Surgical treatment of giant thymoma complicated by intrathoracic compression syndrome

Author(s):  
V. D. Parshin ◽  
O. S. Mirzoyan ◽  
V. A. Titov ◽  
A. V. Parshin ◽  
I. D. Zulufova
2020 ◽  
Vol 179 (2) ◽  
pp. 40-43
Author(s):  
A. S. Kuzmichev ◽  
A. L. Akinchev ◽  
A. N. Savin ◽  
V. I. Lomakin ◽  
D. V. Makharoblisvili

The article is presented the description of rare clinical observation of the patient with pharyngeal lipofibroma complicated by compression syndrome, accompanied by impaired swallowing and breathing. The patient was successfully operated on with cervical access.


2020 ◽  
Vol 179 (4) ◽  
pp. 76-78
Author(s):  
E. A. Ilyicheva ◽  
G. A. Bersenev ◽  
V. N. Makhutov ◽  
G. Yu. Aldaranov ◽  
E. G. Grigoryev

1970 ◽  
Vol 171 (4) ◽  
pp. 538-542 ◽  
Author(s):  
Margaret F. Longo ◽  
O. Theron Clagett ◽  
John F. Fairbairn

1977 ◽  
Vol 133 (6) ◽  
pp. 688-691 ◽  
Author(s):  
Anastasios A. Mihas ◽  
Henry L. Laws ◽  
H.Peter Jander

10.3823/2431 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Modesto Leite Rolim Neto ◽  
Thaís Abreu Luedy ◽  
Isadora Rodrigues Da Costa ◽  
João Vitor Pimentel ◽  
Francisco Henrique Peixoto Da Silva

May-Thurner Syndrome is a clinical condition which causes a variety of vascular symptoms, resulting from pelvic and lower extremity venous flow obstruction caused by the compression of the iliac vein by overlying iliac artery. Treatment paradigms have changed as experience with endovascular modalities has evolved, making traditional surgical treatment strategies essentially obsolete and a endovascular treatment with angioplasty and stenting along selective thrombolysis has become the standard for symptomatic the syndrome. The objective of this present study is to show the therapeutic approach in treatment when there’s no presence of Deep Venous Thrombosis (DVT) symptoms. To accomplish this purpose, a systematic review of articles about May-Thurner Syndrome and its management therapies, published from January 1, 2005 to September 20, 2015, on PubMED and SCOPUS databases, was carried out. Search terms were “may-thurner syndrome” (medical subject headings [MeSH term]), “iliocaval compression syndrome” (MeSH), “cockett syndrome” (MeSH), “peripheral vascular diseases” (MeSH), and “treatment” (keyword). Of the 89 retrieved studies, 14 met the elegibility criteria. Retrieved studies covered that without correction of this syndrome, patients are at continued risk for recurrent deep vein thrombosis and post-thrombotic syndrome. Considering the therapy, systemic anticoagulation is the first component, and endovascular treatment appears to be superior to conventional surgical treatment. It should be the first line of therapy. Furthermore, there has been multiple advences in the recent years for chronic arterial occlusions using techniques such as blunt micro dissection, radiofrequency energy and laser. In the absence of deep venous trombosis, conservative treatments are preferred. To conclude, based on the review of the literature, a combination of conservative and endovascular therapy usually provides the best treatment in most cases. Thus, further researches must be done to advance in the matter of therapeutic of the non-DVT form of May-Thurner Syndrome.   Keywords: May-Thurner Syndrome, Iliocaval Compression Syndrome, Cockett Syndrome, Peripheral Vascular Disease, Treatment.


Pain medicine ◽  
2018 ◽  
Vol 3 (3) ◽  
pp. 51-56
Author(s):  
V. K. Piontkovskyi ◽  
I V Fishchenko

The authors performed retrospective analysis of 180 clinical cases of surgical treatment of lumbar herniated discs in patients who underwent endoscopic transforaminal microdiscectomy. This technique allows minimally invasive insertion of the endoscope into the spinal canal under local anaesthesia to decompress the nerve root by removing hernial protrusion under visual control. However, this technique is not universal and cannot be applied to all patients. Considerable practical experience has shown that the surgeon may encounter certain technical difficulties in cases of cranial or caudal sequester migration and in some cases when the access at L5–S1 level is complicated due to the high standing of the iliac crest. However, if there are correct indications, this technique allows to solve the problem of radicular compression syndrome in a short time.


Author(s):  
O. V. Shidlovskyi ◽  
V. O. Shidlovskyi ◽  
M. I. Sheremet ◽  
O. V. Lazaruk ◽  
V. M. Pryvrotskyi ◽  
...  

Aim — todetermine indications for the choice of the surgery scope in patients with unilateral nodular goiter with compression syndrome against the background of autoimmune thyroiditis (AIT) and possibility of prognosis of the long-term results of surgical treatment.Materials and methods. The analysis has been performed for the long-term results of hemithyroidectomy in 101 femalepatients aged 23 to 72 years with unilateral nodular goiter against the background of AIT (NGAIT) with compression syndrome. The pre-operational levels of the following parameters, definingsatisfactory and unsatisfactory treatment results, have been analyzed: volume of the lobe of the gland, blood levels of thyroid stimulating hormone, free thyroxine and triiodothyronine, antibodies to thyroid peroxidase, indices of apoptosisand proliferation, variants ofechostructure.Results. Satisfactory results have been established in 75 patients based on the following results of examinations 3 years after hemithyroidectomy: no violations of thyroid gland functional state, andno progression of preoperative AIT signs or progression without hypothyroidism and changesin ultrasound picture in the parenchymaof the remaining lobe of the gland according to the data of ultrasound investigation.Unsatisfactory results were definedin 26 subjects: an increase in the volume of the remaining thyroid gland and the progression of autoimmune process with the development of hypothyroidism. A satisfactory result of hemithyroidectomy in the treatment of patients with NGAIT with compression syndrome can be expected in cases where at the time of surgery the volume of the lobe was not more than 12.7 cm3, its echostructure corresponded to hypoechoic and heterogeneous and pseudomicronodular variants, and the following blood levels were established: thyroid stimulating hormone < 2.85 IU/L, free thyroxine > 16.7 pmol/l, free triiodothyronine > 5.3 pmol/l, antibodies to thyroid peroxidase < 137 IU/ml.Conclusions. One of the possible options for surgical treatment of patients with unilateral nodular goiter against the background of AIT with compression syndrome may be hemithyroidectomy in conditions of preserved hormonal function of the gland with moderately pronounced processes of proliferation and apoptosis, structural changes in the parenchyma at the level of hypoechoic and heterogeneous and pseudomicro-nodal echostructural variants. The use of hemithyroidectomy is contraindicatedin cases of pseudo-large-nodular and more severe variants of the echostructure of the thyroid parenchyma, regardless of the indicators of hormone-producing function, antibodies to thyroid peroxi­dase, proliferation and apoptosis.


2016 ◽  
Vol 13 (3) ◽  
pp. 41-48 ◽  
Author(s):  
Aleksandr Kuleshov ◽  
◽  
Igor Vetrile ◽  
Marchel Lisyansky ◽  
Sergey Makarov ◽  
...  

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