Pub Date : 2020-06-29DOI: 10.24884/0042-4625-2020-179-2-7-10
A. A. Kurygin, V. Semenov, I. S. Tarbaev
Academician Timofey Krasnobayev was born on March 6, 1865 in Smolensk, in a poor hairdresser ‘s family. After graduating from the gymnasium, Timofey Petrovich entered the Medical Faculty of the Moscow University. After graduated from the University in 1888, T. P. Krasnobayev worked for a year as an external student at the Smolensk provincial hospital and then returned to Moscow. At the very beginning of 1903, the Moscow City Administration sent Timofey Petrovich on a 6-month scientific mission to Western Europe to familiarize with children’s hospitals and their surgical departments and to study orthopaedic surgery. T. P. Krasnobayev was the ideologist of the system of prevention of secondary intra-hospital diseases in children. T. P. Krasnobayev made the greatest contribution to the development of child traumatology and orthopaedics. Timofey Petrovich had given more than 50 years to study the issues of diagnosis, treatment and prevention of bone-joint tuberculosis in children and is undoubtedly a luminary and a gene rally recognized authority in this section of pediatrics. T. P. Krasnobayev has a great merit in the organization of the X-ray service at the children’s hospital. He published about 70 scientific papers on pediatric surgery and made more than 150 reports. Academician Timofey Petrovich Krasnobayev died on October 11, 1952.
院士蒂莫菲·克拉斯诺巴耶夫1865年3月6日出生在斯摩棱斯克一个贫穷的理发师家庭。从体育馆毕业后，Timofey Petrovich进入莫斯科大学医学院。1888年从大学毕业后，t·p·克拉斯诺巴耶夫在斯摩棱斯克省医院做了一年的校外学生，然后回到莫斯科。1903年初，莫斯科市政府派遣Timofey Petrovich前往西欧进行为期6个月的科学考察，以熟悉儿童医院及其外科，并学习矫形外科。t·p·克拉斯诺巴耶夫是儿童院内二级疾病预防体系的思想家。t·p·克拉斯诺巴耶夫对儿童创伤学和骨科的发展做出了最大的贡献。Timofey Petrovich花了50多年的时间研究儿童骨关节结核的诊断、治疗和预防问题，无疑是儿科这一领域的杰出人物和公认的基因权威。T. P. Krasnobayev在组织儿童医院的x光服务方面有很大的功绩。他发表了大约70篇关于儿科外科的科学论文，发表了150多篇报告。蒂莫菲·彼得罗维奇·克拉斯诺巴耶夫院士于1952年10月11日去世。
{"title":"Academician Timofey Petrovich Krasnobayev (1865–1952) (on the 155th anniversary of the birthday)","authors":"A. A. Kurygin, V. Semenov, I. S. Tarbaev","doi":"10.24884/0042-4625-2020-179-2-7-10","DOIUrl":"https://doi.org/10.24884/0042-4625-2020-179-2-7-10","url":null,"abstract":"Academician Timofey Krasnobayev was born on March 6, 1865 in Smolensk, in a poor hairdresser ‘s family. After graduating from the gymnasium, Timofey Petrovich entered the Medical Faculty of the Moscow University. After graduated from the University in 1888, T. P. Krasnobayev worked for a year as an external student at the Smolensk provincial hospital and then returned to Moscow. At the very beginning of 1903, the Moscow City Administration sent Timofey Petrovich on a 6-month scientific mission to Western Europe to familiarize with children’s hospitals and their surgical departments and to study orthopaedic surgery. T. P. Krasnobayev was the ideologist of the system of prevention of secondary intra-hospital diseases in children. T. P. Krasnobayev made the greatest contribution to the development of child traumatology and orthopaedics. Timofey Petrovich had given more than 50 years to study the issues of diagnosis, treatment and prevention of bone-joint tuberculosis in children and is undoubtedly a luminary and a gene rally recognized authority in this section of pediatrics. T. P. Krasnobayev has a great merit in the organization of the X-ray service at the children’s hospital. He published about 70 scientific papers on pediatric surgery and made more than 150 reports. Academician Timofey Petrovich Krasnobayev died on October 11, 1952.","PeriodicalId":23485,"journal":{"name":"Vestnik khirurgii imeni I. I. Grekova","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69107656","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 : 2020-06-29DOI: 10.24884/0042-4625-2020-179-2-44-46
S. Boldyrev, V. Suslova, V. Pekhterev, K. Barbukhatti, V. Porhanov
To date, the incidence of penetrating aortic ulcers is from 2 to 7 % of all cases of acute aortic syndrome, localization of this pathology in the ascending aorta are casuistic. We present the case of an intraoperative finding of a penetrating ulcer of the ascending aorta. The patient underwent separate prosthetics of the ascending aorta with the vascular prosthesis Uni-Graft No. 28 and the aortic valve prosthesis with the mechanical prosthesis Medtronic No. 23. The patient was discharged on the 8th day in a satisfactory condition. Penetrating atherosclerotic ulcer is a potentially life-threatening condition, the detection of which requires aggressive tactics of surgical treatment.
{"title":"Penetrating atherosclerotic ulcer of the ascending aorta","authors":"S. Boldyrev, V. Suslova, V. Pekhterev, K. Barbukhatti, V. Porhanov","doi":"10.24884/0042-4625-2020-179-2-44-46","DOIUrl":"https://doi.org/10.24884/0042-4625-2020-179-2-44-46","url":null,"abstract":"To date, the incidence of penetrating aortic ulcers is from 2 to 7 % of all cases of acute aortic syndrome, localization of this pathology in the ascending aorta are casuistic. We present the case of an intraoperative finding of a penetrating ulcer of the ascending aorta. The patient underwent separate prosthetics of the ascending aorta with the vascular prosthesis Uni-Graft No. 28 and the aortic valve prosthesis with the mechanical prosthesis Medtronic No. 23. The patient was discharged on the 8th day in a satisfactory condition. Penetrating atherosclerotic ulcer is a potentially life-threatening condition, the detection of which requires aggressive tactics of surgical treatment.","PeriodicalId":23485,"journal":{"name":"Vestnik khirurgii imeni I. I. Grekova","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69107724","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 : 2020-06-29DOI: 10.24884/0042-4625-2020-179-2-47-50
Z. M. Khamid, D. I. Vasilevskii, A. Y. Korol’kov, S. Balandov
The OBJECTIVE was to present the results of surgical treatment of the patient with the combined pathology: celiac trunk compression syndrome and hiatal hernia. In the 63-year-old patient with chronic abdominal pain and dysphagia, a type III esophageal hiatus hernia and a celiac trunk compression syndrome were detected during the examination. The simultaneous operation was performed: laparoscopic decompression of the celiac trunk and laparoscopic removal of the hiatal hernia with fundoplication according to R. Nissen.
{"title":"Combined laparoscopic intervention for compression syndrome of the celiac trunk and hiatal hernia","authors":"Z. M. Khamid, D. I. Vasilevskii, A. Y. Korol’kov, S. Balandov","doi":"10.24884/0042-4625-2020-179-2-47-50","DOIUrl":"https://doi.org/10.24884/0042-4625-2020-179-2-47-50","url":null,"abstract":"The OBJECTIVE was to present the results of surgical treatment of the patient with the combined pathology: celiac trunk compression syndrome and hiatal hernia. In the 63-year-old patient with chronic abdominal pain and dysphagia, a type III esophageal hiatus hernia and a celiac trunk compression syndrome were detected during the examination. The simultaneous operation was performed: laparoscopic decompression of the celiac trunk and laparoscopic removal of the hiatal hernia with fundoplication according to R. Nissen.","PeriodicalId":23485,"journal":{"name":"Vestnik khirurgii imeni I. I. Grekova","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69107388","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 : 2020-06-29DOI: 10.24884/0042-4625-2020-179-2-63-67
Юрий Павлович Кабанов, В. Ф. Семенцов, Ю. Ямщикова, О. В. Макарова, S. V. Stolov, M. Kabanov, K. Semencov, T. Y. Yamshchikova, Olga V. Makarova, E. M. Ugleva
The article presents the clinical case of an abscess of the iliopsoas muscle (iliopsoitis), a rare abdominal infectious and inflammatory disease that required a multidisciplinary approach in the diagnosis of this pathology in a multidisciplinary hospital.
{"title":"Abscess of the right iliopsoas muscle: rare disease and difficulties in its diagnosis","authors":"Юрий Павлович Кабанов, В. Ф. Семенцов, Ю. Ямщикова, О. В. Макарова, S. V. Stolov, M. Kabanov, K. Semencov, T. Y. Yamshchikova, Olga V. Makarova, E. M. Ugleva","doi":"10.24884/0042-4625-2020-179-2-63-67","DOIUrl":"https://doi.org/10.24884/0042-4625-2020-179-2-63-67","url":null,"abstract":"The article presents the clinical case of an abscess of the iliopsoas muscle (iliopsoitis), a rare abdominal infectious and inflammatory disease that required a multidisciplinary approach in the diagnosis of this pathology in a multidisciplinary hospital.","PeriodicalId":23485,"journal":{"name":"Vestnik khirurgii imeni I. I. Grekova","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69107570","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 : 2020-06-29DOI: 10.24884/0042-4625-2020-179-2-55-58
P. N. Romaschenko, A. A. Sazonov, N. A. Maistrenko, D. A. Ilyasbekov
The use of organ-preserving interventions remains the most important direction in improving of surgical treatment of patients with rectal cancer. One of the promising options for its implementation is the TEM (transanal endoscopic microsurgery) technique, which allows local removal of rectal neoplasms by its full-wall resection. However, indications for this intervention are still a matter of debate. The presented clinical case demonstrates the positive potential of the TEM technique, which consists of reducing surgical trauma without violating the basic oncological principles.
{"title":"TEM technique in the treatment of patients with early rectal cancer","authors":"P. N. Romaschenko, A. A. Sazonov, N. A. Maistrenko, D. A. Ilyasbekov","doi":"10.24884/0042-4625-2020-179-2-55-58","DOIUrl":"https://doi.org/10.24884/0042-4625-2020-179-2-55-58","url":null,"abstract":"The use of organ-preserving interventions remains the most important direction in improving of surgical treatment of patients with rectal cancer. One of the promising options for its implementation is the TEM (transanal endoscopic microsurgery) technique, which allows local removal of rectal neoplasms by its full-wall resection. However, indications for this intervention are still a matter of debate. The presented clinical case demonstrates the positive potential of the TEM technique, which consists of reducing surgical trauma without violating the basic oncological principles.","PeriodicalId":23485,"journal":{"name":"Vestnik khirurgii imeni I. I. Grekova","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69107503","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 : 2020-06-29DOI: 10.24884/0042-4625-2020-179-2-85-87
Aleksandr A. Kurygin, Valery V. Semenov, I. S. Tarbaev
The first idea of stage operations for colon cancer was introduced in 1898 by G. F. Ceidler. The first stage of treatment, he recommended the formation of colostoma above the tumor. At the 30th Congress of French Surgeons in 1921 in Strasbourg, H. Hartmann, a surgeon from Paris, reported on the successful treatment of two patients with cancer of the left half of the colon. In the domestic literature, there were different names of Hartmann’s operation. The first report of its performance in our country belongs to N. N. Petrov, who called this intervention operation Coffey – Hartmann (1929) or the single-step intraperitoneal operation by Hartmann (1939). For many decades, the term «obstructive colon resection» has been widely used in foreign and domestic literature. A two-stage operation under this name was developed and practiced by the American surgeon F.W. Rankin in 1928. At the same time, obstructive resection of the colon by Rankin can be performed only in a planned order, unlike Hartmann’s operation, which is carried out also in case of acute colon obstruction. Thus, the following names of surgical interventions using H. Hartmann’s name are valid and terminologically correct: Hartmann’s sigmoid resection (with formation of a flat sigmostoma and suturing of the sigmoid stump); Hartmann’s resection of the sigmoid and rectum (with formation of a flat sigmostoma and suturing of the stump of the supra-ampular or ampular parts of the rectum); left-sided hemicolectomy of Hartmann type (with formation of flat transversostoma and suturing of sigmoid stump); transverse colon resection of Hartmann type (with formation of flat transversostoma and suturing of transverse colon stump).
1898年，g·f·塞德勒首次提出了结肠癌分期手术的想法。在第一阶段的治疗中，他建议在肿瘤上方形成结肠造口。1921年，在斯特拉斯堡举行的第30届法国外科医生大会上，来自巴黎的外科医生哈特曼(H. Hartmann)报告了他成功治疗了两名左半结肠癌患者的情况。在国内文献中，哈特曼手术有不同的名称。在我国最早报道其表现的是N. N. Petrov，他将这种干预手术称为Coffey - Hartmann(1929)或Hartmann(1939)的单步腹腔内手术。几十年来，“梗阻性结肠切除术”一词在国内外文献中被广泛使用。1928年，美国外科医生f·w·兰金(F.W. Rankin)发明并实践了这种两阶段手术。同时，Rankin结肠梗阻性切除术只能有计划地进行，而Hartmann的手术也在急性结肠梗阻的情况下进行。因此，以下使用H. Hartmann名字的手术干预是有效且术语正确的:Hartmann的乙状结肠切除术(形成平坦的乙状结肠口并缝合乙状结肠残端);哈特曼(Hartmann)乙状结肠和直肠切除术(形成扁平的乙状结肠口并缝合直肠的壶腹上或壶腹部分残端);Hartmann型左侧半结肠切除术(造平横口缝合乙状结肠残端);Hartmann型横结肠切除术(形成扁平横口，缝合横结肠残端)。
{"title":"Hartmann’s operation: 100 years in surgery","authors":"Aleksandr A. Kurygin, Valery V. Semenov, I. S. Tarbaev","doi":"10.24884/0042-4625-2020-179-2-85-87","DOIUrl":"https://doi.org/10.24884/0042-4625-2020-179-2-85-87","url":null,"abstract":"The first idea of stage operations for colon cancer was introduced in 1898 by G. F. Ceidler. The first stage of treatment, he recommended the formation of colostoma above the tumor. At the 30th Congress of French Surgeons in 1921 in Strasbourg, H. Hartmann, a surgeon from Paris, reported on the successful treatment of two patients with cancer of the left half of the colon. In the domestic literature, there were different names of Hartmann’s operation. The first report of its performance in our country belongs to N. N. Petrov, who called this intervention operation Coffey – Hartmann (1929) or the single-step intraperitoneal operation by Hartmann (1939). For many decades, the term «obstructive colon resection» has been widely used in foreign and domestic literature. A two-stage operation under this name was developed and practiced by the American surgeon F.W. Rankin in 1928. At the same time, obstructive resection of the colon by Rankin can be performed only in a planned order, unlike Hartmann’s operation, which is carried out also in case of acute colon obstruction. Thus, the following names of surgical interventions using H. Hartmann’s name are valid and terminologically correct: Hartmann’s sigmoid resection (with formation of a flat sigmostoma and suturing of the sigmoid stump); Hartmann’s resection of the sigmoid and rectum (with formation of a flat sigmostoma and suturing of the stump of the supra-ampular or ampular parts of the rectum); left-sided hemicolectomy of Hartmann type (with formation of flat transversostoma and suturing of sigmoid stump); transverse colon resection of Hartmann type (with formation of flat transversostoma and suturing of transverse colon stump).","PeriodicalId":23485,"journal":{"name":"Vestnik khirurgii imeni I. I. Grekova","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69108831","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 : 2020-06-29DOI: 10.24884/0042-4625-2020-179-2-40-43
A. Kuzmichev, A. L. Akinchev, A. Savin, V. Lomakin, D. V. Makharoblisvili
The article is presented the description of rare clinical observation of the patient with pharyngeal lipofibroma complicated by compression syndrome, accompanied by impaired swallowing and breathing. The patient was successfully operated on with cervical access.
{"title":"Surgical treatment of retropharyngeal lipofibroma complicated by compression syndrome","authors":"A. Kuzmichev, A. L. Akinchev, A. Savin, V. Lomakin, D. V. Makharoblisvili","doi":"10.24884/0042-4625-2020-179-2-40-43","DOIUrl":"https://doi.org/10.24884/0042-4625-2020-179-2-40-43","url":null,"abstract":"The article is presented the description of rare clinical observation of the patient with pharyngeal lipofibroma complicated by compression syndrome, accompanied by impaired swallowing and breathing. The patient was successfully operated on with cervical access.","PeriodicalId":23485,"journal":{"name":"Vestnik khirurgii imeni I. I. Grekova","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69107632","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 : 2020-06-29DOI: 10.24884/0042-4625-2020-179-2-79-84
M. I. Shkerdina, S. Antonyan, Y. Zharikov
Nowadays, adhesive small bowel obstruction (ASBO) is a disease characterized by the stable increase in the number of patients, a significant level of postoperative complications, and a high risk of disability and death. The objective of the article was the research and analysis of relevant data of video laparoscopic treatment of patients with ASBO and possible postoperative complications. A small percentage of complications in clinical centers with a large flow of patients of this profile and rapid postoperative recovery of patients promote the active introduction of laparoscopic adhesiolysis in practical medicine. The analysis of foreign and domestic literature showed that the faithful adherence of indications for application of the technique for resolving intestinal obstruction and restoring passage through the gastrointestinal tract allows to achieve better results and avoid iatrogenic and infectious complications. Thus, laparoscopic treatment can and should be the operation of choice only in a carefully selected group of patients (the first manifestation of ASBO, the absence of pronounced ischemic changes in the intestinal wall and (or) the predicted presence of a small number of peritoneal adhesions), in all other cases, the use of laparotomy is indicated. Currently, there is a clear trend towards an increasing recognition and use of laparoscopy in surgical practice. It is becoming the preferred choice in clinical centers with extensive experience in the treatment of patients with ASBO due to an insignificant percentage of complications and a rapid postoperative recovery.
{"title":"Aspect of laparoscopic treatment of patients with adhesive small bowel obstruction (review of literature)","authors":"M. I. Shkerdina, S. Antonyan, Y. Zharikov","doi":"10.24884/0042-4625-2020-179-2-79-84","DOIUrl":"https://doi.org/10.24884/0042-4625-2020-179-2-79-84","url":null,"abstract":"Nowadays, adhesive small bowel obstruction (ASBO) is a disease characterized by the stable increase in the number of patients, a significant level of postoperative complications, and a high risk of disability and death. The objective of the article was the research and analysis of relevant data of video laparoscopic treatment of patients with ASBO and possible postoperative complications. A small percentage of complications in clinical centers with a large flow of patients of this profile and rapid postoperative recovery of patients promote the active introduction of laparoscopic adhesiolysis in practical medicine. The analysis of foreign and domestic literature showed that the faithful adherence of indications for application of the technique for resolving intestinal obstruction and restoring passage through the gastrointestinal tract allows to achieve better results and avoid iatrogenic and infectious complications. Thus, laparoscopic treatment can and should be the operation of choice only in a carefully selected group of patients (the first manifestation of ASBO, the absence of pronounced ischemic changes in the intestinal wall and (or) the predicted presence of a small number of peritoneal adhesions), in all other cases, the use of laparotomy is indicated. Currently, there is a clear trend towards an increasing recognition and use of laparoscopy in surgical practice. It is becoming the preferred choice in clinical centers with extensive experience in the treatment of patients with ASBO due to an insignificant percentage of complications and a rapid postoperative recovery.","PeriodicalId":23485,"journal":{"name":"Vestnik khirurgii imeni I. I. Grekova","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69107805","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 : 2020-06-29DOI: 10.24884/0042-4625-2020-179-2-51-54
E. G. Grigoryev, A. Alexandrov, E. Chizhova, V. I. Kaporskiy
The authors present the case report of the patient with acute pancreatitis, multiple organ failure, anuria, pancreatogenic shock complicated by infection, diffused retroperitoneal phlegmon, unformed duodenal fistula, postnecrotic insular diabetes. Percutaneous catheter drainage of retroperitoneal abscess was performed under ultrasonic guidance. Therapy included somatuline. Irrigation-evacuation original system was used for debridement.
{"title":"Long-term result of minimally invasive treatment of necrotic pancreatitis complicated by subtotal retroperitoneal phlegmon and unformed duodenal fistula","authors":"E. G. Grigoryev, A. Alexandrov, E. Chizhova, V. I. Kaporskiy","doi":"10.24884/0042-4625-2020-179-2-51-54","DOIUrl":"https://doi.org/10.24884/0042-4625-2020-179-2-51-54","url":null,"abstract":"The authors present the case report of the patient with acute pancreatitis, multiple organ failure, anuria, pancreatogenic shock complicated by infection, diffused retroperitoneal phlegmon, unformed duodenal fistula, postnecrotic insular diabetes. Percutaneous catheter drainage of retroperitoneal abscess was performed under ultrasonic guidance. Therapy included somatuline. Irrigation-evacuation original system was used for debridement.","PeriodicalId":23485,"journal":{"name":"Vestnik khirurgii imeni I. I. Grekova","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69107407","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 : 2020-06-29DOI: 10.24884/0042-4625-2020-179-2-73-78
Нижний Новгород, L. Otdelnov, A. S. Mukhin
The study was performed for analysis of current understanding of intra-abdominal hypertension and abdominal compartment syndrome in patients with severe acute pancreatitis.The English and Russian articles about intra-abdominal hypertension and abdominal compartment syndrome in patients with severe acute pancreatitis were analyzed. The articles were found in «Russian Science Citation Index» and «PubMed».There is a pathogenetic relationship between increased intra-abdominal pressure and the development of severe acute pancreatitis.For today, it was shown that intra-abdominal hypertension in patients with severe acute pancreatitis is associated with significantly higher APACHE-II and MODS score, prevalence of pancreatic and peripancreatic tissue lesions, early infection of pancreatic necrosis and higher mortality.The article considers various variants of decompressive interventions such as decompressive laparotomy, fasciotomy and percutaneous catheter drainage. For today, there are no randomized studies devoted to researching effectiveness of different decompressive interventions.The study showed that it is necessary to regularly monitor intra-abdominal pressure in patients with severe acute pancreatitis. Patients with intra-abdominal hypertension require emergency medical management to reduce intra-abdominal pressure. Inefficiency of the medical management and development of abdominal compartment syndrome are indications for surgery. The effectiveness of different decompressive interventions requires further studies.
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