Carpal tunnel syndrome (CTS) is a compressive idiopathic neuropathy, most commonly affecting the median nerve in the upper extremity. CTS have high prevalence, with up to 70% of cases in women aged between 45 and 60 years. Typical manifestations of CTS are numbness of the index and middle fingers, which also become painful and cause the patient to awaken from sleep. In the period from January 2008 to October 2011 at the Orthopedics Clinic of the University of Kosovo, surgery for decompression of the median nerve was performed for 32 patients with CTS. The patients had an average age of 49.1 years. After surgery, 81.25% of the patients experienced complete improvement, whereas partial improvements were noted in 18.75% of the patients. This treatment is easy and feasible, has high efficiency, can be performed under local anaesthesia, and confers improvements in terms of return to daily activities, with low risk of complications or relapse
<b><i>Introduction:</i></b> The aim of this study was to investigate and compare clinical safety and efficiency of Thulium laser enucleation of the prostate (ThuLEP) and robot-assisted simple prostatectomy (RASP) for the treatment of large gland benign prostatic hyperplasia in a tertiary care center. <b><i>Methods:</i></b> Perioperative data of 39 patients who underwent RASP in our institution from 2015 to 2021 was collected. Propensity score matching using prostate volume, patient age, and body mass index (BMI) was performed from a database of 1,100 Patients treated by ThuLEP from 2009 to 2021. A total of 76 patients were matched. Preoperative parameters such as BMI, age, and prostate volume, as well as intra- and postoperative parameters such as operation time, resection weight, transfusion rate, postoperative catheterization time, length of hospital stay (LoS), hemoglobin drop, postoperative urinary retention (PUR), Clavien-Dindo Classification (CDC), and the Combined Complication Index (CCI), were evaluated. <b><i>Results:</i></b> There was no difference in mean hemoglobin drop (2.2 vs. 1.9 g/dL, <i>p</i> = 0.34), yet endoscopic surgery showed superiority in mean operation time (109 vs. 154 min, <i>p</i> < 0.001), mean postoperative catheterization time (3.3 vs. 7.2 days, <i>p</i> < 0.001), and mean LOS (5.4 vs. 8.4 days, <i>p</i> < 0.001). Complication rates evaluated by CDC (<i>p</i> = 0.11) and CCI (<i>p</i> = 0.89) were similar in both groups. Within the documented complications, transfusion rate (0 vs. 3, <i>p</i> = 0.08) and the occurrence of PUR (1 vs. 2, <i>p</i> = 0.5) showed no significant difference. <b><i>Conclusion:</i></b> ThuLEP and RASP show similar perioperative efficacy and a low rate of complications. ThuLEP had shorter operation times, shorter catheterization time, and a shorter LoS.
Introduction:A misdiagnose and inadequate treatment of neonatal septic arthritis of the hip has multiple sequelae and causes a severe disability. The aim of this study is evaluation of treatment of residual deformity after type IVA neonatal septic arthritis of the hip by Pelvic support osteotomy.Case presentation:A 11-year-old, white girl, was treated surgically by pelvic support osteotomy. The patient underwent two surgical interventions. The first operation consists in lengthening of the left femur for 6 cm with monolateral lengthening external fixation device. The second operation consists in pelvic support osteotomy of the left femur and lengthening for 4 cm. The limb was well aligned after healing, with the axis aligned under the medial wall of the acetabulum.Conclusion:Pelvic support osteotomy can successfully correct a Trendelenburg-Duchenne gait and simultaneously restore knee alignment and correct lower-extremity length discrepancy.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
customersupport@researchsolutions.com
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.