Hirurg (Surgeon)最新文献_第6页

Quality of life after surgical operations 手术后的生活质量

Hirurg (Surgeon) Pub Date : 2022-06-14 DOI: 10.33920/med-15-2203-02

O. Galimov, V. O. Khanov, T. Ibragimov, Kseniya Vladilenovna Nasirova, D. O. Galimov

{"title":"Quality of life after surgical operations","authors":"O. Galimov, V. O. Khanov, T. Ibragimov, Kseniya Vladilenovna Nasirova, D. O. Galimov","doi":"10.33920/med-15-2203-02","DOIUrl":"https://doi.org/10.33920/med-15-2203-02","url":null,"abstract":"The aim of the work is to study the quality of life in patients who underwent gastric plication for morbid obesity. A prospective study of 37 patients aged 28 to 59 years, who underwent gastroplication according to the original technique, was conducted on the basis of the Clinic of the Bashkir State Medical University. The indication for surgery was morbid obesity (body mass index 40 kg/m² or more). The quality of life of patients who underwent laparoscopic gastric plication for morbid obesity was studied by comparing the results of questionnaires and special research methods. Weight loss achieved as a result of laparoscopic gastric plication, correction of concomitant disorders in organs and systems, and normalization of metabolic parameters allow us to consider the intervention effective, and the results obtained good. Long-term results of treatment were monitored for up to 2 years. The assessment of the parameters of the quality of life of patients indicates that after bariatric interventions, positive changes are more related to the physical indicators of the quality of life and health status in general. At the same time, changes in mental health indicators, such as vitality, social and emotional functioning, were not statistically significant. In addition to the ongoing surgical correction, obviously essential in achieving stabilization of the psycho-emotional sphere of patients should be given a multidisciplinary approach using developed diets snd psychotherapeutic techniques. The study highlights the features of the regimen and structure of nutrition in patients after bariatric surgery, which can improve long-term results and improve the quality of life in patients with morbid obesity.","PeriodicalId":437500,"journal":{"name":"Hirurg (Surgeon)","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125141980","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

Comparative evaluation of the efficiency of aortic valve prosthesis through mini sternotomy and traditional sternotomy access 小胸骨切开与传统胸骨切开入路主动脉瓣假体的疗效比较

Hirurg (Surgeon) Pub Date : 2022-06-14 DOI: 10.33920/med-15-2203-04

D. Volkov, Valerii Anatolievich Sakovich, D. B. Drobot, Y. Vinnik, Y. Volkov

引用次数: 0

Endosurgical aspects of diagnosis and treatment of strangulated inguinal hernias (a brief literature review) 绞窄性腹股沟疝的内外科诊断和治疗(简要文献回顾)

Hirurg (Surgeon) Pub Date : 2022-04-14 DOI: 10.33920/med-15-2202-01

Bekhruz Elboevich Radzhabov, L. Levin

{"title":"Endosurgical aspects of diagnosis and treatment of strangulated inguinal hernias (a brief literature review)","authors":"Bekhruz Elboevich Radzhabov, L. Levin","doi":"10.33920/med-15-2202-01","DOIUrl":"https://doi.org/10.33920/med-15-2202-01","url":null,"abstract":"Inguinal hernias are among the most common surgical diseases, 10–15 % of which are complicated by strangulation. Emergent surgery in such cases are associated with a high frequency of hernia recurrence (up to 30 %), and difficulties in diagnosing hernial strangulation lead to a long delay in operations and dramatically increase postoperative mortality up to 4–12 %. The review of the literature in the historical perspective reflects the use of videolaparoscopic techniques with diagnostic and therapeutic purposes for acute hernial incarceration. The experience of diagnostic videolaparoscopy for strangulated hernias of all kinds of localization accumulated in the world practice indicates a very high sensitivity of the method that allows recognizing hernial strangulation, differentiating it from other diseases, verifying organs that have undergone incarceration, and assessing their viability. However, targeted studies of the diagnostic capabilities of videolaparoscopy for strangulated hernias have not been conducted. By 2009, 7 articles had been published in the world press on the treatment of strangulated inguinal hernias by laparoscopic (TAPP) or endosurgical (TEP) methods. A meta-analysis of these publications showed that laparoscopic hernioplasty for strangulated hernias is a performable operation with acceptable results. Further studies have identified a number of physiological and socio-economic advantages of endosurgical operations compared to open methods of prosthetic hernioplasty. However, such operations remain the lot of a narrow circle of specialists. To date, there are no randomized trials or systematic reviews on hernioplasty techniques for TARR and TER in patients with strangulated inguinal hernias. The question about optimal method of eliminating a strangulated inguinal hernia is not covered in modern literature and is still pending.","PeriodicalId":437500,"journal":{"name":"Hirurg (Surgeon)","volume":"582 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131891438","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

Features of management of patients with fractures of the sternum 胸骨骨折患者的治疗特点

Hirurg (Surgeon) Pub Date : 2022-04-14 DOI: 10.33920/med-15-2202-04

A. A. Teuvov, A. M. Baziev, Z. N. Lovpache, I. S. Abazova, A. A. Teuvova

引用次数: 0

The significance of neutrophilic extracleptal traps in the pathogenesis of hemocoagulation disorders in patients with colorectal cancer 中性粒细胞脑外陷阱在结直肠癌患者凝血功能障碍发病机制中的意义

Hirurg (Surgeon) Pub Date : 2022-04-14 DOI: 10.33920/med-15-2202-03

Grechin Anton Ivanovich Grechin Anton Ivanovich, K. Lobastov, E. M. Fominykh, L. Laberko, I. Gritskova, I. V. Skopintsev, D. V. Razbirin, Alexander Ivanovich Koltsov, S. Kletsov, E. V. Shmeleva, Liliya Yurievna Basyreva, S. Gusev, Alexey Leonidovich Korotaev, O. Panasenko

引用次数: 0

Clinical and morphological forms of tuberculous peritonitis 结核性腹膜炎的临床和形态学特征

Hirurg (Surgeon) Pub Date : 2022-04-14 DOI: 10.33920/med-15-2202-05

D. Plotkin

{"title":"Clinical and morphological forms of tuberculous peritonitis","authors":"D. Plotkin","doi":"10.33920/med-15-2202-05","DOIUrl":"https://doi.org/10.33920/med-15-2202-05","url":null,"abstract":"On the basis of a specialized tuberculosis surgical department, a study was conducted aimed at identifying the clinical and morphological features of the course of the disease in 91 patients with tuberculous peritonitis. It has been established that the morphogenesis of tuberculous peritonitis directly depends on such factors as the initial immune status of the patient, the virulence of the pathogen, the type of tissue reaction, and some genetically determined features of the coagulation and anticoagulation systems and fibroblast activity. A direct correlation of the morphological variant of peritonitis with the form of the clinical course of the disease and the development of surgical complications was noted. Based on the data obtained and the patterns identified, a functional classification of tuberculous peritonitis is proposed, taking into account the prevailing morphological variant of peritoneal tuberculosis, the phases of activity and the development of complications requiring surgical interventions. The developed classification has a clear practical focus, allows you to visually determine the morphological variant of the pathological process, its activity (according to the totality of indirect factors), as well as assess the presence of complications requiring surgical treatment.","PeriodicalId":437500,"journal":{"name":"Hirurg (Surgeon)","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130082994","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

Processing of a «difficult» duodenal stump in an original way 以原始的方式处理“困难的”十二指肠残端

Hirurg (Surgeon) Pub Date : 2022-04-14 DOI: 10.33920/med-15-2202-02

N. I. Bogomolov, A. G. Goncharov, A. Kashafeeva

引用次数: 0

External-internal transgastric drainage of pancreatic pseudocysts 胰假性囊肿经胃内外引流术

Hirurg (Surgeon) Pub Date : 2022-02-14 DOI: 10.33920/med-15-2201-02

Z. Z. Nazhmudinov, Abdulkamal Huseynovich Huseynov

引用次数: 0

Minimally invasive percutaneous cystogastrostomy in the surgical treatment of postnecrotic pancreatic cyst 微创经皮囊胃造口术治疗坏死性胰腺囊肿

Hirurg (Surgeon) Pub Date : 2022-02-14 DOI: 10.33920/med-15-2201-01

J. N. Prazdnikov, V. P. Shevchenko, M. S. Khoptyar, Vladimir Vladimirovich Naletov, D. R. Zinatulin, Rifat Khamitovich Umyarov