Ambulatory surgery: hospital-replacing technologies最新文献

{"title":"Features of laser coagulation of «port-wine stains» (cases from practice)","authors":"E. O. Belyanina","doi":"10.21518/1995-1477-2019-1-2-64-71","DOIUrl":"https://doi.org/10.21518/1995-1477-2019-1-2-64-71","url":null,"abstract":"Percutaneous laser coagulation (selective photothermolysis) is currently the «gold standard» for the treatment of «port-wine stains». However, complete removal of the vascular lesion is rarely possible, and in 20 % of cases there is resistance to laser attack. The article presents clinical cases of «port-wine stains» treatment in two patients. On the basis of own experience and literature data the analysis of treatment results, side effects of lasers application was carried out, and also alternative perspective methods of treatment were considered.","PeriodicalId":7496,"journal":{"name":"Ambulatory surgery: hospital-replacing technologies","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81810139","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":"Evaluation of the efficacy of modern wound care dressings in the complex treatment of purulent wounds","authors":"S. Katorkin, S. Bystrov, O. Lisin, A. Rozanova, A. Bezborodov","doi":"10.21518/1995-1477-2019-1-2-146-152","DOIUrl":"https://doi.org/10.21518/1995-1477-2019-1-2-146-152","url":null,"abstract":"Objective. Evaluate the efficacy of the treatment of purulent skin and soft tissue  wounds using modern interactive dressings  and conventional wound care dressings. Material and methods.  The study included 160 patients, who were treated at the outpatient department of the Clinic of the SamGMU for the period from September  2018 to January 2019 after an autopsy,  necrosectomy  and drainage  of purulent foci in the surgical hospital. Group I (n  = 82) included patients, who applied Sorbalgon® interactive dressing (Paul Hartmann, Germany) during the first phase of the wound healing and Branolind®  N atraumatic mesh dressing (Paul Hartmann, Germany) during the second phase of the wound healing  for topical  treatment of wounds in the  postoperative period.  Patients of Group II (n   =  78)  applied  ointment dressings using Levomekol ointment during the first phase of the wound healing and Methyluracil ointment during the second phase of the wound healing. Patients in both groups received the same broad spectrum  antibacterial therapy. In Group I, the dressings  were applied once per 2 days, in Group II the dressings  were applied on a daily basis. The researchers studied  the  following indicators:  the  nature  of the  wound discharge;  the  presence  of edema  and hyperemia  of tissues; timing of the wound defect cleansing; temperature and leukocyte reactions  of the body; crops on microflora and sensitivity to antibiotic therapy. Results.  The study showed more pronounced  dynamics of the  temperature reaction normalization, reduction of the  local inflammatory reaction and the leukocytosis  level in patients of Group I. The wound cleansing  from pus and fibrin,  the development of granulation tissue on Day 5 were reported  in 87.8% of patients of Group I and in 35.9% of patients of Group II, on Day 10 in 100% and 88.5% of patients, respectively. Conclusion. The use of Sorbalgon® and Branolind® N dressings  improves the  results  of treatment of patients with purulent soft tissues pathology and reduces the risk for secondary infection, and improves the quality of life due to increase of interval between the dressings.","PeriodicalId":7496,"journal":{"name":"Ambulatory surgery: hospital-replacing technologies","volume":"65 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78182958","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":"Sulodexide efficacy in the treatment of patients with chronic lower limb vein diseases of C1-C3 clinical classes according to CEAP","authors":"S. Katorkin, M. A. Melnikov, P. F. Kravtsov","doi":"10.21518/1995-1477-2019-1-2-38-44","DOIUrl":"https://doi.org/10.21518/1995-1477-2019-1-2-38-44","url":null,"abstract":"Aim of the study. To evaluate the clinical efficacy of sulodexide in the daily dosage of 500 LSU in patients with chronic lower limb vein diseases of clinical classes C1-C3 according to CEAP. Patients and methods. This study included 35 patients with chronic C1-C3 CEAP lower limb vein disease who took 500 LSU of Sulodexide for 90 days. In order to evaluate the effectiveness of the treatment we used: a questionnaire to assess the quality of patient’s life with chronic venous insufficiency CIVIQ 20; visually – analogue scale of pain assessment VAS; clinical scale of venous diseases VCSS severity assessment; measuring the circumference of the limbs on the hip and shin. Results of the study. The study was completed by 32 patients. As a result of the performed treatment the convulsive syndrome in calf muscles completely regressed, though on the first visit it was registered in 22,4 % of patients (p = 0,0481), the frequency of complaints about severity and fatigue in the lower limbs at static loads decreased significantly from 28,1 % to 9,6 % (p = 0,2414). The circumference of the femur in the middle third of the limb decreased from 53.7 cm to 51.1 cm (p<0.05), in the middle third of the tibia from 36.8 cm to 33.8 cm (p<0.05) and in the lower third of the tibia from 23.4 cm to 21.5 cm (p<0.05). VAS pain syndrome decreased from 35.36 ± 24.71 mm to 16.44 ± 17.07 mm (p = 0.0005). The global CIVIQ 20 quality of life index increased by 25.3 % compared to the initial parameters (p = 0.0001), the VCSS index decreased from 5.93 ± 1.79 points to 4.79 ± 2.01 points (p = 0.0002). Conclusion. Sulodexide, causing a pronounced clinical effect, is an effective and pathogenetically justified drug for the treatment of initial forms of chronic lower limb vein disease.","PeriodicalId":7496,"journal":{"name":"Ambulatory surgery: hospital-replacing technologies","volume":"134 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86317927","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":"Sclerotherapy. Step by step. Telangiectasia","authors":"V. Bogachev","doi":"10.21518/1995-1477-2019-1-2-52-58","DOIUrl":"https://doi.org/10.21518/1995-1477-2019-1-2-52-58","url":null,"abstract":"","PeriodicalId":7496,"journal":{"name":"Ambulatory surgery: hospital-replacing technologies","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82341283","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":"Diabetic foot syndrome. Replacement for inpatient treatment technique based on the fast track surgery","authors":"K. A. Korejba, A. R. Minabutdinov, L. M. Tueshev, A. R. Nuretdinov, P. Lukin","doi":"10.21518/1995-1477-2019-1-2-72-79","DOIUrl":"https://doi.org/10.21518/1995-1477-2019-1-2-72-79","url":null,"abstract":"One of the main problems of modern surgery is treatment of trophic skin and soft tissues defects due to the ambiguity of the pathogenesis, tendency to recurrence, deterioration in the patients’ quality of life, complexity and duration of treatment, large economic costs of treatment and rehabilitation. The article describes an algorithm for outpatient treatment of patients with trophic skin and soft tissues defects in diabetic foot syndrome. Debridement the wound from necrosis, purulent-fibrinous pellicles, wound biofilms is produced by a chemical necrectomy. A method of closing the wound defects by the means of high-tech biomaterials based on collagen type 1 is described.","PeriodicalId":7496,"journal":{"name":"Ambulatory surgery: hospital-replacing technologies","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73994587","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":"Integrated approach to treatment of pain syndrome in musculoskeletal system injuries and disorders","authors":"M. S. Svetlova","doi":"10.21518/1995-1477-2019-1-2-93-98","DOIUrl":"https://doi.org/10.21518/1995-1477-2019-1-2-93-98","url":null,"abstract":"The problem of treating pain in patients with diseases of the musculoskeletal system and its injuries is highly relevant, which is associated with the high prevalence of this pathology. The basis of pain is always inflammation. In order to influence the inflammatory process as quickly as possible, therapy should be comprehensive, safe, and as effective as possible. In recent years, complex bioregulatory preparation Traumeel C, produced as an ointment and gel, has been widely used in the treatment of diseases of the musculoskeletal system and injuries. The article presents data on the mechanism of action of the drug, as well as the results of studies that examined the efficacy and safety of Traumeel C ointment and gel for diseases of the musculoskeletal system and injuries of the musculoskeletal system.","PeriodicalId":7496,"journal":{"name":"Ambulatory surgery: hospital-replacing technologies","volume":"42 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84758373","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":"Several practical aspects of the use of adjustable inelastic compression bandages (AICB)","authors":"V. Bogachev, K. A. Kaperiz","doi":"10.21518/1995-1477-2019-1-2-45-51","DOIUrl":"https://doi.org/10.21518/1995-1477-2019-1-2-45-51","url":null,"abstract":"In the review article various indications for the use of adjustable inelastic compression bandage circaid are considered, and an actual clinical example of its successful application is given. The authors draw a conclusion about the universality of circaid bandage and the expediency of its wide use in real clinical practice.","PeriodicalId":7496,"journal":{"name":"Ambulatory surgery: hospital-replacing technologies","volume":"75 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80409756","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":"Modern treatment of acute hemorrhoids","authors":"E. A. Zagryadsky","doi":"10.21518/1995-1477-2019-1-2-112-117","DOIUrl":"https://doi.org/10.21518/1995-1477-2019-1-2-112-117","url":null,"abstract":"The article is devoted to the topical issue of increasing prevalence of hemorrhoid disease in modern society. It provides the detailed description of pathogenesis of the disease and clinical manifestations of hemorrhoids. Particular attention is paid to diagnostic tests and procedures that help physicians to diagnose a disease and choose a therapy, including diet, improvement of bowel habits and function, normalization of the blood flow rate in haemorrhoidal plexuses by prescription of phlebotropic drugs. Among them, the combined topical drugs that have a thrombolytic, anti-inflammatory and hemostatic effect hold pride of place in the treatment of hemorrhoid disease.","PeriodicalId":7496,"journal":{"name":"Ambulatory surgery: hospital-replacing technologies","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86672993","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 possibility of using a topical combined antibacterial agent in the prevention of infection during surgical intervention","authors":"M. V. Zhuchkov, U. V. Zhuchkova, S. V. Tarasenko","doi":"10.21518/1995-1477-2019-1-2-87-92","DOIUrl":"https://doi.org/10.21518/1995-1477-2019-1-2-87-92","url":null,"abstract":"The article presents the results of the clinical study on the assessment of the preventive clinical effectiveness of the topical combined antibacterial drug bacitracin/neomycin in the prevention of infection during surgical intervention. The study included 112 patients whose average age was 42.4+7.4 years. Patients were divided into groups according to the risk of infection of the surgical area (SSI) according to the criteria of D.C. Classen et al. and into subgroups according to whether standard antiseptic therapy or topical antibacterial therapy with bacitracin/neomycin was used in the postoperative period. The study demonstrated high preventive efficacy of the topical drug bacitracin/neomycin in the prevention of various clinical forms of SSI and, probably, in the prevention of seromas of postoperative wounds.","PeriodicalId":7496,"journal":{"name":"Ambulatory surgery: hospital-replacing technologies","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89735610","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":"Justification and experience of using ointments with immunomodulating properties in hemorrhoids and anal fissures","authors":"G. Knorring","doi":"10.21518/1995-1477-2019-1-2-124-130","DOIUrl":"https://doi.org/10.21518/1995-1477-2019-1-2-124-130","url":null,"abstract":"Acute and chronic hemorrhoids  and coexisting  conditions  remain  an important medical problem  at  the  intersection of medical specialties. Among the  proposed  approaches to  therapy  is the  use  of immunomodulating agents, which allows to  ensure  the influence  on several  pathogenetic mechanisms  of development and progression  of the  disease. Ointments  containing  bacterial cultural suspension of E. coli (BCS) as an active component  have a solid experience in clinical practice  and a strong evidence base, including meta-analysis of multicenter randomized trials.","PeriodicalId":7496,"journal":{"name":"Ambulatory surgery: hospital-replacing technologies","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79226746","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}