DYNAMICS IN CHANGES OF FREE-RADIAL OXIDATION PROTEINS, REGENERATOR PROCESSES, MICROBIAL DISTRIBUTION AND NON-SPECIFIC IMMUNITY IN THE HOMOGENATES OF SCAR TISSUES AT DIFFERENT STAGES OF THE POSTOPERATIVE PERIOD

The review of the literature examines the study of the quality of life of patients in the older age group after cardiac surgery for heart disease. In recent years, the number of elderly people has increased significantly in many countries. As a result of this phenomenon, cardiologists and cardiac surgeons are increasingly confronted in their practice with elderly patients. There are features of the management of cardiac and cardiac surgical patients of advanced age, caused both by the specifics of the underlying disease and by concomitant diseases. With the emergence of new options for evaluating the effectiveness of various methods of surgical correction of heart disease in age patients, new questions arise that require evidentiary consideration and an optimal answer. Opinions of experts about the feasibility of surgical interventions in the elderly are often different. The urgency of the problem is due to the recent increase in the number of heart operations in the group of age-related patients. The study of the quality of life of patients in the postoperative period helps to determine the most rational and optimal method of surgical treatment, not only from the point of view of the cardiac surgeon, but also from the standpoint of assessing the patient himself. In addition, frequent postoperative complications and recurrences of diseases force specialists to focus on the quality of life of patients after surgery, which makes the problem extremely urgent.

Download Full-text

Quality of life of patients with gynecological cancers

Hospital Pharmacology - International Multidisciplinary Journal ◽

10.5937/hpimj2003991k ◽

2020 ◽

Vol 7 (3) ◽

pp. 991-997

Author(s):

Maria Kilikova

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Surgical Treatment ◽

Physical Health ◽

Social Relationships ◽

Physical And Mental Health ◽

Gynecological Cancers ◽

Related Factors

Introduction: The quality of a women's life is very closely related to their health. Oncogynecological disease brings substantial changes into their life that women need to adapt to them. As determination of quality of life is in nurse competence, the quality of life in women with diagnosed oncogynecological illness and surgical treatment has been described in the paper. Aim: The aim of the paper was to examine cancer's influence on the quality of life based on physical health, survival, social relationships, and the environmental domains. Methods: The sample consisted of 84 female respondents with surgical treatment of oncogynecological disease and the patients fulfilled the standardized WHOQOL-BREF questionnaire. Results: The results have shown that patients experienced significant reductions in the quality of life in regard to physical and mental health. Social and environmental domain were significantly less affected. Conclusions: The oncogynecoogical diseases significantly affect quality of life in all four investigated domains, but to a different extent. These findings emphasize an individual approach that takes into account not only the nursing aspect but also the ability to respond to a variety of other related factors that affect the quality of women with oncogynecological disease.

Download Full-text

Comparative evaluation of the effect of different methods of surgical treatment of chronic pancreatitis on the quality of life of patients

Kazan medical journal ◽

10.17816/kmj2141 ◽

2012 ◽

Vol 93 (1) ◽

pp. 34-38

Author(s):

A A Karpachev ◽

I P Parfenov ◽

A Yu Khlynin ◽

A L Yarosh ◽

A V Soloshenko ◽

...

Keyword(s):

Quality Of Life ◽

Chronic Pancreatitis ◽

Surgical Treatment ◽

Psychological Health ◽

Comparative Evaluation ◽

General Health Questionnaire ◽

Life Quality ◽

Surgical Interventions ◽

Physical And Psychological Health

Aim. To conduct a comparative evaluation of the effectiveness of surgical treatment of chronic pancreatitis and define the quality of life of patients depending on the methods of surgical treatment. Methods. The study included 81 of the 165 patients with chronic pancreatitis, who underwent the following operations: endoscopic transmural interventions through the wall of the stomach and duodenum, endoscopic transpapillary surgery, percutaneous interventions for sanitation and drainage of the cystic cavity, laparotomic operations of internal drainage, resection interventions. The quality of life of patients was assessed using the general health questionnaire SF-36. Results. The lowest level of life quality was established in the group of patients after endoscopic transpapillary interventions. Statistically significant differences in the level of physical and psychological health were established when comparing patients after endoscopic transpapillary interventions and after endoscopic transmural surgical interventions, which were carried out through the wall of the stomach and duodenum; differences only in the level of physical health were noted when comparing with the group of resection interventions. Conclusion. The quality of life of patients with chronic pancreatitis depends on the type of surgical intervention, age and sex of the patients.

Download Full-text

Influence of endometriosis and some methods of its treatment on the quality of life of women of reproductive age

Journal of obstetrics and women s diseases ◽

10.17816/jowd95608 ◽

2021 ◽

Vol 50 (3) ◽

pp. 100-102

Author(s):

V. I. Konovalov ◽

M. A. Zvychayny

Keyword(s):

Quality Of Life ◽

Surgical Treatment ◽

Operative Treatment ◽

Hormonal Therapy ◽

Life Quality ◽

Reproductive Age ◽

Control Group ◽

Women Of Reproductive Age ◽

Surgical Interventions

The aim of the study was to investigate the effect of endometriosis and somewide-spread contemporary methods of its conservative hormonal and operative treatment on the life quality of women of reproductive age. 546 women, aged 20-40, were examined: 371 patients with initially diagnosed endometriosis, 64 after conservative hormonal therapy, 111 after efficient surgical interventions and 30 healthy women (a control group). The following conclusion has been made: endometriosis arising at the reproductive age greatly deteriorates the life quality of women as compared to the healthy ones but none of the studied methods of its conservative hormonal therapy and efficient surgical treatment enables its rehabilitation.

Download Full-text

QUALITY OF LIFE AS AN INDICATOR OF THE EFFECTIVENESS OF THE CHOICE OF THE METHOD OF TREATING ULCER DISEASES

Science and education new time ◽

10.12737/article_5c77e099820bb2.43579400 ◽

2019 ◽

pp. 52-58

Author(s):

Виктор Куница ◽

V. Kunitsa ◽

Татьяна Полищук ◽

Tatyana Polishchuk ◽

Сергей Чернуха ◽

...

Keyword(s):

Quality Of Life ◽

Peptic Ulcer ◽

Surgical Treatment ◽

Peptic Ulcer Disease ◽

Surgical Interventions ◽

Ulcer Disease ◽

New Methods ◽

Methods Of Treatment ◽

Non Surgical Treatment

Progress in clarifying the etiology, pathogenesis of peptic ulcer disease and the development of new methods of treatment did not lead to a decrease in surgical interventions for urgent and urgent reasons. At the same time, the quality of life of patients is the lowest after gastrectomy. Vagotomy to a lesser extent affects the quality of life, comparable to non-surgical treatment

Download Full-text

New methods of surgical operations on large bowel

Klinicheskaia khirurgiia ◽

10.26779/2522-1396.2018.07.16 ◽

2018 ◽

Vol 85 (7) ◽

pp. 16-20

Author(s):

V. М. Меlnyk ◽

О. І. Poyda ◽

E. М. Shepetko ◽

І. І. Polovnikov

Keyword(s):

Quality Of Life ◽

Surgical Treatment ◽

Large Bowel ◽

Functional Results ◽

Late Results ◽

Occurrence Rate ◽

Surgical Interventions ◽

New Methods ◽

Severity Degree

Objective. To improve the immediate and late results of surgical treatment in patients, suffering the large bowel (LB) diseases, using improvement of standard and elaboration of new methods of radical, оrgan-preserving, restorational and reconstructive-restorational operations. Маterials and methods. New methods of radical, оrgan-preserving, restorational and reconstructive-restorational operations on LB were elaborated, taking into account peculiarities of the diseases morphogenesis, аnatomical and functional details of the LB separate parts. The operations mentioned were performed in 497 patients, suffering LB cancer, ulcerative colitis, Crohn’s disease, familial adenomatous polyposis, chronic decompensated colostasis, complicated by the LB diverticular disease. Results. Due to implementation into clinical practice of the surgical interventions elaborated, the postoperative morbidity occurrence rate have reduced down to 2.4%, postoperative lethality - to 0.2%, the functional results improved, the occurrence rate and the severity degree for pathological postoperative syndromes have lowered (reflux-ileitis, postcolectomy syndrome, syndrome of low anterior resection, secondary anal incontinence), the governing of the outflow process after rectal extirpation was guaranteed, the operated patients quality of life improved essentially due to introduction of the surgical interventions elaborated. Conclusion. Improvement of the surgical treatment results for the LB diseases is possible while applying of new methods of radical, organ-preserving , restorational and reconstructive-restorational operations, what promotes the essential reduction of the occurrence rate for the LB diseases recurrence occurrence, pathological syndromes morbidity and their severity degree, significant improvement of functional results and quality of life in the patients operated.

Download Full-text

Concept «quality of life» and method of its assessment in patients after surgical treatment of the aortal valve faults

Medical almanac ◽

10.21145/2499-9954-2019-2-46-50 ◽

2019 ◽

pp. 46-50

Author(s):

A. N. Molchanov

Keyword(s):

Quality Of Life ◽

Heart Disease ◽

Surgical Treatment ◽

The Elderly ◽

Underlying Disease ◽

Point Of View ◽

Optimal Method ◽

Surgical Interventions ◽

Age Related

The review of the literature examines the study of the quality of life of patients in the older age group after cardiac surgery for heart disease. In recent years, the number of elderly people has increased significantly in many countries. As a result of this phenomenon, cardiologists and cardiac surgeons are increasingly confronted in their practice with elderly patients. There are features of the management of cardiac and cardiac surgical patients of advanced age, caused both by the specifics of the underlying disease and by concomitant diseases. With the emergence of new options for evaluating the effectiveness of various methods of surgical correction of heart disease in age patients, new questions arise that require evidentiary consideration and an optimal answer. Opinions of experts about the feasibility of surgical interventions in the elderly are often different. The urgency of the problem is due to the recent increase in the number of heart operations in the group of age-related patients. The study of the quality of life of patients in the postoperative period helps to determine the most rational and optimal method of surgical treatment, not only from the point of view of the cardiac surgeon, but also from the standpoint of assessing the patient himself. In addition, frequent postoperative complications and recurrences of diseases force specialists to focus on the quality of life of patients after surgery, which makes the problem extremely urgent.

Download Full-text

Iatrogenic hepatic damage as a problem of modern surgery (literature review)

Medical Science And Education Of Ural ◽

10.36361/1814-8999-2021-22-3-94-101 ◽

2021 ◽

Vol 22 (3) ◽

pp. 94-101

Author(s):

Ya. A. Chakhchakhov ◽

◽

B. K. Gibert ◽

◽

Keyword(s):

Quality Of Life ◽

Surgical Treatment ◽

Bile Ducts ◽

Diagnostic Algorithm ◽

Controversial Issues ◽

Surgical Interventions ◽

Iatrogenic Damage ◽

Extrahepatic Bile Ducts ◽

The Russian Federation

Iatrogenic damage to the extrahepatic bile ducts occurs in a fairly large number of observations, despite constant work aimed at improving surgical interventions. The most optimal chosen therapeutic tactics, as well as the timing of the revealed damage to the bile ducts, determine the effectiveness and quality of care provided to this category of patients. We also have to state that, to date, in the Russian Federation there is no unambiguously generally accepted and approved therapeutic and diagnostic algorithm for iatrogenic damage to the extrahepatic bile ducts. One of the main aspects of the effectiveness of the applied treatment tactics is the level of quality of life of patients who underwent surgical treatment. Treatment and management of patients with iatrogenic damage to the extrahepatic bile ducts still have a fairly large number of controversial issues, the solution of which should improve the immediate results of surgical treatment of this category of patients.

Download Full-text

Surgical treatment in patients with chronic pancreatitis in a multidisciplinary hospital

Vestnik of Russian military medical Academy ◽

10.17816/brmma74776 ◽

2021 ◽

Vol 23 (3) ◽

pp. 55-60

Author(s):

Rustam K. Aliev ◽

Pavel N. Romashchenko ◽

Nicolay A. Maistrenko ◽

Andrey S. Pryadko ◽

Arsen K. Aliev

Keyword(s):

Chronic Pancreatitis ◽

Surgical Treatment ◽

Morphological Changes ◽

Specific Patient ◽

Surgical Decision ◽

Surgical Interventions

A rational personalized program of surgical treatment of patients with various clinical and morphological forms of chronic pancreatitis is substantiated, integrating modern diagnostic and minimally invasive technologies. Examination results and treatment of 354 patients with chronic pancreatitis were analyzed. Patients were divided into three groups according to the modified Marseille-Rome Classification of Chronic pancreatitis (1988). Calcifying chronic pancreatitis was detected in 119 patients, obstructive in 81, and inflammatory in 154. Modern methods of diagnosis and treatment of chronic pancreatitis allowed the modification of the classification by allocating subgroups for each disease form. The justified use of the entire range of modern surgical technologies, taking into account the morphological changes of the pancreas, allows the maximum correction of complications of chronic pancreatitis with minimal complications and good quality of life in the long-term. The choice of surgical aid in patients with chronic pancreatitis is established to primarily depend on the form and variant of the disease course. The main criteria for choosing a surgical aid should be the state of the pancreatic ductal system, the degree and nature of changes in its parenchyma, and the presence of a cystic or inflammatory component during the surgical decision making. Important adjustments in the stage of surgical interventions are made due to mechanical jaundice, portal hypertension, decompensated duodenal stenosis, and concomitant somatic pathology in patients. Subgroups of patients with identified main chronic pancreatitis form, according to its modified classification, allows the determination of the surgical intervention volume, type, and access for each specific patient.

Download Full-text