Вопросы реконструктивной и пластической хирургии最新文献

{"title":"On the issue of exoskeletal rehabilitation of shoulder periarthritis after a gunshot wound of the scapular area","authors":"A. A. Vorobyev, A. S. Barinov, E. A. Barinova, F. A. Andryushchenko","doi":"10.52581/1814-1471/86/06","DOIUrl":"https://doi.org/10.52581/1814-1471/86/06","url":null,"abstract":"The study aimed to investigate the effectiveness and applicability of exoskeletons in the rehabilitation of patients with scapula and shoulder joint injuries. Purpose of a study: to demonstrate the possibilities of rehabilitating patients with gunshot injuries to the upper extremities, specifically focusing on the passive upper limb exoskeleton “EKZAR34”. Material and methods . The study conducted an analysis of the patient's range of motion in the shoulder joint after using the exoskeleton. Clinical data and observations of a patient with mine-explosive scapula injury were used as research material. Results. The use of the exoskeleton compensates for the lost muscle functions and increases the range of motion in the shoulder joint. This enables patients to perform actions that would otherwise require significant effort without the exoskeleton. Additionally, rehabilitation with the exoskeleton strengthens both damaged and undama- ged muscles, leading to a balanced functioning of the shoulder and upper limb muscle system. Conclusion. Employing of exoskeletons in the rehabilitation of scapula and shoulder joint injuries is an effective and promising approach. Exoskeletons expedite muscle strengthening, restore motor activity and range of motion, and enhance treatment outcomes and patients' quality of life.","PeriodicalId":477288,"journal":{"name":"Вопросы реконструктивной и пластической хирургии","volume":"89 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136102522","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}

{"title":"Activation of intravascular blood coagulation in the early postoperative period in reconstructive abdominoplasty","authors":"N. A. Golubkov, V. V. Kuzmin, S. A. Chernyadyev, S. I. Solodushkin","doi":"10.52581/1814-1471/86/01","DOIUrl":"https://doi.org/10.52581/1814-1471/86/01","url":null,"abstract":"Purpose of the study: to determine the activity of intravascular blood coagulation during the abdominoplasty and justify pharmacological thromboprophylaxis. Material and Methods. An open prospective study was conducted on a group of 100 patients undergoing abdominoplasty. The risk of venous thromboembolism (VTE) before the surgery was assessed using the Caprini risk assessment model in 2010. Prothrombin (PT) and fibrinogen (FG) levels, soluble fibrin-monomer complexes (SFMC), euglobulin clot lysis time (ECLT), antithrombin III (AT-III) level, and protein C (PC) level were determined before and after the surgery. Results. Using the Caprini risk assessment model, patients were categorized by VTE risk as follows: moderate risk – 64% and high risk – 36%. After the surgery, an increase in PT by 12.3% and 15.5% on days 3 and 5 was observed ( p < 0.01); an increase in FG by 0.49; 2.34 and 2.04 g/L on days 1, 3, and 5 was observed ( p < 0.01); an increase in SFMC at all postoperative stages by 4.7; 8.2; 10.8 and 10.0 times ( p < 0.01); an increase in ECLT by 2.8; 9.7, and 6.3 minutes on days 1, 3, and 5 ( p < 0.001); and a decrease in AT-III and PC levels immediately after the operation by 18.8% and 8.9%, on day 1 by 14.2% and 11.2%, and on day 3 by 8.8% and 6.3% ( p < 0.01). Conclusion . All patients undergoing abdominoplasty require pharmacological thromboprophylaxis due to moderate and high risk of venous thromboembolic complications. Abdominoplasty in the early postoperative period is accompanied by activation of plasma coagulation, inhibition of fibrinolytic system activity, and reduced activity of natural anticoagulants, which justifies the need for pharmacological thromboprophylaxis for at least 5 days.","PeriodicalId":477288,"journal":{"name":"Вопросы реконструктивной и пластической хирургии","volume":"49 6","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136104547","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}

{"title":"Thread lifting as a modern method of non-radical face rejuvenation","authors":"A. L. Istranov, A. A. Chopikyan","doi":"10.52581/1814-1471/86/02","DOIUrl":"https://doi.org/10.52581/1814-1471/86/02","url":null,"abstract":"Purpose of the study: The purpose of this review of scientific literature is to collect, systematize and update modern ideas about the types, methods and principles of thread lifting, taking into account the basic requirements for efficiency and safety. In this paper, we reviewed publications presented in scientific databases: Web of Science, Scopus, PubMed, Cochran library, Medline, and PubMed Central. The keywords for searching for materials were: thread lift, thread lift history, thread lift sutures, face thread lift, polylactic threads, polydioxanone threads. The earliest approach to the effective use of thread rejuvenation techniques was the use of non-absorbable threads based on polypropylene, which are still successfully used along with modern threads, among which a special place is occupied by absorbable threads and new modifications of non-absorbable ones, complemented by various fixing design features (notches, cones). A large selection of threads, techniques and principles of correction allows specialists to create an individual management plan for each patient, and continuity and synergy between the sequential use of different modifications of threads allows one to prolong the results obtained and delay or refuse more radical anti-aging surgeries on the face. At the same time, as a result of the review of the scientific literature, no published studies were found on the comparative analysis of thread and surgical methods of rejuvenation, which requires further study.","PeriodicalId":477288,"journal":{"name":"Вопросы реконструктивной и пластической хирургии","volume":"62 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136104549","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}

{"title":"History of the development of Lymphology in Tomsk: from experimental research to clinical practice","authors":"V. F. Baytinger, O. S. Kurochkina, Yu. V. Magay, E. Yu. Varakuta, S. V. Malinovsky","doi":"10.52581/1814-1471/86/08","DOIUrl":"https://doi.org/10.52581/1814-1471/86/08","url":null,"abstract":"The history of lymphology in Tomsk primarily connected with the names of Gordey Maksimovich Iosifov (1870–1933) and Dimitry Arkadiyevich Zhdanov (1908–1971). This paper analyzes the work of these scientists in Tomsk and the impact of their scientific heritage on further scientific research on the study of the lymphatic system and the application of this knowledge in clinical practice.","PeriodicalId":477288,"journal":{"name":"Вопросы реконструктивной и пластической хирургии","volume":"26 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136067367","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}

{"title":"Regional pretracheal lymphotropic antibiotic therapy for pulmonary complications of COVID-19","authors":"E. S. Dzhumabaev, S. E. Dzhumabaeva","doi":"10.52581/1814-1471/86/05","DOIUrl":"https://doi.org/10.52581/1814-1471/86/05","url":null,"abstract":"Purpose of the study: to study the pharmacokinetics of gentamicin in pretracheal lymphotropic antibiotic therapy and regional stimulation of interstitial lung lymphatic drainage. Material and methods . Experimental studies consisted of a single administration of gentamicin to 50 mongrel white rats, both sexes, body mass 370–400 g, at a dose of 30 mg/kg: lymphotropically pretracheal, using lidase as a lymphatic drainage stimulator, and intramuscularly, followed by thoracotomy, undertaken to remove the chest cavity organs, paratracheal lymph nodes, and femoral vein puncture, for blood sampling. A dynamic determination of the concentration of gentamicin in the blood and extracted tissues was performed. In 10 mongrel rats, both sexes, body mass 440–470 g, the rate of lymphatic drainage of the lungs was studied using the Kety radionuclide method using Albumin I-131, with pretracheal administration of a non-concentrated lidase solution. Results . Data analysis pharmacokinetics and radionuclide study of the lymph showed that the method of lymphotropic pretracheal the introduction of antibiotics and regional lymphostimulation, may have advantages over traditional methods of drug administration in the treatment of pneumonitis (interstitiopathy) at COVID-19, due to the higher and prolonged content in the tissues and the lymphatic channel of the bronchopulmonary system ( p < 0,05) – the place of greatest congestion and infection, as well as lymphatic drainage of the lungs. Conclusion . The method of lymphotropic pretracheal administration of antibiotics and regional lymphostimulation may have advantages over traditional methods of drug administration in the treatment of pulmonary complications in COVID-19.","PeriodicalId":477288,"journal":{"name":"Вопросы реконструктивной и пластической хирургии","volume":"47 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136068077","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}

{"title":"Lateral displacement and synmastia after augmentation mammo- plasty (literature review)","authors":"D. S. Obydennov","doi":"10.52581/1814-1471/86/03","DOIUrl":"https://doi.org/10.52581/1814-1471/86/03","url":null,"abstract":"Augmentation mammoplasty is one of the most frequently performed plastic surgeries. The stability of the aesthetic result depends on many factors: the composition of the integumentary tissues of the patient, the weight, shape and design of the implant itself, its interaction with surrounding tissues, surgical technique and postoperative period. In the domestic literature available to us, such complications as lateral displacement and synmastia are practically described. Much attention is paid to implant displacements to the sides. In the English-language literature, attention is paid only to synmastia. It turns out that the appearance of the mammary glands after augmentation depends not only on the state of the mammary gland tissues, but also on the anterior contour of the chest. The review paper discusses modern views on the displacement of the mammary glands to the sides after their augmentation with implants. Treatment of these complications. To search for foreign literature on the topic of the study, the PubMed system of the US National Library of Medicine was used. A combination of words was used as keywords to search for the necessary information and sources: “augmentation of the breast”, “lateral displacement”, “sinmastia”.","PeriodicalId":477288,"journal":{"name":"Вопросы реконструктивной и пластической хирургии","volume":"116 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136103537","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}

{"title":"30 years of Microsurgery in Tomsk: technological trends","authors":"V. F. Baytinger, K. V. Selyaninov, A. V. Baytinger, O. S. Kurochkina, M. Yu. Stepanov, V. V. Lepunov","doi":"10.52581/1814-1471/86/09","DOIUrl":"https://doi.org/10.52581/1814-1471/86/09","url":null,"abstract":"September 30, 1994 in Tomsk Regional Clinical Hospital (TRCH) was open the Department of Reconstructive and Plastic Microsurgery. In 2002, after two stages of reorganization of the department into the Institute of Microsurgery, its work began to be carried out in 4 directions: medical, scientific, educational, publishing. An analysis of the medical work was carried out in term of the microneurovascular surgery development, from the Department of Reconstructive and Plastic Microsurgery of the TRCH up to the present, in the status of the Institute of Microsurgery (established on 06.02.2002). The results are showen the following main trends in the development of Reconstructive Microsurgery in Tomsk: autotransplantation of tissue on axial vessels, supermicrosurgery, nanomicrosurgery.","PeriodicalId":477288,"journal":{"name":"Вопросы реконструктивной и пластической хирургии","volume":"615 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136068252","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}

{"title":"Anthropometric characteristics as prerequisites for the development of primary carpal tunnel syndrome","authors":"A. V. Baytinger, Yu. V. Magay","doi":"10.52581/1814-1471/86/04","DOIUrl":"https://doi.org/10.52581/1814-1471/86/04","url":null,"abstract":"Carpal tunnel syndrome is the most common compressive neuropathy of the upper limb. The etiology of this carpal tunnel syndrome is unknown. All previous studies of this issue were aimed at studying the external and internal risk factors, accompanied by narrowing of the carpal tunnel and compression of the median nerve. However, these studies were carried out without taking into account data regarding the anthropometric parameters of the hand. Material and methods. The study involved 48 participants of both sexes, divided into 2 groups. Group 1 – 28 patients with carpal tunnel syndrome, group 2 – 20 people – healthy volunteers. Participants of both groups underwent the following measurements of both upper extremities: wrist perimeter – level of entry into the carpal canal (cm), perimeter of the hand - level of exit from the carpal canal along the Kaplan line (cm), length of the carpal canal (cm). BMI (body mass index) was calculated and interpreted taking into account age and gender. The obtained morphometric data were subjected to systematization and statistical analysis. Results. It has been proven that the likelihood of developing primary carpal tunnel syndrome increases after the age 57 years old and with BMI values of more than 30. Also, the risk of developing primary carpal tunnel syndrome is higher with a hand perimeter of more than 22 cm (exit from the carpal tunnel) and a carpal tunnel length of less than 3 cm. Conclusion. Age, body mass index, hand and carpal tunnel circumference significantly affect the occurrence of primary carpal tunnel syndrome, which allows us to consider them as predisposing risk factors.","PeriodicalId":477288,"journal":{"name":"Вопросы реконструктивной и пластической хирургии","volume":"433 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136104237","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}

{"title":"A clinical case of surgical treatment of a child with aneurysms of the abdominal aorta and aortic bifurcation, superior mesenteric artery and multiple aneurysms of the main arteries","authors":"M. N. Sukhov, A. G. Narbutov, I. P. Lyvina, I. I. Serkov, A. A. Naleev","doi":"10.52581/1814-1471/86/07","DOIUrl":"https://doi.org/10.52581/1814-1471/86/07","url":null,"abstract":"A brief literature review on abdominal aortic aneurysms in children and our own observation of surgical treatment of a 5-year-old child with an aneurysm of the abdominal aorta and aortic bifurcation, an aneurysm of the superior mesenteric artery, and multiple aneurysms of the arteries of the lower extremities has been presented in the paper. Staged replacement of the aortic aneurysm and superior mesenteric artery with synthetic polytetrafluoroethylene prostheses was performed. The features of surgical interventions, difficulties and complications that the authors encountered during the treatment of the child are described.","PeriodicalId":477288,"journal":{"name":"Вопросы реконструктивной и пластической хирургии","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136104705","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}

{"title":"In search for the grave monument of the Professorsurgeon E.G. Salischev (part 3)","authors":"V. F. Baytinger, N. M. Dmitrienko","doi":"10.52581/1814-1471/83/13","DOIUrl":"https://doi.org/10.52581/1814-1471/83/13","url":null,"abstract":"The paper was prepared according to archival and published documents, the study and systematization of which made it possible to find out how the monument was installed and then lost on the grave of the outstanding professor E.G. Salishchev at the cemetery of the Ioanno-Predtechensky (John the Baptist) Tomsk Convent in Tomsk. According to the materials of the newspaper “Sibirskaya zhizn'” (“Siberian Life”) it was revealed that Professor E.G. Salishchev, who died in June 1901, was buried in the professorial section of the monastery cemetery. Two years after the funeral, a monument made in St. Petersburg was erected on his grave. The newspaper “Sibirskaya zhizn'” published a photograph of the monument, taken on the day of its consecration on November 10, 1903. The newspaper report and the inscription on the monument, copied in 1910 by the abbess of the convent Zinaida (Kotelnikova), provide reliable information about the tombstone. Subsequently, this information was distorted, and the monument was destroyed. After the revolutions of 1917, anti-church sentiments were whipped up in society, liturgical churches were closed, and clergy and parishioners were persecuted. In 1920 the nunnery in Tomsk was closed, in 1927 burials at the monastery cemetery were prohibited. In the same year, the buildings of the monastery were transferred to the Siberian Technological Institute (modern Tomsk Polytechnic University) for student hostels. And in 1930, under the pretext that the campus, located in a former convent, needed “places for walking”, the Tomsk City Council decided to liquidate the cemetery and use gravestones as building material. Attempts by the head of the Tomsk Regional Museum M.B. Shatilov to save the professorial section of the monastery cemetery from destruction were unsuccessful. In the mid 1950s on the cemetery site, construction began on a 4-storey residential building (modern Uchebnaya st., 42). In the course of work on the paper, it turned out that along with reliable information about the monastery cemetery and the monument on the grave of E.G. Salishchev, there are quite a lot of distortions. The most important of them is the decision of the executive committee of the Tomsk Regional Council of Working People's Deputies dated July 25, 1961 No. 242 “On the further improvement of the protection of cultural monuments in the region”. In the appendix to this document, in addition to all other information, “the grave of the famous Russian scientist surgeon Prof. E.G. Salishchev. Location – campus of the Tomsk Polytechnic Institute. Unverified and unconfirmed data on the burial of Salishchev at the long-destroyed monastery cemetery were included in 2017 in the unified state register of objects of cultural heritage of the peoples of the Russian Federation, and even the address of the nonexistent monument was indicated: 39/2, Vershinin st., Tomsk. It was found out that the chapel in the name of St. Domna Tomskaya is located at this address. Completin","PeriodicalId":477288,"journal":{"name":"Вопросы реконструктивной и пластической хирургии","volume":"127 18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135205892","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}