scholarly journals Mini-invasive methods of treatment of liquid formations of parhychymatic ogrgans and abdominal cavity in planned and urgent abdominal surgery

2018 ◽  
Keyword(s):  
Surgical Treatment ◽  
Minimally Invasive ◽  
Clinical Laboratory ◽  
Abdominal Cavity ◽  
Social Indicators ◽  
Pancreatic Head ◽  
Retroperitoneal Space ◽  
Diagnostic Methods ◽  
Head Tumors ◽  
Minimally Invasive Methods

The problem of diagnosis and treating-tactical criteria for liquid formations of the abdominal cavity and retroperitoneal space of non-parasitic genesis remains unsolved. The purpose of this study is to improve the results of surgical treatment of patients with liquid formations of the parenchymal organs, abdominal cavity and retroperitoneal space through the complex use of minimally invasive diagnostic methods and surgical treatment. Clinical-physical, then clinical-laboratory methods of examination of patients were performed, during which liquid structures were suspected Comparing different methods of surgical treatment of non-parasitic liquid formations of parenchymal organs and the abdominal cavity, it was established that the use of minimally invasive methods allowed to improve the medical and social indicators in this group of patients significantly. The use of puncture drainage methods in combination with conservative therapy for the treatment of pancreatic pseudocyst is effective. This method is important for diagnosing and determining the connection of a cyst with a duct, as well as for differential diagnosis with tumors. In patients with pancreatic head tumors complicated by obstructive jaundice, decompression of the gall tree by means of percutaneous transhepatic microcholecystostomy for 7–15 days significantly improved and normalized the functional state of the liver, which allowed for the application of bilidigents anastomoses. The use of puncture drainage methods under the control of sonography in liver cysts leads to a positive result of the treatment of this pathology and the prevention of complications. When comparing various methods of surgical treatment of non-parasitic fluid formations of parenchymatous organs, the abdominal cavity, it was found that the use of minimally invasive methods has significantly improved medical and social indicators in this group of patients.

scholarly journals miRNAs and lncRNAs: Potential Non-Invasive Biomarkers for Endometriosis

Biomedicines ◽  
2021 ◽  
Vol 9 (11) ◽  
pp. 1662
Author(s):  
Ioana Maria Maier ◽  
Adrian Cornel Maier
Keyword(s):  
Clinical Trials ◽  
Minimally Invasive ◽  
Gold Standard ◽  
Noncoding Rnas ◽  
Long Noncoding Rnas ◽  
Diagnostic Methods ◽  
Non Invasive ◽  
Invasive Method ◽  
Minimally Invasive Methods ◽  
Exploratory Laparoscopy

Many studies have tried to understand the mechanism of endometriosis and its manner of manifestation. However, the only method of diagnosis considered as the gold standard in endometriosis is an invasive method called exploratory laparoscopy. Hence, there is a need to identify non-invasive or minimally invasive methods to minimize patients’ suffering, thus increasing their addressability at the earliest possible staging of the disease, and to diagnose this condition as soon as possible. miRNAs (microRNAs) and lncRNAs (long-noncoding RNAs) are potential non-invasive diagnostic methods for endometriosis. Multiple clinical trials indicate that miRNA can be used as a non-invasive method in the diagnosis and differentiation of endometriosis stages.

Survival after pancreaticoduodenectomy for pancreatic ductal adenocarcinoma

2020 ◽  
Vol 21 (4) ◽  
pp. 127-130
Author(s):  
V. U. Rayn ◽  
◽  
A. A. Chernov ◽  
S. O. Zabotkin ◽  
◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Pancreatic Ductal Adenocarcinoma ◽  
Soft Tissues ◽  
Abdominal Cavity ◽  
Survival Rates ◽  
Pancreatic Head ◽  
Ductal Adenocarcinoma ◽  
En Bloc ◽  
Free Survival ◽  
Pancreatic Head Cancer

Aim. To access overall and event-free survival rates in patients after surgical treatment of localized and locally spread pancreatic head cancer. Materials and methods. A single center observational trial was conducted at a low-volume pancreatic surgery center in Khanty-Mansiysk. Data were collected retrospectively from 2007 to 2019. Patients with resectable tumors were included into the study whose final histology showed pancreatic ductal adenocarcinoma and en-bloc resection. According to the technical facilities and actual clinical protocols all patients received surgical treatment only and were then monitored. Data on progression patterns and survival rates were collected and calculated using Kaplan-Meier survival analysis. Results. Median overall survival (OS) after R0 pancreaticoduodenectomy was 16,8 months (IQR 10,9-23,5). Median progression-free survival was 10,6 mo. (IQR 8,0-20,7). OS in jaundiced patients was 4,9 mo. shorter than in patients without jaundice at the diagnosis (р = 0,011). Patients with serum bilirubin level < 100 μmol/l lived on average 7.2 months longer (p = 0.014). Most frequent sites of primary progression were liver and peritoneum, lungs, bones, lymph nodes of the abdominal cavity / retroperitoneal space, less often metastases were found in the skin and soft tissues. In 21.4% of cases metastases were found in several organs simultaneously with most frequent combination of liver and peritoneum, liver and lungs, lungs and bones. The median survival after progression was 7.1 ± 4.8 months Conclusion. Pancreatic duct adenocarcinoma has a high potential for progression and has therefore poor prognosis. To improve long-term outcomes, it is advisable to apply additional therapeutic options perioperatively.

scholarly journals DIAGNOSTIC TACTICS FOR TRAUMATIC INJURIES OF THE SPLEEN

2020 ◽  
pp. 155-159
Author(s):  
M. M. Belous
Keyword(s):  
Minimally Invasive ◽  
Information Content ◽  
Diagnostic Method ◽  
Diagnostic Methods ◽  
Traumatic Injuries ◽  
X Ray ◽  
Non Invasive ◽  
Examination Methods ◽  
Minimally Invasive Methods

Summary. Purpose. Having based on the determination of the degree of effectiveness and information content of the diagnostic methods for traumatic injuries of the spleen, to analyze the results of the instrumental diagnostic methods to create an algorithm for diagnostic and treatment tactics. Materials and methods: 355 victims were hospitalized with traumatic injuries of the spleen. Of these, physical and laboratory diagnostic methods were used in 100 % of cases, laparoscopy — 245 patients (69 %), laparocentesis — 21 (6 %), laparotomy —- 75 (21 %), ultrasound — 199 (56 %), x-ray — 67 (19 %), CT — 7 (2 %). Research results and discussion.The most informative diagnostic method is laparotomy. Of minimally invasive methods — laparoscopy, and of non-invasive methods — ultrasound. Conclusions. For successful recognition of spleen damage, it is necessary to use complex examination methods, depending on the indication developed for them, that significantly reduces the duration of the diagnostic phase.

scholarly journals Emphysematous pyelonephritis: epidemiology, modern approaches to diagnosis and treatment

2020 ◽  
Vol 13 (5) ◽  
pp. 100-105
Author(s):  
A.A. Novinsky ◽  
◽  
A.F. Zinukhov ◽  
◽  
Keyword(s):  
Surgical Treatment ◽  
Conservative Treatment ◽  
Minimally Invasive ◽  
Bacterial Flora ◽  
Invasive Treatment ◽  
Scientific Publications ◽  
Emphysematous Pyelonephritis ◽  
Methods Of Treatment ◽  
Minimally Invasive Methods ◽  
Clinical Cases

Introduction. Emphysematous pyelonephritis (EPN) is a rare form of acute suppurative pyelonephritis, which is characterized by a rapid and severe course due to the pathogenic effect of the gas-forming bacterial flora. Currently, only a few hundred clinical cases of EPN are described in the literature. Currently, there are no standards for the surgical treatment of patients with EPN, but there is a clear tendency towards a wider use of minimally invasive methods of treatment and limitation of indications for nephrectomy. A risk-based approach based on the proposed radiological classifications of EPN is considered preferable. Purpose. Тo study all literature sources available for the current period on the Internet, describing clinical cases and experience in treating patients with a diagnosis of emphysematous pyelonephritis. Materials and methods. Тhe results of a search in the scientific databases PubMed, MEDLINE, Embase, elibrary were analyzed for the queries «emphysematous pyelonephritis», «classification», «gassing bacterial flora», «diabetes mellitus», «conservative treatment», «nephrectomy», «percutaneous drainage». 754 scientific publications were found, 25 were selected for detailed analysis. Results and discussion. Today, there are no standards for surgical treatment of patients with EP, but there is a clear trend towards wider use of minimally invasive methods of treatment and limiting the indications for nephrectomy. Minimally invasive methods of treating EN allows organ-preserving treatment and reduces the risk of renal failure. The lack of clear indications for the choice of the scope of surgical treatment and the low orientation of specialists towards radiological diagnostic criteria are the main reasons for excessive organ-carrying treatment of patients with PF. A risk-mediated approach based on the proposed clinical and radiological classifications of EP is considered preferable. In controversial cases, it is possible to recommend an attempt at minimally invasive treatment in combination with adequate conservative therapy, and only if it is ineffective, resort to performing nephrectomy. Conclusion. Indications for nephrectomy should be strictly limited and revised taking into account modern approaches. Nephrectomy should be an option of choice only if conservative treatment is impossible or ineffective.

scholarly journals COMPARISON OF DIAGNOSTIC METHODS AND TREATMENT OF ENDOMETRIOSIS OF ATYPICAL LOCATION

2018 ◽  
Vol 5 (3) ◽  
pp. 157-163
Author(s):  
D. D Shlyk ◽  
Yury E. Kitsenko ◽  
D. R Markaryan ◽  
V. I Lanchinskiy ◽  
I. A Tulina ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Abdominal Cavity ◽  
Malignant Neoplasm ◽  
Early Postoperative Period ◽  
Diagnostic Methods ◽  
Reproductive Age ◽  
Treatment Technique ◽  
Intravenous Contrast ◽  
Preoperative Stage ◽  
Extragenital Endometriosis

Surgical treatment and subsequent management of women of reproductive age with endometriosis of extragenital localization involving intestine, whose frequency is up to 37%, currently do not have a detailed and clearly described protocol, which may be caused by the complexity of diagnosis at the preoperative stage. In most cases, extragenital localization is an intraoperative finding. The purpose of the article is to evaluate the complexity of diagnosing the atypical location of extragenital endometriosis, systematize the diagnostic protocol and present the chosen treatment tactics. Material and methods. In the clinic of coloproctology and minimally invasive surgery, 4 observations of extragenital endometriosis with intestinal lesions were noted. According to the results of diagnostic studies (multispiral computed tomography - MSCT of the abdominal cavity with intravenous contrast, irrigoscopy with double contrasting, colonoscopy with biopsy), endometriosis was confirmed in 2 patients at the preoperative stage. All patients underwent surgical interventions in the volume of resection of the affected segment of the intestine within the unchanged tissues. Results. According to the intraoperative revision, in all patients there was noted the presence of additional extragenital foci of different localization, which were destroyed by diathermocoagulation. Patients with unverified endometriosis also underwent lymphadenectomy in D2 volume due to the inability to exclude malignant neoplasm. In the early postoperative period, no complications were noted. Only 1 patient decided to take hormonal therapy for 6 months after the operation. At present, none of the relapses have been observed, the mean follow-up time is 17.3 ± 13.6 months (4-33 months). In all patients there was recovered the menstrual cycle, menstruation moderately painful, previous abdominal pains before menstruation and spotting discharges from the rectum stopped. Conclusion. Surgical treatment of extragenital endometriosis of intestinal localization in the volume of resection of the affected intestine within the unchanged tissues is the optimal treatment technique and is not accompanied by significant complications. However, in cases of unverified histologically endometriosis, principles of oncological radicalism should be kept. To select the optimal volume of surgical intervention and access, a multidisciplinary consultation with the coloproctologist, gynecologist and with the obligatory consideration of the patient’s opinion is required.

scholarly journals Ways to improve the immediate results of treating complicated colon cancer in elderly and senile patients

2019 ◽  
Vol 11 (1) ◽  
pp. 21-26
Author(s):  
Nikolay I. Glushkov ◽  
Konstantin V. Pavelets ◽  
Timofey L. Gorshenin ◽  
Mikhail Y. Lobanov ◽  
Yuliya S. Shishlikova
Keyword(s):  
Colon Cancer ◽  
Cardiovascular Risk ◽  
Surgical Treatment ◽  
Postoperative Complications ◽  
Minimally Invasive ◽  
Perioperative Period ◽  
Cardiac Complications ◽  
Control Group ◽  
Tei Index ◽  
Minimally Invasive Methods

The article analyzes the results of treating 545 elderly and senile patients with complicated forms of colon cancer and severe concomitant pathology. Depending on the method of surgical treatment, the patients were divided into two groups. The control group consisted of 408 patients, who were performed traditional surgery without investigating the Tei index. The patients of the main group were operated using endovideosurgical technologies. In addition, the calculation of systolic-diastolic ratio by means of Doppler echocardiography was carried out. Measuring the Tei index allowed correcting cardiovascular risk in the perioperative period, thereby increasing operability and reducing the number of postoperative cardiac complications. The use of minimally invasive methods of surgical treatment for colon cancer contributed to a decrease in the frequency of postoperative complications. Thus, it contributed to reducing hospital mortality from 29.9% to 2.2%.

scholarly journals Treatment of suprascapular neuropathy

2020 ◽  
Vol 27 (3) ◽  
pp. 27-31
Author(s):  
Anatoly K. Orletskii ◽  
Dmitriy O. Timchenko ◽  
Nikolay A. Gordeev ◽  
Sergey V. Krylov
Keyword(s):  
Surgical Treatment ◽  
Minimally Invasive ◽  
Brachial Plexus ◽  
Shoulder Joint ◽  
Complete Recovery ◽  
Suprascapular Nerve ◽  
Normal Value ◽  
Suprascapular Neuropathy ◽  
Minimally Invasive Methods

Aim. Evaluation of the results of surgical treatment of patients with neuropathy of the suprascapular nerve. Materials and methods. In the department of sports and ballet injury of CITO them N.N. Priorov in 20132014 11 arthroscopic decompression of the supramandular nerve were performed. All patients underwent radiography and MRI of the shoulder joint and electroneuromyography of the brachial plexus. Results. After decompression, all patients underwent repeated electroneuromyography 2 months after the operation, then according to indications. In all cases, an increase in M-response was noted. A complete recovery of clinically and an increase in the M-response of more than half the norm (contralateral) and more to the normal value was observed after 58 months. Conclusion. The use of modern minimally invasive methods of surgical etiotropic treatment of the neuropathy of the suprascapular nerve helps to achieve, as a rule, good and excellent results, even in old cases.

scholarly journals Hybrid management of acute severe necrotizing biliary pancreatitis complicated by abdominal sepsis and necrotic and fl uid collections in the abdominal cavity

2020 ◽  
Vol 174 (2) ◽  
pp. 99-104
Author(s):  
D. V. Mizgirev ◽  
A. M. Epshtein ◽  
S. S Pozdeev ◽  
V. N. Pozdeev ◽  
L. A. Neledova ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Minimally Invasive ◽  
Clinical Case ◽  
Abdominal Cavity ◽  
Necrotizing Pancreatitis ◽  
Abdominal Sepsis ◽  
Biliary Pancreatitis ◽  
Invasive Treatment ◽  
Fluid Collections ◽  
Hybrid Management

The article presents a clinical case of successful hybrid minimally invasive treatment of acute severe biliary necrotizing pancreatitis complicated by acute infected necrotic and fluid collections, abdominal sepsis. Endoscopic transgastric sequestrectomy in combination with polypositional percutaneous drainage and staged sanitation and drainage interventions allowed to avoid the traditional surgical treatment.

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