Online ISSN: 2515-8260

Keywords : surgical treatment


CHRONIC INSTABILITY OF THE SHOULDER JOINT: A HISTORICAL OVERVIEW AND A TRENDS IN THE DEVELOPMENT OF SURGICAL TREATMENT

Irismetov M.E.; Jongirov S.A.; Saleev B.V.; Mamatkulov K.M.

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 9, Pages 1348-1358

The analysis of literature data, which made it possible to characterize the main modern stages
in the development and establishment of diagnosis and treatment of shoulder joint instability,
was carried out. The purpose of this review was to highlight the main directions in the
treatment of chronic instability of the shoulder joint and identify problematic issues requiring
further scientific research. The main results of observation of patients undergoing various
types of arthroscopic treatment are presented. The modern level of diagnostics makes it
possible to accurately determine the indications for surgical treatment. Isolation of all possible
links of pathogenesis and individual preoperative planning are the main tasks of preventing
recurrence of instability.

Punctional-Draining Interventions Under Ultrasonic Navigation For Abscesses Of The Abdominal Cavity And Returnal Space

Alexandra I. Belyaeva; Yuri A. Sobolev

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 2, Pages 4492-4499

This article discusses the effectiveness of the application of the technique of puncture-draining intervention under ultrasound guidance and its relevance in the treatment of abscesses of the abdominal cavity and retroperitoneal space. The analysis of treatment of 72 patients in the period 2015-2020 was carried out with intra- and extraorgan abscesses of the abdominal cavity and retroperitoneal space. According to the indications, they underwent drainage interventions, during which the contents of the abscess cavity were examined to study its microflora and sensitivity to various groups of antibiotics. As a result of the study, in 86% of cases, the greatest sensitivity of the microflora to aminoglycosides of the III generation and drugs of the cephalosporin series of the III and IV generations was revealed, which proved the importance of these groups of drugs in conservative therapy in the diagnosis of abdominal abscesses. Drainage interventions were highly effective in 87.5% of all cases, the rest of the patients required a second intervention.

TREATMENT OPTIMIZATION OF CHRONIC ODONTOGENIC MAXILLARY SINUSITIS

Shavkat AMONOV; Durdona ALIMOVA; Firuza NURMUKHAMEDOVA; Khusan UMAROV; Kudrat SALOMOV

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 2, Pages 2419-2422

Abstract: The article describes odontogenic maxillary sinusitis that occurs in diseases of
the teeth or upper jaw. The main reasons for its occurrence have been given: foreign
bodies such as splinters, roots of teeth embedded in the maxillary sinus during their
removal, filling material brought into the sinus, dental implants that have migrated to its
cavity. Today's methods of treatment of chronic odontogenic maxillary sinusitis are
described. A large number of studies have been devoted to the problem of odontogenic
sinusitis. However, the treatment and diagnostic tactics of otorhinolaryngologist and
dentist at this form of nosological pathology is not determined. The presented data testify to
expediency of the correct approach to treatment of patients with chronic odontogenic
sinusitis.

Regression of Lumbar Disc Herniation Following Non-surgical Treatment

Eric Chun-Pu Chu; Divya Midhun Chakkaravarthy; Fa-Sain Lo; Amiya Bhaumik

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 1, Pages 27-29

Symptomatic disc herniation is the most common disc pathology and can result in substantial disability and poor quality of life. Here, we present a male patient who was diagnosed as having lumbar disc herniation at L3/L4 and L4/L5 levels with nerve root entrapment. The patient sought chiropractic treatment for severe back pain which lead to trouble walking. After 7 months of a medical/chiropractic intervention, complete pain relief and recovery of muscle weakness were achieved. At 11-month follow-up, the regression of the herniated discs was documented on MR imaging. This case presentation aims to raise a reappraisal of our knowledge of intervertebral disc herniation in regard to the natural history, the components of herniated material and possible mechanisms behind hernia regression, which holds the key to treating this problem. Through the translation of research evidence into practice, current guidelines recalibrate instructions on the diagnosis and treatment of symptomatic disc herniation.