Subject(s)
Airway Obstruction/etiology , Antineoplastic Agents/administration & dosage , Teratoma , Thyroid Gland , Thyroidectomy/methods , Airway Obstruction/diagnosis , Airway Obstruction/physiopathology , Bronchoscopy/methods , Chemotherapy, Adjuvant , Humans , Infant , Male , Teratoma/complications , Teratoma/diagnosis , Teratoma/physiopathology , Teratoma/surgery , Thyroid Gland/pathology , Thyroid Gland/surgery , Treatment OutcomeABSTRACT
A search of residual tissues is complicated in recurrent operations on the thyroid gland. The Saint-Petersburg Centre of Surgery of the Endocrine System and Oncology developed the method of detection of residual tissues of the thyroid gland with the aim of preoperative chromothyroidolymphography under control of ultrasound. The method consisted of US performance during 15-20 minutes before the operation and an introduction of 1% sterile water solution of methylene blue in revealed residual tissues of the thyroid gland. The volume of injected coloring agent was 0.5-2 ml in the residual tissue volume smaller than 9 cm3 and 2-3 ml injected in case of more than 9 cm3. The residual tissues of the thyroid gland accurately visualized during the following operation. Described method gives the possibility to detect all regions of residual tissues which should be removed and at the same time it shortens a revision and surgery trauma.
Subject(s)
Methylene Blue , Thyroid Gland , Thyroid Neoplasms , Thyroidectomy , Ultrasonography, Interventional/methods , Contrast Media , Humans , Neoplasm, Residual/diagnostic imaging , Neoplasm, Residual/pathology , Neoplasm, Residual/surgery , Preoperative Care/methods , Reoperation , Reproducibility of Results , Thyroid Gland/pathology , Thyroid Gland/surgery , Thyroid Neoplasms/diagnosis , Thyroid Neoplasms/surgery , Thyroidectomy/adverse effects , Thyroidectomy/methodsABSTRACT
An analysis of observations of 81 patients has shown that inadequate operations might be followed by the appearance of continuing growth of the tumor in 24.7% of cases. Reoperations made for clinical-laboratory indications are followed by residual tumors in 61.29%. After inadequate operations the patients must be under active observation.
Subject(s)
Neoplasm Recurrence, Local/surgery , Reoperation/methods , Thyroid Neoplasms/surgery , Thyroidectomy/methods , Female , Follow-Up Studies , Humans , Male , Middle Aged , Prognosis , Retrospective Studies , Thyroid Neoplasms/diagnosis , Time FactorsABSTRACT
Two courses of immunoadsorption with 'Ig Adsopak' were used in the treatment of a patient with dilated cardiomyopathy (DCM) during which all class G and partially class M and A immunoglobulins were removed. Every course consisted of 5 daily procedures and resulted in removal of 98% of immunoglobulins. This was associated with complete removal of autoantibodies to beta1-adrenoreceptor. After the end of a course loss of immunoglobulins was replenished by intravenous infusion of Pentaglobin and Oktagam. Echocardiographic study carried out before, during and after second course of apheresis revealed reduction of left and right ventricular and atrial volumes and dimensions, improvement of contractility of anterior part of interventricular septum and of anterolateral left ventricular wall. As efficacy of drug therapy of dilated cardiomyopathy is low and facilities of cardiac transplantation are limited the method of therapeutic apheresis reveals novel perspectives of the treatment of dilated cardiomyopathies.