scholarly journals An Effective Way to Prevent Depressurization of Carboxyperitoneum and Extraperitoneal Insufflation During Simultaneous Laparoscopic Interventions

2020 ◽  
Vol 9 (1) ◽  
pp. 21-26
Author(s):  
M. K. Abdulzhalilov ◽  
A. M. Abdulzhalilov ◽  
M. R. Imanaliyev
Keyword(s):  
Carbon Dioxide ◽  
Postoperative Complications ◽  
Surgical Intervention ◽  
Subcutaneous Tissue ◽  
Abdominal Cavity ◽  
Abdominal Organs ◽  
Number Of Patients ◽  
Simultaneous Surgery ◽  
Reduce Carbon Dioxide ◽  
The Cost

ABSTRACT. Laparoscopic simultaneous surgery (LSS) in patients with multisystem abdominal organs lesion is accompanied by ports’ re-installation for subsequent surgical intervention. Preserved trocar wounds (PTWs) pass carbon dioxide from the abdominal cavity, increasing its consumption and causing depressurization of the carboxyperitoneum. The incidence of extraperitoneal insufflation during laparoscopy varies from 0.43 to 2% (I.V. Vartanova et al., 2016). The presence of many methods of sealing PTWs indicates their inefficiency.AIM OF STUDY. To develop an easy-to-use, more reliable and effective way of sealing PTWs.RESULTS. As a result, a comparative evaluation of known methods of sealing PTWs, we have developed an easy-to-use, more reliable and effective way of sealing PTWs «Method for sealing punctures of the abdominal wall after removing the trocar during a laparoscopic surgery» (patent RF for the invention № 2621121).DISCUSSION. This method was performed in 55 patients, in all cases it provided reliable PTWs tightness, allowed maintaining stable carboxyperitoneum during laparoscopic interventions, without increasing carbon dioxide consumption, which reduced the cost of LSS and prevented the development of both intraand postoperative complications. The uniqueness of this method is that PTW is sealed from the side of the abdominal cavity, preventing carbon dioxide from penetrating into either the preperitoneal or subcutaneous tissue.CONCLUSION. An increase in the number of patients with combined surgical pathology necessitates the use of the developed method for sealing punctures when moving trocars and neutralizing sub- and postoperative complications. In addition, this method allows to reduce carbon dioxide consumption.

scholarly journals Management of postoperative complications in patients with acute peritonitis

2020 ◽  
Vol 10 (2) ◽  
pp. 5273-5276
Keyword(s):  
Postoperative Complications ◽  
Preventive Measures ◽  
Abdominal Cavity ◽  
Clinical Manifestations ◽  
Underlying Disease ◽  
Mannheim Peritonitis Index ◽  
Acute Peritonitis ◽  
Abdominal Organs ◽  
Prediction Of Complications ◽  
Two Stages

Acute peritonitis remains one of the most severe and threatening abdominal cavity disease. An important component of the treatment of acute peritonitis is the ability to prognosis adequately the possibility of postoperative complications, which allows using appropriate preventive measures. For the case, numerous methods, based on the account of various parameters, are developed. Nevertheless, none of them is fully accepted, and useful. The purpose was to develop an informative scale for postoperative complications predicting. The retrospective analysis of the outcome of treatment of 169 patients with acute surgical pathology of abdominal organs complicated by various forms of peritonitis, 79 of whom developed postoperative complications results are presented. The dependence of occurrence and severity of complications on the nature of the underlying disease, clinical manifestations of peritonitis before surgery, anthropometric data research, laboratory methods, Mannheim peritonitis index parameters, comorbidity class, and age were studied, using the analysis of variance. A scale, according to which the prediction of complications is conducted in two stages, was developed. Before the surgery, we estimate the previous risk according to the nature of the underlying disease, clinical manifestations of peritonitis, comorbidity class. According to identified changes, the final estimation due to the nature of the underlying disease, Mannheim peritonitis index parameters, comorbidity class, stab neutrophil leukocytes number, use of programmed peritoneal cavity sanations is being made during the operation. These indicators provided a certain number of points. Due to these points, patients were referred to several groups: normal group (less than 18), increased (18-25), and medium (26-34) and high (more than 35) the risk of complications. The developed scale makes it possible to apply the necessary preventive measures at all stages of treatment, since preoperative preparation.

Saving Time and Money and Reducing Carbon Dioxide Emissions by Efficiently Allocating Customers

2020 ◽  
Vol 50 (3) ◽  
pp. 153-165
Author(s):  
Christian Haket ◽  
Bo van der Rhee ◽  
Jacques de Swart
Keyword(s):  
Carbon Dioxide ◽  
Service Provider ◽  
Carbon Dioxide Emissions ◽  
Service Providers ◽  
Optimal Solution ◽  
Visual Basic ◽  
Specific Knowledge ◽  
Software Packages ◽  
Reduce Carbon Dioxide ◽  
The Cost

In many industries, multifacility service providers can save time and money and reduce carbon dioxide (CO2) emissions by more efficiently allocating customers to their facilities. However, firms incur a reallocation cost when reassigning a customer to a different facility, something that has not received much attention in the literature. Software packages such as CPLEX can find the optimal solution for this type of problem, but managers rarely use them because they lack the specific knowledge, overestimate the cost, and/or underestimate the benefits. Including the reallocation costs, we modeled several common heuristics in Excel’s Visual Basic and compared the results with the optimal solution found by CPLEX. We collaborated with Van Dorp, a large service provider in the Netherlands, and found that (1) substantial savings can be achieved, (2) reallocation costs play a major role, and (3) the best heuristic achieves near-optimal results. Specifically, reallocating Van Dorp’s 20 “worst allocated” customers realizes a savings of more than 4,000 driving hours and €360,000 in cost and a reduction of 41 tons of CO2 emissions.

scholarly journals Regarding the issue of abdominal drainage

2012 ◽  
Vol 93 (4) ◽  
pp. 671-674
Author(s):  
E K Salakhov
Keyword(s):  
Surgical Intervention ◽  
Abdominal Cavity ◽  
Primary Method ◽  
Optimal Method ◽  
Abdominal Drainage ◽  
Abdominal Organs ◽  
Frequency Of Use ◽  
Effective Drainage ◽  
The Impact ◽  
Outcome Of Surgery

The article discusses with main questions regarding drainage of the abdominal cavity, the types of drains and drainage devices. The outcome of surgery on the abdominal organs is largely dependent on effective drainage. There is still debate regarding the drainage techniques, shape and drainage material, indications and frequency of use. In deciding whether abdominal drainage is needed it is necesary to determine the most optimal method, its effectiveness and possible complications. Abdominal drainage is a necessary and important final stage of many operations, and sometimes the primary method of surgical intervention. At the same time, at the time of draining the abdominal cavity it is essential to know about the negative sides of the drainage and complications. There are certain difficulties in assessing the impact of abdominal drainage.

scholarly journals Сучасні підходи до хірургічного лікування хворих на генералізова- ний пародонтит із використанням дентальних імплантатів

2017 ◽  
Author(s):  
H. B. Prots ◽  
V. P. Piuryk
Keyword(s):  
Postoperative Complications ◽  
Bone Tissue ◽  
Surgical Intervention ◽  
Positive Development ◽  
Duration Of Treatment ◽  
Surgical Interventions ◽  
Periodontal Tissues ◽  
Dental Implantation ◽  
Simultaneous Surgery

The main postulate of periodontal treatment is the elimination of factors injuring periodontal disease, creating conditions for the normalization of its properties. Structures with additional supports on the intraosseous implants are optimal for orthopaedic treatment. The possibilities and conditions for surgical intervention on periodontal tissues and implantation in patients with varying severity of chronic GP were generally poorly understood.The aim of the study – to improve the treatment of patients with partial edentia and chronic generalized periodontitis by including dental implantation to the complex of therapeutic measures.Materials and Methods. There are presented the results of 360 patients with varying severity degrees of generalized periodontitis who underwent surgery on periodontal tissues with dental implantation.Results and Discussion. Our research showed that implantation in patients with mild generalized periodontitis can achieve consistently good results regardless the method of treatment. Simultaneous surgery on periodontal tissues and the dental implantation shortens treatment duration in 1.5–2 times without compromising its quality. It is shown that in patients with moderate and severe degrees of generalized periodontitis it is appropriate to perform periodontal surgery separately followed by dental implantation to prevent postoperative complications and implant loss. When planning for dental implants and periodontal surgical intervention it is necessary to determine the quality of bone remodeling to assess the structural and functional state of bone tissue and differentiated destination osteotropic drugs that promote positive postoperative period.Conclusions. Therefore, in order to increase the effectiveness of dental implantation and surgical periodontal intervention, bone remodelling markers should be determined to assess the structural and functional status of bone tissue and for the differentiated use of osteotropic drugs, which will contribute to the positive development of the postoperative period. Simultaneous surgical intervention on periodontal tissues and dental implantation in 1.5–2 times reduces the duration of treatment without reducing its quality. In patients with moderate to severe degrees, it is expedient to carry out surgical interventions with subsequent dental implantation in order to prevent postoperative complications and loss of implants.

The psychosomatic state of patients with differences in the prevalence of cancer process in biliopancreatic duodenal zone and in the volume of a surgical intervention.

2017 ◽  
Vol 35 (15_suppl) ◽  
pp. e15619-e15619
Author(s):  
Galina Vitalyevna Zhukova ◽  
Oleg Ivanovich Kit ◽  
Umar Muhmadovich Gaziev ◽  
Elena Alekseevna Shirnina ◽  
Alla Ivanovna Shikhlyarova ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Cancer Patients ◽  
Surgical Intervention ◽  
Stage Ii ◽  
Disease Stage ◽  
Disease Course ◽  
Number Of Patients ◽  
Situational Anxiety ◽  
Disease Stages ◽  
Prevalence Of Cancer

e15619 Background: Associations between the psychosomatic state of cancer patients and the disease course, treatment and complications are poorly studied. Our purpose was to study adaptation and mental statuses of patients with biliopancreatoduodenal cancer (BPDC) at different disease stages with various volumes of surgical intervention. Methods: Parameters of the psychosomatic state of 32 patients with BPDC were studied before treatment, 1 day after surgery and at the dismissal from hospital. Adaptation statuses were assessed by a character and intensity of the general nonspecific adaptation reactions (AR) with scoring by the Antistress program. Mental statuses were evaluated by the levels of personal (PA) and situational anxiety (SA) by the Spielberger-Khanin method. Patients with pancreatoduodenectomy (PDE, 19 patients) and those with palliative intervention for a bypass anastomosis (BA, 13 patients) were compared. Patients with stage II disease prevailed in the PDE group and stage III-IV – in the BA group. Results: Patients with PDE had a higher adaptation status than patients with BA (p < 0.05). It resulted in lower rates of most adverse AR prior to the surgery (21% vs. 61%, respectively) and a higher AR score 1 day after the surgery (187±39 and 80±24, respectively). The AR score of 18 and lower 1 day after PDE was associated with postoperative complications. A tendency to a higher number of patients with a high PA was found in the PDE group compared to the BA group (58 and 31%, respectively) which could affect the time of pathology detection in patients of different groups. Patients of the two groups showed differences in the SA dynamics determined by the volume of surgical intervention. Conclusions: The association between the psychosomatic state of BPDC patients and the disease stage and volume of surgical intervention was demonstrated. The AR scoring 1 day after the surgery allows prognosis of postoperative complications.

scholarly journals ANALISIS OF THE STTUCTURE OF ABDOMINAL PAIN SINDROME IN CHILDREN IN CONDITIONS OF THE CENTRAL REPUBLICAN HOSPITAL

2019 ◽  
Vol 23 (1) ◽  
pp. 35-37
Author(s):  
Nail V. Rayanov ◽  
R. N. Rayanov ◽  
N. R. Nizaev
Keyword(s):  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Pediatric Surgery ◽  
Surgical Intervention ◽  
Abdominal Cavity ◽  
Emergency Operation ◽  
Acute Calculous Cholecystitis ◽  
Abdominal Organs ◽  
Functional Nature ◽  
Calculous Cholecystitis

Abdominal pain is a serious problem in pediatric surgery. Abdominal pain is one of the most frequent complaints addressed by children and their parents to doctors of various specialties: pediatrician, gastroenterologist, infectious diseases specialist, pediatric surgeon, ambulance workers. Abdominal pain is a symptom of many diseases of organs of abdominal cavity. It may be of a functional nature, which does not pose a threat to the life of the child and does not require surgical intervention, and pain associated with acute pathology of the abdominal organs (acute appendicitis, invagination of the intestine, diverticulitis, intestinal obstruction, acute calculous cholecystitis, injuries of the abdominal cavity and so on. e) requiring an emergency operation.

An Analysis of the Energy Performance and Economic Efficiency of the Practical use of Low Carbon Fumed Silica Insulation Panel Using Recycled Resources

2013 ◽  
Vol 689 ◽  
pp. 241-245
Author(s):  
Gyeong Seok Choi ◽  
Su Jin Woo ◽  
Seong Eon Lee ◽  
Jae Sik Kang
Keyword(s):  
Carbon Dioxide ◽  
Economic Efficiency ◽  
Fumed Silica ◽  
Carbon Dioxide Emissions ◽  
Energy Performance ◽  
Low Carbon ◽  
Reduce Carbon Dioxide ◽  
The Cost ◽  
Low Carbon Technologies ◽  
Made In

Based on the increase of the global interest in climate change, various political and technological efforts are being made in Korea in order to reduce carbon dioxide emissions, considered to be one of the main causes of greenhouse gas effects. Low energy and low carbon technologies with high reusability that enhance the performance of architectural materials have been developed in the architectural construction field [1]. This study has developed an FS insulation panel using recycled resources, and has verified the enhancement of economic efficiency, reduction of carbon dioxide emissions, and enhanced energy performance of the developed insulating panel. The results of the analysis have confirmed a 1.2t reduction of carbon dioxide emissions and a 7.3% increase in energy performance in comparison to standard insulators based on the existing legislative standards. Furthermore, cost effectiveness was also seen as the cost increased by 72% with a 10 year return period.

Nursing the uroabdomen patient

2021 ◽  
Vol 12 (3) ◽  
pp. 131-138
Author(s):  
Sam McGaw
Keyword(s):  
Metabolic Acidosis ◽  
Urinary Tract ◽  
Diagnostic Imaging ◽  
Urinary Diversion ◽  
Nursing Care ◽  
Postoperative Care ◽  
Surgical Intervention ◽  
Urinary Catheter ◽  
Abdominal Cavity ◽  
Patient Presentation

Uroabdomen, the presence of urine in the abdominal cavity, commonly occurs in dogs and cats, particularly following a trauma. Initial stabilisation of the patient is essential to treat the multisystemic effects of electrolyte and metabolic derangements, including hyperkalaemia, azotaemia and metabolic acidosis. Diagnosis is confirmed by comparing laboratory analysis of abdominal fluid and serum. Urinary diversion is required, often via placement of a urinary catheter, to prevent continuing urine accumulation. Once haemodynamically stable, diagnostic imaging may be performed to confirm the location of the urinary tract rupture, with several modes of imaging available. Surgical intervention may be necessary to repair the urinary leak, this is dependent on the location and severity of the trauma to the urinary tract. Registered veterinary nurses play an important role in the management of the uroabdomen patient, from initial triage and stabilisation, to assisting with imaging, anaesthetic monitoring and postoperative care. This article will discuss the aetiology of the uroabdomen, patient presentation and how to effectively treat the critical patient. Nursing care is vital for ensuring patient welfare and identifying complications that may arise.

scholarly journals Complicated Diverticular Disease

2020 ◽  
Author(s):  
Kathleen M. Coakley ◽  
Bradley R. Davis ◽  
Kevin R. Kasten
Keyword(s):  
Postoperative Complications ◽  
Diverticular Disease ◽  
Surgical Intervention ◽  
Management Strategies ◽  
Significant Risk ◽  
Complicated Diverticulitis ◽  
Careful Attention ◽  
Correct Treatment ◽  
Treatment Paradigm ◽  
Colonic Diverticular Disease

AbstractThe modern management of colonic diverticular disease involves grouping patients into uncomplicated or complicated diverticulitis, after which the correct treatment paradigm is instituted. Recent controversies suggest overlap in management strategies between these two groups. While most reports still support surgical intervention for the treatment of complicated diverticular disease, more data are forthcoming suggesting complicated diverticulitis does not merit surgical resection in all scenarios. Given the significant risk for complication in surgery for diverticulitis, careful attention should be paid to patient and procedure selection. Here, we define complicated diverticulitis, discuss options for surgical intervention, and explain strategies for avoiding operative pitfalls that result in early and late postoperative complications.

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