Surgical management of combined rectal and genital prolapse in young patients: transabdominal approach

2004 ◽  
Vol 20 (2) ◽  
pp. 173-179 ◽  
Author(s):  
A. Ayav ◽  
L. Bresler ◽  
L. Brunaud ◽  
R. Zarnegar ◽  
P. Boissel
Keyword(s):  
Surgical Management ◽  
Young Patients ◽  
Genital Prolapse ◽  
Transabdominal Approach

Surgical Management of Chondral and Osteochondral Lesions of the Knee in Young Patients

2007 ◽  
Vol 18 (2) ◽  
pp. 122-128 ◽  
Author(s):  
Petros J. Boscainos ◽  
Catherine F. Kellett ◽  
Allan E. Gross
Keyword(s):  
Surgical Management ◽  
Young Patients ◽  
Osteochondral Lesions

Features of surgical treatment in young patients with severe genital prolapse

2017 ◽  
Vol 17 (6) ◽  
pp. 49 ◽  
Author(s):  
M. V. Mgeliashvili ◽  
S. N. Buyanova ◽  
S. A. Petrakova ◽  
N. V. Yudina
Keyword(s):  
Surgical Treatment ◽  
Young Patients ◽  
Genital Prolapse

scholarly journals Conservative surgical management of immediate post-caesarean uterine dehiscence and pelvis abscess due to proteus mirabilis infection: a rare complication of puerperal endomyometritis

2021 ◽  
Vol 10 (7) ◽  
pp. 2895
Author(s):  
Chitra Thyagaraju ◽  
Madhuri Makam S. ◽  
Deepthi Yedla ◽  
Dasari Papa
Keyword(s):  
Cesarean Delivery ◽  
Surgical Management ◽  
Rare Complication ◽  
Young Patients ◽  
Uterine Cavity ◽  
Exploratory Laparotomy ◽  
High Grade Fever ◽  
Suction Drain ◽  
Emergency Cesarean ◽  
Uterine Dehiscence

Cesarean delivery is the most commonly performed major abdominal operation in women with prevalence ranging from 12% in public sectors to 28% in private sectors in India (DLHS-3 survey). Parallel to this, the complications of surgery are increased. Among these complications, uterine dehiscence and pelvic hematoma with abscess collection is rare but serious complication which might end in hysterectomy. We hereby describe the conservative surgical management of a case of infected uterine incisional necrosis and dehiscence after primary cesarean delivery. We encountered a 25-years-old woman presenting to our emergency department (ED) with severe suprapubic pain and high-grade fever. She had an emergency cesarean delivery performed 14 days prior to presentation due to non-reassuring fetal heart rate. At the ED, ultrasonography revealed collection with septation around uterus with communication into uterine cavity. CT scan of pelvis was ordered and showed an intraperitoneal collection anterior to the uterus at the level of the uterine cesarean scar. Exploratory laparotomy showed a uterine rupture at the previous incision site. We performed resection of necrotic edges, peritoneal lavage, approximation of uterine edges with separate interrupted sutures, placement of a suction drain in the cul-de-sac. During postoperative follow up, patient was stable with no symptoms or signs of uterine/pelvic infection. Conservative management by drainage and resection of necrotic edges in addition to intravenous antibiotics may be considered as an option before resorting to hysterectomy in selected young patients. 

scholarly journals Surgical Management Evolution Between 2 Massive Burn Cases at 17-Year Interval: Contribution of Cell Therapies in Improving the Surgical Care

2020 ◽  
Vol 29 ◽  
pp. 096368972097364
Author(s):  
Sandra Monnier ◽  
Philippe Abdel-Sayed ◽  
Anthony de Buys Roessingh ◽  
Nathalie Hirt-Burri ◽  
Michèle Chemali ◽  
...  
Keyword(s):  
Intensive Care ◽  
Surgical Management ◽  
Total Body Surface Area ◽  
Young Patients ◽  
Surgical Care ◽  
The Body ◽  
Burn Patients ◽  
Cell Therapies ◽  
Burn Care ◽  
Technical Specifications

We report the cases of 2 patients admitted to our hospital at a 17-year interval, both with 90% total body surface area (TBSA) burns. These two young patients were in good health before their accident, but major differences in time of intensive care and hospitalization were observed: 162 versus 76 days in intensive care unit and 18 versus 9.5 months for hospitalization, respectively. We have analyzed the different parameters side-by-side during their medical care and we have identified that the overall improved outcomes are mainly due to a better adapted fluid reanimation in combination with the evolution of the surgical management to encompass allogenic cellular therapy (Biological Bandages). Indeed, autologous cell therapy using keratinocytes has been used for over 30 years in our hospital with the same technical specifications; however, we have integrated the Biological Bandages and routinely used them for burn patients to replace cadaver skin since the past 15 years. Thus, patient 1 versus patient 2 had, respectively, 83% versus 80% TBSA for autologous cells, and 0% versus 189% for allogenic cells. Notably, it was possible that patient 2 was able to recover ∼6% TBSA with the use of Biological Bandages, by stimulating intermediate burn zones toward a spontaneous healing without requiring further skin grafting (on abdomen and thighs). The body zones where Biological Bandages were not applied, such as the buttocks, progressed to deeper-stage burns. Despite inherent differences to patients at their admission and the complexity of severe burn care, the results of these two case reports suggest that integration of innovative allogenic cell therapies in the surgical care of burn patients could have major implications in the final outcome.

scholarly journals Surgical management of Bertolotti’s syndrome in two adolescents and literature review

2019 ◽  
Vol 10 ◽  
pp. 135
Author(s):  
Christopher E. Louie ◽  
Jennifer Hong ◽  
David F. Bauer
Keyword(s):  
Back Pain ◽  
Surgical Management ◽  
Young Patients ◽  
Transverse Process ◽  
Surgical Removal ◽  
Long Term Outcomes ◽  
Lumbosacral Transitional Vertebra ◽  
Radicular Symptoms

Background: Bertolotti’s syndrome is defined by back pain and/or radicular symptoms attributed to a congenital lumbosacral transitional vertebra (LSTV). There are few studies that discuss the surgical management of Bertolotti’s syndrome. Here, we report long-term outcomes after resecting a pseudoarthrosis between the sacrum and L5 in two teenage patients, along with a review of literature. Case Descriptions: Surgical resection of a lumbosacral bridging articulation (LSTV type IIa) was performed in two patients, 15 and 16 years of age who presented with intractable back pain. The adequacy of surgery was confirmed with postoperative studies. In both patients, pain and functional status improved within 6 weeks and have remained improved at last follow-up. Conclusion: Surgical removal of a pathologic L5 transverse process fused to the sacral ala in two young patients with Bertolotti’s syndrome improved postoperative pain and increased overall function. Given the progressive nature of Bertolotti’s syndrome, surgical intervention in young patients should be considered to mitigate years of chronic pain and attendant morbidity.

scholarly journals The profile and surgical management of mitral stenosis in young patients

1975 ◽  
Vol 69 (4) ◽  
pp. 631-638 ◽  
Author(s):  
Stanley John ◽  
S. Krishnaswami ◽  
P.S. Jairaj ◽  
G. Cherian ◽  
S. Muralidharan ◽  
...  
Keyword(s):  
Surgical Management ◽  
Mitral Stenosis ◽  
Young Patients
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