scholarly journals Breast and emergency surgery

2021 ◽  
Vol 43 (3) ◽  
pp. 91-93
Author(s):  
P. N. Napalkov ◽  
A. P. Mirzaev
Keyword(s):  
Emergency Surgery ◽  
Urgent Surgery ◽  
Abdominal Organs ◽  
Surgical Clinic

The book under review is a collection of works written mainly by a team of employees of the hospital surgical clinic, led by prof. BA Korolev, and published in connection with his fiftieth birthday, highlights the topical problems of modern surgery of the heart, lungs, esophagus and cardia and issues of urgent surgery of the abdominal organs.

The value of ultrasound in the complex diagnosis of acute surgical diseases of the abdominal organs in children

2001 ◽  
Vol 82 (2) ◽  
pp. 138-139
Author(s):  
I. K. Edikhanov
Keyword(s):  
High Risk ◽  
Emergency Surgery ◽  
Patient Management ◽  
Non Invasive ◽  
Abdominal Organs

Severely ill children often have conditions requiring emergency surgery with a high risk to life. Since 1992, we have been using ultrasound, which is highly informative, safe, and non-invasive, to clarify the diagnosis, determine the further plan of examination and tactics of patient management.

scholarly journals NEW TREATMENT OPTION FOR ESOPHAGOGASTRIC ANASTOMOTIC LEAK: A CASE REPORT

2019 ◽  
Vol 18 (4) ◽  
pp. 102-105
Author(s):  
M. M. Davydov ◽  
A. G. Abdullaev ◽  
O. A. Malikhova ◽  
A. V. Tsigankova
Keyword(s):  
Anastomotic Leak ◽  
Treatment Option ◽  
Treatment Method ◽  
Esophageal Resection ◽  
Thoracic Esophagus ◽  
Invasive Treatment ◽  
Urgent Surgery ◽  
New Treatment ◽  
Surgical Clinic

The formation of esophagogastric anastomosis has a long history due to the search for the most reliable and safe fistula. The use of invagination anastomosis, proposed in the early 90s by Professor M.I. Davydov, fully met all the requirements, allowing significantly improve the quality of life of patients and significantly reducing the frequency of failure of the anastomoses to 0.5%.Case description. We present the case of proximal gastric cancer invading the lower thoracic esophagus. The patient underwent proximal subtotal gastric and lower thoracic esophageal resection using the combination of a laparotomy and right thoracotomy. Contrast radiography performed on day 11 after surgery revealed esophagogastric anastomotic leak. The patient underwent urgent surgery.Conclusion. This article presents a new treatment option for esophagogastric anastomotic leak by using endoscopic transesophageal clipping of the defect in combination with sanitation and drainage of the pleural/mediastinsl cavity. The proposed technique can be considered as a minimally invasive treatment method and can be used in any surgical clinic. 

About the history of monitoring acute surgical pathology of abdominal organs in St. Petersburg

2020 ◽  
pp. 8-17
Author(s):  
I. Barsukova
Keyword(s):  
Health Care ◽  
Surgical Pathology ◽  
Urgent Surgery ◽  
Abdominal Organs ◽  
History Of ◽  
Surgical Field

Materials related to monitoring of acute surgical pathology of abdominal organs in St. Petersburg are presented in article. I.I. Dzhanelidze stood at the origins of this work. He began his work in 1932 and it continues up to now. It shows achievements of health care in the field of urgent surgery, which is confirmed by reduction in mortality in acute surgical pathology of the abdominal organs. Today we have an opportunity to track the 100-year period of development of this surgical field in St. Petersburg.

Ways to reduce mortality in acute intestinal obstruction

1982 ◽  
Vol 63 (1) ◽  
pp. 39-41
Author(s):  
M. Yu. Rosengarten
Keyword(s):  
Intestinal Obstruction ◽  
Emergency Surgery ◽  
Correct Choice ◽  
Acute Intestinal Obstruction ◽  
Abdominal Organs ◽  
Choice Of Treatment ◽  
Surgery Mortality

Acute intestinal obstruction is one of the most severe diseases of the abdominal organs. Diagnostics, the correct choice of treatment in the pre- and postoperative periods are topical issues of emergency surgery. Mortality in this disease remains high and, unfortunately, does not tend to decrease.

scholarly journals Risk Associated With Complications and Mortality After Urgent Surgery vs Elective and Emergency Surgery

JAMA Surgery ◽  
2017 ◽  
Vol 152 (8) ◽  
pp. 768 ◽  
Author(s):  
Matthew G. Mullen ◽  
Alex D. Michaels ◽  
J. Hunter Mehaffey ◽  
Christopher A. Guidry ◽  
Florence E. Turrentine ◽  
...  
Keyword(s):  
Emergency Surgery ◽  
Urgent Surgery ◽  
Complications And Mortality

scholarly journals Diagnosis and treatment of acute surgical diseases in patients with COVID-19

2020 ◽  
pp. 65-69
Author(s):  
VI Vechorko ◽  
VD Anosov ◽  
BV Silaev
Keyword(s):  
Infectious Diseases ◽  
Surgical Procedures ◽  
Emergency Surgery ◽  
Medical Staff ◽  
Surgical Care ◽  
Community Acquired Pneumonia ◽  
Surgical Pathology ◽  
Extensive Experience ◽  
Urgent Surgery ◽  
Important Challenge

Emergency surgery in the infectious diseases hospital is an urgent problem during the COVID-19 pandemic. Municipal Clinical Hospital No.15 named after O. M. Filatov has been providing emergency surgical care after conversion, from March 27, 2020 until now. The hospital’s medical staff has built up extensive experience: 194 surgical procedures were carried out in April, and 289 surgical procedures were carried out in May 2020. The paper reports the experience of emergency surgery at the stage of conversion to an infectious diseases hospital. Among all hospitalized patients, 482 (5.29%) people had acute surgical pathology requiring emergency surgery. Among patients who underwent urgent surgery, 472 (98%) people had the caused by COVID-19 community-acquired pneumonia of various degrees of severity. The paper discusses some features of acute surgical pathology and complications identified in patients with COVID-19. The surgical care features in the hospital after conversion are proper epidemiological regime implementation, minimization of the number of staff in the operating room, possible minimization of the number and reduction of the duration of surgical procedures. The most important challenge during the COVID-19 pandemic is medical staff safety.

scholarly journals HOSPITAL SURGICAL CLINIC

2016 ◽  
Vol 1 (4) ◽  
pp. 135-140
Author(s):  
Григорьев ◽  
Evgeniy Grigoryev
Keyword(s):  
Medical Sciences ◽  
Traumatic Injuries ◽  
X Ray ◽  
Urgent Surgery ◽  
Soft Tissue Involvement ◽  
Great Patriotic War ◽  
New Research ◽  
And Training ◽  
Surgical Clinic

The article reviews main stages of establishment and development of the Department of Hospital Surgery in different periods. We showed the role of heads and stuff of the department in the development of multipartial complex which aims at the unity of three components – to teach, to treat and to study.The first head of the department and of the clinic of hospital surgery (1921–1931) was N.A.Sinakevich. It was a pe-riod of establishment of the department, its staffing, formation of clinical site and training calendar. V.G.Shipachyov was the head of the department from 1931 to 1952. During the Great Patriotic War, the work of the department was aimed at the needs of war time related to the problems of reconstruction surgery and treatment of traumatic injuries. After the war, the work of the department was dedicated to the problems of hypothyroidism, obliterating endarteritis, gastrointestinal and urgent surgery.In 1953, Z.T.Senchillo-Yaverbaum became the head of the department. The work of the department was dedicated to gastrointestinal and pancreatic surgery, herniology, thyrophymas. Also the department included course of traumatology.In 1972, V.I.Astafiev became the head of the department. In this period, many young hopefuls started to work on the department. Also the research, treatment and educational complex was created on the base of the department, Re-gional Clinical Hospital and Siberian Branch of Academy of Medical Sciences USSR. While keeping the traditions of the department, V.I.Astafiev created new research and practice directions and special referral units – of cardiac, vascular, thoracic, purulent and urgent surgery, operative coloproctology, plastic surgery, diagnostic picture and X-ray surgery. Also the system of individual and collective training of surgical clerk.In 1988–1993 Y.I.Morozov was the head of the department. The new direction of the work was the development of complex treatment of purulent soft tissue involvement in patients with diabetes.From 1993, E.G. Grigoryev is the head of the department of hospital surgery and the Institute of Surgery.

scholarly journals Laparoscopy in Elective and Emergency Surgery

2016 ◽  
Vol 23 (3) ◽  
Author(s):  
M G Gonchar ◽  
A Ye Bogush ◽  
N M Marushchak ◽  
N A Bogush
Keyword(s):  
Minimally Invasive ◽  
Retrospective Analysis ◽  
Emergency Surgery ◽  
Final Stage ◽  
Diagnostic Laparoscopy ◽  
Surgical Techniques ◽  
Minimally Invasive Surgical ◽  
Abdominal Organs ◽  
Adequate Surgery ◽  
Surgical Operations

A retrospective analysis of using laparoscopy in elective and emergency surgery was made. During the period of 3 years (2013-2015) 3,045 surgical operations on the abdominal organs were performed. In 1,455 cases minimally invasive surgical techniques were used. Perspective use of laparoscopic technology in elective and emergency surgery was proven. The attention of authors was concentrated on the widespread use of diagnostic laparoscopy as the final stage of pathology verification followed by subsequent adequate surgery.

scholarly journals CAUSES OF EARLY RELAPAROTOMIES IN SURGERY

2021 ◽  
pp. 77-80
Author(s):  
V. I. Lupaltsov ◽  
K. O. Vander
Keyword(s):  
Surgical Treatment ◽  
Postoperative Complications ◽  
Intestinal Obstruction ◽  
Early Postoperative Period ◽  
Early Postoperative Complications ◽  
Urgent Surgery ◽  
Abdominal Abscesses ◽  
Abdominal Organs ◽  
Adhesive Intestinal Obstruction ◽  
Suture Failure

Summary. Introduction. Despite the introduction of modern methods of diagnosis, tactics, and treatment of diseases of the abdominal organs, the risk of developing early postoperative complications remains high. The aim of this study is to clarify the causes of early postoperative complications and indications for their surgical treatment. Materials and methods. 3947 case histories of patients operated on for urgent indications were analyzed. In 73 cases, relaparotomies were performed in the early postoperative period (1.85 %). Results and discussion. The main nosologic unit, during the surgical treatment of which relaparotomies were performed, was acute appendicitis. Then there was a perforated pyloroduodenal ulcer and a strangulated hernia of various localization. The main indications for relaparotomy were progressive peritonitis, early adhesive intestinal obstruction, intra-abdominal abscesses, and infiltrates. In two cases, no pathology was detected during relaparotomy – there was an over diagnosis of postoperative peritonitis and anastomotic suture failure. Conclusion. 1. The main cause for relaparotomies in urgent surgery is the progression of preoperative peritonitis. 2. The second important cause is early postoperative adhesive intestinal obstruction. 3. Errors in intraoperative diagnostics, tactics, and techniques are the third leading cause of early relaparotomies.

Need of Emergency Surgery in Elderly Patients with Upper Gastrointestinal Bleeding: Survival Analysis during 2009–2015

2018 ◽  
Vol 36 (1) ◽  
pp. 20-26
Author(s):  
Sami Miilunpohja ◽  
Jussi Kärkkäinen ◽  
Juha Hartikainen ◽  
Johanna Jyrkkä ◽  
Tuomo Rantanen ◽  
...  
Keyword(s):  
Gastrointestinal Bleeding ◽  
Emergency Surgery ◽  
Upper Gastrointestinal Bleeding ◽  
The Elderly ◽  
Incidence Rates ◽  
Term Survival ◽  
Cardiovascular Comorbidities ◽  
Urgent Surgery ◽  
Upper Gastrointestinal

Background/Aims: The role of emergency surgery is decreasing in the treatment of patients with upper gastrointestinal bleeding (UGIB). We investigated the need of urgent surgery and outcome of elderly UGIB patients who often have cardiovascular comorbidities with antithrombotic medication. Methods: All consecutive adult patients who received emergency treatment for suspected gastrointestinal bleeding between January 2009 and December 2011 were registered in an electronic database (n = 1,643). A total of 569 patients with a first-time UGIB were identified, of whom 282 were ≥70 years old. Age-specific incidence rates, risk factors for bleeding and need of endoscopic or emergency surgery were studied. Long-term mortality was compared to age-adjusted control subjects (n = 569) without bleeding. Results: The age-specific incidence of UGIB increased from 156 to 401 cases per 100,000 inhabitants from age 60–69 to 80–89 years, respectively. Cardiovascular comorbidities and antithrombotic therapies (acetosalicylic acid 51 vs. 27%; warfarins 25 vs. 11%) related to UGIB were more common in patients over than under 70 years of age (p < 0.0001). Early endoscopic therapy was successful in over 95% of patients, whereas emergency surgery was needed only in 6 (2%) patients ≥70 years old. Hospital mortality (7.8%) was acceptable in these patients, but the 5-year mortality (40%) was significantly higher than in controls (20%, p < 0.001). Conclusion: Today, emergency surgery is seldom needed in the patients with UGIB. In comparison to the age-matched control population, long-term survival was significantly lower after UGIB in the elderly.

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