Grekov's Bulletin of Surgery最新文献

{"title":"Using of endoscopic band ligation for endoscopic removal of colonic polyps","authors":"A. A. Natalskiy, V. B. Filimonov, S. O. Shadskiy, K. P. Pashkin","doi":"10.24884/0042-4625-2023-182-5-36-40","DOIUrl":"https://doi.org/10.24884/0042-4625-2023-182-5-36-40","url":null,"abstract":"BACKGROUND. Intraand postoperative colonic bleeding is the most frequent complication in endoscopic removal of large colonic polyps. In this article, one of the methods of preventing this complication is discussed – preliminary preventive ligation of the leg of the polyp, carried out by using an endoscopic loop ligation.METHODS AND MATERIALS. The prospective trial provided between March and September 2023. This trial included 38 patients with 39 colonic polyps with the feeding leg of the polyp non-less than 5 mm in diameter. All patients underwent endoscopic mucosal resection within the leg of the polyp with preliminary preventive ligation of the leg. The ligation provided by the device inserted through the instrumental channel of the endoscope, and allowing delivery and tightening of the non-dissolving Rцder’s loop on the leg of the polyp.RESULTS. All identified polyps were successfully removed. The radicality of the removal was confirmed by histological examination data. The occurrence of technical difficulties during removal was noted in one case when removing the polyp 4 cm in diameter. The appeared technical difficulties were associated with difficult visualization of the feeding leg of the polyp, which was due to the large size of the removed formation. Positive correlation between the forma tion size and surgery time was observed (Spearman p=0.52, P=0.034). There were no bleeding complications during operations and early postoperative period.CONCLUSION. Preliminary preventive ligation is a simple, effective and safe method to prevent bleeding when remov ing polyps of the mucous membranes of the gastrointestinal tract.","PeriodicalId":108755,"journal":{"name":"Grekov's Bulletin of Surgery","volume":"124 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141125153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"X-ray endovascular surgery for in-hospital acute ischemic stroke","authors":"E. B. Molokhoev, A. G. Davtyan, V. R. Kirakosyan, A. S. Pankov, N. I. Litvinov, D. S. Belkov, S. V. Zhuravlev, V. N. Ardashev, N. Zakaryan, V. V. Boyarintsev","doi":"10.24884/0042-4625-2023-182-5-20-28","DOIUrl":"https://doi.org/10.24884/0042-4625-2023-182-5-20-28","url":null,"abstract":"The OBJECTIVE was to determine the efficacy of endovascular surgery for in-hospital acute ischemic stroke (AIS) and to identify predictors of unfavorable AIS outcome.METHODS AND MATERIALS. We performed 42 endovascular thrombectomies for in-hospital AIS in patients treated in the hospital for another pathology. Neurological defiCIT was determined by NIHSS scale, thrombectomy efficacy was evaluated by the degree of cerebral revascularization by mTICI scale, functional outcome was determined by Rankin scale (mRS). Multivariate analysis with evaluation of clinical and laboratory, neuroimaging data, and analysis of surgical technique was performed to identify factors contributing to adverse stroke outcome.RESULTS. The mean age of patients was 73.8±11.8 years old. Neurological defiCIT before surgery was 12.8±6.7 points by to NIHSS. Thrombolytic therapy was used in one third of cases, thrombectomy in 92.9 %, and carotid artery stent ing in 2 cases. Successful revascularization (mTICI2b-3) was achieved in 83.3 % of cases. The significant reduction in neurological defiCIT after surgery was achieved to NIHSS 6.0±5.9 points, mRS 2.7±2.1. The mortality rate amounted to 16.7 % of cases. Poor functional outcome (mRS3-5) was significantly associated with: female gender, older age, presence of cardiovascular pathology, recurrent stroke, postoperative tachycardia, low renal tubular filtration rate, hypocoagulation, low cardiac ejection fraction, low aortic valve opening amplitude, high pulmonary hypertension, large left atrial volume, initial severe neurological defiCIT, poor collaterals in the area of cerebral ischemia, proximal internal carotid artery occlusion, hemorrhagic saturation, increased operation time, low degree of revascularization (mTICI0-2a).CONCLUSION. Endovascular surgery has demonstrated its safety and high efficacy in the treatment of in-hospital AIS in surgical hospitalized patients. Endovascular thrombectomies allow to significantly reduce neurological defiCIT and decrease mortality in the severe category of patients with cardioembolic AIS. clinical, laboratory, hemodynamic and neuroimaging factors influencing on poor functional outcome of in-hospital AIS have been determined.","PeriodicalId":108755,"journal":{"name":"Grekov's Bulletin of Surgery","volume":"107 24","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141125695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Results of open prosthetics of abdominal aortic aneurysms using laparotomic and retroperitoneal approaches","authors":"S. E. Suzdaltsev, R. A. Sulimanov, K. Vakhitov, S. I. Sukovatkin, I. V. Korotkov, O. Y. Kalyuzhnaya, T. M. Gasainiev, M. D. Grigoryan, A. D. Kitsalmagomedova","doi":"10.24884/0042-4625-2023-182-5-41-47","DOIUrl":"https://doi.org/10.24884/0042-4625-2023-182-5-41-47","url":null,"abstract":"The OBJECTIVE was to evaluate the results of surgical treatment of abdominal aortic aneurysm using laparotomic and retroperitoneal approaches.METHODS AND MATERIALS. The study included 206 patients operated on at the Department of Vascular Surgery of the Novgorod Regional Clinical Hospital from 2010 to 2018. All patients were divided into 2 groups. The first – 112 people, whose surgical intervention was performed through laparotomic approach. The second – 94 patients, approach to the aorta was made by the retroperitoneal technique according to Rob. comparison of non-specific life-threatening complications included the development of myocardial infarction and acute cardiovascular failure, acute respiratory distress syndrome and respiratory failure, the development of ischemic colitis and small bowel obstruction, which required repeated interventions. The development of acute renal injury was characterized as an increase in creatinine by 50 % from baseline or a decrease in glomerular filtration rate (GFR) by more than 25 %. This group of complications also included ischemic stroke, sepsis, and multiple organ failure. Wound complications included insolvency of postoperative wounds of retroperitoneal and laparotomic approaches, cases of eventration.RESULTS. When analyzing the incidence of nonspecific complications, it was found that in group I their frequency was 41 (46.6 %) clinical cases, and in group II – 26 (27.6 %) (p=0.173*). In group I, the incidence of cardiovascular complications significantly exceeded those in group II – 17 (15.2 %) vs 6 (6.4 %) (p*=0.046). The incidence of gastrointestinal complications was also significantly higher in group I – 9 (8 %) vs 1 (1.06 %) (p*=0.021). The frequency of deaths in groups I and II did not differ significantly in 7 (6.25 %) and 5 (5.3 %) cases (p*=0.77).CONCLUSION. As our study showed, retroperitoneal approach is a worthy alternative to laparotomy, mainly in case of repeated interventions, as well as in the presence of signs of visceral obesity of the patient. At the same time, laparotomic approach is associated with a higher risk of developing cardiovascular and gastrointestinal complications in the treatment of abdominal aortic aneurysms.","PeriodicalId":108755,"journal":{"name":"Grekov's Bulletin of Surgery","volume":"112 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141125785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Modern concept of treatment of patients with ventral hernias","authors":"P. N. Romashchenko, A. A. Kurygin, V. V. Semenov, S. A. Prudieva, A. A. Mamoshin","doi":"10.24884/0042-4625-2023-182-4-20-27","DOIUrl":"https://doi.org/10.24884/0042-4625-2023-182-4-20-27","url":null,"abstract":"INTRODUCTION. The relevance of treating patients with hernias of the anterior abdominal wall is beyond doubt, since the incidence of the disease is on average 5 people per 1000, and hernioplasty itself is one of the most common operations in a general surgical hospital. However, the relapse rate remains quite high. There remains a debate about the choice of surgical option; the issues of prevention and treatment of pain syndrome, as well as tactics for managing patients with a complicated postoperative period, remain unresolved.The OBJECTIVE was to evaluate the effectiveness of the modern concept of treating patients with ventral hernias and to substantiate the principles for choosing a hernioplasty technique.METHODS AND MATERIALS. The study is based on the results of treatment of 1938 patients operated on at the Faculty Surgery Clinic named after S.P. Fedorov Military Medical Academy in the period from 2015 to 2022. Both open and endovideosurgical options for surgical interventions were performed for isolated umbilical hernias or in combination  with diastasis of the rectus muscles, hernias of the white line of the abdomen, inguinal and postoperative hernias, including reduction of the volume of the abdominal cavity.RESULTS. During the study, an algorithm for the treatment of patients with ventral hernias was developed, various options for perioperative pain relief were proposed, and the tactics for treating infectious and purulent complications were substantiated.CONCLUSION. A specialized surgical hospital must perform all possible options for both traditional and endovideosurgical hernioplasty, use innovative options for pain relief in the perioperative period, and apply modern methods for diagnosing and treating postoperative complications in order to provide personalized medical care. ","PeriodicalId":108755,"journal":{"name":"Grekov's Bulletin of Surgery","volume":"47 16","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140731880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Commentary on the article by S. V. Petrov et al. «Simultaneous replacement of the aortic valve and hip joint in a patient with critical aortic stenosis and femoral neck fracture»","authors":"Yu. S. Polushin","doi":"10.24884/0042-4625-2023-182-4-51-52","DOIUrl":"https://doi.org/10.24884/0042-4625-2023-182-4-51-52","url":null,"abstract":"<jats:p>.</jats:p>","PeriodicalId":108755,"journal":{"name":"Grekov's Bulletin of Surgery","volume":"15 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140727821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Academician Yuri Fedorovich Isakov (1923–2016) (on the 100th anniversary of his birth)","authors":"A. A. Kurygin, V. V. Semenov, V. S. Dovganyuk","doi":"10.24884/0042-4625-2023-182-4-7-11","DOIUrl":"https://doi.org/10.24884/0042-4625-2023-182-4-7-11","url":null,"abstract":"Outstanding pediatric surgeon, scientist, teacher and health care organizer, founder of a large school of pediatric surgeons, Honored Scientist of the RSFSR (1973), academician of the USSR Academy of Medical Sciences (1975) and the Russian Academy of Sciences (2013), vice-president of the Russian Academy of Medical Sciences (1989–2001), laureate of two State USSR Prizes (1979, 1985) and the State Prize of the Russian Federation (1999), Chief Pediatric Surgeon of the USSR Ministry of Health (1966–1981) and the Russian Ministry of Health (1992–2005), Deputy Minister of Health of the USSR (1981–1987), Professor Yuri Fedorovich Isakov was born on June28, 1923 in Kovrov, Vladimir region. In 1966, he was elected head of the department of surgical diseases of childhood at the 2nd Moscow Medical Institute named after N. I. Pirogov and led it for 40 years. The surgical and scientific activities of Yuri Fedorovich were distinguished by a very wide range of areas. On the problems of thoracic surgery, extensive experience has been accumulated in the treatment of children with diseases and malformations of the neck, chest, lungs, mediastinum, and esophagus. Many diverse research works have been carried out on topical issues of abdominal surgery. Yu. F. Isakov made a very large contribution to the development of endovideosurgery in children. The clinic became one of the first in the country to create a specialized endovideosurgical service. Under the leadership of Yuri Fedorovich and with his direct participation, pediatric nephrurology and vascular surgery quickly developed, scientific research was conducted on topical issues of combined trauma of the musculoskeletal system, an anesthesiology, resuscitation and intensive care service was organized in the clinic, fundamental research was carried out on the problem of pain management in children surgery. Yu. F. Isakov was the author and co-author of more than 500 scientific works, including 23 monographs and manuals, 7 textbooks and teaching aids. At the department headed by Yuri Fedorovich, 390 dissertations were defended, including 67 doctoral dissertations. Academician Yuri Fedorovich Isakov died on August 4, 2016 and was buried at the Troekurovskoye cemetery in Moscow.","PeriodicalId":108755,"journal":{"name":"Grekov's Bulletin of Surgery","volume":"55 21","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140733497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Academician Mstislav Vasilievich Volkov (1923–2001) (on the 100th anniversary of his birth)","authors":"A. A. Kurygin, V. V. Semenov","doi":"10.24884/0042-4625-2023-182-3-7-10","DOIUrl":"https://doi.org/10.24884/0042-4625-2023-182-3-7-10","url":null,"abstract":"Outstanding traumatologist-orthopedist, scientist, teacher and health care organizer, founder of a large school of traumatologists and pediatric orthopedists, academician of the USSR Academy of Medical Sciences and the Russian Academy of Medical Sciences, vice-president of the USSR Academy of Medical Sciences, chief traumatologist and chairman of the Academic Council of the USSR Ministry of Health, Honored Scientist of the RSFSR, laureate of the USSR State Prize, Professor Mstislav Vasilievich Volkov was born on June 1, 1923 in Vladivostok. In 1940, he entered the 2nd Moscow Medical Institute, at the beginning of the Great Patriotic War, he joined the people’s militia, served as a signalman, and after demobilization in 1945, he continued his studies at the Institute, after which he studied in a clinical residency, and then in graduate school at the Department of Pediatric Surgery and Orthopedics under the direction of Professor S. D. Ternovsky. In 1952, he defended his candidate’s thesis «Peculiarities of amputation limb stump in children», and in 1961 – his doctoral thesis «Tumors and dysplasia of bones in children». From 1961 to 1984, M. V. Volkov headed the Central Institute of Traumatology and Orthopedics named after N. N. Priorov and at the same time headed the Clinic of pediatric bone pathology and adolescent orthopedics of this Institute. Mstislav Vasilievich made a huge contribution to the development of traumatology and orthopedics. Under his leadership, 48 doctoral and 50 candidate dissertations were prepared, in which the most pressing problems and numerous specific issues of traumatology, adult and pediatric orthopedics were studied. The results of these studies have become widespread in the practical activities of specialized hospitals in the Soviet Union. M. V. Volkov was the author and co-author of 33 inventions. The Volkov-Oganesyan repositioning-compression and hinge-distraction devices have received the greatest popularity and widespread implementation in practice. For 18 years, Mstislav Vasilievich was the chief traumatologist-orthopedist of the USSR Ministry of Health. He has published over 350 scientific papers, 17 monographs and manuals, many of which have been translated into English, French and German. Academician M. V. Volkov died on December 11, 2001 and was buried at the Vostryakovskoye cemetery in Moscow.","PeriodicalId":108755,"journal":{"name":"Grekov's Bulletin of Surgery","volume":" 39","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139787580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Proceedings of the Pirogov Surgical Societies № 2575–2578","authors":"A. Editorial","doi":"10.24884/0042-4625-2023-182-3-83-92","DOIUrl":"https://doi.org/10.24884/0042-4625-2023-182-3-83-92","url":null,"abstract":"<jats:p>.</jats:p>","PeriodicalId":108755,"journal":{"name":"Grekov's Bulletin of Surgery","volume":"180 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139849857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Academician Mstislav Vasilievich Volkov (1923–2001) (on the 100th anniversary of his birth)","authors":"A. A. Kurygin, V. V. Semenov","doi":"10.24884/0042-4625-2023-182-3-7-10","DOIUrl":"https://doi.org/10.24884/0042-4625-2023-182-3-7-10","url":null,"abstract":"Outstanding traumatologist-orthopedist, scientist, teacher and health care organizer, founder of a large school of traumatologists and pediatric orthopedists, academician of the USSR Academy of Medical Sciences and the Russian Academy of Medical Sciences, vice-president of the USSR Academy of Medical Sciences, chief traumatologist and chairman of the Academic Council of the USSR Ministry of Health, Honored Scientist of the RSFSR, laureate of the USSR State Prize, Professor Mstislav Vasilievich Volkov was born on June 1, 1923 in Vladivostok. In 1940, he entered the 2nd Moscow Medical Institute, at the beginning of the Great Patriotic War, he joined the people’s militia, served as a signalman, and after demobilization in 1945, he continued his studies at the Institute, after which he studied in a clinical residency, and then in graduate school at the Department of Pediatric Surgery and Orthopedics under the direction of Professor S. D. Ternovsky. In 1952, he defended his candidate’s thesis «Peculiarities of amputation limb stump in children», and in 1961 – his doctoral thesis «Tumors and dysplasia of bones in children». From 1961 to 1984, M. V. Volkov headed the Central Institute of Traumatology and Orthopedics named after N. N. Priorov and at the same time headed the Clinic of pediatric bone pathology and adolescent orthopedics of this Institute. Mstislav Vasilievich made a huge contribution to the development of traumatology and orthopedics. Under his leadership, 48 doctoral and 50 candidate dissertations were prepared, in which the most pressing problems and numerous specific issues of traumatology, adult and pediatric orthopedics were studied. The results of these studies have become widespread in the practical activities of specialized hospitals in the Soviet Union. M. V. Volkov was the author and co-author of 33 inventions. The Volkov-Oganesyan repositioning-compression and hinge-distraction devices have received the greatest popularity and widespread implementation in practice. For 18 years, Mstislav Vasilievich was the chief traumatologist-orthopedist of the USSR Ministry of Health. He has published over 350 scientific papers, 17 monographs and manuals, many of which have been translated into English, French and German. Academician M. V. Volkov died on December 11, 2001 and was buried at the Vostryakovskoye cemetery in Moscow.","PeriodicalId":108755,"journal":{"name":"Grekov's Bulletin of Surgery","volume":"88 1-2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139847450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Proceedings of the Pirogov Surgical Societies № 2575–2578","authors":"A. Editorial","doi":"10.24884/0042-4625-2023-182-3-83-92","DOIUrl":"https://doi.org/10.24884/0042-4625-2023-182-3-83-92","url":null,"abstract":"<jats:p>.</jats:p>","PeriodicalId":108755,"journal":{"name":"Grekov's Bulletin of Surgery","volume":" 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139789769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}