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кейс №742
Diagnosis:

Mr signs of osteochondropathy of the head of the right femur (Perthes disease), stage III-IV, moderately pronounced synovitis of the right hip joint.

Case description:

On radiographs (dated 03/27/2019) of the right hip joint, the head of the femur is flattened and deformed (secondary deformation due to axial load); The X-ray articular cleft is enlarged (dilation of the articular space), subchondral sclerosis of the endplate of the acetabular articular roof is expressed. In the head of the right femur, a cystic enlightenment with a sclerotic rim is determined; without clear contours, it overlooks the contour (the resorption zone is somewhat heterogeneous, data on perifocal resorption are not obtained). Bone exostosis is noted on the right in the projection of the asymmetric small skewer (n / a change).


On the MR tomogram series (dated 03/27/2019), the articular surface of the head of the right femur is flattened in the central regions, the fragment of the hypointensive MR signal at T1 VI, 0.9x0.8x0.5 cm in size, limited from the main bone by the rim of increased MR is determined at this level signal. In comparison with MRI from 03.10.2018, the contours of the fragment became more outlined. In the cavity of the right hip joint is determined by moderate fluid accumulation. The acetabulum and their cartilaginous lips are not changed. Articular cavity of normal width. The articular cartilage of the left femoral head is not changed. Focal pathological changes in the intensity of the MR signal from the structure of the pelvic bones in the visible course were not detected. Data for the presence of pathological changes in the intensity of the MR signal in the muscles in the visible course was not detected.

case №741
Diagnosis:

End stage renal disease (ESRD), chronic pyelonephritis, bilateral hydronephrosis – ureterohydronephrosis.

Concomitant diagnosis: extremely high creаtinin level, ascites, nephritis, neurogenic bladder, calculous cholecystitis, splenomegaly, visceroptosis, chronic pancreatitis in the exacerbation phase - necrotic pancreatitis, arterial hypertension, severe anemia, pancreas cyst.

Case description:

A man (25 years old) has a - congenital kidney disease.

Because of the dysfunction of the kidneys, other organs have failed to function and the pancreas and urinary bladder appear to be in poor condition. Doctors say that before transplantation of the kidney requires treatment of other organs (pancreas and bladder).

The laparoscopic repair of the right pyelourethral segment was held in 2017.

The deterioration of health took place in the fall of 2018. Notices weakness, instability of blood pressure.

12.11.2018 - completed operation - Formation of arterio-venous fistula in n / 3 left forearm. Postoperative period without features.

10.12.2018 - the patient was given the setting of the dialysis catheter. Since December 2018, he regularly (three times per week) attends sessions of hemodialysis.

The situation is not improving. It's getting worse.

case №740
Diagnosis:

Osteochondrosis, spondyloarthrosis, spondylosis deformance of the thoracic spine.

Concomitant diagnosis: Mediolateral ossified Th9-Th10 spinal disk herniation with dural sac and spinal cord compression. Myelopathy of the thoracic region. Lower flaccid paraplegia. Functional disorders of pelvic organs. Neurogenic urinary bladder. Chronic pyelonephritis.

Case description:

Admission complaints: leg weakness and numbness (more expressed in right leg). According to information provided by the patient, it is known that there is a moderate pain in the thoracic spine for approximately 3 years. Leg weakness appeared in December, 2017. Conservative treatment was not effective.

Clinical findings: patient is fully conscious (15 points according to Glasgow Coma Scale – GCS). Pupils D=S. Face is symmetrical. Active movements and sensation of upper limbs are preserved. The muscle strength of legs is slightly decreased (more expressed in right leg). Lower flaccid paraparesis is moderately expressed. Ambulation is partially impaired. According to the findings of lumbar spine MRI examination (conducted on 24/3/18) there is the evidence of mediolateral Th9-Th10 spinal disk herniation with dural sac deformation, 3 mm spinal canal narrowing and compression of the spinal cord with increased local signal intensity because of myelopathy. Electrocardiography (EKG) and Chest X-ray examination are conducted. Physician consultation.

After clinical follow-up examination which was performed on 06/4/2018 patient underwent the surgery: partial mediolateral Th9-Th10 hernia excision with left posterolateral approach. Patient exhibits increased postoperative manifestations of myelopathy including lower flaccid paraplegia, bilateral anesthesy of superficial types of sensation at the level of Th9 dermatomes. Functional disorders of pelvic organs including involuntary urination. Due to the presence of ossified ligamentum flavum and ossified right-sided Th9-Th10 spinal disk herniation residues the follow-up thoracic computer tomography was performed on 07/4/2018. Decompressive Th9-Th10 laminectomy was performed on 07/4/2018. The conservative treatment (medicaments and kinetotherapy continued in Neurosurgical Department. Lower flaccis paraplegia still exhibited. Bilateral anesthesy of superficial types of sensation at the level of Th9 dermatomes noted. Elements of Th9 dermatome deep sensation from the left side. Functional disorders of pelvic organs including involuntary urination exhibited. Healing of the surgical wound by first intention. Consultation with urologist. The treatment of pyelonephritis clinical exacerbations given. Findings of the thoracic MRI examination dated 24/4/2018, demonstrated the signs of Th9-Th10 decompressive laminectomy, myelopathy, bone fragment at the anterior surface of the dural sac (anteroposterior size – 3mm, sagittal size is 9mm) with a mild compression of dural sac. Anteroposterior diameter of the spinal cord at the level of the most severe stenosis is up to 6 mm.

News

Representatives of the Medical Tourism Exchange visited two hospitals in Istanbul, Turkey, at the invitation of the partners.

28 March 2019

Recently, representatives of the Medical Tourism Exchange visited Turkish hospitals, the Koc Hospital and the American Hospital, where they could personally see the hospital's capacity, get acquainted with the level of clinics and their most up-to-date diagnostic and therapeutic equipment, communicate with leading doctors of this hospital group and get acquainted with new trends, modern methods of treatment of various diseases.

Read more ...

Non-surgical removal of brain tumors with Gamma-knife

19 March 2019

What is a gamma knife?

The basis of Gamma Knife therapy is the definition of diseased areas in the brain based on the stereotaxic principle and the irradiation of these areas with gamma rays from 192 cobalt sources. The strength of the radiation emanating from each individual source is small enough and does not harm the brain. However, at the point where all 192 beams are fixed, the concentration of radiation is quite large and effective.

Gamma knife provides patients with the possibility of bloodless treatment without the use of a scalpel. Such treatment takes only a few hours and does not require intensive care. The day after the procedure, the patient can return to the usual life.

Read more ...

February 4 - World Cancer Day

04 February 2019

It must be remembered that the most early and accurate diagnosis is the most important component of successful treatment of cancer.

The high risk of malignant tumors for human life is associated with a high rate of growth of cancer cells and the formation of metastases - new foci of the disease. Modern medicine has more than two hundred varieties of oncological formations.

The chances of a cure for cancer increase when the disease is detected in its early stages. The favorable prognosis for the complete recovery of the patient with the early stages of the disease (0, I and II) is very high and amounts to 75-95%. The earlier the cancer is found, the higher the chances of recovery!

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Reviews

Review from Tereshchuk Oksana (mother of little Stephania, who suffers from epilepsy)

12 December 2018

"We returned from the Turkish clinic, now are at home, and can say about our impressions. First of all concerning Stefania - Thank God she doesn"t suffer from seasures after the provided operation. My girl is calm, cheerful, intensely perceives the world around, talks with compositions. Earlier, when she had resistant seizures were only incomprehensible sounds.

What are our impressions from the clinic? As my husband says: "You know exactly for what you pay." Starting from the hall, where everyone greets you with a nice smile, everyone wants to help you, and ending with the fact that you do not need every time to remind nurses that dropping is finished, even if it will be the 03.00 a.m. - exactly that minute she comes in the room. I can not complain about any person that I met in hospital. In restoring the health of my child the main work was done by highly professional team of neurosurgeons.

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Savenko Svitlana, Horlivka, Donetsʹka obl.

08 December 2018

Letter - gratitude to all residents of Ukraine who responded to the call for help Victoria from Horlivka, the Ternopil Medical Tourism Market, the Dnipropetrovsk "Pomagaj" charity fund and all non-indifferent people. THANK YOU!!!!!!!!!!!!! When a loved one is sick in a family, it's a misfortune, and when a little child is a grief. So, in our family there was a double sorrow, after the death of our two-year-old daughter from court, we have a girl with the same syndrome. We do not have the main thing for us. to fall into the spirit, and to look for strong, honest and professional people capable of directing us towards further action. We were fortunate enough to get acquainted with the team of professionals of their business. This is the Ternopil Medical Assistance Company. The staff picked up a clinic in Istanbul, a team of doctors-specialists. We worked with us on a daily basis. After reconciling all the issues with the clinic in Istanbul, Dnipropetrovsk "Pomagaj" charity fund was connected and helped us finance this trip. Thank you very much !!!!!!!. I want to say to every inhabitant of our country. You return to life not only the child and the family, but the whole state because they say: a healthy family is a mighty state.

Saranchuk Iryna, m.Buchach

08 December 2018

My daughter is ill for 9 years - after the transfer of viral encephalitis. A child in a difficult condition, according to doctors, in a vegetative. In Ukraine it is no longer possible to help her, so we turned to the Medical Tourism Market in order to pick up the clinic abroad. Everything was done promptly, the Universete Clinic was selected and our trip was fully planned. Unfortunately, at the last moment, before the departure, my child's condition deteriorated - we were in resuscitation - and after additional consultations with professors, flight was forbidden to us. Nevertheless, we are grateful to you for the services provided and our sincere relationship with us.

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