Publications by authors named "Evgeny Arshava"
Article Synopsis
- * A case report involving a 25-year-old COVID-19-positive male showed that attempts to use the aerosol box for double-lumen tube intubation were challenging due to its restrictive size and the characteristics of the double-lumen tube, leading to an unsuccessful first attempt.
- * The experience suggests that the standard dimensions of the aerosol box may not be ideal for double-lumen tube intubations, emphasizing the need to evaluate the box's suitability before use in clinical settings.
Article Synopsis
- Lung transplantation (LT) can be a life-saving option for patients with severe COVID-19-related lung issues, and this study aimed to assess the outcomes of these recipients compared to others with similar lung dysfunction.
- Researchers analyzed data from the Organ Procurement and Transplant Network, finding that COVID-19 recipients tended to be younger, primarily male, and had worse lung function at the time of transplantation.
- Ultimately, the study concluded that six-month survival rates for LT recipients due to COVID-19 were similar to those of other lung transplant patients, indicating that LT can be an effective treatment option in these cases.
Introduction And Importance: Epidermal inclusion cysts are a common benign finding, and they are predominantly asymptomatic. They can rarely form in the pelvis or abdomen, however, and may cause symptoms secondary to mass effect. This case highlights management of an anterectal epidermal inclusion cyst connected to the perineal cyst, mimicking a dumbbell-shaped lesion, found in a male.
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- Regional analgesic techniques, like paravertebral blocks (PVBs), are explored for their effectiveness on pain management after video-assisted thoracoscopic surgery (VATS) compared to general anesthesia (GA) alone in a study with 520 patients.
- Results showed that opioid consumption was significantly lower in the PVB group during the first 24 hours post-surgery, but average pain scores between the two groups did not differ significantly.
- Non-analgesic outcomes such as hospital stay length and complication rates were analyzed, but the findings primarily highlighted the benefits of reduced opioid use with PVBs without significantly impacting pain levels.
Article Synopsis
- This study explored the use of stereotactic body radiation therapy (SBRT) as a potential treatment for patients with locally recurrent esophageal cancer after initial curative treatments, hypothesizing that SBRT would control tumors effectively with low side effects.
- Nine patients with locoregional recurrences received SBRT, with most being primarily diagnosed with advanced adenocarcinoma, and a follow-up period of about 10.5 months was recorded.
- Results showed limited toxicity, with only mild side effects reported, and median progression-free survival of 5.0 months and overall survival of 12.9 months, indicating SBRT's feasibility as a salvage option in this patient group.*
BACKGROUND Pseudopropionibacterium propionicum was called Propionibacterium propionicum until a recent taxonomy change in 2016. Diseases caused by P. propionicum resemble actinomycosis and thus differ dramatically from the infectious syndromes caused by common cutaneous Propionibacterium spp.
View Article and Find Full Text PDFA 45-year-old- man presented with left chest wall pain, swelling and cough. Over a 2-month period he developed abscesses in the right foot, right anterior thigh, left buttock and left chest. Incision and drainage of the soft tissue abscesses and video-assisted thoracoscopic surgery to drain the loculated empyema contiguous with the chest wall abscess were performed as surgical management.
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- Esophagectomy combined with preoperative chemoradiation is the most effective treatment for early stage esophageal cancer.
- The traditional method of transhiatal esophagectomy has limited access to the mediastinum area.
- This text introduces a new technique for better mediastinal dissection during transhiatal esophagectomy using an innovative retractor.
Timing of Esophagectomy after Neoadjuvant Chemoradiation Therapy Affects the Incidence of Anastomotic Leaks.
Korean J Thorac Cardiovasc Surg
February 2019
Article Synopsis
- Neoadjuvant chemoradiation therapy (nCRT) is commonly used for esophageal cancer patients before surgery, but the best timing for surgery afterward is still uncertain.
- A study analyzed 348 patients who underwent esophagectomy, categorizing them based on whether they received nCRT and how long after nCRT surgery was performed (≤35 days or >35 days).
- The findings revealed that surgery within 35 days of nCRT resulted in fewer anastomotic leaks compared to surgeries performed after 35 days, suggesting that timing may be crucial for better surgical outcomes.*
Background: Per oral endoscopic myotomy (POEM) has gained increasing popularity for treating achalasia. A multidisciplinary approach may allow safe and early adoption of POEM into clinical practice.
Materials And Methods: We performed a retrospective review of our initial POEM cases.