Pub Date : 2018-12-31DOI: 10.35805/KAZSURGERY.BSK.2018.4.8-15
S. Manafov, J. Kosayev, Sultan Manatov, Tahira Akhverdiyeva, Narmina Khasayeva
Aims: to conduct a complex diagnosis; to clarify the indications for methods of indirect revascularization; to study the surgical treatment results of patients with distal lesions of the arteries and CLI. Objects and methods of study: 174 patients aged from 23 to 78 years with non-reconstructive occlusions of the distal arteries and CLI were selected for the study; LSE was performed to stimulate regional hemodynamics for the first group (47 patients); ROT of the tibia and femur was performed for the second group (43 patients); LSE + ROT were performed for the third group (48 patients); The control group consisted of 36 patients with similar pathology who had conventional conservative therapy. Clinical and paraclinical [s.a. skin thermometry; determination of skin saturation with oxygen; Doppler ultrasonography and angioscanning with determination of ABPI; regional systolic blood pressure (RSP); rheovasography with rheographic systolic index definition] studies and MSCT angiography were performed in order to determine the diagnosis of CLI, specify indications for a particular technique of indirect revsacularization, and evaluate the results of treatment. Research results: Research results were rated on the Rutherford R.B scale. The methods of indirect revascularization allowed us to stick to small amputations and, in the majority of patients, to maintain the support functions of the limb and improve the quality of life. At the same time, the best results were obtained with the combined operations of LSE and ROT. It is necessary to clearly define the indications for a particular technique in order to avoid discrediting the methods of indirect revascularization, as an alternative to amputations in case of distal artery occlusion. Correct assessment of the clinical status, regional hemodynamic parameters and MSCT-angiographic semiotics in determining indications for surgery reduces the unsatisfactory results.
{"title":"FEATURES OF THE CARDIOVASCULAR\u0000SYSTEM OF A WOMAN DURING\u0000HORMONAL ADJUSTMENT","authors":"S. Manafov, J. Kosayev, Sultan Manatov, Tahira Akhverdiyeva, Narmina Khasayeva","doi":"10.35805/KAZSURGERY.BSK.2018.4.8-15","DOIUrl":"https://doi.org/10.35805/KAZSURGERY.BSK.2018.4.8-15","url":null,"abstract":"Aims: to conduct a complex diagnosis; to clarify the indications for methods of indirect revascularization;\u0000to study the surgical treatment results of patients with distal lesions of the arteries and CLI. Objects and\u0000methods of study: 174 patients aged from 23 to 78 years with non-reconstructive occlusions of the distal\u0000arteries and CLI were selected for the study; LSE was performed to stimulate regional hemodynamics for the\u0000first group (47 patients); ROT of the tibia and femur was performed for the second group (43 patients); LSE +\u0000ROT were performed for the third group (48 patients); The control group consisted of 36 patients with similar\u0000pathology who had conventional conservative therapy. Clinical and paraclinical [s.a. skin thermometry; determination of skin saturation with oxygen; Doppler ultrasonography and angioscanning with determination of\u0000ABPI; regional systolic blood pressure (RSP); rheovasography with rheographic systolic index definition] studies and MSCT angiography were performed in order to determine the diagnosis of CLI, specify indications for\u0000a particular technique of indirect revsacularization, and evaluate the results of treatment. Research results:\u0000Research results were rated on the Rutherford R.B scale. The methods of indirect revascularization allowed us\u0000to stick to small amputations and, in the majority of patients, to maintain the support functions of the limb and\u0000improve the quality of life. At the same time, the best results were obtained with the combined operations of\u0000LSE and ROT. It is necessary to clearly define the indications for a particular technique in order to avoid discrediting the methods of indirect revascularization, as an alternative to amputations in case of distal artery occlusion. Correct assessment of the clinical status, regional hemodynamic parameters and MSCT-angiographic\u0000semiotics in determining indications for surgery reduces the unsatisfactory results.","PeriodicalId":197118,"journal":{"name":"BULLETIN OF SURGERY IN KAZAKHSTAN","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131482352","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}
We have produced 49 shoulder, femur and tibia osteosynthesis by bloking internal fixation in 47 patients with multiple and combined trauma. Paraarticular and diaphyseal femur fractures were predominated and found in 18 patients (39%), humerus fractures were detected in 9 (20%) of victims of diaphyseal shin fractures were observed in 22 (47%) patients. Multiple injuries of two or three segments were identified in 6 (13%) patients. We have applied the primary dynamic blocking concerning the stabilization of the transverse and oblique diaphyseal fractures, and we have performed static blocking fragments with comminuted fractures. Postoperative complications were observed in 8 (17%) patients patients. Outcomes were followed up in 39 patients in terms of 8 to 18 months. Favorable anatomical and functional results were stated in 32 (68%) patients.
{"title":"Intramedullary blocking implants are new possibilities in the treatment of patients with fractures of tubular bones","authors":"Tazhimuratov, Makhanov, Zhanysov, Zhamashev, Khamidolla, Yusupov, Orazaliyev, Baikubesov","doi":"10.35805/bsk2023ii006","DOIUrl":"https://doi.org/10.35805/bsk2023ii006","url":null,"abstract":"We have produced 49 shoulder, femur and tibia osteosynthesis by bloking internal fixation in 47 patients with multiple and combined trauma. Paraarticular and diaphyseal femur fractures were predominated and found in 18 patients (39%), humerus fractures were detected in 9 (20%) of victims of diaphyseal shin fractures were observed in 22 (47%) patients. Multiple injuries of two or three segments were identified in 6 (13%) patients. We have applied the primary dynamic blocking concerning the stabilization of the transverse and oblique diaphyseal fractures, and we have performed static blocking fragments with comminuted fractures. Postoperative complications were observed in 8 (17%) patients patients. Outcomes were followed up in 39 patients in terms of 8 to 18 months. Favorable anatomical and functional results were stated in 32 (68%) patients.","PeriodicalId":197118,"journal":{"name":"BULLETIN OF SURGERY IN KAZAKHSTAN","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130168481","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, A. Matkerimov, T. Demeuov, A. Tergeussizov, A. Baubekov, M. Zhakubayev, M. Khanchi
Stroke is one of the leading causes of death and disability. According to the WHO, mortality due to stroke and other cerebrovascular diseases ranks second after cardiovascular disease. Timely revascularization of the carotid arteries has been shown to be effective in reducing the risk of cerebrovascular accident in patients with symptomatic carotid stenosis of atherosclerotic genesis. However, despite the high efficiency, there are risks of ischemic stroke in the postoperative and long-term period. This review presents statistical data on recurrent strokes and predictors of stroke development after carotid endarterectomy and carotid artery stenting.
{"title":"PREDICTORS OF STROKE DEVELOPMENT AFTER CAROTID REVASCULARIZATION. REVIEW.","authors":"T. Tajibayev, A. Matkerimov, T. Demeuov, A. Tergeussizov, A. Baubekov, M. Zhakubayev, M. Khanchi","doi":"10.35805/bsk2021iii039","DOIUrl":"https://doi.org/10.35805/bsk2021iii039","url":null,"abstract":"Stroke is one of the leading causes of death and disability. According to the WHO, mortality due to stroke and other cerebrovascular diseases ranks second after cardiovascular disease. Timely revascularization of the carotid arteries has been shown to be effective in reducing the risk of cerebrovascular accident in patients with symptomatic carotid stenosis of atherosclerotic genesis. However, despite the high efficiency, there are risks of ischemic stroke in the postoperative and long-term period. This review presents statistical data on recurrent strokes and predictors of stroke development after carotid endarterectomy and carotid artery stenting.","PeriodicalId":197118,"journal":{"name":"BULLETIN OF SURGERY IN KAZAKHSTAN","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121102256","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}
Objective is to evaluate the effectiveness of closed-loop surgeries with the planned duration of cardiopulmonary bypass more than 2 hours in the immediate postoperative period. Materials and methods. A study was carried out in the clinic over 10 patients (average age 47-56 years) with Diagnoses: Ascending aortic aneurysm, FC 3 aortic valve insufficiency, who underwent surgery for ascending aorta replacement, aortic valve replacement with coronary artery reimplantation. The patients were divided into 2 groups, the 1st group (5 patients) is the control group using an open cardiopulmonary bypass circuit, the 2nd group (5 patients) is the patients using a closed cardiopulmonary bypass circuit. The total time of cardiopulmonary bypass in both groups was 125-187 minutes. Results. In the 2nd study group, drainage blood loss significantly decreased, on average 60-100 ml compared to the control group, where the average drainage loss was 600-1500 ml. The need for blood transfusion was 5.1% in the 2nd group, compared with 43.4% in the control group. In the study group 2, the number of platelets in the postoperative period in patients was higher than in the control group. Conclusion. This study shows that a closed circuit, compared to an open one, allows complex heart surgeries with a planned duration of extracorporeal circulation of more than 2-3 hours.
{"title":"EVALUATION OF THE EFFECTIVENESS OF A CLOSED CIRCUIT IN COMPARISON WITH AN OPEN CIRCUIT OF CARDIOPULMONARY BYPASS","authors":"Berik Tuishiev, Gulzhan Bayzhan, Sabina Samitova","doi":"10.35805/bsk2021iii044","DOIUrl":"https://doi.org/10.35805/bsk2021iii044","url":null,"abstract":"Objective is to evaluate the effectiveness of closed-loop surgeries with the planned duration of cardiopulmonary bypass more than 2 hours in the immediate postoperative period. \u0000Materials and methods. A study was carried out in the clinic over 10 patients (average age 47-56 years) with Diagnoses: Ascending aortic aneurysm, FC 3 aortic valve insufficiency, who underwent surgery for ascending aorta replacement, aortic valve replacement with coronary artery reimplantation. The patients were divided into 2 groups, the 1st group (5 patients) is the control group using an open cardiopulmonary bypass circuit, the 2nd group (5 patients) is the patients using a closed cardiopulmonary bypass circuit. The total time of cardiopulmonary bypass in both groups was 125-187 minutes. \u0000Results. In the 2nd study group, drainage blood loss significantly decreased, on average 60-100 ml compared to the control group, where the average drainage loss was 600-1500 ml. The need for blood transfusion was 5.1% in the 2nd group, compared with 43.4% in the control group. In the study group 2, the number of platelets in the postoperative period in patients was higher than in the control group. \u0000Conclusion. This study shows that a closed circuit, compared to an open one, allows complex heart surgeries with a planned duration of extracorporeal circulation of more than 2-3 hours.","PeriodicalId":197118,"journal":{"name":"BULLETIN OF SURGERY IN KAZAKHSTAN","volume":"123 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132529213","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}
Zhumabaev Sultanmurat, Raiapov Nurhan, M. Asanaliev, K. Urmanbetov, G. Tursunbekova
The aim is to evaluate the effectiveness of time spent in the intensive care unit and the use of inotropic drugs after mitral valve replacement surgery with preservation of the posterior leaflet with comparison of complete removal of subvalvular structures. Material and methods. The study included 60 patients, including 28 patients after surgery with preservation of the posterior mitral valve leaflet and 32 patients after surgery with complete removal of subvalvular structures. The average age of the patients was 45.9±12.0 years. Inclusion criteria were the time spent in the intensive care unit after surgery, the use of inotropic drugs, and the duration of use of the ventilator. Results. In comparison, the control group in the intensive care unit received more inotropic drugs. In the main group of renal doses - 21 (75%) patients received dopamine - 2.38±0.21 micrograms per kilogram minute, adrenaline - 0.021±0.003 micrograms per kilogram minute. Cardiotonics were not received at therapeutic doses. Above therapeutic doses - 2 (7.14%) patients received (dopamine) - 8±0.01 micrograms per kilogram minute. In the second group of renal doses - 23 (71.87%) patients received dopamine 2.24±0.54 micrograms per kilogram minute, adrenaline - 0.021±0.001 micrograms per kilogram minute. Therapeutic doses of 5 (15.6%) patients dopamine - 5.2±0.4 micrograms per kilogram minute, adrenaline - 0.04±0.001 micrograms per kilogram minute. Above therapeutic doses of 2 (6.25%) patients, dopamine is 8.2±0.02 micrograms per kilogram minute, adrenaline is 0.07±0.003 micrograms per kilogram minute.
{"title":"COMPARATIVE ASSESSMENT OF THE TIME OF PATIENTS’ STAY IN THE INTENSIVE CARE UNIT AFTER MITRAL VALVE REPLACEMENT WITH PRESERVATION OF THE POSTERIOR LEAFLET AND COMPLETE REMOVAL OF SUBVALVULAR STRUCTURES","authors":"Zhumabaev Sultanmurat, Raiapov Nurhan, M. Asanaliev, K. Urmanbetov, G. Tursunbekova","doi":"10.35805/bsk2021iv005","DOIUrl":"https://doi.org/10.35805/bsk2021iv005","url":null,"abstract":"The aim is to evaluate the effectiveness of time spent in the intensive care unit and the use of inotropic drugs after mitral valve replacement surgery with preservation of the posterior leaflet with comparison of complete removal of subvalvular structures. Material and methods. The study included 60 patients, including 28 patients after surgery with preservation of the posterior mitral valve leaflet and 32 patients after surgery with complete removal of subvalvular structures. The average age of the patients was 45.9±12.0 years. Inclusion criteria were the time spent in the intensive care unit after surgery, the use of inotropic drugs, and the duration of use of the ventilator. Results. In comparison, the control group in the intensive care unit received more inotropic drugs. In the main group of renal doses - 21 (75%) patients received dopamine - 2.38±0.21 micrograms per kilogram minute, adrenaline - 0.021±0.003 micrograms per kilogram minute. Cardiotonics were not received at therapeutic doses. Above therapeutic doses - 2 (7.14%) patients received (dopamine) - 8±0.01 micrograms per kilogram minute. In the second group of renal doses - 23 (71.87%) patients received dopamine 2.24±0.54 micrograms per kilogram minute, adrenaline - 0.021±0.001 micrograms per kilogram minute. Therapeutic doses of 5 (15.6%) patients dopamine - 5.2±0.4 micrograms per kilogram minute, adrenaline - 0.04±0.001 micrograms per kilogram minute. Above therapeutic doses of 2 (6.25%) patients, dopamine is 8.2±0.02 micrograms per kilogram minute, adrenaline is 0.07±0.003 micrograms per kilogram minute.","PeriodicalId":197118,"journal":{"name":"BULLETIN OF SURGERY IN KAZAKHSTAN","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115652009","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. Semenov, R. Baudunov, Erik Koyanbaev, Madi Zhanatuly, A. Zhorabek
This article summarizes a little experience in the treatment of patellar dislocations by the arthroscopic method. In total, from 2018 to 2021, we performed 450 arthroscopic operations on the knee joint, of which the stabilization of the patella in case of dislocation was 7. Thus: in the case of primary traumatic dislocation, we performed 4 operations, with the usual - 3. Thus, carrying out arthroscopy, which allows you to restore the biomechanical axis with the elimination of patellar dislocation simultaneously or sequentially at the stage of treatment, allows you to get positive results.
{"title":"OUR EXPERIENCE IN TREATING PATELLAR DISLOCATION USING A MINIMALLY INVASIVE METHOD.","authors":"V. Semenov, R. Baudunov, Erik Koyanbaev, Madi Zhanatuly, A. Zhorabek","doi":"10.35805/bsk2021iii048","DOIUrl":"https://doi.org/10.35805/bsk2021iii048","url":null,"abstract":"This article summarizes a little experience in the treatment of patellar dislocations by the arthroscopic method. In total, from 2018 to 2021, we performed 450 arthroscopic operations on the knee joint, of which the stabilization of the patella in case of dislocation was 7. Thus: in the case of primary traumatic dislocation, we performed 4 operations, with the usual - 3. Thus, carrying out arthroscopy, which allows you to restore the biomechanical axis with the elimination of patellar dislocation simultaneously or sequentially at the stage of treatment, allows you to get positive results.","PeriodicalId":197118,"journal":{"name":"BULLETIN OF SURGERY IN KAZAKHSTAN","volume":"196 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133581827","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. Bizhanov, A. Baimbetov, Akmoldir Sarsenbayeva, Z. Tursunkhanov, Nurbolat Bigeldiуev, G. Israilova, N. Nurollaeva, Nurken Abdiev
Ambulatory cardiac monitoring is a rapidly expanding field of functional diagnostics. Today, the main direction of cardiac monitoring is outpatient monitoring of the electrocardiogram, an important diagnostic tool that is used daily by doctors in many specialties. Therefore, both wearable and subcutaneous technologies of electrocardiographic monitoring are now widely used. A number of devices can be placed under the patient’s skin and have the ability to wirelessly transmit data to home transmitters, which, in turn, then transmit data to the doctor via cloud interfaces, so that, they allow remote monitoring and monitoring of the patient’s condition. Such systems are widely used in various countries of the world, approved in the USA, and are also used for remote monitoring of patients in Europe and Kazakhstan, where their implementation is gaining momentum. This review presents the technical aspects of subcutaneous monitoring, provides a schematic representation of the operation of systems existing on the market, discusses the advantages of this method, as well as the disadvantages of existing implantable cardiac monitors. The issues of the future development of this technology and indications for the use of existing devices approved by the professional cardiological communities are considered.
{"title":"HEART RATE CONTROL USING IMPLANTABLE DEVICES. WHAT WE HAVE ACHIEVED AND WHAT ELSE IS WAITING IN MODERN ARHYTHMOLOGY? REVIEW.","authors":"K. Bizhanov, A. Baimbetov, Akmoldir Sarsenbayeva, Z. Tursunkhanov, Nurbolat Bigeldiуev, G. Israilova, N. Nurollaeva, Nurken Abdiev","doi":"10.35805/bsk2021iii051","DOIUrl":"https://doi.org/10.35805/bsk2021iii051","url":null,"abstract":"Ambulatory cardiac monitoring is a rapidly expanding field of functional diagnostics. Today, the main direction of cardiac monitoring is outpatient monitoring of the electrocardiogram, an important diagnostic tool that is used daily by doctors in many specialties. Therefore, both wearable and subcutaneous technologies of electrocardiographic monitoring are now widely used. A number of devices can be placed under the patient’s skin and have the ability to wirelessly transmit data to home transmitters, which, in turn, then transmit data to the doctor via cloud interfaces, so that, they allow remote monitoring and monitoring of the patient’s condition. Such systems are widely used in various countries of the world, approved in the USA, and are also used for remote monitoring of patients in Europe and Kazakhstan, where their implementation is gaining momentum. This review presents the technical aspects of subcutaneous monitoring, provides a schematic representation of the operation of systems existing on the market, discusses the advantages of this method, as well as the disadvantages of existing implantable cardiac monitors. The issues of the future development of this technology and indications for the use of existing devices approved by the professional cardiological communities are considered.","PeriodicalId":197118,"journal":{"name":"BULLETIN OF SURGERY IN KAZAKHSTAN","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129202612","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：