Hirurg (Surgeon)最新文献_第9页

Method for predicting surgical complications 预测手术并发症的方法

Hirurg (Surgeon) Pub Date : 2021-07-10 DOI: 10.33920/med-15-2104-06

Anatoly Solomakha Anatoly Solomakha, V. Gorbachenko

引用次数: 0

Application of hemostatic agent «hemobloc» to improve conditions for endoscopic hemostasis 应用止血剂“hemobloc”改善内镜下止血条件

Hirurg (Surgeon) Pub Date : 2021-03-01 DOI: 10.33920/med-15-2103-01

S. G. Tereshchenko, Alexander Vyacheslavovich Plotkin, L. V. Mecheva, Y. I. Zakharov

引用次数: 0

Structure and clinical features of patients with acute appendicitis in infectious hospital 感染性医院急性阑尾炎患者的结构与临床特点

Hirurg (Surgeon) Pub Date : 2021-03-01 DOI: 10.33920/med-15-2103-02

V. Zemlyanoy, B. Sigua, V. A. Melnikov, M. Nakhumov, Yu. V. Letina

{"title":"Structure and clinical features of patients with acute appendicitis in infectious hospital","authors":"V. Zemlyanoy, B. Sigua, V. A. Melnikov, M. Nakhumov, Yu. V. Letina","doi":"10.33920/med-15-2103-02","DOIUrl":"https://doi.org/10.33920/med-15-2103-02","url":null,"abstract":"The results of the analysis of medical records of 148 patients with acute appendicitis who were treated in the surgical departments of an infectious diseases hospital and in a general surgical hospital are presented. The patients were divided into 3 groups: I (main) — patients with a confirmed infectious disease, II (occult) — patients with excluded infectious disease, III (comparison group) — patients of a general surgical hospital. Patients treated in an infectious diseases hospital were admitted mainly within 24 hours from the onset of the disease, while patients with a general surgical profile — in the interval from 6 to 24 hours from the onset of symptoms. In the structure of morphological forms of acute appendicitis in infectious patients, gangrenous appendicitis prevailed, and phlegmonous appendicitis among general surgical patients. Peritonitis, which is the most frequent complication of acute appendicitis, was registered in group I in 53 (96,4 %) cases, in group II in 35 (71,4 %) cases, and in group III in 16 (36,4 %) cases, moreover, the patients of the infectious diseases hospital predominantly developed purulent forms, and the patients of the general surgical hospital developed serous peritonitis.","PeriodicalId":437500,"journal":{"name":"Hirurg (Surgeon)","volume":"110 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124107159","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

Radical cystectomy in bladder cancer: complications, prognosis, history of the method 膀胱癌根治性膀胱切除术:并发症、预后、方法史

Hirurg (Surgeon) Pub Date : 2021-03-01 DOI: 10.33920/med-15-2103-07

Anastasia Sergeevna Malykhina, M. A. Volodin, V. Perchatkin

{"title":"Radical cystectomy in bladder cancer: complications, prognosis, history of the method","authors":"Anastasia Sergeevna Malykhina, M. A. Volodin, V. Perchatkin","doi":"10.33920/med-15-2103-07","DOIUrl":"https://doi.org/10.33920/med-15-2103-07","url":null,"abstract":"The article is a review of domestic and foreign literature sources covering the development of complications and long-term prognoses during radical cystectomy, as well as the history of the development of the method. The gold standard for the treatment of muscle invasive bladder cancer (MIBC) is radical cystectomy with bilateral pelvic lymph node dissection. The high incidence of intra- and postoperative complications, as well as a large number of repeat visits (up to 25 %) in the first 30 days after open radical cystectomy necessitates a search and implementation of new methods of surgical treatment, one of which is robotic-assisted radical cystectomy (RARC). The robotic method reduces the need for intra- and postoperative blood transfusion, but does not significantly improve the patient’s quality of life compared to open surgery. The main disadvantage of the RARС is the long operation time. Urinary drainage is a necessary component of radical cystectomy. The most modern methods of derivation are «dry» stoma placement and orthotopic bladder surgery with urination along the native urethra. However, the choice of urinary drainage must be made based on a number of factors, including the patient’s comorbidities, surgical feasibility, postoperative care capacity, and patient preference.","PeriodicalId":437500,"journal":{"name":"Hirurg (Surgeon)","volume":"66 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134501558","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 absence of the great saphenous vein: aplasia or involution? A clinical case 大隐静脉缺失:发育不全还是复旧?1例临床病例

Hirurg (Surgeon) Pub Date : 2021-03-01 DOI: 10.33920/med-15-2103-05

O. Porembskaya, Mikhail Shakirovich Chesnokov, Sergey Igorevich Mozgunov, V. Kravchuk

{"title":"The absence of the great saphenous vein: aplasia or involution? A clinical case","authors":"O. Porembskaya, Mikhail Shakirovich Chesnokov, Sergey Igorevich Mozgunov, V. Kravchuk","doi":"10.33920/med-15-2103-05","DOIUrl":"https://doi.org/10.33920/med-15-2103-05","url":null,"abstract":"There are different types of great saphenous vein (GSV) anatomy that have been reported in the literature. GSV hypoplasia is frequently observed anatomical type with twice higher incidence than GSV aplasia. Proximal GSV aplasia including sapheno-femoral junction (SFJ) is the rarest anatomical type that is always accompanied by anterior accessory saphenous vein (AASV) acting as the alternative drainage route in such cases. In the case of SFJ absence the AASV connects common femoral vein at the level of typical SFJ location. In this case report we present the situation of complete GSF and AASV absence with the subsartorious perforating vein as the proximal junction between superficial and deep veins. At the same time this perforating vein is the source of pathological venous reflux towards the varicose veins of the thigh and leg. There is no information about phlebectomy of GSV in this case but it is known that the accident of the knee trauma with a subsequent operation and also the operation on the GSV tributaries on the leg (puncture without avulsion according to the patient memories) took place in the past. As such events are associated with the risk of thrombotic complications the postthrombotic involution of GSV could be contemplated in this case as the reason of GSV disappearance. Foam sclerotherapy of the incompetent thigh perforator vein with miniphlebectomy on the thigh was performed. Leg varicose veins were left untreated as their reduction after reflux elimination was expected. 14 days after treatment perforating vein obliteration and leg varicose veins reduction were diagnosed.","PeriodicalId":437500,"journal":{"name":"Hirurg (Surgeon)","volume":"33 24","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131609071","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

Continent cutaneous urine diversion in patients with tuberculosis of various localizations 不同部位肺结核患者的尿经皮转移

Hirurg (Surgeon) Pub Date : 2021-03-01 DOI: 10.33920/med-15-2103-06

O. Zuban, A. Volkov

引用次数: 0

Dynamics of the complicated post-traumatic period in combined closed chest injury: a clinical case 合并闭合性胸部损伤复杂创伤后期动力学:一例临床病例

Hirurg (Surgeon) Pub Date : 2021-03-01 DOI: 10.33920/med-15-2103-08

E. Vladimirova, E. Tarabrin, O. Alekseyechkina, V. M. Abuchina, F. Sharifullin, T. Barmina, S. A. Badigov, O. Kvardakova

引用次数: 0

Creating a universal questionnaire based on the protocols for assessing the severity of dysphagia 根据评估吞咽困难严重程度的方案制作通用问卷

Hirurg (Surgeon) Pub Date : 2021-03-01 DOI: 10.33920/med-15-2103-04

A. V. Shapovalov, S. G. Tereshchenko, A. Bogdanov, Pavel A. Krieger, A. S. Shapovalov

引用次数: 1

Method of treatment of giant hernias of the esophageal opening of the diaphragm. Clinical case 食管膈口巨大疝的治疗方法。临床病例

Hirurg (Surgeon) Pub Date : 2021-03-01 DOI: 10.33920/med-15-2103-03

A. V. Klimashevich, Valery I. Nikolsky, B. Faraj, Ya. E. Feoktistov

引用次数: 0

Synthetic metrics of early predictive value in patients with COVID-19 pneumonia COVID-19肺炎患者早期预测价值的综合指标

Hirurg (Surgeon) Pub Date : 2021-02-01 DOI: 10.33920/med-15-2102-05

D. S. Baranovsky, Delara Rafaelovna Baranovskaya, Natalya Vadimovna Polekhina, L. Laberko, G. Rodoman

{"title":"Synthetic metrics of early predictive value in patients with COVID-19 pneumonia","authors":"D. S. Baranovsky, Delara Rafaelovna Baranovskaya, Natalya Vadimovna Polekhina, L. Laberko, G. Rodoman","doi":"10.33920/med-15-2102-05","DOIUrl":"https://doi.org/10.33920/med-15-2102-05","url":null,"abstract":"Clinical observations have shown that COVID-19-associated pneumonia is often accompanied by coagulopathy, an increase in C-reactive protein and D-dimer. Early laboratory assessment may represent a promising approach for predicting the development of thrombotic complications and the severity of COVID-19. Thrombotic complications often cause a rapid deterioration in the patient’s condition, the development of ARDS and a negative outcome of the disease. In this study, the authors sought to identify synthetic indicators that may be associated with the development of acute respiratory distress syndrome (ARDS) requiring treatment in an intensive care unit in patients with viral pneumonia caused by COVID-19. Differences in D-dimer levels and the ratios of D-dimer and C-reactive protein (CRP) levels to the number of days (Days) elapsed from disease onset to hospitalization were investigated between COVID-19 patients who were transferred to the intensive care unit, within two weeks after admission to the hospital (n = 78), and patients with COVID-19 with a stable course of the disease (n = 70). Multiple comparisons showed statistically significantly higher values of CRP / Days at admission in patients with COVID-19 transferred to the ICU (median 22,57) compared with stable patients (median 7,19), p < 0,0001. D-dimer levels on admission did not have statistically significant differences in these groups, while comparison of D-dimer / days ratios in patients transferred to the ICU and in stable patients revealed statistically significant differences: median 44,57 and 41,27, respectively (p = 0,0048). The authors suggest that these synthetic indicators, which are easily determined in patients with COVID-19 upon admission to the hospital, can be used as early predictive markers of severe pneumonia and a high risk of ARDS, requiring transfer to the intensive care unit.","PeriodicalId":437500,"journal":{"name":"Hirurg (Surgeon)","volume":"92 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":"126191117","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