Vestnik of Experimental and Clinical Surgery最新文献

{"title":"Comparative Morphological Efficiency Different Methodics of Pleurodesis by Hydrogen Peroxide Solutions and Talc","authors":"M. S. Izyumov, Изюмов Михаил Сергеевич, V. V. Bulynin, Булынин Виктор Викторович, Andrew Mikhailovich Bobrovskikh, Бобровских Андрей Михайлович","doi":"10.18499/2070-478x-2017-10-2-123-129","DOIUrl":"https://doi.org/10.18499/2070-478x-2017-10-2-123-129","url":null,"abstract":"Relevance Currently, the choice of effective and safe means for chemical pleurodesis is an urgent problem in the surgical treatment of spontaneous pneumothorax. Objective The purpose of our research was to compare the effectiveness of various methods of pleurodesis in the experiment based on the macro and microscopic study material. Materials and methods We used laboratory rats of the WISTAR line, weighing 180 grams, 200 individuals in the experiment. They were divided into three experimental groups and a control group of 50 rats each. Spontaneous pneumothorax was simulated on one side of the thorax of rats. One of the chemical agents was used in three experimental groups for carrying out the pleurodesis. The animals were observed and sacrificed in groups on days 3, 5, 7, 10, 30 of the experiment. Next, macro and microscopic changes in the lungs and adjacent tissues were described and compared. Regression models were constructed for the change in the number of free cell populations in the lung tissue during the process of analyzing data. Results and its discussion The use of a 6% solution of hydrogen peroxide causes the formation of persistent pleural adhesions with a shorter duration and severity of the inflammatory process in comparison to the analogues. Regression models of the dynamics of the free cellular composition of the pulmonary stroma were created with the aim of predicting the adhesion process. Conclusions The findings suggest that 6% solution of hydrogen peroxide have the maximum efficiency as a chemical agent for pleurodesis.","PeriodicalId":283981,"journal":{"name":"Vestnik of Experimental and Clinical Surgery","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131887325","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":"The Use of Asepticob-A and Platelet-rich Plasma in Complex Endoscopic Teatment of Patients with Ulcer Gastroduodenal Bleeding","authors":"E. F. Cherednikov, Чередников Евгений Федорович, S. Barannikov, Баранников Сергей Викторович, A. Glukhov, Глухов Александр Анатольевич, I. Banin, Банин Игорь Николаевич, Yuri Valentinovich Mallev, Малеев Юрий Валентинович, Vadim Vladimirovich Adianov, Адианов Вадим Владимирович","doi":"10.18499/2070-478X-2017-10-2-116-122","DOIUrl":"https://doi.org/10.18499/2070-478X-2017-10-2-116-122","url":null,"abstract":"Relevance. Gastroduodenal ulcer bleeding is one of the most complex problems of emergency abdominal surgery. An endoscopic hemostasis is a crucial importance during the treatment of patients with gastroduodenal bleeding. The using of biologically active draining sorbents in combination with local haemostatic drugs is a promising direction in the endoscopic hemostasis. Objective. The aim of the investigation is to improve the results of treatment of patients with acute ulcerative gastroduodenal hemorrhages by application of biologically active draining of sorbent Asepticob-A in combination with platelet-rich plasma for endoscopic hemostasis as an important component of complex therapy. Materials and methods. The study is based on the results of treatment of 112 patients with peptic ulcer bleeding. They were treated in the specialized city centre for the treatment of patients with gastrointestinal bleeding of Voronezh state hospital of emergency medical care №1. During the treatment of patients of the main group (n=57 persons) was used individual complex approach with the using of biologically active draining of sorbent of new generation – Asepticob-A and platelet-rich plasma in endoscopic treatment of bleeding complications of gastroduodenal ulcers. In the comparison group (n=55 persons) was used the well-known traditional methods of endoscopic hemostasis without the use of granular sorbents and platelet-rich plasma. Results and discussion. The effectiveness of treatment of patients with ulcerative gastroduodenal bleeding was assessed according to the criteria of reliability of hemostasis, assessment of dynamics of reparative processes in ulcerous defects, the frequency of recurrence of bleeding on the background of treatment using endoscopic techniques, prevention, emergency operations and mortality rate. The methods of treatment of gastroduodenal bleeding with the combined use of biologically active draining sorbents and platelet-rich plasma for the reliability of endoscopic haemostasis, that was developed and introduced into clinical practice, reduces the number of emergency operations in 2.6 times, mainly due to the reduction of recurrent bleeding and, as a consequence, leads to lower postoperative mortality. Conclusions. The use of biologically active draining of sorbent Asepticob-A and platelet-rich plasma in complex endoscopic treatment of patients with ulcerative gastroduodenal bleeding allows to reduce the frequency of recurrence of bleeding from 10.9% to 3.5% (3.1 times), to reduce the number of emergency surgical interventions at the height of bleeding from 9.1% to 3.5% (2.6 times), to reduce postoperative mortality from 5.45% to 1.75% (3.1 times) and reduce the duration of inpatient treatment from 9.0 to 6.0 days (p<0.05).","PeriodicalId":283981,"journal":{"name":"Vestnik of Experimental and Clinical Surgery","volume":"143 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116430098","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":"VOYNO-YASENETSKY Valentin Feliksovich (1877-1961). To the 140th of the birthday","authors":"Alexander Alekseevich Andreev, A. Ostroushko","doi":"10.18499/2070-478x-2017-10-2-174","DOIUrl":"https://doi.org/10.18499/2070-478x-2017-10-2-174","url":null,"abstract":"Voyno-Yasenetsky Valentin Feliksovich (Archbishop Luka) Archbishop of Crimea and Simferopol, Russian and Soviet surgeon, the author of works in anesthesiology, doctor of medical Sciences (1916), Professor (1917); doctor of theology (1959), winner of the Stalin prize, first degree (1946). F. Voino-Yasenetsky was born 27 APR 1877. After graduating from high school and Kiev art school, studied painting in Munich. In 1898 he became a student of the medical faculty of Kiev University, after which he worked as a surgeon in Chita, the town of Ardatov in Simbirsk province S. Verkhniy Lyubazh, Kursk region, town of Fatezh, Moscow. In 1915 he published in Saint Petersburg the book \"Regional anesthesia\", and in 1916 he defended it as his thesis and received the degree of doctor of medicine. Until 1917 the doctor in some of the provincial hospitals of Russia, and later the chief doctor of Tashkent city hospital, Professor of Central Asian state University. In 1921 he was ordained to the diaconate, a week a priest in 1923 he was tonsured a monk and consecrated a Bishop with the name Luca, a week later arrested. In 1926 V. F. Voyno-Yasenetsky returned to Tashkent, but in 1930 he was arrested again and transported to Arkhangelsk. In 1934 he published a monograph \"Sketches of purulent surgery\". In 1937 he was arrested for the third time. Since 1940, works as a surgeon in the link in Bolshaya Murta, 110 kilometers from Krasnoyarsk. 1941 – consultant to all hospitals in the Krasnoyarsk territory and the chief surgeon of the hospital. In 1942 was elevated to the rank of Archbishop and appointed to the chair of Krasnoyarsk. In 1944, published the monograph \"On the course of chronic empyema and hundreth\" and \"Late resections of infected gunshot wounds of the joints.\" In 1944, Archbishop Luke was headed by the Department of Tambov. In 1945, awarded the Patriarch Alexy I right to wear the diamond cross, wrote the book \"Spirit, soul and body.\" In 1946 he headed the Crimean Department in Simferopol. In 1946 he was awarded the Stalin prize. In 1955, was blind. Died V. F. Voyno-Yasenetsky June 11, 1961, Archbishop of Crimea and Simferopol. Author of 55 scientific papers on surgery and anatomy, ten volumes of sermons. His most famous book \"Sketches of purulent surgery\". Awarded Pointscore (1916), the diamond cross from the Patriarch of all Russia (1944), medal \"For valiant labor in the great Patriotic war\" (1945), Stalin prize first degree (1944). Archbishop Luka monuments in Krasnoyarsk, Tambov, and Simferopol, is an honorary citizen of Pereslavl-Zalessky (posthumously). In 1995, St Luke canonized as locally venerated saints of the Crimean diocese, in 2000, the definition of the Council of bishops of the Russian Orthodox Church glorified as a Confessor (Saint) in the Assembly of new martyrs and Confessors of Russia. His relics are installed for worship at Holy Trinity Cathedral in Simferopol.","PeriodicalId":283981,"journal":{"name":"Vestnik of Experimental and Clinical Surgery","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114567191","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":"Application of ultrasonic treatment and synthesized collagen hydrolyzate in the surgical treatment of experimental osteomyelitis","authors":"N. A. Malkina, Alexander Alekseevich Andreev, A. Ostroushko","doi":"10.18499/2070-478x-2017-10-2-137-144","DOIUrl":"https://doi.org/10.18499/2070-478x-2017-10-2-137-144","url":null,"abstract":"Chronic osteomyelitis is one of their complex health problems, since it accounts for up to 6% of cases in the structure of the pathology of the musculoskeletal system, relapses of the disease occur in 30%, and disability is 90% of cases. The aim of the study was to improve the results of treatment of experimental chronic osteomyelitis by applying ultrasound sanation and synthesized collagen hydrolyzate. Materials and methods. The study was carried out on 210 white rats, which were divided into 5 groups: 2 control rats and 3 experimental ones. In the 1st control group, no treatment was performed. In the 2nd control and experimental groups, the hearth was surgically sanitized. In the 1 st experimental group, the focus was performed by ultrasonic treatment. In the 2nd experimental group, the bone cavity was filled with a synthesized hydrolyzate of collagen. In the third experimental group, the combined use of ultrasound sanitation of the focus and filling it with synthesized collagen hydrolyzate was carried out. To assess the dynamics of treatment, the analysis of the general condition of animals, hematological and morphometric studies was performed. Results and their discussions. The dynamics of the general state of animals, the antioxidant defense system, the mineral metabolism, and the evaluation of the histoarchitectonics of bone tissue have been studied. It was noted that against the backdrop of the inflammatory process in chronic osteomyelitis, all the studied indicators indicate a reduced regenerative capacity. Using the developed treatment methods based on ultrasound sanitation, synthesized collagen hydrolyzate, as well as their combination, accelerated relief of inflammatory phenomena, normalization of AOS, mineral metabolism, and regenerative abilities of bone tissue were observed. Conclusions. The developed complex method of treatment based on combined application of ultrasound sanation and synthesized collagen hydrolyzate allowed to shorten the healing period of the wound defect, normalize the general condition of animals, free radical oxidation and mineral metabolism parameters, and accelerate the regenerative capabilities of bone tissue.","PeriodicalId":283981,"journal":{"name":"Vestnik of Experimental and Clinical Surgery","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129167892","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":"Selecting the Way to Surgical Treatment of Patients with Postoperative the Median Rectifiable Hernia Based Noninvasive Evaluation of Intra-Abdominal Pressure","authors":"E. F. Cherednikov, G. Polubkova, A. Glukhov, S. Skorobogatov","doi":"10.18499/2070-478X-2017-10-2-103-110","DOIUrl":"https://doi.org/10.18499/2070-478X-2017-10-2-103-110","url":null,"abstract":"Relevance. Currently, there is no single common approach to the treatment of postoperative median hernias Objectives. To develop an algorithm for choosing the method of surgical treatment of patients with postoperative median rectifiable abdominal hernias based on a noninvasive assessment of changes in intra-abdominal pressure by determining oxygen saturation. Materials and methods. The research was performed in 65 patients with postoperative median, rectifiable hernia of various sizes. All patients are divided into three main groups. We used an indirect technique for determining changes in intra-abdominal pressure by examining the saturation of blood with oxygen. Four methods of plastics were applied to patients with median postoperative hernias: 1) plastic by own tissues in the form of duplicate (according to Sapezhko); 2) plastic in the form of duplicate with immobilization of the wound on surgical bridges [9]; 3) two-stage hardware operation method, developed by Professor Lyubykh EN [9]; 4) prosthetics of the abdominal wall with a mesh prosthesis. Results and its discussion. In the first group of patients with small hernias, when modeling the postoperative situation (immersion of the hernial contents in the abdominal cavity with the help of a pelot, and simultaneous approach of the hernial gates with the help of a bandage), the saturation was reduced insignificantly (97,1 ± 1,5% (p <0,05), which allowed us to recommend plastic by own tissues in the form of dublication. In the second group of patients with medium-sized hernias, the saturation was moderately reduced during the simulation (95,4 ± 1,4% (p <0,05). Plastics in the form of dublication with immobilization of the wound on the surgical bridge has been recommended these patients. In the third group of patients with extensive and giant hernias, blood oxygen saturation was significantly reduced (91,5 ± 1,5% (p <0,05). Such patients with extensive and giant hernias and a and long term hernia has been recommended prosthetic abdominal wall with mesh prosthesis. If the hernia disease is less than 5 years of age and patients of working age, two-stage hardware method of treatment hernias created by professor E. N. Lyubykh has been recommended. [9] Conclusion. The proposed algorithm for choosing a method of plastic surgery for postoperative median repaired hernias based on preoperative determination of oxygen saturation with oxygen under different conditions allows for a differentiated functionally oriented approach to the treatment of patients and a reduction in the number of relapses.","PeriodicalId":283981,"journal":{"name":"Vestnik of Experimental and Clinical Surgery","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131185327","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":"Metabolic correction of the ischemic-reperfusive liver damage against the background of its vascular exclusion in experimental conditions","authors":"Igor Tsymbalyuk, A. Manuilov, K. Popov, Oleg Vyacheslavovich Dyakov","doi":"10.18499/2070-478X-2017-10-2-130-136","DOIUrl":"https://doi.org/10.18499/2070-478X-2017-10-2-130-136","url":null,"abstract":"It is an urgent issue of practical hepatology to find and to use means possessing the tissue protective properties to increase the potential of the own antioxidant system in conditions of the vascular liver exclusion which have to satisfy the practical medicine. The purpose of the present study is to research the influence of intraperitoneal injections of the sodium dichloroacetate on the course of the ischemic-reperfusive syndrome in conditions of the modeled vascular liver exclusion. Materials and methods. The study has been performed on 105 non-linear male rats divided into 7 groups. After the laparotomy animals have undergone the intraperitoneal injection of the sodium dichloroacetate in dosage 300 mg/kg under the general anesthesia, then the hepatoduodenal ligament has been clamped for 10, 15 and 20 minutes. The comparison groups have been formed from animals that have undergone the same manipulations without injections of the sodium dichloroacetate. The control group has been made up of 15 rats only laparotomy has been performed on. After 15 minutes of reperfusion the blood sampling from the caudal vena cava and liver has been carried out to perform further laboratory analysis. In the blood plasma the activity of lactate dehydrogenase, aspartate aminotransferase and alanine aminotransferase has been determined as well as the content of general thiol groups. In erythrocytes and liver homogenate the activity of catalase and superoxide dismutase have been determined. To evaluate the endotoxicosis level the content of substances of medium and low molecular mass in erythrocytes and the blood plasma has been studied. Results and discussion. It has been revealed during the performed study that the sodium dichloroacetate significantly decreases the manifestation of the cytolytic syndrome. The increase of transaminase activity in the blood plasma by injection of the sodium dichloroacetate has fallen behind for 5 minutes in average in comparison with the groups without metabolic correction. The activity of lactate dehydrogenase in the blood plasma has been lower than the indices of the comparison groups by 2-3 times. The activity of enzymes of antiradical protection by injections of the sodium dichloroacetate has increased both in erythrocytes and the liver homogenate against the background of the lowering in the comparison groups. The content of thiol groups in the blood plasma within 10-20 minutes of the vascular exclusion has decreased by 25-38% and has persisted on this level while in the comparison groups the concentration decrease by 51.2% has been revealed to the 20 th minute. By the correction the significantly lower level of endotoxicosis has been developing. One of the possible mechanisms of cytoprotective action of the sodium dichloroacetate is the activation of antioxidant system due to the development of oxidative stress as the leading damage factor by reperfusion. Conclusion. The received data demonstrate the cytoprotective properties o","PeriodicalId":283981,"journal":{"name":"Vestnik of Experimental and Clinical Surgery","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127871933","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":"GREKOV Ivan Ivanovich (1867-1934). The 150th of the birthday","authors":"Alexander Alekseevich Andreev, A. Ostroushko","doi":"10.18499/2070-478x-2017-10-2-173","DOIUrl":"https://doi.org/10.18499/2070-478x-2017-10-2-173","url":null,"abstract":"Иван Иванович Греков (1867–1934) – выдающийся русский хирург, талантливый организатор и педагог, доктор медицинских наук (1901), профессор (1915), почетный председатель Хирургического общества Н.И.Пирогова (1920), главный редактор научного медицинского журнала «Вестник хирургии и пограничных областей» (1922–1934), председатель XVI Всероссийского съезда хирургов (1924), главный врач Обуховской больницы (1927–1934), заслуженный деятель науки РСФСР (1932). И.И. Греков родился 5 (17) марта 1867 года на хуторе Томилинка Богучарского уезда Воронежской губернии. В 1876 году он поступил и в 1885 году окончил с отличием Новочеркасскую мужскую гимназию, и сразу был принят в Московский университет. В 1890 году за участие в студенческих бунтах Иван Иванович был исключен из университета, но позже продолжил обучение на медицинском факультете Юрьевского (Дерптского) университета и в 1894 году ему было присвоено звание врача. С 1895 года И.И.Греков работал в Обуховской больнице Петербурга: сначала – сверхштатным ординатором, с 1905 года – заведующим хирургическим отделением, с 1927 по 1934 годы – главным врачом. В 1901 году он защищает докторскую диссертацию по теме: «Материалы к вопросу о костных дефектах черепа и их лечении». В 1903 году И.И. Греков впервые в мире выполняет успешное ушивание раны сердца. И.И.Греков впервые в России выполнил интраоперационное вскрытие полости сердца, панкреатэктомию, одним из первых произвел оперативное лечение желудка по методикам Кохера, Бильрот–I и Бильрот–II, операцию по созданию искусственного пищевода по методике Ру–Герцена, разработал технику тампонады брюшной полости, восстановления крестовидных связок коленного сустава широкой фасцией бедра; двухмоментный способ резекции сигмовидной и нисходящей толстой кишок (операция Греков-I и Греков-II). В 1915 году Иван Иванович был избран профессором кафедры госпитальной хирургии Психоневрологического института (с 1930 года – 2-й Ленинградский медицинский институт). С 1918 по 1924 год И.И.Греков был Председателем, а с 1920 года – Почетным председателем Хирургического общества Н.И. Пирогова. В 1922 году по инициативе И.И.Грекова был возобновлен выпуск журнала «Вестник хирургии и пограничных областей», главным редактором которого он являлся с 1922 по 1934 годы. В 1924 году Иван Иванович был единогласно избран председателем XVI съезда российских хирургов; в 1925, 1927 и 1929 годах – председателем съездов хирургов Северного Кавказа. В 1932 году И.И. Грекову было присвоено звание заслуженного деятеля науки РСФСР. И.И. Греков умер 11 февраля 1934 года и похоронен на Коммунистической площадке Александро-Невской лавры. И.И. Греков является автором более 150 научных работ, посвященных проблемам торакальной, кардио-, сосудистой и неотложной хирургии, хирургической инфекции. В память о И.И. Грекове с 1934 года журнал «Вестник хирургии и пограничных областей» был переименован в «Вестник хирургии имени И.И.Грекова»; на здании бывшей Обуховской больницы в 1969 году установлена мемориальная дос","PeriodicalId":283981,"journal":{"name":"Vestnik of Experimental and Clinical Surgery","volume":"84 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114814094","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":"SHAMOV Vladimir Nikolaevich (1882-1962). To the 135th of the birthday","authors":"Alexander Alekseevich Andreev, A. Ostroushko","doi":"10.18499/2070-478X-2017-10-2-176","DOIUrl":"https://doi.org/10.18499/2070-478X-2017-10-2-176","url":null,"abstract":"Shamov, Vladimir Nikolaevich (1882-1962) – an outstanding Soviet surgeon, neurosurgeon, transfuziolog, academician of the USSR (1945), honored scientist of the RSFSR and the Ukrainian SSR, General-Lieutenant of medical service, laureate of the Lenin prize (1962); awarded the order of Lenin (twice), red banner (twice), red banner, red Star and medals of the USSR. Born may 22, 1882 in Menzelinsk, Ufa governorate (now Tatarstan). In 1908 he graduated from the Military medical Academy. In 1911 he defended his doctoral thesis on the topic: \"the importance of physical methods for surgery of malignant tumors\". From 1914 to 1923 V. N. Shamov – senior assistant in the Department of Fedorov. In 1919 he received isohemagglutinins serum for the determination of blood groups and for the first time the country produced a blood transfusion given group membership. In 1923, V. N. Shamov was elected as head of the Department of surgery of the Kharkov medical Institute and the surgical clinic of the Ukrainian Institute of experimental medicine. In 1926, he reported he developed a method of complete isolation from neural connections of the small intestine, derived under the skin, and transferring it to the blood supply of the subcutaneous vessels. In 1928, V. N. Shamov proposed and successfully conducted the transfusion of cadaveric blood. In 1930, he organized the second in the USSR and in the world Institute of blood transfusion and emergency surgery, and became its Director. In 1935 he was awarded the title of honored Worker of science. In the years 1939-1958 V. N. Shamov headed the Department of hospital surgery of the Military medical Academy, he was the scientific Director of the Leningrad Institute of blood transfusion (1939-1941). During world war II – General-Lieutenant of medical service, Deputy chief surgeon of the red Army, in 1945 – the chief surgeon of the Supreme command of the far Eastern front. In October 1945, he was elected a full member of the USSR AMS. Since 1947 – was also the Director of the Leningrad research neurosurgical Institute them. A. L. Polenov, surgeon-in-chief of the RSFSR. Since 1958 Professor-consultant of the Military medical Academy. In 1962, V. N. Shamov became a laureate of the Lenin prize for development and introduction in practice of the method of preparation and use fibrinoliticescoy blood. N. Shamov for the first time in the country performed periarterial sympathectomy and surgery choroidal plexuses of the ventricles of the brain; developed method pregrading plasty of the esophagus isolated loop of the small intestine, raised the question of limitation contraindications for surgical interventions in the elderly. He was one of the first applied with the purpose of anesthesia, controlled hypotension and hypothermia anesthesia gas nitrous oxide, etc.; successfully completed one-step pankreatoduodenektomiyu in pancreatic cancer; described the clinical picture of tumors of cortex and medulla of the adrenal glands. V.N. Shamov ","PeriodicalId":283981,"journal":{"name":"Vestnik of Experimental and Clinical Surgery","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131371262","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":"Possibilities of Laparoscopic Decompression of Celiac Trunk in the Treatment of Dunbar Syndrome","authors":"Y. Ivanov, Иванов Юрий Викторович, A. V. Chupin, Чупин Андрей Валерьевич, D. N. Panchenkov, Панченков Дмитрий Николаевич, P. Orekhov, Орехов Павел Юрьевич, A. A. Terehin, Терехин Алексей Алексеевич","doi":"10.18499/2070-478X-2017-10-2-90-95","DOIUrl":"https://doi.org/10.18499/2070-478X-2017-10-2-90-95","url":null,"abstract":"Presented clinical case laparoscopic decompression of celiac trunk syndrome of Dunbar. In most cases, the diagnosis of syndrome of compression of the celiac trunk is by exclusion of other gastrointestinal diseases. Sure, it tells about lack of awareness among the medical community about this specific and rare pathology, as well as a possible skeptical attitude towards it related professionals. The main methods of diagnostics of a syndrome of Dunbar are: ultrasonic duplex scanning of the abdominal aorta, multislice computed tomography and angiography with a respiratory samples. The indication for surgical treatment is the ineffectiveness of conservative therapy, the preservation of the leading symptoms of abdominal ischemia on the ground proved critical in compression of the celiac trunk. Currently, laparoscopic decompression of celiac trunk syndrome Dunbar is the operation of choice. The obvious advantages of laparoscopic surgery are less blood loss, a slight pain syndrome in the postoperative period, short hospital period and better cosmetic effect. In the clinic, where surgeons proficient in the technique of laparoscopic procedures, the surgery can be performed quickly, safely, and efficiently. Additional intervention in the form of endovascular correction is not required in all patients and can be performed in a delayed order.","PeriodicalId":283981,"journal":{"name":"Vestnik of Experimental and Clinical Surgery","volume":"69 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115105761","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":"Immuno-biological Rationale for the Use of Platelet-rich Donor Plasma for the Regional Treatment of Wounds","authors":"Nikolay Nikolaevich Corotkich, Maria Valeryevna Aralova, A. Ostroushko, Veronika Vyacheslavovna Shipilova","doi":"10.18499/2070-478X-2017-10-2-111-115","DOIUrl":"https://doi.org/10.18499/2070-478X-2017-10-2-111-115","url":null,"abstract":"There has recently been great interest in platelet growth factors. Universal mechanism of action, simplicity, low cost and maloinvazivnogo receiving expand their use in practical medicine. However, comorbidities and the technical difficulty of isolating platelets from autoplasma are the limiting factors for widespread adoption of the techniques in the daily work of doctors of most hospitals. The article listed the main drugs of platelets enriched plasma (pure platelet-rich plasma enriched with white blood cells and platelets blood plasma, pure platelet-enriched fibrin enriched with platelets, leukocytes and fibrin), the features, the conditions of their production and hardware by apheresis, and from the pool leykotrieny layers. The marked advantages of automatic separation of blood components, which minimizes the human factor in (avoiding manual labor), allows to distinguish the platelets of high quality with little loss of hemoglobin and plasma, ensures quick and accurate obtaining of necessary blood components and the shelf life of platelets, the importance of timely delivery. The authors considered immune and biological aspects of the use of donor platelet concentrate. Describes methods to reduce the risks of transmission of hemotransmissive infections, alloimmune effects, bacterial contamination of wounds with local application of platelet concentrate. Comparative evaluation of the economic component of the latest hardware by apheresis and from the pool leykotrieny layers. The use of platelet-rich donor plasma for the stimulation of reparative processes in the healing of nonhealing wounds is due to equivalent clinical effectiveness of the use of donor platelet concentrate and platelet-rich autoplasma. Convenience of centralized procurement allows greater use of platelet drugs in many hospitals.","PeriodicalId":283981,"journal":{"name":"Vestnik of Experimental and Clinical Surgery","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131814658","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}