Klinicheskaia khirurgiia最新文献_第5页

Modern tactics for acute variceal bleeding in liver cirrhosis (Baveno VII guidelines) 肝硬化急性静脉曲张出血的现代治疗策略(Baveno VII指南)

Klinicheskaia khirurgiia Pub Date : 2022-12-14 DOI: 10.26779/2522-1396.2022.3-4.87

S. Chooklin, S. Chuklin

引用次数: 0

Clinic-morphological substantiation of the parahernial tissues excision in hernio-abdominoplasty in patients with ventral obesity 腹侧肥胖疝腹成形术中疝旁组织切除的临床形态学证实

Klinicheskaia khirurgiia Pub Date : 2022-12-14 DOI: 10.26779/2522-1396.2022.3-4.40

A. Kot

{"title":"Clinic-morphological substantiation of the parahernial tissues excision in hernio-abdominoplasty in patients with ventral obesity","authors":"A. Kot","doi":"10.26779/2522-1396.2022.3-4.40","DOIUrl":"https://doi.org/10.26779/2522-1396.2022.3-4.40","url":null,"abstract":"Objective. To formulate clinic-morphological substantiation for application of calculated excision of excessive and pathologically changed parahernial tissues together with performance of improved abdominoplasty in surgical interventions in patients with hernias in conditions of ventral obesity. \u0000Materials and methods. The investigation is based on data of paraoperative examinations and own results of surgical treatment of 58 herniological patients. Rational methods of their operating are substantiated by patho- and morphometric characteristics, determined in accordance to the observed dimensions of ventral hernia deformation, and content of the fat-containing, fibrous-cicatricial and inflammatory-pathological components in it. \u0000Results. The program set «Statistica 6.1» was applied for elaboration of the results obtained. In accordance to own algorithm of the ventro- and sonometric investigations there was established, that the parahernial tissues extras in the patients with external hernias are localized and originated supraaponeurotically. \u0000Preoperative considerations concerning determination of optimal volumes of conduction of dermo- and fibro-lipectomies, performed before hernio-abdominoplasties on various hernias with signs of ventral obesity, have permitted to prevent the local purulent-inflammatory complications and to improve the indices of quality of life in the patient operated on. \u0000Conclusion. Application of the «with no surpluses» operating principle constitute a practical base for improvement of reconstructive-plastic interventions results in external abdominal hernias and a real component of the problem decision in medic-social and esthetic rehabilitation of herniological patients with obesity.","PeriodicalId":17876,"journal":{"name":"Klinicheskaia khirurgiia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86933785","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

Surgical treatment of mitral stenosis, complicated by massive thrombosis of the left atrium: stationary stage 二尖瓣狭窄合并左心房大量血栓形成的手术治疗:静止期

Klinicheskaia khirurgiia Pub Date : 2022-10-23 DOI: 10.26779/2522-1396.2022.9-10.10

V. Popov, O. Bolshak, V. Boukarim, О. M. Gurtovenko, O. M. Trembovetska

{"title":"Surgical treatment of mitral stenosis, complicated by massive thrombosis of the left atrium: stationary stage","authors":"V. Popov, O. Bolshak, V. Boukarim, О. M. Gurtovenko, O. M. Trembovetska","doi":"10.26779/2522-1396.2022.9-10.10","DOIUrl":"https://doi.org/10.26779/2522-1396.2022.9-10.10","url":null,"abstract":"Objective. Elaboration of the correction methodology of mitral stenosis, complicated by massive thrombosis of left atrium, for improvement of immediate and late results of surgical treatment of this pathology. \u0000Materials and methods. Into the group analyzed 344 patients with mitral stenosis, complicated by massive thrombosis of left atrium, operated in Amosov National Institute of Cardiovascular Surgery in a period from 1 January 1984 yr to 1 January 2019 yr, were incorporated. In all the patients surgical correction of mitral stenosis and thrombectomy from left atrium was performed. In 161 (46.8%) patients a radical removal of thrombotic mass together with their base–lining was performed, while in 183 (53.2%) – without it. In 256 (74.4%) patients the left atrium auricle was ligated or resected, while in 88 (25.6%) – left intact. \u0000Results. The hospital lethality index have had directly proportionally raised with enhancement of degree of the left ventricle auricle: I – 0%, II – 3.9%, III – 5.1% (p<0.05). In a general group during all period of the investigation a directly proportional dependence of index of hospital lethality due to lethal thromboembolic complications on degree of massive thrombosis of the left atrium auricle was observed: I – 0.0%, II – 3.5%, III – 5.2% (p<0.05). Best indices of hospital lethality were achieved in radical removal of thrombi together with their base–lining with ligature or resection of the left atrium auricle as a possible origin of thrombi creation. \u0000Conclusion. While doing surgical correction in patients with massive thrombosis of left atrium it is important to remove the thrombotic base–lining and to ligate or resect the left atrium auricle, what significantly lowers the risk of hospital lethality, thromboembolic complications on stationary stage of treatment.","PeriodicalId":17876,"journal":{"name":"Klinicheskaia khirurgiia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72609628","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 nonoperated polydactylia of right hand 非手术性右手多指畸形临床观察

Klinicheskaia khirurgiia Pub Date : 2022-10-23 DOI: 10.26779/2522-1396.2022.9-10.38

V. Kavyn

引用次数: 0

Algorithm of surgical treatment of postoperative peritonitis 术后腹膜炎的外科治疗方法

Klinicheskaia khirurgiia Pub Date : 2022-10-23 DOI: 10.26779/2522-1396.2022.9-10.17

I. Shevchuk, M. Droniak, V. Droniak

{"title":"Algorithm of surgical treatment of postoperative peritonitis","authors":"I. Shevchuk, M. Droniak, V. Droniak","doi":"10.26779/2522-1396.2022.9-10.17","DOIUrl":"https://doi.org/10.26779/2522-1396.2022.9-10.17","url":null,"abstract":"Objective. To improve the results of surgical treatment in patients with postoperative peritonitis, using the certain algorithm proposed. \u0000Materials and methods. Prospective investigation was conducted on 244 patients, suffering postoperative peritonitis (the main group). In accordance to the peritoneal affection size the restricted postoperative peritonitis was present in 125 (51.2%) patients, and the extended one – in 119 (48.8%). Retrospective investigation consisted of studying of 212 cards of stationary patients, operated for postoperative peritonitis (the control group). \u0000Results. Miniinvasive operative reinterventions were done in 114 (46.7%) patients, suffering postoperative peritonitis, of them in 55 (48.2%) laparoscopic sanation and drainage of the peritoneal cavity abscess was used. In 19 (55.9%) of 34 patients with postoperative peritonitis in the interloop abscesses a laparoscopic sanation and drainage of the abscess were performed. Open operative interventions were performed in 130 (53.3%) patients. \u0000Conclusion. Application of the elaborated algorithm of the postoperative peritonitis surgical treatment have permitted to reduce the patients stationary stay from (14.2 ± 1.6) bed–days (control group) to (10.6 ± 1.2) bed–days (main group) and to reduce the lethality level from 31.6% (control group) to 18.4% (the main group).","PeriodicalId":17876,"journal":{"name":"Klinicheskaia khirurgiia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73113946","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

Clinic–anatomical characteristic of the traffic–transport trauma in the megapolis environment First communication: the damage volume 大城市环境中交通运输创伤的临床解剖学特征

Klinicheskaia khirurgiia Pub Date : 2022-10-23 DOI: 10.26779/2522-1396.2022.9-10.29

S. O. Guryev, V. A. Kushnir

{"title":"Clinic–anatomical characteristic of the traffic–transport trauma in the megapolis environment First communication: the damage volume","authors":"S. O. Guryev, V. A. Kushnir","doi":"10.26779/2522-1396.2022.9-10.29","DOIUrl":"https://doi.org/10.26779/2522-1396.2022.9-10.29","url":null,"abstract":"Objective. To determine the damage volume as a significant component of clinical–anatomical characteristic of traumas in the injured persons, who have obtained the trauma as a consequence of the traffic–transport accidents in the megapolis environment. \u0000Materials and methods. Retrospective analysis of data, concerning 1139 injured persons, who have got trauma as a consequence of the traffic–transport accidents in the City of Kyiv in the period 2019–2020 yrs. \u0000Results. There was established, that up to 70% of the injured persons have got a small volume of damage – with injuries of up to three anatomic–functional sites. Only 9% of such injured persons have got a big volume of trauma. The trauma volume have impacted the result of the traumatic process course with the discovered tendency for enhancement of part of the injured persons, obtaining negative result as a consequence of the trauma volume enhancement. \u0000Conclusion. Among the traumas, which were got by the injured persons as a consequence of the traffic–transport accidents in the megapolis environment, the restricted by volume trauma prevails – up to 75.42%. Injuries of four anatomic–functional sites as a consequence of the traffic–transport accidents constitute a critical volume of the damage obtained for these category of injured persons. The damage volume in the injured persons, who were traumatized due to the traffic–transport accidents depends immediately upon such factor as «the taking part in the injured person movement», while the biggest influence have demonstrated the factor of «taking part in the pedestrian movement». The factor, named as a «taking part in movement of the injured person» impacts immediately the result of the traumatic process course in any volume of the damage, and this influence is enhancing with the damage volume enhanced.","PeriodicalId":17876,"journal":{"name":"Klinicheskaia khirurgiia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72952099","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: 4

Resectional–plastic approaches in treatment of chronic nonlactatonal mastitis 切除整形入路治疗慢性非哺乳期乳腺炎

Klinicheskaia khirurgiia Pub Date : 2022-10-23 DOI: 10.26779/2522-1396.2022.9-10.34

I. V. Mykhalchishina, O. O. Deneka

引用次数: 0

Treatment of chronic pulmonary abscesses with application of miniinvasive electrosurgical technologies 微创电外科技术在慢性肺脓肿治疗中的应用

Klinicheskaia khirurgiia Pub Date : 2022-10-23 DOI: 10.26779/2522-1396.2022.9-10.03

V. Boyko, A. Serenko, D. Minukhin, V. H. Hroma, D. Yevtushenko, P. Korzh

{"title":"Treatment of chronic pulmonary abscesses with application of miniinvasive electrosurgical technologies","authors":"V. Boyko, A. Serenko, D. Minukhin, V. H. Hroma, D. Yevtushenko, P. Korzh","doi":"10.26779/2522-1396.2022.9-10.03","DOIUrl":"https://doi.org/10.26779/2522-1396.2022.9-10.03","url":null,"abstract":"Objective. To raise the efficacy of surgical treatment in patients, suffering chronic pulmonary abscesses, using miniinvasive electro–surgical technologies. \u0000Materials and methods. A single centre randomized controlled retro– and prospective investigation, which is based on analysis of the surgical treatment results in 78 patients, suffering chronic pulmonary abscesses, operated on base of the Zaytsev Institute of General and Urgent Surgery (Kharkiv) in a period from 2011 to 2021 yr. \u0000Results. Analysis of data of conducted dynamical instrumental control for efficacy in two different methods of treatment in patients, suffering chronic pulmonary abscesses, proves the enhanced efficacy of the treatment program proposed over the standard tactics. \u0000Conclusion. The methods of surgical interventions elaborated have permitted to impact in a positive and essential way the endogenous intoxication indices, to escape the resections performance, to lower the postoperative morbidity quantity, to prevent the adjacent organs injuries, to shorten a duration of clinical and social–labor rehabilitation of patients with achievement of stable positive effect.","PeriodicalId":17876,"journal":{"name":"Klinicheskaia khirurgiia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80391933","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

Surgical management of thyroid disease Clinical and practical recommendations 甲状腺疾病的外科治疗临床与实用建议

Klinicheskaia khirurgiia Pub Date : 2022-10-23 DOI: 10.26779/2522-1396.2022.9-10.41

O. Usenko, I. Khomenko, A. Kovalenko, I. P. Halochka, S. A. Andreieshchev, R. Saliutin, A. Varga, M. Bobryk

引用次数: 2

The enzymal substantiation of lymphotropic antibacterial therapy in an acute pancreatitis 急性胰腺炎嗜淋巴性抗菌治疗的酶证实

Klinicheskaia khirurgiia Pub Date : 2022-10-23 DOI: 10.26779/2522-1396.2022.9-10.22

I. Duzhyi, M. Kononenko, O. Sytnik, V. Shimko, O. Kravets, I. Medvedieva

{"title":"The enzymal substantiation of lymphotropic antibacterial therapy in an acute pancreatitis","authors":"I. Duzhyi, M. Kononenko, O. Sytnik, V. Shimko, O. Kravets, I. Medvedieva","doi":"10.26779/2522-1396.2022.9-10.22","DOIUrl":"https://doi.org/10.26779/2522-1396.2022.9-10.22","url":null,"abstract":"Objective. To study the impact of antibacterial therapy on level of proteolytic enzymes on example of the neutrophils elastase, and clinical course of an acute pancreatitis. \u0000Materials and methods. There were investigated two groups of patients: in the main group (n=83) antibiotics were introduced by lymphotropic method, while in a control group (n=85) – in accordance to standard method. The content of the neutrophils elastase was determined in admittance day after 5 days of treatment. \u0000Results. In admittance to hospital the enzyme level in patients of both groups did not differ. After 5 days of antibacterial therapy the neutrophils elastase quantity have been reduced more after conduction of lymphotropic therapy than after the standard one. Reduction of level of the neutrophil elastase «deflected» have promoted the reduction of the pancreonecrosis infectioning, leading to reduction in the operative interventions quantity performed in the main group of patients (lymphotropic antibacterial therapy) in 2.1 times as well as their reconvalescence. \u0000Conclusion. Positive impact of lymphotropic antibacterial therapy towards «deflection» of proteolytic enzymes in the blood and on the acute pancreatitis course accordingly shows the reasons to recommend its application in this disease as an alternative to standard method.","PeriodicalId":17876,"journal":{"name":"Klinicheskaia khirurgiia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87963815","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