Khirurgiya最新文献_第10页

[Features of comprehensive treatment in a patient with complicated type 2 diabetes mellitus: A clinical case]. 【1例合并2型糖尿病患者综合治疗特点】。

Khirurgiya Pub Date : 2025-01-01 DOI: 10.17116/hirurgia2025061128

M V Varganov, A A Miklichev

引用次数: 0

[Laparoscopic spleen-preserving distal pancreatectomy in a patient with serous cystadenoma using a laparoscopic vascular suture]. [腹腔镜血管缝合保脾胰远端切除术1例浆液性囊腺瘤]。

Khirurgiya Pub Date : 2025-01-01 DOI: 10.17116/hirurgia2025061112

E V Mogilevets, A K Bekish, O I Sluchich

引用次数: 0

[Treatment of patellar instability following valgus deformity of the lower extremity and high-riding patella (a series of clinical cases)]. [下肢外翻畸形及高位髌骨后髌骨不稳的治疗（一系列临床病例）]。

Khirurgiya Pub Date : 2025-01-01 DOI: 10.17116/hirurgia202502160

A P Prizov, M M Awad, N V Zagorodniy, E A Belyak, G A Airapetov

引用次数: 0

[Distal bypass surgery using a donor vein from the first-line relative with delayed endovascular revascularization of the lower limb through a shunt]. [使用来自一线亲属的供体静脉进行远端搭桥手术，通过分流术延迟下肢血管内血运重建]。

Khirurgiya Pub Date : 2025-01-01 DOI: 10.17116/hirurgia202507174

A I Tomchenko, I A Khomchuk, S A Platonov, V N Zhigalo, K N Fomin, V S Daineko, R L Shakhnazaryan, D V Kandyba

引用次数: 0

[Varicose veins in chronic experiment]. [慢性实验中的静脉曲张]。

Khirurgiya Pub Date : 2025-01-01 DOI: 10.17116/hirurgia202507116

D A Evsyukov, Yu T Tsukanov, V P Dorofeeva, I O Snitko, M Kh Alikberov, A Yu Tsukanov

{"title":"[Varicose veins in chronic experiment].","authors":"D A Evsyukov, Yu T Tsukanov, V P Dorofeeva, I O Snitko, M Kh Alikberov, A Yu Tsukanov","doi":"10.17116/hirurgia202507116","DOIUrl":"https://doi.org/10.17116/hirurgia202507116","url":null,"abstract":"Objective: To create a method for modeling of varicose veins in dogs in a chronic experiment.Material and methods: The experiment was carried out on 15 sexually mature mongrel uncastrated male dogs weighing 15.000-17.000 g divided into 3 groups: group I (control) - human chorionic gonadotropin 200 U/kg and progesterone 1% 0.1 ml/kg intramuscularly; group II - hexestrol 0.09 mg/kg and progesterone 1% 0.1 ml /kg intramuscularly; group III - progesterone 1% 0.1 ml /kg intramuscularly. The drugs were administered 1 day before surgery. Then, we narrowed femoral vein in the upper third of the thigh under combined anesthesia. Intramuscular administration of the above-mentioned drugs was continued after surgery and for the next 6 days. Monitoring of ultrasound parameters and laboratory data (leukocytes, CRP, IL-6) was performed 1 day before surgery, after 10 and 30 days.Results: Femoral vein narrowing by ½ combined with progesterone and estrogen leads to staged development of varicose disease with persistent irreversible manifestations. Unlike groups 1 and 3, this combination is less associated with inflammatory response.Conclusion: A method for modeling of varicose veins in a chronic experiment was created.","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":" 7","pages":"16-23"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545129","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

[Mesh suture in the treatment of diaphragmatic hernias]. [网片缝合治疗膈疝]。

Khirurgiya Pub Date : 2025-01-01 DOI: 10.17116/hirurgia2025031107

A V Abolmasov, B N Bashankaev, B T Yunusov, A V Sidorova

{"title":"[Mesh suture in the treatment of diaphragmatic hernias].","authors":"A V Abolmasov, B N Bashankaev, B T Yunusov, A V Sidorova","doi":"10.17116/hirurgia2025031107","DOIUrl":"10.17116/hirurgia2025031107","url":null,"abstract":"The paper studies the results of surgical treatment of the first 25 patients with diaphragmatic hernias who underwent laparoscopic surgeries for hiatal hernias using polypropylene mesh sutures using the proprietary method.Material and methods: Polypropylene mesh strips were used instead of traditional sutures to seal the crura of the diaphragm in 25 patients. The intervention technique and treatment outcomes are described. The study included 25 patients, 5 males and 20 females, operated on between 2019 and 2024 with a diagnosis of hiatal hernia (HH), aged 38 to 79 years.Results: The mean surgery duration was 83.4 minutes (50 to 120 minutes), and intraoperative and postoperative complications were not observed. The mean hospital stay was 1.5 days (1 to 4 days). Four patients (16%) had a recurrence of hernia diagnosed using imaging studies, but there were no clinically significant recurrences in all 25 patients. Twenty (80%) patients permanently discontinued proton pump inhibitors (PPIs), and 2 (8%) significantly reduced their dose. Eighteen (72%) patients had complete resolution of their HH-related symptoms; in 4 (16%) patients, these symptoms significantly reduced. All patients were satisfied with the treatment outcomes.Conclusions: The use of mesh sutures to seal the crura of the diaphragm supports the concept of pressure distribution and muscle resistance to incision, which is often seen with traditional suture material. In addition, the mesh material stimulates scar tissue growth through the pores of the prosthesis, strengthening the suture line.","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":" 3","pages":"107-111"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143658836","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

[Percutaneous retroperitoneal necrectomy for infected forms of acute necrotizing pancreatitis]. [经皮腹膜后坏死切除术治疗感染型急性坏死性胰腺炎]。

Khirurgiya Pub Date : 2025-01-01 DOI: 10.17116/hirurgia2025031149

V N Ektov, A V Fedorov, M A Khodorkovsky, A V Kurkin

引用次数: 0

[Effectiveness of ischemic limb revascularization through superficial or deep femoral artery in patients with critical ischemia undergoing hybrid interventions]. [接受混合介入治疗的重度缺血患者通过股浅动脉或股深动脉进行缺血肢体血管重建的效果]。

Khirurgiya Pub Date : 2025-01-01 DOI: 10.17116/hirurgia202503148

B S Sukovatykh, P M Nazarenko, N V Bolomatov, M B Sukovatykh, M Yu Gordov, A Yu Grigoryan, A V Alekseev

{"title":"[Effectiveness of ischemic limb revascularization through superficial or deep femoral artery in patients with critical ischemia undergoing hybrid interventions].","authors":"B S Sukovatykh, P M Nazarenko, N V Bolomatov, M B Sukovatykh, M Yu Gordov, A Yu Grigoryan, A V Alekseev","doi":"10.17116/hirurgia202503148","DOIUrl":"10.17116/hirurgia202503148","url":null,"abstract":"Objective: To compare the results of ischemic limb revascularization through superficial and deep femoral arteries in hybrid treatment of critical limb ischemia.Material and methods: Treatment outcomes were analyzed in 60 patients with lesions of infrainguinal arteries TASC grade IIC and IID who underwent hybrid treatment (balloon angioplasty with iliac stenting and open femoral artery reconstruction). Two equal groups of patients were identified depending on postoperative blood flow: group 1 - blood flow through superficial femoral artery, group 2 - blood flow through deep femoral artery. Treatment outcomes were assessed regarding postoperative morbidity and clinical status after 6 and 12 months (Rutherford scale).Results: Postoperative complications occurred in 6 (10%) patients equally in both groups. In one case (pulsatile hematoma), they were associated with endovascular procedure, in 5 cases (bleeding, lymphorrhea and wound infection) - with surgical intervention. After 6 months, circulation improved in both groups (more significant in the first group). After 12 months, 16.7% of patients in group 1 experienced negative dynamics due to repeated occlusion of superficial femoral artery. Deep femoral artery remained patent in group 2.Conclusion: Recovery of circulation through deep femoral artery is more effective than superficial femoral artery.","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":" 3","pages":"48-54"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143658922","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

[Completion pancreatectomy for postoperative complications after pancreatoduodenectomy]. 【胰十二指肠切除术后并发症的全胰切除术】。

Khirurgiya Pub Date : 2025-01-01 DOI: 10.17116/hirurgia202509169

A N Cheglakov, K G Shostka, N V Mankevich, A M Belousov

引用次数: 0

[Resection of false posttraumatic aneurysm of the axillary artery within a separate medical airmobile detachment in special military operation zone]. [特种军事行动区单独机动医疗分队创伤后假腋窝动脉瘤切除术]。

Khirurgiya Pub Date : 2025-01-01 DOI: 10.17116/hirurgia2025061122

O Yu Kharchenko, A N Kazantsev, O V Alekseev, R M Makhmudov, V N Kholmatov, R R Tenishev

引用次数: 0