Hirurg (Surgeon)最新文献_第7页

A comparison analysis of perineal wound complication after abdominoperineal extirpation (literature review) 腹会阴切除后会阴伤口并发症的比较分析(文献复习)

Hirurg (Surgeon) Pub Date : 2022-02-14 DOI: 10.33920/med-15-2201-03

Aleksey Ildarovich Musin, L. V. Kornev, R. A. Volenko, M. I. Shipovskaya, L. Laberko

引用次数: 0

Investigation of an alternative to direct anticoagulants in COVID-19 patients COVID-19患者直接抗凝剂替代方案的研究

Hirurg (Surgeon) Pub Date : 2022-02-14 DOI: 10.33920/med-15-2201-06

G. Rodoman, T. I. Shalaeva, M. Ivzhits, Svetlana Rustamovna Zeynalova, I. Trubnikova, E. Popova, Firyuza Omarovna Makhmudova

引用次数: 0

Approaches to the surgical treatment of cardiovascular diseases and complications in the background COVID-19 新冠肺炎背景下心血管疾病及其并发症的外科治疗方法

Hirurg (Surgeon) Pub Date : 2021-12-01 DOI: 10.33920/med-15-2106-03

V. S. Ermakov, V. Kravchuk, A. Skvortsov, O. Porembskaya, Kirill Vladimirovich Kuznetsov, Evgenii Alekseevich Knjazev, A. V. Belikov, T. V. Garpinchenko, I. Kazakova, K. E. Velikanova, S. Sayganov

引用次数: 0

Lipogranulema of the hernia sac. Clinical case 疝囊脂粒瘤。临床病例

Hirurg (Surgeon) Pub Date : 2021-12-01 DOI: 10.33920/med-15-2106-02

T. I. Shalaeva, R. N. Malushenko

{"title":"Lipogranulema of the hernia sac. Clinical case","authors":"T. I. Shalaeva, R. N. Malushenko","doi":"10.33920/med-15-2106-02","DOIUrl":"https://doi.org/10.33920/med-15-2106-02","url":null,"abstract":"Lipogranulomas in surgical practice, are the most often encountered in the mammary glands, penis and facial area associated with subcutaneous injections for cosmetic purposes of various types of fillers that cause chronic granulomatous inflammation. Atypical localization occurs due to the development of reactions to foreign bodies after traumatic injuries and reactions to suture material used in surgical interventions. The article presents a clinical case of revealing a large peritoneal lipogranuloma localized in the area of the hernial sac in a patient who 7 years ago suffered from endometrial cancer and underwent extirpation of the uterus using median incision access. Subsequently, the patient was treated for a long time in an outpatient care because of the ligature abscesses with the formation of fistulas; several rough ligatures were removed from the subcutaneous tissue. Lipogranuloma, found in the wall of the hernial sac measuring 15 × 6 × 5 cm, covered from all sides with an unaltered peritoneum, contained a cystic cavity with a light fluid, thick synthetic ligatures of a braided structure were present in the cyst wall. The use of large-diameter braided non-absorbable sutures for suturing the peritoneum does not meet modern requirements for the use of suture material and can cause complications.","PeriodicalId":437500,"journal":{"name":"Hirurg (Surgeon)","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121615038","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

Interventional radiology techniques in the treatment of cholangiolithiasis: indications, efficacy, accessibility 介入放射技术治疗胆管结石:指征、疗效、可及性

Hirurg (Surgeon) Pub Date : 2021-12-01 DOI: 10.33920/https://panor.ru/magazines/khirurg/numbers/4845.html

J. N. Prazdnikov, G. A. Baranov, D. R. Zinatulin, Vladimir Vladimirovich Naletov, Rifat Khamitovich Umyarov

{"title":"Interventional radiology techniques in the treatment of cholangiolithiasis: indications, efficacy, accessibility","authors":"J. N. Prazdnikov, G. A. Baranov, D. R. Zinatulin, Vladimir Vladimirovich Naletov, Rifat Khamitovich Umyarov","doi":"10.33920/https://panor.ru/magazines/khirurg/numbers/4845.html","DOIUrl":"https://doi.org/10.33920/https://panor.ru/magazines/khirurg/numbers/4845.html","url":null,"abstract":"Our days, the problem of treating complicated forms of cholelithiasis continues to be relevant despite the undoubted successes in the field of hepatobiliary surgery. Cholangiolithiasis is one of the most frequent and dangerous complications of cholelithiasis, it is detected in 8–26 % of patients with cholelithiasis. In some cases, it is impossible to perform an endoscopic retrograde method, these special situations require the development of new original minimally invasive methods for resolving cholangiolithiasis, which have all the advantages of «small access». The analysis of the treatment of 466 operated patients with cholelithiasis complicated by cholangiolithiasis and mechanical jaundice in the period from 2013 to 2019 was carried out. The patients were divided into 3 groups: 1 — the endoscopic retrograde method was used (n = 369), 2 — laparotomic access (n = 26), 3 — antegrade X-ray interventional method (n = 71). The results obtained allow us to conclude that the antegrade interventional radiology technique for the treatment of choledocholithiasis has a high clinical efficacy comparable to the endoscopic technique. The use of this treatment option avoids traumatic laparotomies and open interventions on the bile ducts. The use of method is justified in cases of impossibility of performing endoscopic intervention, or its ineffectiveness.","PeriodicalId":437500,"journal":{"name":"Hirurg (Surgeon)","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130156389","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

Modern urology is a one-day surgery. Features of patient management 现代泌尿外科是一天的手术。患者管理的特点

Hirurg (Surgeon) Pub Date : 2021-12-01 DOI: 10.33920/med-15-2106-04

R. Huseynov, V. V. Perepelitsa, A. Katunin, V. Stank, Murad Mirzabekovich Mirzabekov

引用次数: 0

Clinical case of Fournier’s gangrene in a patient with adenocarcinoma 腺癌合并富尼耶坏疽1例临床分析

Hirurg (Surgeon) Pub Date : 2021-12-01 DOI: 10.33920/med-15-2106-05

G. Rodoman, Sergej Kensarinovich Zyrjanov, Gleb Aleksandrovich Pucman, M. Ivzhits, L. V. Kornev, Irina L’vovna Aseckaja, Dmitrij Viktorovich Vishnjakov, Nikolay Igorevich Sirko

引用次数: 0

About the possibility of using physiotherapy in the practice of a surgeon. Literature review 关于在外科医生的实践中使用物理疗法的可能性。文献综述

Hirurg (Surgeon) Pub Date : 2021-12-01 DOI: 10.33920/med-15-2106-06

Morozov Artem Mikhailovich Morozov Artem Mikhailovich, M. Muravlyantseva, Yu. E. Minakova, E. Askerov, V. Kadykov, S. Zhukov

{"title":"About the possibility of using physiotherapy in the practice of a surgeon. Literature review","authors":"Morozov Artem Mikhailovich Morozov Artem Mikhailovich, M. Muravlyantseva, Yu. E. Minakova, E. Askerov, V. Kadykov, S. Zhukov","doi":"10.33920/med-15-2106-06","DOIUrl":"https://doi.org/10.33920/med-15-2106-06","url":null,"abstract":"Physiotherapy is a field of medicine based on the study and application of natural and artificially created natural factors on the human body. Physical factors can have both local and systemic effects on the patient’s body. In the postoperative period, physiotherapy helps to solve the most important problems, such as accelerating the processes of tissue regeneration and reducing the risk of infection in the area of surgery. Physical factors, activating fibroblasts, accelerate the synthesis of collagen fibers and increase the regenerative capacity of damaged tissues. In addition, due to bacteriostatic and bactericidal action, microorganisms are destroyed and the risk of postoperative infectious complications is reduced. Understanding the key features of all stages of the wound process allows you to rationally affect the wound. The use of an integrated approach based on drug therapy and the use of physiotherapy procedures significantly increases the effectiveness of treatment and helps the patient to return to their usual level of life as soon as possible. This article is a review of the literature on the most commonly used methods of physiotherapy in the postoperative period. Based on the analysis of publications, the article presents the features and principle of operation of such techniques as electrophoresis, phonophoresis, magnetotherapy, ozone therapy, electrical stimulation, cryotherapy, shock wave therapy, galvanization, darsonvalization, as well as therapy based on the effects of ultraviolet radiation, laser, ultrasound, microcurrents. Examples of physiotherapeutic procedures that should be used at various stages of the wound process, depending on the impact, are given. It is the use of various methods of influence in combination with each other that helps to achieve the maximum effect of treatment in the postoperative period.","PeriodicalId":437500,"journal":{"name":"Hirurg (Surgeon)","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116964638","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

Clinical and functional features of rectal sphincter in patients with rectovaginal fistulas before and after split vaginal-rectal flap application 裂式阴道直肠皮瓣应用前后直肠阴道瘘患者直肠括约肌的临床及功能特点

Hirurg (Surgeon) Pub Date : 2021-10-01 DOI: 10.33920/med-15-2105-05

A. A. Mudrov, M. M. Omarova, O. Fomenko, I. Kostarev, Y. Sokolova, A. B. Serebriy, A. Y. Titov

{"title":"Clinical and functional features of rectal sphincter in patients with rectovaginal fistulas before and after split vaginal-rectal flap application","authors":"A. A. Mudrov, M. M. Omarova, O. Fomenko, I. Kostarev, Y. Sokolova, A. B. Serebriy, A. Y. Titov","doi":"10.33920/med-15-2105-05","DOIUrl":"https://doi.org/10.33920/med-15-2105-05","url":null,"abstract":"Dysfunction of the rectal sphincter is noted in more than 70 % of patients with rectovaginal fistulas (RVF), which require an extremely careful evaluation of the rectal sphincter function both by clinical and instrumental methods. Objective: to study the state of rectal sphincter in patients with rectovaginal fistulas before and after surgical treatment. Materials and methods: in the period from 2012 to 2021 198 patients (age from 20 to 73 years, Me = 35 (30; 45)) were included in the comprehensive study of the rectal sphincter functional state before and after surgical treatment. 106 (53,5 %) cases were recurrent. Traumatic childbirth was the most common cause of RVF (43,9 %). Results: dysfunction of the rectal sphincter is revealed in 154 (77,8 %) patients with rectovaginal fistulas. The etiology of the disease and the recurrent course do not affect the severity of the rectal sphincter functional disorders. Using of a split rectal-vaginal flap do not lead to a worsening of the rectal sphincter function. Conclusion: A significant mismatch between the obtained objective (sphincterometry) and subjective (Wexner scale) data of the rectal sphincter function in patients with rectovaginal fistulas proves the need for sphincterometry in this category of patients. Elimination of rectovaginal fistulas by using a split vaginal-rectal flap is a safe and low-traumatic surgical method.","PeriodicalId":437500,"journal":{"name":"Hirurg (Surgeon)","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125085392","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

Giant condiloma of Bushke-Levenstein of anal canal and perianal skin. Clinical case 肛管及肛周皮肤巨大尖锐湿疣。临床病例

Hirurg (Surgeon) Pub Date : 2021-10-01 DOI: 10.33920/med-15-2105-03

Anton Ivanovich Grechin, G. Rodoman, E. K. Naumov, L. V. Kornev, E. M. Fominykh

引用次数: 0