The purpose of this investigation is toshow the effectiveness of the use of radiofrequencyresection of tumors of various anatomical locations in children and adults. Materials and methods. 599 patients with masses and dysplastic changes of maxillofacial and other areas were treated by RF resection. Total 706 lesions were resected. Patients were treated in hospital and outpatient settings. Results. Clinical diagnosis and pathology report were congruent in 100% cases. No post-operative complications, short post-operative rehabilitation. Radiofrequency surgery is a preferred treatment of choice in treatment of masses and dysplastic lesions. Conclusion. Radiofrequency surgery of tumor or other lesions is minimally invasive surgery with satisfactory cosmetic results. The majority of patients undergo RF surgery without complication or long-term post-operative care.
{"title":"Radiowave surgery of tumors and dysplastic neoplasms of the maxillofacial and related areas in children and adults.","authors":"A.Zh. Yessim, S.Kh. Ispulayeva, S.A. Atabayev, A.A. Yessimova","doi":"10.35805/bsk2023ii005","DOIUrl":"https://doi.org/10.35805/bsk2023ii005","url":null,"abstract":"The purpose of this investigation is toshow the effectiveness of the use of radiofrequencyresection of tumors of various anatomical locations in children and adults. Materials and methods. 599 patients with masses and dysplastic changes of maxillofacial and other areas were treated by RF resection. Total 706 lesions were resected. Patients were treated in hospital and outpatient settings. Results. Clinical diagnosis and pathology report were congruent in 100% cases. No post-operative complications, short post-operative rehabilitation. Radiofrequency surgery is a preferred treatment of choice in treatment of masses and dysplastic lesions. Conclusion. Radiofrequency surgery of tumor or other lesions is minimally invasive surgery with satisfactory cosmetic results. The majority of patients undergo RF surgery without complication or long-term post-operative care.","PeriodicalId":197118,"journal":{"name":"BULLETIN OF SURGERY IN KAZAKHSTAN","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114889191","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. Fursov, A. Mendybaev, B. Ismagambetova, I. Volchkova, T. Kovalenko, I. Sagatov, R. Fursov, B.B. Alataev, I.Y. Samigolla
Objective: to analyse the incidence of trocar site hernias among patients admitted to the surgical clinic on an emergency basis with a diagnosis of an incarcerated hernia. Materials and methods. The retrospective and prospective study; the follow-up period is 10 years. A statistical analysis of patients with incarcerated hernias had been performed. A total of 1,448 subjects was selected for the study. Of these, 825 (57.0%) patients were diagnosed with incarcerated hernias of various localizations. The diagnosis of incarceration among 623 (43.0%) subjects proved to be false, and the hernias of these patients were classified as “reducible” and “irreducible” hernias. Results. An analysis of the operations revealed 34 patients with trocar site hernias, representing 2.34% of the total number of patients admitted to hospital with hernias and 4.93% of those operated on an emergency basis. Conclusion. The rare, partial incarceration of the omentum and small intestine, the so-called Richter’s hernia, after using 5-mm-diameter trocars was revealed in 4 people operated on previously (3 to 5 years). Moreover, the hernial orifice (abdominal wall defect) at the time of our operation turned out to be significantly larger than after puncture with a 5-mm trocar. A direct correlation was found between the incidence of trocar site hernia and the degree of obesity, body mass index.
{"title":"Trocar site incisional hernias","authors":"A. Fursov, A. Mendybaev, B. Ismagambetova, I. Volchkova, T. Kovalenko, I. Sagatov, R. Fursov, B.B. Alataev, I.Y. Samigolla","doi":"10.35805/bsk2023ii004","DOIUrl":"https://doi.org/10.35805/bsk2023ii004","url":null,"abstract":"Objective: to analyse the incidence of trocar site hernias among patients admitted to the surgical clinic on an emergency basis with a diagnosis of an incarcerated hernia. Materials and methods. The retrospective and prospective study; the follow-up period is 10 years. A statistical analysis of patients with incarcerated hernias had been performed. A total of 1,448 subjects was selected for the study. Of these, 825 (57.0%) patients were diagnosed with incarcerated hernias of various localizations. The diagnosis of incarceration among 623 (43.0%) subjects proved to be false, and the hernias of these patients were classified as “reducible” and “irreducible” hernias. Results. An analysis of the operations revealed 34 patients with trocar site hernias, representing 2.34% of the total number of patients admitted to hospital with hernias and 4.93% of those operated on an emergency basis. Conclusion. The rare, partial incarceration of the omentum and small intestine, the so-called Richter’s hernia, after using 5-mm-diameter trocars was revealed in 4 people operated on previously (3 to 5 years). Moreover, the hernial orifice (abdominal wall defect) at the time of our operation turned out to be significantly larger than after puncture with a 5-mm trocar. A direct correlation was found between the incidence of trocar site hernia and the degree of obesity, body mass index.","PeriodicalId":197118,"journal":{"name":"BULLETIN OF SURGERY IN KAZAKHSTAN","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121649764","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}
T.A. Sultanaliyev, M.N. Konyssov, S.S. Suleimenov, E.K. Madeshov, I. Sagandykov, S.A. Konyssova, T.V. Sukhareva, K. M. Morozov, S.V. Larin, D. I. Kolesnik, B. Sharifova
The article presents a rather rare clinical observation and literature review of surgical interference for mycotic (infectious) aneurysm of the suprarenal aorta with damage to paired and unpaired branches (celiac trunk, superior mesenteric and renal arteries). The authors note the features of the clinical course of aortic lesions (chronic ischemia of the digestive system, cardiorenal hypertension), the mechanisms of the disease development, and indicate the need for open repair of the thoracoabdominal aorta.
{"title":"Mycotic aneurysm of the suprarenal aorta, celiac trunk and superior mesenteric artery. Case study","authors":"T.A. Sultanaliyev, M.N. Konyssov, S.S. Suleimenov, E.K. Madeshov, I. Sagandykov, S.A. Konyssova, T.V. Sukhareva, K. M. Morozov, S.V. Larin, D. I. Kolesnik, B. Sharifova","doi":"10.35805/bsk2023ii002","DOIUrl":"https://doi.org/10.35805/bsk2023ii002","url":null,"abstract":"The article presents a rather rare clinical observation and literature review of surgical interference for mycotic (infectious) aneurysm of the suprarenal aorta with damage to paired and unpaired branches (celiac trunk, superior mesenteric and renal arteries). The authors note the features of the clinical course of aortic lesions (chronic ischemia of the digestive system, cardiorenal hypertension), the mechanisms of the disease development, and indicate the need for open repair of the thoracoabdominal aorta.","PeriodicalId":197118,"journal":{"name":"BULLETIN OF SURGERY IN KAZAKHSTAN","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125607340","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}
D. Mukazhanov, B. Baimakhanov, M. Doskhanov, M. Aşan, A. Chormanov, Zh. V. Romanova
A systematic review of the publication, on the topic of diagnosis and treatment of inoperable alveolar echinococcosis of the liver over the past 30 years, to study the effectiveness of various methods of treatment of inoperable alveococcosis of the liver. We conducted a systematic search of literary data and selected sources from Google Scholar, PubMed, as well as research papers and online educational publications in English and Russian. Our literature review included 120 papers in which, according to the authors with inoperable liver alveococcosis, 883 patients were described, out of 120 articles: 29 full articles, 23 literary reviews, 68 clinical cases described. The authors of the articles were from various countries, such as Turkey (26%), France (24%), Germany (20%), China (18%), England (6%), Japan (5%) and other countries in Europe and Asia.
{"title":"Treatment of inoperable liver alveococcosis. Literature review.","authors":"D. Mukazhanov, B. Baimakhanov, M. Doskhanov, M. Aşan, A. Chormanov, Zh. V. Romanova","doi":"10.35805/bsk2023ii003","DOIUrl":"https://doi.org/10.35805/bsk2023ii003","url":null,"abstract":"A systematic review of the publication, on the topic of diagnosis and treatment of inoperable alveolar echinococcosis of the liver over the past 30 years, to study the effectiveness of various methods of treatment of inoperable alveococcosis of the liver. We conducted a systematic search of literary data and selected sources from Google Scholar, PubMed, as well as research papers and online educational publications in English and Russian. Our literature review included 120 papers in which, according to the authors with inoperable liver alveococcosis, 883 patients were described, out of 120 articles: 29 full articles, 23 literary reviews, 68 clinical cases described. The authors of the articles were from various countries, such as Turkey (26%), France (24%), Germany (20%), China (18%), England (6%), Japan (5%) and other countries in Europe and Asia.","PeriodicalId":197118,"journal":{"name":"BULLETIN OF SURGERY IN KAZAKHSTAN","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123321521","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}
O. Ibekenov, A.B. Berkinbay, E.Zh. Mamyr, D.Y. Aitzhanov, M. Abdilla, A.K. Mukhambet, D.A. Sauranbay, D.M. Yesimkhan, G.S. Zhienbekova, B.B. Myrzakhmet
Purpose. Differentiation of modern methods of diagnosis and treatment of acute pancreatitis in clinical practice. A literature review of foreign randomized clinical trials and meta-analysis, international clinical recommendations of the PubMed electronic database for the period from 2002 to 2022 was conducted. 28 relevant articles on the topic of the review were selected from them. Conclusions. Thus, using one method or one scale, it is impossible to predict the severity of acute pancreatitis in the first hospitalization hours. This days the treatment of acute pancreatitis is based on the latest international recommendations developed by the International Association of Pancreatology (IAP) and the American Pancreatic Association (APA). According to this guide, we believe that acute pancreatitis needs to be diagnosed and treated, also there is a need a number of randomized large- scale surgical trials of acute pancreatitis which have to be conducted.
{"title":"MODERN METHODS OF DIAGNOSIS AND TREATMENT OF ACUTE PANCREATITIS. LITERATURE REVIEW","authors":"O. Ibekenov, A.B. Berkinbay, E.Zh. Mamyr, D.Y. Aitzhanov, M. Abdilla, A.K. Mukhambet, D.A. Sauranbay, D.M. Yesimkhan, G.S. Zhienbekova, B.B. Myrzakhmet","doi":"10.35805/bsk2023ii009","DOIUrl":"https://doi.org/10.35805/bsk2023ii009","url":null,"abstract":"Purpose. Differentiation of modern methods of diagnosis and treatment of acute pancreatitis in clinical practice. A literature review of foreign randomized clinical trials and meta-analysis, international clinical recommendations of the PubMed electronic database for the period from 2002 to 2022 was conducted. 28 relevant articles on the topic of the review were selected from them. Conclusions. Thus, using one method or one scale, it is impossible to predict the severity of acute pancreatitis in the first hospitalization hours. This days the treatment of acute pancreatitis is based on the latest international recommendations developed by the International Association of Pancreatology (IAP) and the American Pancreatic Association (APA). According to this guide, we believe that acute pancreatitis needs to be diagnosed and treated, also there is a need a number of randomized large- scale surgical trials of acute pancreatitis which have to be conducted.","PeriodicalId":197118,"journal":{"name":"BULLETIN OF SURGERY IN KAZAKHSTAN","volume":"91 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131955563","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. Gainutdin, A. Nersesov, J. Kaibullayeva, A.M. Raisova, D.S. Suleimenova, N. Ashimova, A.E. Kaulybekova, N.M. Churukova, Sh.A. Kuzbergenova, N.Zh. Akmolda
Drug-induced liver injury (DILI) is one of the types of adverse reactions to drugs that occur as a result of their hepatotoxic effect. The pathogenesis of drug-induced autoimmune hepatitis (LIAH) is based on the production of autoantibodies to neoantigens, which are proteins of the cytochrome P450 system, which are the result of the reaction of drug metabolites. A clinically relevant problem, such as drug-induced liver damage, affects 1-1.5 million patients almost every year. The annual incidence of DILI ranges from 2.3-13.9 per 100,000 population in population studies from Europe. The Icelandic population study recorded the highest rates of 19.1 per 100,000 population per year. And in the only study based on the US population, it was found that DILI is approximately 3 per 100,000 population. Acute hepatitis is currently a well-known manifestation, and accounts for more than 90% of liver damage caused by medications. According to studies, 2.9 - 8.8% of DILI and 2 - 18% of AIH are associated with drug-induced autoimmune hepatitis. The incidence of drug-induced liver damage with the presence of antibodies (antibodies to nuclear antigen, smooth muscle and soluble liver antigen) to AIH is 83% for nitrofurantoin, 74% for minocycline, 60% for methyldopa and 43% for hydralazine.
{"title":"DRUG-INDUCED AUTOIMMUNE HEPATITIS: SYSTEMATIC REVIEW AND CASE STUDY","authors":"A. Gainutdin, A. Nersesov, J. Kaibullayeva, A.M. Raisova, D.S. Suleimenova, N. Ashimova, A.E. Kaulybekova, N.M. Churukova, Sh.A. Kuzbergenova, N.Zh. Akmolda","doi":"10.35805/bsk2023ii010","DOIUrl":"https://doi.org/10.35805/bsk2023ii010","url":null,"abstract":"Drug-induced liver injury (DILI) is one of the types of adverse reactions to drugs that occur as a result of their hepatotoxic effect. The pathogenesis of drug-induced autoimmune hepatitis (LIAH) is based on the production of autoantibodies to neoantigens, which are proteins of the cytochrome P450 system, which are the result of the reaction of drug metabolites. A clinically relevant problem, such as drug-induced liver damage, affects 1-1.5 million patients almost every year. The annual incidence of DILI ranges from 2.3-13.9 per 100,000 population in population studies from Europe. The Icelandic population study recorded the highest rates of 19.1 per 100,000 population per year. And in the only study based on the US population, it was found that DILI is approximately 3 per 100,000 population. Acute hepatitis is currently a well-known manifestation, and accounts for more than 90% of liver damage caused by medications. According to studies, 2.9 - 8.8% of DILI and 2 - 18% of AIH are associated with drug-induced autoimmune hepatitis. The incidence of drug-induced liver damage with the presence of antibodies (antibodies to nuclear antigen, smooth muscle and soluble liver antigen) to AIH is 83% for nitrofurantoin, 74% for minocycline, 60% for methyldopa and 43% for hydralazine.","PeriodicalId":197118,"journal":{"name":"BULLETIN OF SURGERY IN KAZAKHSTAN","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124758331","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}
S. Tileuov, A. Dzhumabekov, B. Baimakhanov, M. Doskhanov, A. Chormanov, Sh.M. Teipov, B. Askeev
The purpose of research is to determine the feasibility of laparoscopic pancreatoduodenectomy in tumors of the periampullary zone. Material and methods. In the period from 2016 to 2022 at the Syzganov National Scientific Center of Surgery, 193 patients underwent PD with a diagnosis of a tumor of the periampullary zone. Of these, 6 patients were performed laparoscopically. All patients who underwent LPD were female. The age of the patients ranged from 15 to 77 years (average age – 55,7 years). Results. In 4 (66.7%) patients, cancer of Ampulla of Vater was detected, in 2 (33.3%) pancreatic head cancer. According to the final histology data, adenocarcinoma and the degree of differentiation G2 were detected in all cases. Data on the histology and size of the tumor are summarized in Table 1. The average age of patients was 55.7 years. All patients had a clinic of mechanical jaundice before surgery; the average levels of bilirubin in the blood were 121.3 mmol/l. Accordingly, all patients underwent drainage of the biliary tract. Of these, 5 (83.3%) patients underwent percutaneous stenting and 1 (16.7%) endobiliary stenting. Conclusion. Thus, we presented our initial experience of performing laparoscopic PD. Our results shows the feasibility of laparoscopic PD safely and radically for tumors of the periampullary zone in certain cases. The accumulation of experience in such interventions leads to an improvement in immediate results and a reduction in postoperative complications, the operative time.
{"title":"OUR EXPERIENCE OF LAPAROSCOPIC PANCREATODUODENECTOMY IN TUMORS OF THE PERIAMPULLARY ZONE","authors":"S. Tileuov, A. Dzhumabekov, B. Baimakhanov, M. Doskhanov, A. Chormanov, Sh.M. Teipov, B. Askeev","doi":"10.35805/bsk2023ii001","DOIUrl":"https://doi.org/10.35805/bsk2023ii001","url":null,"abstract":"The purpose of research is to determine the feasibility of laparoscopic pancreatoduodenectomy in tumors of the periampullary zone. Material and methods. In the period from 2016 to 2022 at the Syzganov National Scientific Center of Surgery, 193 patients underwent PD with a diagnosis of a tumor of the periampullary zone. Of these, 6 patients were performed laparoscopically. All patients who underwent LPD were female. The age of the patients ranged from 15 to 77 years (average age – 55,7 years). Results. In 4 (66.7%) patients, cancer of Ampulla of Vater was detected, in 2 (33.3%) pancreatic head cancer. According to the final histology data, adenocarcinoma and the degree of differentiation G2 were detected in all cases. Data on the histology and size of the tumor are summarized in Table 1. The average age of patients was 55.7 years. All patients had a clinic of mechanical jaundice before surgery; the average levels of bilirubin in the blood were 121.3 mmol/l. Accordingly, all patients underwent drainage of the biliary tract. Of these, 5 (83.3%) patients underwent percutaneous stenting and 1 (16.7%) endobiliary stenting. Conclusion. Thus, we presented our initial experience of performing laparoscopic PD. Our results shows the feasibility of laparoscopic PD safely and radically for tumors of the periampullary zone in certain cases. The accumulation of experience in such interventions leads to an improvement in immediate results and a reduction in postoperative complications, the operative time.","PeriodicalId":197118,"journal":{"name":"BULLETIN OF SURGERY IN KAZAKHSTAN","volume":"69 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127273035","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}
K.S. Ashirbay, K.E. Khayirov, E.B. Aitbayeva, G. Kaukenbayeva, N.A. Kurbanbekov, G. Altynbayeva, T.O. Berdaly, N.R. Shilanbaev
Congenital diaphragmatic hernia is a congenital developmental defect that can be diagnosed during the prenatal period. Diaphragmatic hernias are common diseases and, although they can often be incidental, they must be recognized as a congenital defect of the diaphragm that is dangerous for the life of the newborn. Congenital diaphragmatic hernias are characterized by traumatic tears of the herniated diaphragm (Bochdalek, Morgagni). This condition is strictly treated by surgery. In such cases, children with this disease require diagnosis and preoperative preparation according to the protocol of the Ministry of Health of the Republic of Kazakhstan for at least two days. Surgical treatment is performed after hemodynamic stabilization. During the pre- and postoperative periods, all children require active intensive therapy. This article describes the key aspects of surgical treatment. Despite the fact that congenital diaphragmatic hernia is a severe congenital defect, sometimes accompanied by the pathology of several systems or organs, the stabilization and further surgical treatment of such patients have made significant progress. Modern foreign surgery has shifted towards endoscopic surgery. The data from foreign articles and studies in the field of congenital diaphragmatic hernia allow us to expand the range of possible methods for prenatal diagnosis and treatment.
{"title":"CONGENITAL DIAPHRAGMATIC HERNIA IN NEWBORNS","authors":"K.S. Ashirbay, K.E. Khayirov, E.B. Aitbayeva, G. Kaukenbayeva, N.A. Kurbanbekov, G. Altynbayeva, T.O. Berdaly, N.R. Shilanbaev","doi":"10.35805/bsk2023ii700","DOIUrl":"https://doi.org/10.35805/bsk2023ii700","url":null,"abstract":"Congenital diaphragmatic hernia is a congenital developmental defect that can be diagnosed during the prenatal period. Diaphragmatic hernias are common diseases and, although they can often be incidental, they must be recognized as a congenital defect of the diaphragm that is dangerous for the life of the newborn. Congenital diaphragmatic hernias are characterized by traumatic tears of the herniated diaphragm (Bochdalek, Morgagni). This condition is strictly treated by surgery. In such cases, children with this disease require diagnosis and preoperative preparation according to the protocol of the Ministry of Health of the Republic of Kazakhstan for at least two days. Surgical treatment is performed after hemodynamic stabilization. During the pre- and postoperative periods, all children require active intensive therapy. This article describes the key aspects of surgical treatment. Despite the fact that congenital diaphragmatic hernia is a severe congenital defect, sometimes accompanied by the pathology of several systems or organs, the stabilization and further surgical treatment of such patients have made significant progress. Modern foreign surgery has shifted towards endoscopic surgery. The data from foreign articles and studies in the field of congenital diaphragmatic hernia allow us to expand the range of possible methods for prenatal diagnosis and treatment.","PeriodicalId":197118,"journal":{"name":"BULLETIN OF SURGERY IN KAZAKHSTAN","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126479129","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}
T. Tajibayev, V. Madyarov, U. Medeubekov, A. Baubekov, M. Zhakubayev, I. Sagatov, A. Tergeussizov, M. Khanchi, A. Matkerimov
Critical lower limb ischemia (CLI) is the final stage of peripheral arterial disease and occurs with chronic pain at rest, loss of tissue and limb. Despite the active development of new technologies, including endovascular and open surgical methods of treatment, and the development of various guidelines, CLI still remains an unresolved burden of vascular surgery around the world. The second part of the review describes large randomized trials, open and endovascular methods of lower limb revascularization in CLI. Also, the use of deep vein arterialization technology in No-option cases for conventional methods of revascularization.
{"title":"CRITICAL LIMB ISCHEMIA. A LITERATURE REVIEW (PART 2)","authors":"T. Tajibayev, V. Madyarov, U. Medeubekov, A. Baubekov, M. Zhakubayev, I. Sagatov, A. Tergeussizov, M. Khanchi, A. Matkerimov","doi":"10.35805/bsk2023i007","DOIUrl":"https://doi.org/10.35805/bsk2023i007","url":null,"abstract":"Critical lower limb ischemia (CLI) is the final stage of peripheral arterial disease and occurs with chronic pain at rest, loss of tissue and limb. Despite the active development of new technologies, including endovascular and open surgical methods of treatment, and the development of various guidelines, CLI still remains an unresolved burden of vascular surgery around the world. The second part of the review describes large randomized trials, open and endovascular methods of lower limb revascularization in CLI. Also, the use of deep vein arterialization technology in No-option cases for conventional methods of revascularization.","PeriodicalId":197118,"journal":{"name":"BULLETIN OF SURGERY IN KAZAKHSTAN","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116586687","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. Zemlyansky, N. Zemlyanskaya, S. Kozhakhmetov, V. Open’ko, T. Dautov, T. Sultanaliev
Among the complications of endovascular abdominal aortic aneurysm repair the most common are the so–called endoleaks - the preservation of blood flow inside an isolated aneurysmal sac. This complication occurs in almost every fourth patient and is the main cause of reinterventions, which makes the late development of this complication one of the urgent problems under discussions. The report presents a clinical case of treatment of a patient with an aneurysm of the infrarenal abdominal aorta with its spread to the common iliac artery using the technique of preventive embolization of the internal iliac artery with application of a liquid tantalum-containing ethylene vinyl alcohol copolymer. All stages of the operation were performed in the catheterization laboratory using a stationary angiographic system. The embolizing material was introduced after implantation of the stent-graft into the target position, through a microcatheter pre-installed at the ostium of the embolizing internal iliac artery. The introduction of a tantalum-containing ethylene vinyl alcohol copolymer after the installation of the stentgraft, under conditions of significant reduction of arterial antegrade blood flow in the lumen of the internal iliac artery, allowed to create a reliable occlusion of the ostium segment of the artery, reduced the risk of migration of embolizing substance into the distal arterial bed.
{"title":"EMBOLIZATION OF THE INTERNAL ILIAC ARTERY USING LIQUID EMBOLYZING SYSTEMS","authors":"V. Zemlyansky, N. Zemlyanskaya, S. Kozhakhmetov, V. Open’ko, T. Dautov, T. Sultanaliev","doi":"10.35805/bsk2023i003","DOIUrl":"https://doi.org/10.35805/bsk2023i003","url":null,"abstract":"Among the complications of endovascular abdominal aortic aneurysm repair the most common are the so–called endoleaks - the preservation of blood flow inside an isolated aneurysmal sac. This complication occurs in almost every fourth patient and is the main cause of reinterventions, which makes the late development of this complication one of the urgent problems under discussions. The report presents a clinical case of treatment of a patient with an aneurysm of the infrarenal abdominal aorta with its spread to the common iliac artery using the technique of preventive embolization of the internal iliac artery with application of a liquid tantalum-containing ethylene vinyl alcohol copolymer. All stages of the operation were performed in the catheterization laboratory using a stationary angiographic system. The embolizing material was introduced after implantation of the stent-graft into the target position, through a microcatheter pre-installed at the ostium of the embolizing internal iliac artery. The introduction of a tantalum-containing ethylene vinyl alcohol copolymer after the installation of the stentgraft, under conditions of significant reduction of arterial antegrade blood flow in the lumen of the internal iliac artery, allowed to create a reliable occlusion of the ostium segment of the artery, reduced the risk of migration of embolizing substance into the distal arterial bed.","PeriodicalId":197118,"journal":{"name":"BULLETIN OF SURGERY IN KAZAKHSTAN","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114843699","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}
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