Khirurgiya最新文献_第5页

[Treatment of a patient with patellar instability and lateral osteoarthritis of the knee joint under valgus limb deformity and low patellar position].

Khirurgiya Pub Date : 2025-01-01 DOI: 10.17116/hirurgia202501174

A P Prizov, M M Awad, F L Lazko, N V Zagorodniy, E A Belyak, M F Lazko, A J Al-Mamoori

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":"https://doi.org/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

[Mesh suture in the treatment of diaphragmatic hernias].

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":"https://doi.org/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

[Successful groin flap for dorsal hand defect in elderly patient with comorbidity].

Khirurgiya Pub Date : 2025-01-01 DOI: 10.17116/hirurgia202501186

A Hakami

引用次数: 0

[Academician Mikhail Israelievich Perelman (20.12.1924-29.03.2013). 100 years since his birth].

Khirurgiya Pub Date : 2025-01-01 DOI: 10.17116/hirurgia2025021128

V D Parshin, V A Porkhanov

引用次数: 0

[Surgical treatment of a patient with pancreatic trauma AAST grade IV].

Khirurgiya Pub Date : 2025-01-01 DOI: 10.17116/hirurgia2025031164

S V Zuev, A Yu Tsibin, N A Gorte, R V Bondarenko, N Yu Tsibina

引用次数: 0

[Prediction and prevention of fascial dehiscence after laparotomy].

Khirurgiya Pub Date : 2025-01-01 DOI: 10.17116/hirurgia202501147

V A Samartsev, V A Gavrilov, M P Kuznetsova, B S Pushkarev, A A Domrachev

{"title":"[Prediction and prevention of fascial dehiscence after laparotomy].","authors":"V A Samartsev, V A Gavrilov, M P Kuznetsova, B S Pushkarev, A A Domrachev","doi":"10.17116/hirurgia202501147","DOIUrl":"https://doi.org/10.17116/hirurgia202501147","url":null,"abstract":"Objective: To evaluate the efficacy of fascial dehiscence prevention suture in patients with perioperative risk factors regarding the incidence of this complication after laparotomies in abdominal surgery.Material and methods: A retrospective-prospective controlled randomized study included 112 patients with abdominal surgical diseases who underwent surgery between 2013 and 2023. Patients were divided into three groups. In the first group (n=57), fascial dehiscence occurred in early postoperative period. The second group (n=41) retrospectively included random patients without fascial dehiscence in postoperative period. In the third group (n=22), original preventive suturing of laparotomy was applied. The validity of differences in continuous variables was assessed using the Kruskal-Wallis test. Categorical variables were analyzed using chi-square test, as well as Dunn's and Fisher's post-hoc tests. Differences were significant at p<0.05. The third group did not statistically differ from the first one.Results: A comprehensive perioperative assessment of risk factors and original aponeurosis suturing technique prevented fascial dehiscence.","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":" 1","pages":"47-53"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123641","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

[Aortic valve reimplantation combined with total arch replacement in type A aortic dissection].

Khirurgiya Pub Date : 2025-01-01 DOI: 10.17116/hirurgia202501180

S Yu Boldyrev, O S Bezdenezhnykh, S B Abidzakh, V A Sapunov, K O Barbukhatti

引用次数: 0

[Photodynamic inactivation of antibiotic-resistant microflora of gunshot wounds under fluorescence control].

Khirurgiya Pub Date : 2025-01-01 DOI: 10.17116/hirurgia202502150

A A Shiryaev, M P Ivankov, N A Kalyagina, A V Voitova, K T Efendiev, M R Kuznetsov, I V Reshetov, A M Udeneev, V B Loshchenov

{"title":"[Photodynamic inactivation of antibiotic-resistant microflora of gunshot wounds under fluorescence control].","authors":"A A Shiryaev, M P Ivankov, N A Kalyagina, A V Voitova, K T Efendiev, M R Kuznetsov, I V Reshetov, A M Udeneev, V B Loshchenov","doi":"10.17116/hirurgia202502150","DOIUrl":"10.17116/hirurgia202502150","url":null,"abstract":"Objective: Antimicrobial photodynamic therapy or photodynamic inactivation (PDI) of antibiotic-resistant microflora seems to be a very promising alternative, including for the treatment of long-term non-healing wounds, due to its potential and extremely low possibility of resistance.Material and methods: The authors describe an effective approach to preparing the wounds for delayed surgical treatment (secondary suturing, split-flap autodermoplasty, wound defect closure with local tissues), as well as healing by secondary intention of wounds using PDI of antibiotic-resistant microflora under spectroscopic control of fluorescence intensity in tissues. For this purpose, laser and LED radiation with wavelengths 660-680 nm was used. Various photosensitizers (methylene blue, aluminum phthalocyanine, chlorin e6 and their emulsion forms) were used. The study included 90 patients with various wounds.Results: Positive treatment outcomes were obtained in most patients. The first PDI procedure decreased concentration of microflora by 3-4 times. There was significant or complete inactivation of bacteria by the end of the treatment. In all patients, concentration of photosensitizers significantly decreased by more than 75% after PDI. Surgical treatment was successful in 100% of cases (n=56; 62%).Conclusion: PDI is a promising method for inactivating antibiotic-resistant microflora, including patients with long-term non-healing wounds. This method contributes to safe and high-quality surgical treatment. A great advantage of PDI is its multi-purpose mechanism and no resistance of microorganisms.","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":" 2","pages":"50-59"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366151","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