Khirurgiya最新文献_第4页

[A balance between surgical management and therapy in a patient with severe sternomediastinitis complicated by heart failure and refractory septic shock].

Khirurgiya Pub Date : 2024-01-01 DOI: 10.17116/hirurgia2024122166

K P Ivanov, I A Vinokurov, S A Yusupov, D N Pshonkin, D G Tagabilev, M A Nechaenko, A P Gens, A V Molochkov, A B Stepanenko

引用次数: 0

[CT in planning of heart valve surgery through minithoracotomy].

Khirurgiya Pub Date : 2024-01-01 DOI: 10.17116/hirurgia2024122127

I A Aidamirov, E P Evseev, E V Balakin, M V Malakhova, S O Popov

引用次数: 0

[Cost-effectiveness of using rubidium-82 chloride perfusion PET for planning myocardial revascularization procedures].

Khirurgiya Pub Date : 2024-01-01 DOI: 10.17116/hirurgia202412258

A K Kondakov, D Yu Mosin, M V Bashirova, E N Moshkova, I A Znamenskiy, A V Sozykin, A V Butenko

{"title":"[Cost-effectiveness of using rubidium-82 chloride perfusion PET for planning myocardial revascularization procedures].","authors":"A K Kondakov, D Yu Mosin, M V Bashirova, E N Moshkova, I A Znamenskiy, A V Sozykin, A V Butenko","doi":"10.17116/hirurgia202412258","DOIUrl":"10.17116/hirurgia202412258","url":null,"abstract":"Objective: The aim of this study is to evaluate the cost-effectiveness, diagnostic accuracy, clinical outcomes, and radiation exposure associated with rubidium-82 chloride perfusion PET.Methods: A comprehensive literature search up to October 2024 was conducted to identify key studies assessing the use of rubidium-82 chloride perfusion PET/CT in ischemic heart disease (IHD). These studies included economic analyses, evaluations of diagnostic accuracy, and comparisons with other imaging modalities such as single-photon emission computed tomography (SPECT), stress echocardiography, and invasive coronary angiography.Results: The reviewed studies demonstrate that rubidium-82 chloride perfusion PET/CT has high sensitivity and specificity in detecting IHD (90% and 91%, respectively) accompanied by significant coronary artery stenosis. Economic analyses show that this method is cost-effective due to a reduction in the use of downstream invasive procedures, leading to overall cost savings. Additionally, the economic impact on healthcare is enhanced by a lower level of radiation exposure compared to traditional perfusion SPECT imaging, reducing associated future radiation risks. The cost-effectiveness and minimum patient throughput required for implementing this modality In Russia were evaluated.Conclusion: The presented data confirm the cost-effectiveness of rubidium-82 chloride perfusion PET/CT by reducing costs for subsequent diagnostic and therapeutic interventions while maintaining a sufficient patient flow.","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":" 12. Vyp. 2","pages":"58-65"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814392","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

[Cervicothoracotomy for right upper sleeve lobectomy with carinal resection in the treatment of central lung cancer]. [治疗中央型肺癌的右上袖状肺叶切除术中的颈胸切口术]。

Khirurgiya Pub Date : 2024-01-01 DOI: 10.17116/hirurgia2024071130

M A Atyukov, O A Zhemchugova-Zelenova, A S Petrov, I Yu Zemtsova

引用次数: 0

[Laparoscopic preperitoneal and Lichtenstein inguinal hernia repair. What method is preferable?] [腹腔镜腹膜前和 Lichtenstein 腹股沟疝修补术。哪种方法更可取？］

Khirurgiya Pub Date : 2024-01-01 DOI: 10.17116/hirurgia2024091110

A P Ukhanov, D V Zakharov, S A Zhilin, S V Bolshakov, K D Muminov, Yu A Aselderov

引用次数: 0

[Laparoscopic repair for perforated ulcer]. [腹腔镜修复穿孔溃疡]。

Khirurgiya Pub Date : 2024-01-01 DOI: 10.17116/hirurgia202408121

A A Natalsky, O V Zaytsev, O D Peskov, O V Kleimenov

引用次数: 0

[Strangulated hernia of the foramen of Winslow complicated by acute colonic obstruction]. [温斯洛孔绞窄疝并发急性结肠梗阻]。

Khirurgiya Pub Date : 2024-01-01 DOI: 10.17116/hirurgia202408192

P V Kikhlyarov, K K Murvatova, A A Yunusov

引用次数: 0

[The modern concept of anesthesiological provision of surgical interventions in geriatric patients with diseases of the hand and forearm]. [为患有手部和前臂疾病的老年患者提供手术干预麻醉的现代理念]。

Khirurgiya Pub Date : 2024-01-01 DOI: 10.17116/hirurgia202410188

K A Eghiazaryan, I G Chulovskaya, A M Shatov, V S Kosmynin, D S Zharov

{"title":"[The modern concept of anesthesiological provision of surgical interventions in geriatric patients with diseases of the hand and forearm].","authors":"K A Eghiazaryan, I G Chulovskaya, A M Shatov, V S Kosmynin, D S Zharov","doi":"10.17116/hirurgia202410188","DOIUrl":"10.17116/hirurgia202410188","url":null,"abstract":"The article analyzes literature data on the characteristics of local anesthetics used to perform regional anesthesia, and provides a detailed assessment of the drug \"Articaine\". The article presents the results of an open randomized study of the action of the anesthetics \"Articaine-Binergia\" 20 mg/ml and \"Ropivocaine\" used to perform conduction anesthesia in upper limb surgeries. The results of the study demonstrated a high degree of effectiveness of both drugs, but the safety indicators of the drug \"Articaine-Binergia\" 20 mg/ml significantly exceeded those of \"Ropivocaine\". The studies have established that the drug \"Articaine-Binergia\" 20 mg/ml is characterized by a short latent period, which allows for optimization of the operating room. At the same time, the peculiarity of \"Ropivocaine\" was the duration of action, which ensures the possibility of performing long surgical interventions, and maintaining the analgesic effect in the first hours after surgery. The results of the studies allowed us to recommend Articaine-Binergia 20 mg/ml as an effective local analgesic with a high degree of safety for widespread practical use in upper limb surgeries. The use of Ropivacaine for conduction anesthesia should be limited to surgical interventions that last longer than the duration of action of Articaine-Binergia 20 mg/ml, which is 2 hours 20 minutes. In addition, highly traumatic surgical interventions in patients with absolute contraindications to the use of painkillers are a limitation.","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":" 10","pages":"88-96"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142476646","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 effectiveness of flavonoids in the postoperative treatment of patients with hemorrhoids]. [黄酮类化合物在痔疮患者术后治疗中的有效性]。

Khirurgiya Pub Date : 2024-01-01 DOI: 10.17116/hirurgia202409152

M A Voinov

{"title":"[The effectiveness of flavonoids in the postoperative treatment of patients with hemorrhoids].","authors":"M A Voinov","doi":"10.17116/hirurgia202409152","DOIUrl":"10.17116/hirurgia202409152","url":null,"abstract":"Objective: Evaluation of the effectiveness of flavonoids in the postoperative management of patients with hemorrhoids.Material and methods: A single-center randomized controlled clinical trial was conducted. Patients with stage III and IV hemorrhoids aged over 18 years who patients who underwent hemorrhoidectomy were included.The patients were divided into 2 groups - main and control. Patients in the main group were recommended to use a purified micronized flavonoid fraction - 65 patients. In the control group (70 patients), the use of this group of drugs was not expected.The observation period was 60 days. After discharge from the hospital, 5 patient visits were scheduled: on the 3rd, 7th, 21st, 40th and 60th day after surgery. Patients independently assessed the intensity of symptoms - pain, tenesmus, itching and bleeding.The randomization procedure was carried out using the method of simple randomization using envelopes.Results: 135 patients were randomized. There were no patients who dropped out of the study. The number of participants whose data were included in the analysis was 65 patients in the main group and 70 patients in the control group.Assessment of symptoms in the first 3 days of the postoperative period did not show a significant difference in the condition of the patients. Over time, we found significant changes in the dynamics of complaints between groups. After 7, 21, 40 and 60 days, a statistically significant lower severity of pain, bleeding and tenesmus was revealed among patients in the main group compared to the control group. This trend was not detected in the assessment of itching. There were no undesirable effects.Conclusion: The use of purified micronized flavonoid fraction in the postoperative management of patients with hemorrhoids can significantly reduce the degree and duration of pain, bleeding and tenesmus.","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":" 9","pages":"52-56"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297323","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

[Foreign body of the thyroid gland]. [甲状腺异物］

Khirurgiya Pub Date : 2024-01-01 DOI: 10.17116/hirurgia2024101102

Yu K Aleksandrov, V I Semikov, G A Baranov, A M Shulutko

引用次数: 0