krivolapov ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Thyroid Gland ◽  
Simulation Model ◽  
Diagnostic Algorithm ◽  
Structural Features ◽  
Optimal Method ◽  
Anatomical Studies ◽  
Surgical Interventions ◽  
Cervical Trachea

Considerable difficulties and serious complications during operations on the thyroid (thyroid gland) and parathyroid gland (OSG), larynx, cervical trachea and esophagus are caused primarily by their large anatomicalvariability. Purpose of the study. To develop a simulation model of surgical interventions on the neck, taking into account new data on its typical anatomy to improve the quality of life of patients. Material and methods: Somatometry of the neck: 300 men aged 17 to 47 years (22 ± 4 years) and 475 women from 16 to 66 years (21.9 ± 5 years). Topographic-anatomical studies - 426 non-fixed corpses of persons who died suddenly: 290 males who died aged 18 - 83 years (47 ± 12) and 136 - females aged 17 - 85 years (52 ± 16). Clinical studies - in the clinic of faculty surgery S.P. Fedorova VMA from 2013 to 2017: 470 operated patients with thyroid pathology. Results and conclusion. The optimal method of neck somatometry was tested; systematized topographic – anatomical structural features of the thyroid gland and the thyroid gland, VGN, esophagus, trachea, larynx; made anatomical discoveries; proposed new principles for developing a simulation model of operations, taking into account extreme types of variability. A treatment and diagnostic algorithm is proposed for thyroid and thyroid surgery, which minimizes intraoperative and postoperative complications and improves the quality of life of patients.

scholarly journals Comparative evaluation of the effect of different methods of surgical treatment of chronic pancreatitis on the quality of life of patients

2012 ◽  
Vol 93 (1) ◽  
pp. 34-38
Author(s):  
A A Karpachev ◽  
I P Parfenov ◽  
A Yu Khlynin ◽  
A L Yarosh ◽  
A V Soloshenko ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Chronic Pancreatitis ◽  
Surgical Treatment ◽  
Psychological Health ◽  
Comparative Evaluation ◽  
General Health Questionnaire ◽  
Life Quality ◽  
Surgical Interventions ◽  
Physical And Psychological Health

Aim. To conduct a comparative evaluation of the effectiveness of surgical treatment of chronic pancreatitis and define the quality of life of patients depending on the methods of surgical treatment. Methods. The study included 81 of the 165 patients with chronic pancreatitis, who underwent the following operations: endoscopic transmural interventions through the wall of the stomach and duodenum, endoscopic transpapillary surgery, percutaneous interventions for sanitation and drainage of the cystic cavity, laparotomic operations of internal drainage, resection interventions. The quality of life of patients was assessed using the general health questionnaire SF-36. Results. The lowest level of life quality was established in the group of patients after endoscopic transpapillary interventions. Statistically significant differences in the level of physical and psychological health were established when comparing patients after endoscopic transpapillary interventions and after endoscopic transmural surgical interventions, which were carried out through the wall of the stomach and duodenum; differences only in the level of physical health were noted when comparing with the group of resection interventions. Conclusion. The quality of life of patients with chronic pancreatitis depends on the type of surgical intervention, age and sex of the patients.

scholarly journals DENTAL IMPLANTATION AS A METHOD OF OPTIMIZING TREATMENT OF PATIENTS WITH COMPLETE DENTAL TEETH

2019 ◽  
pp. 33-40
Author(s):  
O.V. Dobrovolskaya
Keyword(s):  
Dental Implants ◽  
New Technologies ◽  
System Level ◽  
Cochrane Library ◽  
Comprehensive Treatment ◽  
Surgical Interventions ◽  
Dental Implantation ◽  
Number Of Patients ◽  
Orthopedic Rehabilitation

The development of dentistry at the present stage opens up new possibilities in the treatment of adentia by intraosseous implantation of artificial supports for dentures, which opened up new opportunities for improving the quality of comprehensive rehabilitation of dental patients. The development of new methods of surgical interventions and prosthetics, the creation of new implant systems help us to increase the life of dentures on implants and to improve the quality of life of patients. Aim of the study. Literary sources analysis with the study of possible complications and their causes at various stages of patient rehabilitation with dental implants in patients with complete absence of teeth. Materials and methods. The review and analysis of scientific-medical literature of 2013-2019 years was conducted, according to the databases Scopus, Web of Science, Med Line, The Cochrane Library, EMBASE, Global Health, CyberLeninka, RINC. Attention is focused on the main causes of patient rehabilitation with dental implants in patients with complete absence of teeth. Results of the studies and their discussion. The method of dental implantation is increasingly used in practical dentistry in the replacement of various defects in the dentition. Dental implants dramatically increased the quality of orthopedic rehabilitation of patients due to the possibility of using fixed dentures in the replacement of dentition defects in both partial and complete adentia. It is worth noting that along with the positive results of implantation, complications are also observed. Removable prostheses on implants can be divided into two groups: fixed on separate implants with spherical abutment or on the beam connecting the implants. The increased interest in this method of treatment is due to a variety of clinical situations, characteristics of the prosthetic bed, the development of new technologies for the construction of prostheses; an increase in the number of patients satisfied with stabilization and retention of prostheses due to implants. The most important stage ensures the further success of the proposed comprehensive treatment of patients, a thorough examination, diagnosis, determination and compliance with indications and contraindications for dental implantation in conditions that are far from optimal. Inadequate consideration of the characteristics of the somatic and dental anamnesis, complaints, motivation and expectations of the patient from the upcoming treatment, examination data, clinical examination, assessment of the functional state of the patient’s dentofacial system, level of oral hygiene, can lead to unjustified expectations of the patient, local and general complications. Conclusions. Advances in dental science, the emergence of the latest technologies in our time allow us to approach the problem of rehabilitation of patients with a complete absence of teeth in the lower jaw using removable and fixed prostheses based on dental implants.

scholarly journals New methods of surgical operations on large bowel

2018 ◽  
Vol 85 (7) ◽  
pp. 16-20
Author(s):  
V. М. Меlnyk ◽  
О. І. Poyda ◽  
E. М. Shepetko ◽  
І. І. Polovnikov
Keyword(s):  
Quality Of Life ◽  
Surgical Treatment ◽  
Large Bowel ◽  
Functional Results ◽  
Late Results ◽  
Occurrence Rate ◽  
Surgical Interventions ◽  
New Methods ◽  
Severity Degree

Objective. To improve the immediate and late results of surgical treatment in patients, suffering the large bowel (LB) diseases, using improvement of standard and elaboration of new methods of radical, оrgan-preserving, restorational and reconstructive-restorational operations. Маterials and methods. New methods of radical, оrgan-preserving, restorational and reconstructive-restorational operations on LB were elaborated, taking into account peculiarities of the diseases morphogenesis, аnatomical and functional details of the LB separate parts. The operations mentioned were performed in 497 patients, suffering LB cancer, ulcerative colitis, Crohn’s disease, familial adenomatous polyposis, chronic decompensated colostasis, complicated by the LB diverticular disease. Results. Due to implementation into clinical practice of the surgical interventions elaborated, the postoperative morbidity occurrence rate have reduced down to 2.4%, postoperative lethality - to 0.2%, the functional results improved, the occurrence rate and the severity degree for pathological postoperative syndromes have lowered (reflux-ileitis, postcolectomy syndrome, syndrome of low anterior resection, secondary anal incontinence), the governing of the outflow process after rectal extirpation was guaranteed, the operated patients quality of life improved essentially due to introduction of the surgical interventions elaborated. Conclusion. Improvement of the surgical treatment results for the LB diseases is possible while applying of new methods of radical, organ-preserving , restorational and reconstructive-restorational operations, what promotes the essential reduction of the occurrence rate for the LB diseases recurrence occurrence, pathological syndromes morbidity and their severity degree, significant improvement of functional results and quality of life in the patients operated.

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