Klinicheskaia khirurgiia最新文献

Surgery on the war – actual issues of the surgical help delivery in a military time. Theses of reports 战争上的外科手术——军事时期外科手术帮助交付的实际问题。报告提纲

Klinicheskaia khirurgiia Pub Date : 2022-12-30 DOI: 10.26779/2522-1396.2022.11-12.67

E. Board

引用次数: 0

Morphological characteristics of venous angiodysplasia of the face and scalp 面部及头皮静脉血管发育不全的形态学特征

Klinicheskaia khirurgiia Pub Date : 2022-12-30 DOI: 10.26779/2522-1396.2022.11-12.19

O. A. Hyndych, V. A. Kropelnytskyi

引用次数: 0

Methodology of the physicians education on the studying cycles of the Department of Combustiology and Plastic Surgery in modern environment 现代环境下燃烧与整形外科医师学习周期教育的方法学

Klinicheskaia khirurgiia Pub Date : 2022-12-30 DOI: 10.26779/2522-1396.2022.11-12.37

G. P. Kozynets, O. Zhernov, V. P. Tsygankov, V. Shendryk

引用次数: 0

Organ–preserving operations for the gun–shot thoraco–abdominal and abdominal woundings with splenic injuries 胸腹及腹部枪伤伴脾损伤的器官保存手术

Klinicheskaia khirurgiia Pub Date : 2022-12-30 DOI: 10.26779/2522-1396.2022.11-12.05

I. Lurin, E. Khoroshun, V. V. Makarov, V. Nehoduiko, S. Shipilov, Y. Bunin, R. Saliutin

{"title":"Organ–preserving operations for the gun–shot thoraco–abdominal and abdominal woundings with splenic injuries","authors":"I. Lurin, E. Khoroshun, V. V. Makarov, V. Nehoduiko, S. Shipilov, Y. Bunin, R. Saliutin","doi":"10.26779/2522-1396.2022.11-12.05","DOIUrl":"https://doi.org/10.26779/2522-1396.2022.11-12.05","url":null,"abstract":"Objective.To determine the expediency of the spleen–preserving operations performance for its injury due to gun–shot thoraco–abdominal and abdominal woundings. \u0000Materials and methods. Of 51wounded persons with the gun–shot penetrating abdominal woundings with splenic injuries 8 (15.7%) were operated on the II level of the medical help delivery, while on the ІІІ level – 43 (84.3%). Of 43 wounded persons, operated on the ІІІ level of the medical help delivery, in 35 (81.4%) splenectomy was performed, while in 8 (18.6%) – the organ–preserving operations. All the splenic injuries have been characterized as a shrapnel woundings. The splenic damage degree was estimated in accordance to Moore, taking into account its structure. In 5 (62.5%) wounded persons the open laparotomy organ–preserving operations were performed, and while using video–laparoscopic system– in 3 (37.5%). \u0000Results. Ultrasonographic investigation in accordance to the FAST–protocol was done in all the wounded persons, what have permitted to determine the blood abdominal outpouring volume as well as the splenic injury presence. The affection volume and further tactics were determined using video–laparoscopy. The Stage I splenic affection in accordance to Moore was diagnosed in 4 (50%) wounded persons, the Stage ІІ – in 3 (37.5%), and the Stage ІІІ – in 1 (12.5%). In all the patients, in whom organ–preserving interventions were performed, the surgical help volume consisted of coagulation, using the radiofrequency therapy apparatus MEDTRONICAEX and the hemostatic sponge application with drainage of the left subdiaphragmatic space, using silicone tube. \u0000Conclusion. Organ–preserving operations in splenic injury are expedient to be performed on ІІІ level of the medical help delivery, while presence of local conditions, such as the organ injury degrees І and ІІ,determined in accordance to Moore, as well as adequate time and equipment.","PeriodicalId":17876,"journal":{"name":"Klinicheskaia khirurgiia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91477580","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}

引用次数: 0

Diagnostic biopsy of sentinel lymph nodes in mammary gland cancer 乳腺前哨淋巴结的诊断活检

Klinicheskaia khirurgiia Pub Date : 2022-12-30 DOI: 10.26779/2522-1396.2022.11-12.23

R. Nikitenko, E. Koichev, S. P. Degtyarenko

{"title":"Diagnostic biopsy of sentinel lymph nodes in mammary gland cancer","authors":"R. Nikitenko, E. Koichev, S. P. Degtyarenko","doi":"10.26779/2522-1396.2022.11-12.23","DOIUrl":"https://doi.org/10.26779/2522-1396.2022.11-12.23","url":null,"abstract":"Objective.To improve the diagnostic biopsy of sentinel lymph nodes in patients, suffering mammary gland cancer, using fluorescent lymphography, and to reduce the quantity of postoperative complications. \u0000Materials and methods. In 2016 – 2021yrs period on the base of Odessa Regional Clinical Hospital 400 patients, suffering mammary gland cancer Stages Т1–Т3N0М0, were operated on with application of fluorescent lymphography, using two dyers – the patent blue and indocyanine green. All the patients were distributed into two groups. In Group I (a control one) in 200 patients the sentinel lymph nodes biopsy was performed. The dyer patent blue was applied for the lymph nodes coloring.In Group II (the main) in 200 women–patients the sentinel lymph nodes biopsy, using the patent blue and fluorescent dyer indocyanine green, was performed. Both dyers were injected subdermally along the external areolar edge in the dose 2 ml of the dyer solution. \u0000Results. Total 5–year survival after axillary lymphodissection and after the sentinel lymph node biopsy have constituted 91and 92%, accordingly, while the recurrence–free 5–year survival – 82.2 and 83.9%, accordingly. Regional recurrence in sentinel lymph nodes on the affected mammary gland side was diagnosed in 1.1% of the women–patients. In 58% of the women–patients the sentinel lymph nodes were clear, and that’s why a subsequent lymphodissection was not indicated to perform. Metastatic lymph nodes were revealed in 42% of the women–patients. \u0000Conclusion. The method of diagnostic biopsy of sentinel lymph nodes in patients, suffering mammary gland cancer, using dyers, permits in majority of them to abandon traumatic operations in favor of organ–preserving interventions, thus reducing the postoperative complications rate significantly.","PeriodicalId":17876,"journal":{"name":"Klinicheskaia khirurgiia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90588123","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}

引用次数: 0

Clinical observation of benign metastatic leyomyoma 良性转移性肌瘤的临床观察

Klinicheskaia khirurgiia Pub Date : 2022-12-30 DOI: 10.26779/2522-1396.2022.11-12.61

I. Gladchuk, O. S. Salekh

引用次数: 0

Clinico–anatomical characteristic of the traffic trauma in the megapolis environment.Second report: anatomical verification of injuries 大城市交通创伤的临床解剖学特征。第二份报告:解剖鉴定损伤

Klinicheskaia khirurgiia Pub Date : 2022-12-30 DOI: 10.26779/2522-1396.2022.11-12.28

Гур єв, А. Кушнір, О. С. Соловйов, S. O. Guryev, V. A. Kushnir, O. Solovyov

{"title":"Clinico–anatomical characteristic of the traffic trauma in the megapolis environment.Second report: anatomical verification of injuries","authors":"Гур єв, А. Кушнір, О. С. Соловйов, S. O. Guryev, V. A. Kushnir, O. Solovyov","doi":"10.26779/2522-1396.2022.11-12.28","DOIUrl":"https://doi.org/10.26779/2522-1396.2022.11-12.28","url":null,"abstract":"Objective.Verification of clinic–anatomical characteristics of trauma as a consequence of traffic accident in the megapolis environment. \u0000Materials and methods. Retrospective analysis of the data obtained was conducted in 1159 injured persons, who were traumatized as a consequence of a traffic accident in megapolis. \u0000Results.There was established, that as a result of traffic accident in the megapolis environment, the injured persons most frequently obtained trauma of the head – 68.31%, of thoracic cage – 57.07%, and of the extremities – 53.99%. The majority of the injured persons survived have had the trauma of the head (67.13%), of the thoracic cage (55.74%) and extremities (53.63%), while mostly rare – pelvic trauma (15.70%). Among the injured persons, who died, the head injuries was noted in 94.0%, thoracic trauma – in 86.0%, and abdominal injuries – in 76.0%. \u0000Conclusion.Trauma as a consequence of traffic accident in the megapolis environment constitutes a multicomponent injury (2.4 damages in every injured person). The result of the traumatic process course depends on the injury composition (in the injured persons survived, the combination coefficient was 2.3, while in the dead – 3.8) and on damage of a certain anatomic–functional local site.The head, thoracic and pelvic sites have constituted the most dangerous localizations.","PeriodicalId":17876,"journal":{"name":"Klinicheskaia khirurgiia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87447000","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}

引用次数: 2

Parenchyma–preserving hepatic resection in treatment of metastatic colorectal cancer: analysis of the literature data and of own experience accumulated 保实质肝切除治疗转移性结直肠癌:文献资料分析及自身经验积累

Klinicheskaia khirurgiia Pub Date : 2022-12-30 DOI: 10.26779/2522-1396.2022.11-12.40

O. Usenko, A. A. Skums, T. A. Yusupov

引用次数: 0

Experience of the trauma operative treatment of the lower extremities main vessels in the work injuries 工伤后下肢主血管创伤手术治疗体会

Klinicheskaia khirurgiia Pub Date : 2022-12-30 DOI: 10.26779/2522-1396.2022.11-12.14

P. Nikulnikov, V. Pichka, O. Kashyrova

{"title":"Experience of the trauma operative treatment of the lower extremities main vessels in the work injuries","authors":"P. Nikulnikov, V. Pichka, O. Kashyrova","doi":"10.26779/2522-1396.2022.11-12.14","DOIUrl":"https://doi.org/10.26779/2522-1396.2022.11-12.14","url":null,"abstract":"Objective. The structure of combined osseous–vascular work injury of the lower extremities was studied, and the results of its operative treatment analyzed retrospectively. \u0000Materials and methods. The data concerning 147 patients with combined osseous–vascular work trauma of the lower extremities were analyzed. All the patients managed were from 19 to 48 yrs old, and their average age constituted 30.2 yrs old. The mine trauma with injuries of femoral and/or the shin bones and a. poplitea prevailed – in 129 (87.8%) and 116 (78.9%) observations, accordingly. There were performed 92 two–staged interventions in a common operative team with traumatologists. \u0000Results. Positive result of operative treatment was noted in 73 (79.3%) patients. The time span between the trauma moment and the operation beginning in this group of the patients have constituted from 2 to 5 h, while the degree of an acute arterial ischemia in accordance to V. S. Savelyev (1973) were signed as IIa–IIb. The operation duration have constituted from 3 to 4 h. All the patients have had a combined shock Degree II. The preoperative blood loss volume has been ranged from 1 to 2.5 l. The a. poplitea injury have had prevailed and occurred in 43 (58.9%) patients. In 6 (6.5%) patients after reconstructive intervention the extremity amputation was performed. \u0000Conclusion. Mostly favorable result was obtained in the injured persons, who were delivered early (upto 2 h) to specialized stationaries with conduction of preoperative antishock therapy.","PeriodicalId":17876,"journal":{"name":"Klinicheskaia khirurgiia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86044766","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}

引用次数: 0

Massive small intestinal into large bowel tumoral invagination 大量小肠肿瘤向大肠内陷

Klinicheskaia khirurgiia Pub Date : 2022-12-30 DOI: 10.26779/2522-1396.2022.11-12.64

S. M. Zavgorodniy, M. Danylyuk, A. Rylov, Ya. V. Sumyk

引用次数: 0