In memory of Georgiy Nicolaevich Tsibulyak

2020 ◽  
Vol 22 (4) ◽  
pp. 249-252
Author(s):  
I. M. Samokhvalov ◽  
V. I. Badalov ◽  
N. A. Tiniankin ◽  
P. P. Liashedko ◽  
K. P. Golovko
Keyword(s):  
Research Laboratory ◽  
Traumatic Shock ◽  
Gold Medal ◽  
Clinical Findings ◽  
Terminal State ◽  
Surgical Trauma ◽  
Senior Lecturer ◽  
War Surgery ◽  
Scientific Papers ◽  
Surgery Department

The biography of colonel of Medical Corps, professor Georgiy Nicolaevich Tsibuliak (19322020) is presented. In 1956 G.N. Tsibuliak graduated from the Kirov Military Academy being awarded with gold medal. When being a cadet, he got actively engaged in research. In 1961 G.N. Tsibuliak defended candidates dissertation on the injury treatment in casualties damaged by ionizing radiation, took part in the study of multiple injuries occurring in atomic tests. After graduating from the medical residency he stayed in War Surgery department of the Academy, was eventually assigned as a senior lecturer, the head of the research laboratory carrying out the study of shock and terminal state. In1966 he defended a doctorate in pathogenesis, clinical findings and treatment of tetanus. G.N. Tsibuliak became one of the leading advocates for the concept of traumatic shock in individuals. This fact that at present emergency physicians and surgeons dealing with traumatic shock consider to be an axiom, is scientifically based, and was gained through hard routine work in treating severely injured casualties. From 1976 to 1982 Georgiy Nicolaevich was Surgeon-in-Chief in Group of Soviet Forces in Germany. In 19901993 he was in charge of research laboratory dealing with combat surgical trauma in the Academy. Since 1993 G.N. Tsibuliak had retired from active duty, holding the position of a professor at the War Surgery department. He is the author of more than 200 scientific papers, including 7 monographs. G.N. Tsibuliak was closest associate of A.N. Berkutov in studying traumatic shock in casualties, took an active part in formation of a new clinical specialty resuscitation.

scholarly journals Military surgery research laboratory — yesterday, today, tomorrow…

2021 ◽  
Vol 23 (2) ◽  
pp. 261-272
Author(s):  
Alexey V. Denisov ◽  
Konstantin P. Golovko ◽  
Artem M. Nosov ◽  
Pyotr G. Alisov ◽  
Elena V. Dmitrieva
Keyword(s):  
Research Laboratory ◽  
Interdisciplinary Team ◽  
Combat Trauma ◽  
Wound Ballistics ◽  
Laboratory Animals ◽  
War Surgery ◽  
Trauma Research ◽  
Surgery Research ◽  
History Of ◽  
Surgery Department

Presents the history of organization and development of a unique research unit of the Military Medical Academy named after S.M. Kirov, which is engaged in conducting field experiments and field tests using laboratory animals. The history of the laboratory starts in 1982 with the organization of the combat trauma research laboratory, led by an experienced abdominal surgeon, holder of post-doctoral degree in medicine, professor, colonel of Medical Corps V.A. Popov. Within a short time, the research laboratory succeeded in staffing with highly qualified interdisciplinary team, including surgeons, pathophysiologists, critical care physicians, biochemists, morphologists, microbiologists. This gave the opportunity to carry out research on modern combat trauma not only in the experiments with laboratory animals and on the treatment of casualties admitted to the Academys clinics, but also in the combat environment of Afghanistan war as a mobile interdisciplinary team based at medical institutions of the 40th Army. In June 1993 the Combat Trauma research laboratory was combined with the Shock and Terminal State research laboratory, as a result the War Surgery research laboratory was organized, which joined War Surgery department. The laboratory activity focused on in-depth study of problems of experimental surgery and wound ballistics, pathobiochemistry and pathomorphology of ballistic wound. In July 5, 2011, because of staffing measures the laboratory became part of a newly formed research department (experimental medicine) of the Research Center of the Academy. Then laboratory scientists proceeded with the development of traditional research directions: the study of modern wound ballistics, assessment of weapons damage and protective characteristics of individual body protective facilities (body armor, helmets), carried out in terms of War Surgery, as well as the study of a new type of weapon "nonlethal" weapon, the development of unbiased diagnostic tests and complication prognosis for casualties with multiple trauma, optimization and improvement of treatment policy under variety of conditions. At present, the research laboratory (War Surgery) specialists in cooperation with colleagues of War Surgery department are actively involved in the studies devoted to investigation of combat surgical trauma, effectiveness of modern individual armor, development of medical items and technologies treatment of casualties, taking an active part in the educational process.

scholarly journals 70th ANNIVERSARY OF THE DEPARTMENT OF PEDIATRCI SURGERY OF N. N. BURDENKO VORONEZH STATE MEDICAL UNIVERISTY

2019 ◽  
Vol 8 (4) ◽  
pp. 97-104
Author(s):  
V. A. Vecherkin ◽  
S. N. Gisak ◽  
V. A. Ptitsyn ◽  
N. V. Glagolev ◽  
D. A. Baranov ◽  
...  
Keyword(s):  
Pediatric Surgery ◽  
Research Work ◽  
Gold Medal ◽  
Practical Work ◽  
70Th Anniversary ◽  
History Of ◽  
Surgery Department ◽  
Medical University

The article considers the history of the pediatric surgery department of N. N. Burdenko Voronezh State Medical University. The department was founded in 1947. Based on the results of the research undertaken by associates of the department by now, 3 manuals for doctors and students and 12 collections of scientifc papers were issued and 12 investor’s certifcates were obtained. The role of the Student’s scientifc circle was noted: the students struck 5 gold medals during the last fve years. During the last 8 years, the scientifc circle was considered the best and was awarded a gold medal and frstclass honours degree. A close interrelation between the research work of associates of the pediatric surgery department and practical work of pediatric surgeons from the Central Black Earth region was underlined.

Point-of-Care Ultrasound: A Useful Diagnostic Tool in Africa

Praxis ◽  
2020 ◽  
Vol 109 (8) ◽  
pp. 608-614
Author(s):  
Omary Ngome ◽  
Martin Rohacek
Keyword(s):  
Point Of Care ◽  
Clinical Work ◽  
Traumatic Shock ◽  
Clinical Findings ◽  
Diagnostic Tools ◽  
Point Of Care Ultrasound ◽  
Resource Limited Settings ◽  
Resource Limited ◽  
The Impact ◽  
Work Up

Abstract. In resource limited settings with limited tests and diagnostic tools, most of diagnoses are based on clinical findings, and patients are managed empirically, e.g. with anti-tuberculosis drugs. This article aims at describing the use of point-of-care ultrasound in diagnosing the most important conditions in Africa, in addition to clinical work-up. Different protocols exist for the diagnosis of trauma-related disorders, tuberculosis, schistosomiasis, thromboembolism, causes of dyspnea, and non- traumatic shock. Point-of-care ultrasound might be a beneficial tool in Africa, aiding diagnostics and management of patients with these conditions. However, studies must be done to assess the impact of point-of-care ultrasound on mortality.

scholarly journals Conceptual principles of the wounded combatants’ evacuation, suffering military surgical trauma on the medical support levels

2020 ◽  
Vol 87 (5-6) ◽  
pp. 60-64
Author(s):  
I. P. Khomenko ◽  
I. A. Lurin ◽  
S. O. Korol ◽  
V. Yu. Shapovalov ◽  
B. V. Matviichuk
Keyword(s):  
Traumatic Shock ◽  
Statistical Investigation ◽  
Unstable State ◽  
Surgical Trauma ◽  
Medical Support ◽  
Shock State ◽  
Trauma Severity ◽  
Medical Evacuation ◽  
Joint Forces ◽  
Severity Degree

Objective. To improve the results of treatment of the wounded persons, suffering a combat surgical trauma, elaborating and introducing of objective scales of the trauma severity estimation into the medical evacuation system while conduction of Antiterroristic operation / Operation of Joint Forces. Materials and metods. Complex medical-statistical investigation was performed, in which 684 wounded persons, suffering a combat surgical trauma were included. Dynamical medical control and determination of the trauma severity degree in accordance to AdTS (Admission trauma Scale) were applied on all levels of medical support. Results. In the beginning of conduction of Antiterroristic operation / Operation of Joint Forces a mortallty have had occurred during transportation of wounded persons in unstable state (more than 9 points) to military-medical clinical centers. The wounded persons in a traumatic shock state were transported on forth level of medical support, what have been considered an organization defect in the help deliver process, which leaded to death of military persons. At the same time an unjustified delay of transportation of servicemen, suffering wounds of the wrist and foot (up to 5 points), on the first and second levels of medical support, leading to development of severe complications, have occurred. Taking into account the above mentioned, the authors have provided a differentiated approach for medical evacuation of wounded persons, suffering a combat surgical trauma, depending on its severity degree. Conclusion. Evacuation of wounded persons, suffering a combat surgical trauma, constitutes an integral part of the medical support system of Antiterroristic operation/Operation of Joint Forces, closely connected with a medical support process during transportation. Medical evacuation of wounded persons with injuries of the vision organ, the wrist and foot must be accomplished urgently to specialized clinic of the fourth level of medical support.

scholarly journals 140-th anniversary of the birth of the first in Russia head of the department of surgery, a well-known radiobiologist, geneticist and oncologist, Professor Nadezhda Alekseevna Dobrovolskaya (on the 100th anniversary of the Voronezh State medical university)

2018 ◽  
Vol 11 (3) ◽  
pp. 231
Author(s):  
Andreev Alexander Alexeevich ◽  
Anton Petrovich Ostroushko
Keyword(s):  
Assistant Professor ◽  
Gold Medal ◽  
100Th Anniversary ◽  
The Body ◽  
Medical Institute ◽  
Radium Institute ◽  
University Women ◽  
Scientific Papers ◽  
The Crimea ◽  
Pure Lines

Dobrovol'skaya Nadezhda was born in 1878 in Kiev province. After graduating with a gold medal of the women's gymnasium in Kiev Women's medical Institute in Petrograd, worked as an Intern in the clinic of Professor M. S. Subbotin (1902-1904), later a country doctor . 1907 – the assistant to the dissector, assistant Professor of Women's medical Institute (until 1917), supernumeraries medical surgical Academy in Petrograd (from 1914). Since 1911 – a doctor of medicine. In 1912 N.. A. suggested method of joining vessels of different diameter, "end-to-end" crossing them obliquely; I applied the hair to perform a vascular suture. 24 APR 1917 N..Dobrovolskaya apply in Tartu University about acceptance as a privatdozent at the Department of surgery. 14 Oct 1918 – the Board of the University of Voronezh electing her to the chair of surgical pathology with the dressing and the doctrine about dislocations and fractures of the medical faculty and became the first woman to lead the Department of surgery. In 1919, she described the symptom that got her name – a decrease in heart rate when Paltseva the compression of the artery proximal to arteriovenous fistula. To link their fate with the Soviet authorities she did not dare, and soon left Voronezh. N.. Dobrovolskaya served as a doctor in Wrangel's army, which retreated in the Crimea and were evacuated to Egypt (1920-1922). In 1921 N.. Take the art to the newly opened in France, the laboratory organised by the Pasteur Institute and the radium Institute (later, the Institute Curie), which was first headed by Professor Claude REGO, and then N.. Dobrovolskaya. It describes the brachyury mutation in mice is becoming one of the pioneers in understanding the development of the body as changes in gene expression, creates several pure lines of mice as models of human diseases. Nadezhda was a member of the boards of the society of Russian doctors of Mechnikov, Russian academic group, Russian section of the International Federation of University women, Association of Russian doctors abroad. Collaborated in the Brotherhood of the Martyr Albania and St. Sergius. N.. Dobrovolska has authored over one hundred scientific papers. In 1937 she was awarded the French Academy of Sciences for research in the field of hereditary cancer. In 1954, at the age of 76 N..Dobrovolskaya is dead.

scholarly journals Rational use of CT-scanner Considering its Diagnostic Accuracy for the Management of Acute Abdomen: A single-Center Study

2020 ◽  
Vol 4 (2) ◽  
pp. 689-693
Author(s):  
Recep Erçin SÖNMEZ ◽  
Muhammet Ali AYDEMİR ◽  
Aman GAPBAROV ◽  
Orhan ALİMOĞLU
Keyword(s):  
Diagnostic Accuracy ◽  
Acute Abdomen ◽  
Computerized Tomography ◽  
Average Length ◽  
Clinical Findings ◽  
Ct Scanner ◽  
Single Center Study ◽  
Hospitalization Period ◽  
Clinical Accuracy ◽  
Surgery Department

Aim: We aimed to put forward the efficacy of abdominal CT performed for patients diagnosed with acute abdomen and to share our clinical findings in that regard. Methods: 216 patients who had been hospitalized in General Surgery Department due to acute abdomen had been analyzed retrospectively between October 2018 - January 2019. Abdominal computerized tomography (CT) results had been discussed in terms of diagnostic accuracy and clinical outcomes. Results: 171 (79.2%) patients (M/F:95/76 (55.6% / 44.4%)) had been evaluated by computerized tomography (CT) due to various causes of acute abdomen. Patients who had been scanned more than once (n=13 (7.6%)) during theirs’ hospitalization period had longer average length of stays compared to those whom had been scanned for only once (n=158 (92.4%)) (multiple scanned:17 days vs single scanned:3 days; p=0.000). Besides, single-scanned patients had showed higher clinical accuracy compared to those with multi-scans (80.4% vs 61.5%, p=0.126). 28 ileus (84.8%) patients had been scanned by non-enteral computerized tomography (CT), and 12 (36.4%) of them had been given false radiological reviews. Conclusion: Improper and redundant use of computerized tomography (CT) may cause prolongation of stays at the hospital, besides performing unnecessary scans do not improve diagnostic accuracy.

scholarly journals A gastrointestinal stromal tumor: Case report

2006 ◽  
Vol 59 (9-10) ◽  
pp. 487-489
Author(s):  
Milivoje Vukovic ◽  
Nebojsa Moljevic ◽  
Dragan Krivokuca
Keyword(s):  
Small Intestine ◽  
Case Report ◽  
Surgical Resection ◽  
Kinase Inhibitor ◽  
Iliac Fossa ◽  
Primary Treatment ◽  
Clinical Findings ◽  
Mesenchymal Tumors ◽  
The Right ◽  
Surgery Department

Introduction. Gastrointestinal stromal tumors (GIST) are the most common mesenchymal tumors of the gastrointestinal tract. They frequently occur in the stomach and small intestine, but they rarely occur in the colon and rectum. Case report. This is a case report of a patient with a GIST involving the cecum, and acute obstruction of the small intestine. A 47-year- old male patient was admitted to the emergency surgery department with abdominal pain and distension lasting for a few days. Clinical examination revealed tenderness in the right iliac fossa. Routine hematologic testing revealed anemia, and abdominal x-ray multiple air-fluid levels in the small intestine. Based on the clinical findings, we decided to perform an explorative laparotomy. A large cecal tumor was detected. The proximal parts of the small intestine were severely distended. Discussion and Conclusion. GISTs are more common in the stomach (60-70%) and the small intestine (25-35%), than in the colon, rectum and esophagus. The most frequent complications associated with GISTs are obstructions and hemorrhages. Surgical resection is the primary treatment of GISTs. Radiotherapy and chemotherapy are generally ineffective. Continuous postoperative follow-up is necessary, because most recurrences occur within the first 2 years after complete surgical resection. In the past few years, surgical resection was followed by adjuvant tyrosine kinase inhibitor therapy. .

On the occasion of centenary of the birth of I.I.Deriabin (1920–1987)

2020 ◽  
Vol 22 (3) ◽  
pp. 225-231
Author(s):  
I. M. Samokhvalov ◽  
N. A. Tiniankin ◽  
S. A. Matveev ◽  
T. Yu. Suprun ◽  
P. P. Liashedko ◽  
...  
Keyword(s):  
Damage Control ◽  
Military Medicine ◽  
Associate Professor ◽  
100Th Anniversary ◽  
Septic Complications ◽  
War Surgery ◽  
Military Medical Academy ◽  
History Of ◽  
Surgery Department ◽  
The Military

Abstract. On the 2nd of August, 2020 marked the 100th anniversary of the birth of the famous Russian surgeon, the Head of War Surgery department of the Academy, professor, Major-General of the Medical Corps Ilia Ivanovich Deriabin. I.I. Deriabin was the participant of the Great Patriotic War and the war against militarist Japan, the warfare in Afghanistan, the first postwar postgraduate fellow under professor S.I.Banaitis, a student and associate professor of A.N. Bercutov, an officer working many years at War Surgery department, Kirov Military Medical Academy. I.I. Deriabin was also the Head Surgeon to the Group of Soviet Forces in Germany, the founding principal of War Surgery department at the Military Medical faculty, Moscow Central Institute for Advanced Medical Education, Deputy Chief Surgeon of the Soviet Army. In the history of military medicine professor I.I. Deriabin will stay as a great scientist and organizer in the field of War Surgery, a founder of traumatic disease tactical treatment concept, the author of the idea of medical-transport immobilization (anticipating popular modern tactics Damage Control). He also came up with an idea of an improvised frame for unstable pelvic fracture immobilization, developed the technique of peritoneal dialysis (in cooperation with M.N. Lizanets and E.V. Chernov), devised (coauthored with A.C. Rozhkov) multicomponent anti-inflammatory local wound blockade for injury control and septic complications prevention.

STUDY ON HOSPITAL INFECTION AND RELATED FACTORS IN PHU YEN PROVINCIAL HOSPITAL IN 2011

2011 ◽  
pp. 31-39
Author(s):  
Keyword(s):  
Hospital Infection ◽  
High Rate ◽  
Surgical Trauma ◽  
Hospital Infections ◽  
Related Factors ◽  
General Internal ◽  
Male Patients ◽  
Tract Infections ◽  
Surgery Department ◽  
Neurological Surgery

Background: Data on hospital infection and related factors are really necessary to have a strategy to reduce hospital infection. Aim: assessing the hospital infection situation in Phu Yen hospital. Method: cross study on the situation of hospital infection in Phu Yen province hospital in 2011. Results and conclusion: The prevalence rate of hospital infection is 5.6%, in which male patients accounted for 57.1% and female patients are 42.9%, in which wound infections are 28.6%, respiratory tract infections are 25,0%, blood infections is 21.4%, infected burns are 10.7%, skin and soft tissue infections 7,1%, neonatal infections and urinary tract infections are 3,6%. Hospital infections related to the time in hospital. The patients that are hospital infections stay in hospital longer. Hospital infection rates is highest in infants that was 12.5%, followed by the 1-15 age group that was 7.9% and group above 60 years was 7.0%. The departments have hospital infection in high rate are emergency (58.8%), surgical trauma, surgical burns and neurological surgery are 13.3%, 8.0% of patients in general surgery department are hospital infections, that was 5.3% in medical services, 4.5% in neonatal department, 1.5% in obstetrics and 1.2% in general internal department.

scholarly journals Perspectives of solution to the problem of persistent intra-abdominal hemorrhage at the prehospital stage

2021 ◽  
Vol 23 (1) ◽  
pp. 23-32
Author(s):  
Konstantin P. Golovko ◽  
Igor M. Samokhvalov ◽  
Maxim S. Grishin ◽  
Tatyana Y. Suprun ◽  
Artem M. Nosov ◽  
...  
Keyword(s):  
Surgical Care ◽  
Traumatic Shock ◽  
Terminal State ◽  
High Rate ◽  
Time Of Arrival ◽  
Abdominal Injuries ◽  
Internal Organs ◽  
Lethal Outcome ◽  
Post Hoc ◽  
Abdominal Hemorrhage

A post-hoc analysis of 338 casualties demonstrating persistent intra-abdominal hemorrhage has been carried out, the proportion of this group being 16.5% in overall casualty structure or 64% in the group of casualties with abdominal injuries. Lethal outcome rate in the studied group was 13%, the complication rate was 53.2%. Traumatic shock was found in 86% of casualties, the greatest proportion was accounted for by the first and second degree (59.1%). Lethality rate in the case of the third degree traumatic shock and terminal state was 34.4%. Injured parenchymal organs and abdominal major vessels showed the greatest blood loss 2348 250 ml. The time of arrival of casualties with persistent intra-abdominal hemorrhage to the advanced trauma management stage or definitive surgical care stage was virtually similar amounting to 2.6 0.4 hr. Injuries to hollow organs (34.1%) were most commonly found, injuries to parenchymal organs (24.9%) occurred less frequently, the rate of combination of injuries to abdominal internal organs was approximately the same (24.9%). Major vessels injuries were diagnosed only in one casualty (0.3%), while those combined with internal organs injuries in 37(11%)of casualties. As regards favorable prognosis this group was considered to be the least perspective owing to high rate of hemorrhage and inability to achieve effective hemostasis at the prehospital stage. Thus, persistent hemorrhage was not profuse, and the majority of casualties (88.7%) should be considered as perspective recipients to achieve temporary hemostasis at the prehospital stage. It is this approach based on the principles of early pathogenetic management that could reduce the rate of complications and lethality in casualties with persistent intra-abdominal hemorrhage.

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