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[INDIVIDUAL SURGICAL ТАCTICS IN PATIENTS, SUFFERING CHRONIC PANCREATITIS]. [个别手术ТАctics患者，患有慢性胰腺炎]。
Klinichna khirurgiia Pub Date : 2017-01-01
B S Zaporozhchenko, A A Gorbunov, P T Muravyev, I E Borodayev, V V Kolodiy, M B Zaporozhchenko, O B Zubkov
{"title":"[INDIVIDUAL SURGICAL ТАCTICS IN PATIENTS, SUFFERING CHRONIC PANCREATITIS].","authors":"B S Zaporozhchenko,&nbsp;A A Gorbunov,&nbsp;P T Muravyev,&nbsp;I E Borodayev,&nbsp;V V Kolodiy,&nbsp;M B Zaporozhchenko,&nbsp;O B Zubkov","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Results of surgical treatment for various clinic-morphological forms of chronic pancreatitis were presented. Efficacy of surgical treatment of the patients, using elaborated individual tactics, was analyzed. There was noted, that morphological changes in the pancreatic gland tissue determines peculiarities of surgical tactics for individual patient. Оperative interventions must be performed for the pain syndrome, for the foregut and common biliary duct impaction, as well as acidic affection of pancreatic gland, fibrous pancreatitis. Indications for miniinvasive operations for chronic pancreatitis were substantiated. While estimating efficacy of miniinvasive and radical operative interventions for chronic pancreatitis a lesser postoperative morbidity and lethality rate was noted, when miniinvasive procedures were applied.</p>","PeriodicalId":32618,"journal":{"name":"Klinichna khirurgiia","volume":" 1","pages":"9-11"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36537023","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
[DIAGNOSTIC AND PROGNOSTIC UTILITY OF ENTERAL FAILURE IN PATIENTS WITH ACUTE NECROTIC PANCREATITIS]. [急性坏死性胰腺炎患者肠衰竭的诊断和预后价值]。
Klinichna khirurgiia Pub Date : 2017-01-01
O V Rotar
{"title":"[DIAGNOSTIC AND PROGNOSTIC UTILITY OF ENTERAL FAILURE IN PATIENTS WITH ACUTE NECROTIC PANCREATITIS].","authors":"O V Rotar","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Acute necrotic pancreatitis was followed by disorders of intestinal functions in 96.7% of patients and in 68% — its failure was occurred what had directly influenced on frequency of purulent—septic complication and mortality rate. It was proved that citrulline plasma level had been objectively reflected the severity of enteral failure and served as independent lethality criteria in patients with acute necrotic pancreatitis.</p>","PeriodicalId":32618,"journal":{"name":"Klinichna khirurgiia","volume":" 2","pages":"75-6"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36538221","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
[APPLICATION OF VACUUM-THERAPY ON STAGES OF SURGICAL TREATMENT OF THE DIABETIC FOOT SYNDROME]. 【真空疗法在糖尿病足综合征手术治疗分期中的应用】。
Klinichna khirurgiia Pub Date : 2017-01-01
P O Gerasymchuk, D B Fira, A V Pavlyshyn
{"title":"[APPLICATION OF VACUUM-THERAPY ON STAGES OF SURGICAL TREATMENT OF THE DIABETIC FOOT SYNDROME].","authors":"P O Gerasymchuk,&nbsp;D B Fira,&nbsp;A V Pavlyshyn","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Vacuum therapy of an acute and chronic wounds was used in a complex of surgical treatment of 228 patients, suffering diabetic foot syndrome.\u0000\u0000There was established a positive local and systemic action of this method for the treatment of the wound defect. Vacuum therapy of the wounds guarantees the wound process clinical course stabilization, improvement of microcirculation, reduction of their microbial soiling, stimulation of regenerative processes, elimination of endogenous intoxication.</p>","PeriodicalId":32618,"journal":{"name":"Klinichna khirurgiia","volume":" 2","pages":"16-8"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36539655","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 THE FORCED INTRAARTERIAL INJECTION OF MEDICINAL PREPARATIONS IN A COMPLEX OF TREATMENT FOR THE LOWER EXTREMITIES CHRONIC ISCHEMIA]. [下肢慢性缺血综合治疗中强制动脉内注射药物制剂的可能性]。
Klinichna khirurgiia Pub Date : 2017-01-01
S V Sander
{"title":"[POSSIBILITIES OF THE FORCED INTRAARTERIAL INJECTION OF MEDICINAL PREPARATIONS IN A COMPLEX OF TREATMENT FOR THE LOWER EXTREMITIES CHRONIC ISCHEMIA].","authors":"S V Sander","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The efficacy and prognostic significance of the forced intraarterial injection of medicinal preparations in complex of treatment in patients, suffering chronic ischemia of the lower extremities tissues, was studied. In experimental conditions of the main blood flow blockade the forced intraarterial injection of medicinal preparations have promoted the release of vessels from cellular aggregates and the blood clots; and in the ischemia of degree ІІ - ІІІа – has determined more pronounced clinical improvement. Appearance of reactive hyperemia of the foot in terms more than 2 min have witnessed the hopelessness of the extremity saving.</p>","PeriodicalId":32618,"journal":{"name":"Klinichna khirurgiia","volume":" 2","pages":"62-5"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36539974","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
[МОRPHOLOGY OF THE DIABETIC FOOT SYNDROME]. [МОrphology糖尿病足综合症]。
Klinichna khirurgiia Pub Date : 2017-01-01
R I Sydorchuk, O J Khomko, V B Reva, O I Polyanskyi, L P Sydorchuk, A I Popovych
{"title":"[МОRPHOLOGY OF THE DIABETIC FOOT SYNDROME].","authors":"R I Sydorchuk,&nbsp;O J Khomko,&nbsp;V B Reva,&nbsp;O I Polyanskyi,&nbsp;L P Sydorchuk,&nbsp;A I Popovych","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Local morphological changes were studied in dynamics in 215 patients, suffering diabetic foot syndrome. While an adequate local treatment conduction, in accordance to the standards elaborated, the histological investigations data have shown the oedema, the cellular infiltration and microcirculatory disorders reduction in the wound boundary zone. In 1 week of treatment in biopsies a young granulating tissue was observed, consisting of big quantity of vascular loops, oriented perpendicularly towards the wound surface and multiple bundles of fibroblasts. In a period of 2 weeks an active multilayered wound defect epithelization was seen. The stratum creeps, right from the skin secured, covering the wound surface.</p>","PeriodicalId":32618,"journal":{"name":"Klinichna khirurgiia","volume":" 2","pages":"66-7"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36539975","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
[EXPERIENCE OF APPLICATION OF THE ELECTRIC WELDING METHOD FOR BIOLOGICAL TISSUES IN URGENT AND ELECTIVE SURGERY]. 【生物组织电焊法在急诊和择期手术中的应用体会】。
Klinichna khirurgiia Pub Date : 2017-01-01
L S Bilyanskyi, M P Zakharash, Yu M Zakharash, R N Abu Shamsiya, E M Dubenko
{"title":"[EXPERIENCE OF APPLICATION OF THE ELECTRIC WELDING METHOD FOR BIOLOGICAL TISSUES IN URGENT AND ELECTIVE SURGERY].","authors":"L S Bilyanskyi,&nbsp;M P Zakharash,&nbsp;Yu M Zakharash,&nbsp;R N Abu Shamsiya,&nbsp;E M Dubenko","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The usage experience of the electric welding technologies for biological tissues in 158 patients, while applying Ukrainian high—frequency generator ЕК 300 М1, was presented. Laparoscopic appendectomy, laparoscopic plasty of inguinal hernia, laparoscopic cholecystectomy, open resection of small and large bowel, during which the method of electric welding of biological tissues was applied, had constituted the main surgical interventions. The electric welding usage have permitted to reduce the operation time and the blood volume loss, and also the clipses quantity needed, which are applied for the hemostasis completion and hermetization of anatomic structures after their transsection. Аnalysis of the data obtained witnesses high efficacy of the procedure application for the biological tissues conjunction as well as for acceleration of their reparation processes, occurring after disconnection.</p>","PeriodicalId":32618,"journal":{"name":"Klinichna khirurgiia","volume":" 2","pages":"5-6"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36539654","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
[EXPERIENCE OF TOTALLY TRANSCUTANEOUS ENDOPROSTHESIS OF THE INFRARENAL AORTA АNEURYSM]. [全经皮肾下主动脉假体置换术的经验Аneurysm]。
Klinichna khirurgiia Pub Date : 2017-01-01
S N Furkalo, I V Khasyanova, E A Vlasenko, P A Gindich
{"title":"[EXPERIENCE OF TOTALLY TRANSCUTANEOUS ENDOPROSTHESIS OF THE INFRARENAL AORTA АNEURYSM].","authors":"S N Furkalo,&nbsp;I V Khasyanova,&nbsp;E A Vlasenko,&nbsp;P A Gindich","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Endovascular endoprosthesis infrarenal aorta constitutes a miniinvasive highly technological method of treatment of a life-thretening pathology. Experience of transcutaneous endoprosthesis of infrarenal aorta in 6 patients was presented. Possibility of a common femoral artery (CFA) suturing, using Prostar XL apparatus, was estimated on a stage of the endoprosthesis dimensions calculation in accordance to a CT and duplex US scanning data and recommendations of manufacturer. In transcutaneous CFA suturing the complications were absent. Absence of a sectional access to CFA have permitted to avoid such complications, as neuralgia, paresthesia, seroma, suppuration of operative wound. In bilateral suturing of CFA a duration of the patients stationary state have reduced.</p>","PeriodicalId":32618,"journal":{"name":"Klinichna khirurgiia","volume":" 1","pages":"26-8"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36540095","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
[WAYS OF THE SURGICAL MISTAKES OVERCOME IN THE PAIN ABDOMINAL AND THORACIC SYNDROMS]. [腹胸疼痛综合征手术失误的克服方法]。
Klinichna khirurgiia Pub Date : 2017-01-01
I D Duzhyi, I Ya Grehsko, V I Duzhyi, G P Oleshchenko
{"title":"[WAYS OF THE SURGICAL MISTAKES OVERCOME IN THE PAIN ABDOMINAL AND THORACIC SYNDROMS].","authors":"I D Duzhyi,&nbsp;I Ya Grehsko,&nbsp;V I Duzhyi,&nbsp;G P Oleshchenko","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Experience of differential diagnosis of pleural diseases, accompanied by pleuroabdominal pain syndrome, simulating «an acute abdomen», was summarized. In a pleural exudate syndrome such a course was noted in 17 (3%) patients, of them 7 (1.23%) were operated on; and in a syndrome of spontaneous pneumothorax – in 3 (1.7%), 1 (0.4%) was operated. Diagnostic algorithm was proposed.</p>","PeriodicalId":32618,"journal":{"name":"Klinichna khirurgiia","volume":" 1","pages":"43-7"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36540103","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
[BIOMARKERS OF EARLY AND DIFFERENTIAL DIAGNOSIS OF PROSTATIC CANCER]. [前列腺癌早期和鉴别诊断的生物标志物]。
Klinichna khirurgiia Pub Date : 2017-01-01
V M Grygorenko, R O Danylets, M V Vikarchuk, L V Gorbahn, A V Klepko
{"title":"[BIOMARKERS OF EARLY AND DIFFERENTIAL DIAGNOSIS OF PROSTATIC CANCER].","authors":"V M Grygorenko,&nbsp;R O Danylets,&nbsp;M V Vikarchuk,&nbsp;L V Gorbahn,&nbsp;A V Klepko","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>There were examined 87 patients, suffering prostatic gland diseases, in whom the level of general prostate-specific antigen (PSA) in the blood have constituted 0.5 – 30 ng/ml. In 27 of them prostatic gland diseases were not revealed, in 28 – prostatic cancer was diagnosed, and in 32 – benign prostatic hyperplasia. There was proved, that rate of prostatic cancer and benign prostatic hyperplasia have correlated with prostatic gland volume and depended upon PSA and its isoforms concentration in the blood. The [-2] proPSA in the blood serum level have differed in all three groups, and the level of general and free PSA – in patients of group I, comparing with that in the groups 2 and 3. That have witnessed the possibility of determining of the [-2]proPSA content as alternative biomarker of early and differential diagnosis of prostatic cancer.</p>","PeriodicalId":32618,"journal":{"name":"Klinichna khirurgiia","volume":" 1","pages":"54-7"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36540337","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 METHOD CHOICE OF OPERATIVE INTERVENTION IN PATIENTS WITH POSTTRAUMATIC DEFECTS OF COVERING TISSUES OF TRUNK AND EXTREMITIES]. [创伤后躯干及四肢覆盖组织缺损手术干预的方法选择]。
Klinichna khirurgiia Pub Date : 2017-01-01
O V Ponomarenko
{"title":"[THE METHOD CHOICE OF OPERATIVE INTERVENTION IN PATIENTS WITH POSTTRAUMATIC DEFECTS OF COVERING TISSUES OF TRUNK AND EXTREMITIES].","authors":"O V Ponomarenko","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Results of 242 patients treatment, suffering the trunk and extremities covering tissues defects, which have had occur as a consequence of mechanical injury in a 2008 – 2016 yrs period, were analyzed. There were 697 оperative interventions performed, of them 492 (70.6%) – aiming to restore the tissues injured.\u0000\u0000The choice of method of the correcting intervention and the tissues defects covering have depended upon the wound dimension and depth, as well as peculiarities of hemodynamics in the area injured. Application of differentiated approach to choice of method for the wound surfaces closure, which were created as a consequence of mechanical injury, have had permitted to achieve satisfactory results in 98.75% of patients.</p>","PeriodicalId":32618,"journal":{"name":"Klinichna khirurgiia","volume":" 1","pages":"61-3"},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36540341","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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