{"title":"Carbohydrate metabolism in patients with erysipelas","authors":"С. D. Shapoval, L. A. Vasilevska","doi":"10.26779/2786-832x.2023.5.29","DOIUrl":"https://doi.org/10.26779/2786-832x.2023.5.29","url":null,"abstract":"Objective. To determine the frequency of erysipelas and the frequency of carbohydrate metabolism disorders in patients of the purulent–septic centre in Zaporizhzhya. \u0000Materials and methods. We analysed 15 612 case histories of patients with purulent–septic diseases treated at the purulent–septic centre in Zaporizhzhia in 2003–2023. \u0000Results. It was found that 359 (2.3%) patients had erysipelas inflammation in the setting of type 1 or type 2 diabetes mellitus. Destructive forms of erysipelas were recorded in 315 (87.7%) patients, in 30 (9.5%) of them the disease was complicated by sepsis. In uncomplicated forms of erysipelas, diabetes mellitus was observed in 29 (65.9%) patients, and in destructive forms – in 246 (78.1%). \u0000Conclusions. Patients with diabetes mellitus have a significantly higher risk of developing septic complications than patients without carbohydrate metabolism disorders.","PeriodicalId":489121,"journal":{"name":"The Ukrainian Journal of Clinical Surgery","volume":" 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140217421","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":"The use of ablation technologies for the treatment of hepatic metastases of colorectal cancer","authors":"Н. M. Kostyleva, T. A. Yusupov","doi":"10.26779/2786-832x.2023.5.54","DOIUrl":"https://doi.org/10.26779/2786-832x.2023.5.54","url":null,"abstract":"The use of ablation technologies for the treatment of hepatic metastases of colorectal cancer","PeriodicalId":489121,"journal":{"name":"The Ukrainian Journal of Clinical Surgery","volume":" 28","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140211752","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":"Immediate results of biliodigestive reconstruction in patients with peripheral cholangiocarcinoma with invasion of visceral veins","authors":"O. Usenko, A. I. Zhylenko","doi":"10.26779/2786-832x.2023.5.02","DOIUrl":"https://doi.org/10.26779/2786-832x.2023.5.02","url":null,"abstract":"Objective. To evaluate the immediate results of biliodigestive reconstruction in patients with peripheral cholangiocarcinoma with invasion of the visceral veins. \u0000Materials and methods. From 2004 to 2018, 28 patients with peripheral cholangiocarcinoma with invasion of the visceral veins were radically operated at the Department of Liver Transplantation and Surgery of the Shalimov National Institute of Surgery and Transplantation of the National Academy of Medical Sciences of Ukraine (now the Shalimov National Scientific Centre of Surgery and Transplantation of the National Academy of Medical Sciences of Ukraine). The main group consisted of 8 (28.6%) patients who underwent biliodigestive reconstruction simultaneously with resection and reconstruction of visceral veins, the control group consisted of 20 (71.4%) patients who underwent resection and reconstruction of visceral veins, and biliodigestive reconstruction was not performed. \u0000Results. Postoperative clinically significant (grade IIIaIV according to the ClavienDindo classification) complications during the 90day postoperative period were noted in 12.5% of patients in the main group and 25% of patients in the control group (p=0.002), postoperative liver failure according to the criteria of the International Study Group on Liver Surgery in 25 and 30%, respectively (p=0.415). Repeat surgery was performed in 12.5 and 10% of patients, respectively (p=0.923). There was no postoperative mortality in both study groups. \u0000Conclusions. The immediate results of biliodigestive reconstruction in patients with peripheral cholangiocarcinoma with invasion of the visceral veins are satisfactory.","PeriodicalId":489121,"journal":{"name":"The Ukrainian Journal of Clinical Surgery","volume":" 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140219584","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}
V. P. Andriushchenko, D. V. Andriushchenko, V. V. Kunovskyi, Yu. S. Lysiuk
{"title":"An acute pancreatitis: what is new in surgical tactics after the Atlanta–2012 consensus?","authors":"V. P. Andriushchenko, D. V. Andriushchenko, V. V. Kunovskyi, Yu. S. Lysiuk","doi":"10.26779/2786-832x.2023.2.11","DOIUrl":"https://doi.org/10.26779/2786-832x.2023.2.11","url":null,"abstract":"Objective. To delineate new approaches to surgical treatment in patients with an acute pancreatitis as development of principles of the Atlanta–2012 consensus and guidelines of the World Society for Urgent Surgery.
 Materials and methods. The results of treatment of patients in The Lviv Municipal Pancreatologic Centre were analyzed, using general clinical, the laboratory, biochemical, radiological, pathomorphological, bacteriological, pH–metric, cytomorphological and mathematic–statistical methods.
 Results. There was established, that local complications of an acute pancreatitis occur as solitary or multiple or coexistent foci of pathological processes. Diagnostic algorithm, taking into account the most informative indices (in accordance to criteria “sensitivity”, “specificity” and “diagnostic efficacy”), was proposed. Own predictors of severity of the disease – visual, pH–metric, cytomorphological and bacteriological – were elaborated. Taking into account the significance of early enteral feeding, the procedures of its transintestinal probe realization was proposed and their efficacy proved. The methods of analgesia without preparations–opiates and minimization of invasive way of the medicines administration were elaborated. Surgical tactics, using application of miniinvasive and standard operative technologies, was depicted.
 Conclusion. The renewed approaches to diagnosis and treatment of an acute pancreatitis are based on advances and gains of international and Ukrainian surgical pancreatology.","PeriodicalId":489121,"journal":{"name":"The Ukrainian Journal of Clinical Surgery","volume":"96 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135708191","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":"Colorectal cancer with synchronous liver metastases: terminology, diagnosis and management","authors":"O. Yu. Usenko, A. A. Skums","doi":"10.26779/2786-832x.2023.2.55","DOIUrl":"https://doi.org/10.26779/2786-832x.2023.2.55","url":null,"abstract":"Colorectal cancer with synchronous liver metastases: terminology, diagnosis and management","PeriodicalId":489121,"journal":{"name":"The Ukrainian Journal of Clinical Surgery","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135708270","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":"Application of ethylmethylhydroxypyridine succinate in patients with the burns","authors":"O. M. Lynnyk, G. P. Kozynets","doi":"10.26779/2786-832x.2023.2.29","DOIUrl":"https://doi.org/10.26779/2786-832x.2023.2.29","url":null,"abstract":"Objective. To determine clinical efficacy of the preparation ethylmethylhydroxypyridine succinate application in early period of the burn disease.
 Materials and methods. In 14 patients with burns ethylmethylhydroxypyridine succinate (the main group) was applied in complex treatment, while 22 patients were treated in accordance to standard scheme (control group). The content of TBK–active products, superoxide dismutase, tumor necrosis factor–α and S–nitrosothiols in peripheral blood on the 1–2, 7–8 and 13–14th days after the burn trauma were determined.
 Results. In the main group versus initial values there were registered: the content of TBK–active products lowered in 1.22 times, the content of SOD raised in 1.73 times, the content of the S–nitrosothiols lowering in 117 times, while content of the tumor necrosis factor–α versus certain index in control group reduced in 1.15 times on 7–8th day and in 1.08 times on the 13–14th day after the burn. In the main group of patients the average square of necrectomies have reduced, volume of performance of autodermoplasty was less in 1.12 times, in them less surgical interventions performed, and the stationary stay has been shortened in 1.48 times.
 Conclusion. Application of ethylmethylhydroxypyridine succinate promotes reduction of endothelial dysfunction, oxidative stress, inflammation, what improves the burns treatment results, reduces the surgical interventions quantity and the patients' stationary stay.","PeriodicalId":489121,"journal":{"name":"The Ukrainian Journal of Clinical Surgery","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135708271","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}
V. V. Vashchuk, T. P. Kyryk, M. I. Kushnirchuk, R. P. Baidala, M. Y. Krat
{"title":"Surgical treatment of paravasal phlegmon of the neck","authors":"V. V. Vashchuk, T. P. Kyryk, M. I. Kushnirchuk, R. P. Baidala, M. Y. Krat","doi":"10.26779/2786-832x.2023.2.47","DOIUrl":"https://doi.org/10.26779/2786-832x.2023.2.47","url":null,"abstract":"Surgical treatment of paravasal phlegmon of the neck","PeriodicalId":489121,"journal":{"name":"The Ukrainian Journal of Clinical Surgery","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135708272","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}
A. I. Sukhodolia, S. A. Sukhodolia, V. P. Mosiichuk, B. O. Drahochynskyi
{"title":"Primary adenocarcinoma of antral part of gastric transplant after radical operation for cardioesophageal cancer","authors":"A. I. Sukhodolia, S. A. Sukhodolia, V. P. Mosiichuk, B. O. Drahochynskyi","doi":"10.26779/2786-832x.2023.2.50","DOIUrl":"https://doi.org/10.26779/2786-832x.2023.2.50","url":null,"abstract":"Первинна аденокарцинома антрального відділу шлункового трансплантата після радикальної операції з приводу кардіоезофагеального раку","PeriodicalId":489121,"journal":{"name":"The Ukrainian Journal of Clinical Surgery","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135708268","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}