scholarly journals DIAGNOSTIC AND TREATMENT OF COMBINED DAMAGES OF LARGE BONES OF THE LIMBS AND ORGANS OF THE ABDOMINAL CAVITY IN CHILDREN

2019 ◽  
Vol 22 (1) ◽  
pp. 33-37
Author(s):  
Y. M. Yahyaev ◽  
M. I. Izrailov ◽  
I. A. Aliyev ◽  
M. -A. Magomedov ◽  
A. M. Aliskandiev
Keyword(s):  
Traffic Accident ◽  
Abdominal Cavity ◽  
Economic Effect ◽  
Lower Extremities ◽  
Upper Extremities ◽  
Lower Limbs ◽  
Diagnosis And Treatment ◽  
Multiple Injuries ◽  
Control Group ◽  
Abdominal Organs

The experience of the management of 141 victim cases aged from 1 year to 15 years with fractures of the large bones of the extremities associated with injuries of the abdominal organs is presented. The cause of injury in 56% of cases was a traffic accident with boys to prevalent to suffer. In 141 victims, 184 injuries of the abdominal organs were diagnosed with predominant damage in isolated injuries of the spleen (40%), in case of multiple injuries, a combination of damage to the spleen and liver (41.9%). In 47.6% of patients, fractures of the lower limbs were observed, fractures of the bones of the upper extremities were found in 41.8%, with predominant damage to the bones of the lower extremities with open fractures (65%). The use of the developed algorithm for diagnosis and treatment, providing for a differentiated approach to diagnosis and treatment at different periods of combined trauma, allowed obtaining more beneficial results in the main group (97.4%) compared with the control group (93.9%) with an economic effect of 28%.

scholarly journals Treatment of critical limb ischemia in patients with multilevel arterial lesions

2018 ◽  
Vol 22 (3) ◽  
pp. 474-478
Author(s):  
V. Shaprynskyi ◽  
Y. Gupalo ◽  
O. Shved ◽  
O. Nabolotnyi ◽  
D. Shapovalov
Keyword(s):  
Atherosclerotic Lesion ◽  
Lower Extremities ◽  
Main Group ◽  
Lower Limbs ◽  
Control Group ◽  
Critical Ischemia ◽  
Optimal Method ◽  
Surgical Interventions ◽  
Limb Preservation ◽  
Arterial Lesions

The extreme manifestation of atherosclerotic lesion of the arteries of the lower extremities is the critical ischemia of the lower extremities. The number of high amputations in such patients ranges from 120 to 500 per 1 million population in the general population annually. In order to achieve the best results in the patency of the arterial bed in the near and distant periods, revascularization of the arteries of the proximal and distal blood flow is necessary. The aim of the work was to evaluate the possibilities and effectiveness of endovascular, open and hybrid arterial interventions on the lower extremities, particularly in patients with multilevel arterial disease, by conducting a retrospective analysis of treatment of critical ischemia. The results of the preoperative ultrasound duplex scan (UDS) of the arteries of 212 patients with critical ischemia of the lower limbs (CILL) shoved, that in 78 (36.8%) were multilevel arterial lesions (MLAL). Patients were divided into two groups. The first (main group) consisted of 50 patients (64%), who have been restored to the open-end and endovascular methods of MLAL, or only endovascular. The second (control) group included 28 patients (36%) — with restoration of permeability of the proximal segment without intervention on the arteries of the distal. Installed, during the period of 16 months, postoperative observation of 78 patients with MLAL, the primary frontal area of the femoral reconstruction in the main group was 92%, and limb preservation - 96%. In the control group, the permeability of the reconstruction zone was 75%, limb preservation — 82%. Thus, it has been established that the most optimal method of recovery of inflow and outflow pathways is one-time hybrid surgical interventions performed in 88% of these patients, which allow to achieve more effectively the recurrence of ischemia and maintain limb.

scholarly journals The Effect of Two Exercise Regimens with Older People

2014 ◽  
Vol 4 (3) ◽  
pp. 215-224
Author(s):  
Yolanda Marcen Román ◽  
Ricardo López Bernués ◽  
Ana Isabel Sieso Sevil
Keyword(s):  
Muscle Strength ◽  
Older People ◽  
Upper Extremities ◽  
Lower Limbs ◽  
Control Group ◽  
Static Balance ◽  
Treatment Protocols ◽  
Old Men ◽  
Functional Capacities

Among older people, the health is one of the most important aspects of the quality of life, especially emphasizing the important of the physical condition as the ability to attain and maintain their maximum independence. The general objective is to quantify the effect on the dynamic and static balance, strength and flexibility of the extremities for a period of 3 months and then, the consequences of another three months without exercises. Methodology: Study pre- and post-training with a random sample with 36 institutionalized old men, people over 65 years old with normal-mild cognitive impairment, divided into three groups: vestibular exercises, power exercises, and a non-intervention control group. Results: A significant improvement with balance, flexibility and muscle strength of the lower limbs in each of the group in relation to the control group. The decline of functional capacities measured by a battery of tests after three months without intervention. Conclusions: Balance, muscle strength and flexibility of the lower and upper extremities in institutionalized people over 65 of this study improve following the treatment protocols designed from the lower-limbs power exercises and vestibular exercises in relation to the control group. The functional capacity goes down unless they exercise regularly to improve results.

scholarly journals Comparison of Muscle Strength in Stroke Patients between The Given and Not Given Range of Motion Exercise

2015 ◽  
Vol 5 (2) ◽  
pp. 88
Author(s):  
Eka Rhestifujiayani ◽  
Emil Huriani ◽  
Muharriza Muharriza
Keyword(s):  
Muscle Strength ◽  
Lower Extremities ◽  
Nursing Intervention ◽  
Upper Extremities ◽  
Wilcoxon Test ◽  
Control Group ◽  
P Value ◽  
Stroke Patients ◽  
Whitney Test ◽  
Mann Whitney Test

Background: Hemiparesis is a common problem that can caused disability. ROM Exercise is an exercise that to performed evaluate and to improv the function of the musculoskeletal system and is one of therapies in stroke patients that aim to increase cerebral blood flow, minimize disability caused by stroke, so can refine sensory motoric function.Purpose: The objective of this study was to examine the effect ROM exercises of the extremity muscle strength in patients with stroke Methods: This study was a quasi experimental with non equivalent control group design. The sampling technique was purposive sampling. The number of sample was 20 respondents. The statistical test used are Wilcoxon test and Mann-Whitney test. Result: Wilcoxon test in control group showed p-value in upper extremities was p=0,157 and in lower extremities was p=0,083, it mean that there was no increase in muscle strength in the control group and in experiment group showed p-value in upper extremities was p=0,004 and in lower extremities was p=0,005, it mean that there is increase in muscle strength in the experiment group. The result of Mann-Whitney test showed p-value in upper extremities was p=0,002 and in lower extremities was p=0,006, it means that there were differences in the increase in muscle strength between control group and experiment group. Conclusion: ROM exercises affect the increase in muscle strength in stroke patients with hemiparesis. The ROM exercises can be used as a nursing intervention in the provision of nursing care.

Foreign Bodies in Tendons

1989 ◽  
Vol 14 (1) ◽  
pp. 84-85 ◽  
Author(s):  
L. Jozsa ◽  
A. Reffy ◽  
Susanne Demel ◽  
J. B. Balint
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Lower Extremities ◽  
Upper Extremities ◽  
Foreign Body Granuloma ◽  
Lower Limbs ◽  
Upper Limbs ◽  
Foreign Material ◽  
Glass Sand

At the National Institute of Traumatology in Budapest, a search has been made for foreign bodies in tendons over the last 15 years. 53 foreign bodies have been found in 931 tendons removed at operation and 45 foreign bodies in 950 tendon samples at autopsy. The foreign material was found to be organic in 29 cases, metal in 20 cases and plastic in six cases. In the others, glass, sand, mineral grease and textiles could be detected. In 33 cases the material could not be identified. The foreign bodies were found in the tendons of the upper extremities in 51 cases and the lower extremities in 47 cases. Foreign bodies in the tendons were more likely to cause problems in the upper limbs than in the lower limbs: these problems were purulent tendonitis, necrosis, foreign body granuloma, fibrosis and peritendonitis and calcification.

scholarly journals The Effect of Two Exercise Regimens with Older People

2014 ◽  
Vol 4 (3) ◽  
pp. 215-224
Author(s):  
Yolanda Marcen Román ◽  
Ricardo López Bernués ◽  
Ana Isabel Sieso Sevil
Keyword(s):  
Muscle Strength ◽  
Older People ◽  
Upper Extremities ◽  
Lower Limbs ◽  
Control Group ◽  
Static Balance ◽  
Treatment Protocols ◽  
Old Men ◽  
Functional Capacities

Among older people, the health is one of the most important aspects of the quality of life, especially emphasizing the important of the physical condition as the ability to attain and maintain their maximum independence. The general objective is to quantify the effect on the dynamic and static balance, strength and flexibility of the extremities for a period of 3 months and then, the consequences of another three months without exercises. Methodology: Study pre- and post-training with a random sample with 36 institutionalized old men, people over 65 years old with normal-mild cognitive impairment, divided into three groups: vestibular exercises, power exercises, and a non-intervention control group. Results: A significant improvement with balance, flexibility and muscle strength of the lower limbs in each of the group in relation to the control group. The decline of functional capacities measured by a battery of tests after three months without intervention. Conclusions: Balance, muscle strength and flexibility of the lower and upper extremities in institutionalized people over 65 of this study improve following the treatment protocols designed from the lower-limbs power exercises and vestibular exercises in relation to the control group. The functional capacity goes down unless they exercise regularly to improve results.

scholarly journals Staged treatment strategy in patients with acute abdomen

2015 ◽  
Vol 96 (1) ◽  
pp. 22-27
Author(s):  
P V Polenok
Keyword(s):  
Surgical Treatment ◽  
Treatment Strategy ◽  
Abdominal Cavity ◽  
Intervention Group ◽  
Postoperative Mortality ◽  
Control Group ◽  
Early Total Care ◽  
Abdominal Organs ◽  
Total Care ◽  
Staged Treatment

Aim. To reason the strategy of staged surgical treatment in patients with acute abdomen.Methods. The study included 72 patients, of them 32 were included in the main group, in which the staged surgical treatment strategy was implemented. To assess the effect of such approach, control group including 40 patients who were treated using the early total care strategy, was formed retrospectively. The decision on the certain strategy use (early total care strategy or staged treatment strategy («aborted operation») was made in every included patient by operating surgeon during the operation.Results. The modern method of surgical treatment («aborted operation» strategy) was introduced into the clinical practice for treating acute surgical abdominal diseases. A new method for patient’s condition severity assessment and operative risk prognosis based on the physical signs, as well as the scale of the indications for the «aborted operation» approach were developed. An original method for laparotomy wound closure was proposed. Device for laparostomy consists of two details - frame, which is stitched to the edges of surgical wound, and replaceable cap, which can be fixed to the frame. The device is made of soft elastic organic material, which is transparent and non-reactive. The key advantage of the device is the transparency of the cap material, allowing to review the condition of abdominal organs at any moment after the surgery without additional analgesia. The device act as a «viewport», allowing to clearly visualize the changes of abdominal organs, to diagnose the possible complications and to timely recognize the indications for programmed abdominal cavity debridement. The mortality in the control group was 100%, in the intervention group - 59%.Conclusion. Staged treatment strategy may significantly reduce the postoperative mortality, being an alternative to standard tactical and technical approaches used in emergency abdominal surgery.

scholarly journals Role of Chitosan Application in Postoperative Abdominal Adhesions in Rabbits

2015 ◽  
Vol 39 (1) ◽  
pp. 105-111
Author(s):  
E’atelaf A. Al-Mutheffer
Keyword(s):  
Abdominal Cavity ◽  
Treated Group ◽  
Vital Role ◽  
Control Group ◽  
Abdominal Adhesions ◽  
Abdominal Organs ◽  
Post Operation ◽  
Surgical Preparation ◽  
Chitosan Powder

     This study was performed to evaluate the reliability and efficacy of intra-peritoneal performances of chitosan powder in preventing abdominal adhesions following laparotomy. Twenty clinically healthy rabbits of both sexes, weighing 1.5-2 kg were allocated randomly into 2 equal groups; control group (G1) and treated group (G2). After surgical preparation the animals had undergone to laparotomy which was performed to create a sero-muscular incision of 4cm length in the stomach, in G1 the incision was closed by suturing stomach wound and abdominal wall, While (G2) animals were subjected to same operation but after stomach incision suturing, 1gr. of chitosan powder was sprinkled on stomach incision and peritoneal cavity prior to the lina alba and skin closures. 5 animals of each group were euthanized at two periods:   7th and 21st   day post operation, adhesions in abdominal cavity were examined macroscopically and microscopically. The results showed clearly no adhesions at the operation site (the stomach wound), also on all abdominal organs and peritoneum cavity in both examination periods in G2. In conclusion this study revealed that chitosan plays a vital role in restrictions of intra-abdominal adhesion even though the mechanism of action is still unknown.

scholarly journals РОЗВИТОК СИНДРОМУ ЕНДОГЕННОЇ ІНТОКСИКАЦІЇ ЗА УМОВ ПОЄДНАНОЇ ТРАВМИ ОРГАНІВ ЧЕРЕВНОЇ ПОРОЖНИНИ НА ФОНІ ГІПОВОЛЕМІЧНОГО ШОКУ ТА РЕПЕРФУЗІЙНОГО СИНДРОМУ КІНЦІВКИ

2018 ◽  
Author(s):  
V. O. Krylyuk ◽  
G. Yu. Tsymbaliuk
Keyword(s):  
Abdominal Cavity ◽  
Hypovolemic Shock ◽  
Lower Limbs ◽  
Male Rats ◽  
Control Group ◽  
Maximum Increase ◽  
Average Mass ◽  
Combined Injury ◽  
Ischemic Reperfusion ◽  
Endogenous Intoxication

Endogenous intoxication is a complicated multicomponent process caused by pathological biological activity of endogenous products or dysfunction of natural detoxification systems. The article presents the results of the experiment on ischemic-reperfusion syndrome as an aggravating factor in the development of endogenous intoxication in the model of combined injury of the abdominal cavity in the background of hypovolemic shock.The aim of the study – to learn the effect of ischemic-reperfusion syndrome on the changes of indicators of endogenous intoxication in the model of combined injury of the abdominal cavity in the background of hypovolemic shock.Materials and Methods. The experiment was conducted on 80 nonlinear male rats weighing 190–220 grams. In experimental groups ischemic-reperfusion syndrome was simulated in combination with trauma of the abdominal cavity in the background of hypovolemic shock and contents of endogenous intoxication markers (molecules of average mass fractions determined at wavelengths of 238, 254, 260 and 280) and the erythrocytes index of intoxication were analyzed. The probability of differences between the control group and the study group was evaluated using non-parametric Mann-Whitney U-test.Results and Discussion. The applications of haemostatic tourniquets on two lower limbs caused a significant reliable increase of EII indicator in all study groups. The maximum increase of EII indicator was in the group where the applications of the tourniquets were combined with the trauma of the abdominal cavity and hypovolemic shock. These data proved the potentiating effect of ischemicreperfusion syndrome on the development of systemic changes in combined trauma. It has also been shown that the manifestation of endogenous intoxication within the first 24 hours after the applications of haemostatic tourniquets is similar to that arising from the combined injury of the abdominal cavity in the background of massive external bleeding.Conclusions. The applications of haemostatic tourniquets to the two lower limbs for two hours enhance the development of endogenous intoxication in the model of combined injury of the abdominal cavity in the background of hypovolemic shock, that was confirmed by significant increase of EII indicator and the median mass molecules seven days after reperfusion.

Peripheral Nerve and Brachial Plexus Impairment, AMA Guides, Sixth Edition

2017 ◽  
Vol 22 (2) ◽  
pp. 3-5
Author(s):  
James B. Talmage ◽  
Jay Blaisdell
Keyword(s):  
Peripheral Nerve ◽  
Brachial Plexus ◽  
Complex Regional Pain Syndrome ◽  
Lower Extremities ◽  
Pain Syndrome ◽  
Upper Extremities ◽  
Motor Deficits ◽  
Type I ◽  
Sixth Edition ◽  
Nerve Entrapments

Abstract Physicians use a variety of methodologies within the AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Sixth Edition, to rate nerve injuries depending on the type of injury and location of the nerve. Traumatic injuries that cause impairment to the peripheral or brachial plexus nerves are rated using Section 15.4e, Peripheral Nerve and Brachial Plexus Impairment, for upper extremities and Section 16.4c, Peripheral Nerve Rating Process, for lower extremities. Verifiable nerve lesions that incite the symptoms of complex regional pain syndrome, type II (similar to the former concept of causalgia), also are rated in these sections. Nerve entrapments, which are not isolated traumatic events, are rated using the methodology in Section 15.4f, Entrapment Neuropathy. Type I complex regional pain syndrome is rated using Section 15.5, Complex Regional Pain Syndrome for upper extremities or Section 16.5, Complex Regional Pain Syndrome for lower extremities. The method for grading the sensory and motor deficits is analogous to the method described in previous editions of AMA Guides. Rating the permanent impairment of the peripheral nerves or brachial plexus is similar to the methodology used in the diagnosis-based impairment scheme with the exceptions that the physical examination grade modifier is never used to adjust the default rating and the names of individual nerves or plexus trunks, as opposed to the names of diagnoses, appear in the far left column of the rating grids.

The Role of Laparoscopic Technology in the Diagnosis and Treatment of Acute Surgical Pathologies of the Abdominal Cavity Organs

2018 ◽  
Vol 3 (2) ◽  
pp. 175-180
Author(s):  
F. G. Jamalov ◽  
◽  
M. M. Abdullaev ◽  
E. V. Nabieva ◽  
Т. P. Jamalova ◽  
...  
Keyword(s):  
Abdominal Cavity ◽  
Diagnosis And Treatment
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