scholarly journals Bilateral ovarian apoplexy

2021 ◽  
Vol 43 (3) ◽  
pp. 61-63
Author(s):  
A. A. Vasiliev
Keyword(s):  
Abdominal Bleeding

If unilateral ovarian apoplexy is quite rare and accounts for 0.5-2% among intra-abdominal bleeding of genital origin (M. S. Malinovsky, I. S. Breido, O. I. Topchieva, D. A. Lemberg, A. A. Vasiliev and others), then bilateral ovarian bleeding from the ovary is extremely rare.

scholarly journals Intraoperative Tactics of Local Surgical Hemostasis in Injuries and Planned Operations on the Parenchymal Organs of the Abdominal Cavity

2020 ◽  
Vol 13 (3) ◽  
pp. 268-278
Author(s):  
Dmitriy Andreevich Severinov ◽  
Gennady Alekseevich Bondarev ◽  
Vyacheslav Alexandrovich Lipatov ◽  
Araik Rubenovich Saakyan
Keyword(s):  
Surgical Treatment ◽  
Abdominal Cavity ◽  
Structural Features ◽  
Main Indication ◽  
Anatomical Features ◽  
Abdominal Bleeding ◽  
Adhesive Compositions ◽  
Liver Injuries ◽  
Operation Techniques ◽  
Manual Skills

Currently, mortality rate in the liver and spleen injuries remains high, despite the present-day level of advances in the diagnosis and treatment of surgical diseases. Damage to parenchymal organs leads to the development of intra-abdominal bleeding. The severity of bleeding depends on the anatomical features of the blood supply to the damaged organ and the massiveness of the lesion, the type of traumatic agent. Intraoperative provision of reliable hemostasis is a significant problem in liver and spleen injuries. This paper summarizes the experience of Russian and foreign experts on surgical treatment of various types of parenchymal organ injuries. Stitching, adhesive compositions, biological and synthetic films, non-contact methods are used to achieve the final intraoperative hemostasis for parenchymal organ injuries; electrocoagulation is also very popular. Currently, the issues of surgical treatment tactics of spleen and liver injuries are not fully resolved. The search for optimal options, as well as technical advancement of organ-preserving operation techniques involving parenchymal organs, remains relevant. This depends on the structural features of these organs, availability of the methods of local hemostasis listed in this paper and surgeon's knowledge and manual skills. Moreover, at present, hemostatic application agents are widely introduced into clinical practice, parenchymal bleeding caused by superficial planar injuries of parenchymal organs being the main indication for the use of these agents.

scholarly journals Endometriosis as a Reason of Intraabdominal Bleeding in Pregnancy. Clinical Case

2019 ◽  
Vol 23 (3) ◽  
pp. 283-289
Author(s):  
Y. A. Revzoeva ◽  
E. Y. Shakurova
Keyword(s):  
Cesarean Section ◽  
Pregnant Women ◽  
Laboratory Tests ◽  
Clinical Case ◽  
Abdominal Cavity ◽  
Diagnostic Procedures ◽  
Reproductive Period ◽  
Diagnostic Methods ◽  
Dark Blood ◽  
Abdominal Bleeding

The article defines the significance and relevance of the problem of endometriosis during pregnancy. 10% of women in the reproductive period have different localization of endometriosis. 25% of pregnancies with endometriosis are complicated by preterm labor. The article presents a clinical case of intra-abdominal bleeding in a 28-year-old pregnant woman with retrocervical endometriosis at gestation age of 32 weeks and 6 days. The article covers the results of examination and special diagnostic procedures of intra-abdominal bleeding in pregnant women with retrocervical endometriosis. The main diagnostic methods were the study of past medical history, ultrasound examination, and laboratory tests. Due to their infrequency during pregnancy internal bleedings present difficulties in their diagnosis. Ultrasound reliably revealed a large amount of fluid in the abdominal cavity and small pelvis and excluded the presence of intrauterine bleeding. Clinical and laboratory tests indicated the severity of the patient's condition. Symptoms of moderate fetal distress were also identified. Therefore, a decision was made about an emergency delivery by the cesarean section followed by an abdominal revision. During the cesarean section, 500 ml of blood in the form of dark blood clots was found in the abdominal cavity. The condition of the premature newborn was in conformity with his gestational age. The source of bleeding were the of endometriosis on the back wall of the uterus. These focuses most likely caused hemoperitoneum. The revision of the abdominal cavity did not find any other foci of bleeding. The postoperative period was uneventful. The article provides general guidelines for the management of pregnant women with severe forms of endometriosis.

scholarly journals Airfild evacuation center: experience of the interaction between the medical service of the Armed Forces of the Russian Federation, the Disaster Medicine Service and the Ambulance Service

2019 ◽  
pp. 39-45
Author(s):  
A. U. Mursalov ◽  
R. I. Minnullin ◽  
A. I. Makhnovskii
Keyword(s):  
Medical Care ◽  
Medical Service ◽  
Tension Pneumothorax ◽  
Armed Forces ◽  
Disaster Medicine ◽  
Ambulance Service ◽  
Leningrad Region ◽  
Medical Evacuation ◽  
Abdominal Bleeding ◽  
Medicine Service

Relevance. One of the important tasks in the provision of emergency medical care to victims of the mass-causalty incident is a medical triage in order to determine the priority of medical care and the priority of medical evacuation.Intention. To work out issues of interaction between the medical service of the Armed Forces of Russia, the Disaster Medicine Service and the Ambulance Service.Methodology. The program of the 16th All-Russian Congress “Ambulance 2017”, tactical and special exercises on the deployment of airfield evacuation center were included as a training and demonstration event . According to the plan of the exercise, several mass-causalty areas resulted from terrorist attacks along the border of the Leningrad Region.Results and discussion. To accomplish the tasks, an evacuation center was deployed with a capacity of up to 200 wounded and sick per day, evacuation capability of 32 stretcher wounded, and 4 h deployment time. During the exercise, non-invasive screening studies to proactively diagnose intracranial hematomas (portable infrared scanner), tension pneumothorax, hemopericardium, intrapleural and intra-abdominal bleeding (portable US device using FAST protocol), acute blood loss (portable laboratory analyzer) were performed in addition to standard examinations. To determine the priority of medical evacuation of victims, an improved Revised Trauma Score (RTS) scale with user-friendly software for Android mobile devices (smartphone, tablet) was used. In case of mass-causalty event and a shortage of specialized sanitary transport, those who needed urgent specialized medical care were transferred from an evacuation center via radial evacuation to specialized medical organizations subordinated to the Ministry of Defense, the Ministry of Health and the subjects of Russia.Conclusion. The feasibility of deploying an airfield evacuation center to eliminate the health effects of emergencies was determined by potential discrepancy between evacuation capacities of air transport and ambulances, on one hand, and the need to temporarily accommodate (including isolation) and provide emergency health care to victims. 

Severe intra-abdominal bleeding following stapled mucosectomy due to enterocele: report of a case

2004 ◽  
Vol 8 (1) ◽  
pp. 41-43 ◽  
Author(s):  
G. Aumann ◽  
S. Petersen ◽  
T. Pollack ◽  
G. Hellmich ◽  
K. Ludwig
Keyword(s):  
Stapled Mucosectomy ◽  
Abdominal Bleeding

scholarly journals Managing post-traumatic gunshot thoraco-abdominal bleeding by intervention embolisation: A case report

2019 ◽  
Vol 14 (2) ◽  
pp. 193-198
Author(s):  
Anas R. Elshaer ◽  
Abdelsalam A. Abdelsalam ◽  
Fathi A. Elgeyoushi ◽  
Abdullah R. Allam
Keyword(s):  
Case Report ◽  
Abdominal Bleeding ◽  
Post Traumatic

Peritoneal Dialysis in Japan: The Issue of Encapsulating Peritoneal Sclerosis and Future Challenges

2005 ◽  
Vol 25 (4_suppl) ◽  
pp. 77-82 ◽  
Author(s):  
Akira Saito
Keyword(s):  
Peritoneal Dialysis ◽  
Treatment Modalities ◽  
Bacterial Peritonitis ◽  
Abdominal Bleeding ◽  
Dialysis Solution ◽  
Future Challenges ◽  
The Face ◽  
Life Threatening ◽  
Stage Renal Disease ◽  
End Stage

Encapsulating peritoneal sclerosis (EPS) is a life-threatening complication of peritoneal dialysis (PD). The overall prevalence of EPS in Japanese PD patients is 2.3%. Among patients on PD for less than 5 years, the rate is 0.9%; among patients on PD for 5 – 10 years, the rate is 3.8%; and among patients on PD for >10 years, it is 11.5%. Thus, the longer the treatment duration, the higher the prevalence of EPS. Encapsulating peritoneal sclerosis does not result solely from the natural progression of peritoneal sclerosis. A “second hit” event, such as bacterial peritonitis, abdominal bleeding, or abdominal surgery may be needed to trigger the onset of EPS in the face of advanced peritoneal sclerosis. To prevent development of EPS, PD treatment is replaced by other treatments when patients reached high-transport status. Peritoneal lavage and prednisolone administration have been reported to be effective in preventing or stopping the progress of EPS. When bowel obstruction has occurred, total enterolysis to remove the fibrous capsule from the bowel is indicated. To maximize overall quality of life, patients with end-stage renal disease (ESRD) should have the choice to make use of all the treatment modalities available: PD, hemodialysis (HD), and transplantation. Furthermore, the development of truly biocompatible PD equipment—including peritoneal catheters, solutions, and systems—are desirable to extend PD treatment for the long term. The cost of individual products could decrease significantly if PD use were to increase to 30% from 10% among ESRD patients worldwide. As practitioners, we have to further improve the technical survival rate and functional duration of PD treatment so that adequate peritoneal function can be maintained for 10 years in at least 40% of PD patients. The goal is to place PD on par with HD using high-flux dialysis membranes and ultrapure dialysis solution.

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