VESTNIK KHIRURGII IMENI I.I.GREKOVA最新文献

Assessment of the outcomes of the treatment of patients with suppurative necrotic complications of diabetic foot syndrome with the use of programmed rehabilitation technologies 程序化康复技术治疗糖尿病足综合征化脓性坏死并发症的疗效评价

VESTNIK KHIRURGII IMENI I.I.GREKOVA Pub Date : 2018-12-29 DOI: 10.24884/0042-4625-2018-177-6-63-68

A. Glukhov, V. Sergeev, G. Semyonova

{"title":"Assessment of the outcomes of the treatment of patients with suppurative necrotic complications of diabetic foot syndrome with the use of programmed rehabilitation technologies","authors":"A. Glukhov, V. Sergeev, G. Semyonova","doi":"10.24884/0042-4625-2018-177-6-63-68","DOIUrl":"https://doi.org/10.24884/0042-4625-2018-177-6-63-68","url":null,"abstract":"Objective.To assess the outcomes of the treatment of patients with suppurative necrotic complications of diabetic foot syndrome (DFS) without critical ischemia with the use of programmed rehabilitation technologies (PRT).Materialand methods.The study included 82 patients. 40 patients (reference group) underwent conventional rehabilitation, while 42 patients (study group) were treated with PRT with the use of the original equipment AMP-01.Results.Use of PRT has been established to significantly improve the quality of rehabilitation, which helps to reduce the duration of inpatient treatment. The number of suppurative complications in the study group proved to be significantly less (p=0.014), and postoperative mortality was lower. The long-term outcomes of the treatment (number of late suppurative complications, ischemia progression, maintenance of foot support ability) in the study group was also found to be significantly better compared to the reference group.Conclusion.The use of PST promotes the improvement of short-term and long-term outcomes of the treatment of the patients with DFS suppurative necrotic complications.","PeriodicalId":287676,"journal":{"name":"VESTNIK KHIRURGII IMENI I.I.GREKOVA","volume":"149 5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115589673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Diagnostic features of artificial pyoinflammatory diseases of soft tissues 软组织人工热炎性疾病的诊断特点

VESTNIK KHIRURGII IMENI I.I.GREKOVA Pub Date : 2018-12-28 DOI: 10.24884/0042-4625-2018-177-6-31-35

Aleksey Koval, Nikolay V. Tashkinov, Gegam G. Melkonian, A. Marochko, B. Kogut, N. I. Boiarintsev, V. V. Ianovoĭ, P. Kosenko

引用次数: 0

On the 100-th anniversary of «Russian scientific center of radiology and surgical technologies named after A.M. Granov»: history of the development of surgery 俄罗斯放射学和外科技术科学中心成立100周年纪念Granov»:外科发展史

VESTNIK KHIRURGII IMENI I.I.GREKOVA Pub Date : 2018-11-23 DOI: 10.24884/0042-4625-2018-177-5-94-95

D. Granov

引用次数: 0

Clinical and endoscopic assessment of patients in the long-term after endoscopic papillosphincterotomy 内镜下乳头括约肌切开术后患者长期的临床及内镜评估

VESTNIK KHIRURGII IMENI I.I.GREKOVA Pub Date : 2018-11-23 DOI: 10.24884/0042-4625-2018-177-5-68-73

A. E. Kotovskii, T. A. Siumareva, K. G. Glebov, T. Dyuzheva, B. Magomedova, V. A. Nefedtseva

{"title":"Clinical and endoscopic assessment of patients in the long-term after endoscopic papillosphincterotomy","authors":"A. E. Kotovskii, T. A. Siumareva, K. G. Glebov, T. Dyuzheva, B. Magomedova, V. A. Nefedtseva","doi":"10.24884/0042-4625-2018-177-5-68-73","DOIUrl":"https://doi.org/10.24884/0042-4625-2018-177-5-68-73","url":null,"abstract":"The objective of the study was to evaluate the long-term results of endoscopic papillosphincterotomy in cases of choledocholithiasis and papillary stenosis.Material and methods. We carried out retrospective analysis of the results of endoscopic papillosphincterotomy (EPST) due to the presence of choledocholithiasis (group 1, n=117) and papillary stenosis (group 2, n=55) along with the combination of the above (group 3, n=6) in a total of 178 patients. Clinical and endoscopic results of the intervention were studied in all patients in the long-term (from 1 to 30 years).Results. Based on the analysis of the complex examination, including endoscopic functional tests, treatment results were evaluated as good in 80 % of patients, satisfactory in 16 % of patients and unsatisfactory in 4 % of patients (after endoscopic correction of papillary stenosis).Conclusion. The cicatrisation process in the papillotomy opening exhibits the most intensively in patients with papillary stenosis combined with choledocholithiasis and without it, lasts until 4.5–5 years after surgery. Dynamic observation of patients after EPST is obligatory for early diagnosis of restenosis in the papillotomy opening.","PeriodicalId":287676,"journal":{"name":"VESTNIK KHIRURGII IMENI I.I.GREKOVA","volume":"75 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131512461","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

ANAESTHETIC ASPECTS OF IMPROVING CONDITIONS OF ENDOSCOPIC GASTRECTOMY IN PATIENTS WITH MORBID OBESITY 麻醉对改善病态肥胖患者内镜胃切除术条件的影响

VESTNIK KHIRURGII IMENI I.I.GREKOVA Pub Date : 2018-09-08 DOI: 10.24884/0042-4625-2018-177-4-56-62

M. Neimark, R. Kiselev, A. Y. Elisariev

{"title":"ANAESTHETIC ASPECTS OF IMPROVING CONDITIONS OF ENDOSCOPIC GASTRECTOMY IN PATIENTS WITH MORBID OBESITY","authors":"M. Neimark, R. Kiselev, A. Y. Elisariev","doi":"10.24884/0042-4625-2018-177-4-56-62","DOIUrl":"https://doi.org/10.24884/0042-4625-2018-177-4-56-62","url":null,"abstract":"The OBJECTIVE of the study is to improve in the surgical condition of endoscopic longitudinal gastroplasty in patients with morbid obesity. MATERIAL AND METHODS. The prospective randomized controlled research of 68 patients who underwent endoscopic sleeve gastroplasty. The 1st group (n=23) – neuromuscular blockade (NMB) was performed by bolus injection of rocuronium, the patients on the operating table were in a flat position. The 2nd group (n=23) – NMB was maintained by intravenous infusion of rocuronium, patients on the operating table were in the Trendelenburg position. The 3rd group (n=22) – basic anesthesia in combination with prolonged epidural analgesia (PEA), NMB were maintained at a deep level by intravenous infusion of rocuronium, patients on the operating table were in the «beach chair» position. Neuromuscular monitoring, monitoring of central and peripheral hemodynamics were performed. The elasticity of the anterior abdominal wall (E), intra-abdominal pressure (IAP), intra-abdominal volume (IAV) were calculated. RESULTS. During the analysis of the dynamics of the average level of intra-abdominal volume and pressure, it was found that the mean IAV level in the 3rd group was significantly higher at all stages of the study than in the 1st and the 2nd groups, and the IAP level was significantly lower in the 3rd group at all stages of the study than in the 1st and the 2nd groups. CONCLUSION. The maintaining of muscle relaxation at a deep level under the regime of continuous infusion, the inclusion of ropivacaine in the anesthetic regimen of PEA, the use of the «beach chair» position for the patient on the operating table contribute to the improvement of surgical condition during the endoscopic gastrectomy in patients with morbid obesity.","PeriodicalId":287676,"journal":{"name":"VESTNIK KHIRURGII IMENI I.I.GREKOVA","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123581052","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

THE USE OF EXTRACORPOREAL MEMBRANE OXYGENATION IN THE PRACTICE OF CARDIO-PULMONARY RESUSCITATION: OVERVIEW AND PROSPECTS OF THE TECHNOLOGY 体外膜氧合在心肺复苏中的应用:技术综述与展望

VESTNIK KHIRURGII IMENI I.I.GREKOVA Pub Date : 2018-08-28 DOI: 10.24884/0042-4625-2018-177-4-92-97

Олег Николаевич Резник, А. Е. Скворцов, В. М. Теплов, С. С. Комедев, А. В. Лопота, Н. А. Грязнов, Виктор Владимирович Харламов, С. Ф. Багненко

引用次数: 1

LONG-TERM RESULT OF TREATMENT OF PANCREATIC PSEUDOCYST COMPLICATED WITH RECURRENT BLEEDING 胰腺假性囊肿合并复发性出血的远期疗效分析

VESTNIK KHIRURGII IMENI I.I.GREKOVA Pub Date : 2018-06-11 DOI: 10.24884/0042-4625-2018-177-3-49-51

N. V. Ruhljada, Solov'ev Ia, D. K. Savchenkov, A. V. Kolunov, I. A. Homchuk, A. P. Utochkin, M. V. Vasil'chenko, А. V. Kcheuso

引用次数: 0

BRONCHO- AND ANGIOPLASTY LOBECTOMY AS AN ALTERNATIVE TO PNEUMONECTOMY IN TREATMENT OF NON-SMALL-CELL LUNG CANCER 支气管血管成形术肺叶切除术替代全肺切除术治疗非小细胞肺癌

VESTNIK KHIRURGII IMENI I.I.GREKOVA Pub Date : 2018-06-11 DOI: 10.24884/0042-4625-2018-177-3-19-24

Reshetov Av, A. Elkin, Nikolaev Gv, S. S. Stepanov

引用次数: 3

SURGICAL TACTICS IN COMPLICATIONS OF GALLSTONE DISEASE IN PREGNANT WOMAN AT LATE STAGES OF GESTATION 妊娠晚期孕妇胆石症并发症的手术策略

VESTNIK KHIRURGII IMENI I.I.GREKOVA Pub Date : 2018-06-11 DOI: 10.24884/0042-4625-2018-177-3-45-48

M. Kitaeva, A. Korolkov, V. Bezhenar, D. A. Smirnov, D. Popov, S. Bagnenko

引用次数: 0

TRANSSPHENOIDAL SURGERY OF NASAL LIQUORRHEA AS A COMPLICATION AFTER TREATMENT OF PROLACTINOMAS WITH DRUGS 经蝶窦手术治疗催乳素瘤后并发鼻漏用药物治疗

VESTNIK KHIRURGII IMENI I.I.GREKOVA Pub Date : 2018-06-11 DOI: 10.24884/0042-4625-2018-177-3-14-18

A. Polezhaev, V. Cherebillo, D. V. Svistov, U. Tsoy, D. V. Voitsekhovsky

引用次数: 2