Pub Date : 2023-01-01DOI: 10.51922/2074-5044.2023.2.15
Vasilev D. V., Kolendo P. G., Belyaev P. N., Sichinava N. I., Ramkov A. G.
{"title":"EXPERIENCE IN THE APPLICATION OF COMBINED BONE CAVITY PLASTY IN CHRONIC FIREARM POSTTRAUMATIC OSTEOMYELITIS OF THE FEMOR BONE","authors":"Vasilev D. V., Kolendo P. G., Belyaev P. N., Sichinava N. I., Ramkov A. G.","doi":"10.51922/2074-5044.2023.2.15","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.2.15","url":null,"abstract":"","PeriodicalId":86137,"journal":{"name":"Military surgeon","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70858928","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 : 2023-01-01DOI: 10.51922/2074-5044.2023.1.53
Kochуna E. V., Zatoloka P. A.
Today the development of 3D technologies, the spread and improvement of 3D printers, as well as the development and application of new printing materials have contributed to the widespread introduction of 3D printing in medicine. There are many options for using 3D technologies, however, one of the most commonly used areas is preoperative planning. Modern imaging techniques are an important component of the preoperative stage in surgical practice. Using a personalized 3D model the surgeon in detail works out on it the optimal surgical approach, the most important stages of the upcoming operation, taking into account the individual anatomical features of the structure of the area of interest. The realism and practical significance of the operation on a 3D model is achieved due to the complete identity of the area of surgical interest with the patient's organs on a 1:1 scale. The purpose of this review was to present up-to-date information on the possibilities and prospects of using 3D printing in planning surgical interventions in otorhinolaryngology, using 3D modeling technologies in teaching students at the Department of Ear, Nose and Throat Diseases of Belarusian State Medical University. Thus, the prospects for 3D technologies are very large-scale, and they will undoubtedly become one of the most dynamic areas in medicine in the future.
{"title":"MODERN POSSIBILITIES AND DIRECTIONS OF USING 3D-MODELING IN OTORHINOLARYNGOLOGY","authors":"Kochуna E. V., Zatoloka P. A.","doi":"10.51922/2074-5044.2023.1.53","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.1.53","url":null,"abstract":"Today the development of 3D technologies, the spread and improvement of 3D printers, as well as the development and application of new printing materials have contributed to the widespread introduction of 3D printing in medicine. There are many options for using 3D technologies, however, one of the most commonly used areas is preoperative planning. Modern imaging techniques are an important component of the preoperative stage in surgical practice. Using a personalized 3D model the surgeon in detail works out on it the optimal surgical approach, the most important stages of the upcoming operation, taking into account the individual anatomical features of the structure of the area of interest. The realism and practical significance of the operation on a 3D model is achieved due to the complete identity of the area of surgical interest with the patient's organs on a 1:1 scale. The purpose of this review was to present up-to-date information on the possibilities and prospects of using 3D printing in planning surgical interventions in otorhinolaryngology, using 3D modeling technologies in teaching students at the Department of Ear, Nose and Throat Diseases of Belarusian State Medical University. Thus, the prospects for 3D technologies are very large-scale, and they will undoubtedly become one of the most dynamic areas in medicine in the future.","PeriodicalId":86137,"journal":{"name":"Military surgeon","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70857036","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 : 2023-01-01DOI: 10.51922/2074-5044.2023.2.126
Litvinchik А., Sipovich Y., Fedorov К., Trukhan А.
Purpose: to asses and to analyze early and long-term results of the hand reconstructions of the extensive soft tissue defects with posterior interosseous flap of the patients with hand injuries. Objective: find out whether this type of operation is optimal for the reconstruction of soft tissue defects of the hand; improve the quality of life of patients with soft tissue defects of the hand Materials and methods: the results of reconstruction of soft tissue defects of the hands with the posterior intercostal flap of the forearm in 6 patients (5 men and 1 woman) aged 31 to 67 years were analysed. In all 6 cases, reconstruction of the posterior interosseus flap was performed during the phased treatment of the patient with severe post-traumatic defects in the soft tissues of the hand. In all 6 cases, the reconstruction of soft tissue defects of the hands was combined with complex traumatic and orthopedic operations (autocost plasty with a cortical-spongiotic graft, removal or resection of one of the rays of the hand with the formalion of narrow – fingered hand, osteosynthesis and rheosynthesis by spokes, microscrews and microplates, necrectomy and amputations). Preoperative preparations included ultrasound Doppler of the forearm with visualization of posterior interosseus vessels. In all cases, reconstructive operations were performed using binocular optics with an increase of 30–35 times. In the postoperative period, the condition of vascularization of flaps was monitored by thermal imaging. Results: the flaps has taken root in all 6 cases. Postoperative complication in the form of marginal flap necrosis in it’s local venosus insufficiency was determined in one patient, which indicates the variability of vascular anatomy of the flap. Conclusion: 1 year after operation, all patients were satisfied with the function of the hand the aesthetic appearance of the hand and donor area on the forearm. Survey Disabilities of the Arm, Shoulders, and Hand (DASH) was used to assess postoperative results in all patients after 1 year.
{"title":"POSTERIOR INTEROSSEOUS FLAP IN RECONSTRUCTION SOFT TISSUE DEFECTS OF THE HAND","authors":"Litvinchik А., Sipovich Y., Fedorov К., Trukhan А.","doi":"10.51922/2074-5044.2023.2.126","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.2.126","url":null,"abstract":"Purpose: to asses and to analyze early and long-term results of the hand reconstructions of the extensive soft tissue defects with posterior interosseous flap of the patients with hand injuries. Objective: find out whether this type of operation is optimal for the reconstruction of soft tissue defects of the hand; improve the quality of life of patients with soft tissue defects of the hand Materials and methods: the results of reconstruction of soft tissue defects of the hands with the posterior intercostal flap of the forearm in 6 patients (5 men and 1 woman) aged 31 to 67 years were analysed. In all 6 cases, reconstruction of the posterior interosseus flap was performed during the phased treatment of the patient with severe post-traumatic defects in the soft tissues of the hand. In all 6 cases, the reconstruction of soft tissue defects of the hands was combined with complex traumatic and orthopedic operations (autocost plasty with a cortical-spongiotic graft, removal or resection of one of the rays of the hand with the formalion of narrow – fingered hand, osteosynthesis and rheosynthesis by spokes, microscrews and microplates, necrectomy and amputations). Preoperative preparations included ultrasound Doppler of the forearm with visualization of posterior interosseus vessels. In all cases, reconstructive operations were performed using binocular optics with an increase of 30–35 times. In the postoperative period, the condition of vascularization of flaps was monitored by thermal imaging. Results: the flaps has taken root in all 6 cases. Postoperative complication in the form of marginal flap necrosis in it’s local venosus insufficiency was determined in one patient, which indicates the variability of vascular anatomy of the flap. Conclusion: 1 year after operation, all patients were satisfied with the function of the hand the aesthetic appearance of the hand and donor area on the forearm. Survey Disabilities of the Arm, Shoulders, and Hand (DASH) was used to assess postoperative results in all patients after 1 year.","PeriodicalId":86137,"journal":{"name":"Military surgeon","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70858291","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 : 2023-01-01DOI: 10.51922/2074-5044.2023.2.17
Filonov V. P., Krasilnikov A. A., Dolgin A. S.
The article is about the fact that 15 years ago Belarusian scientists created an antiseptic drug for prevention and treatment of wound infection on the basis of polyhexamethylene biguanide –- "Mukosanin", and nowadays the use of such medications has become a worldwide trend in wound infection.
{"title":"THE USE OF ANTISEPTICS BASED ON POLYHEXAMETHYLENE BIGUANIDE FOR THE TREATMENT OF WOUND INFECTION","authors":"Filonov V. P., Krasilnikov A. A., Dolgin A. S.","doi":"10.51922/2074-5044.2023.2.17","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.2.17","url":null,"abstract":"The article is about the fact that 15 years ago Belarusian scientists created an antiseptic drug for prevention and treatment of wound infection on the basis of polyhexamethylene biguanide –- \"Mukosanin\", and nowadays the use of such medications has become a worldwide trend in wound infection.","PeriodicalId":86137,"journal":{"name":"Military surgeon","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70858837","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 : 2023-01-01DOI: 10.51922/2074-5044.2023.2.22
Uryvaev A. M., Bova A. A., Nagornov I. V., Ermolkevich R. F.
The special military operation of the Russian Federation in Ukraine has led to an increased possibility of using nuclear weapons. The use of nuclear weapons during the bombing of the Japanese cities of Hiroshima and Nagasaki in August 1945 led to severe injuries and death of thousands of people, burns, mechanical trauma. Ionizing radiation lesions were new and specific, causing significant difficulties in the diagnosis and management of this pathology. Since then, there have been a number of accidents at nuclear power plants, the largest of which were the accidents at the Chernobyl and the Fukushima. During this time, the concepts of acute and chronic radiation syndromes were introduced into medical practice, and methods for treating these diseases were developed. Today, in connection with the threat of the use of a “dirty bomb” in Ukraine, as well as with the increasing likelihood of using tactical nuclear weapons, there was a need to form certain skills and concepts of actions in case of injuries from ionizing radiation among doctors and paramedical personnel.
{"title":"MODERN APPROACHES TO THE DIAGNOSIS AND ASSISTANCE IN ACUTE RADIATION INJURIES IN REGIONAL MILITARY CONFLICTS","authors":"Uryvaev A. M., Bova A. A., Nagornov I. V., Ermolkevich R. F.","doi":"10.51922/2074-5044.2023.2.22","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.2.22","url":null,"abstract":"The special military operation of the Russian Federation in Ukraine has led to an increased possibility of using nuclear weapons. The use of nuclear weapons during the bombing of the Japanese cities of Hiroshima and Nagasaki in August 1945 led to severe injuries and death of thousands of people, burns, mechanical trauma. Ionizing radiation lesions were new and specific, causing significant difficulties in the diagnosis and management of this pathology. Since then, there have been a number of accidents at nuclear power plants, the largest of which were the accidents at the Chernobyl and the Fukushima. During this time, the concepts of acute and chronic radiation syndromes were introduced into medical practice, and methods for treating these diseases were developed. Today, in connection with the threat of the use of a “dirty bomb” in Ukraine, as well as with the increasing likelihood of using tactical nuclear weapons, there was a need to form certain skills and concepts of actions in case of injuries from ionizing radiation among doctors and paramedical personnel.","PeriodicalId":86137,"journal":{"name":"Military surgeon","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70859124","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 : 2023-01-01DOI: 10.51922/2074-5044.2023.2.132
Gimro O., Talybov A., Hrachanikau A.
The article presents the history of the creation and development of the military department of the Vitebsk State Medical Institute (University), the training of medical personnel from the moment of its formation to the present, as well as brief information about the activities of the department staff.
{"title":"MILITARY DEPARTMENT OF THE EDUCATIONAL INSTITUTION «VITEBSK STATE ORDER OF FRIENDSHIP OF PEOPLES MEDICAL UNIVERSITY», AS A COMPONENT OF THE SYSTEM OF TRAINING RESERVE OFFICERS OF THE MEDICAL SERVICE","authors":"Gimro O., Talybov A., Hrachanikau A.","doi":"10.51922/2074-5044.2023.2.132","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.2.132","url":null,"abstract":"The article presents the history of the creation and development of the military department of the Vitebsk State Medical Institute (University), the training of medical personnel from the moment of its formation to the present, as well as brief information about the activities of the department staff.","PeriodicalId":86137,"journal":{"name":"Military surgeon","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70857984","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 : 2023-01-01DOI: 10.51922/2074-5044.2023.2.70
Bova A. A., Gromova Y. M.
Progression of the atherosclerotic process with the development of clinical manifestations is associated with an increased level of atherogenic fractions of lipids, primarily low-density lipoprotein cholesterol. The most studied group of lipid lowering drugs, which have proven their effectiveness in reducing cardiovascular morbidity and mortality, and the first choice drugs in the treatment of dyslipidemia are statins. The updated international guidelines for the treatment of dyslipidemia revised approaches to cardiovascular risk stratification and lipid lowering therapy tactics in different patient cohorts.
{"title":"CURRENT STATIN POSITIONS IN THE PREVENTION OF CARDIOVASCULAR EVENTS","authors":"Bova A. A., Gromova Y. M.","doi":"10.51922/2074-5044.2023.2.70","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.2.70","url":null,"abstract":"Progression of the atherosclerotic process with the development of clinical manifestations is associated with an increased level of atherogenic fractions of lipids, primarily low-density lipoprotein cholesterol. The most studied group of lipid lowering drugs, which have proven their effectiveness in reducing cardiovascular morbidity and mortality, and the first choice drugs in the treatment of dyslipidemia are statins. The updated international guidelines for the treatment of dyslipidemia revised approaches to cardiovascular risk stratification and lipid lowering therapy tactics in different patient cohorts.","PeriodicalId":86137,"journal":{"name":"Military surgeon","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70859003","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 : 2023-01-01DOI: 10.51922/2074-5044.2023.1.2
Bordakov P. V., Ostapenko E. N., Bordakov V. N., Gukailo S. E., Ignatovich D. V.
Closed heart injuries are one of the urgent problems of emergency surgery. The results of treatment of this category of victims depend on the quality of diagnosis and the provision of emergency care at the prehospital stage of the organization of specialized surgical care in the conditions of inpatient and intensive care. The most informative diagnostic method is ECG.
{"title":"CLOSED HEART INJURIES. DIAGNOSIS AND TREATMENT AT THE PREHOSPITAL STAGE","authors":"Bordakov P. V., Ostapenko E. N., Bordakov V. N., Gukailo S. E., Ignatovich D. V.","doi":"10.51922/2074-5044.2023.1.2","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.1.2","url":null,"abstract":"Closed heart injuries are one of the urgent problems of emergency surgery. The results of treatment of this category of victims depend on the quality of diagnosis and the provision of emergency care at the prehospital stage of the organization of specialized surgical care in the conditions of inpatient and intensive care. The most informative diagnostic method is ECG.","PeriodicalId":86137,"journal":{"name":"Military surgeon","volume":"37 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70856572","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 : 2023-01-01DOI: 10.51922/2074-5044.2023.1.30
Kuzmin Yu. V.
Trophic disorders in chronic venous insufficiency of the lower extremities is currently an important problem. In countries with developed economies, in chronic venous insufficiency, 15–18% of the population has decompensated forms with severe trophic skin disorders. We studied 10326 case histories and statistical charts of patients with varicose veins of the lower extremities, of which 2275 patients had chronic venous insufficiency C4-C6 (from 2010 to 2019). The paper shows the structure of the incidence of chronic venous insufficiency C4-C6, the influence of the age of men and women on the development of trophic disorders in varicose saphenous veins of the lower extremities. Causes of chronic venous insufficiency C4-C6 are shown.
{"title":"TROPHIC DISORDERS IN VARICOSE DISEASE – EPIDEMIOLOGICAL CHARACTERISTICS","authors":"Kuzmin Yu. V.","doi":"10.51922/2074-5044.2023.1.30","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.1.30","url":null,"abstract":"Trophic disorders in chronic venous insufficiency of the lower extremities is currently an important problem. In countries with developed economies, in chronic venous insufficiency, 15–18% of the population has decompensated forms with severe trophic skin disorders. We studied 10326 case histories and statistical charts of patients with varicose veins of the lower extremities, of which 2275 patients had chronic venous insufficiency C4-C6 (from 2010 to 2019). The paper shows the structure of the incidence of chronic venous insufficiency C4-C6, the influence of the age of men and women on the development of trophic disorders in varicose saphenous veins of the lower extremities. Causes of chronic venous insufficiency C4-C6 are shown.","PeriodicalId":86137,"journal":{"name":"Military surgeon","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70856855","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 : 2023-01-01DOI: 10.51922/2074-5044.2023.2.108
Solomonova G. A., Tretiak S. I., Domarenok E. P.
The article gives a description of the section of diseases of the operated stomach – post-gastroresection syndromes. It has been noted that over the past decades the number of resection interventions due to complicated gastroduodenal ulcer has decreased. This was facilitated by the improvement of drug therapy, the emergence of new antiulcer drugs, including proton pump inhibitors, and the improvement of endoscopic methods for diagnosing and treating this pathology. Therefore, the number of post-gastroresection syndromes remains significant. The paper describes the ethology, pathogenesis, clinical manifestations of postgastrectomy syndromes. Diagnostic methods using the X-ray method, esophagogastroduodenoscopy, ultrasound examination of the abdominal organs, and computed tomography are considered in detail. Methods of conservative therapy are described, indications for surgical treatment are determined. The characteristic of classical and new methods of performing operational aids is given, and an assessment of their effectiveness is given.
{"title":"POSTGASTRORESECTIONAL SYNDROMES","authors":"Solomonova G. A., Tretiak S. I., Domarenok E. P.","doi":"10.51922/2074-5044.2023.2.108","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.2.108","url":null,"abstract":"The article gives a description of the section of diseases of the operated stomach – post-gastroresection syndromes. It has been noted that over the past decades the number of resection interventions due to complicated gastroduodenal ulcer has decreased. This was facilitated by the improvement of drug therapy, the emergence of new antiulcer drugs, including proton pump inhibitors, and the improvement of endoscopic methods for diagnosing and treating this pathology. Therefore, the number of post-gastroresection syndromes remains significant. The paper describes the ethology, pathogenesis, clinical manifestations of postgastrectomy syndromes. Diagnostic methods using the X-ray method, esophagogastroduodenoscopy, ultrasound examination of the abdominal organs, and computed tomography are considered in detail. Methods of conservative therapy are described, indications for surgical treatment are determined. The characteristic of classical and new methods of performing operational aids is given, and an assessment of their effectiveness is given.","PeriodicalId":86137,"journal":{"name":"Military surgeon","volume":"253 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70857688","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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