Pub Date : 2020-05-02DOI: 10.24884/0042-4625-2020-179-1-51-57
A. Khitaryan, O. B. Starzhinskaya, A. Mezhunts, A. Orekhov
INTRODUCTION. The issues of prevention of postoperative gastroesophageal reflux in patients undergone laparoscopic sleeve gastrectomy (LSG) is the most relevant, due to the increase in the number of these surgical interventions and patients who note manifestations of gastroesophageal reflux disease (GERD) in the long-term period after surgery. modified technique. RESULTS. As a result of the study, we were able to identify that a year after both types of operations, patients showed an increase in GERD symptoms. And in 47 % of all operated, GERD appeared de novo. However, we managed to fix the difference between the frequency of occurrence of reflux in the studied groups. Thus, a year after the operation, in the control group, the clinical manifestations of reflux increased by 25 %, both in qualitative and quantitative indicators. While in the study group, these manifestations were increased by 13.5 %. CONCLUSION. The use of the antireflux surgery of prostate cancer proposed by us in patients with morbid obesity significantly improves their quality of life with symptoms of GERD and can be used in patients with existing GERD symptoms before surgery and without them.
{"title":"Evaluation of the effectiveness of the antireflux mechanism of the modified technique of laparoscopic longitudinal gastrectomy with the formation of a three-chamber gastric sleeve in patients with morbid obesity","authors":"A. Khitaryan, O. B. Starzhinskaya, A. Mezhunts, A. Orekhov","doi":"10.24884/0042-4625-2020-179-1-51-57","DOIUrl":"https://doi.org/10.24884/0042-4625-2020-179-1-51-57","url":null,"abstract":"INTRODUCTION. The issues of prevention of postoperative gastroesophageal reflux in patients undergone laparoscopic sleeve gastrectomy (LSG) is the most relevant, due to the increase in the number of these surgical interventions and patients who note manifestations of gastroesophageal reflux disease (GERD) in the long-term period after surgery. modified technique. RESULTS. As a result of the study, we were able to identify that a year after both types of operations, patients showed an increase in GERD symptoms. And in 47 % of all operated, GERD appeared de novo. However, we managed to fix the difference between the frequency of occurrence of reflux in the studied groups. Thus, a year after the operation, in the control group, the clinical manifestations of reflux increased by 25 %, both in qualitative and quantitative indicators. While in the study group, these manifestations were increased by 13.5 %. CONCLUSION. The use of the antireflux surgery of prostate cancer proposed by us in patients with morbid obesity significantly improves their quality of life with symptoms of GERD and can be used in patients with existing GERD symptoms before surgery and without them.","PeriodicalId":23485,"journal":{"name":"Vestnik khirurgii imeni I. I. Grekova","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69106155","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}
Pub Date : 2020-05-02DOI: 10.24884/0042-4625-2020-179-1-110-112
A. A. Kurygin, V. Semenov, I. S. Tarbaev
The article is dedicated to the 115th anniversary of the birth of L. K. Bogush. Lev Konstantinovich was born on March 3, 1905 in the family of the famous Nizhny Novgorod surgeon Konstantin Fedorovich Bogush. The industriousness, high capacity for work, dedication to science and the talent of Lev Konstantinovich for a short time bore fruit. In 1939, Lev Konstantinovich was one of the first in the country to remove a lung lobe due to suppurating bronchiectasis. In 1943, Lev Konstantinovich defended his doctoral dissertation «Surgical treatment of pulmonary tuberculosis by ligation of pulmonary lobar veins». In 1961, L. K. Bogush, together with professors B. V. Petrovsky, N. M. Amosov, F. G. Uglov and V. I. Struchkov, was awarded the Lenin Prize for the development of lung operations. On October 5, 1994, after a long-term illness, Lev Konstantinovich died and was buried at the Kuntsevsky cemetery in Moscow.
{"title":"Academician Lev Konstantinovich Bogush (1905-1994) (on the 115th anniversary of the birthday)","authors":"A. A. Kurygin, V. Semenov, I. S. Tarbaev","doi":"10.24884/0042-4625-2020-179-1-110-112","DOIUrl":"https://doi.org/10.24884/0042-4625-2020-179-1-110-112","url":null,"abstract":"The article is dedicated to the 115th anniversary of the birth of L. K. Bogush. Lev Konstantinovich was born on March 3, 1905 in the family of the famous Nizhny Novgorod surgeon Konstantin Fedorovich Bogush. The industriousness, high capacity for work, dedication to science and the talent of Lev Konstantinovich for a short time bore fruit. In 1939, Lev Konstantinovich was one of the first in the country to remove a lung lobe due to suppurating bronchiectasis. In 1943, Lev Konstantinovich defended his doctoral dissertation «Surgical treatment of pulmonary tuberculosis by ligation of pulmonary lobar veins». In 1961, L. K. Bogush, together with professors B. V. Petrovsky, N. M. Amosov, F. G. Uglov and V. I. Struchkov, was awarded the Lenin Prize for the development of lung operations. On October 5, 1994, after a long-term illness, Lev Konstantinovich died and was buried at the Kuntsevsky cemetery in Moscow.","PeriodicalId":23485,"journal":{"name":"Vestnik khirurgii imeni I. I. Grekova","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69105675","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}
Pub Date : 2020-05-02DOI: 10.24884/0042-4625-2020-179-1-95-104
Y. Yashkov, Yuriy I. Sedletskiy, D. I. Vasilevskiy, B. Tsvetkov, A. Krichmar
Bariatric (metabolic) surgery is currently considered as the most effective treatment for obesity with its comorbidities and metabolic disorders like Diabetes Mellitus type 2. Due to life-long nature of obesity, high rate of its recidivism and increasing number of bariatric/ metabolic operations performing worldwide, the problem of revisional bariatric surgery is becoming extremely actual. The article based on literature data and author’s own experience overlooks possible solutions for choice of revisional operations depending on kind of primary bariatric procedure, causes of revision: weight regain, complications and side effects of the primary operation.
{"title":"Principles of choice of revisional bariatric procedures (review of the literature)","authors":"Y. Yashkov, Yuriy I. Sedletskiy, D. I. Vasilevskiy, B. Tsvetkov, A. Krichmar","doi":"10.24884/0042-4625-2020-179-1-95-104","DOIUrl":"https://doi.org/10.24884/0042-4625-2020-179-1-95-104","url":null,"abstract":"Bariatric (metabolic) surgery is currently considered as the most effective treatment for obesity with its comorbidities and metabolic disorders like Diabetes Mellitus type 2. Due to life-long nature of obesity, high rate of its recidivism and increasing number of bariatric/ metabolic operations performing worldwide, the problem of revisional bariatric surgery is becoming extremely actual. The article based on literature data and author’s own experience overlooks possible solutions for choice of revisional operations depending on kind of primary bariatric procedure, causes of revision: weight regain, complications and side effects of the primary operation.","PeriodicalId":23485,"journal":{"name":"Vestnik khirurgii imeni I. I. Grekova","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69106587","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}
Pub Date : 2020-05-02DOI: 10.24884/0042-4625-2020-179-1-31-38
D. Y. Semyonov, A. N. Scherbyuk, S. Morozov, A. Lobakov, A. S. Unin, A. A. Averin, A. Levitskaya, K. N. Levitskaya, S. V. Shalamova
Based on the method developed by the authors for quantifying the severity of patients with acute pancreatitis, a method for calculating the duration of therapeutic fasting in a particular patient has been created. We studied the medical histories of 500 patients with acute pancreatitis who were in two medical hospitals from 2010 to 2021. They underwent complex therapy of acute pancreatitis. Based on the dependence found using multivariate regression analysis using the universal statistical software package StatSoft Statistica for OC Windows, the authors previously developed and published a method for calculating the severity of a patient's condition with acute pancreatitis in the enzymatic toxemia phase. This method in the process of practical application was significantly improved by the authors and called the IDAP scale (ACUTE PANCREATITIS HAZARD INDEX). The advantages of this method: the calculation of the severity of the patient's condition can be made at any time of interest, the indicators are included in the Medical and Economic standards of the Russian Federation for acute pancreatitis, it is enough to use the standard office program MS Excel, which is available to any practicing physician. When comparing the results of assessing the severity of patients on the IDAP and APACH II scales, no discrepancies of more than 15% were found in 640 measurements in 50 patients, which allowed us to use the IDAP system in our study on a par with the generally accepted APACH II. At the second stage of the study, as a result of the analysis of 86 clinical observations using the technique of multidimensional regression analysis, a relationship was found between the clinical severity of the patient upon admission to the hospital for treatment, the severity at a given time and the required duration of therapeutic fasting (in days). At the second stage of the study, as a result of the analysis of 86 clinical observations using the technique of multidimensional regression analysis, a relationship was found between the clinical severity of the patient upon admission to the hospital for treatment, the severity at a given time and the required duration of therapeutic fasting (in days). When using this method of calculating the duration of fasting, only 7 (8%) patients had an exacerbation of the process after the start of feeding them through the mouth. Thus, taking into account the coefficient of severity of the patient's condition with acute pancreatitis, it is possible to reliably determine the timing of therapeutic fasting in this disease.
基于作者开发的量化急性胰腺炎患者严重程度的方法，已经创建了一种计算特定患者治疗性禁食持续时间的方法。我们研究了2010年至2021年在两家医院就诊的500例急性胰腺炎患者的病史。他们接受了急性胰腺炎的综合治疗。基于使用通用统计软件包StatSoft Statistica for OC Windows进行多元回归分析发现的依赖性，作者先前开发并发表了一种计算酶毒血症期急性胰腺炎患者病情严重程度的方法。该方法在实际应用过程中得到了作者的显著改进，称为IDAP量表(ACUTE胰腺炎HAZARD INDEX)。该方法的优点:可以在任何感兴趣的时间计算患者病情的严重程度，指标包含在俄罗斯联邦急性胰腺炎医学和经济标准中，使用标准办公程序MS Excel就足够了，任何执业医师都可以使用。当比较IDAP和APACH II量表评估患者严重程度的结果时，在50例患者的640次测量中，差异不超过15%，这使得我们可以在我们的研究中使用IDAP系统与普遍接受的APACH II相提并论。在研究的第二阶段，通过使用多维回归分析技术对86项临床观察结果进行分析，发现患者入院治疗时的临床严重程度、给定时间的严重程度与所需的治疗性禁食时间(以天为单位)之间存在关系。在研究的第二阶段，通过使用多维回归分析技术对86项临床观察结果进行分析，发现患者入院治疗时的临床严重程度、给定时间的严重程度与所需的治疗性禁食时间(以天为单位)之间存在关系。当使用这种方法计算禁食时间时，只有7例(8%)患者在开始通过口腔进食后出现了禁食过程的恶化。因此，考虑到急性胰腺炎患者病情的严重程度系数，可以可靠地确定这种疾病的治疗性禁食时间。
{"title":"Comparative evaluation of scales to determine severity of acute pancreatitis","authors":"D. Y. Semyonov, A. N. Scherbyuk, S. Morozov, A. Lobakov, A. S. Unin, A. A. Averin, A. Levitskaya, K. N. Levitskaya, S. V. Shalamova","doi":"10.24884/0042-4625-2020-179-1-31-38","DOIUrl":"https://doi.org/10.24884/0042-4625-2020-179-1-31-38","url":null,"abstract":"Based on the method developed by the authors for quantifying the severity of patients with acute pancreatitis, a method for calculating the duration of therapeutic fasting in a particular patient has been created. We studied the medical histories of 500 patients with acute pancreatitis who were in two medical hospitals from 2010 to 2021. They underwent complex therapy of acute pancreatitis. Based on the dependence found using multivariate regression analysis using the universal statistical software package StatSoft Statistica for OC Windows, the authors previously developed and published a method for calculating the severity of a patient's condition with acute pancreatitis in the enzymatic toxemia phase. This method in the process of practical application was significantly improved by the authors and called the IDAP scale (ACUTE PANCREATITIS HAZARD INDEX). The advantages of this method: the calculation of the severity of the patient's condition can be made at any time of interest, the indicators are included in the Medical and Economic standards of the Russian Federation for acute pancreatitis, it is enough to use the standard office program MS Excel, which is available to any practicing physician. When comparing the results of assessing the severity of patients on the IDAP and APACH II scales, no discrepancies of more than 15% were found in 640 measurements in 50 patients, which allowed us to use the IDAP system in our study on a par with the generally accepted APACH II. At the second stage of the study, as a result of the analysis of 86 clinical observations using the technique of multidimensional regression analysis, a relationship was found between the clinical severity of the patient upon admission to the hospital for treatment, the severity at a given time and the required duration of therapeutic fasting (in days). At the second stage of the study, as a result of the analysis of 86 clinical observations using the technique of multidimensional regression analysis, a relationship was found between the clinical severity of the patient upon admission to the hospital for treatment, the severity at a given time and the required duration of therapeutic fasting (in days). When using this method of calculating the duration of fasting, only 7 (8%) patients had an exacerbation of the process after the start of feeding them through the mouth. Thus, taking into account the coefficient of severity of the patient's condition with acute pancreatitis, it is possible to reliably determine the timing of therapeutic fasting in this disease. ","PeriodicalId":23485,"journal":{"name":"Vestnik khirurgii imeni I. I. Grekova","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69105748","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}
Pub Date : 2020-05-02DOI: 10.24884/0042-4625-2020-179-1-66-68
G. Khubulava, M. A. Askerov, A. V. Krivenzov, S. V. Sadovoi, E. Gavrilov
A rare clinical case of material pulmonary embolism is described. After 2 month of reconstructive surgery on the spine, on the chest cavity organs X-ray picture spiral solid was revealed. Surgical intervention – removal of a foreign body of the pulmonary artery with a good result.
{"title":"Pulmonary embolism by a foreign body (polymethyl methacrylate)","authors":"G. Khubulava, M. A. Askerov, A. V. Krivenzov, S. V. Sadovoi, E. Gavrilov","doi":"10.24884/0042-4625-2020-179-1-66-68","DOIUrl":"https://doi.org/10.24884/0042-4625-2020-179-1-66-68","url":null,"abstract":"A rare clinical case of material pulmonary embolism is described. After 2 month of reconstructive surgery on the spine, on the chest cavity organs X-ray picture spiral solid was revealed. Surgical intervention – removal of a foreign body of the pulmonary artery with a good result.","PeriodicalId":23485,"journal":{"name":"Vestnik khirurgii imeni I. I. Grekova","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69106367","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}
Pub Date : 2020-05-02DOI: 10.24884/0042-4625-2020-179-1-58-62
P. N. Romashchenko, N. A. Maistrenko, D. Krivolapov, D. O. Vshivtsev
The paper presents a clinical case that reflects difficulties of primary hyperparathyroidism diagnosis, as well as an experience of usage of new methods in parathyroid surgery, which aims at increasing degree of evidence and safety of interventions. The sequence of the implemented methods of laboratory and instrumental examination made it possible to identify the accurate location of parathyroid adenomas, and realization of the proposed surgical tactics – to perform a surgical intervention justified in terms of volume and methodology, to avoid postoperative complications and improve the patient’s quality of life.
{"title":"New standard of evidence and safety in the parathyroid surgery","authors":"P. N. Romashchenko, N. A. Maistrenko, D. Krivolapov, D. O. Vshivtsev","doi":"10.24884/0042-4625-2020-179-1-58-62","DOIUrl":"https://doi.org/10.24884/0042-4625-2020-179-1-58-62","url":null,"abstract":"The paper presents a clinical case that reflects difficulties of primary hyperparathyroidism diagnosis, as well as an experience of usage of new methods in parathyroid surgery, which aims at increasing degree of evidence and safety of interventions. The sequence of the implemented methods of laboratory and instrumental examination made it possible to identify the accurate location of parathyroid adenomas, and realization of the proposed surgical tactics – to perform a surgical intervention justified in terms of volume and methodology, to avoid postoperative complications and improve the patient’s quality of life.","PeriodicalId":23485,"journal":{"name":"Vestnik khirurgii imeni I. I. Grekova","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69106171","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}
Pub Date : 2020-05-02DOI: 10.24884/0042-4625-2020-179-1-82-88
М. А. Беляев, А. Трушин, A. A. Zacharenko, Michail A. Belyaev, Anton A. Trushin, D. A. Zaytcev, R. Kursenko
The problem of bowel viability assessment during surgery is still opened. High value predictive and economically available technique is thought to decrease postoperative morbidity and mortality during elective and urgent abdominal surgery. To evaluate the available techniques for intraoperative bowel viability assessment, the search of Russian and foreign up-to-date literature was performed. Parameters of techniques are analyzed: intraoperative clinical application, invasiveness, objectivity and quantification of viability parameters, predictive value for necrosis and anastomotic leakage. There is still no standardised and available for every operative theatre method for bowel viability assessment during surgery. Numerous of techniques such as near-infrared fluorescence (NIR) angiography, using indocyanine green (ICG), optical coherence tomography (OCT), laser doppler flowmetry (LDF) are proposed to be more evaluated and perspective. Autofluorescence spectroscopy for NADH and flavoproteins seems to be a promising tool for early detection of nonviable bowel segments.
{"title":"Bowel viability assessment during surgery (review of the literature)","authors":"М. А. Беляев, А. Трушин, A. A. Zacharenko, Michail A. Belyaev, Anton A. Trushin, D. A. Zaytcev, R. Kursenko","doi":"10.24884/0042-4625-2020-179-1-82-88","DOIUrl":"https://doi.org/10.24884/0042-4625-2020-179-1-82-88","url":null,"abstract":"The problem of bowel viability assessment during surgery is still opened. High value predictive and economically available technique is thought to decrease postoperative morbidity and mortality during elective and urgent abdominal surgery. To evaluate the available techniques for intraoperative bowel viability assessment, the search of Russian and foreign up-to-date literature was performed. Parameters of techniques are analyzed: intraoperative clinical application, invasiveness, objectivity and quantification of viability parameters, predictive value for necrosis and anastomotic leakage. There is still no standardised and available for every operative theatre method for bowel viability assessment during surgery. Numerous of techniques such as near-infrared fluorescence (NIR) angiography, using indocyanine green (ICG), optical coherence tomography (OCT), laser doppler flowmetry (LDF) are proposed to be more evaluated and perspective. Autofluorescence spectroscopy for NADH and flavoproteins seems to be a promising tool for early detection of nonviable bowel segments.","PeriodicalId":23485,"journal":{"name":"Vestnik khirurgii imeni I. I. Grekova","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69106846","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}
Pub Date : 2020-05-02DOI: 10.24884/0042-4625-2020-179-1-105-109
E. Y. Lazareva
The article is devoted to the development and implementation of the method of hemotransfusion of cadaveric blood to living people, thanks to which methods of blood preservation, fibrinolysis received its development. Currently, this method of hemotransfusion therapy may be in demand in the use of components of donor blood, including, from a conditioned donor, in organ transplantation to single-group recipients. Understanding the process of fibrinolysis is key to preventing and stopping bleeding in certain surgical pathologies.
{"title":"History and development of the cadaveric blood transfusion method in surgery (on the 90th anniversary of the discovery of the method)","authors":"E. Y. Lazareva","doi":"10.24884/0042-4625-2020-179-1-105-109","DOIUrl":"https://doi.org/10.24884/0042-4625-2020-179-1-105-109","url":null,"abstract":"The article is devoted to the development and implementation of the method of hemotransfusion of cadaveric blood to living people, thanks to which methods of blood preservation, fibrinolysis received its development. Currently, this method of hemotransfusion therapy may be in demand in the use of components of donor blood, including, from a conditioned donor, in organ transplantation to single-group recipients. Understanding the process of fibrinolysis is key to preventing and stopping bleeding in certain surgical pathologies.","PeriodicalId":23485,"journal":{"name":"Vestnik khirurgii imeni I. I. Grekova","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69105669","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：