Novosti Khirurgii最新文献

{"title":"Lung Abscess and Gangrene: Evolution of Treatment Methods","authors":"O. Yasnogorodsky, V. K. Gostishev, A.M. Shulutko, T. Pinchuk, Y. Struchkov, M. Taldykin, F. Nasirov, V. Mochalov","doi":"10.18484/2305-0047.2020.2.150","DOIUrl":"https://doi.org/10.18484/2305-0047.2020.2.150","url":null,"abstract":"","PeriodicalId":38373,"journal":{"name":"Novosti Khirurgii","volume":"59 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91396323","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}

{"title":"Direct and Remote Results of Surgical Treatment of Resistant Forms of Ulcerative Colitis With Formation of J-shaped Small Intestinal Reservoir","authors":"S. Katorkin, A. A. Chernov, A. Zhuravlev, A. Kolsanov, P. Zelter","doi":"10.18484/2305-0047.2020.2.159","DOIUrl":"https://doi.org/10.18484/2305-0047.2020.2.159","url":null,"abstract":"Цель. Оценить функциональные результаты колопроктэктомии с формированием J-образного тонкокишечного тазового резервуара у пациентов c тяжелыми формами язвенного колита путем использования КТ-резервуарографии с 3D-визуализацией и сфинктерометрии. Материал и методы. Хирургическое лечение проведено 87 (31,6%) из 275 пациентов с тяжелыми формами язвенного колита. Колопроктэктомия с первичным J-резервуаром и илеоанальным анастомозом выполнена 16 (18,4%) пациентам. Завершающая проктэктомия с формированием отсроченного резервуара выполнена 8 (26,7%) из 29 пациентов через 6±3,1 месяца после колэктомии. Перед восстановлением целостности тонкой кишки проводилось эндоскопическое исследование резервуара, рентгеноконтрастная резервуарография, КТ-резервуарография с построением 3D-модели и сфинктерометрия. Результаты. У 24 пациентов сформированы J-резервуары из подвздошной кишки с илеоанальным анастомозом, что составило 22,6% от всех 106 оперированных по поводу язвенного колита. Послеоперационные осложнения отмечены у 11 (68,8%) пациентов с первичным и у 3 (37,5%) с отсроченным формированием резервуара. Осложнения 3-4 степени тяжести по P. Clavien и D. Dindo отмечены у 5 (20,8%) пациентов. Восстановление целостности тонкой кишки выполнено у 13 (81,3%) пациентов с первичным и у 7 (87,5%) с отсроченным резервуаром. Отдаленные результаты лечения прослежены у 17 (85%) пациентов с функционирующим резервуаром в сроки 53±6,4 мес. Частота стула в дневное время составила 6±3 раза, ночная дефекация – от 1 до 2 раз. Недостаточность анального сфинктера 1 степени по данным сфинктерометрии выявлена у 2 (18,2%) пациентов. Инконтиненция по шкале S.D.Wexner составила 2±1 балл. Заключение. Трехэтапная схема реконструктивного вмешательства у пациентов с язвенным колитом обладает меньшим количеством послеоперационных осложнений. Применение КТ-резервуарографии с построением 3D-модели и сфинктерометрия позволяют своевременно диагностировать послеоперационные осложнения и объективизировать результат хирургического вмешательства. Ключевые слова: язвенный колит, тонкокишечный тазовый резервуар, илеоанальный анастомоз, КТрезервуарография","PeriodicalId":38373,"journal":{"name":"Novosti Khirurgii","volume":"131 42","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141210159","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}

{"title":"Efficiency Estimation of Various Doses of Tranexamic Acid in Cardiopulmonary Bypass Surgery","authors":"D. V. Osipenko, S. P. Salivonchik, A. A. Skarakhodau, A. Silanau, A. Marochkov","doi":"10.18484/2305-0047.2020.2.133","DOIUrl":"https://doi.org/10.18484/2305-0047.2020.2.133","url":null,"abstract":"Objective . To determine the effectiveness of various doses of tranexamic acid (TA) in the cardiopulmonary bypass surgery (CPB). Methods . The study included 128 patients who underwent the heart surgery with CPB. Three groups were formed: group 1 (n=30) – a loading dose of TA – 10 mg/kg was administered intravenously with titration – 1 mg/kg/h during CPB; the 2 nd group (n=32) – a loading dose of TA was administered intravenously – 12.5 mg/kg with titration – 6.5 mg/kg/h during CPB and 1 mg/kg/h in the first 6 hours after surgery; 3 rd group (n=66) – the control one. Results . The blood loss volume during the period from the operation onset to 42 – 48 hours after it, in the 1 st , 2 nd and 3 rd group of patients was: 20.9 (18.1; 26.7) ml/kg, 19.3 (13.9; 22.5) ml/kg and 22.8 (18.4; 27.6) ml/ kg; statistically significant differences were only between the 2 nd and 3 rd group of patients. The total volume of the chest tube drainage in the first 42-48 hours after the operation was significantly less in the 1 st group (475.0 (350.0; 650.0) ml) and the 2 nd group (500.0 (350.0; 550.0) ml), compared with the 3 rd group (600.0 (500.0; 750.0) ml). The use of TA in the 2 nd group of patients, compared with the 3 rd group, led to the decrease in the frequency of blood transfusions in the first 42-48 hours after surgery. In the 1 st group of patients, statistically significant differences in the frequency of blood transfusions were not found. mg/kg, titration of 6.5 mg/kg/ h during CPB and 1 mg/kg/h in the first 6 hours after surgery (total dose of 2.5 (2.1; 3.0) g) is optimal in the cardiopulmonary bypass heart surgery.","PeriodicalId":38373,"journal":{"name":"Novosti Khirurgii","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67944889","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}

{"title":"Comparative Analysis of Methods for Predicting of Peptic Ulcers Rebleeding","authors":"S. Potakhin, Y. Shapkin","doi":"10.18484/2305-0047.2020.2.141","DOIUrl":"https://doi.org/10.18484/2305-0047.2020.2.141","url":null,"abstract":"Novosti Khirurgii. 2020 Mar-Apr; Vol 28 (2): 141-149 Comparative Analysis of Methods for Predicting of Peptic Ulcers Rebleeding S.N. Potakhin, Yu.G. Shapkin The articles published under CC BY NC-ND license Цель. провести сравнение разработанных методов оценки риска рецидива язвенных гастродуоденальных кровотечений с известными методами. Материал и методы. работа выполнена в 2017-2018 гг. проведен ретроспективный анализ результатов лечения 126 пациентов с язвенными гастродуоденальными кровотечениями и сравнительный анализ девяти методов прогнозирования рецидива кровотечения по чувствительности, специфичности, точности и прогностичности положительного результата. в анализ включены классификация j.A. Forrest (1974), классификация Г.п. Гидерима (1992) в авторской модификации, Baylor Bleeding score (1993), шкала T.A. Rockall (1996), метод прогнозирования и.и. затевахина и соавт. (1997), один из методов прогнозирования м.а. евсеева (2004), метод м.м. винокурова и м.а. капитоновой (2009), система прогноза рецидива кровотечения (лебедев н.в. и соавт., 2009 г.), а также авторская методика прогноза по деревьям классификации. пациенты проходили лечение в хирургическом отделении саратовской городской клинической больницы No 6 с 2001 по 2009 гг. в этот период времени помощь при данной патологии была наиболее полной и соответствовала всем действующим по настоящее время стандартам. в анализ были включены 63 пациента с рецидивом кровотечения и 63 пациента без рецидива кровотечения. Результаты. оптимальное соотношение чувствительности и специфичности, лучшая точность и прогностичность выявлены для метода Г.п. Гидерима в собственной модификации (соответственно 82,5%; 73%; 78% и 75,4%) и несколько хуже – для авторского метода прогноза по деревьям классификации (соответственно 71,2%; 57,1%; 63,9% и 60,9%). Заключение. классификация j.A. Forrest при высокой чувствительности (90,5%) обладает наименьшей специфичностью (20,6%), что существенно снижает точность прогноза (55,6%). наибольшей информативностью обладает модифицированная классификация Г.п. Гидерима, учитывающая характеристику язвенного дна, частоту пульса, систолическое артериальное давление и наличие коллапса. увеличение количества признаков в других методах не повышает точность прогноза. Ключевые слова: язвенные гастродуоденальные кровотечения, прогнозирование рецидива кровотечения, оценка рисков, сравнительный анализ методов, признаки высокого риска рецидива","PeriodicalId":38373,"journal":{"name":"Novosti Khirurgii","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67944952","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}

{"title":"Pituitary Abscess","authors":"V. Zhurauliou, K. Kubrakov, S.T. Akmyradov","doi":"10.18484/2305-0047.2020.2.222","DOIUrl":"https://doi.org/10.18484/2305-0047.2020.2.222","url":null,"abstract":"","PeriodicalId":38373,"journal":{"name":"Novosti Khirurgii","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41450747","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}

{"title":"Risk Factors for Surgical Site Infections after Posterior Lumbar Fusion in Elderly Patients","authors":"","doi":"10.18484/2305-0047.2019.6.674","DOIUrl":"https://doi.org/10.18484/2305-0047.2019.6.674","url":null,"abstract":"","PeriodicalId":38373,"journal":{"name":"Novosti Khirurgii","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41638119","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}

{"title":"Immunopathogenetic Prognostic Markers of the Fertile Potential in Men with Left-Sided Varicocele","authors":"Y. Nakonechnyi, A. Havrylyuk, A. Nakonechnyi, V. Chopyak, M. Kurpisz","doi":"10.18484/2305-0047.2019.6.662","DOIUrl":"https://doi.org/10.18484/2305-0047.2019.6.662","url":null,"abstract":"","PeriodicalId":38373,"journal":{"name":"Novosti Khirurgii","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42274249","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}

{"title":"Efficiency of Nutritional Support in Surgical Treatment of Patients with Acute Pancreatitis","authors":"V. P. Andriushchenko, D. Andriushchenko, V. V. Kunovskyi, Yu. S. Lysiuk","doi":"10.18484/2305-0047.2019.5.515","DOIUrl":"https://doi.org/10.18484/2305-0047.2019.5.515","url":null,"abstract":"","PeriodicalId":38373,"journal":{"name":"Novosti Khirurgii","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44591551","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}

{"title":"Primary Congenital Tracheal Stenosis in an Infant","authors":"N. Malashenko, S. Yeskov, V. Malkevich, A.V. Zapalianski, A. Svirsky, Yu.M. Grinevich, K.Yu. Marakhovsky, Y. Linnik, E.S. Ryabushko, A.I. Zamareev, V. Averin","doi":"10.18484/2305-0047.2019.5.579","DOIUrl":"https://doi.org/10.18484/2305-0047.2019.5.579","url":null,"abstract":"","PeriodicalId":38373,"journal":{"name":"Novosti Khirurgii","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47044486","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}

{"title":"Duodenoplasty for Giant Perforated Duodenal Ulcer Penetrating to the Hepatoduodenal Ligament","authors":"V. N. Nikitin, V. Poluektov, S. G. Klipach, V. Sitnikova","doi":"10.18484/2305-0047.2019.5.522","DOIUrl":"https://doi.org/10.18484/2305-0047.2019.5.522","url":null,"abstract":"was 78.0+10.5 minutes. Terms of hospitalization were from 11 to 17 bed-days, the average value – 13.3+2.1. complications in the early postoperative period were the following: 2 cases of infected seroma of the postoperative scar and 1 case of the right lower lobe pneumonia. Suture failures in the sutured duodenal wound were not marked. Fibrogastroduodenoscopy revealed no ulcerative defects and severe deformation of the duodenal lumen in the duodenoplasty area. Conclusions . The application of the proposed method of duodenoplasty with the use of two-layer continuous suture in case of giant perforated duodenal ulcers to minimize the likelihood of fatality due to failure of sutures is reproducible and can be used in clinical practice. been developed and introduced for the first time. it is distinguished by the innovative technology of dissecting the anterior wall of the duodenal bulb through the perforated hole and using a two-level continuous suture that does not penetrate the intestinal lumen. The absence of cases of sutures inconsistency in the sutured intestinal wound as well as any deformation of the intestinal lumen after surgery has been established.","PeriodicalId":38373,"journal":{"name":"Novosti Khirurgii","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67943721","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}