Treatment of fractures of the shin bones with extrafocal uniplanar osteosynthesis

2020 ◽  
Vol 3-4 (213-214) ◽  
pp. 40-45
Author(s):  
Askar Bukatov ◽  
◽  
Akhmetkali Dyussupov ◽  
Sabyrbek Dzhumabekov ◽  
Olga Van ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Bone Fractures ◽  
Treatment Method ◽  
Ilizarov Method ◽  
Permanent Disability ◽  
Treatment Methods ◽  
Recommended Treatment ◽  
Results Of Treatment ◽  
Inflammatory Processes ◽  
First Time

Fractures of the lower limb not only lead to temporary disability, they can also be the cause of a patient's permanent disability. Despite numerous treatment methods, there is currently no precise definite technique. The requirement for all fracture treatment methods is minimally invasive and minimal complications. One of such methods for treatment shin bone fractures is extrafocal uniplanar osteosynthesis. Purpose. To evaluate the effectiveness of the treatment of extrafocal uniplanar transosseous osteosynthesis in case of fractures of the shin bones. Material and methods. The results of the treatment of 98 patients with a shin bone fracture treated with the new technique, developed and tested by uniplanar transosseous osteosynthesis in the Emergency Hospital, Department of Polytrauma and Orthosurgery, are shown for the first time. Patients were divided into two groups, in the 1st group of the research (GR) we used the proposed technique, in the 2nd group of the comparison (GC) was used the G.A. Ilizarov method. Results and discussion. In group patients with GR, the duration of inpatient treatment was halved, the positive results of treatment increased by 1.4 times, and the terms of outpatient treatment were also significantly reduced. Negative treatment results were reduced by 2.6 times, peri-spoke inflammatory processes were reduced by 4.2%. Conclusion. The recommended treatment method, in contrast to the traditional one, showed the most positive result. Due to the simplified version of the apparatus and a small number of components, it is less traumatic thereby reducing the number of complications. Keywords: fractures, extra focal osteosynthesis, minimally invasive, knitting needles with persistent pads.

scholarly journals Staged surgical treatment of cholangiogenic abscesses of the liver

2020 ◽  
pp. 20-23
Author(s):  
V. V. Boyko ◽  
V. M. Lykhman ◽  
D. A. Miroshnichenko ◽  
A. A. Merkulov ◽  
S. V. Tkach ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Minimally Invasive ◽  
Postoperative Mortality ◽  
Treatment Method ◽  
Stage Ii ◽  
Abscess Cavity ◽  
Controlled Drainage ◽  
Results Of Treatment ◽  
Liver Abscesses ◽  
Single Lumen

The aim of the work: to improve the results of treatment of patients with cholangiogenic liver abscesses by means of staged treatment methods using minimally invasive interventions. Materials and Methods. 82 patients with cholangiogenic liver abscesses aged 21 to 80 years who underwent 130 operations were examined and treated. The main group consisted of 40 (48.4 %) patients who underwent ultrasound-controlled drainage of abscess cavities (stage I), followed by removal of the source of cholangiogenic abscesses (stage II). The comparison group consisted of 42 (51.6 %) patients who underwent rehabilitation and drainage only with laparotomy access. Results and Discussion. Minimally invasive methods of surgical treatment included ultrasound-controlled drainage with simultaneous rehabilitation of abscess cavities. The dimensions of the cavities averaged (150±23.3) cm³. One drainage was used to drain the liver abscess with a diameter of up to 10.0 cm. When the diameter of the abscess was more than 5.0 cm, drainage was carried out by two single-lumen tubes followed by suction-flow washing of the abscess cavity. Monitoring the standing of the drainage and reducing the cavity of abscesses was carried out on 3, 7, 14 days after setting. The drainage tube was removed after the disappearance of the cavity according to ultrasound and control fistulography, which coincided with the normalization of the general condition and body temperature, the disappearance of signs of purulent intoxication. Duration of drainage averaged from 7 to 30 days (an average of 15.2). The proposed treatment method is not very traumatic, the ability to control the effectiveness of the treatment, and most importantly – positive results in 87 % of patients. Second stage in 38 (95 %) was performed laparoscopic cholecystectomy of technical features. The optimal duration of stage II was considered (13±3) days after extraction of the drainage. In the diagnosis and treatment of cholangiogenic liver abscesses, it is necessary to use puncture ultrasound-controlled drainage methods. The stage-by-stage treatment of cholangiogenic liver abscesses with rehabilitation of the abscess cavity made it possible to reduce the incidence of sepsis from 9.5 to 2.5 %, reduce postoperative mortality in extremely severe patients to 2.4 %, and develop complications by 7.3 %.

Experience of conservative treatment of genital prolapse with urogynecological pessaries

GYNECOLOGY ◽  
2019 ◽  
Vol 21 (4) ◽  
pp. 24-26
Author(s):  
Gennady Y Yarin ◽  
Inna A Vilgelmi ◽  
Evgeny V Liuft
Keyword(s):  
Patient Satisfaction ◽  
Pelvic Organ Prolapse ◽  
Conservative Treatment ◽  
Genital Prolapse ◽  
Treatment Method ◽  
Pelvic Organ ◽  
Safety And Efficacy ◽  
Treatment Methods ◽  
Complications Rate

Background. Pelvic organ prolapse is one of the most common women's diseases worldwide. Genital prolapse incidence among women over 50 is on average 41%. There are variety methods for genital prolapse treatment; they are divided into surgical and non-surgical ones. One of the conservative treatment methods is a use of pessaries. According to different studies an efficacy of pessary therapy is approximately 60%. Aim to estimate a safety and efficacy of genital prolapse conservative treatment with a cube pessary on the basis on standardized questionnaires. Outcomes and methods. In ANO “NRITO Clinic” Urology and Gynecology Center 26 women with various degree genital prolapse were treated with pessary within the period from August 2015 to March 2016. Efficacy of pessaries use, patient satisfaction with this treatment method and complications rate were estimated. Results. Urogynecological cube pessary use in a treatment of various types of genital prolapse is quite an effective method (p

Lumbar periarticular cysts of arcorray joint

2020 ◽  
pp. 47-57
Author(s):  
Anton Yarikov ◽  
Maxim Shpagin ◽  
Iliya Nazmeev ◽  
Sergey Gorelov ◽  
Olga Perlmutter
Keyword(s):  
Minimally Invasive ◽  
Severe Pain ◽  
Pain Syndrome ◽  
Long Term Results ◽  
Lumbar Region ◽  
Results Of Treatment ◽  
Invasive Method ◽  
Facet Syndrome

The immediate and long-term results of treatment of 30 patients with severe pain syndrome of the lumbar region, who underwent operations on denervation of DOS, were studied. The aim of the study was to evaluate the effectiveness of minimally invasive technologies for the treatment of pain in the lumbar region (denervation of DOS), to study the near and distant results of these treatment methods. Denervation DOS is an effective minimally invasive method for the treatment of facet syndrome caused by spondylarthrosis. It allows in the early and distant postoperative periods to significantly reduce the pain syndrome and improve the quality of life of patients.

scholarly journals Subthreshold Micropulse Laser Modulates Retinal Neuroinflammatory Biomarkers in Diabetic Macular Edema

2021 ◽  
Vol 10 (14) ◽  
pp. 3134
Author(s):  
Luisa Frizziero ◽  
Andrea Calciati ◽  
Giulia Midena ◽  
Tommaso Torresin ◽  
Raffaele Parrozzani ◽  
...  
Keyword(s):  
Macular Edema ◽  
Laser Treatment ◽  
Diabetic Macular Edema ◽  
Metabolic Pathways ◽  
Treatment Method ◽  
Micropulse Laser ◽  
Subthreshold Micropulse Laser ◽  
Inflammatory Processes ◽  
Standardized Parameters

Subthreshold micropulse laser treatment has become a recognized option in the therapeutic approach to diabetic macular edema. However, some yet undefined elements pertaining to its mechanism of action and most effective treatment method still limit its clinical diffusion. We reviewed the current literature on subthreshold micropulse laser treatment, particularly focusing on its effects on the modulation of retinal neuroinflammation. Subthreshold micropulse laser treatment seems to determine a long-term normalization of specific retinal neuroinflammatory metabolic pathways, contributing to the restoration of retinal homeostasis and the curtailing of local inflammatory processes. Optimized and standardized parameters ensure effective and safe treatment.

scholarly journals Minimally Invasive Plate Osteosynthesis of Comminuted One Bone Fractures of Forearm Shaft

Hand ◽  
2016 ◽  
Vol 11 (1_suppl) ◽  
pp. 55S-56S
Author(s):  
Kang Hong Je ◽  
Kim Sejin ◽  
Choi Ji Woong ◽  
Kim Dong Hee
Keyword(s):  
Minimally Invasive ◽  
Bone Fractures ◽  
Plate Osteosynthesis ◽  
Minimally Invasive Plate Osteosynthesis

Atrial fibrillation is associated with high levels of monocyte-platelet-aggregates and increased CD11b expression in patients with aortic stenosis

2016 ◽  
Vol 115 (05) ◽  
pp. 993-1000 ◽  
Author(s):  
Katharina Berndt ◽  
Sandy Wydra ◽  
Daniel Tarnowski ◽  
Peggy Barthel ◽  
Silvio Quick ◽  
...  
Keyword(s):  
Aortic Stenosis ◽  
Cd11b Expression ◽  
Flow Cytometric ◽  
High Prevalence ◽  
Close Relationship ◽  
Enhanced Expression ◽  
Quantification Analysis ◽  
Inflammatory Processes ◽  
Platelet Aggregates ◽  
First Time

SummaryA growing body of evidence suggests a pivotal role of inflammatory processes in AF in a bidirectional manner. Infiltrating leukocytes seem to promote both structural and electrical remodelling processes in patients with AF. Monocyte-platelets-aggregates (MPAs) are sensitive markers of both platelets and monocyte activation. So far it is not clear whether the content of MPAs is affected by AF. The present study examined the content of MPAs and the activation of monocytes in elderly patients with an aortic stenosis in dependence of AF. These patients are known to have a high prevalence of AF. Flow-cytometric quantification analysis demonstrated that patients with AF have an increased content of MPAs (207 ± 13 cells/μl vs 307 ± 21 cells/μl, p<0.001), and enhanced expression of CD11b on monocytes (p<0.001), compared to patients in stable sinus rhythm (SR). The number of CD14+/CD16+ monocytes were only slightly elevated in patients with AF. These findings were seen in patients with permanent AF. But also patients with paroxysmal AF, even when presenting in SR, the MPAs were increased by 50 % (p<0.05) as well as the CD11b expression, which was twice as high (p<0.05) compared to stable SR. These results demonstrate for the first time a dependency of MPAs and CD11b expression on monocytes in the presence of AF and support the notion of a close relationship between AF, thrombogenesis and inflammation. The content of MPAs and the extent of activation on monocytes appear promising as biomarkers for paroxysmal AF and as possible future targets for developing novel pharmacological therapeutic strategies.Supplementary Material to this article is available online at www.thrombosis-online.com.

scholarly journals Type 2 diabetes therapeutic strategies: why don't we see the «ELEPHANT» in the room?

2016 ◽  
Vol 19 (4) ◽  
pp. 341-349 ◽  
Author(s):  
Shmuel Levit ◽  
Shmuel Giveon ◽  
Yury I. Philippov ◽  
Ivan Panchev Domuschiev ◽  
Amir Zivony
Keyword(s):  
Type 2 Diabetes ◽  
Traditional Approach ◽  
Treatment Method ◽  
Past Century ◽  
The Novel ◽  
Energy Effect ◽  
Practical Utilization ◽  
Recommended Treatment ◽  
Reversible Condition

During the past two decades, the unequivocally recommended treatment method of Type 2 diabetes mellitus was insulin administration and intensification in the earliest possible stage of the diagnosis. This approach is not only unfounded but was never scientifically proven. Yet, it has been zealously advocated to medical professionals. In fact, a sound body of evidence disproves this long-standing treatment approach. This method is a cornerstone of, what we now know to be two great illusions of past century, namely, glucocentrism and intensification. Numerous recently published studies provide alarming data regarding serious side effects of blind intensification and insulin overdosing in T2DM. They raise major concerns and call for revision of the traditional approach. Since insulin is an integral and deeply rooted part of the intensification agenda of treating T2DM, it has now suffered a serious drawback. Alternatively, in this review authors present the novel Gravicentric (Energy) concept of T2DM acceptance and therapy. They offer a new classification of anti-diabetes drugs based on their energy effect and present their Gravicentric Algorithm for wide practical utilization. For that reason, the "ELEPHANT" abbreviation was found as a helpful reminder. Viewing T2DM as disease of energy balance together with anti – energy drugs implementation provide medical doctors an unique opportunity to transform T2DM from "slowly – progressive" disease to rapidly reversible condition, which it actually is.

scholarly journals Treatment outcomes in patients with multiple and concomitant trauma managed with minimally invasive osteosynthesis technologies and electromagnetic waves of the terahertz range

2021 ◽  
Vol 27 (1) ◽  
pp. 6-12
Author(s):  
S.Yu. Lukin ◽  
◽  
Yu.P. Soldatov ◽  
A.N. Diachkov ◽  
◽  
...  
Keyword(s):  
Immune System ◽  
Minimally Invasive ◽  
Electromagnetic Waves ◽  
Bone Fractures ◽  
Damage Control ◽  
Medullary Canal ◽  
Terahertz Range ◽  
Control Group ◽  
Minimally Invasive Osteosynthesis ◽  
Group I

Purpose To assess the effectiveness of minimally invasive technologies of osteosynthesis and electromagnetic waves of the terahertz range in patients with multiple and concomitant trauma. Materials and methods The process of rehabilitation was studied in 513 patients with polytrauma of varying severity which was more than 26 points on the ISS scale. The patients were diagnosed with 545 injuries of different organs and systems. All patients with severe concomitant and multiple trauma were divided into 3 groups: Group I of controls, treated in1995–2001, consisted of 269 patients whose treatment was conservative and aggressive (surgical, with the use of plating or intramedullary osteosynthesis); Group II was the experimental study group consisting of subgroup A of 202 patients treated in 2002–2009 in whom “damage control” concept was applied and subgroup B of 42 patients treated in 2010–2017 using the damage control tactics and new minimally invasive methods of treatment and devices (non-invasive lung ventilation in intensive care for fat embolism; rational osteosynthesis in closed chest trauma; minimally invasive guided method of transosseous osteosynthesis, including the use of fixators with hydroxyapatite coating; rational surgical approach to pelvic bones; universal guide for reaming the medullary canal) and exposure to electromagnetic waves of the terahertz range (EMWTHR)of the xiphoid process of the sternum to stimulate the immune system. Results It was revealed that the use of minimally invasive, low-traumatic methods of treating bone fractures in severe polytrauma and methods stimulating the immune system and tissue regeneration (subgroup II B) contributed to an improvement of anatomical and functional results of treatment by 1.3 times compared with the control group. The quality of life of patients in this group, in comparison with the control group, was 1.6 times higher for injuries of the upper limb and 1.9 times higher for injuries of the lower limb. An integral analysis of the effectiveness of the treatment revealed a reliable increase in the effectiveness to a satisfactory level. Conclusion The use of EMWTHR in the complex treatment of such patients is a promising method for stimulating hematological and immunological processes. The first results described in the literature are optimistic.

scholarly journals Result of using a minimally invasive method of surgical treatment of purulent-necrotic complications in a patient with diabetic foot syndrome

2020 ◽  
Vol 39 (3) ◽  
pp. 60-64
Author(s):  
Sergey Y. Ivanusa ◽  
Boris V. Risman ◽  
Andrey V. Yanishevskiy
Keyword(s):  
Surgical Treatment ◽  
Minimally Invasive ◽  
Diabetic Foot ◽  
Pain Syndrome ◽  
Diabetic Foot Syndrome ◽  
Military Medical Academy ◽  
Results Of Treatment ◽  
Medical Academy ◽  
Invasive Method ◽  
Short Time

The article presents an analysis of the results of treatment of a patient with purulent-necrotic complications of diabetic foot syndrome, who, in the framework of surgical treatment, used a minimally invasive method of treatment of purulent-necrotic complications of diabetic foot syndrome, developed at the departments of general surgery and normal anatomy of the S.M. Kirov Military Medical Academy. The effectiveness of the developed method has been demonstrated, which makes it possible to sanitize the purulent cavity in a short time, stop pain syndrome and restore the support ability of the foot (4 figs, 1 table, bibliography: 7 refs).

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