Vestnik khirurgii imeni I. I. Grekova最新文献

{"title":"Possibilities and place of endoscopy in improving the results of treatment of gastroduodenal bleedings","authors":"M. P. Korolev, R. G. Avanesyan, L. E. Fedotov, B. L. Fedotov, M. V. Antipova, L. Z. Khafizov","doi":"10.24884/0042-4625-2023-182-1-93-97","DOIUrl":"https://doi.org/10.24884/0042-4625-2023-182-1-93-97","url":null,"abstract":"The results of treatment of gastroduodenal bleedings in the Russian Federation leave much to be desired. According to the chief surgeon and endoscopist of the Russian Federation, Academician A. Sh. Ramishvili [2], operative mortality in the treatment of gastroduodenal bleedings is 19 %, and only in 32 % of cases, bleeding was stopped endoscopically. The article analyzes the problems in the treatment of gastroduodenal bleedings. The main problem is organizational. Strict implementation of national clinical recommendations by surgeons and endoscopists is necessary for high-quality care for patients with gastroduodenal bleedings (1). Special conditions should be created in hospitals to help patients with gastroduodenal bleedings. These are the presence of a surgical team, intensive care unit, blood transfusion department or cabinet, 24-hour endoscopy (department or cabinet) equipped with modern digital endoscopes and all the tools to stop bleedings. It is necessary to treat not the bleeding but the patient with bleeding. For this purpose, it is necessary to use drug antisecretory therapy after endoscopic treatment. It is very important that surgeons and endoscopists equally understand the complexity of the problem – the treatment of gastroduodenal bleedings.","PeriodicalId":23485,"journal":{"name":"Vestnik khirurgii imeni I. I. Grekova","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136382058","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 Vladimir Mikhailovich Mysh (1873–1947) (on the 150th anniversary of his birth)","authors":"A. A. Kurygin, V. V. Semenov","doi":"10.24884/0042-4625-2023-182-1-7-10","DOIUrl":"https://doi.org/10.24884/0042-4625-2023-182-1-7-10","url":null,"abstract":"An outstanding surgeon, scientist, teacher and organizer of healthcare, academician of the USSR Academy of Medical Sciences (1945), Honored Scientist of the RSFSR (1934), founder of the largest surgical school in Siberia, Professor Vladimir Mikhailovich Mysh was born on January 4 (16), 1873 in St. Petersburg in the family of a lawyer. He received his secondary education in a classical gymnasium and entered the Imperial Military Medical Academy, which he graduated in 1895 with honors and was left for three years to improve at the Department of Surgery under the guidance of Professor N. A. Velyaminov. In 1898, V. M. Mysh defended his doctoral dissertation on the topic: «Herniae vaginales ingvinales in childhood» and was assigned to Kaluga, where he worked as the head of the Surgical Department in a Military hospital. In 1901, he was elected by competition to the position of professor of the Department of General Surgery with Desmurgy and the study of dislocations and fractures at the Medical Faculty of Tomsk University. In 1909, V. M. Mysh became the head of the Department of Faculty Surgery of Tomsk University, which he headed until 1931, and in 1922, he concurrently headed the Department of Urology created by him. He was the first in Russia and the third in the world to perform radical surgery for alveolar echinococcosis of the liver. In 1931, Vladimir Mikhailovich together with the staff of Tomsk State Medical University moved to Novosibirsk, where he continued to head the Department of Surgery, and in 1935, took an active part in the opening of Novosibirsk Medical Institute and the creation of the Department of Faculty Surgery in it. V. M. Mysh initiated the introduction of specialized urological care in Siberia and made a very great contribution to the development of neurosurgery. Academician V. M. Mysh created the largest surgical school in Siberia, from which famous professors came out: V. S. Levit, G. M. Mukhadze, M. S. Rabinovich, S. L. Schneider, B. I. Fuchs, K. N. Cherepnin, A. G. Savinykh, V. M. Galkin. Vladimir Mikhailovich was the author and co-author of 136 scientific papers, including 11 monographs and manuals on abdominal and thoracic surgery, oncology, urology, neurosurgery, diseases of bones and joints, general and plastic surgery. He was awarded two Orders of Lenin, the Order of the Red Banner of Labor, medals «For Valiant Labor in the Great Patriotic War of 1941–1945», «For Labor Valor». Academician V. M. Mysh died on December 31, 1947 and was buried at the Zaeltsovsky Cemetery in Novosibirsk. The surgical clinic of the State Institute for Advanced Training of Doctors and the Department of Faculty Surgery of NSMU were named after V. M. Mysh. He was listed in the gallery of Honorary Professors of the Novosibirsk State Medical Academy.","PeriodicalId":23485,"journal":{"name":"Vestnik khirurgii imeni I. I. Grekova","volume":"4 8","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135168224","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":"Primary esophageal melanoma with a family history of esophageal cancer","authors":"B. V. Sigua, A. S. Kachiuri, D. V. Gurzhy, A. V. Belyaeva, S. Yu. Rakita, S. A. Vinnichuk, V. P. Zemlyanoy","doi":"10.24884/0042-4625-2023-182-1-76-80","DOIUrl":"https://doi.org/10.24884/0042-4625-2023-182-1-76-80","url":null,"abstract":"A rare clinical observation of a 46-year-old patient with primary esophageal melanoma is presented. We demonstrate the difficulties of verifying the disease, taking into account the complex morphological picture of the tumor, anatomical features. The possibilities of modern combined treatment of this category of patients are also shown. For the first time, a case of primary esophageal melanoma with a family history of esophageal cancer is described.","PeriodicalId":23485,"journal":{"name":"Vestnik khirurgii imeni I. I. Grekova","volume":"22 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135166845","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":"Contrast-induced nephropathy after recanalization chronic coronary occlusion in patients with renal artery stenosis and normal creatinine levels","authors":"N. A. Yaitskiy, O. G. Zverev, A. V. Voynov, S. M. Lazarev, A. I. Azeyan, A. F. Bokov","doi":"10.24884/0042-4625-2023-182-1-65-70","DOIUrl":"https://doi.org/10.24884/0042-4625-2023-182-1-65-70","url":null,"abstract":"Introduction . Contrast-induced nephropathy (CIN) is a complication that occurs after contrast medium (CM) administration. The existing risk scales for possible CIN include chronic kidney disease and do not take into account stenotic changes in the renal artery with normal serum creatinine levels. The Objective was to study the frequency of CIN in patients with acute and chronic coronary occlusion (CCO) after endovascular recanalization in the presence of hemodynamically significant renal artery damage with initially normal creatinine levels. Methods and Materials . The study included 38 patients with acute coronary syndrome (control group) and 67 patients with CCO and hemodynamically significant renal artery stenosis (main group). Stenting of one of the renal arteries was performed in 25 patients out of 67 patients before planned coronary revascularization. Results . The incidences of CIN were significantly higher than the calculated one in patients with CCO and renal artery stenosis. In the group of patients with pre-stenting of the renal arteries, there was a decrease in cases of CIN. Conclusions . Renal artery stenosis with normal creatinine levels is an additional risk factor for CIN.","PeriodicalId":23485,"journal":{"name":"Vestnik khirurgii imeni I. I. Grekova","volume":"81 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136085220","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":"Improvement of methods of diagnosis and treatment of patients with obstructive jaundice of tumor genesis","authors":"E. B. Revazov, T. S. Khutiev, M. R. Revazova, A. N. Chetiev, U. S. Beslekoev, T. B. Ardasenov","doi":"10.24884/0042-4625-2023-182-1-28-34","DOIUrl":"https://doi.org/10.24884/0042-4625-2023-182-1-28-34","url":null,"abstract":"The Objective was to improve medical and diagnostic care for patients with obstructive jaundice of tumor genesis. Methods and Materials . Retrospective analysis of the treatment results of 309 patients with obstructive jaundice of tumor genesis. We studied the results of endoscopic transpapillary and/or percutaneous transhepatic antegrade endobilliary minimally invasive surgical interventions of 307 (99.3 %) patients. We carried out the analysis of complications, reasons and possible elimination path. A new, more effective method of trepan-biopsy of tumors of the pancreatic head and distal choledochus and devise for it implementation were developed (patent № 2722655, 2747591). Results . Minimally invasive decompression interventions at the first stage of treatment of patients with obstructive jaundice of tumor genesis reduced the percentage of fatal postoperative complications to 1.3 %. The first results of the application of the developed trepan-biopsy method showed their high efficiency, reliability and safety. Conclusion . The differentiated approach to the choice of the method of decompression of the biliary tract at the first stage is important for improving the results of treatment. The use of the method of simultaneous puncture transhepatic billioduadenal drainage with trepan-biopsy of tumors of the pancreatic head and distal choledochus is, as it seems to us, a new, promising adjustment in solving the problem of morphological verification of tumors of the hepatopancreatoduodenal zone and reducing the time of diagnosis and treatment of patients with obstructive jaundice of the tumor genesis.","PeriodicalId":23485,"journal":{"name":"Vestnik khirurgii imeni I. I. Grekova","volume":"665 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136266943","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":"Professor Anatoly Alekseevich Kurygin (1932–2011) (to the 90th anniversary of the birth)","authors":"N. N. Lebedev, A. E. Demko, Al. A. Kurygin, A. N. Shikhmetov, V. G. Verbitsky, S. I. Peregudov, V. V. Semenov","doi":"10.24884/0042-4625-2022-181-4-7-12","DOIUrl":"https://doi.org/10.24884/0042-4625-2022-181-4-7-12","url":null,"abstract":"Anatoly Alekseevich Kurygin was born on September 10, 1932 in the village of Zaborye, Solotchinsky District (now Ryazansky District), Ryazan Region, into a peasant family. In 1950, Anatoly Kurygin graduated from the Solotchinsk complete secondary school with excellent and good marks and applied for admission to the Ryazan Medical Institute. A. Kurygin decided to become a surgeon already at the beginning of his studies at the Institute and persistently went to achieve this goal. After graduating from the 4th year, Anatoly Alekseevich, along with other most successful students, received an offer to continue the study at the Military Medical Faculty at the Kuibyshev Medical Institute named after D. I. Ulyanov, agreed and joined the ranks of the Soviet Army. In July 1956, having received a diploma with honors, lieutenant of the medical service A. A. Kurygin, together with his wife Lyudmila Nikiforovna, departed for the Belarusian Military District. In April 1961, having got the highest grades (five) in the entrance exams, Anatoly Alekseevich was enrolled in the postgraduate course at the Department of Faculty Surgery named after S. P. Fedorov. As a dissertation research, Anatoly Alekseevich was instructed to study the state of lavsan prostheses and a new vascular bed at different times after arterial alloplasty. Soon after defending his dissertation, V. M. Sitenko suggested Anatoly Alekseevich to take up the issue of chronic pancreatitis, which was little studied at that time. During the year, A. A. Kurygin studied the literature on this topic and came to the convincing conclusion that it was impossible as a doctoral dissertation. Anatoly Alekseevich reported his thoughts to the head of the department, substantiated the futility of this topic and expressed a desire to study the physiological and surgical aspects of vagotomy as a new and alternative method of gastric resection for the treatment of chronic duodenal ulcers and its complications. In June 1978, the deputy head of the department, associate professor A. A. Kurygin, successfully defended the first doctoral dissertation in the USSR on the treatment of duodenal ulcers by vagotomy in combination with pyloroplasty. Five years later, in November 1987, professors of the Military Medical Academy V. M. Sitenko, A. A. Kurygin and A. I. Nechay, as part of a group of surgeons from Moscow, Kyiv and Tallinn, were awarded the title of Laureate of the USSR State Prize «For the development and implementation of new methods of treatment of peptic ulcer». In 1985, Professor A. A. Kurygin was appointed head of the Department of Surgery № 2 (for advanced medical training) of the Military Medical Academy. Anatoly Alekseevich was the author and co-author of more than 300 scientific papers, including 39 monographs and manuals, more than 25 teaching aids, 14 inventions, as well as the editor of the Abdominal Surgery section of the Small Medical Encyclopedia. Also, A.A. Kurygin published three collections of poetry.","PeriodicalId":23485,"journal":{"name":"Vestnik khirurgii imeni I. I. Grekova","volume":"110 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134952247","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":"Laparoscopic cholecystectomy for double gallbladder","authors":"P. V. Markov, O. R. Arutyunov, V. S. Pykhteev, L. A. Vlaskina","doi":"10.24884/0042-4625-2023-182-1-81-87","DOIUrl":"https://doi.org/10.24884/0042-4625-2023-182-1-81-87","url":null,"abstract":"Gallbladder duplication is a rare abnormality of the biliary system. When a pathology develops in a doubled gallbladder, there can be difficulties in diagnosis and surgical treatment. Apart from the ultrasound investigation, other imaging methods are of great importance for more accurate diagnostics: computed tomography, magnetic resonance tomography, magnetic resonance cholangiopancreatography and endoscopic ultrasonography. The article presents a literature review and demonstrates our own clinical case of laparoscopic cholecystectomy in the patient with gallbladder duplication.","PeriodicalId":23485,"journal":{"name":"Vestnik khirurgii imeni I. I. Grekova","volume":"118 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135479530","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":"Minimal invasive prophylaxis of bleeding from esophageal varices in children with extrahepatic portal hypertension","authors":"R. Z. Yuldashev, M. M. Aliev, Sh. I. Shokhaidarov","doi":"10.24884/0042-4625-2023-182-1-35-42","DOIUrl":"https://doi.org/10.24884/0042-4625-2023-182-1-35-42","url":null,"abstract":"The objective of the work was to study the efficacy of minimally invasive endoscopic treatment of esophageal varices (EV) in children with extrahepatic portal hypertension (EHPH). Methods and Materials . Eighty children aged 3 to 17 years of age with EHPH included in this study. The patients were divided into three analysis groups. The group I (n=14) included children with EHPH who had not previously undergone any surgical interventions and endoscopic ligation of EV was performed against the background of acute bleeding or after medical hemostatic treatment. The group II (n=37) included patients who had undergone the endoscopic treatment of EV after an unsatisfactory outcome of previously performed surgical interventions. The group III included 29 children who underwent only azygos-portal disconnection procedures. We performed the comparative analysis of the severity of EV before and after sessions of the endoscopic treatment of EV, as well as the analysis of the frequency of recurrent bleedings in comparison groups. Results . According to the research results, recurrent gastroesophageal hemorrhages were noted in 44.4 % of cases in the group I. In the group II, 37 patients underwent a total of 68 sessions of the stage endoscopic treatment of EV. According to the control endoscopic examinations, there was a significant reduction in the risk of bleeding from EV between ligation sessions (p=0.001) of the endoscopic treatment of EV. During the follow-up period, in the group II, recurrent bleedings from EV were noted in 6 (16.2 %) patients. Whereas in 10 (34.5 %) children of the group III, recurrent gastroesophageal hemorrhages were noted in the postoperative period. The analysis showed a significant correlation of the presence of «red flags» with recurrent episodes of bleedings in children of the group II after the endoscopic treatment of EV (r=0.32 p=0.05). Analysis of the causes of recurrent gastroesophageal bleedings in children of the group III did not reveal significant differences in such parameters as the degree of EV and «red flags». Conclusion . Thus, the endoscopic treatment of EV is a safe and effective method of secondary prevention of bleedings from EV. The question concerning the primary prevention of gastroesophageal hemorrhages require further study.","PeriodicalId":23485,"journal":{"name":"Vestnik khirurgii imeni I. I. Grekova","volume":"85 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135905834","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":"Nonstandard approach to the ischemic stroke treatment","authors":"K. M. Vakhitov, P. A. Vladimirov, N. V. Zukovskaya, A. F. Kuvazhukova, E. G. Kmetik","doi":"10.24884/0042-4625-2023-182-1-71-75","DOIUrl":"https://doi.org/10.24884/0042-4625-2023-182-1-71-75","url":null,"abstract":"Ischemic stroke is one of the most common causes of disability and mortality worldwide. Occlusive-stenotic lesion of the extra- and intracranial carotid arteries, which developed acutely and led to acute cerebrovascular accident, is a prognostically unfavorable factor. The appearance of endovascular technologies has revolutionized the salvation of this category of patients; however, they are sometimes powerless in the fight against nature. The article presents a case of tandem and bilateral lesions of the extra- and intracranial internal carotid artery, the successful result of treatment of which became possible only due to the development of spontaneous recanalization.","PeriodicalId":23485,"journal":{"name":"Vestnik khirurgii imeni I. I. Grekova","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136048898","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":"Successful treatment of a patient with a severe course of a new coronavirus infection and purulent complications after left-sided hemicolectomy under the immunosuppressive therapy","authors":"G. G. Nakopiya, S. A. Danilov, Yu. V. Radionov, Yu. V. Grebtsov, E. V. Pykhtin, N. Yu. Kohanenko, Yu. N. Ulyanov, I. A. Nechay","doi":"10.24884/0042-4625-2023-182-1-88-92","DOIUrl":"https://doi.org/10.24884/0042-4625-2023-182-1-88-92","url":null,"abstract":"On the seventh day after the operation, the patient was diagnosed with the new coronavirus infection. On the fifth day from the onset of the viral disease and on the 12th day after the operation, the signs of a “cytokine storm” were appeared, the volume of lung damage increased from 6 to 50 %, and the phenomena of respiratory failure increased. Immunosuppressive therapy (high doses of glucocorticoids, interleukin blockers) was prescribed. The condition was stabilized. On the 20th day after the operation and the 13th day from the start of the diagnosis of the new coronavirus infection, there were signs of peritonitis, which required laparoscopic sanitation and drainage of the abdominal cavity for widespread serous peritonitis without a primary focus. On the 26th day after hemicolectomy and the 19th day from the onset of coronavirus infection, the extraperitoneal opening of the retroperitoneal phlegmon on the left was performed. On the 61st day after hemicolectomy and the 68th day from the onset of coronavirus infection, the extraperitoneal opening of the phlegmon of the retroperitoneal space on the right was performed. On the 78th day, he was discharged from the hospital in a satisfactory condition.","PeriodicalId":23485,"journal":{"name":"Vestnik khirurgii imeni I. I. Grekova","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136329333","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}