Lietuvos Chirurgija最新文献_第6页

Trophoblastic Disease: Review of the Literature 滋养性疾病：文献综述

Lietuvos Chirurgija Pub Date : 2022-05-02 DOI: 10.15388/lietchirur.2022.21.60

Gabrielė Launikonytė, Klaudija Korsakaitė, D. Bužinskienė

{"title":"Trophoblastic Disease: Review of the Literature","authors":"Gabrielė Launikonytė, Klaudija Korsakaitė, D. Bužinskienė","doi":"10.15388/lietchirur.2022.21.60","DOIUrl":"https://doi.org/10.15388/lietchirur.2022.21.60","url":null,"abstract":"The purpose of this literature review is to discuss the most effective gestational trophoblastic disease diagnostic and treatment methods. Also, to introduce some of the novel treatment options currently being explored. A comprehensive research was carried out on scientific databases of MEDLINE and PubMed over the time period of 2014 to 2021. According to literature sources initial gestational trophoblastic disease diagnosis is multimodal: encompassing clinical features, quantitative human chorionic gonadotropin titers and pelvic ultrasonography. Pelvic magnetic resonance imaging, body computed tomography, chest radiography and angiography are the methods usually used for overall disease staging and metastases detection. The best treatment method is designated with reference to individual features of the patient and the disease. Conventional treatment consists of hysterectomy and chemotherapy; however, the use of new methods, such as directed enzyme prodrug therapy is also being attempted to cure metastasized and/or resistant gestational trophoblastic neoplasias. Most women with gestational trophoblastic disease can be successfully managed with preservation of reproductive function due to early diagnosis in the first trimester of pregnancy. It is important to identify gestational trophoblastic disease promptly and adjust specific treatment for every patient properly to minimize various complications.","PeriodicalId":52926,"journal":{"name":"Lietuvos Chirurgija","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47887912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Xth Triennial Meeting of the Lithuanian Society of Coloproctologists 立陶宛泌尿科医师协会第十届三年一次会议

Lietuvos Chirurgija Pub Date : 2022-05-02 DOI: 10.15388/lietchirur.2022.21.64

N. Samalavicius

引用次数: 0

Experimental Study of Action Different Kinetic Energy on the Colon 不同动能对结肠作用的实验研究

Lietuvos Chirurgija Pub Date : 2022-05-02 DOI: 10.15388/lietchirur.2022.21.61

Ye. A. Kvasnevskyi, M. Kashtalian, O. Gerasimenko, Oleksandr A Kvasnevskyi

{"title":"Experimental Study of Action Different Kinetic Energy on the Colon","authors":"Ye. A. Kvasnevskyi, M. Kashtalian, O. Gerasimenko, Oleksandr A Kvasnevskyi","doi":"10.15388/lietchirur.2022.21.61","DOIUrl":"https://doi.org/10.15388/lietchirur.2022.21.61","url":null,"abstract":"The purpose of the study. To increase the effectiveness of surgical care for the wounded with combat trauma of the colon by studying of ballistic, morphological and functional features of the gunshot wounds. Patients and methods. A study of surgical treatment of 83 wounded with combat injuries of the colon, received in the area of anti-terrorist operation in the period from 2014–2018. For comparative analysis of treatment results, two clinical groups were formed: comparison and main. The comparison group included 42 wounded who were treated from April 2014 to February 2015 (the first and second periods of ATO), who used traditional surgical tactics. The main group included 41 wounded who were treated from March 2015 to 2018. Results. Analysis of the distribution of wounded with combat trauma by type of wound / injury revealed that the vast majority of them in both groups had shrapnel wounds – 49 (59.1%). There were 30 (36.1%) victims with bullet wounds, and 4 (4.8%) with closed injuries. The wounded patients with the battle trauma of the thick bowel by type of injury had missile wounds as a rule – 49 (59.1%). There were 30 (36.1%) patients with bullet wounds, and 4 (4.8%) with closed injuries. Most of the injuries were combined – 58 (69.9%), and with only abdominal injuries – 25 (30.1%), mostly multiple – 21 (25.3%). The great majority of the thick bowel injuries belonged to sigmoid – 32 (38.6%) and transverse colon – 21 (25.3%), which is explained by relatively large size of these parts of the intestine. Conclusions. The choice of surgical tactics and scope of surgical interventions on damaged organs and structures took into account the results of experimental study of mechanogenesis and pathomorphology of gunshot wounds of the colon, obtained in bench studies by modeling gunshot wounds on “thoracoabdominal ballistic material”.","PeriodicalId":52926,"journal":{"name":"Lietuvos Chirurgija","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48421925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Challenges in Diagnosis and Treatment of Cushing Syndrome in Bilateral Macronodular Adrenal Hyperplasia 双侧肾上腺大结节性增生库欣综合征的诊治挑战

Lietuvos Chirurgija Pub Date : 2022-04-27 DOI: 10.15388/lietchirur.2022.21.57

Edvina Januškevičiūtė, Laura Kalakauskaitė, Ž. Visockienė

{"title":"Challenges in Diagnosis and Treatment of Cushing Syndrome in Bilateral Macronodular Adrenal Hyperplasia","authors":"Edvina Januškevičiūtė, Laura Kalakauskaitė, Ž. Visockienė","doi":"10.15388/lietchirur.2022.21.57","DOIUrl":"https://doi.org/10.15388/lietchirur.2022.21.57","url":null,"abstract":"Background. Bilateral adrenal cortical hyperplasia (ACH) is one of the rare causes of adrenocorticotropic hormone (ACTH)-independent Cushing’s syndrome (CS), where lateralization of cortisol secretion and choice of treatment techniques are challenging. Percutaneous radiofrequency ablation (RFA) is a safe and effective minimally invasive treatment for benign and malignant tumors, but it is not commonly used to treat CS in bilateral ACH. Case description. A 79-year-old patient developed ACTH-independent CS with bilateral ACH. Adrenal venous sampling (AVS) showed right sided cortisol hypersecretion. Due to serious comorbidities it was decided to perform percutaneus RFA. The procedure was successful and without any complications. Hydrocortisone replacement therapy was given to manage adrenal insufficiency after the procedure. Conclusions. Percutaneous RFA is an effective minimally invasive procedure for the treatment of cortisol producing adrenal tumors. Reduction of symptoms caused by the disease has been observed after the procedure. It is also expected that hormone deficiency developed after the procedure will be transient.","PeriodicalId":52926,"journal":{"name":"Lietuvos Chirurgija","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49076145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Biliary Ascariasis: Case Report 胆道蛔虫病1例报告

Lietuvos Chirurgija Pub Date : 2022-04-27 DOI: 10.15388/lietchirur.2022.21.59

Rūta Aliulytė, Agnė Kavaliauskaitė, D. Venskutonis

引用次数: 0

Laparoscopically Treated Giant Gastric Bezoar Complicated with Large Ulcer in Young Patient 腹腔镜治疗青年巨大胃牛黄并发大溃疡

Lietuvos Chirurgija Pub Date : 2021-12-30 DOI: 10.15388/lietchirur.2021.20.49

Cemal Ulusoy, A. Nikolovski, Giray Yavuz, Tuba Saydam, Ali İlbey

引用次数: 0

Welcoming the Centenary of the University of Lithuania in Kaunas: Higher Courses, the Beginning of the Development of Academic Surgery, it’s First Heads 在考纳斯迎接立陶宛大学成立一百周年：高等课程，学术外科发展的开端，它的第一任校长

Lietuvos Chirurgija Pub Date : 2021-12-30 DOI: 10.15388/lietchirur.2021.20.46

Ž. Saladžinskas

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Influence of Educational Methods on Bowel Preparation for Coloncopy: Systematic Literature Review 教育方法对结肠镜检查肠道准备的影响：系统文献综述

Lietuvos Chirurgija Pub Date : 2021-12-30 DOI: 10.15388/lietchirur.2021.20.47

E. Kildušis, G. Brimas

{"title":"Influence of Educational Methods on Bowel Preparation for Coloncopy: Systematic Literature Review","authors":"E. Kildušis, G. Brimas","doi":"10.15388/lietchirur.2021.20.47","DOIUrl":"https://doi.org/10.15388/lietchirur.2021.20.47","url":null,"abstract":" Background. To review and evaluate the influence of bowel preparation educational methods for colonoscopy used in world practice. Research material and methods. Scientific publications have been searched in PubMed, Cochrane Libraly, Google Scholar and SpringerLink databases since 2011 January 1 until 2020 May 10. The following keywords were used in the search: improving bowel preparation, cleansing, colonoscopy, education, enhanced, method, instruction, intervention, comparison, validated bowel preparation scale, adult participants. The specified inclusion and exclusion criteria were used in the selection of articles, and a detailed analysis of educational methods was performed. Results. This systematic review includes 21 articles, which assesses the various ways in which patients are educated before colonoscopy. The publications are divided into 3 groups: (1) patients in the study group educated in some way are compared with those in the control group who received standard instructions; (2) all patients received standard instructions, and the patients in the study group were additionally educated in some way and compared with the control group; (3) all patients received standard instructions, and patients in the study groups (there was more than one study group) were additionally educated in some way and the study groups were compared with each other. The main comparative results of the used bowel preparation for colonoscopy educational methods are presented. Conclusion. It is necessary to objectively (quantitatively, using standardized scales) evaluate the effectiveness of emerging patient bowel preparation before colonoscopy educational methods, to standardize patient training (education) protocols, so that it is possible to properly compare different forms of education.","PeriodicalId":52926,"journal":{"name":"Lietuvos Chirurgija","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49619387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Protocol of Spinal Deformity Surgery and Anaesthesia in Children and Adult: Recommended Preoperative and Perioperative Diagnostic and Treatment Algorithm in Spinal Deformity Surgery 儿童和成人脊柱畸形手术和麻醉方案：脊柱畸形手术的术前和围手术期诊断和治疗算法

Lietuvos Chirurgija Pub Date : 2021-12-30 DOI: 10.15388/lietchirur.2021.20.48

Lukas Šalaševičius, Nijolė Savičienė, Rasa Alsytė, D. Gasiūnaitė, Giedrius Bernotavičius, O. Lapteva, K. Saniukas, Arūnas Vaitkevičius, R. Kvaščevičius, Vidūnas Daugelavičius, J. Šipylaitė, S. Ročka

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Computed Tomography-Guided Percutaneous Lung Biopsy Complicated by Symptomatic Systemic Air Embolism: Case Report and Review of the Literature 计算机断层扫描引导下经皮肺活检并发症状性系统性空气栓塞的病例报告及文献复习

Lietuvos Chirurgija Pub Date : 2021-12-30 DOI: 10.15388/lietchirur.2021.20.50

G. Ledas, D. Jocius, Juozas Jarašūnas, Žymantas Jagelavičius

{"title":"Computed Tomography-Guided Percutaneous Lung Biopsy Complicated by Symptomatic Systemic Air Embolism: Case Report and Review of the Literature","authors":"G. Ledas, D. Jocius, Juozas Jarašūnas, Žymantas Jagelavičius","doi":"10.15388/lietchirur.2021.20.50","DOIUrl":"https://doi.org/10.15388/lietchirur.2021.20.50","url":null,"abstract":"Computed tomography-guided percutaneous core needle biopsy of the lung is an undoubtedly useful and well-established interventional radiological procedure for the diagnosis of indeterminate pulmonary lesions. Complications of percutaneous core needle biopsy, such as pneumothorax and hemoptysis are considered mild and self-resolving, however systemic air embolism is considered a potentially fatal complication. Systemic air embolism occurs when the air enters a pulmonary vein secondary to a percutaneous CT-guided lung biopsy and is expelled into systemic circulation. Systemic air embolism is extremely rare: incidence of clinically apparent SAE is estimated at 0.061–0.17%, while clinically silent systemic air embolism may be as high as 3.8–4.8%. This study reports a case of air embolism in the cerebral arteries that resulted from a complex CT-guided percutaneous core needle biopsy of the lung. The present case highlights the main mechanisms of this pathology, risk factors, importance of complete thoracic CT after procedure, as well as management of rare complications.","PeriodicalId":52926,"journal":{"name":"Lietuvos Chirurgija","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47714524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0