scholarly journals PERIARTICULAR CYSTS OF FACET JOINTS: ETIOPATHOGENESIS, DIAGNOSIS, METHODS OF SURGICAL TREATMENT. A CLINICAL EXAMPLE

2018 ◽  
Vol 3 (4) ◽  
pp. 61-68 ◽  
Author(s):  
V. A. Byvaltsev ◽  
V. A. Sorokovikov ◽  
A. A. Kalinin ◽  
A. K. Okoneshnikova
Keyword(s):  
Surgical Treatment ◽  
Cauda Equina ◽  
Facet Joints ◽  
Medical Databases ◽  
Current State ◽  
Relevant Topic ◽  
Post Traumatic ◽  
Cauda Equina Roots ◽  
The Right ◽  
Significant Factors

Background. Periarticular cysts (PC) of facet joints is a rare pathology in neurosurgical practice. The concept of PC is applicable for all cysts that are located either pararticularly in the region of facet joints, or start from them.Material and methods. A systematic search was performed in medical databases: Medline, RINC, EMedicine, UMKB, Pubmed on the relevant topic in Russian and English. The search query includes  words: arcuate joint, periarticular cyst, clinic, diagnosis, surgical  treatment. One of the significant factors of PC development is the  instability of the vertebralmotor segment of both degenerative and post-traumatic character.Results. The result of the literature review was the writing of a clinical lecture, the current state of the issue of etiopathogenesis, diagnosis and management of patients with  periarticular cysts of facet joints was studied. The article gives a  clinical example of surgical treatment of a patient with a periarticular cyst at the level of LIV-LV on the right.Conclusion. Periarticular cysts of facet joints are one of the factors of compression of cauda equina roots, with surgical treatment being  a radical and effective way of treatment. A detailed study of this  pathology is a promising direction in spinal neurosurgery. Further  research is required on comparative analysis of clinical and  instrumental efficacy of various methods of surgical treatment of periarticular cysts of facet joints.

scholarly journals Post-traumatic coccygodynia: current issues. Review of foreign literature

2021 ◽  
Vol 24 (2) ◽  
pp. 12-20
Author(s):  
Ildar I. Khidiyatov ◽  
Nazhip M. Galimov ◽  
Aitbai A. Gumerov ◽  
Maxim V. Gerasimov
Keyword(s):  
Surgical Treatment ◽  
Radiofrequency Ablation ◽  
Conservative Treatment ◽  
Diagnostic Methods ◽  
Diagnosis And Treatment ◽  
Scientific Publications ◽  
Optimal Method ◽  
Current State ◽  
Post Traumatic ◽  
Conservative And Surgical Treatment

There are no clear clinical recommendations for the diagnosis and treatment of patients with coccygodynia, and there are still debates about the choice of the best method of diagnosis, the effectiveness of blockades, the indications for surgical treatment and the most appropriate method of surgical treatment, and the need for antibiotics. The aim of the study is to evaluate the current state of the problem of diagnosis, conservative and surgical treatment of patients with post-traumatic coccygodynia based on the analysis of scientific publications. Materials and methods. A review of the literature data published on the problem of diagnosis and treatment of patients with post-traumatic coccigodenia is presented. The features of the anatomical structure of the coccyx are considered. Radiation methods for the diagnosis of coccygodynia, publication materials on the evaluation of the effectiveness of conservative and surgical treatment, and methods of surgical treatment of patients with coccygodynia are presented. The indications for surgical treatment and the results of surgical treatment of patients with coccygodenia are considered. Results. In coccygodynia, surgical treatment is indicated only in patients in whom comprehensive conservative treatment, the combined repeated blockades or radiofrequency ablation of the unpaired sympathetic ganglion are ineffective. Surgical treatment should only be carried out after the diagnosis has been precisely established, including the use of modern radiological diagnostic methods such as CT, MRI. The best method of coccyx resection is subperiosteal total proximal coccygectomy according to Key, with antibiotic therapy. The effectiveness of surgical treatment in patients with idiopathic coccygodynia is lower than in post-traumatic coccygodynia. Conclusion. Complex conservative treatment of patients with coccygodynia in most cases leads to recovery. Steroid blockades or radiofrequency ablation of the impair ganglion prove to be effective. Surgical treatment of post-traumatic coccygodynia is indicated only in cases of resistance to complex conservative treatment and ineffectiveness of blockades. The most optimal method of surgical treatment is subperiosteal proximal complete resection of the coccyx against the background of antibiotics.

scholarly journals RESULTS OF SURGICAL TREATMENT OF FIRE WOUNDS OF COLON

2021 ◽  
pp. 52-56
Author(s):  
K. V. Gumeniuk ◽  
I. P. Marcinkovsky ◽  
G. L. Bogush ◽  
V. G. Verdesh
Keyword(s):  
Surgical Treatment ◽  
Medical Center ◽  
Damage Control ◽  
Damage Control Surgery ◽  
Gunshot Wounds ◽  
Multi Stage ◽  
Post Traumatic ◽  
Adhesive Intestinal Obstruction ◽  
The Right ◽  
Colon Injuries

The aim of the study. Evaluate the results of surgical treatment of wounded with gunshot wounds of the colon. Materials and methods of research. A retrospective analysis of the results of surgical treatment of 32 wounded with gunshot wounds of the colon, who were treated in the Central Medical Center and area of responsibility (II–IV level of medical care) from 2014 to 2017. Damage to the right half of the colon was observed in 12 wounded (37.4 %), the left half — in 17 (53.2 %), the rectum — in 3 (9.4 %). A differentiated approach to surgical treatment of colon injuries of different localization is applied. Results and discussion. The method of multi-stage surgical treatment “Damage Control Surgery” was used in 12.5 % of patients. The most common complications of the injury were adhesive intestinal obstruction in 6.3 % of cases, the formation of intestinal abscesses — in 6.3 %, the development of post-traumatic pneumonia in 25 % of patients. Conclusions. If the tactics of “Damage Control Surgery” are followed, it is possible to improve the results of surgical treatment of colon injuries in severe and extremely severe patients.

DYNAMICS OF TEMPERATURE-PAIN SENSITIVITY IN DERMATOMES OF THE CAUDA EQUINA ROOTS IN THE DISTANT PERIOD AFTER SURGICAL TREATMENT OF SPONDYLOLISTHESIS IN ADULTS

2020 ◽  
Author(s):  
Никита Сергеевич Гвоздев ◽  
Елена Николаевна Щурова
Keyword(s):  
Surgical Treatment ◽  
Pain Sensitivity ◽  
Cauda Equina ◽  
Adult Patients ◽  
Number Of Patients ◽  
Long Term Follow Up ◽  
Cauda Equina Roots

Проведено исследование динамики температурно-болевой чувствительности в дерматомах корешков конского хвоста у взрослых больных со спондилолистезом I и II степенях смещения в отдаленные сроки после хирургического лечения. Показано, что в отдаленный период наблюдения уменьшилась доля больных с гипестезией тепла и боли, термоанестезией, увеличилось количество больных с нормальными порогами. Наиболее уязвимым является Lдерматом, где регистрируется наименьший процент больных с нормальными порогами болевой чувствительности. The dynamics of temperature and pain sensitivity in the dermatomes of cauda equina roots in adult patients with spondylolisthesis of I and II degrees of displacement in the long term after surgical treatment was conducted in the paper. It is shown that in the long-term follow-up period, the proportion of patients with heat and pain hypesthesia and thermoanesthesia decreased, and the number of patients with normal thresholds increased. The most vulnerable is L5 dermatome, where the lowest percentage of patients with normal thresholds of pain sensitivity is registered.

scholarly journals THERAPY FOR COMPLICATED DEGENERATIVE STENOSIS OF THE LUMBOSACRAL SPINE SEGMENT IN ELDERLY PATIENTS

2018 ◽  
Vol 4 (2) ◽  
pp. 56-60
Author(s):  
Yu. N. Zakrevskij ◽  
A. V. Peretechicov ◽  
D. M. Zavyalov ◽  
A. S. Volkov
Keyword(s):  
Surgical Treatment ◽  
Elderly Patients ◽  
Cauda Equina ◽  
Lower Limbs ◽  
Neurological Deficits ◽  
Lumbosacral Spine ◽  
Degenerative Spine ◽  
Thoracic And Lumbar Spine ◽  
Cauda Equina Roots ◽  
Spine Segment

The paper present a retrospective analysis of surgical treatment of 22 elderly patients aged 60 to 80 years who had complicated degenerative stenosis of lower thoracic and lumbar spine segments associated with neurological deficits ranging from mild peripheral manifestations to severe unilateral and bilateral paresis. The severity of degenerative spine lesions and compressive stenosis of spinal channel contents correlated with patients’ age and culminated in the maximal degenerative stenotic alterations, up to 5,5±0,9 cm, at the L3 to L5 level at the age of 76,5±1,4 years. Surgery performed to decompress the spinal channel and cauda equina roots and to stabilize the spine with Stryker and Fixpain transpedicular inner fixation and correction devices resulted in the regress of neurological deficits and restoration of lower limbs motor functions up to the capability of unassisted locomotion in old age.

Surgical treatment of post-traumatic false aneurysm of the right atrium

2016 ◽  
Vol 9 (3) ◽  
pp. 88
Author(s):  
V. A. Ivanov ◽  
E. P. Evseev ◽  
Ya. A. Aydamirov ◽  
S. V. Fedulova
Keyword(s):  
Surgical Treatment ◽  
Right Atrium ◽  
False Aneurysm ◽  
Post Traumatic ◽  
The Right

scholarly journals Hypotrophic Clavicle Pseudoarthrosis Treatment: a Case Report

2021 ◽  
Vol 27 (3) ◽  
pp. 111-118
Author(s):  
Oleg A. Kaplunov ◽  
Sergey A. Demkin ◽  
Kamil F. Abdullaev ◽  
Kirill O. Kaplunov
Keyword(s):  
Surgical Treatment ◽  
Plate Osteosynthesis ◽  
Treatment Options ◽  
Reconstruction Technique ◽  
Flap Reconstruction ◽  
Osteosynthesis Plate ◽  
Fixation Stability ◽  
Post Traumatic ◽  
Fibular Flap ◽  
The Right

Background. The treatment of post-traumatic of the clavicle false joint remains a subject of discussion regarding the technology of the surgical intervention. Recently, the use of vascularized fibular flap reconstruction technique has been popularized, but the potential of the external osteosynthesis remains relevant. Clinical case description. A 70-year-old patient got a fracture of the middle third of the left clavicle diaphysis as a result of a fall. He underwent four surgical treatment options: plate osteosynthesis; plate osteosynthesis + bone autoplasty; plate osteosynthesis + vascularized fibular flap reconstruction; external osteosynthesis. A month after the fourth attempt of surgical treatment, fusion, improvement of the function of the right upper limb and the quality of life of the patient were achieved. Technological inaccuracy, namely, the lack of the fragments fixation stability due to the incorrectly chosen length of the plate, as well as an incomplete assessment of the anamnesis and the identified cognitive behavioral features of the patient, are considered as possible reasons for the treatment failure. Conclusion. Attempts of surgical treatment using plates in combination with bone autoplasty, including vascularized skin-bone flaps, do not always ensure the achievement of clavicle fractures fusion. In such situations, it is advisable to use the potential of external osteosynthesis with the reasonable planning.

Integrative Approach in Law Understanding: the History of the Origin of Ideas and the Current State

2020 ◽  
Vol 2 (1) ◽  
pp. 115-130
Author(s):  
R. R. Palekha ◽  
Keyword(s):  
Central Place ◽  
Scientific Basis ◽  
Integrative Approach ◽  
Current State ◽  
History Of ◽  
Legal Thinking ◽  
Reliable Knowledge ◽  
The Right ◽  
Fat Formulation

Introduction. Right understanding is the most live, interesting and, at the same time, the uncertain and changeable area of researches which takes the central place as in the general theory of the right, and gains the increasing value in industry jurisprudence that is connected with its considerable teoretiko-methodological and applied potential which is shown in spheres of lawmaking and law-enforcement activity. Thus, right understanding represents research tools of the subject of knowledge which allow to study all range legal and, the based on them, state phenomena for the purpose of obtaining reliable knowledge of state and legal reality. In this regard integrative approach in right understanding which has rich history of the formation and development is of special interest, allows to perceive the right as integrally complete phenomenon, as much as possible retrieves its regulatory abilities and, provides achievement of criteria of scientific research: comprehensiveness, objectivity, historicism. Materials and Methods. In article an attempt of the analysis of integrative approach in right understanding from a position of history of origin of his ideas and assessment of the current state is made. A result of studying of scientific literature, generalization and comparison of the different points of view fat formulation of author’s determination of category “right understanding” and submission of the evidence-based integrative theory of right understanding which as much as possible conforms to requirements of time and has essential regulatory and guarding potential. Results. In article the category right understanding is comprehensively considered, different integrative theories of right understanding from a position of their origin and development are submitted, the value of modern integrative approach in right understanding is shown, perspectives of its further development are evaluated. Discussion and Conclusion. The author comes to the conclusion about the theoretical and methodological consistency and inevitability of the integrative approach in law understanding, which acts as a scientifically grounded type of legal thinking capable of comprehending the law on a truly scientific basis.

scholarly journals Depression following traumatic brain injury: a comprehensive overview

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Marc Fakhoury ◽  
Zaynab Shakkour ◽  
Firas Kobeissy ◽  
Nada Lawand
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Health Concern ◽  
First Year ◽  
Comprehensive Overview ◽  
Symptoms Of Depression ◽  
Current State ◽  
Post Traumatic ◽  
Brain Changes

Abstract Traumatic brain injury (TBI) represents a major health concern affecting the neuropsychological health; TBI is accompanied by drastic long-term adverse complications that can influence many aspects of the life of affected individuals. A substantial number of studies have shown that mood disorders, particularly depression, are the most frequent complications encountered in individuals with TBI. Post-traumatic depression (P-TD) is present in approximately 30% of individuals with TBI, with the majority of individuals experiencing symptoms of depression during the first year following head injury. To date, the mechanisms of P-TD are far from being fully understood, and effective treatments that completely halt this condition are still lacking. The aim of this review is to outline the current state of knowledge on the prevalence and risk factors of P-TD, to discuss the accompanying brain changes at the anatomical, molecular and functional levels, and to discuss current approaches used for the treatment of P-TD.

scholarly journals Likely Exacerbation of Psychological Disorders from Covid-19 Response

2021 ◽  
Vol 12 ◽  
pp. 215013272110167
Author(s):  
Tara Rava Zolnikov ◽  
Tanya Clark ◽  
Tessa Zolnikov
Keyword(s):  
Psychological Disorders ◽  
Emotional Reactions ◽  
Post Traumatic Stress ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Current State ◽  
The Face ◽  
Adults And Children ◽  
Post Traumatic ◽  
Anxiety Depression

Anxiety and fear felt by people around the world regarding the coronavirus pandemic is real and can be overwhelming, resulting in strong emotional reactions in adults and children. With depressive and anxiety disorders already highly prevalent in the general population (300 million worldwide), depression and/or anxiety specifically because of the pandemic response is likely. Moreover, the current state of panic in the face of uncertainty is apt to produce significant amounts of stress. While this situation has the potential to cause psychological disorders in previously unaffected populations, perhaps more impactful is the exacerbation of symptoms of many existing disorders including anxiety, depression, post-traumatic stress disorder (PTSD), obsessive-compulsive disorder (OCD) and hoarding disorder.

scholarly journals Surgical treatment for common hepatic aneurysm. Original one-step technique

Open Medicine ◽  
2020 ◽  
Vol 15 (1) ◽  
pp. 898-904
Author(s):  
Bruno Amato ◽  
Renato Patrone ◽  
Gennaro Quarto ◽  
Rita Compagna ◽  
Roberto Cirocchi ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Hepatic Artery ◽  
Distal Part ◽  
Intraoperative Ultrasound ◽  
Section Area ◽  
One Step ◽  
A New Technique ◽  
Open Surgical Treatment ◽  
The Right ◽  
Vascular Stapler

AbstractIntroductionHepatic artery aneurysms are rare, and their treatment represents a challenge for the surgeons.Materials and methodsA new technique is presented for common hepatic artery (CHA) aneurysm: it requires minimal vascular surgical dissection and only one linear vascular stapler is applied at the bottom of aneurysm. Aneurysm exclusion is easily obtained, which allowed retrograde thrombosis. Liver blood supply is ensured to the right and left hepatic artery, through the gastroduodenal artery, and can be previously monitored, with temporary clamping of the section area, by visual control, enzyme evaluation and intraoperative ultrasound examination. We reported an open surgical treatment, with simultaneous removal of hepatic and adrenal metastases, secondary to colon cancer.ResultsThe duration of vascular surgery was 30 min and did not involve complications. Postoperative controls confirmed the efficacy of the procedure.DiscussionThis original technique can be added to the various open and endovascular techniques so far described for the treatment of a CHA aneurysm. It is advisable as open surgery, mostly in case of associated pathologies.ConclusionsThe authors believe that this “one shot” technique by vascular staple of the distal part of CHA is minimally invasive and effective to obtain the exclusion of the aneurysm.

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