scholarly journals Experience in treatment of diaphragm hernias

2020 ◽  
Vol 39 (3) ◽  
pp. 32-39
Author(s):  
Petr N. Zubarev ◽  
Aleksey V. Khokhlov ◽  
Igor E. Onnitsev ◽  
Vladislav M. Trofimov ◽  
Valeriy L. Belevich ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
General Surgery ◽  
Clinical Manifestations ◽  
Military Medical Academy ◽  
Medical Academy ◽  
Laparoscopic Techniques ◽  
The Military ◽  
Positive Effect

Hernias of the diaphragm are a common pathology that negatively affects the quality of life of patients and in some cases requires high-quality surgical correction. This pathology has a progressive course, which leads to an increase in the severity of clinical manifestations with the age of the patient. The article presents the experience of surgical treatment of hernias of the diaphragm on the basis of general surgery clinics of the military medical academy. The aim of the study is to determine the effectiveness of surgical treatment of hernias of the diaphragm in different categories of patients. The total number of treated patients was 216. All patients were operated on. Thirty-four patients underwent a sympultal laparoscopic cholecystectomy. The operation used laparoscopic access. The closest excellent and good results of clinical treatment occurred in 92% of cases, satisfactory and unsatisfactory results accounted for 5.4 and 2.7%, respectively. According to the results of the instrumental survey, 40.6 and 54%, respectively, achieved excellent and good results; Satisfactory and unsatisfactory 2.7 and 2.7%. The introduction of laparoscopic techniques in surgery has reduced the number of early and late post-operative complications in the treatment of hernias of the diaphragm. The recommendations of the American Association of Endoscopic Surgeons for the operational treatment of gastroesophageal reflux disease shows the positive effect of laparoscopic fundoplications in 8593% of patients whose medicinal therapy has proved ineffective. In general, the results of the immediate and long-term outcomes of the surgical treatment of hernias of the diaphragm at the General Surgery Clinic of Military Medical Academy showed similar results (8 figs, bibliography: 16 refs).

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 Contribution of the staff of the Military medical academy to the development of peripheral nerve surgery

2020 ◽  
Vol 22 (1) ◽  
pp. 238-241
Author(s):  
A I Gaivoronsky ◽  
N G Gubochkin ◽  
L I Churikov ◽  
D M Isaev ◽  
D E Alekseev ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Peripheral Nerve ◽  
Rapid Development ◽  
Peripheral Nerve Surgery ◽  
Peripheral Nerve Damage ◽  
Military Medical Academy ◽  
Medical Academy ◽  
Combat Injuries ◽  
Nerve Surgery ◽  
The Military

The formation of the neurosurgical service in our country, as well as the development of peripheral nerve surgery, is inextricably linked with prominent figures - employees of the S. M. Kirov Military Medical Academy: L.M. Puseppa, V.N. Shamova, V.I. Grebenyuk, B.A. Samotokina, A.N. Solomina, E.I. Usanova, E.D. Alekseeva, F.S. Govenko, B.V. Martynova, A.E Belousova, etc. Already from the beginning of the 20th century, Ludwig Martynovich Pusepp has been actively engaged in the diagnosis and surgical treatment of peripheral nerve damage at the Imperial Military Medical Academy. In the second half of the XX century. peripheral nerve surgery undergoes an important stage: the transition to microsurgery. This stage is marked by the rapid development and implementation of microsurgical techniques in the treatment of patients suffering from traumatic lesions of limbs and nerves. The Academy is actively developing revascularization and reinnervation techniques for injuries to the limbs. Based on the analysis of the data of the Great Patriotic War and the war in Afghanistan, the Academy staff published works on the organization of medical care and surgical treatment of combat injuries of peripheral nerves. Thanks to the active scientific and practical work of A.E. Belousova, N.G. Gubochkina, E.D. Alekseeva, F.S. Govenko, B.V. Martynova at the beginning of the XXI century. Clinic of Neurosurgery of the S. M. Kirov Military Medical Academy becomes a leading institution in Russia, where they provide assistance to patients suffering from injuries and diseases of the peripheral nervous system.

scholarly journals Nikolay Nikolaevich ELANSKY - outstanding surgeon, organizer of military field surgery, honored scientist of the RSFSR (to the 125th of birthday)

2019 ◽  
Vol 12 (2) ◽  
pp. 147-147
Author(s):  
Alex Alexeevich Andreev ◽  
Anton Petrovich Ostroushko
Keyword(s):  
General Surgery ◽  
International Association ◽  
Artificial Kidney ◽  
Medical Institute ◽  
Honorary Member ◽  
Military Medical Academy ◽  
Medical Academy ◽  
Great Patriotic War ◽  
The Military ◽  
Surgical Clinic

N.N. Elansky was born in 1894 in the Voronezh Province. In 1913 he graduated from the Borisoglebsk gymnasium, in 1917 - the Military Medical Academy and was sent to the South-Western Front as a senior regimental doctor. Since 1918 - the district doctor of the Makaryevsky rural hospital of the Voronezh province. In 1919, N.N. Yelansky, together with V.N. Shamov and I.R. Petrov, prepared the first standard serums in the USSR for determining blood groups. Since 1921, Nikolai Nikolayevich returned to the faculty surgical clinic of the Military Medical Academy, having passed the way from an intern to a senior lecturer. In 1924, he defended his doctoral dissertation, in 1932 - became a professor, in 1934 - head of the department of faculty surgery at the Leningrad Pediatric Institute. In the years 1937-1938. He headed the Department of General Surgery and Military Field Surgery of the Military Medical Academy. Nikolai Nikolayevich participated in the organization of surgical care on the Khalkhin-Gol River (1938) and in the Soviet-Finnish War (1939–1940). During the Great Patriotic War, N.N. Yelansky consistently served as chief surgeon of the North-West, 2nd Byelorussian, 2nd Ukrainian and Trans-Baikal fronts. After the war, Nikolai Nikolayevich continued to work as head of the department of general surgery. In 1942, on the initiative of N.N. Yelansky was created by a special front-line group with the aim of a comprehensive study of traumatic shock. In 1942 he was awarded the title Honored Scientist of the RSFSR. In 1944, N.N. Elansky became lieutenant-general of the medical service. From 1947 to 1955 He was the chief surgeon of the Soviet Army and at the same time the head of the department of faculty surgery I of the Moscow Medical Institute. N.M. Sechenov, which he headed until 1964. From 1955 to 1959 he was a professor and consultant of the Military Medical Administration. He studied specific issues of blood transfusion, gastro-surgery, urology, traumatology, oncology and neurosurgery. In 1959 N.N. Yelansky organizes an artificial kidney department in the faculty surgical clinic I of the Moscow Medical Institute for the treatment of patients with acute renal failure. Nikolay Nikolayevich was a member of the editorial board of the Surgery and Military Medical Journal journals. He edited the 15th and 16th volumes of the multivolume work "The Experience of Soviet Medicine in the Great Patriotic War of 1941-1945."He was the editor of the Surgery department of the 2nd edition of the Big Medical Encyclopedia, etc. He was a member of the board of the All-Union and All-Russian Scientific Surgical Societies, an honorary member of the International Association of Surgeons, the Surgical Society. N.I. Pirogov, Surgical Society of Czechoslovakia, Vice-President of the Society of Soviet-Belgian Friendship. He trained 9 doctors and over 30 candidates of medical sciences. He has published about 140 scientific papers. For services to the motherland N.N. Elansky was awarded fifteen orders and medals of the Soviet Union. N.N. Elansky died on August 31, 1964 and was buried in Moscow at the Novodevichy Cemetery.

Epidemiological aspects of the aortic valve pathology

2021 ◽  
Vol 23 (3) ◽  
pp. 23-28
Author(s):  
Alexander V. Gordienko ◽  
Nizam N. Shikhverdiev
Keyword(s):  
Aortic Valve ◽  
Aortic Stenosis ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Clinical Manifestations ◽  
Military Medical Academy ◽  
Medical Academy ◽  
Valve Pathology ◽  
The Military ◽  
The Relationship

The dynamics of the structure of aortic valve pathology over the thirty-year (19912020) period of operation of the cardiac surgery hospital of the first department and the clinic of surgery for advanced training of doctors of the Military Medical Academy named after S.M. Kirov is evaluated. 849 cases of aortic valve replacement were retrospectively studied (626 (74%) men, 223 (26%) women). The average age of the patients was 51.8 9.7 years. It was established that the main causes of aortic valve damage were rheumocarditis, calcified aortic stenosis, infectious endocarditis and congenital heart disease in the form of a bicuspid aortic valve. A significant decrease in the incidence of rheumatism as a cause of aortic malformation was revealed from 36% in the period from 1991 to 2000 to 13% in the period from 2011 to 2020. The frequency of calcified aortic stenosis during this period, on the contrary, increased from 30% to 70%, respectively. At the same time, the relationship between the increase in life expectancy of the population of the Russian Federation and the frequency of occurrence of calcified aortic stenosis is traced. This is due to a long asymptomatic period that characterizes the natural course of this pathology, as a result of which the clinical manifestations of this pathology manifest, as a rule, only in old age. During the study period, an increase in the average age of patients who needed aortic valve replacement was also noted. If in the last decade of the twentieth century. it was 41.5 years, then in the period from 2011 to 2020, the average age of patients who needed aortic valve replacement increased to 61.5 years. Thus, over the past thirty years, there has been a significant change in the structure of the pathology of the aortic valve. Calcified aortic stenosis has become the most common cause of prosthetics of aortic malformation, against the background of a significant decrease in the frequency of rheumatic genesis of aortic valve damage.

scholarly journals About two options for intestinal plastics of the cervical esophagus

2021 ◽  
Vol 43 (2) ◽  
pp. 38-41
Author(s):  
V. I. Popov ◽  
V. I. Filin
Keyword(s):  
Large Intestine ◽  
General Surgery ◽  
Plastic Material ◽  
Cervical Esophagus ◽  
Vascular Pedicle ◽  
Military Medical Academy ◽  
Medical Academy ◽  
Artificial Esophagus ◽  
The Military

The experience of the General Surgery Clinic of the Military Medical Academy showed that the function of an artificial esophagus created from the large intestine is quite satisfactory. For six years in the General Surgery Clinic of the Military Medical Academy, colonic esophagoplasty for diseases of various parts of the esophagus was performed in 85 patients. For cicatricial (10 patients) or tumor (4 patients) lesions of the cervical esophagus, the large intestine on the vascular pedicle was used as a plastic material in 14 patients.

Possibilities and prospects of conservative therapy for endometriosis, as a chronical progressing disease (review of literature)

GYNECOLOGY ◽  
2020 ◽  
Vol 22 (1) ◽  
pp. 14-18 ◽  
Author(s):  
Tatyana Yu. Pestrikova ◽  
Elena A. Yurasova ◽  
Igor V. Yurasov
Keyword(s):  
Quality Of Life ◽  
Abnormal Uterine Bleeding ◽  
Modern Medicine ◽  
Reproductive Age ◽  
Aim Analysis ◽  
Scientific Publications ◽  
Terra Incognita ◽  
Positive Effect

Relevance. Endometriosis is a common gynecological disease that affects up to 10% of women of reproductive age worldwide and is the main cause of pain and infertility. Endometriosis is a disease, although it has been known for a long time, nevertheless, in many ways it represents terra incognita for modern medicine. Aim. Analysis of literature on the feasibility of long-term and the use of the drug dienogest 2 mg (Vizanne), which has a positive effect on the quality of life of patients with endometriosis. Materials and methods. To write this review, a search was made for domestic and foreign publications in Russian and international search engines (PubMed, eLibrary, etc.) over the past 13 years. The review included articles from peer-reviewed literature. Results. The review presents data on the difficulties of verifying the diagnosis of endometriosis due to a combination of this pathology with pain, infertility, abnormal uterine bleeding. The pathogenesis of the origin of endometriosis-associated pain is presented. The efficacy of the use of the drug dienogest (Vizanne), which has a powerful antiproliferative effect that reduces the main symptoms of endometriosis (pain, bleeding), is substantiated. The expediency of long-term and safe use of the drug dienogest (Vizanne), which has a positive effect on the quality of life of patients with endometriosis, has been proved. Conclusions. Numerous scientific publications confirm the feasibility of prolonged use of the drug dienogest (Vizanne), to achieve remission during endometriosis.

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 KORELACJA ZMIAN STĘŻEŃ PYŁÓW ZAWIESZONYCH PM10 Z TYPAMI CYRKULACJI ATMOSFERYCZNEJ W KONINIE W LATACH 2012–2016

1970 ◽  
pp. 45-64
Author(s):  
Kaja Karczewska ◽  
Leszek Kolendowicz ◽  
Marek Półrolniczak ◽  
Hanna Forycka–Ławniczak
Keyword(s):  
Particulate Matter ◽  
Atmospheric Circulation ◽  
Suspended Particulate Matter Concentration ◽  
Particulate Matter Concentration ◽  
Suspended Particulate ◽  
Hourly Data ◽  
Matter Concentration ◽  
Positive Effect

The subject of the paper is the influence of atmospheric circulation on the content of suspended PM10 in the air in Konin. For this purpose dust concentrations from the period 2012–2016 were generally characterized. PM10 particulate matter concentration average hourly data were obtained from the Main Inspectorate of Environmental Protection website. Based on these data, long-term, seasonal and daily changes in the PM10 concentration in the atmosphere were investigated. The study analysed the daily variability of the PM10 suspended particulate matter concentration to present seasonal differences (in hot and cold seasons). In order to determine the influence of atmospheric circulation on the PM10 particulate matter concentration, the concentration levels data were compared with the types of circulation prevailing on the same day. In this study according to synoptic maps the days with maximum and minimum concentrations PM levels were analysed. It was found which type of meteorological circulation is conducive to higher levels concentrations of particulate matter PM10, and which has a positive effect on the quality of the air in Konin.

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.

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