Pub Date : 2021-01-03DOI: 10.24884/0042-4625-2020-179-5-69-70
D. Granov
.
．
{"title":"Commentary to article Il’ya I. Dzidzava et al. «Treatment of massive pulmonary embolism with systemic thrombolysis in the nearest postoperative period»","authors":"D. Granov","doi":"10.24884/0042-4625-2020-179-5-69-70","DOIUrl":"https://doi.org/10.24884/0042-4625-2020-179-5-69-70","url":null,"abstract":"<jats:p>.</jats:p>","PeriodicalId":23485,"journal":{"name":"Vestnik khirurgii imeni I. I. Grekova","volume":"38 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69114072","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 : 2021-01-03DOI: 10.24884/0042-4625-2020-179-5-87-90
Евгений Геннадьевич Григорьев, В. М. Дехнич, Е. О. Иноземцев
We report the case of treatment of a 30-year-old woman with an impaired passage in the duodenojejunal segment of the gastrointestinal tract due to Ladd’s syndrome. Occlusion of the superior mesenteric artery was developed as a result of incomplete rotation of midgut in dysembryogenesis. Mesenteric blood circulation was compensated by collaterals formed in the antenatal period. Ladd’s operation was performed to treat acute intestinal failure, the duodenojejunal passage was restored. The patient was discharged on the 11th postoperative day in a good condition with the main diagnosis «Ladd’s syndrome». In the presented case report, the impaired passage in the gastrointestinal tract in the middle age patient was traced from childhood. Detailed examination of medical history, correct interpretation of MSCT findings allowed to form an accurate diagnosis and perform effective surgical treatment.
{"title":"Рецидивирующая тонкокишечная непроходимость при синдроме Ледда у 30-летней пациентки","authors":"Евгений Геннадьевич Григорьев, В. М. Дехнич, Е. О. Иноземцев","doi":"10.24884/0042-4625-2020-179-5-87-90","DOIUrl":"https://doi.org/10.24884/0042-4625-2020-179-5-87-90","url":null,"abstract":"We report the case of treatment of a 30-year-old woman with an impaired passage in the duodenojejunal segment of the gastrointestinal tract due to Ladd’s syndrome. Occlusion of the superior mesenteric artery was developed as a result of incomplete rotation of midgut in dysembryogenesis. Mesenteric blood circulation was compensated by collaterals formed in the antenatal period. Ladd’s operation was performed to treat acute intestinal failure, the duodenojejunal passage was restored. The patient was discharged on the 11th postoperative day in a good condition with the main diagnosis «Ladd’s syndrome». In the presented case report, the impaired passage in the gastrointestinal tract in the middle age patient was traced from childhood. Detailed examination of medical history, correct interpretation of MSCT findings allowed to form an accurate diagnosis and perform effective surgical treatment.","PeriodicalId":23485,"journal":{"name":"Vestnik khirurgii imeni I. I. Grekova","volume":"48 1","pages":"87-90"},"PeriodicalIF":0.0,"publicationDate":"2021-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91034188","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 : 2021-01-01Epub Date: 2020-11-21DOI: 10.1007/s11558-020-09396-9
Silvia Marchesi, Tania Masi
In this paper we explore the factors that determine delegation of implementation in project aid. In particular, focusing on the importance of informational asymmetry between levels of government, we empirically assess whether this choice is influenced by the relative importance of the local information at the recipient country level. Moreover, we test whether this choice can in turn influence project performance. Using information on more than 5800 World Bank projects for the period 1995-2014, and controlling for characteristics at both country and project level, we find that transparency does influence the probability that a project is implemented locally rather than nationally. More specifically, a one standard deviation decline in transparency increases the probability of a locally implemented project by three percentage points. We also find that a local implementing agency may increase the probability of a successful project only up to a certain level of a country's transparency.
{"title":"Delegation of implementation in project aid.","authors":"Silvia Marchesi, Tania Masi","doi":"10.1007/s11558-020-09396-9","DOIUrl":"10.1007/s11558-020-09396-9","url":null,"abstract":"<p><p>In this paper we explore the factors that determine delegation of implementation in project aid. In particular, focusing on the importance of informational asymmetry between levels of government, we empirically assess whether this choice is influenced by the relative importance of the local information at the recipient country level. Moreover, we test whether this choice can in turn influence project performance. Using information on more than 5800 World Bank projects for the period 1995-2014, and controlling for characteristics at both country and project level, we find that transparency does influence the probability that a project is implemented locally rather than nationally. More specifically, a one standard deviation decline in transparency increases the probability of a locally implemented project by three percentage points. We also find that a local implementing agency may increase the probability of a successful project only up to a certain level of a country's transparency.</p>","PeriodicalId":23485,"journal":{"name":"Vestnik khirurgii imeni I. I. Grekova","volume":"1 1","pages":"655-687"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7679796/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91087928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-11-08DOI: 10.24884/0042-4625-2020-179-4-109-115
T. Kuznetsova, N. Besednova, V. Usov, B. Andryukov
The review presents the characteristics of modern biocompatible and biodegradable wound dressings on the basis of seaweed polysaccharides (carrageenans of red algae, fucoidans and alginates of brown algae, ulvans of green algae) and notes the key physicochemical and biological properties that are important for constructing wounds dressings. There are information on various types of wound dressings and results of experimental and clinical tests of dressings in the treatment of wounds of various origins. Particular attention is paid to hydrogel dressings, since hydrogels meet the basic requirements for an ideal wound dressing, and many marine polysaccharides are able to form hydrogels.
{"title":"Biocompatible and biodegradable wound dressings on the basis of seaweed polysaccharides (review of literature)","authors":"T. Kuznetsova, N. Besednova, V. Usov, B. Andryukov","doi":"10.24884/0042-4625-2020-179-4-109-115","DOIUrl":"https://doi.org/10.24884/0042-4625-2020-179-4-109-115","url":null,"abstract":"The review presents the characteristics of modern biocompatible and biodegradable wound dressings on the basis of seaweed polysaccharides (carrageenans of red algae, fucoidans and alginates of brown algae, ulvans of green algae) and notes the key physicochemical and biological properties that are important for constructing wounds dressings. There are information on various types of wound dressings and results of experimental and clinical tests of dressings in the treatment of wounds of various origins. Particular attention is paid to hydrogel dressings, since hydrogels meet the basic requirements for an ideal wound dressing, and many marine polysaccharides are able to form hydrogels.","PeriodicalId":23485,"journal":{"name":"Vestnik khirurgii imeni I. I. Grekova","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69111814","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 : 2020-11-08DOI: 10.24884/0042-4625-2020-179-4-44-49
S. Linnik, A. A. Shuginov, A. V. Nikitin, V. V. Usikov, K. V. Filippov, I. Kucheev, Y. Tsololo, I. Russu, M. Kvinikadze
The OBJECTIVE was to improve the results of treatment of heel bone fracture by using screws made of glycosylated lactic acid. METHODS AND MATERIALS. The examination and treatment methods as well as the results of surgical treatment of 89 patients diagnosed with a heel bone fracture were analysed. Depending on the type of fractures, all the patients were divided into 4 groups according to Sanders. RESULTS. We studied the short-term (100 %) and long-term (82.5 %) results of treatment of patients using the point-based assessment systems – the Foot Function Index (FFI) scale, and the Clinical rating system for the Ankle and Hindfoot scale. CONCLUSION. The current study showed that the use of bioimplants along with classical osteosynthesis is one of the advanced technologies in traumatology and orthopedics, which allows to expand the possibilities of surgical fixation of heel bone fractures.
{"title":"Using screws from glycosyled lactic acid (PLGA) in the treatment of calcaneus fractures","authors":"S. Linnik, A. A. Shuginov, A. V. Nikitin, V. V. Usikov, K. V. Filippov, I. Kucheev, Y. Tsololo, I. Russu, M. Kvinikadze","doi":"10.24884/0042-4625-2020-179-4-44-49","DOIUrl":"https://doi.org/10.24884/0042-4625-2020-179-4-44-49","url":null,"abstract":"The OBJECTIVE was to improve the results of treatment of heel bone fracture by using screws made of glycosylated lactic acid. METHODS AND MATERIALS. The examination and treatment methods as well as the results of surgical treatment of 89 patients diagnosed with a heel bone fracture were analysed. Depending on the type of fractures, all the patients were divided into 4 groups according to Sanders. RESULTS. We studied the short-term (100 %) and long-term (82.5 %) results of treatment of patients using the point-based assessment systems – the Foot Function Index (FFI) scale, and the Clinical rating system for the Ankle and Hindfoot scale. CONCLUSION. The current study showed that the use of bioimplants along with classical osteosynthesis is one of the advanced technologies in traumatology and orthopedics, which allows to expand the possibilities of surgical fixation of heel bone fractures.","PeriodicalId":23485,"journal":{"name":"Vestnik khirurgii imeni I. I. Grekova","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69112196","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 : 2020-11-08DOI: 10.24884/0042-4625-2020-179-4-76-78
E. Ilyicheva, G. A. Bersenev, V. Makhutov, G. Aldaranov, E. G. Grigoryev
1 Федеральное государственное бюджетное научное учреждение «Иркутский научный центр хирургии и травматологии», г. Иркутск, Россия 2 Государственное бюджетное учреждение здравоохранения «Иркутская ордена "Знак почета" областная клиническая больница», г. Иркутск, Россия 3 Федеральное государственное бюджетное образовательное учреждение высшего образования «Иркутский государственный медицинский университет» Министерства здравоохранения Российской Федерации, г. Иркутск, Россия
{"title":"Surgical treatment of a patient with multinodular goiter with compression syndrome of the neck and severe comorbid pathology","authors":"E. Ilyicheva, G. A. Bersenev, V. Makhutov, G. Aldaranov, E. G. Grigoryev","doi":"10.24884/0042-4625-2020-179-4-76-78","DOIUrl":"https://doi.org/10.24884/0042-4625-2020-179-4-76-78","url":null,"abstract":"1 Федеральное государственное бюджетное научное учреждение «Иркутский научный центр хирургии и травматологии», г. Иркутск, Россия 2 Государственное бюджетное учреждение здравоохранения «Иркутская ордена \"Знак почета\" областная клиническая больница», г. Иркутск, Россия 3 Федеральное государственное бюджетное образовательное учреждение высшего образования «Иркутский государственный медицинский университет» Министерства здравоохранения Российской Федерации, г. Иркутск, Россия","PeriodicalId":23485,"journal":{"name":"Vestnik khirurgii imeni I. I. Grekova","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69112837","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 : 2020-11-08DOI: 10.24884/0042-4625-2020-179-4-56-61
I. S. Baryshnikov, A. O. Egorova, D. Polezhaev
The objective was to study the possibilities of using the C-arm based universal angiographic complex as a navigation system in transthoracic biopsies of pulmonary nodules.Methods and materials. The study is based on the data of 60 patients with lesion size from 10 to 103 mm (mean 51 mm) have been underwent the transthoracic biopsy using C-arm based universal angiographic complex navigation. A total of 69 biopsies were performed (60 primary, 9 repeated). The procedure was made with local anesthesia in an interventional operating room. The postoperative observation time was 1 day.Results. A tissue sample was got in all cases. As a result of a biopsy, a malignant tumor was confirmed in 70 % of patients (42 people). At the primary biopsy, data for the malignant process were not obtained in 30 % (18 people), however, in half of the cases (9 people), the diagnosis of a malignant tumor was confirmed after repeated biopsy. The radiation dose received by the patient was 2.05-60.50 mSv (mean 13.94mSv), which is comparable to the radiation dose in traditional CT navigation and less than the average dose of radiation obtained using CT fluoroscopy. Sensitivity, specificity, accuracy were 82.35, 100 и 35 % respectively. Complications occurred in 18 cases (26.09 %). There was no need to perform interventions under general anesthesia. Transfer of patients to the intensive care unit was not required. No fatal complications occurred.Conclusion. This navigation system is safe and effective and can be used routinely.
{"title":"Transthoracic Lung node biopsy under navigation of C-arm based universal angiographic complex","authors":"I. S. Baryshnikov, A. O. Egorova, D. Polezhaev","doi":"10.24884/0042-4625-2020-179-4-56-61","DOIUrl":"https://doi.org/10.24884/0042-4625-2020-179-4-56-61","url":null,"abstract":"The objective was to study the possibilities of using the C-arm based universal angiographic complex as a navigation system in transthoracic biopsies of pulmonary nodules.Methods and materials. The study is based on the data of 60 patients with lesion size from 10 to 103 mm (mean 51 mm) have been underwent the transthoracic biopsy using C-arm based universal angiographic complex navigation. A total of 69 biopsies were performed (60 primary, 9 repeated). The procedure was made with local anesthesia in an interventional operating room. The postoperative observation time was 1 day.Results. A tissue sample was got in all cases. As a result of a biopsy, a malignant tumor was confirmed in 70 % of patients (42 people). At the primary biopsy, data for the malignant process were not obtained in 30 % (18 people), however, in half of the cases (9 people), the diagnosis of a malignant tumor was confirmed after repeated biopsy. The radiation dose received by the patient was 2.05-60.50 mSv (mean 13.94mSv), which is comparable to the radiation dose in traditional CT navigation and less than the average dose of radiation obtained using CT fluoroscopy. Sensitivity, specificity, accuracy were 82.35, 100 и 35 % respectively. Complications occurred in 18 cases (26.09 %). There was no need to perform interventions under general anesthesia. Transfer of patients to the intensive care unit was not required. No fatal complications occurred.Conclusion. This navigation system is safe and effective and can be used routinely.","PeriodicalId":23485,"journal":{"name":"Vestnik khirurgii imeni I. I. Grekova","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69111912","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 : 2020-11-08DOI: 10.24884/0042-4625-2020-179-4-17-21
Z. K. Osmanov, D. Semenov, A. Bogdanov, L. E. Koloscova, A. V. Sokolov, V. Vasilyev
Treatment of complications of peptic ulcer disease is an urgent problem in abdominal surgery due to the high prevalence of bleeding (19-57) and perforations (3-14 cases per 100,000 population). The objective of the study was to assess the possibility of predicting the development of ulcerative disease complications determining the ratio of the level of melatonin receptors (MT1/MT2) in the duodenal mucosa. Methods and materials . 56 patients with different course of peptic ulcer disease were examined. All patients underwent esophagogastroduodenoscopy with biopsy of the bulb duodenum. Biopsies were analyzed on a flow cytometer. The results were statistically processed. Results. The ratio of melatonin receptors MT1/MT2 significantly differed in the group of patients with bleeding and in the group with perforation. During the statistical analysis, it was found that at a value of MT1/MT2≥1,7, it is possible to assume the development of complications in the patient in the form of perforation or bleeding. Conclusion. The method of determining the ratio of melatonin receptors (MT1/MT2) in patients with complicated peptic ulcer disease can be used for prediction the risk of complications.
{"title":"Prediction of complications of chronic duodenal ulcer using the method of determining the ratio of the level of melatonin receptors in the mucosa","authors":"Z. K. Osmanov, D. Semenov, A. Bogdanov, L. E. Koloscova, A. V. Sokolov, V. Vasilyev","doi":"10.24884/0042-4625-2020-179-4-17-21","DOIUrl":"https://doi.org/10.24884/0042-4625-2020-179-4-17-21","url":null,"abstract":"Treatment of complications of peptic ulcer disease is an urgent problem in abdominal surgery due to the high prevalence of bleeding (19-57) and perforations (3-14 cases per 100,000 population). The objective of the study was to assess the possibility of predicting the development of ulcerative disease complications determining the ratio of the level of melatonin receptors (MT1/MT2) in the duodenal mucosa. Methods and materials . 56 patients with different course of peptic ulcer disease were examined. All patients underwent esophagogastroduodenoscopy with biopsy of the bulb duodenum. Biopsies were analyzed on a flow cytometer. The results were statistically processed. Results. The ratio of melatonin receptors MT1/MT2 significantly differed in the group of patients with bleeding and in the group with perforation. During the statistical analysis, it was found that at a value of MT1/MT2≥1,7, it is possible to assume the development of complications in the patient in the form of perforation or bleeding. Conclusion. The method of determining the ratio of melatonin receptors (MT1/MT2) in patients with complicated peptic ulcer disease can be used for prediction the risk of complications.","PeriodicalId":23485,"journal":{"name":"Vestnik khirurgii imeni I. I. Grekova","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69112221","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 : 2020-11-08DOI: 10.24884/0042-4625-2020-179-4-98-101
V. P. Gavrilyuk, E. V. Donskaja, D. A. Severinov
Small intestine hemangioma is a benign vascular tumor formation, accounts for 0.05 to 0.3 % of all gastrointestinal tumors. This article presents a rare clinical observation - intraluminal hemangioma of distal parts of the ileum in a boy of 7 years old, complicated by massive bleeding. The presented clinical observation shows the difficulty of diagnosis, as well as the preliminary diagnosis performed by a pediatric surgeon: Meckel’s diverticulum, complicated by bleeding. As we know, more than 70 % of cases of gastrointestinal bleeding in children are really associated with the pathology of Meckel’s diverticulum. This requires the transfer of such patients to a surgical hospital, performing surgical intervention for revision of the abdominal cavity and excision of the pathological formation, as well as additional surgical techniques depending on intraoperative tactics.The described case demonstrates effective diagnostic tactics and features of intraoperative picture, surgical treatment of patient based on laparotomy and resection of intestinal area. The possibility of achieving encouraging results of surgical treatment of this difficult category of patients with reasonable choice of surgical tactics in childhood has been demonstrated. It is obvious that the key to successful treatment of such patients is timely diagnosis, which is not easy task due to the morphological and topographic characteristics of the pathological focus.
{"title":"Small bowel hemangioma in a 7-years-old boy, complicated by bleeding","authors":"V. P. Gavrilyuk, E. V. Donskaja, D. A. Severinov","doi":"10.24884/0042-4625-2020-179-4-98-101","DOIUrl":"https://doi.org/10.24884/0042-4625-2020-179-4-98-101","url":null,"abstract":"Small intestine hemangioma is a benign vascular tumor formation, accounts for 0.05 to 0.3 % of all gastrointestinal tumors. This article presents a rare clinical observation - intraluminal hemangioma of distal parts of the ileum in a boy of 7 years old, complicated by massive bleeding. The presented clinical observation shows the difficulty of diagnosis, as well as the preliminary diagnosis performed by a pediatric surgeon: Meckel’s diverticulum, complicated by bleeding. As we know, more than 70 % of cases of gastrointestinal bleeding in children are really associated with the pathology of Meckel’s diverticulum. This requires the transfer of such patients to a surgical hospital, performing surgical intervention for revision of the abdominal cavity and excision of the pathological formation, as well as additional surgical techniques depending on intraoperative tactics.The described case demonstrates effective diagnostic tactics and features of intraoperative picture, surgical treatment of patient based on laparotomy and resection of intestinal area. The possibility of achieving encouraging results of surgical treatment of this difficult category of patients with reasonable choice of surgical tactics in childhood has been demonstrated. It is obvious that the key to successful treatment of such patients is timely diagnosis, which is not easy task due to the morphological and topographic characteristics of the pathological focus.","PeriodicalId":23485,"journal":{"name":"Vestnik khirurgii imeni I. I. Grekova","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69113240","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 : 2020-11-08DOI: 10.24884/0042-4625-2020-179-4-50-55
D. Denisyuk, A. Paivin, M. Snegirev, L. Sichinava, N. Khvan, O. A. Paivin
coronary bypass surgery, like any other minimally traumatic operation, depends on the selection of patients. Performing the preoperative examination protocol allows you to develop an individual approach to the surgical treatment of each patient.
{"title":"Technical aspects of multivessel minimally invasive coronary artery bypass","authors":"D. Denisyuk, A. Paivin, M. Snegirev, L. Sichinava, N. Khvan, O. A. Paivin","doi":"10.24884/0042-4625-2020-179-4-50-55","DOIUrl":"https://doi.org/10.24884/0042-4625-2020-179-4-50-55","url":null,"abstract":"coronary bypass surgery, like any other minimally traumatic operation, depends on the selection of patients. Performing the preoperative examination protocol allows you to develop an individual approach to the surgical treatment of each patient.","PeriodicalId":23485,"journal":{"name":"Vestnik khirurgii imeni I. I. Grekova","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69112282","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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