scholarly journals THE CONCEPT OF A COMPREHENSIVE PROGNOSTIC MODEL OF THE EFFECTIVENESS OF IMPLEMENTATION OF MINIMALLY INVASIVE INTERVENTIONS IN THE TREATMENT OF CARIOUS PATHOLOGY

2021 ◽  
pp. 27-33
Author(s):  
S.B. Kostenko ◽  
O.Ya. Bilynskyi ◽  
G.N. Nakashydze ◽  
M.O. Stetsyk ◽  
M.Yu. Goncharuk-Khomyn ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Prognostic Model ◽  
Risk Indicators ◽  
Invasive Treatment ◽  
Dental Patients ◽  
Financial Feasibility ◽  
Hard Tissues ◽  
Enamel Reduction ◽  
Methods Of Treatment ◽  
Minimally Invasive Methods

The research presents a prognostic model of the effectiveness of minimally invasive interventions in the dental patients’ treatment of carious pathology, which was developed to reduce the impact of iatrogenic interventions, increase the results of biological, biomechanical and financial feasibility of treatment. The aim of research is to develop a mathematical representation of a comprehensive prognostic model of the minimally invasive treatment effectiveness of carious pathology. Materials and methods of research. Comprehensive prognostic model of comparative efficiency of minimally invasive implementation of treatment protocols of carious pathology included consideration of relative risk indicators of biological complications (secondary caries and affected tissue pulp), decreased biomechanical forecast of the tooth (based on the performance index IROPZ and IHRKCHZ) and the financial feasibility of these methods, taking into account the ratio of material costs and unit labor intensity of the biological level and biomechanical forecast of the functioning of the dentition unit. Results of the research. The factors were identified during the scientific research; it was provided that the volume of iatrogenic interventions in the dental patients’ treatment of caries can be minimized. The structure of a complex prognostic model of the effectiveness of realization minimally invasive methods of treating caries of hard tooth tissues was developed. A comparative assessment of the biological, biomechanical and financial feasibility of treatment of carious pathology depending on the depth of damage to the hard tissues of the tooth using classical (invasive) and mini-invasive methods of treatment was held. The study showed that the implementation of minimally invasive approaches to the treatment of carious pathology in terms of risk and complications in secondary destructive changes of dental hard tissues and pulp tissue damage contributes to the effectiveness of limited nuclear interventions with controlled enamel reduction and determination of connection of restoration with the bottom of the formed cavity. The highest biomechanical feasibility of minimally invasive dissection protocols has been established in the defects treatment within the enamel in order to minimize unreasonable enamel reduction and dentin tissues, carious cavities treatment at the border of medium-deep types of lesions to limit the caries spreading in the cavities deep localization in order to prevent the development of associated lesions of the pulp complex, which in terms of biological prognosis can provoke the development of irreversible changes. Conclusion. As a result of scientific research and comparative analysis of the effectiveness of caries treatment by mini-invasive methods of intervention, the fact of improving the biological and biomechanical prognosis of the affected units of the dentition compared to the results of treatment of pathological lesions by surgery in accordance with classical protocols, confirming the developed complex prognostic model of efficiency of use of minimally invasive methods of treatment of carious pathology of dental patients. However, the creation of a unified comprehensive forecasting model, which would include the most complete reflection of all these criteria and was at the same time reliable, is impossible. Biological stacking relative risk indicators in the process of secondary development and pulpitis indicate the excess of minimally invasive treatment in all analyzed clinical cases, cases of initial treatment in relation to the risk of pulp production and cases in the center of caries relative to the risk of the previous year.

scholarly journals IMPROVING THE EFFICIENCY OF MINIMALLY INVASIVE TREATMENT OF HEMORRHOIDS USING PHLEBOTONICS

2016 ◽  
pp. 18-23 ◽  
Author(s):  
V. S. Groshilin ◽  
M. F. Cherkasov ◽  
L. A. Mirzoev ◽  
V. K. Shvetsov
Keyword(s):  
Minimally Invasive ◽  
Clinical Effectiveness ◽  
Postoperative Treatment ◽  
Invasive Treatment ◽  
Flavonoid Fraction ◽  
Definition Of ◽  
Invasive Techniques ◽  
Inflammatory Changes ◽  
Methods Of Treatment ◽  
Minimally Invasive Methods

The article describes the experience of application of minimally invasive methods of treatment chronic hemorrhoids stages II-III. The analysis of the effectiveness of methods and stand-alone when combining methods on the basis of the treatment and dynamic follow-up of 493 patients. The analysis of the indications for use, clinical effectiveness and disadvantages of minimally invasive techniques. Substantiated the clinical efficacy of venotonics (micronized flavonoid fraction) in the pre - and postoperative treatment in the application of minimally invasive methods of treatment chronic hemorrhoids. Identified the need for a differentiated approach to the definition of indications and choice of a method of minimally invasive surgery depending on the clinical picture of the disease (type, stage, presence of inflammatory changes, bleeding).

scholarly journals Minimally invasive methods in treatment of pilonidal disease (review of the literature)

2019 ◽  
Vol 178 (3) ◽  
pp. 69-73
Author(s):  
I. A. Nechai ◽  
N. P. Maltcev
Keyword(s):  
Minimally Invasive ◽  
Pilonidal Disease ◽  
Minimally Invasive Treatment ◽  
Review Of The Literature ◽  
Invasive Treatment ◽  
Methods Of Treatment ◽  
Minimally Invasive Methods ◽  
Selection Of Patients ◽  
Strict Selection ◽  
Selection Of

The objective was to compare the most common methods of minimally invasive treatment of pilonidal disease and to evaluate their effectiveness according to the literature. Minimally invasive methods of treatment could be successfully used in patients with a small spread of pilonidal disease. Improving the effectiveness of treatment of this category of patients was directly related to the strict selection of patients.

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.

Description Of Minimally Invasive Methods Of Treatment Of Walled-Off Pancreatic Necrosis (WOPN)- The Use Of „Step-Up Approach” In Patient With Pancreatic Necrosis

2015 ◽  
Vol 87 (8) ◽  
Author(s):  
Mateusz Jagielski ◽  
Marian Smoczyński ◽  
Michał Studniarek ◽  
Krystian Adrych
Keyword(s):  
Minimally Invasive ◽  
Endoscopic Treatment ◽  
Percutaneous Drainage ◽  
Pancreatic Necrosis ◽  
Clinical Effects ◽  
Fluoroscopic Guidance ◽  
Endoscopic Necrosectomy ◽  
Percutaneous Access ◽  
Methods Of Treatment ◽  
Minimally Invasive Methods

AbstractThe study presents description of treatment of patients with walled-off pancreatic necrosis (WOPN). The strategy of treatment was to extend access to necrotic areas (“step-up approach”). Applied endoscopic transmural access (transgastric) and percutaneous access (transperitoneal). The endoscopic necrosectomy under fluoroscopic guidance was repeated four times during active transluminal drainage. Endoscopic treatment with percutaneous drainage gave very beneficial clinical effects.

scholarly journals Comparative analysis of the prevalence complications in the teeth preparation for different types of orthopedic structures using classical and minimally invasive protocols

2021 ◽  
Vol 25 (1) ◽  
pp. 76-82
Author(s):  
S. B. Kostenko ◽  
G. N. Nakashidze ◽  
I. M. Bohdan ◽  
O. Ye. Kostenko ◽  
I. V. Penzelyk
Keyword(s):  
Relative Risk ◽  
Minimally Invasive ◽  
Risk Indicators ◽  
Statistical Research ◽  
Dental Patients ◽  
Relative Risks ◽  
Technical Complications ◽  
Orthopedic Rehabilitation ◽  
All Ceramic ◽  
Different Types

Annotation. The research analyzes the prevalence of biological and technical complications in orthopedic rehabilitation of dental patients and comparative evaluation of classical and minimally invasive protocols of preparation for different types of orthopedic structures. Study goal - to make a comparative assessment of the prevalence and relative risks of biological and technical complications in the teeth preparation for different types of orthopedic structures using classical and mini-invasive protocols in prosthetic rehabilitation of dental patients. During the study 725 dental patients were comprehensive examined. The patients rehabilitation with the usage of different orthopedic structures types was evaluated, the average term of their functioning was studied and biological and technological complications in orthopedic treatment were registered. Relative risk indicators of biological consequences of iatrogenic interventions in comparison with the vital teeth condition which not covered with orthopedic structures are calculated. The following statistical research methods were used: bootstrap variant of analysis using Duncan's criterion and Pearson's consistency criterion with Yates correction. It is established that minimally invasive design of orthopedic structures (partial ceramic and all-ceramic veneers) is characterized by a statistically lower level of relative risk of complications, including both biological and technical. So, the implementation of minimally invasive protocols for the preparation of teeth for different types of orthopedic structures helps to reduce the relative risk of associated complications (mainly by reducing the risk of adverse effects), preserving more hard tissues of enamel and dentin compared to dentin and dentin. the magnitude of the risk of complications during the classical preparation protocols.

scholarly journals Experience of using glycyphonic ointment in the treatment of superficial forms of skin basal cell carcinoma

2021 ◽  
Vol 82 (1) ◽  
pp. 41-42
Author(s):  
E. I. Fadeeva ◽  
I. A. Studentsova ◽  
A. M. Vavilov
Keyword(s):  
Skin Cancer ◽  
Basal Cell Carcinoma ◽  
Minimally Invasive ◽  
Cell Carcinoma ◽  
Basal Cell ◽  
Multiple Lesions ◽  
Methods Of Treatment ◽  
Minimally Invasive Methods

Most of the patients with basal cell skin cancer are elderly and senile people, therefore, the use of radical and aggressive methods of treatment is impractical or impossible (concomitant somatic pathology, multiple lesions, localization of foci in hard-to-reach places). Thus, the development of conservative minimally invasive methods of therapy seems to be very promising.

scholarly journals Abdominal abscesses

2019 ◽  
Vol 12 (4) ◽  
pp. 282-289
Author(s):  
Dmitrii Igorevich Sazhnev ◽  
Alexandr Anatolievich Glukhov ◽  
Alexander Alekseevich Andreev
Keyword(s):  
Clinical Practice ◽  
Surgical Treatment ◽  
Abdominal Surgery ◽  
Minimally Invasive ◽  
Statistical Data ◽  
Current Data ◽  
Present Stage ◽  
Abdominal Abscesses ◽  
Methods Of Treatment ◽  
Minimally Invasive Methods

The article presents current data on the incidence of abdominal abscesses. The statistical data of the main nosologies of abdominal surgery complicated by the formation of abdominal abscesses are presented. This review describes the main methods of diagnosis of abdominal abscesses and approaches to their surgical treatment, the most commonly used in clinical practice. On the basis of the studied data, it is concluded that minimally invasive methods of treatment are the operation of choice in abdominal abscesses at the present stage of surgery development.

scholarly journals Minimally invasive treatment in the victim with spleen injury

2019 ◽  
Vol 178 (4) ◽  
pp. 58-60
Author(s):  
Ya. V. Gavrishuk ◽  
I. V. Kazhanov ◽  
A. N. Tulupov ◽  
A. E. Demko ◽  
D. V. Kandyba ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Clinical Experience ◽  
Abdominal Cavity ◽  
Minimally Invasive Treatment ◽  
Invasive Treatment ◽  
Surgical Interventions ◽  
Angiography And Embolization ◽  
Minimally Invasive Methods

The article describes the clinical experience of treatment of the victim using minimally invasive methods such as angiography and embolization. The applied treatment tactics made it possible to preserve the damaged parenchymal organ of the abdominal cavity and avoid performing other more traumatic surgical interventions (laparoscopy, laparotomy).

Sign in / Sign up

Export Citation Format

Share Document