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Zhibin Shi - One of the best experts on this subject based on the ideXlab platform.

  • total arthroscopic Internal Drainage technique for the treatment of popliteal cyst
    China Journal of Orthopaedics and Traumatology, 2019
    Co-Authors: Zhibin Shi, Lihong Fan, Xiaoqian Dang, Kunzheng Wang
    Abstract:

    OBJECTIVE To compare the clinical effects of total arthroscopic Internal Drainage and arthroscopic combined with posterior small incision in the treatment of popliteal cyst. METHODS From January 2015 to January 2017, 60 patients with popliteal cyst were treated, including 29 males and 31 females, aged 30 to 65(47.8±2.5) years old, with a course of disease (8.5±4.2) months. Among them, 30 cases received total arthroscopic Internal Drainage for popliteal fossa cyst(total arthroscopic group), 30 cases received arthroscopic combined with posterior small incision for popliteal fossa cyst(arthroscopic combined with small incision group). The operation time, intraoperative bleeding volume, incision length, Rauschning and Lindgren grade 0 recovery rate and Lysholm score were compared between the two groups. RESULTS Twenty-nine patients in total arthroscopy group were followed up, and 28 patients in arthroscopy combined with small incision group were followed up for 8 to 20(12.8±2.1) months. Operation time: total arthroscopic group(45.32±5.71) min, arthroscopic combined small incision group (44.56±3.85) min; Rauschning and Lindgren grade 0 recovery: 23 cases in total arthroscopic group, 22 cases in arthroscopic combined small incision group; postoperative Lysholm score: total arthroscopic group 84.5±11.2, arthroscopic combined small incision group 83.2±12.7; there was no significant difference between the two groups(P>0.05). Intraoperative bleeding volume: total arthroscopic group(5.32±1.25) ml, arthroscopic combined small incision group(20.75±8.18) ml; incision length: total arthroscopic group (1.51±0.34) cm, arthroscopic combined small incision group (7.34±0.75) cm; the difference between the two groups was significant(P<0.05). At the last follow-up, the knee joint was examined by magnetic resonance imaging, and no recurrence of cyst was found. CONCLUSIONS Total arthroscopic Internal Drainage and arthroscopic combined with posterior small incision technique for popliteal fossa cyst with intra-articular lesions have the same clinical effect, but less trauma and faster recovery.

  • Total arthroscopic Internal Drainage technique for the treatment of popliteal cyst
    Zhongguo gu shang = China journal of orthopaedics and traumatology, 2019
    Co-Authors: Zhibin Shi, Lihong Fan, Xiaoqian Dang, Kunzheng Wang
    Abstract:

    OBJECTIVE To compare the clinical effects of total arthroscopic Internal Drainage and arthroscopic combined with posterior small incision in the treatment of popliteal cyst. METHODS From January 2015 to January 2017, 60 patients with popliteal cyst were treated, including 29 males and 31 females, aged 30 to 65(47.8±2.5) years old, with a course of disease (8.5±4.2) months. Among them, 30 cases received total arthroscopic Internal Drainage for popliteal fossa cyst(total arthroscopic group), 30 cases received arthroscopic combined with posterior small incision for popliteal fossa cyst(arthroscopic combined with small incision group). The operation time, intraoperative bleeding volume, incision length, Rauschning and Lindgren grade 0 recovery rate and Lysholm score were compared between the two groups. RESULTS Twenty-nine patients in total arthroscopy group were followed up, and 28 patients in arthroscopy combined with small incision group were followed up for 8 to 20(12.8±2.1) months. Operation time: total arthroscopic group(45.32±5.71) min, arthroscopic combined small incision group (44.56±3.85) min; Rauschning and Lindgren grade 0 recovery: 23 cases in total arthroscopic group, 22 cases in arthroscopic combined small incision group; postoperative Lysholm score: total arthroscopic group 84.5±11.2, arthroscopic combined small incision group 83.2±12.7; there was no significant difference between the two groups(P>0.05). Intraoperative bleeding volume: total arthroscopic group(5.32±1.25) ml, arthroscopic combined small incision group(20.75±8.18) ml; incision length: total arthroscopic group (1.51±0.34) cm, arthroscopic combined small incision group (7.34±0.75) cm; the difference between the two groups was significant(P

  • clinical prospective comparative study on short term effectiveness of arthroscopic treatment of popliteal cyst between cyctectomy and Internal Drainage combined with cyctectomy
    Chinese Journal of Reparative and Reconstructive Surgery, 2018
    Co-Authors: Zhibin Shi, Lihong Fan, Yilun Tang, Ziqi Zhang, Chen Zhang, Xiaoqian Dang
    Abstract:

    Objective To compare the short-term effectiveness between arthroscopic cystectomy and Internal Drainage combined with cystectomy in popliteal cyst. Methods Between March 2014 and March 2017, 56 patients with symptomatic popliteal cyst were enrolled in the study, randomized block design was used to divided the patients into trial group (arthroscopic cystectomy combined with Internal Drainage group, n=28) and control group (arthroscopic Internal Drainage group, n=28). Excluding those who had incomplete follow-up and received surgery for other diseases postoperatively, 26 patients in the experimental group and 27 patients in the control group were finally enrolled in the study. There was no significant difference in gender, age, side, course of disease, maximum diameter and grade of popliteal cyst, and associated diseases between two groups ( P>0.05). The operation time, duration of popliteal ecchymosis and the middle back of calf tenderness were observed postoperatively. The circumference of calf at 1 day, 1 week, and 2 weeks after operation were measured and the differences were calculated with the measurement before operation. Lower extremity venous thrombosis was observed by color doppler ultrasonography at 1 week after operation. The effectiveness was evaluated by Rauschning and Lindgren grading criteria. And MRI was used to observe whether the popliteal cyst disappeared or decreased and measured its maximum diameter at 1 year after operation. Results Patients in both groups were followed up 12-14 months, with an average of 12.5 months. The operation time, duration of popliteal ecchymosis, and the middle back of calf tenderness of the trial group were all longer than those in the control group ( P<0.05), the differences of circumference of calf at 1 day, 1 week, and 2 weeks after operation of the trial group were greater than those in the control group ( P<0.05). Color doppler ultrasonography of the lower extremity at 1 week after operation found that the intermuscular venous thrombosis occurred in 2 cases of the trial group, while no lower extremity thrombosis was found in the control group; and the difference between two groups was not significant ( P=0.236). According to the Rauschning and Lindgren grading criteria, there were 16 cases of grade 0, 6 cases of grade 1, and 4 cases of grade 2 in the trial group, and 17 cases of grade 0, 4 cases of grade 1, and 6 cases of grade 2 in the control group at 1 year after operation. There was no significant difference between 2 groups ( Z=-1.872, P=0.078). Nine cases (34.62%) of the trial group and 13 cases (48.15%) of the control group still have residual cysts by MRI, the maximum diameter of which was less than 2 cm. The cysts disappeared in the remaining patients in both groups, and there was no recurrence during the follow-up. There was no significant difference in cyst residual rate between 2 groups ( χ2=2.293, P=0.852). Conclusion Compared with arthroscopic Internal Drainage, the short-term effectiveness of the arthroscopic Internal Drainage combined with cystectomy had no significant improvement, and the operation time was prolonged, the postoperative complications were obviously increased.

  • Clinical prospective comparative study on short-term effectiveness of arthroscopic treatment of popliteal cyst between cyctectomy and Internal Drainage combined with cyctectomy
    Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery, 2018
    Co-Authors: Zhibin Shi, Lihong Fan, Yilun Tang, Ziqi Zhang, Chen Zhang, Ni Jianlong, Xiaoqian Dang
    Abstract:

    Objective To compare the short-term effectiveness between arthroscopic cystectomy and Internal Drainage combined with cystectomy in popliteal cyst. Methods Between March 2014 and March 2017, 56 patients with symptomatic popliteal cyst were enrolled in the study, randomized block design was used to divided the patients into trial group (arthroscopic cystectomy combined with Internal Drainage group, n=28) and control group (arthroscopic Internal Drainage group, n=28). Excluding those who had incomplete follow-up and received surgery for other diseases postoperatively, 26 patients in the experimental group and 27 patients in the control group were finally enrolled in the study. There was no significant difference in gender, age, side, course of disease, maximum diameter and grade of popliteal cyst, and associated diseases between two groups ( P>0.05). The operation time, duration of popliteal ecchymosis and the middle back of calf tenderness were observed postoperatively. The circumference of calf at 1 day, 1 week, and 2 weeks after operation were measured and the differences were calculated with the measurement before operation. Lower extremity venous thrombosis was observed by color doppler ultrasonography at 1 week after operation. The effectiveness was evaluated by Rauschning and Lindgren grading criteria. And MRI was used to observe whether the popliteal cyst disappeared or decreased and measured its maximum diameter at 1 year after operation. Results Patients in both groups were followed up 12-14 months, with an average of 12.5 months. The operation time, duration of popliteal ecchymosis, and the middle back of calf tenderness of the trial group were all longer than those in the control group ( P

Xiaoqian Dang - One of the best experts on this subject based on the ideXlab platform.

  • total arthroscopic Internal Drainage technique for the treatment of popliteal cyst
    China Journal of Orthopaedics and Traumatology, 2019
    Co-Authors: Zhibin Shi, Lihong Fan, Xiaoqian Dang, Kunzheng Wang
    Abstract:

    OBJECTIVE To compare the clinical effects of total arthroscopic Internal Drainage and arthroscopic combined with posterior small incision in the treatment of popliteal cyst. METHODS From January 2015 to January 2017, 60 patients with popliteal cyst were treated, including 29 males and 31 females, aged 30 to 65(47.8±2.5) years old, with a course of disease (8.5±4.2) months. Among them, 30 cases received total arthroscopic Internal Drainage for popliteal fossa cyst(total arthroscopic group), 30 cases received arthroscopic combined with posterior small incision for popliteal fossa cyst(arthroscopic combined with small incision group). The operation time, intraoperative bleeding volume, incision length, Rauschning and Lindgren grade 0 recovery rate and Lysholm score were compared between the two groups. RESULTS Twenty-nine patients in total arthroscopy group were followed up, and 28 patients in arthroscopy combined with small incision group were followed up for 8 to 20(12.8±2.1) months. Operation time: total arthroscopic group(45.32±5.71) min, arthroscopic combined small incision group (44.56±3.85) min; Rauschning and Lindgren grade 0 recovery: 23 cases in total arthroscopic group, 22 cases in arthroscopic combined small incision group; postoperative Lysholm score: total arthroscopic group 84.5±11.2, arthroscopic combined small incision group 83.2±12.7; there was no significant difference between the two groups(P>0.05). Intraoperative bleeding volume: total arthroscopic group(5.32±1.25) ml, arthroscopic combined small incision group(20.75±8.18) ml; incision length: total arthroscopic group (1.51±0.34) cm, arthroscopic combined small incision group (7.34±0.75) cm; the difference between the two groups was significant(P<0.05). At the last follow-up, the knee joint was examined by magnetic resonance imaging, and no recurrence of cyst was found. CONCLUSIONS Total arthroscopic Internal Drainage and arthroscopic combined with posterior small incision technique for popliteal fossa cyst with intra-articular lesions have the same clinical effect, but less trauma and faster recovery.

  • Total arthroscopic Internal Drainage technique for the treatment of popliteal cyst
    Zhongguo gu shang = China journal of orthopaedics and traumatology, 2019
    Co-Authors: Zhibin Shi, Lihong Fan, Xiaoqian Dang, Kunzheng Wang
    Abstract:

    OBJECTIVE To compare the clinical effects of total arthroscopic Internal Drainage and arthroscopic combined with posterior small incision in the treatment of popliteal cyst. METHODS From January 2015 to January 2017, 60 patients with popliteal cyst were treated, including 29 males and 31 females, aged 30 to 65(47.8±2.5) years old, with a course of disease (8.5±4.2) months. Among them, 30 cases received total arthroscopic Internal Drainage for popliteal fossa cyst(total arthroscopic group), 30 cases received arthroscopic combined with posterior small incision for popliteal fossa cyst(arthroscopic combined with small incision group). The operation time, intraoperative bleeding volume, incision length, Rauschning and Lindgren grade 0 recovery rate and Lysholm score were compared between the two groups. RESULTS Twenty-nine patients in total arthroscopy group were followed up, and 28 patients in arthroscopy combined with small incision group were followed up for 8 to 20(12.8±2.1) months. Operation time: total arthroscopic group(45.32±5.71) min, arthroscopic combined small incision group (44.56±3.85) min; Rauschning and Lindgren grade 0 recovery: 23 cases in total arthroscopic group, 22 cases in arthroscopic combined small incision group; postoperative Lysholm score: total arthroscopic group 84.5±11.2, arthroscopic combined small incision group 83.2±12.7; there was no significant difference between the two groups(P>0.05). Intraoperative bleeding volume: total arthroscopic group(5.32±1.25) ml, arthroscopic combined small incision group(20.75±8.18) ml; incision length: total arthroscopic group (1.51±0.34) cm, arthroscopic combined small incision group (7.34±0.75) cm; the difference between the two groups was significant(P

  • clinical prospective comparative study on short term effectiveness of arthroscopic treatment of popliteal cyst between cyctectomy and Internal Drainage combined with cyctectomy
    Chinese Journal of Reparative and Reconstructive Surgery, 2018
    Co-Authors: Zhibin Shi, Lihong Fan, Yilun Tang, Ziqi Zhang, Chen Zhang, Xiaoqian Dang
    Abstract:

    Objective To compare the short-term effectiveness between arthroscopic cystectomy and Internal Drainage combined with cystectomy in popliteal cyst. Methods Between March 2014 and March 2017, 56 patients with symptomatic popliteal cyst were enrolled in the study, randomized block design was used to divided the patients into trial group (arthroscopic cystectomy combined with Internal Drainage group, n=28) and control group (arthroscopic Internal Drainage group, n=28). Excluding those who had incomplete follow-up and received surgery for other diseases postoperatively, 26 patients in the experimental group and 27 patients in the control group were finally enrolled in the study. There was no significant difference in gender, age, side, course of disease, maximum diameter and grade of popliteal cyst, and associated diseases between two groups ( P>0.05). The operation time, duration of popliteal ecchymosis and the middle back of calf tenderness were observed postoperatively. The circumference of calf at 1 day, 1 week, and 2 weeks after operation were measured and the differences were calculated with the measurement before operation. Lower extremity venous thrombosis was observed by color doppler ultrasonography at 1 week after operation. The effectiveness was evaluated by Rauschning and Lindgren grading criteria. And MRI was used to observe whether the popliteal cyst disappeared or decreased and measured its maximum diameter at 1 year after operation. Results Patients in both groups were followed up 12-14 months, with an average of 12.5 months. The operation time, duration of popliteal ecchymosis, and the middle back of calf tenderness of the trial group were all longer than those in the control group ( P<0.05), the differences of circumference of calf at 1 day, 1 week, and 2 weeks after operation of the trial group were greater than those in the control group ( P<0.05). Color doppler ultrasonography of the lower extremity at 1 week after operation found that the intermuscular venous thrombosis occurred in 2 cases of the trial group, while no lower extremity thrombosis was found in the control group; and the difference between two groups was not significant ( P=0.236). According to the Rauschning and Lindgren grading criteria, there were 16 cases of grade 0, 6 cases of grade 1, and 4 cases of grade 2 in the trial group, and 17 cases of grade 0, 4 cases of grade 1, and 6 cases of grade 2 in the control group at 1 year after operation. There was no significant difference between 2 groups ( Z=-1.872, P=0.078). Nine cases (34.62%) of the trial group and 13 cases (48.15%) of the control group still have residual cysts by MRI, the maximum diameter of which was less than 2 cm. The cysts disappeared in the remaining patients in both groups, and there was no recurrence during the follow-up. There was no significant difference in cyst residual rate between 2 groups ( χ2=2.293, P=0.852). Conclusion Compared with arthroscopic Internal Drainage, the short-term effectiveness of the arthroscopic Internal Drainage combined with cystectomy had no significant improvement, and the operation time was prolonged, the postoperative complications were obviously increased.

  • Clinical prospective comparative study on short-term effectiveness of arthroscopic treatment of popliteal cyst between cyctectomy and Internal Drainage combined with cyctectomy
    Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery, 2018
    Co-Authors: Zhibin Shi, Lihong Fan, Yilun Tang, Ziqi Zhang, Chen Zhang, Ni Jianlong, Xiaoqian Dang
    Abstract:

    Objective To compare the short-term effectiveness between arthroscopic cystectomy and Internal Drainage combined with cystectomy in popliteal cyst. Methods Between March 2014 and March 2017, 56 patients with symptomatic popliteal cyst were enrolled in the study, randomized block design was used to divided the patients into trial group (arthroscopic cystectomy combined with Internal Drainage group, n=28) and control group (arthroscopic Internal Drainage group, n=28). Excluding those who had incomplete follow-up and received surgery for other diseases postoperatively, 26 patients in the experimental group and 27 patients in the control group were finally enrolled in the study. There was no significant difference in gender, age, side, course of disease, maximum diameter and grade of popliteal cyst, and associated diseases between two groups ( P>0.05). The operation time, duration of popliteal ecchymosis and the middle back of calf tenderness were observed postoperatively. The circumference of calf at 1 day, 1 week, and 2 weeks after operation were measured and the differences were calculated with the measurement before operation. Lower extremity venous thrombosis was observed by color doppler ultrasonography at 1 week after operation. The effectiveness was evaluated by Rauschning and Lindgren grading criteria. And MRI was used to observe whether the popliteal cyst disappeared or decreased and measured its maximum diameter at 1 year after operation. Results Patients in both groups were followed up 12-14 months, with an average of 12.5 months. The operation time, duration of popliteal ecchymosis, and the middle back of calf tenderness of the trial group were all longer than those in the control group ( P

Kunzheng Wang - One of the best experts on this subject based on the ideXlab platform.

  • total arthroscopic Internal Drainage technique for the treatment of popliteal cyst
    China Journal of Orthopaedics and Traumatology, 2019
    Co-Authors: Zhibin Shi, Lihong Fan, Xiaoqian Dang, Kunzheng Wang
    Abstract:

    OBJECTIVE To compare the clinical effects of total arthroscopic Internal Drainage and arthroscopic combined with posterior small incision in the treatment of popliteal cyst. METHODS From January 2015 to January 2017, 60 patients with popliteal cyst were treated, including 29 males and 31 females, aged 30 to 65(47.8±2.5) years old, with a course of disease (8.5±4.2) months. Among them, 30 cases received total arthroscopic Internal Drainage for popliteal fossa cyst(total arthroscopic group), 30 cases received arthroscopic combined with posterior small incision for popliteal fossa cyst(arthroscopic combined with small incision group). The operation time, intraoperative bleeding volume, incision length, Rauschning and Lindgren grade 0 recovery rate and Lysholm score were compared between the two groups. RESULTS Twenty-nine patients in total arthroscopy group were followed up, and 28 patients in arthroscopy combined with small incision group were followed up for 8 to 20(12.8±2.1) months. Operation time: total arthroscopic group(45.32±5.71) min, arthroscopic combined small incision group (44.56±3.85) min; Rauschning and Lindgren grade 0 recovery: 23 cases in total arthroscopic group, 22 cases in arthroscopic combined small incision group; postoperative Lysholm score: total arthroscopic group 84.5±11.2, arthroscopic combined small incision group 83.2±12.7; there was no significant difference between the two groups(P>0.05). Intraoperative bleeding volume: total arthroscopic group(5.32±1.25) ml, arthroscopic combined small incision group(20.75±8.18) ml; incision length: total arthroscopic group (1.51±0.34) cm, arthroscopic combined small incision group (7.34±0.75) cm; the difference between the two groups was significant(P<0.05). At the last follow-up, the knee joint was examined by magnetic resonance imaging, and no recurrence of cyst was found. CONCLUSIONS Total arthroscopic Internal Drainage and arthroscopic combined with posterior small incision technique for popliteal fossa cyst with intra-articular lesions have the same clinical effect, but less trauma and faster recovery.

  • Total arthroscopic Internal Drainage technique for the treatment of popliteal cyst
    Zhongguo gu shang = China journal of orthopaedics and traumatology, 2019
    Co-Authors: Zhibin Shi, Lihong Fan, Xiaoqian Dang, Kunzheng Wang
    Abstract:

    OBJECTIVE To compare the clinical effects of total arthroscopic Internal Drainage and arthroscopic combined with posterior small incision in the treatment of popliteal cyst. METHODS From January 2015 to January 2017, 60 patients with popliteal cyst were treated, including 29 males and 31 females, aged 30 to 65(47.8±2.5) years old, with a course of disease (8.5±4.2) months. Among them, 30 cases received total arthroscopic Internal Drainage for popliteal fossa cyst(total arthroscopic group), 30 cases received arthroscopic combined with posterior small incision for popliteal fossa cyst(arthroscopic combined with small incision group). The operation time, intraoperative bleeding volume, incision length, Rauschning and Lindgren grade 0 recovery rate and Lysholm score were compared between the two groups. RESULTS Twenty-nine patients in total arthroscopy group were followed up, and 28 patients in arthroscopy combined with small incision group were followed up for 8 to 20(12.8±2.1) months. Operation time: total arthroscopic group(45.32±5.71) min, arthroscopic combined small incision group (44.56±3.85) min; Rauschning and Lindgren grade 0 recovery: 23 cases in total arthroscopic group, 22 cases in arthroscopic combined small incision group; postoperative Lysholm score: total arthroscopic group 84.5±11.2, arthroscopic combined small incision group 83.2±12.7; there was no significant difference between the two groups(P>0.05). Intraoperative bleeding volume: total arthroscopic group(5.32±1.25) ml, arthroscopic combined small incision group(20.75±8.18) ml; incision length: total arthroscopic group (1.51±0.34) cm, arthroscopic combined small incision group (7.34±0.75) cm; the difference between the two groups was significant(P

Lihong Fan - One of the best experts on this subject based on the ideXlab platform.

  • total arthroscopic Internal Drainage technique for the treatment of popliteal cyst
    China Journal of Orthopaedics and Traumatology, 2019
    Co-Authors: Zhibin Shi, Lihong Fan, Xiaoqian Dang, Kunzheng Wang
    Abstract:

    OBJECTIVE To compare the clinical effects of total arthroscopic Internal Drainage and arthroscopic combined with posterior small incision in the treatment of popliteal cyst. METHODS From January 2015 to January 2017, 60 patients with popliteal cyst were treated, including 29 males and 31 females, aged 30 to 65(47.8±2.5) years old, with a course of disease (8.5±4.2) months. Among them, 30 cases received total arthroscopic Internal Drainage for popliteal fossa cyst(total arthroscopic group), 30 cases received arthroscopic combined with posterior small incision for popliteal fossa cyst(arthroscopic combined with small incision group). The operation time, intraoperative bleeding volume, incision length, Rauschning and Lindgren grade 0 recovery rate and Lysholm score were compared between the two groups. RESULTS Twenty-nine patients in total arthroscopy group were followed up, and 28 patients in arthroscopy combined with small incision group were followed up for 8 to 20(12.8±2.1) months. Operation time: total arthroscopic group(45.32±5.71) min, arthroscopic combined small incision group (44.56±3.85) min; Rauschning and Lindgren grade 0 recovery: 23 cases in total arthroscopic group, 22 cases in arthroscopic combined small incision group; postoperative Lysholm score: total arthroscopic group 84.5±11.2, arthroscopic combined small incision group 83.2±12.7; there was no significant difference between the two groups(P>0.05). Intraoperative bleeding volume: total arthroscopic group(5.32±1.25) ml, arthroscopic combined small incision group(20.75±8.18) ml; incision length: total arthroscopic group (1.51±0.34) cm, arthroscopic combined small incision group (7.34±0.75) cm; the difference between the two groups was significant(P<0.05). At the last follow-up, the knee joint was examined by magnetic resonance imaging, and no recurrence of cyst was found. CONCLUSIONS Total arthroscopic Internal Drainage and arthroscopic combined with posterior small incision technique for popliteal fossa cyst with intra-articular lesions have the same clinical effect, but less trauma and faster recovery.

  • Total arthroscopic Internal Drainage technique for the treatment of popliteal cyst
    Zhongguo gu shang = China journal of orthopaedics and traumatology, 2019
    Co-Authors: Zhibin Shi, Lihong Fan, Xiaoqian Dang, Kunzheng Wang
    Abstract:

    OBJECTIVE To compare the clinical effects of total arthroscopic Internal Drainage and arthroscopic combined with posterior small incision in the treatment of popliteal cyst. METHODS From January 2015 to January 2017, 60 patients with popliteal cyst were treated, including 29 males and 31 females, aged 30 to 65(47.8±2.5) years old, with a course of disease (8.5±4.2) months. Among them, 30 cases received total arthroscopic Internal Drainage for popliteal fossa cyst(total arthroscopic group), 30 cases received arthroscopic combined with posterior small incision for popliteal fossa cyst(arthroscopic combined with small incision group). The operation time, intraoperative bleeding volume, incision length, Rauschning and Lindgren grade 0 recovery rate and Lysholm score were compared between the two groups. RESULTS Twenty-nine patients in total arthroscopy group were followed up, and 28 patients in arthroscopy combined with small incision group were followed up for 8 to 20(12.8±2.1) months. Operation time: total arthroscopic group(45.32±5.71) min, arthroscopic combined small incision group (44.56±3.85) min; Rauschning and Lindgren grade 0 recovery: 23 cases in total arthroscopic group, 22 cases in arthroscopic combined small incision group; postoperative Lysholm score: total arthroscopic group 84.5±11.2, arthroscopic combined small incision group 83.2±12.7; there was no significant difference between the two groups(P>0.05). Intraoperative bleeding volume: total arthroscopic group(5.32±1.25) ml, arthroscopic combined small incision group(20.75±8.18) ml; incision length: total arthroscopic group (1.51±0.34) cm, arthroscopic combined small incision group (7.34±0.75) cm; the difference between the two groups was significant(P

  • clinical prospective comparative study on short term effectiveness of arthroscopic treatment of popliteal cyst between cyctectomy and Internal Drainage combined with cyctectomy
    Chinese Journal of Reparative and Reconstructive Surgery, 2018
    Co-Authors: Zhibin Shi, Lihong Fan, Yilun Tang, Ziqi Zhang, Chen Zhang, Xiaoqian Dang
    Abstract:

    Objective To compare the short-term effectiveness between arthroscopic cystectomy and Internal Drainage combined with cystectomy in popliteal cyst. Methods Between March 2014 and March 2017, 56 patients with symptomatic popliteal cyst were enrolled in the study, randomized block design was used to divided the patients into trial group (arthroscopic cystectomy combined with Internal Drainage group, n=28) and control group (arthroscopic Internal Drainage group, n=28). Excluding those who had incomplete follow-up and received surgery for other diseases postoperatively, 26 patients in the experimental group and 27 patients in the control group were finally enrolled in the study. There was no significant difference in gender, age, side, course of disease, maximum diameter and grade of popliteal cyst, and associated diseases between two groups ( P>0.05). The operation time, duration of popliteal ecchymosis and the middle back of calf tenderness were observed postoperatively. The circumference of calf at 1 day, 1 week, and 2 weeks after operation were measured and the differences were calculated with the measurement before operation. Lower extremity venous thrombosis was observed by color doppler ultrasonography at 1 week after operation. The effectiveness was evaluated by Rauschning and Lindgren grading criteria. And MRI was used to observe whether the popliteal cyst disappeared or decreased and measured its maximum diameter at 1 year after operation. Results Patients in both groups were followed up 12-14 months, with an average of 12.5 months. The operation time, duration of popliteal ecchymosis, and the middle back of calf tenderness of the trial group were all longer than those in the control group ( P<0.05), the differences of circumference of calf at 1 day, 1 week, and 2 weeks after operation of the trial group were greater than those in the control group ( P<0.05). Color doppler ultrasonography of the lower extremity at 1 week after operation found that the intermuscular venous thrombosis occurred in 2 cases of the trial group, while no lower extremity thrombosis was found in the control group; and the difference between two groups was not significant ( P=0.236). According to the Rauschning and Lindgren grading criteria, there were 16 cases of grade 0, 6 cases of grade 1, and 4 cases of grade 2 in the trial group, and 17 cases of grade 0, 4 cases of grade 1, and 6 cases of grade 2 in the control group at 1 year after operation. There was no significant difference between 2 groups ( Z=-1.872, P=0.078). Nine cases (34.62%) of the trial group and 13 cases (48.15%) of the control group still have residual cysts by MRI, the maximum diameter of which was less than 2 cm. The cysts disappeared in the remaining patients in both groups, and there was no recurrence during the follow-up. There was no significant difference in cyst residual rate between 2 groups ( χ2=2.293, P=0.852). Conclusion Compared with arthroscopic Internal Drainage, the short-term effectiveness of the arthroscopic Internal Drainage combined with cystectomy had no significant improvement, and the operation time was prolonged, the postoperative complications were obviously increased.

  • Clinical prospective comparative study on short-term effectiveness of arthroscopic treatment of popliteal cyst between cyctectomy and Internal Drainage combined with cyctectomy
    Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery, 2018
    Co-Authors: Zhibin Shi, Lihong Fan, Yilun Tang, Ziqi Zhang, Chen Zhang, Ni Jianlong, Xiaoqian Dang
    Abstract:

    Objective To compare the short-term effectiveness between arthroscopic cystectomy and Internal Drainage combined with cystectomy in popliteal cyst. Methods Between March 2014 and March 2017, 56 patients with symptomatic popliteal cyst were enrolled in the study, randomized block design was used to divided the patients into trial group (arthroscopic cystectomy combined with Internal Drainage group, n=28) and control group (arthroscopic Internal Drainage group, n=28). Excluding those who had incomplete follow-up and received surgery for other diseases postoperatively, 26 patients in the experimental group and 27 patients in the control group were finally enrolled in the study. There was no significant difference in gender, age, side, course of disease, maximum diameter and grade of popliteal cyst, and associated diseases between two groups ( P>0.05). The operation time, duration of popliteal ecchymosis and the middle back of calf tenderness were observed postoperatively. The circumference of calf at 1 day, 1 week, and 2 weeks after operation were measured and the differences were calculated with the measurement before operation. Lower extremity venous thrombosis was observed by color doppler ultrasonography at 1 week after operation. The effectiveness was evaluated by Rauschning and Lindgren grading criteria. And MRI was used to observe whether the popliteal cyst disappeared or decreased and measured its maximum diameter at 1 year after operation. Results Patients in both groups were followed up 12-14 months, with an average of 12.5 months. The operation time, duration of popliteal ecchymosis, and the middle back of calf tenderness of the trial group were all longer than those in the control group ( P

Gianfranco Donatelli - One of the best experts on this subject based on the ideXlab platform.

  • endoscopic Internal Drainage for the management of leak fistula and collection after sleeve gastrectomy our experience in 617 consecutive patients
    Surgery for Obesity and Related Diseases, 2021
    Co-Authors: Gianfranco Donatelli, Fabrizio Cereatti, Guillaume Pourcher, Andrea Spota, Stefano Granieri, Ibrahim Dagher, Renaud Chiche, J M Catheline, Lionel Rebibo, Daniela Calabrese
    Abstract:

    Abstract Background Endoscopy plays a pivotal role in the management of adverse events (AE) following bariatric surgery. Leaks, fistulae and post-operative collection after sleeve gastrectomy (SG) may occur in up to 10% of cases. Objective to evaluate the efficacy and safety of Endoscopic Internal Drainage (EID) for the management of leak, fistula and collection following SG. Setting Retrospective, observational, single center study on patients referred from several bariatric surgery departments to an endoscopic referral center. Methods EID was used as first line treatment for the management of leaks, fistulae and collections. Leaks and fistulae were treated with double pigtail stent (DPS) deployment in order to guarantee Internal Drainage and second intention cavity obliteration. Collections were treated with EUS-guided deployment of DPS or lumen apposing metal stents . Results 617 patients (83,3% Female, mean age 43.1 yrs) were enrolled in the study for leak (n=300 – 48.6%), fistula (n=285 – 46.2%) and collection (n=32 – 5.2%). Median follow-up was 19.5 months. Overall clinical success was 84.7% whereas 15.3% of cases required revisional surgery after EID failure. Clinical success according to type of AE was 89.5%, 78.5% and 90% for leak, fistula and collection respectively. 10/547 (1.8%) presented a recurrence during follow-up. A total of 28 (4.5%) AE related to the endoscopic treatment occurred. At univariate logistic regression predictors of failure were: fistula (OR 2.012), combined endoscopic approach (OR 2.319), need for emergency surgery (OR 1.755) and previous endoscopic treatment (OR 4.818). Conclusions Early EID for the management of leak, fistula and post-operative collection after SG seems a safe and effective first-line approach with good long term results.

  • Gastric Leaks and Use of Endoscopic Internal Drainage With Enteral Nutrition
    Metabolism and Pathophysiology of Bariatric Surgery, 2017
    Co-Authors: Gianfranco Donatelli, Parag Dhumane
    Abstract:

    Gastric leaks (GLs) after bariatric surgery (BS) represent one of the most dreaded complications due to their associated high morbidity and mortality. Surgical or radiological Drainage is routinely done as a damage control procedure for patients with severe sepsis. Various endoscopic procedures are described for treatment of leaks, but standard practice guidelines are lacking. The endoscopic Internal Drainage and enteral nutrition (EDEN) protocol effectively drains the leak cavity and promotes its healing by causing microtrauma. The EDEN protocol should be considered as a primary management tool for both early and late GLs in patients after BS procedures, if no diffuse peritonitis or multiorgan failure is present. Although multiple endoscopic sessions are required, this achieves almost complete Drainage of perigastric collections, simultaneously stimulating mucosal growth. EDEN is better tolerated, more effective, and less expensive than self-expanding metallic stents, and is burdened by fewer complications. Long-term follow-up confirms good outcomes with no motility or feeding-related issues.

  • Endoscopic Internal Drainage as first-line treatment for fistula following gastrointestinal surgery: a case series.
    Endoscopy International Open, 2016
    Co-Authors: Gianfranco Donatelli, Jeanloup Dumont, Fabrizio Cereatti, Bertrand Marie Vergeau, Thierry Tuszynski, Parag Dhumane, Bruno Meduri
    Abstract:

    Background and study aims: Leaks following gastrointestinal surgery are a dreadful complication burdened by high morbidity and not irrelevant mortality. Endoscopic Internal Drainage (EID) has showed optimal results in the treatment of leaks following bariatric surgery. We report our experience with EID as first-line treatment for fistulas following surgery along all gastrointestinal tract.

  • treatment of leaks following sleeve gastrectomy by endoscopic Internal Drainage eid
    Obesity Surgery, 2015
    Co-Authors: Gianfranco Donatelli, Jeanloup Dumont, Fabrizio Cereatti, Stefano Ferretti, Bertrand Marie Vergeau, Thierry Tuszynski, Guillaume Pourcher, Hadrien Tranchart, P Mariani, A Meduri
    Abstract:

    Background Leaks are considered one of the major complications of laparoscopic sleeve gastrectomy (LSG) with a reported rate up to 7 %. Drainage of the collection coupled with SEMS deployment is the most frequent treatment. Its success is variable and burdened by high morbidity and not irrelevant mortality. The aim of this paper is to suggest and establish a new approach by endoscopic Internal Drainage (EID) for the management of leaks.

  • Treatment of Leaks Following Sleeve Gastrectomy by Endoscopic Internal Drainage (EID).
    Obesity surgery, 2015
    Co-Authors: Gianfranco Donatelli, Jeanloup Dumont, Fabrizio Cereatti, Stefano Ferretti, Bertrand Marie Vergeau, Thierry Tuszynski, Guillaume Pourcher, Hadrien Tranchart, Mariani P, Meduri A
    Abstract:

    Background Leaks are considered one of the major complications of laparoscopic sleeve gastrectomy (LSG) with a reported rate up to 7 %. Drainage of the collection coupled with SEMS deployment is the most frequent treatment. Its success is variable and burdened by high morbidity and not irrelevant mortality. The aim of this paper is to suggest and establish a new approach by endoscopic Internal Drainage (EID) for the management of leaks.