Articles Related to surgical

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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Herein, we aimed to compare the neurologic improvement, postoperative complications, and changes of Cobb’s angle between four main surgical approaches, including anterior cervical decompression and fusion (ACDF), laminoplasty (LAMP), laminectomy (LC), and anterior controllable antedisplacement and fusion (ACAF), to treat cervical ossification of posterior longitudinal ligament (OPLL).

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Considering that the side of epileptogenic focus is a factor that could contribute to depressive and anxiety symptoms, we propose a systematic review searching for the prevalence of depression in Temporal Lobe Epilepsy in non-surgical patients.

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Injury to the skin provides a unique challenge, as wound healing is a complex and intricate process. Acute wounds have the potential to move from the acute wound to chronic wounds, requiring the physician to have a thorough understanding of outside interventions to bring these wounds back into the healing cascade. Surgical enrichment/dressings are applications for wounds, burns, and ulcers. They should be regarded as supportive of healing; are desirable but not essential in an emergency.

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Crouzon syndrome is an autosomal dominant disorder characterized by fusion of coronal and sagittal sutures. There is arrested growth of the maxilla and zygoma resulting in shallow orbits with ocular proptosis, hypertelorism and maxillary hypoplasia. Hereby, we present a case report of a 20-year-old Jamaican female with Crouzon syndrome, who had multiple facial deformities including midfacial hypoplasia, short upper lip and hypertelorism.

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Oronasal communications after septoplasty are extremely rare, the authors found only 6 cases after careful literature review, including some with underlying previous conditions that might have predisposed the outcome (PUBMED search engine).

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Thyroid tissue samples of 200 patients who underwent total thyroidectomy, near total thyroidectomy and subtotal thyroidectomy for surgical management of multinodular goiter were designed our study. The surgical procedures were performed between January 2016 and December 2018 in general surgery department MUST University. Preoperative ultrasound-guided fine needle aspiration cytology and the postoperative surgical specimens were delivered to pathology lab at MUST University 6th of October city, Giza. Patients with thyroid neoplasms, thyroiditis, toxic and recurrent goiter were excluded from the study. Personal and demographic data were collected and analyzed. Postoperative clinical complications and incidental neoplasms were evaluated. All the patients were followed up over 1 year for expected clinical complications, recurrence of goiter and appearance of neoplasms.

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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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Surgical site infections are amongst the leading cause of morbidity, mortality and cost due to increased hospital stay by patients. A study was conducted to understand antimicrobial susceptibility patterns of major pathogens isolated from surgical site infections in Belize.

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In the pre-anesthesia era, the anguish of planned surgical maneuver was dreadful and the experience of actual procedure “utterly speechless torture”. Although, the concept of pain relief and even total insensibility was not unfamiliar to medical profession, some of the “Big Giants in Medicine” believed “knife and pain as inseparable” and the efforts to relieve or prevent pain “in vain”. In such a situation the anesthesia,one of the greatest boons of science for mankind, “burst like a revolution on medical profession”. Despite hostility from religious sect, professional colleagues and civil societies the pioneers in discovery of anesthesia stood firm, unshaken by the negative criticism. Although the fate of the active contestant of “Ether Controversy” was mournful,their untiring and dedicated struggle to relieve the sufferings of mankind can never be underscored. Renowned Arab surgeon Ibn al Quff (1232-1286 AD) was the first to suggest anesthesia as independent speciality. However, it took almost 700 years for his dream to come true.

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The treatment of resectable stages of esophageal cancer often involves pre-operative concurrent chemoradiotherapy. This study aims to evaluate the effect of cisplatin/5-fluorouracil (5-FU)-based neoadjuvant chemoradiotherapy on pathologic stage and survival in patients with locally advanced esophageal cancer.

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The study presents the remote results of surgical treatment of 329 patients with cancer of gastroesophageal localization. Three 3-year survival rate is 37.1%, the 5-year survival rate is 26.2%. Prognosis after the surgery depends primarily on the extent of the tumour spread.

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Acute appendicitis is a prevalent emergency surgical pathology and without prompt intervention may lead to gangrene, perforation and death. Increased mortality and morbidity will increase the hospital stay and the costs. We aimed to see the association between surgical treatment and perforation.

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Pressure ulcers are a critical but manageable complication commonly seen in bed-bound patients. Utilizing the Wound Bed Preparation (WBP) model, it is often necessary to perform surgical debridement in prone position for patients with stage III or IV sacral pressure ulcers to avoid infection and further complications.

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