scholarly journals Post-Resection Biliar Complications

2021 ◽  
Vol 14 (3) ◽  
pp. 228-236
Author(s):  
Aziz Shukurzhonovich Botiraliev ◽  
Yulia Alexandrovna Stepanova ◽  
Vladimir Aleksandrovich Vishnevsky ◽  
Alexey Vladimirovich Zhao

As a result of the analysis of modern Russian and foreign literature, it was found that in the structure of postoperative complications after liver resections, biliary complications are the leading ones today. The main risk factors for the development of biliary complications and predictors of prognosis were determined at the different stages (preoperative, during the operation and postoperative period). The necessity to apply a complex of instrumental investigation methods in the postoperative period for early detection of bile leakage, clarification of its causes and forms of manifestation is determined; their importance for choosing a method of elimination is emphasized. The ways of improving the results of liver resections due to the prevention and effective elimination of bile leakage are outlined.Possibilities of prognosis of biliar complications after liver resections were analyzed. The available assessment systems can be considered uninformative, which demands development and implementation of more modern and more effective programs for predicting biliary complications after liver resections.

2018 ◽  
Vol 9 (1) ◽  
pp. 44-49
Author(s):  
D. I. Korshunov ◽  
R. I. Khabazov ◽  
N. V. Ustiantseva ◽  
A. V. Chupin ◽  
S. V. Deryabin

EVAR (endovascular aneurism repair) is the preferred method for the surgical treatment of ananeurysm. The advantage of this type of surgical intervention is that a smaller number of postoperative complications will occur. The main diagnostic tasks for patients after EVAR are to determine the size of the aneurysmal sac, detection of an endoleak, detection of the endoprosthesis migration and the deformation of the stent graft itself. Conclusion: early detection of complications in the postoperative period remains the main problem for monitoring patients after EVAR. Duplex scanning is a safe, non-invasive and effective method of measuring the size of an aneurysmal sac and detecting possible complications after EVAR.


2017 ◽  
pp. 171-173
Author(s):  
O. A. SLESAREVA ◽  
T. E. POTEMINA

The scientific article contains the results of the review of modern domestic and foreign literature. Risk factors data of follicular cysts of the jaws in children are generalized. Relevant points of individual risk factors, and the influence of their combination on the event of follicular cysts are reviewed. There was made a conclusion about the absence of the chief, leader factor, whichconduces the evolution of follicular cysts. The necessity of further study of multifactorial pathogenesis. This will help to develop identifying criteria of persons with risk for the evolution of follicular cysts of the jaws, the necessity and the principles of prevention and screening for early detection of abnormalities are pointed


2017 ◽  
Vol 27 (4) ◽  
pp. 28041
Author(s):  
Leila Gisleide Sehn Heck ◽  
Fernanda Dallazen ◽  
Dante Thomé Da Cruz ◽  
Silvana Agnolleto Berwanger ◽  
Eliane Roseli Winkelmann

AIMS: To analyze risk factors, comorbidities, intraoperative and postoperative period, complications and mortality in coronary artery bypass grafting (CABG) and valve replacement (VR) surgeries.METHODS: A retrospective cross-sectional study, carried out in a general hospital, included patients of both sexes, older than 18 years, submitted to CABG or VR. Data on risk factors, comorbidities, intraoperative and postoperative periods, postoperative complications and mortality were collected from patients' records. For statistical analysis, Student's t-test and Pearson's chi-square test were used to compare the variables of interest between the CABG and VR groups, considering p≤0.05 as significant.RESULTS: Of 210 records analyzed, 129 (61.4%) patients had performed CABG and 81 (38.5%) had performed VR. In the intraoperative variables, the following were observed in CABG and in VR, respectively (in minutes): ejection fraction 60.2±11.9 vs. 66.2±11.2 (p=0.001); extracorporeal circulation time 75.4±25.1 vs. 105.4±121.5 (p<0.001); aortic clamping time 60.7±39.3 vs. 75.7 ± 26.2 (p=0.003); time of surgery 200.1±76.3 vs. 198.3±71.5 (p=0.865); time of mechanical ventilation 629.1±296.4 vs. 574.4±135.6 (p=0.076). In the postoperative period, the length of stay in the coronary intensive care unit was 2.5±1.8 days in the CABG and 2.5±0.8 days in the VR (p=0.779). Ninety-six (75%) of the patients submitted to CABG and 46 (59%) of the patients submitted to VR had spontaneous heart beat recovery (p=0.020). The majority of patients did not present complications, both in CABG (n=105, 81.4%) and in VR (n=59, 72.8%) (p=0.561). Mortality was 2 (1.6%) in CABG and 4 (4.9%) in VR (p=0.274). The total death rate during the hospital stay was 2.9%.CONCLUSIONS: In the analysis of the CABG and VT surgeries there were differences during the intraoperative period, but no significant differences in postoperative complications and in hospital mortality were identified. Descriptive and comparative analysis of these two distinct surgical techniques, involving patients with differences in their clinical characteristics, allowed the knowledge of their peculiarities, which could contribute to the planning of care and cardiac rehabilitation of the patient.


2013 ◽  
Vol 26 (01) ◽  
Author(s):  
AA Negm ◽  
TJ Weismüller ◽  
S Pischke ◽  
AS Schneider ◽  
TO Lankisch ◽  
...  

2019 ◽  
Author(s):  
Giuliana Frasson ◽  
Diego Cazzador ◽  
Filippo Perozzo ◽  
Giuseppe Rolma ◽  
Sara Munari ◽  
...  

2020 ◽  
pp. 10-14
Author(s):  
Natalya Fedosova ◽  
Anatoly Volodin

The article presents the results of a study conducted to determine the effect of the organization of nursing care on reducing the duration of the postoperative period in women who underwent radical mastectomy.


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