首页 > 最新文献

Klinicheskaia khirurgiia最新文献

英文 中文
Surgery on the war – actual issues of the surgical help delivery in a military time. Theses of reports 战争上的外科手术——军事时期外科手术帮助交付的实际问题。报告提纲
Pub Date : 2022-12-30 DOI: 10.26779/2522-1396.2022.11-12.67
E. Board
Surgery on the war – actual issues of the surgical help delivery in a military time. Theses of reports
战争上的外科手术——军事时期外科手术帮助交付的实际问题。报告提纲
{"title":"Surgery on the war – actual issues of the surgical help delivery in a military time. Theses of reports","authors":"E. Board","doi":"10.26779/2522-1396.2022.11-12.67","DOIUrl":"https://doi.org/10.26779/2522-1396.2022.11-12.67","url":null,"abstract":"Surgery on the war – actual issues of the surgical help delivery in a military time. Theses of reports","PeriodicalId":17876,"journal":{"name":"Klinicheskaia khirurgiia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79507561","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
Morphological characteristics of venous angiodysplasia of the face and scalp 面部及头皮静脉血管发育不全的形态学特征
Pub Date : 2022-12-30 DOI: 10.26779/2522-1396.2022.11-12.19
O. A. Hyndych, V. A. Kropelnytskyi
Objective.Studying of morphological characteristics of venous angiodysplasia of the face and scalp. Materials and methods. The operation material (soft tissues of the face and scalp) was investigated in 20 patients for studying of morphological characteristics of venous dysplasia. In the histological investigation frame the material was fixed and processed in accordance to conventional method, the tissue slices were colored with hematoxilin and eosin. In 7 observations immuno–histochemical investigation with CD34 antibodies (clone QBEND10) and S100 (polyclonal) was applied. Results. Basing on patho–histological investigations of the operation material in 8 patients, morphological features, characteristic for arterio–venous angiodysplasia, were revealed, what may constitute the recurrence cause in postoperative period. Conclusion.The recurrence prognosis and further surveillance of patients with venous angiodysplasia demands decision of the question concerning the presence of arterio–venous component in clinically and instrumentally confirmed simple venous angiodysplasia, concerning every patient.
目标。面部及头皮静脉血管发育不良的形态学特征研究。材料和方法。本文对20例患者的手术材料(面部和头皮软组织)进行了调查,探讨了静脉发育不良的形态学特征。在组织学检查框架内,将材料固定并按常规方法处理,组织切片用苏木素和伊红染色。采用CD34抗体(克隆QBEND10)和S100抗体(多克隆)进行免疫组化研究。结果。通过对8例手术材料的病理组织学检查,揭示动-静脉血管发育不全的形态学特征及术后复发原因。结论。静脉性血管发育不全患者的复发预后和进一步监测需要确定临床和仪器确认的单纯性静脉性血管发育不全患者是否存在动静脉成分的问题。
{"title":"Morphological characteristics of venous angiodysplasia of the face and scalp","authors":"O. A. Hyndych, V. A. Kropelnytskyi","doi":"10.26779/2522-1396.2022.11-12.19","DOIUrl":"https://doi.org/10.26779/2522-1396.2022.11-12.19","url":null,"abstract":"Objective.Studying of morphological characteristics of venous angiodysplasia of the face and scalp. \u0000Materials and methods. The operation material (soft tissues of the face and scalp) was investigated in 20 patients for studying of morphological characteristics of venous dysplasia. In the histological investigation frame the material was fixed and processed in accordance to conventional method, the tissue slices were colored with hematoxilin and eosin. In 7 observations immuno–histochemical investigation with CD34 antibodies (clone QBEND10) and S100 (polyclonal) was applied. \u0000Results. Basing on patho–histological investigations of the operation material in 8 patients, morphological features, characteristic for arterio–venous angiodysplasia, were revealed, what may constitute the recurrence cause in postoperative period. \u0000Conclusion.The recurrence prognosis and further surveillance of patients with venous angiodysplasia demands decision of the question concerning the presence of arterio–venous component in clinically and instrumentally confirmed simple venous angiodysplasia, concerning every patient.","PeriodicalId":17876,"journal":{"name":"Klinicheskaia khirurgiia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86990995","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
Methodology of the physicians education on the studying cycles of the Department of Combustiology and Plastic Surgery in modern environment 现代环境下燃烧与整形外科医师学习周期教育的方法学
Pub Date : 2022-12-30 DOI: 10.26779/2522-1396.2022.11-12.37
G. P. Kozynets, O. Zhernov, V. P. Tsygankov, V. Shendryk
Methodology of the physicians education on the studying cycles of the Department of Combustiology and Plastic Surgery in modern environment
现代环境下燃烧与整形外科医师学习周期教育的方法学
{"title":"Methodology of the physicians education on the studying cycles of the Department of Combustiology and Plastic Surgery in modern environment","authors":"G. P. Kozynets, O. Zhernov, V. P. Tsygankov, V. Shendryk","doi":"10.26779/2522-1396.2022.11-12.37","DOIUrl":"https://doi.org/10.26779/2522-1396.2022.11-12.37","url":null,"abstract":"Methodology of the physicians education on the studying cycles of the Department of Combustiology and Plastic Surgery in modern environment","PeriodicalId":17876,"journal":{"name":"Klinicheskaia khirurgiia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81793516","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
Organ–preserving operations for the gun–shot thoraco–abdominal and abdominal woundings with splenic injuries 胸腹及腹部枪伤伴脾损伤的器官保存手术
Pub Date : 2022-12-30 DOI: 10.26779/2522-1396.2022.11-12.05
I. Lurin, E. Khoroshun, V. V. Makarov, V. Nehoduiko, S. Shipilov, Y. Bunin, R. Saliutin
Objective.To determine the expediency of the spleen–preserving operations performance for its injury due to gun–shot thoraco–abdominal and abdominal woundings. Materials and methods. Of 51wounded persons with the gun–shot penetrating abdominal woundings with splenic injuries 8 (15.7%) were operated on the II level of the medical help delivery, while on the ІІІ level – 43 (84.3%). Of 43 wounded persons, operated on the ІІІ level of the medical help delivery, in 35 (81.4%) splenectomy was performed, while in 8 (18.6%) – the organ–preserving operations. All the splenic injuries have been characterized as a shrapnel woundings. The splenic damage degree was estimated in accordance to Moore, taking into account its structure. In 5 (62.5%) wounded persons the open laparotomy organ–preserving operations were performed, and while using video–laparoscopic system– in 3 (37.5%). Results. Ultrasonographic investigation in accordance to the FAST–protocol was done in all the wounded persons, what have permitted to determine the blood abdominal outpouring volume as well as the splenic injury presence. The affection volume and further tactics were determined using video–laparoscopy. The Stage I splenic affection in accordance to Moore was diagnosed in 4 (50%) wounded persons, the Stage ІІ – in 3 (37.5%), and the Stage ІІІ – in 1 (12.5%). In all the patients, in whom organ–preserving interventions were performed, the surgical help volume consisted of coagulation, using the radiofrequency therapy apparatus MEDTRONICAEX and the hemostatic sponge application with drainage of the left subdiaphragmatic space, using silicone tube. Conclusion. Organ–preserving operations in splenic injury are expedient to be performed on ІІІ level of the medical help delivery, while presence of local conditions, such as the organ injury degrees І and ІІ,determined in accordance to Moore, as well as adequate time and equipment.
目标。目的探讨保脾手术治疗胸腹及腹部枪伤伤的可行性。材料和方法。51例腹部穿透性伤并脾损伤患者中,II级医疗救治8例(15.7%),ІІІ级医疗救治43例(84.3%)。43例伤者中,在ІІІ水平上进行了手术,35例(81.4%)进行了脾切除术,8例(18.6%)进行了器官保留手术。所有脾脏损伤的特征都是弹片伤。考虑脾脏的结构,根据摩尔定律估计脾脏的损伤程度。5例(62.5%)伤者行开腹手术保存器官,3例(37.5%)采用视频腹腔镜系统。结果。所有伤者均按fast方案行超声检查,确定血腹涌出量及脾损伤的存在。应用视频腹腔镜确定影响量及进一步治疗策略。根据摩尔诊断的I期脾损伤有4例(50%),ІІ期3例(37.5%),ІІІ期1例(12.5%)。在所有实施器官保留干预的患者中,手术帮助量包括使用MEDTRONICAEX射频治疗仪进行凝血,使用硅胶管应用止血海绵引流左侧膈下间隙。结论。脾脏损伤的器官保存手术宜在ІІІ水平的医疗帮助下进行,同时根据摩尔的理论确定当地条件,如器官损伤程度І和ІІ,以及足够的时间和设备。
{"title":"Organ–preserving operations for the gun–shot thoraco–abdominal and abdominal woundings with splenic injuries","authors":"I. Lurin, E. Khoroshun, V. V. Makarov, V. Nehoduiko, S. Shipilov, Y. Bunin, R. Saliutin","doi":"10.26779/2522-1396.2022.11-12.05","DOIUrl":"https://doi.org/10.26779/2522-1396.2022.11-12.05","url":null,"abstract":"Objective.To determine the expediency of the spleen–preserving operations performance for its injury due to gun–shot thoraco–abdominal and abdominal woundings. \u0000Materials and methods. Of 51wounded persons with the gun–shot penetrating abdominal woundings with splenic injuries 8 (15.7%) were operated on the II level of the medical help delivery, while on the ІІІ level – 43 (84.3%). Of 43 wounded persons, operated on the ІІІ level of the medical help delivery, in 35 (81.4%) splenectomy was performed, while in 8 (18.6%) – the organ–preserving operations. All the splenic injuries have been characterized as a shrapnel woundings. The splenic damage degree was estimated in accordance to Moore, taking into account its structure. In 5 (62.5%) wounded persons the open laparotomy organ–preserving operations were performed, and while using video–laparoscopic system– in 3 (37.5%). \u0000Results. Ultrasonographic investigation in accordance to the FAST–protocol was done in all the wounded persons, what have permitted to determine the blood abdominal outpouring volume as well as the splenic injury presence. The affection volume and further tactics were determined using video–laparoscopy. The Stage I splenic affection in accordance to Moore was diagnosed in 4 (50%) wounded persons, the Stage ІІ – in 3 (37.5%), and the Stage ІІІ – in 1 (12.5%). In all the patients, in whom organ–preserving interventions were performed, the surgical help volume consisted of coagulation, using the radiofrequency therapy apparatus MEDTRONICAEX and the hemostatic sponge application with drainage of the left subdiaphragmatic space, using silicone tube. \u0000Conclusion. Organ–preserving operations in splenic injury are expedient to be performed on ІІІ level of the medical help delivery, while presence of local conditions, such as the organ injury degrees І and ІІ,determined in accordance to Moore, as well as adequate time and equipment.","PeriodicalId":17876,"journal":{"name":"Klinicheskaia khirurgiia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91477580","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
Diagnostic biopsy of sentinel lymph nodes in mammary gland cancer 乳腺前哨淋巴结的诊断活检
Pub Date : 2022-12-30 DOI: 10.26779/2522-1396.2022.11-12.23
R. Nikitenko, E. Koichev, S. P. Degtyarenko
Objective.To improve the diagnostic biopsy of sentinel lymph nodes in patients, suffering mammary gland cancer, using fluorescent lymphography, and to reduce the quantity of postoperative complications. Materials and methods. In 2016 – 2021yrs period on the base of Odessa Regional Clinical Hospital 400 patients, suffering mammary gland cancer Stages Т1–Т3N0М0, were operated on with application of fluorescent lymphography, using two dyers – the patent blue and indocyanine green. All the patients were distributed into two groups. In Group I (a control one) in 200 patients the sentinel lymph nodes biopsy was performed. The dyer patent blue was applied for the lymph nodes coloring.In Group II (the main) in 200 women–patients the sentinel lymph nodes biopsy, using the patent blue and fluorescent dyer indocyanine green, was performed. Both dyers were injected subdermally along the external areolar edge in the dose 2 ml of the dyer solution. Results. Total 5–year survival after axillary lymphodissection and after the sentinel lymph node biopsy have constituted 91and 92%, accordingly, while the recurrence–free 5–year survival – 82.2 and 83.9%, accordingly. Regional recurrence in sentinel lymph nodes on the affected mammary gland side was diagnosed in 1.1% of the women–patients. In 58% of the women–patients the sentinel lymph nodes were clear, and that’s why a subsequent lymphodissection was not indicated to perform. Metastatic lymph nodes were revealed in 42% of the women–patients. Conclusion. The method of diagnostic biopsy of sentinel lymph nodes in patients, suffering mammary gland cancer, using dyers, permits in majority of them to abandon traumatic operations in favor of organ–preserving interventions, thus reducing the postoperative complications rate significantly.
目标。目的:提高对乳腺癌患者前哨淋巴结的诊断活检,应用荧光淋巴造影,减少术后并发症的发生。材料和方法。2016年至2021年期间,在敖德萨地区临床医院的基础上,400例患有Т1 -Т3N0М0期乳腺癌的患者应用荧光淋巴造影进行了手术,使用了两种染料-专利蓝和吲哚菁绿。所有患者分为两组。第一组(对照组)200例患者行前哨淋巴结活检。淋巴结染色采用染蓝染色。在第二组(主要)200名女性患者中,使用专利蓝和荧光染料吲哚菁绿进行前哨淋巴结活检。两种染色剂沿外乳晕边缘皮下注射剂量为2毫升的染色剂溶液。结果。腋窝淋巴清扫和前哨淋巴结活检的5年总生存率分别为91%和92%,无复发5年生存率分别为82.2%和83.9%。受影响乳腺侧前哨淋巴结的局部复发在女性患者中占1.1%。在58%的女性患者中前哨淋巴结是清晰的,这就是为什么后续的淋巴清扫没有被指示进行的原因。42%的女性患者出现转移性淋巴结。结论。使用染色剂对乳腺癌前哨淋巴结进行诊断活检的方法,使大多数患者放弃了创伤性手术,而采用了保留器官的干预措施,从而大大降低了术后并发症的发生率。
{"title":"Diagnostic biopsy of sentinel lymph nodes in mammary gland cancer","authors":"R. Nikitenko, E. Koichev, S. P. Degtyarenko","doi":"10.26779/2522-1396.2022.11-12.23","DOIUrl":"https://doi.org/10.26779/2522-1396.2022.11-12.23","url":null,"abstract":"Objective.To improve the diagnostic biopsy of sentinel lymph nodes in patients, suffering mammary gland cancer, using fluorescent lymphography, and to reduce the quantity of postoperative complications. \u0000Materials and methods. In 2016 – 2021yrs period on the base of Odessa Regional Clinical Hospital 400 patients, suffering mammary gland cancer Stages Т1–Т3N0М0, were operated on with application of fluorescent lymphography, using two dyers – the patent blue and indocyanine green. All the patients were distributed into two groups. In Group I (a control one) in 200 patients the sentinel lymph nodes biopsy was performed. The dyer patent blue was applied for the lymph nodes coloring.In Group II (the main) in 200 women–patients the sentinel lymph nodes biopsy, using the patent blue and fluorescent dyer indocyanine green, was performed. Both dyers were injected subdermally along the external areolar edge in the dose 2 ml of the dyer solution. \u0000Results. Total 5–year survival after axillary lymphodissection and after the sentinel lymph node biopsy have constituted 91and 92%, accordingly, while the recurrence–free 5–year survival – 82.2 and 83.9%, accordingly. Regional recurrence in sentinel lymph nodes on the affected mammary gland side was diagnosed in 1.1% of the women–patients. In 58% of the women–patients the sentinel lymph nodes were clear, and that’s why a subsequent lymphodissection was not indicated to perform. Metastatic lymph nodes were revealed in 42% of the women–patients. \u0000Conclusion. The method of diagnostic biopsy of sentinel lymph nodes in patients, suffering mammary gland cancer, using dyers, permits in majority of them to abandon traumatic operations in favor of organ–preserving interventions, thus reducing the postoperative complications rate significantly.","PeriodicalId":17876,"journal":{"name":"Klinicheskaia khirurgiia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90588123","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
Clinical observation of benign metastatic leyomyoma 良性转移性肌瘤的临床观察
Pub Date : 2022-12-30 DOI: 10.26779/2522-1396.2022.11-12.61
I. Gladchuk, O. S. Salekh
Clinical observation of benign metastatic leyomyoma
良性转移性肌瘤的临床观察
{"title":"Clinical observation of benign metastatic leyomyoma","authors":"I. Gladchuk, O. S. Salekh","doi":"10.26779/2522-1396.2022.11-12.61","DOIUrl":"https://doi.org/10.26779/2522-1396.2022.11-12.61","url":null,"abstract":"Clinical observation of benign metastatic leyomyoma","PeriodicalId":17876,"journal":{"name":"Klinicheskaia khirurgiia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85104496","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
Clinico–anatomical characteristic of the traffic trauma in the megapolis environment.Second report: anatomical verification of injuries 大城市交通创伤的临床解剖学特征。第二份报告:解剖鉴定损伤
Pub Date : 2022-12-30 DOI: 10.26779/2522-1396.2022.11-12.28
Гур єв, А. Кушнір, О. С. Соловйов, S. O. Guryev, V. A. Kushnir, O. Solovyov
Objective.Verification of clinic–anatomical characteristics of trauma as a consequence of traffic accident in the megapolis environment. Materials and methods. Retrospective analysis of the data obtained was conducted in 1159 injured persons, who were traumatized as a consequence of a traffic accident in megapolis. Results.There was established, that as a result of traffic accident in the megapolis environment, the injured persons most frequently obtained trauma of the head – 68.31%, of thoracic cage – 57.07%, and of the extremities – 53.99%. The majority of the injured persons survived have had the trauma of the head (67.13%), of the thoracic cage (55.74%) and extremities (53.63%), while mostly rare – pelvic trauma (15.70%). Among the injured persons, who died, the head injuries was noted in 94.0%, thoracic trauma – in 86.0%, and abdominal injuries – in 76.0%. Conclusion.Trauma as a consequence of traffic accident in the megapolis environment constitutes a multicomponent injury (2.4 damages in every injured person). The result of the traumatic process course depends on the injury composition (in the injured persons survived, the combination coefficient was 2.3, while in the dead – 3.8) and on damage of a certain anatomic–functional local site.The head, thoracic and pelvic sites have constituted the most dangerous localizations.
目标。大都市环境中交通事故创伤的临床解剖特征验证。材料和方法。回顾性分析了1159名因大城市交通事故而受到创伤的伤者的数据。结果。结果表明,在大城市交通事故中,最常见的受伤部位为头部(68.31%)、胸廓(57.07%)和四肢(53.99%)。伤亡者以头部外伤(67.13%)、胸廓外伤(55.74%)和四肢外伤(53.63%)居多,盆腔外伤(15.70%)最为罕见。在死亡的伤者中,头部损伤占94.0%,胸部损伤占86.0%,腹部损伤占76.0%。结论。在大城市环境中,交通事故造成的创伤构成了一种多成分伤害(每个受伤者中有2.4种损害)。创伤过程过程的结果取决于损伤的组成(存活的伤者的组合系数为2.3,而死亡的伤者的组合系数为3.8)和局部某一解剖功能部位的损伤。头部,胸部和骨盆部位构成了最危险的定位。
{"title":"Clinico–anatomical characteristic of the traffic trauma in the megapolis environment.Second report: anatomical verification of injuries","authors":"Гур єв, А. Кушнір, О. С. Соловйов, S. O. Guryev, V. A. Kushnir, O. Solovyov","doi":"10.26779/2522-1396.2022.11-12.28","DOIUrl":"https://doi.org/10.26779/2522-1396.2022.11-12.28","url":null,"abstract":"Objective.Verification of clinic–anatomical characteristics of trauma as a consequence of traffic accident in the megapolis environment. \u0000Materials and methods. Retrospective analysis of the data obtained was conducted in 1159 injured persons, who were traumatized as a consequence of a traffic accident in megapolis. \u0000Results.There was established, that as a result of traffic accident in the megapolis environment, the injured persons most frequently obtained trauma of the head – 68.31%, of thoracic cage – 57.07%, and of the extremities – 53.99%. The majority of the injured persons survived have had the trauma of the head (67.13%), of the thoracic cage (55.74%) and extremities (53.63%), while mostly rare – pelvic trauma (15.70%). Among the injured persons, who died, the head injuries was noted in 94.0%, thoracic trauma – in 86.0%, and abdominal injuries – in 76.0%. \u0000Conclusion.Trauma as a consequence of traffic accident in the megapolis environment constitutes a multicomponent injury (2.4 damages in every injured person). The result of the traumatic process course depends on the injury composition (in the injured persons survived, the combination coefficient was 2.3, while in the dead – 3.8) and on damage of a certain anatomic–functional local site.The head, thoracic and pelvic sites have constituted the most dangerous localizations.","PeriodicalId":17876,"journal":{"name":"Klinicheskaia khirurgiia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87447000","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: 2
Parenchyma–preserving hepatic resection in treatment of metastatic colorectal cancer: analysis of the literature data and of own experience accumulated 保实质肝切除治疗转移性结直肠癌:文献资料分析及自身经验积累
Pub Date : 2022-12-30 DOI: 10.26779/2522-1396.2022.11-12.40
O. Usenko, A. A. Skums, T. A. Yusupov
Parenchyma–preserving hepatic resection in treatment of metastatic colorectal cancer: analysis of the literature data and of own experience accumulated
保实质肝切除治疗转移性结直肠癌:文献资料分析及自身经验积累
{"title":"Parenchyma–preserving hepatic resection in treatment of metastatic colorectal cancer: analysis of the literature data and of own experience accumulated","authors":"O. Usenko, A. A. Skums, T. A. Yusupov","doi":"10.26779/2522-1396.2022.11-12.40","DOIUrl":"https://doi.org/10.26779/2522-1396.2022.11-12.40","url":null,"abstract":"Parenchyma–preserving hepatic resection in treatment of metastatic colorectal cancer: analysis of the literature data and of own experience accumulated","PeriodicalId":17876,"journal":{"name":"Klinicheskaia khirurgiia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90733105","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
Experience of the trauma operative treatment of the lower extremities main vessels in the work injuries 工伤后下肢主血管创伤手术治疗体会
Pub Date : 2022-12-30 DOI: 10.26779/2522-1396.2022.11-12.14
P. Nikulnikov, V. Pichka, O. Kashyrova
Objective. The structure of combined osseous–vascular work injury of the lower extremities was studied, and the results of its operative treatment analyzed retrospectively. Materials and methods. The data concerning 147 patients with combined osseous–vascular work trauma of the lower extremities were analyzed. All the patients managed were from 19 to 48 yrs old, and their average age constituted 30.2 yrs old. The mine trauma with injuries of femoral and/or the shin bones and a. poplitea prevailed – in 129 (87.8%) and 116 (78.9%) observations, accordingly. There were performed 92 two–staged interventions in a common operative team with traumatologists. Results. Positive result of operative treatment was noted in 73 (79.3%) patients. The time span between the trauma moment and the operation beginning in this group of the patients have constituted from 2 to 5 h, while the degree of  an acute arterial ischemia in accordance to V. S. Savelyev (1973) were signed as IIa–IIb. The operation duration have constituted from 3 to 4 h. All the patients have had a combined shock Degree II. The preoperative blood loss volume has been ranged from 1 to 2.5 l. The a. poplitea injury have had prevailed and occurred in 43 (58.9%) patients. In 6 (6.5%) patients after reconstructive intervention the extremity amputation was performed. Conclusion. Mostly favorable result was obtained in the injured persons, who were delivered early (upto 2 h) to specialized stationaries with conduction of preoperative antishock therapy.
目标。对下肢骨血管联合损伤的结构进行了研究,并对其手术治疗结果进行了回顾性分析。材料和方法。对147例下肢骨-血管联合外伤患者的资料进行分析。所有患者年龄19 ~ 48岁,平均年龄30.2岁。在129例(87.8%)和116例(78.9%)的观察中,以股骨和(或)胫骨和腘窝为主。在创伤科医师的共同手术团队中进行了92次两阶段干预。结果。手术治疗阳性73例(79.3%)。本组患者从创伤时刻到手术开始的时间跨度为2 - 5小时,而根据V. S. Savelyev(1973)的急性动脉缺血程度被标记为IIa-IIb。手术时间为3 ~ 4 h。所有患者均出现合并II级休克。术前失血量在1 ~ 2.5 l之间,43例(58.9%)患者存在腘窝菌损伤。6例(6.5%)患者在重建干预后行肢体截肢。结论。大多数患者在早期(最多2小时)被送到专门的医院,并进行术前抗休克治疗,结果良好。
{"title":"Experience of the trauma operative treatment of the lower extremities main vessels in the work injuries","authors":"P. Nikulnikov, V. Pichka, O. Kashyrova","doi":"10.26779/2522-1396.2022.11-12.14","DOIUrl":"https://doi.org/10.26779/2522-1396.2022.11-12.14","url":null,"abstract":"Objective. The structure of combined osseous–vascular work injury of the lower extremities was studied, and the results of its operative treatment analyzed retrospectively. \u0000Materials and methods. The data concerning 147 patients with combined osseous–vascular work trauma of the lower extremities were analyzed. All the patients managed were from 19 to 48 yrs old, and their average age constituted 30.2 yrs old. The mine trauma with injuries of femoral and/or the shin bones and a. poplitea prevailed – in 129 (87.8%) and 116 (78.9%) observations, accordingly. There were performed 92 two–staged interventions in a common operative team with traumatologists. \u0000Results. Positive result of operative treatment was noted in 73 (79.3%) patients. The time span between the trauma moment and the operation beginning in this group of the patients have constituted from 2 to 5 h, while the degree of  an acute arterial ischemia in accordance to V. S. Savelyev (1973) were signed as IIa–IIb. The operation duration have constituted from 3 to 4 h. All the patients have had a combined shock Degree II. The preoperative blood loss volume has been ranged from 1 to 2.5 l. The a. poplitea injury have had prevailed and occurred in 43 (58.9%) patients. In 6 (6.5%) patients after reconstructive intervention the extremity amputation was performed. \u0000Conclusion. Mostly favorable result was obtained in the injured persons, who were delivered early (upto 2 h) to specialized stationaries with conduction of preoperative antishock therapy.","PeriodicalId":17876,"journal":{"name":"Klinicheskaia khirurgiia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86044766","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
Massive small intestinal into large bowel tumoral invagination 大量小肠肿瘤向大肠内陷
Pub Date : 2022-12-30 DOI: 10.26779/2522-1396.2022.11-12.64
S. M. Zavgorodniy, M. Danylyuk, A. Rylov, Ya. V. Sumyk
Massive small intestinal into large bowel tumoral invagination
大量小肠肿瘤向大肠内陷
{"title":"Massive small intestinal into large bowel tumoral invagination","authors":"S. M. Zavgorodniy, M. Danylyuk, A. Rylov, Ya. V. Sumyk","doi":"10.26779/2522-1396.2022.11-12.64","DOIUrl":"https://doi.org/10.26779/2522-1396.2022.11-12.64","url":null,"abstract":"Massive small intestinal into large bowel tumoral invagination","PeriodicalId":17876,"journal":{"name":"Klinicheskaia khirurgiia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91068918","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
期刊
Klinicheskaia khirurgiia
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1