Medical Bulletin of the Main Military Clinical Hospital named after N.N. Burdenko最新文献

{"title":"Surgical mini-Scarf osteotomy in hallux valgus with biodegradable headless screws fixation","authors":"D. Davydov, A. A. Kerimov, I.V. Khominets, D. Grechukhin","doi":"10.53652/2782-1730-2022-3-3-11-19","DOIUrl":"https://doi.org/10.53652/2782-1730-2022-3-3-11-19","url":null,"abstract":"The use of biodegradable implants is becoming increasingly popular, especially in operations on small bones of the skeleton, including operations on the anterior part of the foot. 23 surgical interventions were performed to correct the first metatarsal using the mini-Scarf technique and fixation of fragments with a biodegradable implant. All the operated patients did not have a severe radiological stage of osteoarthritis of the first metatarsophalangeal joint and stiffness. The results of treatment were evaluated using AOFAS and Groulier questionnaires. Out of 23 patients, it was possible to track and obtain data according to the questionnaires in 18 patients (78.3% (16 had grade III deformity (88.9%)). Six months after surgical treatment, the proportion of excellent and good results was 77.8% (14) according to the AOFAS questionnaire and 83.3% (15) according to the Groulier questionnaire. The achieved results suggest a favorable prognosis for the widespread use of magnesium oxide implants, however, further research and comparison of the results of treatment in patients with hallux valgus who underwent surgery with the use of standard titanium screws are needed.","PeriodicalId":344630,"journal":{"name":"Medical Bulletin of the Main Military Clinical Hospital named after N.N. Burdenko","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128411318","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":"Selection criteria for patients with hepatocellular carcinoma for liver transplantation","authors":"M. Pitkevich, V. Breder, V. Kosyrev, I. Dzhanyan","doi":"10.53652/2782-1730-2022-3-1-50-56","DOIUrl":"https://doi.org/10.53652/2782-1730-2022-3-1-50-56","url":null,"abstract":"The paper considers the selection criteria for liver transplantation for patients with hepatocellular carcinoma (HCC). Liver resection is an effective method of radical treatment in the early stages of HCC. However, severe liver cirrhosis precludes this method of therapy. For these patients, liver transplantation is a good alternative. The article discusses the problem of correct selection of patients for liver transplantation. Best practices in assessing various criteria for liver transplantation are described. Statistical data are provided. There are also examples of studies that analyze additional factors used as extended criteria for liver transplantation: AFP, PIVKA, the effectiveness of locoregional therapy. The article focuses on neoadjuvant therapy, presents the results of global research on neoadjuvant therapy, and emphasizes their importance.","PeriodicalId":344630,"journal":{"name":"Medical Bulletin of the Main Military Clinical Hospital named after N.N. Burdenko","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134190593","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":"Effectiveness of endoscopic operations in vertebrology. Literature review","authors":"S. V. Kolesov, Dmitrij S Gorbatyuk, Arkadij I Kazmin, Nataliya S Morozova , Samir B. Bagirov","doi":"10.53652/2782-1730-2022-3-1-57-62","DOIUrl":"https://doi.org/10.53652/2782-1730-2022-3-1-57-62","url":null,"abstract":"In this literature review, an attempt was made to describe the main possibilities and limitations of arthroscopic spine surgery. The description is organized according to topographic principle, for each region of the spine (cervical, thoracic, lumbar). Arthroscopic interventions in vertebrology are a set of methods that are promising and gaining popularity. At present, the main scope of their application (and indication for treatment as well) is degenerative diseases of the spine that are associated with nerve structures’ compression. Arthroscopic methods allow, according to present data, to achieve better functional results than conventional ‘open’ surgical methods, including lower pain level at the postoperative period. The main issues for development of the methods are as follows: minimizing the working parts of the endoscope to be used for interventions at the cervical spine; avoidance of anatomic restrictions for operations on the thoracic spine; expanding the possibilities and indications for the method.","PeriodicalId":344630,"journal":{"name":"Medical Bulletin of the Main Military Clinical Hospital named after N.N. Burdenko","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133258004","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":"Trigger electromyography in endoscopic transnasal surgery of the skull base tumors","authors":"A. Shkarubo, I. Chernov, A. Ogurtsova, V. Chernov","doi":"10.53652/2782-1730-2021-2-4(6)-12-18","DOIUrl":"https://doi.org/10.53652/2782-1730-2021-2-4(6)-12-18","url":null,"abstract":"Preserving anatomical integrity and functions of cranial nerves when removing skull base tumors is one of the significant problems of endoscopic endonasal surgery. For this purpose, it is possible to use intraoperative mapping and cranial nerves identification. The aim of the study was to evaluatе the effectiveness of trigger electromyography (T-EMG) used to prevent iatrogenic damage to the cranial nerves intraoperatively. Twenty-one patients with different skull base tumors were included in the study. Mapping and identification of cranial nerves were carried out during tumor excision, using endoscopic endonasal access. Surgeries were performed on large skull-based chordomas, neuromas of the trigeminal nerve in the cavernous sinus region, pituitary adenomas, meningiomas in the clivus and a skull-based cholesteatoma. Mapping and identification of cranial nerves were carried out using electromyography in trigger mode using bipolar and monopolar electrodes. Functional activity of cranial nerves was evaluated both before and after the operation. The effectiveness of the technique was compared with that of the control group (41 patients). In the course of surgical interventions using T-EMG in the main group of patients, 40 nerves were analyzed. In the course of the study, III, V, VI, VII, XII cranial nerves were identified intraoperatively. In 4 patients in the main group and in 13 patients in the control group, a postoperative deficit of cranial nerves was observed. We did not receive statistically reliable data that the intraoperative identification of cranial nerves using T-EMG reduces the frequency of postoperative complications in the form of a deficiency of cranial nerves (p=0.11), but the ratio of chances (0.26) testifies in favor of rarely occurring complications in main group. Trigger electromyography allows us to estimate the functional state of the cranial nerves during endoscopic endonasal operations. The method of using T-EMG is promising and requires further research.","PeriodicalId":344630,"journal":{"name":"Medical Bulletin of the Main Military Clinical Hospital named after N.N. Burdenko","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132818442","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 intensive therapy for gunshot wounds of the skull and brain","authors":"I. E. Onnicev, Valery V. Stets, E. G. Kolobaeva, Vladimir P. Antohov","doi":"10.53652/2782-1730-2022-3-4-42-49","DOIUrl":"https://doi.org/10.53652/2782-1730-2022-3-4-42-49","url":null,"abstract":"With the modern development of battlefield medicine and air ambulance evacuation, the quality of medical care is undergoing changes. As for neurosurgical combat trauma, the provision of medical care for this patient population requires more specialization, closer to the front line and reduction of stages. The article summarizes the results of experience in the treatment of gunshot wounds to the head. The severity of injuries to the skull and brain on admission was assessed using the Injury Severity Score. The condition of 67% of those admitted was considered severe, the mortality rate was 0.8%, and the length of stay in the intensive care unit was 12 days. Extremely severe were 33% of the wounded, the mortality rate in this group was 2.2%, and the length of stay in the intensive care unit (ICU) was 31 days. When assessing the level of consciousness at our stage on the Glasgow coma scale, most of the wounded had a score of 6–8, which corresponds to a deep coma. Direct evacuation of the wounded to the specialized stage of care, computed tomography (CT), availability of a qualified neurosurgeon, the earliest possible decompressive craniotomy if indicated are the components of success in dealing with intracranial hypertension, the development of subsequent neurological deficit and reducing mortality. Nutritional support and antibiotic therapy are important components of intensive care in neuroresuscitation.","PeriodicalId":344630,"journal":{"name":"Medical Bulletin of the Main Military Clinical Hospital named after N.N. Burdenko","volume":"102 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116122381","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":"Clinical efficacy of nephroprotective effects of therapeutic plasmapheresis in angiosurgical interventions","authors":"O. Demchuk, Igor' V. Gumenyuk, Natal'ja D. Ushakova, S. Gladkaya, Vladislav O. Demchuk","doi":"10.53652/2782-1730-2023-4-2-19-24","DOIUrl":"https://doi.org/10.53652/2782-1730-2023-4-2-19-24","url":null,"abstract":"The use of therapeutic plasmapheresis in the early postoperative period after angiosurgical interventions has a nephroprotective effect, which reduces the frequency and severity of acute postoperative reperfusion injury to the kidneys, improves the results of treatment of this category of patients.","PeriodicalId":344630,"journal":{"name":"Medical Bulletin of the Main Military Clinical Hospital named after N.N. Burdenko","volume":"183 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121024927","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":"Non transfusion dependent thalassaemia: conventional and novel therapy","authors":"C. Asadov","doi":"10.53652/2782-1730-2022-3-2-48-59","DOIUrl":"https://doi.org/10.53652/2782-1730-2022-3-2-48-59","url":null,"abstract":"This literature review attempts to describe modern approaches to the diagnosis and therapy of non transfusion dependent thalassaemia (NTDT). NTDT has a wide clinical spectrum. The clinical polymorphism of the disease is due to genetic heterogeneity. There are three major factors, which are responsible for the clinical manifestations of NTDT: ineffective erythropoiesis, chronic anemia, and iron overload. Untreated NTDT is the cause of various complications: splenomegaly, gallstones, extramedullary erythropoiesis, kidney stones, lower limbs trophic ulcers, thrombophilia, pulmonary hypertension, endocrine complications, iron overload, bone abnormalities, osteoporosis. Traditional therapy for NTDT include splenectomy, transfusion therapy, stimulation of fetal hemoglobin (HbF) synthesis, and bone marrow transplantation. However, due to the limitations and challenges associated with available conventional therapies, novel methods are currently being developed. These include: JAK2 inhibition, hepcidin modulation, TMPRSS6 inhibition, apo-transferrin, HIF2 inhibition, Activin receptor-II trap ligands, ferroportin inhibitors.","PeriodicalId":344630,"journal":{"name":"Medical Bulletin of the Main Military Clinical Hospital named after N.N. Burdenko","volume":"138 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128741803","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":"70 years of the neurosurgical clinic of the Hospital named after N.N. Burdenko. Accumulated experience in the treatment of gunshot wounds of the central and peripheral nervous systems","authors":"S. Gizatullin, I.N. Isengaliev, M. Ovchinnikova","doi":"10.53652/2782-1730-2022-3-4-32-41","DOIUrl":"https://doi.org/10.53652/2782-1730-2022-3-4-32-41","url":null,"abstract":"The article highlights the historical aspects of the origin of neurosurgery as a specialty within the walls of the Main Military Clinical Hospital named after Academician N.N. Burdenko. Based on the clinical experience of the neurosurgical center, the principles of diagnosis and surgical treatment of gunshot wounds of the central and peripheral nervous systems are described.","PeriodicalId":344630,"journal":{"name":"Medical Bulletin of the Main Military Clinical Hospital named after N.N. Burdenko","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126626009","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":"Correlations of CT signs of COVID-19 viral pneumonia with phases of diffuse alveolar damage","authors":"Vasilij V. Parshin, D. A. Lezhnev, El'vira E. Berezhnaya, A. V. Mishina","doi":"10.53652/2782-1730-2022-3-3-38-44","DOIUrl":"https://doi.org/10.53652/2782-1730-2022-3-3-38-44","url":null,"abstract":"A computed tomography (CT) is the leading diagnostic technique in identifying detailed and specific signs of coronavirus infection (CI). The objective of the work is to correlate between the typical set of signs that occur during CI and the phases of diffuse alveolar damage (DAD). The volume of lung lesions in 78 patients was retrospectively evaluated. All the patients had lung CT from 1 to 3 day before death. 14 patients had a targeted comparison of 3 signs «ground-glass, crazy paving pattern and consolidation» with the phases of DAD. It was found that the «ground glass» feature is most characterized by the exudative phase (lasting up to 8 days), the «crazy paving pattern» by the exudative-proliferative phase (up to 10 days), the consolidation by the proliferative phase (lasting from 8 to 20 days). According to these scientific data, CT-lung can be a prognostic factor of histological phases of DAD and their duration, which in turn may be one of the predictors of a negative prognosis and the onset of death in pneumonia caused by SARS-CoV-2 (COVID-19).","PeriodicalId":344630,"journal":{"name":"Medical Bulletin of the Main Military Clinical Hospital named after N.N. Burdenko","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121929860","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":"Hemodynamic monitoring in liver transplantation","authors":"Sergej V. Zhuravel, Natal'ya K. Kuznecova, Viktoriya E. Stacura, P. V. Gavrilov, I. I. Goncharova","doi":"10.53652/2782-1730-2022-3-2-36-43","DOIUrl":"https://doi.org/10.53652/2782-1730-2022-3-2-36-43","url":null,"abstract":"Hemodynamic monitoring is an important part of the anesthetic management in liver transplantation. Currently, there is no unified algorithm for the assessment of the cardiovascular system parameters. The article describes the criteria for the presence or absence of the necessity of using routine or additional invasive monitoring methods.","PeriodicalId":344630,"journal":{"name":"Medical Bulletin of the Main Military Clinical Hospital named after N.N. Burdenko","volume":"72 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121078335","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}