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The use of the negative pressure wound therapy in management of the perineal wounds after abdominal-perineal extirpation (literature review) 负压创面治疗腹部会阴切除后会阴创面的应用(文献复习)
Hirurg (Surgeon) Pub Date : 2021-10-01 DOI: 10.33920/med-15-2105-04
A. Musin, L. V. Kornev, Olga Povarichina, E. K. Naumov
{"title":"The use of the negative pressure wound therapy in management of the perineal wounds after abdominal-perineal extirpation (literature review)","authors":"A. Musin, L. V. Kornev, Olga Povarichina, E. K. Naumov","doi":"10.33920/med-15-2105-04","DOIUrl":"https://doi.org/10.33920/med-15-2105-04","url":null,"abstract":"The review presents data from the analysis of the literature on various options of using negative pressure wound therapy after abdominal-perineal extirpation of the rectum. We have selected 10 scientific papers for analysis, and no randomized trials have been found in the literature. The use of local negative pressure led to an acceleration of tissue repair and a decrease in complications in the perineal wound area. However, at the moment, the data presented in the literature are insufficient for an objective assessment of the effectiveness of the technique. It is necessary to conduct randomized trials to objectively evaluate the methodology.","PeriodicalId":437500,"journal":{"name":"Hirurg (Surgeon)","volume":"22 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":"126880607","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
A case of wrong diagnosis of paraesophageal hernia in a patient with a white line hernia 白线疝误诊食道旁疝1例
Hirurg (Surgeon) Pub Date : 2021-10-01 DOI: 10.33920/med-15-2105-01
D. Lukanin, Rodoman Gv, Alexey Sokolov, M. Klimenko
{"title":"A case of wrong diagnosis of paraesophageal hernia in a patient with a white line hernia","authors":"D. Lukanin, Rodoman Gv, Alexey Sokolov, M. Klimenko","doi":"10.33920/med-15-2105-01","DOIUrl":"https://doi.org/10.33920/med-15-2105-01","url":null,"abstract":"Among all the anatomical variants for the hiatal hernia development, a true paraesophageal hernia is the most rare. The clinical manifestations of this type of hiatal hernia are caused by the infringement of the diaphragmatic crus or by transient obstruction of the esophagus with the development of organic dysphagia. The leading method of instrumental diagnostics of this pathology is contrast x-ray study of the esophagus and stomach with functional tests. The article describes a clinical case of an incorrect interpretation of the symptoms of the disease and the results of EGD in favor of paraesophageal hernia in association with GERD in a patient with a large white line hernia under conditions of migration into the hernial sac of the stomach and duodenum.","PeriodicalId":437500,"journal":{"name":"Hirurg (Surgeon)","volume":"116 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":"117183225","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
Prevention and treatment of gerd in patients with obesity undergoing gastroplication 肥胖行胃折叠术患者胃反流的防治
Hirurg (Surgeon) Pub Date : 2021-10-01 DOI: 10.33920/med-15-2105-02
O. Galimov, V. O. Khanov, R. R. Sagitdinov, Ksenya Vladilenovna Nasyrova, T. Ibragimov, G. Vagizova, D. Minigalin
{"title":"Prevention and treatment of gerd in patients with obesity undergoing gastroplication","authors":"O. Galimov, V. O. Khanov, R. R. Sagitdinov, Ksenya Vladilenovna Nasyrova, T. Ibragimov, G. Vagizova, D. Minigalin","doi":"10.33920/med-15-2105-02","DOIUrl":"https://doi.org/10.33920/med-15-2105-02","url":null,"abstract":"The aim of the study was to study the advantages and disadvantages of laparoscopic gastric plication with the prevention and treatment of gastroesophageal reflux disease in the treatment of patients with overweight and obesity. From 2018 to the present, 24 patients have been observed who underwent laparoscopic gastric plication with the prevention and treatment of gastroesophageal reflux disease, of which 19 (79.2 %) women and 5 (20.8 %) men. The average age of patients is 41 ± 3.5 years. Indication for surgery: BMI > 35 kg/m² and the presence of GERD with unsuccessful conservative treatment or BMI > 35 kg/m² and the presence of HH with symptoms of GERD. The experience of surgical treatment of these 24 patients allows us to speak about the effectiveness of the use of gastroplication surgery with the prevention and treatment of gastroesophageal reflux disease with a combination of obesity and GERD. Dyspeptic symptoms are expected in some patients and are stopped in the early postoperative period with medication. The return of BMI to baseline in 3 (12.5 %) patients requires further study.","PeriodicalId":437500,"journal":{"name":"Hirurg (Surgeon)","volume":"136 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":"116045993","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
Transcutaneous puncture of kidney cysts under ultrasound control 超声控制下经皮肾囊肿穿刺
Hirurg (Surgeon) Pub Date : 2021-10-01 DOI: 10.33920/med-15-2105-06
Zulbegovich Nazhmudinov Zaypula, Abdulkamal Huseynovich Huseynov
{"title":"Transcutaneous puncture of kidney cysts under ultrasound control","authors":"Zulbegovich Nazhmudinov Zaypula, Abdulkamal Huseynovich Huseynov","doi":"10.33920/med-15-2105-06","DOIUrl":"https://doi.org/10.33920/med-15-2105-06","url":null,"abstract":"The article presents the results of the introduction of puncture drainage and sclerosis of kidney cysts under ultrasound guidance in the clinic. This technique refers to minimally invasive surgery, it is the least traumatic, does not lead to large material costs, is very reliable and effective. It is easy to perform in a hospital setting of any level. According to this method, 38 patients were treated in the hospital for five years.","PeriodicalId":437500,"journal":{"name":"Hirurg (Surgeon)","volume":"45 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":"130496264","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
Immune cells of the epithelial ovarian cancer microenvironment 免疫细胞的上皮性卵巢癌微环境
Hirurg (Surgeon) Pub Date : 2021-10-01 DOI: 10.33920/med-15-2105-07
V. N. Zhurman, N. G. Plekhova, E. Eliseeva
{"title":"Immune cells of the epithelial ovarian cancer microenvironment","authors":"V. N. Zhurman, N. G. Plekhova, E. Eliseeva","doi":"10.33920/med-15-2105-07","DOIUrl":"https://doi.org/10.33920/med-15-2105-07","url":null,"abstract":"The article is a review of the literature, which analyzes the data on the role of cells of the immune system, cytokines and other biologically active substances secreted by them in the interstitial space of an ovarian tumor. The emphasis is made on the mechanism of realization by immune cells of the stimulating and suppressing action on the development of the tumor. Considerable attention is paid to the prognostic role of immune cells in the development of epithelial ovarian cancer.","PeriodicalId":437500,"journal":{"name":"Hirurg (Surgeon)","volume":"4 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":"129934050","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
Combined treatment for small cell lung cancer 小细胞肺癌的综合治疗
Hirurg (Surgeon) Pub Date : 2021-07-10 DOI: 10.33920/med-15-2104-04
A. A. Teuvov, A. M. Baziev, Aslan Zhamalovich Zhashuev, Z. N. Lovpache, Takhir Zhambotovich Glashev
{"title":"Combined treatment for small cell lung cancer","authors":"A. A. Teuvov, A. M. Baziev, Aslan Zhamalovich Zhashuev, Z. N. Lovpache, Takhir Zhambotovich Glashev","doi":"10.33920/med-15-2104-04","DOIUrl":"https://doi.org/10.33920/med-15-2104-04","url":null,"abstract":"Small cell lung cancer (SCLC) accounts for approximately 15 % of all lung cancer cases. The prognosis for patients with MRL is unfavorable: the 5-year survival rate is less than 10 %. Due to the limited and low effectiveness of treatment options for SCLC, the search for more effective therapeutic approaches does not weaken. However, despite decades of basic and clinical research, little progress has been made in the treatment of MRL SCLC, leading to one of the most intractable diseases in clinical practice. In this regard, in recent years, the question arises of the need to consider the possibilities and options for combined treatment in small cell lung cancer.","PeriodicalId":437500,"journal":{"name":"Hirurg (Surgeon)","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125399409","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
Ultrasonography in diagnosis of the common bile duct pathology and pathology of the major duodenal papilla, complicated by mechanical jaundice 超声诊断胆总管病理及十二指肠大乳头病理，并发机械性黄疸
Hirurg (Surgeon) Pub Date : 2021-07-10 DOI: 10.33920/med-15-2104-01
V. A. Ivanov, R. N. Malushenko, A. E. Denisov, Elena Nikolaevna Kondrashenko
{"title":"Ultrasonography in diagnosis of the common bile duct pathology and pathology of the major duodenal papilla, complicated by mechanical jaundice","authors":"V. A. Ivanov, R. N. Malushenko, A. E. Denisov, Elena Nikolaevna Kondrashenko","doi":"10.33920/med-15-2104-01","DOIUrl":"https://doi.org/10.33920/med-15-2104-01","url":null,"abstract":"Mechanical jaundice is a clinical syndrome that develops due to the bile flow impairment along the bile ducts to the duodenum, remains one of the urgent problems of medicine. Of great importance among the causes of mechanical jaundice are diseases of the common bile duct and the major duodenal papilla, the diagnosis of which to this day remains a rather difficult task. The use of MRCP, ERСP, endo-ultrasonography and other highly informative bile tract imaging methods, despite great diagnostic capabilities, is associated with a number of limitations. In this regard, an important place, especially in the primary examination of patients, is occupied by transabdominal ultrasound, the advantages of which are non-invasiveness, portability, accessibility, safety, the possibility of multiple reiteration. A review of the literature presents domestic and foreign data of researchers regarding the possibility of ultrasonography in diagnostics of the common bile duct pathology and the pathology of the major duodenal papilla that are complicated by mechanical jaundice, as well as the greatest difficulties in diagnosing this pathology.","PeriodicalId":437500,"journal":{"name":"Hirurg (Surgeon)","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122197697","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
The first experience of using «evagination» method in patients with rectovaginal fistulas 第一次使用“外翻”方法治疗直肠阴道瘘的经验
Hirurg (Surgeon) Pub Date : 2021-07-10 DOI: 10.33920/med-15-2104-02
Mudrov Andrei Anatolevich Mudrov Andrei Anatolevich, S. Frolov, A. B. Serebriy, M. M. Omarova, O. Fomenko, L. A. Blagodarnyi, I. Kostarev, A. Y. Titov
{"title":"The first experience of using «evagination» method in patients with rectovaginal fistulas","authors":"Mudrov Andrei Anatolevich Mudrov Andrei Anatolevich, S. Frolov, A. B. Serebriy, M. M. Omarova, O. Fomenko, L. A. Blagodarnyi, I. Kostarev, A. Y. Titov","doi":"10.33920/med-15-2104-02","DOIUrl":"https://doi.org/10.33920/med-15-2104-02","url":null,"abstract":"Despite the variety of methods of rectovaginal fistulas surgery, the recurrence of the disease reaches 80 % of cases. The «evagination» method was proposed in the NMRC of coloproctology for the combined treatment of RVF and anal sphincter insufficiency. The study included 10 women with rectovaginal fistula and anal sphincter insufficiency. The age of patients was from 25 to 52 (33,6 ± 7,73) years. Etiology of rectovaginal fistula: postpartum — 7 (70.0 %); iatrogenic — 2 (20.0 %); malformation — 1 (10.0 %). The follow-up period ranged from 4 to 14 months (8,4 ± 2,9). The «evagination» method was used in all patients. The disease recurrence occurred in 1 patient (10.0 %) on the 8th day after surgery. Conclusion: the «evagination» method can be considered as a surgery of choice in the treatment of extended defects of the rectovaginal septum with anal sphincter insufficiency due to its defect.","PeriodicalId":437500,"journal":{"name":"Hirurg (Surgeon)","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124715031","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
COVID-associated coagulopathy and its consequences covid - 19相关凝血功能障碍及其后果
Hirurg (Surgeon) Pub Date : 2021-07-10 DOI: 10.33920/med-15-2104-05
L. Bychkova, Pavel Evgen’evich Shmaevskii, Mihail Grigor’evich Rodoman, E. Mukovnikova, D. Tsigura, Viktor Egorovich Robyshev
{"title":"COVID-associated coagulopathy and its consequences","authors":"L. Bychkova, Pavel Evgen’evich Shmaevskii, Mihail Grigor’evich Rodoman, E. Mukovnikova, D. Tsigura, Viktor Egorovich Robyshev","doi":"10.33920/med-15-2104-05","DOIUrl":"https://doi.org/10.33920/med-15-2104-05","url":null,"abstract":"Novel coronavirus disease has been known for about a year and a half. Medical scientists worldwide have been united to fight it. 2019 novel coronavirus infection, COVID-19, can harm the heart, kidneys, hematopoietic system, and brain, in addition to the respiratory system. At present, there is a large amount of data on the pathogenetic mechanisms of damage to target organs and systems. Both prevention and treatment methods are getting improved. Many countries started widespread COVID-19 vaccination. Still, there is a lot of problems to be solved by medical scientists and healthcare institutions. This article provides a comprehensive literature review on COVID related organ damage and its effect on multiple body systems.","PeriodicalId":437500,"journal":{"name":"Hirurg (Surgeon)","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116756483","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
Surgical treatment of rectovaginal fistulas (systematic literature review) 直肠阴道瘘的外科治疗(系统文献复习)
Hirurg (Surgeon) Pub Date : 2021-07-10 DOI: 10.33920/med-15-2104-03
A. A. Mudrov, A. Y. Titov, M. M. Omarova, S. Frolov, I. Kostarev, Y. Shelygin
{"title":"Surgical treatment of rectovaginal fistulas (systematic literature review)","authors":"A. A. Mudrov, A. Y. Titov, M. M. Omarova, S. Frolov, I. Kostarev, Y. Shelygin","doi":"10.33920/med-15-2104-03","DOIUrl":"https://doi.org/10.33920/med-15-2104-03","url":null,"abstract":"Despite the large number of available surgical interventions aimed at the treatment of rectovaginal fistulas, the results of their use remain extremely disappointing, associated with the high recurrence rate of the disease reaching 80 %, as well as the lack of a single tactic to minimize the risk of anal incontinence and the need for colostomy. Objective: to conduct a systematic literature review in order to summarize information related to the rectovaginal fistulas surgery. The systematic review includes the results of an analysis of 97 clinical trials selected from 756 publications found in databases. Inclusion criteria: a full-text article, the presence of at least 5 patients in the study, as well as data on the outcome of surgery. Clinical trials with different surgical treatments were identified and classified into the following categories: elimination of the rectovaginal septal defect with a displaced flap (rectal and vaginal); Martius surgery; gracilis muscle transposition; transperineal procedure; abdominal procedure including endoscopic and laparoscopic methods; use of biological or biocompatible materials. Treatment outcomes vary significantly from 0 % to > 80 %. None of the studies were randomized. Due to the low quality of the identified studies, comparison of results and meta-analysis conduction were not possible. Conclusion: as a result of the systematic review, data for the analysis and development of any strategic and tactical algorithms for the treatment of RVF were not obtained. The most important questions still remain open: what and when surgical method to choose, is it necessary to form a disconnecting stoma?","PeriodicalId":437500,"journal":{"name":"Hirurg (Surgeon)","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128098507","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
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