Vestnik khirurgii imeni I. I. Grekova最新文献

{"title":"Evaluation of the effectiveness of the antireflux mechanism of the modified technique of laparoscopic longitudinal gastrectomy with the formation of a three-chamber gastric sleeve in patients with morbid obesity","authors":"A. Khitaryan, O. B. Starzhinskaya, A. Mezhunts, A. Orekhov","doi":"10.24884/0042-4625-2020-179-1-51-57","DOIUrl":"https://doi.org/10.24884/0042-4625-2020-179-1-51-57","url":null,"abstract":"INTRODUCTION. The issues of prevention of postoperative gastroesophageal reflux in patients undergone laparoscopic sleeve gastrectomy (LSG) is the most relevant, due to the increase in the number of these surgical interventions and patients who note manifestations of gastroesophageal reflux disease (GERD) in the long-term period after surgery. modified technique. RESULTS. As a result of the study, we were able to identify that a year after both types of operations, patients showed an increase in GERD symptoms. And in 47 % of all operated, GERD appeared de novo. However, we managed to fix the difference between the frequency of occurrence of reflux in the studied groups. Thus, a year after the operation, in the control group, the clinical manifestations of reflux increased by 25 %, both in qualitative and quantitative indicators. While in the study group, these manifestations were increased by 13.5 %. CONCLUSION. The use of the antireflux surgery of prostate cancer proposed by us in patients with morbid obesity significantly improves their quality of life with symptoms of GERD and can be used in patients with existing GERD symptoms before surgery and without them.","PeriodicalId":23485,"journal":{"name":"Vestnik khirurgii imeni I. I. Grekova","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69106155","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 Lev Konstantinovich Bogush (1905-1994) (on the 115th anniversary of the birthday)","authors":"A. A. Kurygin, V. Semenov, I. S. Tarbaev","doi":"10.24884/0042-4625-2020-179-1-110-112","DOIUrl":"https://doi.org/10.24884/0042-4625-2020-179-1-110-112","url":null,"abstract":"The article is dedicated to the 115th anniversary of the birth of L. K. Bogush. Lev Konstantinovich was born on March 3, 1905 in the family of the famous Nizhny Novgorod surgeon Konstantin Fedorovich Bogush. The industriousness, high capacity for work, dedication to science and the talent of Lev Konstantinovich for a short time bore fruit. In 1939, Lev Konstantinovich was one of the first in the country to remove a lung lobe due to suppurating bronchiectasis. In 1943, Lev Konstantinovich defended his doctoral dissertation «Surgical treatment of pulmonary tuberculosis by ligation of pulmonary lobar veins». In 1961, L. K. Bogush, together with professors B. V. Petrovsky, N. M. Amosov, F. G. Uglov and V. I. Struchkov, was awarded the Lenin Prize for the development of lung operations. On October 5, 1994, after a long-term illness, Lev Konstantinovich died and was buried at the Kuntsevsky cemetery in Moscow.","PeriodicalId":23485,"journal":{"name":"Vestnik khirurgii imeni I. I. Grekova","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69105675","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":"Principles of choice of revisional bariatric procedures (review of the literature)","authors":"Y. Yashkov, Yuriy I. Sedletskiy, D. I. Vasilevskiy, B. Tsvetkov, A. Krichmar","doi":"10.24884/0042-4625-2020-179-1-95-104","DOIUrl":"https://doi.org/10.24884/0042-4625-2020-179-1-95-104","url":null,"abstract":"Bariatric (metabolic) surgery is currently considered as the most effective treatment for obesity with its comorbidities and metabolic disorders like Diabetes Mellitus type 2. Due to life-long nature of obesity, high rate of its recidivism and increasing number of bariatric/ metabolic operations performing worldwide, the problem of revisional bariatric surgery is becoming extremely actual. The article based on literature data and author’s own experience overlooks possible solutions for choice of revisional operations depending on kind of primary bariatric procedure, causes of revision: weight regain, complications and side effects of the primary operation.","PeriodicalId":23485,"journal":{"name":"Vestnik khirurgii imeni I. I. Grekova","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69106587","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":"Comparative evaluation of scales to determine severity of acute pancreatitis","authors":"D. Y. Semyonov, A. N. Scherbyuk, S. Morozov, A. Lobakov, A. S. Unin, A. A. Averin, A. Levitskaya, K. N. Levitskaya, S. V. Shalamova","doi":"10.24884/0042-4625-2020-179-1-31-38","DOIUrl":"https://doi.org/10.24884/0042-4625-2020-179-1-31-38","url":null,"abstract":"Based on the method developed by the authors for quantifying the severity of patients with acute pancreatitis, a method for calculating the duration of therapeutic fasting in a particular patient has been created. We studied the medical histories of 500 patients with acute pancreatitis who were in two medical hospitals from 2010 to 2021. They underwent complex therapy of acute pancreatitis. Based on the dependence found using multivariate regression analysis using the universal statistical software package StatSoft Statistica for OC Windows, the authors previously developed and published a method for calculating the severity of a patient's condition with acute pancreatitis in the enzymatic toxemia phase. This method in the process of practical application was significantly improved by the authors and called the IDAP scale (ACUTE PANCREATITIS HAZARD INDEX). The advantages of this method: the calculation of the severity of the patient's condition can be made at any time of interest, the indicators are included in the Medical and Economic standards of the Russian Federation for acute pancreatitis, it is enough to use the standard office program MS Excel, which is available to any practicing physician. When comparing the results of assessing the severity of patients on the IDAP and APACH II scales, no discrepancies of more than 15% were found in 640 measurements in 50 patients, which allowed us to use the IDAP system in our study on a par with the generally accepted APACH II. At the second stage of the study, as a result of the analysis of 86 clinical observations using the technique of multidimensional regression analysis, a relationship was found between the clinical severity of the patient upon admission to the hospital for treatment, the severity at a given time and the required duration of therapeutic fasting (in days). At the second stage of the study, as a result of the analysis of 86 clinical observations using the technique of multidimensional regression analysis, a relationship was found between the clinical severity of the patient upon admission to the hospital for treatment, the severity at a given time and the required duration of therapeutic fasting (in days). When using this method of calculating the duration of fasting, only 7 (8%) patients had an exacerbation of the process after the start of feeding them through the mouth. Thus, taking into account the coefficient of severity of the patient's condition with acute pancreatitis, it is possible to reliably determine the timing of therapeutic fasting in this disease. ","PeriodicalId":23485,"journal":{"name":"Vestnik khirurgii imeni I. I. Grekova","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69105748","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":"Combination of acute appendicitis with torsion and necrosis of epiploic appendage in the transposition of internal organs","authors":"S. Baymakov, U. R. Zhamilov, S. Yunusov, A. Ashirmetov","doi":"10.24884/0042-4625-2020-179-1-74-77","DOIUrl":"https://doi.org/10.24884/0042-4625-2020-179-1-74-77","url":null,"abstract":"74 В в е д е н и е. Транспозиция внутренних органов (ТВO) (situs inversus viscerum) – редкий вариант биологически нормальной анатомии, при котором основные внутренние органы имеют зеркальное (обратное) расположение по сравнению с обычным нормальным положением: сердце находится с правой стороны, печень расположена слева, желудок – справа. Термин situs inversus – короткая форма латинской фразы «situs inversus viscerum», имеющей значение «перевернутое расположение внутренних органов». Распространение транспозиции внутренних органов варьируется в различных группах населения Земли, но встречается не чаще чем у 1 из 10 тысяч человек [1]. Фабрициус в 1600 г. сообщил о первом известном случае реверса печени и селезенки у человека, а Кученмейстер в 1824 г. первым обнаружил это состояние у живого человека. Вехсемейеру в 1897 г. © СС Коллектив авторов, 2020 УДК 616.346.2-002-036.11+616.345-002.4]:616-007 DOI: 10.24884/0042-4625-2020-179-1-74-77","PeriodicalId":23485,"journal":{"name":"Vestnik khirurgii imeni I. I. Grekova","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69105975","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":"Pulmonary embolism by a foreign body (polymethyl methacrylate)","authors":"G. Khubulava, M. A. Askerov, A. V. Krivenzov, S. V. Sadovoi, E. Gavrilov","doi":"10.24884/0042-4625-2020-179-1-66-68","DOIUrl":"https://doi.org/10.24884/0042-4625-2020-179-1-66-68","url":null,"abstract":"A rare clinical case of material pulmonary embolism is described. After 2 month of reconstructive surgery on the spine, on the chest cavity organs X-ray picture spiral solid was revealed. Surgical intervention – removal of a foreign body of the pulmonary artery with a good result.","PeriodicalId":23485,"journal":{"name":"Vestnik khirurgii imeni I. I. Grekova","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69106367","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":"New standard of evidence and safety in the parathyroid surgery","authors":"P. N. Romashchenko, N. A. Maistrenko, D. Krivolapov, D. O. Vshivtsev","doi":"10.24884/0042-4625-2020-179-1-58-62","DOIUrl":"https://doi.org/10.24884/0042-4625-2020-179-1-58-62","url":null,"abstract":"The paper presents a clinical case that reflects difficulties of primary hyperparathyroidism diagnosis, as well as an experience of usage of new methods in parathyroid surgery, which aims at increasing degree of evidence and safety of interventions. The sequence of the implemented methods of laboratory and instrumental examination made it possible to identify the accurate location of parathyroid adenomas, and realization of the proposed surgical tactics – to perform a surgical intervention justified in terms of volume and methodology, to avoid postoperative complications and improve the patient’s quality of life.","PeriodicalId":23485,"journal":{"name":"Vestnik khirurgii imeni I. I. Grekova","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69106171","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":"Bowel viability assessment during surgery (review of the literature)","authors":"М. А. Беляев, А. Трушин, A. A. Zacharenko, Michail A. Belyaev, Anton A. Trushin, D. A. Zaytcev, R. Kursenko","doi":"10.24884/0042-4625-2020-179-1-82-88","DOIUrl":"https://doi.org/10.24884/0042-4625-2020-179-1-82-88","url":null,"abstract":"The problem of bowel viability assessment during surgery is still opened. High value predictive and economically available technique is thought to decrease postoperative morbidity and mortality during elective and urgent abdominal surgery. To evaluate the available techniques for intraoperative bowel viability assessment, the search of Russian and foreign up-to-date literature was performed. Parameters of techniques are analyzed: intraoperative clinical application, invasiveness, objectivity and quantification of viability parameters, predictive value for necrosis and anastomotic leakage. There is still no standardised and available for every operative theatre method for bowel viability assessment during surgery. Numerous of techniques such as near-infrared fluorescence (NIR) angiography, using indocyanine green (ICG), optical coherence tomography (OCT), laser doppler flowmetry (LDF) are proposed to be more evaluated and perspective. Autofluorescence spectroscopy for NADH and flavoproteins seems to be a promising tool for early detection of nonviable bowel segments.","PeriodicalId":23485,"journal":{"name":"Vestnik khirurgii imeni I. I. Grekova","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69106846","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":"History and development of the cadaveric blood transfusion method in surgery (on the 90th anniversary of the discovery of the method)","authors":"E. Y. Lazareva","doi":"10.24884/0042-4625-2020-179-1-105-109","DOIUrl":"https://doi.org/10.24884/0042-4625-2020-179-1-105-109","url":null,"abstract":"The article is devoted to the development and implementation of the method of hemotransfusion of cadaveric blood to living people, thanks to which methods of blood preservation, fibrinolysis received its development. Currently, this method of hemotransfusion therapy may be in demand in the use of components of donor blood, including, from a conditioned donor, in organ transplantation to single-group recipients. Understanding the process of fibrinolysis is key to preventing and stopping bleeding in certain surgical pathologies.","PeriodicalId":23485,"journal":{"name":"Vestnik khirurgii imeni I. I. Grekova","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69105669","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":"Surgical treatment of recurrent goiter located in the posterior mediastinum","authors":"A. Kuzmichev, A. L. Akinchev, V. Lomakin, I. V. Karpatsky, Z. Matveeva","doi":"10.24884/0042-4625-2020-179-1-63-65","DOIUrl":"https://doi.org/10.24884/0042-4625-2020-179-1-63-65","url":null,"abstract":"В в е д е н и е. Узловые образования щитовидной железы (ЩЖ) встречаются, по результатам клинического обследования, у 5–10 % населения, достигая 30–50 % при использовании ультразвукового исследования (УЗИ), а также с учетом секционных данных [1, 2]. Частота загрудинного зоба доходит до 5,1–15,7 % [3]. Загрудинный зоб разделяют на первичный и вторичный. Первичный (истинный) развивается из эктопической тиреоидной ткани ЩЖ, имея внутригрудное расположение сосудов. Большинство вторичных медиастинальных зобов образуются на шее и со временем перемещаются в средостение. В 85–90 % шейно-загрудинные зобы локализуются в переднем средостении [3–5]. Среди опухолей средостения внутри грудной зоб встречается в 16–37 % и удаляется торакальными хирургами. У оперированных по поводу зоба шейным доступом в 0,1–0,5 % случаев может оставаться внутригрудная часть ЩЖ, не замеченная хирургами [3, 6]. В связи с рубцовым процессом, повторные хирургические вмешательства при загрудинном зобе представляют сложности, чаще требуют выполнения стернотомии [5]. В большинстве случаев тиреоидную ткань удается достать из шейного © СС Коллектив авторов, 2020 УДК 616.27:616.441-006.5-036.87]-089 DOI: 10.24884/0042-4625-2020-179-1-63-65","PeriodicalId":23485,"journal":{"name":"Vestnik khirurgii imeni I. I. Grekova","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69106218","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}