ABSTRACT
Postoperative epidural scar adhesions remain one of the most frequent late complications of microdiscectomy, which deteriorates the overall outcome in treatment of herniated lumbosacral discs. Despite a large number of conservative and surgical treatment options for epidural scar adhesions, the treatment outcome not always satisfies the patient and doctor. The review's aim was to systematize the available data on this complication and to facilitate the choice of appropriate tactics for its treatment.
Subject(s)
Cicatrix/therapy , Tissue Adhesions/therapy , Cicatrix/diagnosis , Epidural Space/diagnostic imaging , Humans , Intervertebral Disc Displacement/diagnostic imaging , Intervertebral Disc Displacement/surgery , Tissue Adhesions/diagnostic imagingABSTRACT
On the basis of analysis of 372 medical histories and total amount of victims (2691 people) of marine accidents it was revealed that 303 (83.1%) survivors suffered from combined mechanical-cold injuries, combined two-factor mechanical-burn injuries were diagnosed in 115 of wounded (15.7%), combined three-factor mechanical-cold-burn injuries were diagnosed in 162 of wounded (22.5%). It was established that in case of capsizing and shipwrecking chest and abdomen injuries prevail in wounded (22.4%). Pelvic fractures, injuries of the lower extremities and spine traumas prevail in wounded evacuated from the crash area after explosion and fire on the ships (43.3%). The above-mentioned injuries prevail due to mine-blast nature of injuries. Typical injuries in wounded survived in maritime disasters are in non-severe combined mechanical-cold, mechanical-burn, and mechanical-cold-burn injuries, minor and moderate hypothermia, mild burn injuries and mild carbon monoxide poisoning.
