The Ukrainian Journal of Clinical Surgery最新文献

{"title":"Clinico–anatomical characteristic of the traffic trauma in the megapolis environment. The fourth report: estimation of clinical risks","authors":"S. O. Guryev, V. A. Kushnir, O. S. Solovyov","doi":"10.26779/2786-832x.2023.2.24","DOIUrl":"https://doi.org/10.26779/2786-832x.2023.2.24","url":null,"abstract":"Objective. Establishment and verification of clinical definite risks in the injured persons, in whom trauma have occurred as a consequence of the traffic accidents in environment of megapolis.
 Materials and methods. The pattern of a nature type was used, formatted in accordance to the big numbers law and following the demands and the evidence–based medicine criteria. The investigation volume, which was presented by 1139 observations of trauma as a consequence of the traffic accidents in period 2019–2020 yrs, and formatted using method of a reverse randomization in accordance to the damage signs and the random numbers method.
 Results. In general massive of the injured persons the clinical resultant risk index have constituted 0.05 and was verified as a minimal one in accordance to qualitative characteristic. The risk–creating factor, named “gender” in the injured persons has been situated in range of minimal qualitative characteristic in both genders, but its quantitative values were bigger in men by 66.67 %. Here exist a pronounced dependence of clinical resultant risk index from the age sign of the injured persons, and in the age groups up to 70 yrs old it is minimal, while after 70 years old – nonessential. This index was characterized in all participants of the traffic as a minimal, but the biggest risk of the negative result occurrence concerning the traumatic process course have had the pedestrians. The death risk in the injured person has been raised accurately along with enhancement of the injury severity index, ranging from the minimal to catastrophic one. The negative result risk for the traumatic course has been depended probably on the affection volume: the death probability in the injured person raising accurately with the affection volume enhancement. The damage of 4 anatomic–functional portions was considered as a critical.
 Conclusion. The clinic–epidemiological risk–creating factors have got qualitative characteristic “minimal”– from 0.02 to 0.09, excluding persons of a senile age, for whom they were nonessential (0.2). The biggest risk of the death was revealed in the injured active participants of traffic – drivers (0.03) and pedestrians (0.08). For clinic–nosological risk–creating factors a quite certain trend for the death risk enhancement oi the injured person with enhancement of volume and severity of the damage was depicted in detail, and qualitatively were characterized from minimal (0.01) to catastrophic (0.82). The impact of the risk–creating factors owes a complex character.","PeriodicalId":489121,"journal":{"name":"The Ukrainian Journal of Clinical Surgery","volume":"34 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":"135708273","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":"Peculiarities of the foregut organic disorders in patients with an acute pancreatitis","authors":"V. P. Andriushchenko, D. V. Andriushchenko, L. M. Kohut, Ya. A. Korol","doi":"10.26779/2786-832x.2023.2.03","DOIUrl":"https://doi.org/10.26779/2786-832x.2023.2.03","url":null,"abstract":"Objective. To study the character and peculiarities of structural changes of esophageal, gastric and duodenal wall in patients with an acute pancreatitis.
 Materials and methods. Analysis of the esophago–gastro–duodenoscopy results was conducted in 86 patients with estimation of endoscopic signs of the motor–evacuation and organic disorders of foregut.
 Results. Endoscopic signs of gastrostasis were observed in 17 (20.0%) patients, of duodeno–gastric reflux – in 29 (34.0%), and reflux–oesophagitis – in 14 (16.2%). Reactive inflammatory mucosal gastro–duodenal changes (erythematous and hemorrhagic–erosive gastro–duodenopathy) were determined in 22 (25.6%) patients: in 12 (14.0%) – in moderately severe, and in 10 (11.6%) – in severe acute pancreatitis. In 24 (28.0%) patients an acute erosions of gastric antrum and first duodenal segment were revealed, and in 14 (16.0%) – acute ulcers, which dominated in severe course of the disease.
 Conclusion. The endoscopic signs of the foregut organic disorders established constitute the predictor of the course severity in an acute pancreatitis and serve a criterion of its diagnosis.","PeriodicalId":489121,"journal":{"name":"The Ukrainian Journal of Clinical Surgery","volume":"90 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":"135708187","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 damages of processus vermicularis and Meckel’s diverticulum in gun–shoot abdominal woundings","authors":"I. A. Lurin, E. M. Khoroshun, O. O. Vorovsky, V. V. Nehoduiko, V. V. Makarov, S. I. Panasenko, K. V. Gumenuk, O. V. Ossovskyi, T. P. Yakymova, R. V. Saliutin","doi":"10.26779/2786-832x.2023.2.19","DOIUrl":"https://doi.org/10.26779/2786-832x.2023.2.19","url":null,"abstract":"Objective. Determination of the damages peculiarities in processus vermicularis and Meckel’s diverticulum in a gun–shot abdominal woundings and tactics of their surgical treatment.
 Materials and methods. Analysis of the gun–shot abdominal woundings has been witnessed the presence of isolated and combined damages of processus vermicularis and Meckel’s diverticulum in 0.18 and 0.06% patients, accordingly. All the wounded persons were the men, their average age have constituted (32±0.3) yrs old. The shrapnel woundings have occurred in 92.4% patients, and the bullet – in 7.6%. Damages of the processus vermicularis base have dominated in its descendent localization, the damages of processus vermicularis and Meckel’s diverticulum were combined with such intestinal affections.
 Results. All the damages of Meckel’s diverticulum and processus vermicularis were revealed intraoperatively. All the hospitalized patients have had the pain syndrome, the peritonitis signs and free liquid in a small pelvis. Surgical tactics consisted of resection of processus vermicularis (in 2 patients using laparoscopic approach), and in the Meckel’s diverticulum woundings the operative intervention volume have included a wedge–like resection of the small intestine part with diverticulum or segmental intestinal resection with formation of the side to side ileo–ileoanastomosis.
 Conclusion. The damages of processus vermicularis and Meckel’s diverticulum constitute a rare combat woundings, which occurs in combined intestinal trauma, what constitute the need for its detailed intraoperative revision. Operative tactics in damages of processus vermicularis and Meckel’s diverticulum constitutes their resection and restoration of intestinal integrity and may be realized through laparoscopic access.","PeriodicalId":489121,"journal":{"name":"The Ukrainian Journal of Clinical Surgery","volume":"4 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":"135708190","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":"Cellular and the tissue therapy in treatment of Burger’s disease","authors":"Yu. V. Ivanova, S. M. Gramatiuk, I. A. Kryvoruchko, V. O. Prasol, I. S. Puliaeva, O. O. Zarudnyi","doi":"10.26779/2786-832x.2023.2.42","DOIUrl":"https://doi.org/10.26779/2786-832x.2023.2.42","url":null,"abstract":"Cellular and the tissue therapy in treatment of Burger’s disease","PeriodicalId":489121,"journal":{"name":"The Ukrainian Journal of Clinical Surgery","volume":"48 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":"135708192","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":"State of organization of the organs transplantation in Ukraine","authors":"G. I. Kovtun","doi":"10.26779/2786-832x.2023.2.07","DOIUrl":"https://doi.org/10.26779/2786-832x.2023.2.07","url":null,"abstract":"Objective. To study up the organization state of the organs transplantation in Ukraine, using the expert estimation and in accordance to SWAT–analysis.
 Materials and methods. To achieve the objective established 21 experts were incorporated into the investigation. The expert group consisted of 10 physicians–cardiosurgeons, 7 health care organizers, chiefs of the health care institutions and 4 scientific staff members, who have got experience in the health care practice. The SWAT–analysis procedure was applied as well. Among other, the general scientific methods of analysis, synthesis, summation, interpretation of scientific data, as well as systematic approach were used.
 Results. The state of organization of the organs transplantation was determined in accordance to the expert estimation and the SWOT–analysis. There was established, that the system of the organ transplantation is functioning in Ukraine in the absence of the most principal organization elements, what cannot make its work qualitative.
 Conclusion. The data obtained have confirmed, that the organs transplantation sphere in Ukraine is a young medical discipline and it is much more would be done for its development.","PeriodicalId":489121,"journal":{"name":"The Ukrainian Journal of Clinical Surgery","volume":"60 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":"135708267","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 cold injury (methodical recommendations)","authors":"E. M. Khoroshun, G. P. Kozynets, І. A. Lurin","doi":"10.26779/2786-832x.2023.2.60","DOIUrl":"https://doi.org/10.26779/2786-832x.2023.2.60","url":null,"abstract":"The cold injury (methodical recommendations)","PeriodicalId":489121,"journal":{"name":"The Ukrainian Journal of Clinical Surgery","volume":"27 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":"135708269","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":"First experience of exploitation of extracorporeal shock–wave therapy for treatment of chronic posttraumatic osteomyelitis","authors":"H. I. Hertsen, Yu. K. Remenyuk, G. G. Bilonizhkin, M. V. Sikorska, F. O. Volk","doi":"10.26779/2786-832x.2023.2.52","DOIUrl":"https://doi.org/10.26779/2786-832x.2023.2.52","url":null,"abstract":"First experience of exploitation of extracorporeal shock–wave therapy for treatment of chronic posttraumatic osteomyelitis","PeriodicalId":489121,"journal":{"name":"The Ukrainian Journal of Clinical Surgery","volume":"97 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":"135708188","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":"Hepatopulmonary syndrome as an indication for liver transplantation","authors":"S. M. Chooklin, S. S. Chuklin, A. E. Yevsiutina","doi":"10.26779/2786-832x.2023.2.34","DOIUrl":"https://doi.org/10.26779/2786-832x.2023.2.34","url":null,"abstract":"Hepatopulmonary syndrome as an indication for liver transplantation","PeriodicalId":489121,"journal":{"name":"The Ukrainian Journal of Clinical Surgery","volume":"27 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":"135708189","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}