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[[Estimation of bilio-oigestive and interintestinal anastomoses, formed in accordance to method of a high-frequency electric welding of tissues, in experiment].] [[实验中根据组织高频电焊法形成的胆道-消化和肠间吻合的估计]。]
Klinichna khirurgiia Pub Date : 2016-08-01
A I Hutsuliak
{"title":"[[Estimation of bilio-oigestive and interintestinal anastomoses, formed in accordance to method of a high-frequency electric welding of tissues, in experiment].]","authors":"A I Hutsuliak","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In the experiment on 50 rabbits cholecysto-entero and entero-entero anastomoses were formed on intestinal Roux loop. In 35 animals (the main group) a single layer evert- ing anastomoses by using high frequence (HF) electric welding method were formed, in 15 (the comparison group) single row suture anastomoses has been done. The anas- tomosis sufficiency were performed by using hydropressure, pneumopressure meth- ods and breakload test. It was established that all anastomoses formed by HF-electric welding method were passable and hermetic, also had strong sufficiency. Strength of weld joint in the postoperative period increased in a linear progression and after 3 weeks almost reached strength intact intestine (240-250 mm Hg).</p>","PeriodicalId":32618,"journal":{"name":"Klinichna khirurgiia","volume":" 8","pages":"60-63"},"PeriodicalIF":0.0,"publicationDate":"2016-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35128967","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
[[Criteria and clinical significance of echographic patterns of the left ventriculus anomalous deformity].] 左心室异常畸形的超声诊断标准及临床意义。
Klinichna khirurgiia Pub Date : 2016-08-01
A S Matvashchuk, M V Kostvivev
{"title":"[[Criteria and clinical significance of echographic patterns of the left ventriculus anomalous deformity].]","authors":"A S Matvashchuk,&nbsp;M V Kostvivev","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>With the aim of the clinical significance studying of the abnormal myocardial deforma- tion (MD) patterns in left ventricle (LV) there were examined 45 patients, in whom oper- ative myocardial revascularization was performed for an ischemic heart disease. Also 31 volunteers were examined. Postsystolic myocardial contruction (PMC) of the LV, depending on its mechanism, was classified: in absence of the affection - PMC-0, in presence of myocardial ischemia - PMC-1, in loss of contractility - PMC-2a, in loss of elasticity - PMC-2b. There were depicted PMC, occurring due to overloading by pressure, delay in a free LV wall activation, protosystolic and intrasystolic delay of myocardial contruction of obscure origin. PMC-1 in the ischemic heart disease was revealed in the LV segments affected only, PMC-2 - in presence of LV aneurysm only. Appearance of PMC-1 constitutes a criterion of the myocardial function restoration. The PMC-2 severity lowering had witnessed improvement of the patients clinical state. The contraction delay of obscure origin may not be considered a criterion of the LV myocardium state.</p>","PeriodicalId":32618,"journal":{"name":"Klinichna khirurgiia","volume":" 8","pages":"22-29"},"PeriodicalIF":0.0,"publicationDate":"2016-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35130162","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
[[Substantiation of choisce of the kind, localization and method of the implant fixing in alloplasty of the abdominal wall complex defects].] 腹壁复杂缺损同种异体成形术中植入物种类、定位及固定方法的选择[j]。
Klinichna khirurgiia Pub Date : 2016-08-01
R B Lysenko
{"title":"[[Substantiation of choisce of the kind, localization and method of the implant fixing in alloplasty of the abdominal wall complex defects].]","authors":"R B Lysenko","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The method of the implant fixation for prophylaxis of complications after alloplasty of complex abdominal wall defects was proposed. Taking into account physico-mechan- ical parameters of implant, degree of anisotropy, in accordance to mechanical and morphological characteristics of the abdominal wall musculo-aponeurotic structures, it is possible to individualize the choice maximally, to plan the alloplasty kind, and to determine the method of optimal surgical treatment objectively.</p>","PeriodicalId":32618,"journal":{"name":"Klinichna khirurgiia","volume":" 8","pages":"12-15"},"PeriodicalIF":0.0,"publicationDate":"2016-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35130159","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 ambulatory surgery state in environment of reformation in ukrainian health protection branch].] 乌克兰卫生保健科改革环境下门诊手术状况分析
Klinichna khirurgiia Pub Date : 2016-08-01
N P Korzhyk
{"title":"[[The ambulatory surgery state in environment of reformation in ukrainian health protection branch].]","authors":"N P Korzhyk","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":32618,"journal":{"name":"Klinichna khirurgiia","volume":" 8","pages":"70-72"},"PeriodicalIF":0.0,"publicationDate":"2016-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35128969","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
[Diagnosis and surgical treatment of mirizzi syndrome]. [mirizzi综合征的诊断与手术治疗]。
Klinichna khirurgiia Pub Date : 2016-08-01
V A Syplyvy, D V Levtushenko, G D Petrenko, S A Andreyeshchev, Levtushenko A V
{"title":"[Diagnosis and surgical treatment of mirizzi syndrome].","authors":"V A Syplyvy,&nbsp;D V Levtushenko,&nbsp;G D Petrenko,&nbsp;S A Andreyeshchev,&nbsp;Levtushenko A V","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Retrospective analysis of the surgical treatment results in 34 patients, operated for intraoperatively diagnosed Mirizzi syndrome (MS), was done. Analysis of intraoperative changes have witnessed, that while transition occurrence of MS from the first to the fifth type a severity of morphological changes in a gallbladder-biliary ducts-duodenum system enhanced with duodenal integrity loss and development of cholecystobiliary or cholecystodigestive fistula. Surgical correction of MS have envisaged cholecystectomy performance or subtotal resection of gallbladder, plastic closure of biliary fistula, using various procedures, external biliary draining and formation of hepaticojejunostomy in accordance to Roux method.</p>","PeriodicalId":32618,"journal":{"name":"Klinichna khirurgiia","volume":" 8","pages":"8-11"},"PeriodicalIF":0.0,"publicationDate":"2016-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35130158","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
[[Spongy microporous tampon for mechanical clearance of a gun-shot wounos].] [[海绵状微孔卫生棉条，用于机械清除枪伤]。]
Klinichna khirurgiia Pub Date : 2016-08-01
R N Mikhaylusov
{"title":"[[Spongy microporous tampon for mechanical clearance of a gun-shot wounos].]","authors":"R N Mikhaylusov","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Application of a spongy microporous tampon in accordance to technology elaborated was proposed for enhancement of the mechanical clearance efficacy of the gun-shot soft tissues wounds. A procedure of manufacturing and application of spongy microp- orous tampon for the mechanical clearance of a gun-shot wounds was depicted. The clearance efficacy was improved due to application of the method elaborated, wit- nessing possibility of its usage on all stages of the surgical aid delivery.</p>","PeriodicalId":32618,"journal":{"name":"Klinichna khirurgiia","volume":" 8","pages":"57-59"},"PeriodicalIF":0.0,"publicationDate":"2016-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35128966","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
[Possibilities of laparoscopic gastric resection for gastrointestinal stromal tumors]. 【腹腔镜胃切除术治疗胃肠道间质瘤的可能性】。
Klinichna khirurgiia Pub Date : 2016-08-01
V V Grubnik, A L Kovahichuk, A V Malinovskiy, K V Barannikov
{"title":"[Possibilities of laparoscopic gastric resection for gastrointestinal stromal tumors].","authors":"V V Grubnik,&nbsp;A L Kovahichuk,&nbsp;A V Malinovskiy,&nbsp;K V Barannikov","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Possibilities of laparoscopic technologies application while surgical excision of gas- trointestinal stromal tumors (GIST) were analyzed. In 2000 - 2015 yrs in the clinic 28 patients were operated on for gastric GIST. In 10 of them laparoscopic gastric resec- tion with tumor (in 3 - the tumor excision in borders of nonaffected tissues, in 4 - gas- tric fundus resection or stapler resection of a great curvature together with tumor, in 3 - transgastric excision of the tumor, using staplers) surgery was done. The disease recurrence in 2-5 yrs follow-up was absent. Laparoscopic operations has advantage over open interventions while preserving oncological radicalism.</p>","PeriodicalId":32618,"journal":{"name":"Klinichna khirurgiia","volume":" 8","pages":"5-7"},"PeriodicalIF":0.0,"publicationDate":"2016-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35130157","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
[[Is it necessary to perform a central lymphodissection in highly differentiated iviicrocarcinoiva of thyroid gland?].] 高分化甲状腺微癌是否需要行中枢性淋巴清扫术?
Klinichna khirurgiia Pub Date : 2016-08-01
S N Zavgorodniy, M B Danilyuk, A I Rylov, O S Dolya
{"title":"[[Is it necessary to perform a central lymphodissection in highly differentiated iviicrocarcinoiva of thyroid gland?].]","authors":"S N Zavgorodniy,&nbsp;M B Danilyuk,&nbsp;A I Rylov,&nbsp;O S Dolya","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The rate of the highly differentiated thyroid microcarcinoma methastasizing in central (6th) group of cervical lymph nodes was studied. In the clinic in 2013 - 2015 yrs 62 patients were operated for primary thyroid microcarcinoma. In accordance to TNM (UICC, AJCC, 2009) classification, papillary cancer in stage TlaNOMO was diagnosed in 35 (56.5%) patients, T1aN1MO - in 22 (35.5%); follicular cancer stage T1aNOMO - in 2 (3.2%); papillary cancer, follicular variant in stage T1aN1 MO - in 2 (3.2%); follicu- lar cancer, papillary variant in stage T1aNOMO - in 1 (1.6%). In 8 (12.9%) patients intraorgan multifocal metastasizing into contralateral thyroid lobe was revealed. In accordance to morphological investigation date of the excised samples, in 24 (38.7%) patients the metastases into the 6th group lymph nodes were revealed. In 4 (16.7%) patients, to whom lateral cervical lymphodissection was done, metastases in 2 - 5th groups of lymph nodes on the thyroid affection side were revealed.</p>","PeriodicalId":32618,"journal":{"name":"Klinichna khirurgiia","volume":" 8","pages":"44-46"},"PeriodicalIF":0.0,"publicationDate":"2016-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35128962","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
[[Peculiarities of operative treatment of recurrent goiter].] 复发性甲状腺肿手术治疗特点[j]。
Klinichna khirurgiia Pub Date : 2016-08-01
O P Kovalyov, O M Lyuhlka, I I Nemchenko, M O Dudchenko, M I Kravtsiv, V I Lyakhovskyi
{"title":"[[Peculiarities of operative treatment of recurrent goiter].]","authors":"O P Kovalyov,&nbsp;O M Lyuhlka,&nbsp;I I Nemchenko,&nbsp;M O Dudchenko,&nbsp;M I Kravtsiv,&nbsp;V I Lyakhovskyi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Results of 20 patients with a recurrent goiter (RG) surgery were analyzed. All patients were from 37 to 73 years old. One-sided RG was in 6 patients, bilateral RG - in 14. With the purpose of specific intraoperation complications prevention the original method of final hemi- or thyroidectomy was developed. The observance of algorithm of actions during an operation concerning RG allows to prevent the damage of recur- rent laryngeal nerve and parathyroid glands.</p>","PeriodicalId":32618,"journal":{"name":"Klinichna khirurgiia","volume":" 8","pages":"47-48"},"PeriodicalIF":0.0,"publicationDate":"2016-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35128963","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
[[Observation of recurrent biliary ileus].] 复发性胆道梗阻的观察
Klinichna khirurgiia Pub Date : 2016-08-01
M I Kravtsiv, M O Dudchenko, O M Lyuhlka, M A Rayan Noraddin, V I Lyakhovskyi
{"title":"[[Observation of recurrent biliary ileus].]","authors":"M I Kravtsiv,&nbsp;M O Dudchenko,&nbsp;O M Lyuhlka,&nbsp;M A Rayan Noraddin,&nbsp;V I Lyakhovskyi","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":32618,"journal":{"name":"Klinichna khirurgiia","volume":" 8","pages":"78-79"},"PeriodicalIF":0.0,"publicationDate":"2016-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35128971","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
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