Features of the topographic anatomy of the rat trachea and the possibility of performing surgical interventions.

Relevance: despite the improvement of surgical techniques, the number of postoperative complications in surgical interventions on the trachea remains high. One of the ways to improve the results of treatment is the development and study of new surgical interventions. Aim: The work is devoted to the study of the topographic and anatomical features of the structure of the rat trachea Materials and methods: The study was performed using rats of the Wistar line and was approved by a local ethical committee. Methods of descriptive anatomy and morphology were used. Results: the obtained results made it possible to reveal features of the topographic-anatomical structure of the rat trachea: the presence of hyaline cartilages in the form of a ring; grown-up cartilaginous rings forming the fusion of the X, Y, W forms; in the submucosal layer of the trachea there are multiple clusters of mucoses associated with lymphatic tissue; pronounced venous traheoidesis plexus; developed, dense adventitia of the trachea. In rats, the epithelial transition from a multilayer flat non-coronary to a single-stranded thief-synchoid occurs below the vocal cords. According to the histological structure, the rat trachea wall is close to the human trachea, has adventitia, a cartilaginous framework, a submucosal osseous and a mucous membrane. Conclusion: these features of the structure of the trachea of Wistar rats allow them to be used to model pathology of the trachea and to develop surgical interventions.

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Analysis of the results of different treatment methods for patellar dislocation

Kazan medical journal ◽

10.17816/kmj2018-504 ◽

2018 ◽

Vol 99 (3) ◽

pp. 504-507

Author(s):

G P Kotel'nikov ◽

P V Ryzhov ◽

Yu V Lartsev ◽

D S Kudashev ◽

S D Zuev-Ratnikov ◽

...

Keyword(s):

Surgical Treatment ◽

Patellar Dislocation ◽

Surgical Techniques ◽

Correction Method ◽

Invasive Treatment ◽

Surgical Interventions ◽

Individual Approach ◽

Results Of Treatment ◽

Habitual Dislocation ◽

Time Periods

The aim of the study was the analysis of domestic and foreign medical literature of different time periods, which describes the basic methods of surgical and conservative treatment of congenital or habitual dislocation of patella, as well as statistical analysis of the results of treatment. Due to the existence of a large number of options of surgical treatment for this pathology (more than 150 methods were developed) and high variability of its manifestations, it is necessary to know the basic methods and their results for planning tactics of treatment with individual approach to each patient. Based on this review, analysis was performed for the results of using different options for invasive treatment of congenital or habitual dislocation of patella. Also, the paper contains the indications and efficacy of conservative therapy for this disease. A comparative analysis was made on the results of surgical and conservative methods of treatment of patellar dislocation, which were used in different time periods, from the initial description of the first results of treatment of this pathology to modern surgical techniques that are currently used. It is shown that all methods of surgical treatment of the pathology are divided into three main groups: myofascioplastic surgeries, osteoplastic and combined surgical interventions. It is underlined that the diseases requires individual approach to the choice of correction method in each certain case to achieve positive outcomes.

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Efficiency and Microbiological Substantiation of the Use of Er:YAG and Nd:YAG Lasers in Patients with Inflammatory Diseases of the Peri-Implant and Periodontal Tissues

Biointerface Research in Applied Chemistry ◽

10.33263/briac113.1014110147 ◽

2020 ◽

Vol 11 (3) ◽

pp. 10141-10147

Keyword(s):

Inflammatory Diseases ◽

Surgical Techniques ◽

Maximum Level ◽

Microbial Colonization ◽

Yag Laser ◽

Surgical Interventions ◽

Dental Patients ◽

Periodontal Tissues ◽

Results Of Treatment ◽

Laser Technologies

Due to the high incidence of inflammatory diseases of periodontal and peri-implant tissues, the problems of effective treatment of dental patients, reduction of the invasiveness of surgical interventions, and improvement of the course of the postoperative period remain urgent. In order to improve the effectiveness of treatment of patients in these categories, we conducted a study in which we analyzed the results of treatment of 100 patients with generalized periodontitis and peri-implantitis using traditional surgical techniques and with neodymium and erbium lasers. We used a microbiological research method to study changes in the quantitative and qualitative composition of the microbiota before and after the operations. The results of quantitative monitoring of the microbiota of the postoperative wound carried out in our study indicate that the dynamics of contamination with the use of traditional surgical and laser technologies are fundamentally different. With the traditional technique of surgical intervention, the maximum level of microbial colonization on day 3 was 8.2 ± 0.4 lg CFU, which creates a risk of developing purulent-inflammatory complications, while when using laser technologies, the microbial colonization during these periods was significantly less than after traditional surgical operations: 4.4 ± 0.3 lg CFU - when using the Nd: YAG laser and 5.9 ± 0.4 - when using the Er: YAG laser. This level of colonization is within the normal range of resident (normal) microbiota on the oral mucosa.

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The choice of surgical treatment in patients with infected pancreonecrosis

Grekov s Bulletin of Surgery ◽

10.24884/0042-4625-2018-177-6-20-26 ◽

2018 ◽

Vol 177 (6) ◽

pp. 20-26

Author(s):

E. A. Tseimakh ◽

V. A. Bombizo ◽

P. N. Buldakov ◽

A. A. Averkina ◽

D. N. Ustinov ◽

...

Keyword(s):

Comparative Analysis ◽

Surgical Treatment ◽

Minimally Invasive ◽

Inpatient Treatment ◽

Surgical Techniques ◽

Postoperative Mortality ◽

Group Comparison ◽

Surgical Interventions ◽

Results Of Treatment ◽

Minimally Invasive Surgical

The objectiveis to study the results of different methods of surgical treatment of patients with infected pancreonecrosis and to conduct a comparative analysis of minimally invasive and traditional surgical interventions.Material and methods.The results of treatment of 206 patients with infected pancreonecrosis were analyzed. In accordance with the used method of surgical treatment, the patients were divided into 2 groups: 105 (51.0%) patients with “traditional” open interventions were included in the first group (comparison), and 101 (49.0%) patients treated with various miniinvasive technologies, or a combination of minimally invasive and “open” interventions were included in the second group.Results.It was found that the mortality rate in the second group was less than in the first group by 12.8% (p<0.05).Conclusion.Minimally invasive surgical techniques are the method of choice for delimited pancreatogenic ulcers. The use of combined surgical interventions leads to a significant reduction of postoperative mortality and duration of inpatient treatment.

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SURGICAL CORRECTION OF POSTOPERATIVE INTRAABDOMINAL COMPLICATIONS IN PATIENTS WITH COLORECTAL CANCER

Problems in oncology ◽

10.37469/0507-3758-2017-63-5-734-737 ◽

2017 ◽

Vol 63 (5) ◽

pp. 734-737

Author(s):

Eskender Topuzov ◽

Yelena Yerokhina ◽

Eldar Topuzov ◽

Yelena Drogomiretskaya ◽

Vyacheslav Balashov ◽

...

Keyword(s):

Colorectal Cancer ◽

Colon Cancer ◽

Operation Time ◽

Surgical Correction ◽

Surgical Interventions ◽

Results Of Treatment

The results of treatment of postoperative intraabdominal complications in patients who underwent surgical interventions for colon cancer were studied. The effect of the re-operation time was assessed. The volume of surgical correction was discussed in case of insufficiency of anastomosis sutures. The results of the study made it possible to identify the most rational timing and scope of surgical correction of postoperative intraabdominal complications in patients with colorectal cancer.

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Trends in surgical and catheter interventions for isolated congenital shunt lesions in the UK and Ireland

Heart ◽

10.1136/heartjnl-2018-314428 ◽

2019 ◽

Vol 105 (14) ◽

pp. 1103-1108 ◽

Cited By ~ 4

Author(s):

Mehreen Farooqi ◽

John Stickley ◽

Rami Dhillon ◽

David J Barron ◽

Oliver Stumper ◽

...

Keyword(s):

Ventricular Septal Defect ◽

Patent Foramen Ovale ◽

Septal Defect ◽

Surgical Techniques ◽

Foramen Ovale ◽

Patient Age ◽

Surgical Interventions ◽

Patient Âgé ◽

Duct Ligation ◽

The Uk

ObjectiveTo evaluate time trends in the use of catheter and surgical procedures, and associated survival in isolated congenital shunt lesions.MethodsNationwide, retrospective observational study of the UK National Congenital Heart Disease Audit database from 2000 to 2016. Patients undergoing surgical or catheter procedures for atrial septal defect (including sinus venosus defect), patent foramen ovale, ventricular septal defect and patent arterial duct were included. Temporal changes in the frequency of procedures, and survival at 30 days and 1 year were determined.Results40 911 procedures were performed, 16 604 surgical operations and 24 307 catheter-based interventions. Transcatheter procedures increased over time, overtaking surgical repair in 2003–2004, while the number of operations remained stable. Trends in interventions differed according to defect type and patient age. Catheter closure of atrial septal defects is now more common in children and adults, although surgical interventions have also increased. Patent foramen ovale closure in adults peaked in 2009–2010 before falling significantly since. Surgery remains the mainstay for ventricular septal defect in infants and children. Duct ligation is most common in neonates and infants, while transcatheter intervention is predominant in older children. Excluding duct ligation, survival following surgery was 99.4% and ≈98.7%, and following catheter interventions was 99.7% and ≈99.2%, at 30 days and 1 year, respectively.ConclusionsTrends in catheter and surgical techniques for isolated congenital shunt lesions plot the evolution of the specialty over the last 16 years, reflecting changes in clinical guidelines, technology, expertise and reimbursement, with distinct patterns according to lesion and patient age.

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Minimum Invasive Stabilizing and Decompressive-Stabilizing Methods of Surgical Treatment for Degenerative-Dystrophic Lesions of Spine

N.N. Priorov Journal of Traumatology and Orthopedics ◽

10.17816/vto20111843-10 ◽

2011 ◽

Vol 18 (4) ◽

pp. 3-10

Author(s):

A V Krut'ko ◽

Shamil' Al'firovich Akhmet'yanov ◽

D M Kozlov ◽

A V Peleganchuk ◽

A V Bulatov ◽

...

Keyword(s):

Surgical Treatment ◽

Lumbar Spine ◽

Surgical Techniques ◽

Pain Syndrome ◽

Early Postoperative Period ◽

Main Group ◽

Control Group ◽

Surgical Interventions ◽

Comparative Group ◽

Operative Wound

Results of randomized prospective study with participation of 94 patients aged from 20 to 70 years with monosegmental lumbar spine lesions are presented. Minimum invasive surgical interventions were performed in 55 patients from the main group. Control group consisted of 39 patients in whom decompressive-stabilizing operations via conventional posteromedian approach with skeletization of posterior segments of vertebral column were performed. Average size of operative wound in open interventions more than 10 times exceeded that size in minimum invasive interventions and made up 484 ± 56 and 36 ± 12 sq.cm, respectively. Mean blood loss was 326.6 ± 278.0 ml in the main group and 855.1 ± 512.0 ml in the comparative one. In the main group no one patient required substitution hemotransfusion, while in 13 patients from the comparative group donor erythrocytic mass and/or fresh-frozen plasma were used to eliminate the deficit of blood components. Intensity of pain syndrome in the zone of surgical intervention by visual analog scale in the main group was lower than in comparative group. In the main and comparative groups the duration of hospitalization made up 6.1 ± 2.7 and 9.7 ± 3.7 bed days, respectively. In no one patient from the main group complications in the zone of operative wound were noted. Three patients from the comparative group required secondary debridement and in 1 patient early deep operative wound suppuration was observed. Application of low invasive surgical techniques for the treatment of patients with degenerative lumbar spine lesions enabled to perform radical surgical treatment with minimal iatrogenic injury. The method possessed indubitable advantages over the conventional open operations especially intraoperatively and in early postoperative period.

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Features of the decidualized endometriosis diagnosis and course during pregnancy

Bulletin of Russian State Medical University ◽

10.24075/brsmu.2021.059 ◽

2021 ◽

Author(s):

AA Gerasimova ◽

LA Asyrafyan ◽

IB Manuchin ◽

MV Shamarakova ◽

MS Miryasova ◽

...

Keyword(s):

Differential Diagnosis ◽

Pregnant Women ◽

Ultrasound Imaging ◽

Imaging Data ◽

Surgical Interventions ◽

Rational Treatment ◽

Borderline Tumors ◽

Results Of Treatment ◽

Risk Of Malignancy ◽

Risk Of Malignancy Index

Currently, surgical treatment aimed to exclude the malignant ovarian tumors is performed in almost 90% of patients with decidualized endometrial cysts (DEC). However, unnecessary surgical interventions increase the risk to maternal and fetal health. The study was aimed to perform a differential diagnosis of DEC in pregnant women in order to define the rational treatment. A total of 82 female patients were included in the study: 63 had endometrial cysts (EC), 16 had DEC, 3 had rare forms of endometriosis, and 10 had ovarian serous papillary borderline tumors. When performing the diagnostic ultrasound, our proposed model was used. The ultrasound imaging data obtained were juxtaposed with the concentration of the protein tumor markers (СА-125), the risk of malignancy index (RMI) was calculated, and the morphological assessment of the masses was performed. The ultrasound imaging parameters, being the most valuable for differential diagnosis of EC, DEC, and serous borderline tumors, were as follows: the altered mass wall thickness, the existence and shape of papillary masses, avascular echogenic inclusions with blurry contour, blood circulation and arrangement of blood vessels, ascites. The frequency analysis revealed the differences between groups based on the ultrasound imaging data (in 60–100% of observations). Histological examination revealed the differences between groups in 100% of observations. Our findings have made it impossible to prolong pregnancy in patients with DEC without performing surgery. The results of treatment provided to patients with DEC during pregnancy were worse compared to those in patients with no prominent decidualization in ovarian EC. Today, the diagnosis of DEC and the treatment of patients during pregnancy remain unsophisticated. Further clinical observation and the search for more reliable methods of the diagnosis and rational treatment of pregnant women with DEC are required.

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Radical Dorsal Interventions in Treatment of Kyphotic Deformities (Literature Review)

N.N. Priorov Journal of Traumatology and Orthopedics ◽

10.17816/vto201522266-75 ◽

2015 ◽

Vol 22 (2) ◽

pp. 66-75

Author(s):

M. V Mikhailovskiy ◽

V. V Novikov ◽

I. G Udalov

Keyword(s):

Clinical Practice ◽

Literature Review ◽

Vertebral Column ◽

Surgical Techniques ◽

Pedicle Subtraction Osteotomy ◽

Treatment Results ◽

Vertebral Column Resection ◽

Surgical Interventions ◽

Ponte Osteotomy ◽

Spine Deformities

Widely used in clinical practice surgical interventions directed to the correction of severe kyphotic spine deformities, i.e. Ponte osteotomy, Smith-Peterson osteotomy, pedicle subtraction osteotomy and vertebral column resection are presented. Surgical techniques, surgery planning based on spinal and pelvic sagittal contour parameters, treatment results are described.

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MODERN TRENDS IN THE TREATMENT OF ACUTE ADHESION IN INTESTINAL OBSTRUCTION

Kharkiv Surgical School ◽

10.37699/2308-7005.3.2020.12 ◽

2020 ◽

pp. 58-61

Author(s):

V. V. Lesnoy ◽

A. S. Lesnay

Keyword(s):

Intestinal Obstruction ◽

Inpatient Treatment ◽

Conservative Therapy ◽

Postoperative Treatment ◽

Surgical Interventions ◽

Surgical Department ◽

Results Of Treatment ◽

Restoration Time ◽

Days Open ◽

Adhesive Obstruction

Summary. Aim. To perform the modern tactics of acute adhesive obstruction (AAO) treatment. Materials and methods. The basis of the work is the analysis of the results of treatment of 38 patients hospitalized in an urgent order to the surgical department with the clinic AAO. Results. 20 (52.6 %) patients with the background of conservative therapy, the phenomenon of intestinal obstruction was regressed. Repeated hospitalization during the year with the hospital was required by AAO 2 (5.3 %) patients. Laparoscopic adhesion was performed 4 (10.5 %) patients whose average intestinal restoration time was (1.8±1.2) days, and the duration of postoperative inpatient treatment was (5.1±1.3) days. Open surgical interventions were performed 14 (36.8 %) patients, in whom the period of restoration of the intestine function was (3.8±1.5) days, and the duration of postoperative treatment was (10.1±1.2) days. Conclusion. Conservative therapy is effective in 52.6 % of patients. Laparoscopic adhesion is indicated in the absence of peritoneal symptoms, if ≤ 2 laparotomies were noted in the history, with a peritoneal index of adhesion ≤ 9 points.

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Therapeutic tactics in the deep forms of rectal abscesses complicated by fournie gangrene

Wiadomości Lekarskie ◽

10.36740/wlek202002116 ◽

2020 ◽

Vol 73 (2) ◽

pp. 293-297

Author(s):

Oleh E. Kanikovskyi ◽

Andrii V. Osadchyі ◽

Sergey I. Androsov ◽

Anatolii V. Tomashevsky ◽

Oleh A. Yarmak ◽

...

Keyword(s):

Surgical Treatment ◽

Antibacterial Therapy ◽

Treatment Duration ◽

Complex Treatment ◽

Surgical Interventions ◽

Results Of Treatment ◽

Surgical Clinic ◽

Modern Technologies ◽

Clinical Emergency ◽

Early Surgical Treatment

The aim: To conduct an analysis of the complex treatment of severe forms of rectal abscesses complicated by NF. Materials and methods: The results of treatment in 471 patients with deep forms of RA was performed. In 38(8%) the spread of the process and rotten-necrotic affection of the perineal fascia. Patients were treated at the surgical clinic of the medical faculty №2, VNPMMU, and Vinnytsya Clinical Emergency Hospital in the period from 2010-2018. Results: Total lethality 8(1,7%). Mortality in GF was 8(19,5%). It is worth noting the reduction of the treatment duration against the background of the modern technologies usage in the period from 2016 to 12 days in relation to the total figure of 15 days. Conclusions: Early surgical treatment, adequate necrectomy, fasciotomy and antibacterial therapy stop the necrotic process. The active aspiration reduces the timing of wound cleansing and further ensures the accelerated implementation of reconstructive surgical interventions.

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