ABSTRACT
The analysis of clinical experience of the operative treatment of 600 patients with a thyroid pathology has allowed to develop technics of allocation of a return laryngeal nerve depending on the type of an anatomic structure of a gland. It gave the opportunities for the extrafascial removal of a share of a thyroid gland, the more accurate visualization and preservation of the parathyroid glands, located near the nerve and safe central lymphadenectomy.
Subject(s)
Thyroid Gland , Thyroidectomy , Adult , Female , Humans , Intraoperative Complications/pathology , Intraoperative Complications/prevention & control , Male , Parathyroid Glands/injuries , Parathyroid Glands/pathology , Postoperative Complications/prevention & control , Recurrent Laryngeal Nerve/pathology , Recurrent Laryngeal Nerve Injuries , Thyroid Gland/anatomy & histology , Thyroid Gland/surgery , Thyroid Neoplasms/pathology , Thyroid Neoplasms/surgery , Thyroidectomy/methods , Thyroidectomy/standards , Treatment OutcomeSubject(s)
Cardia , Esophagus/physiopathology , Gastroesophageal Reflux/diagnosis , Hernia, Hiatal/complications , Manometry , Adult , Aged , Aged, 80 and over , Diagnosis, Computer-Assisted , Female , Gastroesophageal Reflux/etiology , Gastroesophageal Reflux/physiopathology , Hernia, Hiatal/physiopathology , Humans , Male , Middle Aged , Pressure , Retrospective StudiesABSTRACT
An examination of 63 patients with hiatal hernias was performed in order to detect the epiphrenic-coronary reflex. Changes in the ECG in performing the Börnstein test were analyzed. The pathological epiphrenic-coronary reflex was found in 80.4% of patients with retrosternal pains or ischemic heart disease. This reflex was proved to disappear after surgical treatment of the hiatal hernia in 93.1% of the patients.
Subject(s)
Chest Pain/diagnosis , Hernia, Hiatal/diagnosis , Cardia , Chest Pain/etiology , Chest Pain/surgery , Electrocardiography , Esophagus/physiopathology , Female , Follow-Up Studies , Fundoplication , Hernia, Hiatal/complications , Hernia, Hiatal/surgery , Humans , Manometry , Middle Aged , SyndromeABSTRACT
A clinical diagnostic scale of infravesical obstruction (IVO) in patients with benign prostatic hyperplasia is proposed which provides the diagnosis of IVO in BPH patients with probability up to 89% basing only on clinical evidence obtained at a detailed urological examination (size of the gland, size and index of the prostatic transitional zone, residual urine, micturition urine, maximal micturition rate).
