KhirurgiyaPub Date : 2024-01-01DOI: 10.17116/hirurgia202403176
V E Khoronenko, V S Trifanov, N V Chebotareva, M Yu Meshcheryakova, M V Kosogolov
{"title":"[Mckittrick-Wheelock syndrome as a rare manifestation of villous adenoma of the rectum].","authors":"V E Khoronenko, V S Trifanov, N V Chebotareva, M Yu Meshcheryakova, M V Kosogolov","doi":"10.17116/hirurgia202403176","DOIUrl":"10.17116/hirurgia202403176","url":null,"abstract":"<p><p>McKittrick-Wheelock syndrome is a rare disease when villous adenoma of the distal colon predisposes to profuse watery diarrhea with subsequent severe electrolyte disturbances and acute renal damage. A differentiated approach to correct diagnosis requires in-depth pathophysiological knowledge of regulation of water-electrolyte metabolism, functional and organic disorders of gastrointestinal tract and clinical manifestations of hypoosmolar dehydration. The peculiarity of the McKittrick-Wheelock syndrome is a 100% probability of death without treatment and complete regression of symptoms under complex correction of homeostasis and total resection of tumor. We demonstrate the main clinical trends of the McKittrick-Wheelock syndrome. This report may be useful for general practitioners, gastroenterologists, oncologists, nephrologists and anesthesiologists.</p>","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":" 3","pages":"76-82"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140111650","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}
KhirurgiyaPub Date : 2024-01-01DOI: 10.17116/hirurgia202402124
S E Voskanyan, A I Artemiev, E V Naidenov, I Yu Kolyshev, M V Shabalin, A N Bashkov, D V Chursin, H A Subkhonov, D S Raspopov
{"title":"[Vascular reconstruction and transplantation technologies in liver surgery (part II)].","authors":"S E Voskanyan, A I Artemiev, E V Naidenov, I Yu Kolyshev, M V Shabalin, A N Bashkov, D V Chursin, H A Subkhonov, D S Raspopov","doi":"10.17116/hirurgia202402124","DOIUrl":"10.17116/hirurgia202402124","url":null,"abstract":"<p><strong>Objective: </strong>To systematize tactical and technical aspects of liver resections with reconstruction of afferent and efferent blood supply and/or inferior vena cava; to study postoperative outcomes in patients with focal liver lesions using transplantation technologies.</p><p><strong>Material and methods: </strong>We enrolled 413 patients with parasitic lesions, primary and secondary liver tumors involving great vessels (portal vein, hepatic artery, hepatic veins, inferior vena cava, right atrium). All ones underwent liver resections with vascular resection and reconstruction, as well as liver autotransplantation in vivo, ante situ (ex situ in vivo), extracorporeal liver resections with autotransplantation (ex vivo).</p><p><strong>Results: </strong>We obtained satisfactory immediate results after liver resections using transplantation technologies.</p><p><strong>Conclusion: </strong>Transplantation technologies in liver surgery can significantly increase resectability of tumors and survival of patients. Transplantation technologies are an important new surgical strategy and necessary option in modern hepatic surgery.</p>","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":" 2","pages":"24-31"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139724328","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}
KhirurgiyaPub Date : 2024-01-01DOI: 10.17116/hirurgia2024051146
O I Zagorulko, L A Medvedeva, O V Drakina, E F Dutikova, S P Baidin
{"title":"[Functional assessment of internal carotid artery tortuosity in patients with multifocal atherosclerosis].","authors":"O I Zagorulko, L A Medvedeva, O V Drakina, E F Dutikova, S P Baidin","doi":"10.17116/hirurgia2024051146","DOIUrl":"10.17116/hirurgia2024051146","url":null,"abstract":"<p><p>The review is devoted to diagnosis and treatment of internal carotid artery tortuosity. The authors consider modern classification, epidemiology and diagnostic options using neuroimaging or ultrasound-assisted functional stress tests depending on medical history and complaints. In addition to standard Doppler ultrasound, rotational and orthostatic tests are advisable due to possible changes of local shape and hemodynamic parameters following body position changes, especially in patients with concomitant atherosclerotic stenosis. Thus, a personalized approach is especially important for treatment and diagnostics of internal carotid artery tortuosity.</p>","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":" 5","pages":"146-151"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141089346","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}
KhirurgiyaPub Date : 2024-01-01DOI: 10.17116/hirurgia20240615
Yu G Starkov, A I Vagapov, R D Zamolodchikov, S V Dzantukhanova
{"title":"[Intraductal radiofrequency ablation for neoplasms of the major duodenal papilla with intraductal spread].","authors":"Yu G Starkov, A I Vagapov, R D Zamolodchikov, S V Dzantukhanova","doi":"10.17116/hirurgia20240615","DOIUrl":"https://doi.org/10.17116/hirurgia20240615","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the efficacy of intraductal radiofrequency ablation (RFA) for neoplasms of the major duodenal papilla with intraductal spread.</p><p><strong>Material and methods: </strong>Eleven patients with adenomas of the major duodenal papilla and intraductal spread underwent intraductal RFA between 2022 and 2023. Spread to the common bile duct ranged from 10 to 30 mm, to the main pancreatic duct - from 5 to 11 mm.</p><p><strong>Results: </strong>Technical success was achieved in all cases. Complications after intraductal RFA occurred in 4 cases (post-manipulation pancreatitis - 2 cases, repeated intraductal RFA for residual adenomatous growths - 2 cases). Technical success of stenting of the main pancreatic and common bile ducts was achieved in all cases.</p><p><strong>Conclusion: </strong>Intraductal radiofrequency ablation for neoplasms of the major duodenal papilla with intraductal spread ensured complete destruction of intraductal tumor with adequate clinical effect and no need for highly traumatic surgery.</p>","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":" 6","pages":"5-14"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141421256","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}
KhirurgiyaPub Date : 2024-01-01DOI: 10.17116/hirurgia202405186
A M Belousov, S L Nepomnyashchaya, V N Danilin, K O Timofeeva, V P Armashov, S A Makarov, N L Matveev
{"title":"[The results of clinical application of the mesh with anti-adhesive fluoropolymer coating in laparoscopic intraperitoneal repair of primary ventral hernia].","authors":"A M Belousov, S L Nepomnyashchaya, V N Danilin, K O Timofeeva, V P Armashov, S A Makarov, N L Matveev","doi":"10.17116/hirurgia202405186","DOIUrl":"10.17116/hirurgia202405186","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of the study was to evaluate the results of using fluoropolymer-coated mesh during intraperitoneal onlay mesh hernia repair in patients with primary ventral hernias.</p><p><strong>Material and methods: </strong>The multicenter, non-randomized, controlled clinical study included 88 patients of both sexes who were operated on using a laparoscopic approach using the IPOM technique for a primary ventral hernia. The duration of observation ranged from 3 to 12 months. In the main group, 48 patients received fluoropolymer-coated meshes (Ftorex). A comparison was made with a retrospective group of 40 patients who were treated with anti-adhesive collagen-coated meshes (Parietene composite, Parietex Composite, Symbotex).</p><p><strong>Results: </strong>The number of early and late postoperative complications in the groups did not have significant differences, at the same time, their number was lower in the group of patients in whom fluoropolymer-coated meshes were used. Most of the complications corresponded to Clavien-Dindo class I and II and did not pose a significant threat to health. There were no recurrences of hernias observed in patients included in the study. There were slightly more adhesions in the fluoropolymer-coated mesh group (35.4% vs. 25.0% in the collagen-coated mesh group). The quality of life of patients in the study groups did not differ.</p><p><strong>Conclusion: </strong>In laparoscopic IPOM hernia repair fluoropolymer-coated meshes are not inferior in effectiveness and safety to traditionally used collagen-coated meshes and can be recommended for use in patients with primary ventral hernias.</p>","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":" 5","pages":"86-94"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141087077","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}
KhirurgiyaPub Date : 2024-01-01DOI: 10.17116/hirurgia2024111100
R N Komarov, D A Matsuganov, M D Nuzhdin, D O Bystrov
{"title":"[Predictors of atrial fibrillation recurrence after biatrial cryo-maze procedure: a systematic review].","authors":"R N Komarov, D A Matsuganov, M D Nuzhdin, D O Bystrov","doi":"10.17116/hirurgia2024111100","DOIUrl":"https://doi.org/10.17116/hirurgia2024111100","url":null,"abstract":"<p><p>Today, the issue of atrial fibrillation recurrence after ablation is increasingly discussed in the literature. Many authors analyze the factors predicting success or failure of cryo-maze procedure. This review is devoted to predictors of atrial fibrillation recurrence in long-term period after biatrial cryo-maze procedure. Primary screening identified 48 studies. There were 27 articles after removing duplicate articles, case reports and articles with unavailable full-text versions. Two independent researchers reviewed the full-text articles and enrolled 11 and 14 articles, respectively. After collegial discussion and involving the third researcher, we selected 13 articles for final analysis. It was established that atrial enlargement and duration of atrial fibrillation are the main independent predictors of recurrence in long-term period.</p>","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":" 11","pages":"100-104"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711480","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}
KhirurgiyaPub Date : 2024-01-01DOI: 10.17116/hirurgia2024122150
Z A Kavteladze, P M Ermolaev, S Yu Danilenko, V M Nadaraya
{"title":"[Cerebral protection in transcatheter aortic valve implantation].","authors":"Z A Kavteladze, P M Ermolaev, S Yu Danilenko, V M Nadaraya","doi":"10.17116/hirurgia2024122150","DOIUrl":"https://doi.org/10.17116/hirurgia2024122150","url":null,"abstract":"<p><p>The review is devoted to transcatheter aortic valve implantation (TAVI). Aortic stenosis (AS) is one of the most common valve diseases in the world and cause of premature death. TAVI is an important advance in the treatment of patients with severe aortic stenosis, particularly in those with moderate and high surgical risk. However, this method has some complications. Stroke prevention and development of strategies reducing the incidence of this event are not only important therapeutic goals for patients undergoing TAVI, but also have significant economic implications.</p>","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":" 12. Vyp. 2","pages":"150-158"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814359","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}
KhirurgiyaPub Date : 2024-01-01DOI: 10.17116/hirurgia2024122134
I A Vinokurov, D G Tagabilev, N B Korchazhkina, A A Mikhailova, K V Kotenko, O V Bogolepova
{"title":"[Modern aspects of photo and laser therapy for wound infection in surgical practice].","authors":"I A Vinokurov, D G Tagabilev, N B Korchazhkina, A A Mikhailova, K V Kotenko, O V Bogolepova","doi":"10.17116/hirurgia2024122134","DOIUrl":"https://doi.org/10.17116/hirurgia2024122134","url":null,"abstract":"<p><p>The review is devoted to modern treatment technologies for wound infection. The majority of studies are devoted to pharmacological and surgical methods. A few reports describe non-drug methods including photo and laser therapy. We analyze the main types of phototherapy for complicated wound infection, mechanisms of action and therapeutic effects.</p>","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":" 12. Vyp. 2","pages":"134-138"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814406","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}
KhirurgiyaPub Date : 2024-01-01DOI: 10.17116/hirurgia2024122139
Z A Kavteladze, P M Ermolaev, S Yu Danilenko, V M Nadaraya
{"title":"[History of anti-embolic protection in cardiac surgery].","authors":"Z A Kavteladze, P M Ermolaev, S Yu Danilenko, V M Nadaraya","doi":"10.17116/hirurgia2024122139","DOIUrl":"https://doi.org/10.17116/hirurgia2024122139","url":null,"abstract":"<p><p>The review is devoted to history of anti-embolic protection system, in particular protection against cerebral embolism, in cardiac surgery and endovascular surgery. Cerebral embolism is a common and dangerous complication in cardiovascular surgery, leading to disability of patients and significantly impairing treatment outcomes. Prevention of embolic complications is an urgent task in correction of heart valve disease in cardiac and endovascular surgery.</p>","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":" 12. Vyp. 2","pages":"139-149"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814451","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}
KhirurgiyaPub Date : 2024-01-01DOI: 10.17116/hirurgia202412283
I A Tarasova, A T Tshkovrebov, T T Bitarov, I A Boeva, M Yu Ivanova, A L Shestakov
{"title":"[Clinical efficacy of carbohydrate preloading in reconstructive esophageal surgery].","authors":"I A Tarasova, A T Tshkovrebov, T T Bitarov, I A Boeva, M Yu Ivanova, A L Shestakov","doi":"10.17116/hirurgia202412283","DOIUrl":"https://doi.org/10.17116/hirurgia202412283","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate clinical efficacy of preoperative carbohydrate loading as a component of ERAS in esophageal reconstructive surgery.</p><p><strong>Material and methods: </strong>Post hoc analysis included 162 patients who underwent esophageal reconstructive interventions with ERAS principles between 2014 and 2024. The main group (<i>n</i>=61, CHO+) included patients who were metabolically loaded with carbohydrates in preoperative period with 12.5% maltodextrin solution 800 mL the day before and 400 mL 2 hours before surgery per os or enterally. The control group consisted of patients without carbohydrate load (<i>n</i>=101, CHO-). Primary endpoint was length of hospital-stay, secondary control points - postoperative glycemia and complication rate.</p><p><strong>Results: </strong>Both groups were comparable in sex, age, character of the main and comorbid diseases, body mass index. Patients with CHO had significant lower incidence of respiratory complications (<i>p</i>=0.034). Both groups did not differ in the incidence of anastomosis failure, morbidity and mortality.</p><p><strong>Conclusion: </strong>Preoperative carbohydrate loading in esophageal reconstructive surgery positively affects metabolic status and reduces the incidence of respiratory complications without effect on length of hospital-stay.</p>","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":" 12. Vyp. 2","pages":"83-90"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814365","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}