BULLETIN OF SURGERY IN KAZAKHSTAN最新文献_第6页

TETRALOGY OF FALLOT: MODERN DATA. REVIEW OF LITERATURE 法洛四联症:现代资料。文献综述

BULLETIN OF SURGERY IN KAZAKHSTAN Pub Date : 2022-07-01 DOI: 10.35805/bsk2022ii026

I. Sagatov, A. V. Sapunov

引用次数: 0

PHYSICIAN MODIFIED ENDOVASCULAR STENT-GRAFT IN PATIENT WITH DISSECTING THORACIC AORTIC ANEURYSM. CASE REPORT 改良血管内支架移植术治疗胸夹层主动脉瘤。病例报告

BULLETIN OF SURGERY IN KAZAKHSTAN Pub Date : 2022-07-01 DOI: 10.35805/bsk2022ii019

A. V. Sapunov, I. Sagatov, B. Ormanov

{"title":"PHYSICIAN MODIFIED ENDOVASCULAR STENT-GRAFT IN PATIENT WITH DISSECTING THORACIC AORTIC ANEURYSM. CASE REPORT","authors":"A. V. Sapunov, I. Sagatov, B. Ormanov","doi":"10.35805/bsk2022ii019","DOIUrl":"https://doi.org/10.35805/bsk2022ii019","url":null,"abstract":"Increasement in the diameter of the thoracic aorta ≥ 50% of the norm of 40 mm in men and 34 mm in women (99 percentile) is considered to be an aneurysmal expansion. The risk of rupture is proportional to the size of the aneurysm and is associated with the development of fatal complications. Diagnosis is usually verified by computed tomographic angiography (CTA), magnetic resonance angiography (MRA), or transesophageal echocardiogram. Treatment consists of endovascular stent graft placement or open surgery in combination with optimal medical therapy. The article presents the experience of treating a patient with a dissecting aneurysm of the thoracic aorta type IIIB according to DeBakey using a stent graft modified by a doctor “on table” by forming a fenestration modeled after the anatomy of the left subclavian artery orifice. The aim of the work was to evaluate the short-term and medium-term results and prognosis of treatment using the technique of endovascular prosthesis with a modified graft. Such modifications on the table or in situ make it possible to model the prosthesis according to the variant of the anatomy of a particular patient, which allows optimizing the apposition of the prosthesis, eliminating additional stages of complex surgical treatment, reducing the undesirable effects of standard approaches, including preliminary endovascular occlusion of the left subclavian artery and/or the formation of a carotid-subclavian shunt, reduce the time of stationary observation. The use of the described technique will reduce the radicalness of surgical treatment of patients with dissecting aneurysms and increase economic efficiency. This technique is a promising direction in the development of endovascular and surgery and requires further study to assess long-term results and prognosis in a large number of patients.","PeriodicalId":197118,"journal":{"name":"BULLETIN OF SURGERY IN KAZAKHSTAN","volume":"63 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131603097","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: 1

THE RESULTS OF SURGICAL TREATMENT IN THE CONSEQUENCES OF INJURIES OF THE TENDONS OF THE HAND 手术治疗的结果是手部肌腱损伤的后果

BULLETIN OF SURGERY IN KAZAKHSTAN Pub Date : 2022-07-01 DOI: 10.35805/bsk2022ii010

K. Kazantayev, Y. Nabiev, M. Muradov, K. Muhamedkerim

{"title":"THE RESULTS OF SURGICAL TREATMENT IN THE CONSEQUENCES OF INJURIES OF THE TENDONS OF THE HAND","authors":"K. Kazantayev, Y. Nabiev, M. Muradov, K. Muhamedkerim","doi":"10.35805/bsk2022ii010","DOIUrl":"https://doi.org/10.35805/bsk2022ii010","url":null,"abstract":"Objective. Assessment of long-term results of surgical treatment of closed ruptures of the extensor tendons of the hand according to the method used in the clinic of JSC National Scientific Center for Surgery named after A.N. Syzganov (Innovation patent number: 19373). Material and methods. From 2020 to 2022, 149 patients were operated on the basis of the “A.N. Syzganov National Scientific Center of Surgery” JSC. The age of patients ranged from 17 to 68 (mean age 36±12) years, men were 84 (57%), women – 65 (43%), 115 patients had fresh damage, 34 patients had long–standing damage to the extensor tendons of the hand in the I-zone. 87 people had an injury on the right hand, 62 on the left. Results. According to the criterion of distal phalanx extension deficiency (V. I. Rozov), only 13 (46.5%) patients had excellent results: complete flexion – 25 distal phalanx extension. In 15 (53.5%) cases, there were poor results: a deficit of distal phalanx extension from 7 to 32°. According to the results of the DASH questionnaire, the situation is somewhat better: 21.3% ±5. Conclusion. In this article, it is possible to use the improved Cuneo tendon suture. In 149 patients with tendon injuries with reflectors, we received the award of the proposed suture. The use of a modified tendon suture makes it possible to increase the surface slip in the observation zone, which opens the exit of the tendon through the bone-fibrous canal and the significant trauma of the surgical operation and the duration of the operation.","PeriodicalId":197118,"journal":{"name":"BULLETIN OF SURGERY IN KAZAKHSTAN","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127950714","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

NEW IN THE CLASSIFICATION OF PANCREATIC EPITHELIAL TUMORS (WHO, 2019, 5TH EDITION) 胰腺上皮肿瘤分类新规(who, 2019，第5版)

BULLETIN OF SURGERY IN KAZAKHSTAN Pub Date : 2022-07-01 DOI: 10.35805/bsk2022ii047

V. Grinberg, E. Enin

引用次数: 0

PROBLEMS OF ANTIBIOTIC RESISTANCE IN CHILDREN AFTER LIVER TRANSPLANTATION 儿童肝移植术后抗生素耐药问题

BULLETIN OF SURGERY IN KAZAKHSTAN Pub Date : 2022-07-01 DOI: 10.35805/bsk2022ii037

N. Yerimova, B. Shirtaev, M. Sundetov, D.O. Bogdanova, S. Mukashev, А.М. Anarbayeva

{"title":"PROBLEMS OF ANTIBIOTIC RESISTANCE IN CHILDREN AFTER LIVER TRANSPLANTATION","authors":"N. Yerimova, B. Shirtaev, M. Sundetov, D.O. Bogdanova, S. Mukashev, А.М. Anarbayeva","doi":"10.35805/bsk2022ii037","DOIUrl":"https://doi.org/10.35805/bsk2022ii037","url":null,"abstract":"These days, the “craze” for antibiotics has become like an epidemic and today, antibiotic resistance is a global problem. Objective.To study antibiotic resistance in children before and after surgery. Material and methods: Since March 2016, 32 liver transplants have been performed in children (from 6 months to 8 years). Of these, 23 (78.1%) patients with biliary atresia, 2 (6.2%) with cirrhosis of the liver in the outcome of autoimmune hepatitis, 1 (3.1%) with primary hyperoxaluria, 1 (3.1%) with cholangiocarcinoma, 1 (3,1%), 1 (3,1%) with inoperable hepatoblastoma, 1 (3.1%) cirrhosis of the liver in the outcome of viral hepatitis C . The number of girls was 17 (53.1%) and boys 15 (46.9%). Results:There was a 100% antibiotic intake in the preoperative period.When cross-testing design, 5 (15.6%) children with Klebsiella sepsis and with a fatal outcome were resistant to all groups of antibacterial drugs. Ethical issues: The study was conducted in accordance with the current version of the Declaration of Helsinki, in accordance with the Standard of Good Clinical Practice (GCP) (Appendix 2 to the order of the Acting Minister of Health of the Republic of Kazakhstan dated February 4, 2021 No. RK DSM-15). Conclusion. Antibiotic resistance is a major threat to global health and sustainable development, the principles of which were defined in the 2030 Agenda and the Sustainable Development Goals. It is estimated that, in the absence of effective interventions, the development of antimicrobial resistance could lead to a global death’s will increase by about 10 million cases annually. Growing concerns about antibiotic resistance have led to the adoption of a number of national, regional and global action plans in recent years to raise awareness, promote research and optimize antimicrobial use and access. Global initiatives also highlight the importance of more effective and sustainable investment in technology development and intersectoral action.","PeriodicalId":197118,"journal":{"name":"BULLETIN OF SURGERY IN KAZAKHSTAN","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122988174","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

RETROPERITONEOSCOPIC EXCISION OF SIMPLE KIDNEY CYSTS; ADVANTAGES AND DISADVANTAGES - OUR EXPERIENCE 腹膜后镜下单纯性肾囊肿切除术优点和缺点-我们的经验

BULLETIN OF SURGERY IN KAZAKHSTAN Pub Date : 2022-07-01 DOI: 10.35805/bsk2022ii005

I. Madadov, E. Belgibaev, Zh.M. Syrymov, E. Nabiev, B.G. Rgebaev, N. Saduakas

{"title":"RETROPERITONEOSCOPIC EXCISION OF SIMPLE KIDNEY CYSTS; ADVANTAGES AND DISADVANTAGES - OUR EXPERIENCE","authors":"I. Madadov, E. Belgibaev, Zh.M. Syrymov, E. Nabiev, B.G. Rgebaev, N. Saduakas","doi":"10.35805/bsk2022ii005","DOIUrl":"https://doi.org/10.35805/bsk2022ii005","url":null,"abstract":"bstract Objective. Assess advantages and disadvantages of retroperitoneoscopic access for the resection of renal cysts in clinical practice. Material and methods. For the period from 01/09/2020 tо 30/11/2021, in our center we performed 25 retroperitoneal endoscopic resections of renal cysts. Access was made through Lesgaft-Grunfield triangle. All patients underwent standard clinical evaluation for renal cysts. Results. Retroperitoneal access was performed for all patients by standard technique. All surgeries were finished without conversion to open surgery. Mean duration of surgery was 25,45 ± 2,55 min. Mean intraoperative blood loss was 20,4 ± 0,6 ml. Intra – andpostoperativecomplications, that required extra interventions were not encountered. Meanhospital – instaywas 4,6 ± 0,4 days and patients soon after discharge returned to their daily activities. All patients were under follow-up to 12 months. Conclusion. Retroperitoneal endoscopic access is a good alternative for laparoscopic access for surgical treatment of renal cysts, with less trauma and with no invasion into peritoneal cavity. Timeofrecoveryisthesame aswithlaparoscopy. This technique is also carries good cosmetic effect. One of main advantages is that in this access it is possible to hold high CO2 pressure, that is particularly in patients with ischemic heart disease is undesirable to hold high intraabdominal pressure","PeriodicalId":197118,"journal":{"name":"BULLETIN OF SURGERY IN KAZAKHSTAN","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129189149","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

ENDOVASCULAR EMBOLIZATION OF THE TESTICULAR VEIN DURING VARICOCELE. CLINICAL CASE 精索静脉曲张时睾丸静脉血管内栓塞术。临床病例

BULLETIN OF SURGERY IN KAZAKHSTAN Pub Date : 2022-07-01 DOI: 10.35805/bsk2022ii014

M. Ramazanov, S. Anartaev, A.B. Berkinbay

引用次数: 0

HYPERTROPHIC CARDIOMYOPATHY. LITERATURE REVIEW 肥厚性心肌病。文献综述

BULLETIN OF SURGERY IN KAZAKHSTAN Pub Date : 2022-03-01 DOI: 10.35805/bsk2022i025

I. Sagatov, B. Momynov

{"title":"HYPERTROPHIC CARDIOMYOPATHY. LITERATURE REVIEW","authors":"I. Sagatov, B. Momynov","doi":"10.35805/bsk2022i025","DOIUrl":"https://doi.org/10.35805/bsk2022i025","url":null,"abstract":"Гипертрофическая кардиомиопатия - распространенное наследственное заболевание сердца с неоднородной клинической картиной и естественным анамнезом. Последние достижения в методах диагностики и лечения сыграли важную роль в снижении частоты неблагоприятных клинических проявлений; однако полное устранение внезапной сердечной смерти по-прежнему остается недостижимым достижением. Несмотря на неоднородный клинический профиль и сложную патофизиологию, доступны эффективные стратегии лечения, включая, имплантируемые дефибрилляторы для предотвращения внезапной смерти, медикаментозную и хирургическую миэктомию (или, альтернативно, алкогольную абляцию перегородки) для облегчения обструкции оттока и симптомов сердечной недостаточности. А также фармакологические стратегии (и, возможно, радиочастотная абляция) для контроля фибрилляции предсердий и предотвращения эмболического инсульта. Теперь, по прошествии более чем 50 лет, гипертрофическая кардиомиопатия превратилась из редкого и в значительной степени неизлечимого заболевания в распространенное генетическое заболевание со стратегиями лечения, которые позволяют реалистично стремиться к восстановлению качества жизни и увеличению продолжительности жизни. В этой статье рассматриваются некоторые аспекты этого состояния: эпидемиология, клиника, диагностика и методика хирургического вмешательства. Цель исследования. Оценить эффективность хирургического лечения пациентов с гипертрофической кардиомиопатией. Материал и методы. Этот литературный обзор был выполнен в соответствии с заявлением PRISM. Базы данных, в которых проводился поиск в этом обзоре, включали базы данных Pubmed, Web of Science, Scopus и Cochrane для систематических обзоров. Заключение. Диагноз ГКМП основывается преимущественно на эхокардиографических переменных, включая динамические показатели ЛЖ, ВОЛЖ, распределение увеличенной толщины мышц, механизм и тяжесть МН, а также степень диастолической дисфункции.","PeriodicalId":197118,"journal":{"name":"BULLETIN OF SURGERY IN KAZAKHSTAN","volume":"136 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115035859","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 CONGENITAL PTOSIS OF THE UPPER EYELIDS 先天性上睑下垂的外科治疗

BULLETIN OF SURGERY IN KAZAKHSTAN Pub Date : 2022-03-01 DOI: 10.35805/bsk2022i021

M. Muradov, Y. Nabiev, K. Muhamedkerim, B. Baimakhanov, K. Kazantayev

引用次数: 0

THE USE OF INTRAVENOUS IBUPROFEN IN POSTOPERATIVE PERIOD 术后静脉注射布洛芬的应用

BULLETIN OF SURGERY IN KAZAKHSTAN Pub Date : 2022-03-01 DOI: 10.35805/bsk2022i055

B. Shirtaev, N. Yerimova, M. Sundetov, K. Khalykov, D. Kurbanov, A. Akhbetova, S. Akilbekov, S. Mukashev, A. Kanazov, D. Bogdanova

{"title":"THE USE OF INTRAVENOUS IBUPROFEN IN POSTOPERATIVE PERIOD","authors":"B. Shirtaev, N. Yerimova, M. Sundetov, K. Khalykov, D. Kurbanov, A. Akhbetova, S. Akilbekov, S. Mukashev, A. Kanazov, D. Bogdanova","doi":"10.35805/bsk2022i055","DOIUrl":"https://doi.org/10.35805/bsk2022i055","url":null,"abstract":"The article reflects the role of non-steroidal anti-inflammatory drugs in postoperative period. The study was conducted on the data of 94 operations of children aged from 10 months to 15 years (mean age 4.4 years). All patients of our center with esophagocoloplasty in the postoperative period received the drug «Intrafen» in injectable form, intravenously. Name of manufacturer of drug: GEN ILAC VE SAGLIK URUNLERI SANAYI VE TICARET, A.S. (Turkey). The main active substance of this drug is Ibuprofen 400mg/4ml for intravenous injection. Patients were injected intravenous ibuprofen at therapeutically effective doses for a minimal period of time. After receiving positive reactions to the drug at the initial stage of treatment, the dose and frequency of taking the drug was adjusted individually for each patient. Objective. This work is dedicated to evaluate the role of the intravenous Ibuprofen in the postoperative period in surgical practice. Material and methods. The study included 94 pediatric patients with esophagocoloplasty. Age of patients: from 10 months to 15 years (mean age 4.4 years), of which: 90 (96%) patients had post-burn stricture of the esophagus; 3 (3%) patients with esophageal atresia; 1 (1%) patient with a short esophagus. The number of female children - 51 (54.3%) patients, male - 43 (45.7%) patients. Results. The total number of patients receiving intravenous Ibuprofen in the postoperative period was 94. The optimal dose showed a good therapeutic effect. At the optimal dosage of 20 mg/kg/day, two patients experienced intra-abdominal bleeding. Follow-up time: 2 weeks after esophagocoloplasty. Conclusion. In patients with esophagocoloplasty, preventive intravenous administration of Ibuprofen showed a good therapeutic result. Patients noted a decrease in pain, which in turn led to a decrease in the need for emergency analgesia.","PeriodicalId":197118,"journal":{"name":"BULLETIN OF SURGERY IN KAZAKHSTAN","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130521456","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