ENDOSCOPIC ESOPHAGEAL STENTING AS A METHOD OF SELECTING AND ELIMINATING DYSPHAGIA SYNDROME IN ESOPHAGEAL STENOSIS

2020 ◽  
Vol 39 (3) ◽  
Author(s):  
Valeriy Belevich ◽  
Sergey Vanusa ◽  
Anton Brednev ◽  
Olga Kurlova
Keyword(s):  
Small Diameter ◽  
Current Method ◽  
Esophageal Stenosis ◽  
Metal Stents ◽  
Military Medical Academy ◽  
Stent Expansion ◽  
Medical Academy ◽  
Surgery Department ◽  
Esophageal Stenting ◽  
Korean Firm

To assess the experience of stents application, formulate the main indications and contraindications for the esophageal stenting, prove that the esophageal stenting with self-expandable metal stents is considered as the treatment of choice in incurable patients. Within the period from 2007 to 2018. 78 patients have treated for the cancer of esophagus and gastric cardia, 2 patients with benign esophageal strictures were subjected to stenting at the general surgery department of the S.M. Kirov Military Medical Academy. The group of patients included 53 men and 17 women. 60 patients with dysphagia grade IIIIV have been examined, 6 of them with trachea-esophageal, 2 esophageal-pleural fistulas formed during the tumor disintegration, 2 patients were treated for burn strictures of the esophagus. M. I. Tech's esophageal stents of Korean firm were used. Insertion was carried out by short endoscopic delivery systems of a small diameter. Satisfactory evaluation of the stent state and adequate stent expansion, absence of any misplacement were considered as an indication for starting oral food intake. Patients may be allowed to go home shortly after an esophageal stent procedure (the same day). The first day the patient could use water and foods need to be liquid, moist and soft, in the following days it was possible to increase the density of products. The study found that stenting of the esophagus is a current method of endoscopic surgery, aimed at the expanding and maintaining of the lumen of the esophagus by means of the inserted self-expandable stents. Esophageal stenting possesses by fewer complications unlike other techniques. The role of palliative treatment (for example, stenting) is considered to reduce dysphagia, improve the quality of life and increase life expectancy

scholarly journals Endoscopic esophageal stenting as a method of selecting and eliminating dysphagia syndrome in esophageal stenosis

2020 ◽  
Vol 39 (3) ◽  
pp. 14-18
Author(s):  
Valeriy L. Belevich ◽  
Anton O. Brednev ◽  
Olga G. Kurlova
Keyword(s):  
Surgical Techniques ◽  
Small Diameter ◽  
Esophageal Stenosis ◽  
Metal Stents ◽  
Military Medical Academy ◽  
Neoplastic Processes ◽  
Medical Academy ◽  
Invasive Method ◽  
Surgery Department ◽  
Esophageal Stenting

To assess of our study was to analyze the experience of using esophageal stents in dysphagia syndrome. The main questions to which they wanted to get an answer: the formulation of the main indications and contraindications for esophageal stenting; evaluation of the efficiency and feasibility of esophageal stenting with self-expanding metal stents in incurable patients. At the General Surgery Department of the S. M. Kirov Military Medical Academy performed stenting in 78 patients for malignant neoplastic processes and in 2 patients with benign esophageal stricture, who underwent treatment from 2007 to 2020. The patient group included 61 men (76.3%) and 19 women (23.7%). 69 people applied for grade IIIIV dysphagia, 6 had tracheo-esophageal fistulas, and 3 had esophageal-pleural fistulas formed during tumor decay, 2 patients were treated for esophageal burn stricture. The stents of the Korean company M. I. Tech. Installation were performed with short, small diameter endoscopic delivery systems. The onset of feeding, as a rule, began on the next day with satisfactory standing and adequate expansion of the stent, and no displacement. The patient could leave the hospital on the same day. Meals began with the use of water and liquid food with a gradual expansion of the density and consistency of the food. The minimally invasive method for eliminating dysphagia in inaccurate patients is esophageal stenting with self-expanding stents. Esophageal stenting has fewer complications than other invasive surgical techniques for resolving dysphagia. The advantage of palliative treatment of tumor stenoses and fistulas by stenting is to reduce the manifestations of dysphagia, improve the quality and increase the life expectancy of patients (3 figs, bibliography: 15 refs).

MILITARY FIELD SURGERY DEPARTMENT OF MILITARY MEDICAL ACADEMY -THE FIRST IN THE WORLD (TO THE 90th ANNIVERSARY OF CREATION)

2021 ◽  
Vol 16 (3) ◽  
pp. 152-158
Author(s):  
I.M. Samohvalov ◽  
V.I. Badalov ◽  
N.A. Tynyankin ◽  
P.P. Lyashed’ko ◽  
S.L. Bechik ◽  
...  
Keyword(s):  
Military Medical Academy ◽  
Medical Academy ◽  
The World ◽  
90Th Anniversary ◽  
Surgery Department

scholarly journals Nikolay N. Petrov: Ethos of a Scientist and a Doctor

2019 ◽  
Vol 26 (5) ◽  
pp. 143-152
Author(s):  
Andrey N. Redko ◽  
Tatyana A. Kovelina ◽  
Ekaterina L. Nikulina ◽  
Darya V. Veselova ◽  
Mariya S. Kuzmenko
Keyword(s):  
Historical Analysis ◽  
Scientific Work ◽  
Red Cross ◽  
Military Medical Academy ◽  
Medical Academy ◽  
Archival Documents ◽  
Life Journey ◽  
Surgery Department ◽  
Medical University ◽  
The Military

Aim. In this work, the authors set out to perform a historical analysis of Nikolay Petrov’s life journey and scientific work, as well as to demonstrate the importance of the Kuban period in his formation as an individual, a scientist and as a founder of domestic medical deontology.Materials and methods. In this study, the authors used archival documents; works of Nikolay Petrov; as well as the following methods: historical-descriptive, comparative-historical, problem-chronological, biographical along with the method of monographic description.Results. The life and professional journey of Nikolay Petrov can be divided into several periods, each of them playing an important role in his formation as an individual and as a scientist. The fi rst period (‘St Petersburg period’) covers his brilliant upbringing, education at the Military Medical Academy in Saint Petersburg, work as a medical resident at the Surgery Department of the Academy, as well as the publication of his first scientific works and the defence of the doctoral thesis in medicine. During the second period (‘abroad period’), Nikolay Petrov completed advanced training at the Pasteur Institute and worked at the clinics of Switzerland, Austria and Germany. The third period (‘teaching period’) covers the time when Nikolay Petrov was simultaneously working as a surgeon and a teacher at the Military Medical Academy; his fundamental works on surgery and oncology were published. The forth ‘military period’ coincided with the years of the First World War when Nikolay Petrov worked as a surgeon at the hospitals of the Russian Red Cross Society while continuing his research. The fifth period (‘Kuban period’) coincided with the years of revolutionary upheavals, civil war and moving to Kuban. In 1917–1922 Nikolay Petrov had to choose between emigration and his motherland. He stayed true to his profession and his homeland. Nikolay Petrov devoted himself to serving the ‘new’ country, actively participated in the organisation of the Kuban Medical University and wrote a number of works on surgery, including the first work on medical deontology in the country. The sixth period is called ‘return to St Petersburg’ where in 1925 Nikolay Petrov organised the Oncology Department at the Mechnikov hospital, which under his guidance became the first research institute for oncology in our country. This period was marked by the recognition of his talent as a doctor and a scientist by the public and government.Conclusion. Nikolay Petrov‘s ethos as a scientist and a doctor was formed under the influence of his challenging life journey, with the Kuban period being a turning point in his life.

scholarly journals General surgery department with the i. F. Bush clinic Of the s. M. Kirov military medical academy (historical notes to the 220th anniversary of the foundation)

2020 ◽  
Vol 39 (3) ◽  
pp. 3-9
Author(s):  
Bogdan N. Kotiv ◽  
Ivan D. Kosachev
Keyword(s):  
Abdominal Surgery ◽  
General Surgery ◽  
Significant Contribution ◽  
Academic Disciplines ◽  
Military Medical Academy ◽  
Medical Institutions ◽  
Medical Academy ◽  
Combat Injuries ◽  
Military Campaigns ◽  
Surgery Department

The article is dedicated to the 220th anniversary of the founding of the General Surgery Department of the S. M. Kirov Military Medical Academy. During the time the department was headed by famous representatives of surgery of those times. The representatives of the General Surgery Department made a significant contribution to the development of surgery in our country, subsequently being the heads of surgical departments and medical institutions. Historically, the academic disciplines taught at the department were the primary link in the education program in surgery at the academy. Most of the heads of the department had the experience of participating in military campaigns, which is necessary for education at a military university. Traditionally, the department scientific research were devoted to the study of the wound process, wound infection, combat injuries, oncology, vascular and abdominal surgery. At present, there is currently a continuity in the formation of educational and methodological materials for various categories of students, scientific developments on topical problems of surgery have been going on (4 figs, bibliography: 4 refs).

Anniversary of Professor V.M. Aristovsky

1935 ◽  
Vol 31 (1) ◽  
pp. 150-151
Author(s):  
V. Gruzdev
Keyword(s):  
25Th Anniversary ◽  
Military Medical Academy ◽  
Medical Academy ◽  
Red Army ◽  
The Military

On 23 November 1934, the Military Medical Academy of the Red Army solemnly honoured one of its most prominent professors, Vyacheslav Mikhailovich Aristovsky, head of the Department of Microbiology, on the occasion of his 25th anniversary of medical, social and scientific and pedagogical activities.

scholarly journals Microvascular osteoseptocutaneous radial flap in reconstruction of mandible following war injury

2005 ◽  
Vol 62 (6) ◽  
pp. 429-434 ◽  
Author(s):  
Srboljub Stosic ◽  
Jefta Kozarski ◽  
Tatjana Stosic-Opincal ◽  
Nebojsa Jovic ◽  
Ruzica Kozomara
Keyword(s):  
Maxillofacial Surgery ◽  
Late Complications ◽  
War Injuries ◽  
Military Medical Academy ◽  
Medical Academy ◽  
The Face ◽  
Compound Graft ◽  
The Military ◽  
Outstanding Quality

Background. Vascularized osteoseptocutaneous radial flap is commonly used in the reconstruction of composite bony and soft tissue defects of the lower third of the face due to the outstanding quality of its cutaneous component. The aim was to evaluate the primary and overall success in the reconstruction of mandibular defects, following war injuries, with vascularized osteoseptocutaneous radial flap. Methods. At the Department of Maxillofacial Surgery of the Military Medical Academy Belgrade, there were eight patients with this kind of defect following war injury, and the mandible was reconstructed with a vascularized osteoseptocutaneous radial flap. Bony compartment of the graft was harvested as up to 11 cm long segment of radial circumference. Results. The localization and structure of the defect, features of a harvested compound graft, the procedure of the reestablishment of the mandibular continuity was presented as well as immediate and late complications during the consolidation period, and the primary successful reconstruction in 87.5% of the patients. Conclusion. The primary and overall success in the mandibular defects reconstruction with a vascularized osteoseptocutaneous radial flap was equal or even better than those presented in the literature on the reconstruction of the similar defects after tumor resections.

scholarly journals The General, His Fandom, and a Participatory Pandemic

2021 ◽  
Vol 82 ◽  
pp. 53-78
Author(s):  
Angelina Ilieva ◽  
Keyword(s):  
Focal Point ◽  
Public Image ◽  
Fan Culture ◽  
The Public ◽  
Military Medical Academy ◽  
Medical Academy ◽  
The Media ◽  
Characteristic Features ◽  
The Military

In February 2020, the Bulgarian government established the National Operational Headquarters for Combating the COVID-19 Pandemic in Bulgaria. General Ventsislav Mutafchiyski, a military doctor, professor at the Military Medical Academy in Sofia, was appointed as its chairman. This paper presents a case study on the public image of Ventsislav Mutafchiyski, its readings and interpretations by the audience, and the specific fan culture that emerged around his media persona during the first wave of the COVID-19 pandemic in Bulgaria. Placed in the spotlight of the media at the very beginning of the crisis, Mutafchiyski became extremely popular as the public figure most strongly associated with the fight against the spread of the disease in the country. Around his media persona, shaped in the public imagination as a wartime leader, a fan culture has grown with all its characteristic features and dimensions: fans and anti-fans, affirmative and transformative fandom. As a fictional character, Mutafchiyski has appeared in numerous forms of vernacular creativity: poems, songs, material objects, jokes, fake news, conspiracy theories, and memes. In this way, the General has become the main character of Bulgarian pandemic folklore and the focal point of a participatory pandemic.

scholarly journals Outcomes of ophtalmologic surgical procedures of esotropia in children and adolescents

2008 ◽  
Vol 65 (8) ◽  
pp. 627-631
Author(s):  
Tamara Kljakovic-Avramovic ◽  
Miroslav Vukosavljevic ◽  
Sinisa Avramovic
Keyword(s):  
Surgical Treatment ◽  
Prospective Study ◽  
Children And Adolescents ◽  
Deviation Angle ◽  
Group Iii ◽  
Military Medical Academy ◽  
Group I ◽  
Medical Academy ◽  
Group Ii ◽  
Common Manifestation

Background/Aim. Esotropia is the most common manifestation form of strabism accompanied by refraction deviations and amblyopia. The aim of this prospective study was to present the outcomes of surgical treatment of esotropia in children and adolescents. Methods. Within the period from January 1st 2006 to February 1st 2007 at the Clinic for Ophtalmology, Military Medical Academy, Belgrade a total of 25 patients with esotropia (34 eyes) and previously corrected refraction anomaly and treated amblyopia were operated on. The patients were 4-19-year of age. All of the patients were submitted to a complete ophtalmologic and orthoptic examination prior to the surgery, and a month, three months and six months after the surgery. The surgery was performed under general anesthesia. Out of the total number of the patients nine were operated on both eyes, while 16 patients on one eye with amblyopia or frequent esodeviation. Nine patients were submitted to retroposition of the inner straight muscle, two to myectomy of the outer straight muscle, while in 14 of the patients a combination of retroposition and myectomy was performed. The patients were divided into three groups according to the preoperative angle at the distance and followed-up accordingly after the surgery. Deviation angle at the distance in the group I was 18-25 DP, in the group II 26-35 PD, while in the group III it was 36-60 PD. Results. The most numerous, group I (12 patients; 48%), a month following the surgery showed angle reduction by 55.58%, after three months 63.25%, and after six months 63.92%. The group II consisted of 8 patients (32%) showed angle reduction by 70.75% a month following the surgery, by 76% after three months, and by 79.12% after six months. The group III (5 patients; 20%) showed angle reduction by 72.20% a month following the surgery, 79.20 after three months, and 80.12% after six months following the surgery. Conclusion. The best postoperative outcomes after a month, three and six months were obtained in the group of patients with the highest esodeviation angle at the distance solved by the surgery on both eyes. Timely surgical treatment befell into major precondition for developing and maintaining the elements of binocular vision in the operated on patients. .

scholarly journals Early results of cementless hip arthroplasty in the treatment of femoral head posttraumatic and atraumatic osteonecrosis

2005 ◽  
Vol 62 (7-8) ◽  
pp. 513-517
Author(s):  
Dragan Jeremic ◽  
Dragan Nikolic ◽  
Srbislav Ilic ◽  
Vlajko Draskovic
Keyword(s):  
Femoral Head ◽  
Hip Arthroplasty ◽  
Harris Hip Score ◽  
Sciatic Nerve Palsy ◽  
Military Medical Academy ◽  
Cementless Hip Arthroplasty ◽  
Early Results ◽  
Medical Academy ◽  
Significant Difference ◽  
Student’S T

Aim. To evaluate the value of cementless hip arthroplasty in the treatment of posttraumatic and atraumatic osteonecrosis (ON) of the femoral head. Methods. The study was conducted at the Department of Orthopedics and Traumatology, Military Medical Academy, between January 1st, 1999 and December 31st, 2003. Twenty five patients with 27 implanted endoprostheses, and the diagnosis of osteonecrosis of the femoral head, and radiographically confirmed Arlet-Ficat stage III and IV were evaluated retrospectively. The results were evaluated according to Harris Hip Score (HHS). The research included 10 patients with traumatically induced osteonecrosis and 15 patients (17 endoprothesis) with osteonecrosis of the femoral head. The mean age of the patients in the group with posttraumatic osteonecrosis of the femoral head was 41 (19-62) years, and in the group of the patients with atraumatic osteonecrosis of the femoral head it was 40.2 (21-53) years. Complications included one case with postoperative luxation, and one case with iatrogenic sciatic nerve palsy. Results. The average Harris Hip Scores in the group of posttraumatic osteonecrosis were 31 points preoperatively and 86 points postoperatively. In the group of osteonecrosis of atraumatic etiology, the average Harris Hip Score was 28 points preoperatively, and 77 points postoperatively. Postoperative Harris Hip Scores were compared with the Student's t-test and the results showed no statistically significant difference (p = 0,125). Conclusions. Our study did not find any significant difference between the results of posttraumatic and atraumatic osteonecrosis of the femoral head treated with cementless endoprosthesis.

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