Khirurgiya最新文献_第3页

[Indocyanine green angiography in assessment of parathyroid remnant perfusion after subtotal parathyroidectomy: a case report]. [吲哚青绿血管造影术在甲状旁腺次全切除术后甲状旁腺残余灌注评估中的应用：一份病例报告]。

Khirurgiya Pub Date : 2024-01-01 DOI: 10.17116/hirurgia202402261

V V Polkin, P A Isaev, N V Severskaya, S A Ivanov, A D Kaprin

引用次数: 0

[Choice of hybrid interventions for iliac-femoral arterial lesions]. [髂股动脉病变的混合干预选择]。

Khirurgiya Pub Date : 2024-01-01 DOI: 10.17116/hirurgia202403121

G B Fataliev, V S Arakelyan, A A Shubin

{"title":"[Choice of hybrid interventions for iliac-femoral arterial lesions].","authors":"G B Fataliev, V S Arakelyan, A A Shubin","doi":"10.17116/hirurgia202403121","DOIUrl":"10.17116/hirurgia202403121","url":null,"abstract":"Objective: To compare the short-term and long-term outcomes of hybrid interventions after various infrainguinal reconstructions (restoration of blood flow through superficial femoral artery and pulsatile blood flow through deep femoral artery) in patients with iliac-femoral arterial disease.Material and methods: A retrospective analysis included patients after hybrid iliac-femoral interventions between 2014 and 2018. These interventions included stenting of iliac arteries and various open infrainguinal reconstructions. The first group (n=41) consisted of patients who underwent reconstruction of superficial femoral artery, the second group (n=88) - restoration of pulsatile blood flow in deep femoral artery. We analyzed the Rutherford score, perioperative complications, primary patency rates and limb salvage rates after 12 months in both groups.Results: Significant improvement (Rutherford score +3) was achieved in 28 (70%) and 14 (15.9%) patients, respectively (p<0.05). There were no significant between-group differences in the number of postoperative complications. Surgery time was longer in the first group (median 160 and 130 min, respectively, p<0.05). However, intraoperative blood loss was similar. Primary patency rates after 12 months were 82.4% and 95.1%, respectively (p=0.054). Limb salvage rates after 12 months were 94.7% and 100%, respectively (p<0.05).Conclusion: This study highlights the potential advantages of restoring pulsatile blood flow through the deep femoral artery in hybrid interventions. Higher primary patency and limb salvage rates in the second group indicate better long-term outcomes after restoration of blood flow through the deep femoral artery. Further prospective studies are needed to confirm these results and determine the underlying mechanisms of differences.","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":" 3","pages":"21-28"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140111735","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

[Bilateral stenting for malignant tracheal and bronchial stenosis]. [恶性气管和支气管狭窄的双侧支架植入术]。

Khirurgiya Pub Date : 2024-01-01 DOI: 10.17116/hirurgia202402184

Yu S Teterin, M A Gasanov, S S Petrikov, P A Yartsev, E S Eletskaya, I U Ibavov, A N Musaev

引用次数: 0

[In searching for perfect blood substitute. Creation and application of perftorane]. [寻找完美的血液替代品。perftorane的创造与应用]。

Khirurgiya Pub Date : 2024-01-01 DOI: 10.17116/hirurgia2024021111

N N Krylov, A Yu Kazhlaev, I V Karpenko, S D Batoev

引用次数: 0

[Combined surgeries for secondary chest wall lesions]. [继发性胸壁病变的联合手术]。

Khirurgiya Pub Date : 2024-01-01 DOI: 10.17116/hirurgia2024051103

M S Rudenko, S Yu Pushkin, R O Kamenev, A P Eliseeva

引用次数: 0

[Synchronous primary multiple cancer: distal cholangiocarcinoma of the intrapancreatic common bile duct and intraductal papillary mucinous tumor associated with ductal adenocarcinoma of the pancreatic tail]. [同步原发性多发性癌症：胰总胆管内远端胆管癌和导管内乳头状粘液瘤伴胰尾导管腺癌]。

Khirurgiya Pub Date : 2024-01-01 DOI: 10.17116/hirurgia202408157

G R Setdikova, E A Stepanova, A N Verbovsky, A V Semenkov

引用次数: 0

[Endovascular technologies in the treatment of patients with blunt abdominal trauma]. [治疗腹部钝挫伤患者的血管内技术]。

Khirurgiya Pub Date : 2024-01-01 DOI: 10.17116/hirurgia2024081108

V A Tsurkan, A V Shabunin, D N Grekov, V V Bedin, A V Arablinskiy, L A Yakimov, D V Shikov, A A Ageeva

{"title":"[Endovascular technologies in the treatment of patients with blunt abdominal trauma].","authors":"V A Tsurkan, A V Shabunin, D N Grekov, V V Bedin, A V Arablinskiy, L A Yakimov, D V Shikov, A A Ageeva","doi":"10.17116/hirurgia2024081108","DOIUrl":"https://doi.org/10.17116/hirurgia2024081108","url":null,"abstract":"Trauma is one of the leading causes of disability and mortality in working-age population. Abdominal injuries comprise 20-30% of traumas. Uncontrolled bleeding is the main cause of death in 30-40% of patients. Among abdominal organs, spleen is most often damaged due to fragile structure and subcostal localization. In the last two decades, therapeutic management has become preferable in patients with abdominal trauma and stable hemodynamic parameters. In addition to clinical examination, standard laboratory tests and ultrasound, as well as contrast-enhanced CT of the abdomen should be included in diagnostic algorithm to identify all traumatic injuries and assess severity of abdominal damage. Development of interventional radiological technologies improved preservation of damaged organs. Endovascular embolization can be performed selectively according to indications (leakage, false aneurysm, arteriovenous anastomosis) and considered for severe damage to the liver and spleen, hemoperitoneum or severe polytrauma. Embolization is essential in complex treatment of traumatic vascular injuries of parenchymal abdominal organs. We reviewed modern principles and methods of intra-arterial embolization for the treatment of patients with traumatic injuries of the liver and spleen.","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":" 8","pages":"108-117"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141976766","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

[Ankle replacement for severe post-traumatic deformation of the distal tibia: a case report]. [胫骨远端严重创伤后变形的踝关节置换术：病例报告]。

Khirurgiya Pub Date : 2024-01-01 DOI: 10.17116/hirurgia2024011110

G P Kotelnikov, A V Kolsanov, A N Nikolaenko, V V Ivanov, D A Dolgushkin, A S Pankratov, D O Ogurtsov, S O Doroganov, A D Stroikova

{"title":"[Ankle replacement for severe post-traumatic deformation of the distal tibia: a case report].","authors":"G P Kotelnikov, A V Kolsanov, A N Nikolaenko, V V Ivanov, D A Dolgushkin, A S Pankratov, D O Ogurtsov, S O Doroganov, A D Stroikova","doi":"10.17116/hirurgia2024011110","DOIUrl":"10.17116/hirurgia2024011110","url":null,"abstract":"Objective: To evaluate the immediate results of ankle replacement with original prosthesis in a patient with severe post-traumatic deformation of the distal tibia.Material and methods: When developing the original design of ankle prosthesis, we considered foreign analogues of classical and revision models of ankle prostheses taking into account their shortcomings. In this case, an integrated approach was used. Extensive work has been carried out to select materials for prosthetic components. Experimental work with mesenchymal stromal cells of bone marrow was aimed at testing cytotoxicity and biological compatibility. The staff of the department of designing biomechanical structures of the Research Institute of Bionics and Personalized Medicine of the Samara State Medical University carefully studied the proposed design of endoprosthesis using the Ansys software. After cadaver tests on full-scale models, we performed surgical intervention in a patient with severe post-traumatic deformity of the lower third of the left tibia.Results: Our studies revealed convenience and certain advantages of intraoperative installation of original ankle prosthesis. Along with this, this clinical example indicated come features that must be taken into account in revision ankle replacement to avoid possible postoperative consequences.Conclusion: Original ankle prosthesis makes it possible to replace the distal tibia and preserve limb function.","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":" 1","pages":"110-118"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139521871","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

[Right upper lobe pulmonary sequestration as a rare cause of recurrent spontaneous pneumothorax]. [右上叶肺动脉栓塞是复发性自发性气胸的罕见病因]。

Khirurgiya Pub Date : 2024-01-01 DOI: 10.17116/hirurgia2024011102

G M Agafonov, A S Petrov, M A Atyukov, O V Novikova, I Yu Zemtsova, I V Dvorakovskaya, P K Yablonsky

{"title":"[Right upper lobe pulmonary sequestration as a rare cause of recurrent spontaneous pneumothorax].","authors":"G M Agafonov, A S Petrov, M A Atyukov, O V Novikova, I Yu Zemtsova, I V Dvorakovskaya, P K Yablonsky","doi":"10.17116/hirurgia2024011102","DOIUrl":"10.17116/hirurgia2024011102","url":null,"abstract":"A 19-year-old patient after previous wedge resection of the right upper pulmonary lobe a year ago urgently admitted with recurrent right-sided spontaneous pneumothorax. According to standard management of spontaneous pneumothorax, we performed diagnostic thoracoscopy and drainage of the right pleural cavity with regular X-ray examinations. However, these measures were ineffective. The patient was scheduled for surgery, and we intraoperatively observed an unusual cause of pneumothorax. Thus, we present spontaneous pneumothorax following right upper lobe pulmonary sequestration. The uniqueness of this case is associated with unusual manifestation and non-standard localization of rare lesion. A few cases of pneumothorax in similar patients are described in the world literature. The key limiting factor in diagnosis of such defects (identification of aberrant vessel supplying abnormal lung parenchyma) is the lack of routine CT angiography in patients diagnosed with pneumothorax. That is why CT changes were interpreted as postoperative ones, and the true cause was established only during redo surgery. A thorough inspection of the pleural cavity and alertness regarding unusual appearance of the right upper pulmonary lobe made it possible to suggest a non-standard diagnosis, avoid complications (bleeding from afferent vessel) and perform adequate lung resection.","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":" 1","pages":"102-109"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139521957","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

[Serum ghrelin changes after bariatric surgery]. [减肥手术后血清胃泌素的变化]。

Khirurgiya Pub Date : 2024-01-01 DOI: 10.17116/hirurgia202404149

O V Galimov, V O Khanov, K V Nasyrova, D O Galimov

引用次数: 0