Articles Related to surgery

Background: Primary hyperparathyroidism (PHPT) is a frequently diagnosed endocrine disease and nowadays it is asymptomatic in the majority of patients. The management of asymptomatic PHPT is still debated in some cases, although there are evidences that asymptomatic patients may have improved outcomes after curative surgery. In this paper we show one of the longest follow-ups of surgically treated asymptomatic PHPT, focusing on skeletal long-term effects of surgery. Methods: We included in the study 21 patients that underwent parathyroidectomy for asymptomatic PHPT at our Institution from 2006 to 2010 with a complete follow-up at 10 years. Data about age, BMI, preoperative serum and urinary calcium, vitamin D, alkaline phosphatase parathormone, bone densitometry, surgical procedure and histological examination were collected and analyzed. Results: At follow-up we observed a normalization of PTH, serum calcium and alkaline phosphatase in all patients. Moreover, in all cases the T-score at 1 year increased significantly both at lumbar spine and femoral neck and this is maintained at long-term follow-up. Conclusions: Parathyroidectomy can be proposed as a safe therapeutical option in the majority of cases of asymptomatic PHPT considering the good results of surgery in terms of bone demineralization reduction

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Diagnosis and choice of therapeutic rational tactics in patients with closed pancreatic injuries still remain and actual problem of urgent abdominal surgery. The results of treatment of 70 patients with pancreatic injuries being treated in a surgical department of RSCUMA of Uzbekistan Public Health and its branches during 2009-20021 with analyzed. Intraoperative inspection of omental bursa is still a single reliable method to reveal injuries to the pancreas. Depending on the character and localization the differ following kinds of surgical treatment of pancreatic injuries were used: based on adequate drainage of the impaired zone; removal of lifeless pancreatic tissues; restoration of passage or rational derivation of pancreatic juice. It is necessary to underline that in all cases of pancreatic injuries antisecretory, antianzymatic, antibacterial and desintoxicating therapy must be carried out.

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Obesity is a pandemic, chronic and relapsing disease with several treatment options. The aim of this work was to investigate the level of awareness that people with obesity (PwO) have of their own condition and the level of knowledge regarding possible treatments available. To compare and contrast collected data on PwO with data obtained from general practitioners (GPs)

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It has been identified several factors that can determine the severity and progression of adolescent idiopathic scoliosis (AIS). The natural evolution of this disease has been extensively studied in different populations. However, no practical tool encompasses the main factors determining this disease’s potential progression.

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To identify the main risk factors for the progression of adolescent idiopathic scoliosis and to create a tool or classification that helps to identify patients with greater potential for the development of serious scoliosis.

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An eight-year-old boy with Kabuki Syndrome (KS) and an enlarging CNS mass is presented. The ‘tumor’ was discovered incidentally during MR imaging for a behavioral disorder and was located within the left globus pallidus. Retrospective review of previous MRIs showed no abnormality in the basal ganglia seven years earlier but a small region (a few pixels) of increased in T2 signal intensity three years earlier.

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Prosthesis material and design is thought to have a role in effective sound transmission, rate of complications and success of stapes surgery. Titanium has been shown to be a promising material in this regard. We compared the intra-operative events, complication rate and the hearing outcomes results of stapes surgery using titanium versus fluoroplastic piston prosthesis.

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The World Health Organization declared COVID-19 a pandemic in March 2020 and since then COVID-19 infection has been reported in all parts of the world. Several Healthcare systems reduced or canceled none emergency or urgent surgeries to effectively manage the pandemic. Recently, the reported incidence of new cases of COVID-19 has reduced in some regions and some Healthcare systems are resuming elective gynecologic surgery. This narrative review explores the challenges of planning and resuming elective gynecologic surgery in a climate of continuing community transmission.

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The number of bariatric procedures being performed worldwide has increased markedly over the past two decades and this has led to revisional bariatric surgery being increasingly performed.

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Ameloblastoma is a benign odontogenic tumor, comprising 1% of all tumors and cysts of the jaws. A lot of the patients are asymptomatic and most cases are diagnosed when the swelling is already evident. It is a locally aggressive tumor with a high recurrence rate when conservative surgical treatment is applied (up to 80%). That is why current treatment consists of wide resection of the lesion with safety margins of healthy bone beyond radiographic limits.

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40-day male infant has admitted to the hospital by family. He has a complaint including lack of suction, vomiting, decreased of movements and continuous sleep about a week of ongoing. Brain computed tomography recognized a mass (with hyperdense hemorrhage) in the posterior fossa and right cerebellar hemisphere.

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A needle breakage is a rare complication of an inferior alveolar nerve block, but it should represent an awkward experience both for the patient and the dentist. A broken needle in the pterygo mandibular region would be hard to remove and it may also have important medico-legal considerations. This is the case report of a 32-years old man, referred by his own dentist to the Maxillo-Facial department, after the needle broke during the routine administration of an inferior alveolar nerve block for a dental procedure. In this paper, authors present the successful removal of the fractured needle from the right pterygomandibular region under general anesthesia administration.

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Three dimensional anatomy and congenital anomalies are crucial determining the trocar positions and the optimal site view for any laparoscopic procedure. Such critical issue mandates preoperative diagnosis of topographic anatomical variations. Clinical reporting on congenital foregut anomalies does not include yet variation in liver rotation. This research is documenting such unrevealed anomaly and stressing on its implication in the field of contemporary laparoscopic surgery.

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Pilomatrixoma is a rare benign skin tumor originating from the matrix of hair follicle cells. Pilomatrixoma is also known as, Malharbe’s calcific epithelium or pilotircoma [1]. Pilomatrixoma generally has benign characteristic properties.

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Recurrence of a mucinous ovarian neoplasm after resection is unusual but this does happen. If possible, a repeat surgical removal of recurrent disease is the treatment of choice. The results of a repeat intervention are poor. A review of our results of treatment of recurrent mucinous ovarian neoplasms was performed.

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