scholarly journals RESULTS OF PALLIATIVE SURGICAL CORRECTION FOR PATIENTS WITH RESPIRATORY FAILURE DEPENDING ON THE VARIANT OF EMPHYSEMATOUS LESION

2018 ◽  
Vol 177 (4) ◽  
pp. 10-14
Author(s):  
S. D. Gorbunkov ◽  
V. V. Varlamov ◽  
S. M. Cherny ◽  
O. V. Lukina ◽  
A. L. Akopov
Keyword(s):  
Respiratory Failure ◽  
Pulmonary Emphysema ◽  
Early Postoperative Period ◽  
Surgical Correction ◽  
Long Term Results ◽  
Lung Volume Reduction ◽  
Pulmonary Tissue ◽  
Clinically Significant ◽  
Observation Period

The  OBJECTIVE  is  to  estimate the  immediate and  long-term   results of  palliative  surgical   correction of  the  respiratory failure (RF) depending on the  variants of emphysematous lesion  of   the  lungs.  MATERIAL AND METHODS.  175  patients with  the  severe  pulmonary emphysema  (PE)  were  operated, 111  resections of  large  and  giant  bullas  (RB)  (55.5  %), 85  lung  volume   reduction surgery  (LVRS)  (42.5  %)  were   performed,  the  proportion   of  repeated  interventions on  the contralateral lung  were  12  %.  RESULTS.   Complications in  the  early  postoperative period  were  in  107  patients  (53.5 %),  postoperative lethality  was  12.0  %  (n=24).  Complications in  the  group  of  patients with  the  absence of  practically preserved lobe  were  in 84  patients (69.4  %)  while  the  complications in the  group  with practically  preserved lobe  were revealed only  in  23  patients (29.1  %)  (p=0.001). After  RB  in  the  groups where   bullas  adjoined to  almost   unchanged pulmonary tissue,  the  lethality  during  the  five-year  observation period  was  much  less,   than  in the  groups with clinically significant   pulmonary emphysema  in  the   remaining  after   operation  part   of  a  lung,  4.1  %  and   40.0   %  respectively (p=0.001). CONCLUSION.  After the  palliative  surgical  correction of RF  through  RB or LVRS, the  most  favorable survival criterion is the presence of parenchyma in the operated lung, which is practically not affected with emphysema.

scholarly journals Surgical correction of respiratory failure in patients with diffuse pulmonary emphysema who underwent long-term oxygen therapy

2017 ◽  
Vol 176 (4) ◽  
pp. 71-74
Author(s):  
S. D. Gorbunkov ◽  
V. V. Varlamov ◽  
S. M. Chernyi ◽  
Z. A. Zaripova ◽  
A. Yu. Gichkin ◽  
...  
Keyword(s):  
Physical Activity ◽  
Respiratory Failure ◽  
Oxygen Therapy ◽  
Surgical Correction ◽  
Pulmonary Tissue ◽  
Terminal Stage ◽  
Bode Index ◽  
Radio Studies ◽  
Long Term Oxygen Therapy

OBJECTIVE. The research showed the possibility of operative treatment of patients with terminal stage of respiratory failure who underwent long-term oxygen therapy. MATERIAL AND METHODS. Surgical correction of respiratory failure was performed for two patients after clinical, functional and radio studies. RESULTS. The degree of arterial hypoxemia significantly decreased after operation due to improved ventilation of maximally saved pulmonary tissue areas. This allowed doctors to apply a situational oxygen therapy. Tolerance of physical activity reliably improved and value of BODE-index decreased. CONCLUSIONS. The terminal stage of respiratory failure couldn’t be a contraindication to surgical treatment.

scholarly journals Immediate and Long-Term Results of the Spleen-Preserved Operations in the Surgical Treatment of Gastric Cancer

2020 ◽  
Vol 13 (3) ◽  
pp. 227-232
Author(s):  
Marina I. Rogozianskaia ◽  
Alexander Nikolayevich Redkin ◽  
Ivan Petrovich Moshurov
Keyword(s):  
Gastric Cancer ◽  
Surgical Treatment ◽  
Total Gastrectomy ◽  
The Body ◽  
Long Term Results ◽  
D2 Lymphadenectomy ◽  
Spleen Preserving ◽  
Cardiac Region ◽  
Clinically Significant

ntroduction. Currently, total gastrectomy with D2 lymphadenectomy is the standard surgical treatment for proximal gastric cancer at the resectable stages (I-III). The issue of advisability of splenectomy as a component of lymphadenectomy remains a controversial one, especially when the tumor is localized in the region of the body or cardiac region of the stomach.The aim of the study was to compare immediate and long-term outcomes, including the quality of life, between spleen preserving and spleen removing surgeries.Methods. The study included 363 patients with gastric cancer II-III stages, localized in the upper and/or the middle third of the stomach, who underwent surgery at the Voronezh Regional Clinical Oncology Hospital and the Voronezh Clinical Hospital of the Russian Railway-Medicine in 2015-2017. All patients were conditionally divided into 2 groups for comparative retrospective analysis. All patients of the first (experimental or spleen-preserved) group (144 patients) were performed R0 total gastrectomy with D2 lymphadenectomy, including splenic hilar nodes (№ 10,11) removal without splenectomy. Patients of the second (control or splenectomy) group (219 patients) were performed R0 total gastrectomy with D2 lymphadenectomy and prophylactic splenectomy (for splenic hilar nodes removal).Results. The average duration of the operation and the volume of blood loss did not differ in both groups. The incidence of early postoperative surgical complications was lower in the spleen-preserved group. Splenectomy was associated with more severe complications of class 4 and 5 according to the Clavien-Dindo classification. Conclusion. Parameters of the 1- and 3-year overall survival rate did not differ in both groups. The results of the GSRS questionnaire were similar in both groups, excluding reflux-esophageal symptoms scale. The reflux scale demonstrated a statistically and clinically significant advantage of spleen preservation.

scholarly journals EXTRAPLEURAL PNEUMOLYSIS FOR CAVITARY PULMONARY TUBERCULOSIS TREATMENT

2020 ◽  
pp. 15-20
Author(s):  
P. G. Gadzhieva ◽  
D. B. Giller ◽  
A. A. Glotov ◽  
O. Sh. Kesaev ◽  
V. V. Koroev ◽  
...  
Keyword(s):  
Pulmonary Tuberculosis ◽  
Multidrug Resistant ◽  
Pathological Process ◽  
Tuberculosis Treatment ◽  
Long Term Results ◽  
Filling Material ◽  
Different Types ◽  
Positive Effect ◽  
Observation Period

Objective. To increase efficiency of cavitary pulmonary tuberculosis treatment by developing modern indications and technology of extrapleural pneumolysis with filling material.Material and methods. We reviewed 25 patients with cavitary pulmonary tuberculosis and bacterial excretion who had undergone extrapleural pneumolysis with different types of filling material in 2004–2015. In 16 cases, we performed surgery in patients with one lung.Results. 56% of operated patients demonstrated extensively drug-resistant TB, 40% had multidrug-resistant TB. Cavities were closed and bacterial excretion ceased in 92% of patients at discharge. Long-term results with observation period from 1 to 12 years were analyzed in 24 patients, 17 (71%) of them had complete clinical efficacy.Conclusion. Extrapleural pneumolysis is a mini-invasive surgical treatment that can prove positive effect in patients with non-fibrotic changes in a cavity wall and pathological process in upper parts of the lungs. 

scholarly journals Heart valve injury due to radiation therapy

Kardiologiia ◽  
2019 ◽  
Vol 59 (2S) ◽  
pp. 56-68
Author(s):  
M. G. Poltavskaya ◽  
E. I. Emelina ◽  
Yu. V. Avdeev ◽  
G. E. Gendlin ◽  
G. N. Paramonova
Keyword(s):  
Radiation Therapy ◽  
Heart Valves ◽  
Single Photon ◽  
Stress Test ◽  
Gas Analysis ◽  
Long Term Results ◽  
Cardiovascular Pathology ◽  
Results Of Treatment ◽  
Clinically Significant

Relevance.Radiation therapy (RT) plays an important role in oncology, improving the immediate and long-term results of treatment of a number of tumors. One of the most significant complications of RT are lesions of the heart valves.Objective.To study the variants of valve damage that occur in patients who received radiation therapy for cancer.Patients and methods.A group of patients who, during the period from 1978 to 2002, underwent chemo-radiation therapy (CRT) for Hodgkin's lymphoma (LH) of 2–4 stages with damage to the intrathoracic lymph nodes: 71 patients, 60 of whom did not go to the cardiologist and were invited to be examined, 11 were hospitalized due to clinically significant cardiovascular pathology (CHF, myocardial infarction, angina pectoris, valvular defect, AV block). The study methods included: standard clinical and laboratory examination, spirometry, 24‑hour ECG monitoring, echocardiography, in some patients single-photon myocardial emission tomoscintigraphy (SPECT), and CT scan of the chest organs. In 60 patients, a stress test on an ECG-controlled treadmill was performed, in 18 patients – a maximum stress test on a treadmill with a gas analysis – ergospirometry.Results and discussion. Valve pathology was detected in 49.3 % of cases, most often (in 46.5 %) mitral regurgitation (MR) occurred, primarily due to MR of the 1 st degree, which had no clinical significance. Pathology of the aortic valve (12.7 % of patients) was represented mainly by mild regurgitation (11.3 %). Aortic stenosis was diagnosed in 4.2 % of patients. In the studied cohort of patients, predominantly non-severe valve lesions were detected. In addition, examples of patients with clinically significant valve valvular lesions are presented.

Long-term results of surgical correction of H-type fistula in girls with a normal anus

2021 ◽  
pp. 39
Author(s):  
A.I. Turchinets ◽  
A.V. Khmelnitskaya ◽  
Ya.P. Sulavko ◽  
A.L. Ionov ◽  
V.V. Nikolaev ◽  
...  
Keyword(s):  
Surgical Correction ◽  
Long Term Results

scholarly journals The long-term results of surgical correction of childhood esotropia

1993 ◽  
Vol 21 (1) ◽  
pp. 23-28 ◽  
Author(s):  
David Infeld ◽  
Chris Prior ◽  
Hugh Ryan ◽  
Justin O'Day
Keyword(s):  
Surgical Correction ◽  
Long Term Results

scholarly journals Long-Term Results After Lung Volume Reduction Surgery: A Single Institution’s Experience

2019 ◽  
Vol 107 (4) ◽  
pp. 1068-1073
Author(s):  
Chelsea R. Horwood ◽  
Daniel Mansour ◽  
Mahmoud Abdel-Rasoul ◽  
Gregory Metzger ◽  
Jing Han ◽  
...  
Keyword(s):  
Lung Volume ◽  
Volume Reduction ◽  
Long Term Results ◽  
Lung Volume Reduction Surgery ◽  
Lung Volume Reduction

Coronary-coronary bypass grafting: artery or vein?

2020 ◽  
Vol 28 (6) ◽  
pp. 316-321
Author(s):  
Vladlen Bazylev ◽  
Evgeny Rosseikin ◽  
Dmitriy Tungusov ◽  
Artur Mikulyak
Keyword(s):  
Myocardial Revascularization ◽  
Coronary Bypass ◽  
Long Term Results ◽  
Bypass Grafting ◽  
Coronary Bypass Grafting ◽  
Coronary Bypass Grafts ◽  
Long Term Follow Up ◽  
Observation Period

Background The method of coronary-coronary bypass grafting was described in 1987 but has not been widely used, and there are only a few studies that report good short-term and mid-term results as well as some individual cases of long-term follow-up. In our medical institution, we carried out an analysis of the long-term results of coronary-coronary bypass grafting, which are presented in this study. Methods This was a retrospective single-center study on 95 patients who underwent coronary-coronary bypass grafting as a supplement to the standard coronary bypass grafting procedure. All patients underwent angiographic assessment of the coronary bypass grafts during the long-term follow-up period. The observation period was up to 123 months. Angiographic assessment of 109 coronary-coronary grafts was carried out. Results Twelve (7.6%) arterial and 11 (19.3%) venous conduits were found to be occluded, and 8 (10.3%) arterial and 10 (31.3%) venous coronary-coronary grafts were occluded during the observation period. Conclusion Arterial coronary-coronary artery bypass grafting represents an alternative technique that allows complete myocardial revascularization.

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