Hirurg (Surgeon)最新文献_第10页

Surgical correction of pectus excavatum in an adult with the use of thoracoscopic intercostal nerve cryoablation 胸腔镜下肋间神经冷冻消融术治疗成人漏斗胸

Hirurg (Surgeon) Pub Date : 2021-02-01 DOI: 10.33920/med-15-2102-08

A. N. Lednev, A. Pechetov

引用次数: 0

Concerning the informativeness of the methods for predicting prognosis of peritonitis 腹膜炎预后预测方法的信息性探讨

Hirurg (Surgeon) Pub Date : 2021-02-01 DOI: 10.33920/med-15-2102-01

N. V. Lebedev, V. S. Popov, A. Klimov, V. A. Ivanov, G. T. Svanadze

{"title":"Concerning the informativeness of the methods for predicting prognosis of peritonitis","authors":"N. V. Lebedev, V. S. Popov, A. Klimov, V. A. Ivanov, G. T. Svanadze","doi":"10.33920/med-15-2102-01","DOIUrl":"https://doi.org/10.33920/med-15-2102-01","url":null,"abstract":"The analysis of literature data on the most common general clinical and specific systems for predicting the outcome of peritonitis was carried out. The informativeness of the methods for predicting the outcome of peritonitis was performed according to the parameters of sensitivity and specificity (Se and Sp). The sum of the proportions of correct forecast results characterizes the accuracy of the method (Ac). We also calculated the predictive value of a positive result (PPV; hereinafter referred to as predictive value), which is the proportion (probability) of unfavorable outcomes among all patients with a high risk of death. The article also demonstrates the assessment of predictive ability using the example of four common scales for predicting the outcome of secondary peritonitis. The results of the study showed that none of the studied systems for predicting the outcome of peritonitis is universal and absolutely reliable. Despite the fact that all the studied systems (scales) are used in clinical practice, none of them can completely satisfy surgeons, primarily in the choice of access, the volume of surgery and the option for its completion.","PeriodicalId":437500,"journal":{"name":"Hirurg (Surgeon)","volume":"63 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133431298","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

Phlegmon of retroperitoneal tissue as a complication of cavernous renal tuberculosis 海绵状肾结核并发腹膜后组织痰

Hirurg (Surgeon) Pub Date : 2021-02-01 DOI: 10.33920/med-15-2102-07

A. Volkov, O. Zuban, Igor Vyacheslavovich Gavrilenko

引用次数: 0

The role of ALK5 in the profile of early reproductive losses in the use of assisted reproductive technologies ALK5在使用辅助生殖技术的早期生殖损失概况中的作用

Hirurg (Surgeon) Pub Date : 2021-02-01 DOI: 10.33920/med-15-2102-09

A. Ruziguli, N. Rukhliada, A. Taits, Tatyana Ivanovna Prohorovich, T. Libova

引用次数: 0

Neutrophil extracellular traps: neutrophil’s afterlife 中性粒细胞胞外陷阱:中性粒细胞的来世

Hirurg (Surgeon) Pub Date : 2021-02-01 DOI: 10.33920/med-15-2102-04

O. Porembskaya, K. Lobastov, V. Kravchuk, I. Gritskova, L. Laberko, Mikhail Shakirovich Chesnokov, G. Rodoman, S. Sayganov

引用次数: 0

Risk factors for postoperative complications after surgery in complicated Crohn’s disease 复杂克罗恩病术后并发症的危险因素

Hirurg (Surgeon) Pub Date : 2021-02-01 DOI: 10.33920/med-15-2102-06

A. Vardanyan, M. Shapina, A. V. Poletova, S. Achkasov

{"title":"Risk factors for postoperative complications after surgery in complicated Crohn’s disease","authors":"A. Vardanyan, M. Shapina, A. V. Poletova, S. Achkasov","doi":"10.33920/med-15-2102-06","DOIUrl":"https://doi.org/10.33920/med-15-2102-06","url":null,"abstract":"Aim: to improve results of the surgical treatment of Crohn’s disease. Patients and Methods: 162 patients were included. 69 (42,6 %) — received preoperative conservative treatment. Ileocecal resection was performed in 148 (91,4 %), in 5 (3,1 %) cases — part of jejunum resection, ileum resection — in 3 (1,8 %) patients and right hemicolectomy — 6 (3,7 %). Stoma formation was in 104 (64,2 %) patients. Complications were registered in 25 (15,4 %) cases. Results: in univariant analysis it was found that young age up to 40 years, male gender and short operative time ( 150 min) are the predictors (р = 0,03, р = 0,03 и р = 0,02, respectively) to noncomplicated postoperative period (reduce risk in 10, 5 и 10 fold, respectively). The absence of conservative treatment before surgery increased the complications’ rate more than 3 times comparing to patients who received therapy (OR 3,2 CI 95 % 0,1–11,45; р = 0,06), but we failed to get significance, that is why multivariant analysis was carried out to see the influence of all clinical factors on non-treated patients. Significance was found in all models. Conclusion: male gender (OR 0,2 CI 95 % 0,01–2,02; р = 0,02), the age younger than 40 (OR 0,1 CI 95 % 0,02–0,9; р = 0,03) and the duration of the operation less than 150 minutes (OR 0,1 CI 95 % 0,01–2,02; р = 0,03) is associated with the reduction of complications in the postoperative period. Preoperative conservative treatment during 3 months allows to decrease the rate of complications to 3,5 times (OR 3,5 CI 95 % 1,2–9,8; р = 0,01) and risk of the stoma formation — to 7 times (χ2 = 7,56; р = 0,006).","PeriodicalId":437500,"journal":{"name":"Hirurg (Surgeon)","volume":"84 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133400185","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: 1

Mechanical jaundice caused by common bile duct obstruction due to hepato-biliary ascariasis 肝胆蛔虫病所致胆总管梗阻所致机械性黄疸

Hirurg (Surgeon) Pub Date : 2021-02-01 DOI: 10.33920/med-15-2102-03

Z. Z. Nazhmudinov, A. G. Guseynov

引用次数: 0

Minimally invasive removal of gastric leiomyoma 胃平滑肌瘤的微创切除

Hirurg (Surgeon) Pub Date : 2021-02-01 DOI: 10.33920/med-15-2102-02

O. Galimov, V. O. Khanov, T. R. Ibragimov, D. Minigalin, Rustam Rashitovich Saifullin

{"title":"Minimally invasive removal of gastric leiomyoma","authors":"O. Galimov, V. O. Khanov, T. R. Ibragimov, D. Minigalin, Rustam Rashitovich Saifullin","doi":"10.33920/med-15-2102-02","DOIUrl":"https://doi.org/10.33920/med-15-2102-02","url":null,"abstract":"Leiomas are more common in men aged 20 to 50 years. In women, they occur at an older age and 3 times less often than in men. An essential point in the disease pathogenesis is rapid growth of leiomyomas and their tendency to ulceration with decay, which leads to the development of formidable complications in the form of bleeding, perforation of the hollow organ, followed by the development of peritonitis. The growth of leiomyomas occurs from the thickness of the muscle layer in the form of a single node, mainly endogastrically in 66.5 % of cases. Exogastric growth was noted in 24.6 %, mixed in 5 % and intramural in 3.9 % of cases. A rare representation of benign stomach tumors of non-epithelial origin is characterized by an extremely wide variety of their types and names. A clinical case of surgical treatment of gastric leiomyoma using minimally invasive technologies in a patient with concomitant pathology is presented. The neoplasm was detected during a screening examination of the respiratory system. The patient underwent laparoscopic removal of the neoplasm. A macro- and micropreparation of gastric leiomyoma is presented. After surgical treatment, a positive result was achieved, the patient was discharged from the clinic in a satisfactory condition. The modern development of medicine and the use of video endoscopic technologies significantly expand the possibilities of surgery for neoplasms of the gastrointestinal tract. This observation demonstrates the features of the clinical picture of benign gastric neoplasms and the possibility of using minimally invasive surgical technologies in their treatment against the background of severe comorbid pathology.","PeriodicalId":437500,"journal":{"name":"Hirurg (Surgeon)","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127545604","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

Granulomatous peritonitis 肉芽肿性腹膜炎

Hirurg (Surgeon) Pub Date : 2020-11-26 DOI: 10.33920/10.33920/med-15-2006-05

D. Plotkin, M. N. Reshetnikov, M. V. Sinitsyn, Yu. R. Zyuzya, T. I. Abu Arqoub, А. А. Volkov, E. Y. Romanova, E. A. Stepanov

引用次数: 1

The effectiveness of neoadjuvant chemotherapy in the treatment of cervical cancer (clinical case) 新辅助化疗治疗宫颈癌的疗效分析(附临床病例)

Hirurg (Surgeon) Pub Date : 2020-11-26 DOI: 10.33920/med-15-2006-04

V. N. Zhurman, I. V. Pezhenin, I. V. Sayapina, L. S. Matyushkina, E. Eliseeva

{"title":"The effectiveness of neoadjuvant chemotherapy in the treatment of cervical cancer (clinical case)","authors":"V. N. Zhurman, I. V. Pezhenin, I. V. Sayapina, L. S. Matyushkina, E. Eliseeva","doi":"10.33920/med-15-2006-04","DOIUrl":"https://doi.org/10.33920/med-15-2006-04","url":null,"abstract":"For the treatment of stage 2 cervical cancer, surgical treatment, chemoradiotherapy or neoadjuvant chemotherapy in combination with paclitaxel and carboplatin followed by extended uterine extirpation of type III can be used. The positive effects of a combination of neoadjuvant chemotherapy with surgery are shown. A clinical case of treatment of a 43-year-old patient with a diagnosis of: cervical cancer IB2 stage T2a2N0M0. At the first stage of treatment, the patient was prescribed 3 courses of neoadjuvant chemotherapy in a combination of paclitaxel and carboplatin. There was a decrease in the size of the cervical tumor by 25 % on the RECIST scale. At the second stage of treatment, extended uterine extirpation was performed with the removal of the upper third of the vagina, fallopian tubes, parotid tissue and regional lymph nodes with ovarian transposition. The patient’s prognosis is favorable, and further dynamic monitoring is recommended. The presented clinical case demonstrates the possibility of using neoadjuvant chemotherapy in combination with paclitaxel and carboplatin and subsequent extended extirpation of the uterus type III with ovarian transposition in the treatment of stage IIA2 cervical cancer in a woman of reproductive age. After the first stage of treatment 3 courses of neoadjuvant chemotherapy, patient S. had a decrease in the size of the cervical tumor by 25 % on the RECIST scale according to pelvic MRI data, which later allowed to proceed to the second stage surgical intervention. Taking into account the known prognostic factors, the patient has a favorable prognosis for life and requires further dynamic monitoring.","PeriodicalId":437500,"journal":{"name":"Hirurg (Surgeon)","volume":"108 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116662619","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