Treatment of nonseptic bursitis with endoscopic surgery

Abstract

ÖZETAmaç: Amacımız, nonseptik bursitlerde endoskopik cerrahinin yara problemleri, hareket açıklıkları ve işe erken dönüş açısından çok önemli faydalar sağladığını göste-ren kabul edilebilir bir işlem olduğunu göstermektir. Sonuç: Endoskopik bursektomi kısa ameliyat ve işe dön-me süresi, minimal yara problemleri ve mükemmel sonuç-lar nedeniyle güvenilir ve uygulanabilir bir işlemdir.Anahtar kelimeler: Bursit, endoskopi, tedavi ABSTRACT Objective: The aim of this study was to show that endoscopic surgery is a simple and acceptable method for various problems associated with wounds, range of motion and that such surgery ensures an early return to work after treatment of nonresponding nonseptic bursitis. Methods:Thirty-two patients with nonseptic bursitis caused by repeated minor trauma that did not respond to medical treatment from 2008 to 2012 were included in this study. Radiographic [anteroposterior and lateral], ultrasound, macro and microscopic analyses of drainage liquid and aerobic and anaerobic cultures were obtained from the patients for the diagnosis. Results:The mean age was 40.8 years. Fifteen patients had prepatellar bursitis, 13 had olecranon bursitis and 4 had ankle bursitis. Two patients had a history of falling on their knee. The other patients had a history of repetitive stimulation .The mean follow up period was 2.6 years [range. 2-5 years] and no medical complications occurred after the endoscopic surgery; such as scarring, loss of sensation and infection. One recurrence in response to medical treatment was observed. Conclusion:Endoscopic bursectomy is a short and acceptable procedure with excellent results in terms of returning to work early and minimal wound related problems. J Clin Exp Invest 2015; 6 (3): 220-223

Surgical Management of a Large Chronic Prepatellar Bursitis: 2-Stage Technique

“…Surgical intervention is reserved for severe refractory cases. Open and endoscopic bursectomy procedures have been described [2][3][4]. Most of the techniques described in the literature are focused on septic prepatellar and olecranon bursitis.…”