scholarly journals SURGICAL TREATMENT OF CEREBRAL PERIVENTRICULAR GLIOMAS: CONSEQUENCES OF THE OF PORENCEPHALY FORMATION AND FEATURES OF SURGICAL WOUND CLOSURE

2021 ◽  
Vol 121 (1) ◽  
pp. 106-111
Author(s):  
Artem Rozumenko ◽  
Valentyn Kliuchka ◽  
Volodymir Rozumenko ◽  
Andriy Daschakovskiy
Keyword(s):  
Cerebrospinal Fluid ◽  
Surgical Treatment ◽  
Postoperative Period ◽  
Wound Closure ◽  
Surgical Wound ◽  
Results Of Treatment ◽  
Factors Influencing

The paper presents the experience of surgical treatment of patients with cerebral periventricular gliomas. The factors influencing on the results of treatment in the short postoperative period were analyzed. Methods of surgical wound closure preventing the development of cerebrospinal fluid disorders due to the formation of porencephaly were proposed.

scholarly journals NEW APPROACHES IN THE TREATMENT OF ACUTE INFLAMMATION OF THE EPITHELIAL PILONIDAL SINUS

2016 ◽  
Vol 7 (4) ◽  
pp. 49-57
Author(s):  
N K Gigin ◽  
N I Chernyi ◽  
Yu V Ivanov
Keyword(s):  
Surgical Treatment ◽  
Postoperative Period ◽  
Pilonidal Sinus ◽  
Patient Management ◽  
Acute Inflammation ◽  
Wound Closure ◽  
Surgical Interventions ◽  
New Approaches ◽  
Surgical Access ◽  
Conservative And Surgical Treatment

Presents an overview of russian and foreign publications, devoted to contemporary methods of conservative and surgical treatment of acute inflammation of the epithelial pilonidal sinus. Details of surgical interventions, techniques, indications and contraindications. Special attention is paid to pre-operative preparation for surgery, wound closure after surgical access, patient management in the postoperative period.

scholarly journals ANALYSIS OF THE RESULTS OF TREATMENT OF PATIENTS WITH STRAIN STRAIN DEFORMATIONS

2020 ◽  
Vol 1 (28(55)) ◽  
pp. 38-39
Author(s):  
Yu.V. Larcev
Keyword(s):  
Surgical Treatment ◽  
Postoperative Period ◽  
Comparative Assessment ◽  
Clinical Diagnostics ◽  
Surgical Correction ◽  
Results Of Treatment

The article deals with the problem of treatment of patients with gouty arthropathy of the feet. A review of possible methods of surgical correction of the consequences of the discussed pathology is made. The structure of reconstructive and palliative interventions and features of clinical diagnostics and therapeutic component in the pre-and postoperative period are considered. A comparative assessment of the results of surgical treatment of gouty arthropathy is made

scholarly journals Differentiated approach to surgical treatment of adrenal glands tumors

2021 ◽  
Vol 26 (4) ◽  
pp. 124-131
Author(s):  
О.B. Kutovyi ◽  
E.V. Zhmurenko
Keyword(s):  
Surgical Treatment ◽  
Adrenal Gland ◽  
Adrenal Insufficiency ◽  
Postoperative Period ◽  
Adrenal Glands ◽  
Treatment Algorithm ◽  
Adrenal Tumors ◽  
Hemodynamic Parameters ◽  
Results Of Treatment

Objective – to improve the results of treatment of adrenal tumors by optimizing a differentiated approach based on the analysis of the results of various surgical invasions. The paper analyzed the results of treatment of 145 patients with various adrenal tumors, which were divided into 2 groups: І (n=71) - patients after adrenalectomies, II (n=74) – after adrenal resections. Organ-preserving invasions showed better results during the early and long-term postoperative period in patients with corticosteromas, pheochromocytomas and incidentalomas by reducing the severity of fluctuations in hemodynamic parameters and the frequency of adrenal insufficiency. Due to the introduction of the treatment algorithm, the number of adrenal resections increased by 26.6% in patients with neoplasms more than 4,0 cm in diameter (p=0.0001). The choice of surgical invasion should be individualized, taking into account the clinical features of the disease, hormone indicator parameters, the size of tumors, the comprehensiveness of the adrenal gland lesion and the ratio of the latter to nearby organs and structures. Adrenal insufficiency was detected 14.2% more often after adrenalectomies (р=0.044) compared to adrenal resections. Treatment according to the developed algorithm reduced the incidence of adrenal insufficiency by 5.8% (p=0.028). In the long-term postoperative period, contralateral gland tumors occurred with the same frequency (4.8%) among patients after adrenalectomies and resections. Relapse of the neoplasm after resections was detected in 3 (7.1%), as a result of which 2.4% underwent repeated operations with the final removal of the gland. An increase in the size of a single adrenal gland was more common by 21.4% after adrenalectomies.

scholarly journals HIDDEN COMPLICATIONS OF THE POSTOPERATIVE PERIOD: DIAGNOSIS AND TREATMENT

2019 ◽  
pp. 43-47
Author(s):  
O. A. Halushko
Keyword(s):  
Surgical Treatment ◽  
Clinical Improvement ◽  
Intravenous Administration ◽  
Postoperative Period ◽  
Diagnosis And Treatment ◽  
Surgical Interventions ◽  
Results Of Treatment ◽  
Phosphate Exchange ◽  
Surgical Operations

One of the hidden complications of the postoperative period is hypophosphatemia (HPE), which often develops imperceptibly, but can worsen the overall results of treatment. The objective of the work: to investigate the frequency of development of disorders of phosphate exchange in the postoperative period and to establish the possibility and effectiveness of correction of such violations. Materials and methods. The determination of phosphate levels was carried out in 328 patients undergoing surgical treatment in surgical operations of various surgical status. Results. The highest rate of HPE was observed in patients with burns (23.08 %), after neurosurgical (17.94 %) and abdominal (17.64 %) surgical interventions. It is established that the correction of severe HPE is advisable by intravenous administration of sodium D-fructose-1,6-diphosphate. Conclusion. In the postoperative period, HPE is common, but is successfully corrected to abstract values, which coincides with the clinical improvement of patients.

scholarly journals THE FIRST EXPERIENCE OF SURGICAL TREATMENT OF HEMORRHOIDS USING THE WIRELESS DOPPLER OPERATING COMPLEX TRILOGY HAL-RAR UNIT

2021 ◽  
pp. 21-24
Author(s):  
M. Kashtalyan ◽  
V. Shapovalov ◽  
R. Yenin ◽  
A. Makukha
Keyword(s):  
Surgical Treatment ◽  
Postoperative Period ◽  
Narcotic Analgesics ◽  
Mucosal Defect ◽  
Results Of Treatment ◽  
Clinical Center ◽  
Invasive Method ◽  
Inflammatory Drugs ◽  
The Military

Summary. Objective: To improve the results of treatment of patients with stage II-III hemorrhoids using the wireless Doppler surgical complex Trilogy HAL-RAR Unit. Materials and methods. In the clinic of coloproctology of the Military Medical Clinical Center of the Southern region of Odessa according to the method of disarterization of hemorrhoidal arteries and recto-anal recovery using wireless Doppler surgical complex Wi-3 Trilogy HAL-RAR for the period from January 2019. to June 2020 19 patients were operated on. Results and discussion. In the postoperative period, moderate pain was observed for three days in 13 patients (68.4 %), only one of them had pain for the first 6 days after surgery. In 6 (31.6 %) patients no complaints of pain in the postoperative area were noted. In all patients, the pain was acquired by taking nonspecific anti-inflammatory drugs without the use of narcotic analgesics. In the postoperative period, patients were examined for 2, 7 and 90 days after surgery. No complications were noted in the postoperative period. In 4 (20 %) patients, due to the presence of enlarged hemorrhoids, the operation was extended by removing the external hemorrhoids and suturing the mucosal defect. All patients noted no reduction in quality of life in the postoperative period. Conclusions. Surgical treatment of hemorrhoids using Trilogy HAL-RAR technology is a minimally invasive method that reduces the patient’s stay in the hospital in the postoperative period, does not require the use of narcotic analgesics, promotes rapid recovery and may be the surgery of choice for surgical treatment of hemorrhoids II-III.

scholarly journals Transanal hemorrhoidal desarterization under ultrasound rectodopplerometry control in surgical treatment of hemorrhoids

2020 ◽  
Vol 87 (11-12) ◽  
pp. 62-66
Author(s):  
A. A. Nykonenko ◽  
G. I. Okhrimenko ◽  
E. I. Haidarzhi ◽  
N. G. Golovko ◽  
I. V. Zubryk ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Postoperative Period ◽  
Pain Syndrome ◽  
Main Group ◽  
Control Group ◽  
Results Of Treatment

Objective. To study the immediate and late follow-up results of treatment in patients, suffering hemorrhoids, to whom transanal hemorrhoidal desarterization under ultrasound rectodopplerometry control was done, and to compare them with results of treatment in patients, operated in accordance to procedure of standard hemorrhoidectomy. Materials and methods. There were analyzed the results of treatment of 111 patients, suffering hemorrhoids. The main group have consisted of 50 patients, to whom transanal hemorrhoidal desarterization under ultrasound rectodopplerometry control was performed. Into control group 61 patients were included, who were operated in accordance to Parks procedure. Results. In the main group the average time of the operation have constituted (50.1 ± 1.4) min, the patient stationary stay - (9.9 ± 0.7) days, the pain syndrome intensity in postoperative period was estimated as 2 - 3 points, what have appeared significantly lesser, than in the control group of the patients (p < 0.01). Good late follow-up results were achieved in 100% patients of the main group and in 88% of the control group. Conclusion. There was established, that transanal hemorrhoidal desarterization under ultrasound rectodopplerometry control permits to reduce essentially the average time of the operation, the patients’ stationary stay, to lower the pain syndrome intensity, and to improve late follow-up results of the hemorrhoids treatment.

scholarly journals Use of vacuum systems for early implant-associated infection after decompression and stabilization surgery for lumbar spinal stenosis

2021 ◽  
Vol 18 (3) ◽  
pp. 53-60
Author(s):  
V. K. Shapovalov ◽  
I. V. Basankin ◽  
A. A. Afaunov ◽  
A. A. Gulzatyan ◽  
K. K. Takhmazyan ◽  
...  
Keyword(s):  
Spinal Stenosis ◽  
Lumbar Spinal Stenosis ◽  
Negative Pressure ◽  
Wound Closure ◽  
Surgical Wound ◽  
Pressure Therapy ◽  
Results Of Treatment ◽  
Lumbar Spinal ◽  
Vacuum Systems

Objective. To analyze the results of treatment of patients with implant-associated surgical site infection after decompression and stabilization surgery performed for lumbar spinal stenosis.Material and Methods. Results of treatment of 43 patients with early (up to 90 days after the operation) suppuration of the surgical wound after decompression and stabilization operations for lumbar spinal stenosis were analyzed.Results. A total of 4033 operations for lumbar spinal stenosis with implantation of stabilization systems were performed from 2015 to 2019. There were 43 (1.06 %) cases of early suppuration of the surgical wound with the installed instrumentation. Out of them seven (16.27 %) cases were superficial and 36 (83.78 %) – deep. In all cases, the wound revision, surgical debridement and installation of a vacuum assisted closure (VAC-dressing) were performed. The treatment of superficial suppuration was accompanied by a single installation of a VAC-dressing before wound closure, and in deep suppuration from 2 to 8 (on average 4.10 ± 1.73) VAC-dressings were changed. Wound healing was achieved in all patients within 14–55 (average 29.10 ± 10.06) days. Timely diagnosis of the complication and application of negative pressure therapy allowed arresting the inflammatory process and preserving the implants in all patients with a follow-up period of 12 months.Conclusion. In the case of development of early suppuration of the surgical wound, the patient needs an urgent sanitizing operation. Negative pressure treatment with VAC-dressings is an effective and safe way to relieve this complication. This method combined with etiotropic antibiotic therapy makes it possible to quickly cleanse and heal the wound while preserving the implanted instrumentation. 

Treatment of atypical forms of progressive varicose veins in pregnant women (varicose veins of the inguinal canal)

2017 ◽  
pp. 57-62
Author(s):  
V.M. Antonyuk-Kysil ◽  
◽  
І.Ya. Dziubanovskyi ◽  
V.M. Yenikeeva ◽  
S.I. Lichner ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Pregnant Women ◽  
Postoperative Period ◽  
Inguinal Canal ◽  
Varicose Veins ◽  
External Genitalia ◽  
Lower Limbs ◽  
Duplex Scanning ◽  
Results Of Treatment ◽  
Internal Iliac

The objective: development and implementation of the use of duplex scanning data for safe treatment of various forms of primary progressive varicose veins of the inguinal canal (IIVIII) in the II-III trimesters of pregnancy. Materials and methods. On the basis of the communal institution «Regional Perinatal Center» of the Rivne Regional Council, from the beginning of 2013 to January 2017 inclusive, 14,093 patients gave birth. Among them, 825 (5.85%) were diagnosed with progressive primary multifocal varicose disease of the lower limbs C2-4s, Ep, As, p, Pr (clinical class according to CEAP classification: C2 in 250, C3 in 566, C4 in 9 Pregnant women), perineum and external genitalia and inguinal canal and their combination. In 196 (23.76%) pregnant women, this pathology was detected in the first pregnancy, in 401 (48.6%) patients - during pregnancy, and in 228 (27.64%) patients - in subsequent pregnancies (two or more) . Results. The data of surgical treatment of 54 pregnant women who agreed to carry out the operation according to the indications and methods developed by us in the II-III trimesters with PPVRVPK, both in isolated form and in combination with multifocal dilatation of the veins of the lower extremities, external genital organs and perineum . The main accessible, safe, non-invasive method of examining veins in pregnant women for establishing with a high probability of diagnosis and obtaining information on the results of treatment in the postoperative period is duplex scanning. 54 pregnant women with a positive result of treatment in all patients were operated on. There were no complications from both the fetuses and pregnant women, which is confirmed by stable within the limits of the norm indicators of cardiotocography, blood flow in the artery of the umbilical cord, the middle cerebral artery of the fetuses, internal iliac arteries of pregnant women according to duplex scanning data. The conclusion. In the analysis of the results of surgical treatment, a high (100%) safety was confirmed for both the fetus and the pregnant woman with a 100% positive clinical result in the postoperative period. Key words: progressive varicose veins of the inguinal canal (PVVIC), venous duplex scan, surgical treatment of PVVIC in pregnant women.

scholarly journals COMPLICATIONS OF SURGICAL TREATMENT OF LUMBAR STENOSIS IN THE EARLY POSTOPERATIVE PERIOD

2018 ◽  
Vol 17 (3) ◽  
pp. 185-187
Author(s):  
Igor Vadimovich Basankin ◽  
Vladimir Alexeevich Porkhanov ◽  
Asker Alievich Afaunov ◽  
Alexander Veniaminovich Kuzmenko ◽  
Vladimir Konstantinovich Shapovalov
Keyword(s):  
Surgical Treatment ◽  
Postoperative Period ◽  
Intraoperative Complications ◽  
Clinical Manifestations ◽  
Early Postoperative Period ◽  
Lower Limbs ◽  
Wound Complications ◽  
Lumbar Stenosis ◽  
Results Of Treatment ◽  
Acute Radiculopathy

ABSTRACT Objective: To analyze the structure of degenerative lumbar stenosis surgical treatment complications and to analyze their effect on the results and indications for revision operations. Methods: Between 2009 and 2013, 513 patients with lumbar stenosis of degenerative etiology were surgically treated. There were 205 men, 308 women, aged 23 to 74 years. The main clinical manifestations were persistent compression radiculopathy, chronic pain in the back and lower limbs, and difficulty walking. The intensity of the pain was assessed by the VAS. At the time of hospitalization, VAS was 55-90 points. Results: Of the 513 operated patients, 65 (12.67%) had complications in the early postoperative period (up to three months after the operation); intraoperative complications occurred in 26 (5.1%) patients; intraoperative dura mater injury occurred in 24 (4.67%); pulmonary embolism (PE) occurred in 2 (0.39%) patients; 39 patients had early postoperative complications; acute radiculopathy occurred in 22 patients (4.28%); and 17 patients (3.31%) had surgical wound complications. Conclusions: Liquorrhea, postoperative hematomas and acute radiculopathy had no negative effect on the results of treatment in any of the cases. In the early postoperative period, 4 (0.77%) deaths were recorded intraoperatively and in 2 (0.39%) cases, intraoperative PE occurred. Two cases (0.39%) resulted in sepsis and multiple organ failure. In eight (1.55%) patients, the results of the treatment were unsatisfactory: in 4 (0.77%) cases due to death, and in a further 4 (0.77%) due to elimination of the system by the spinal column as a result of suppuration. Level of Evidence IV; Therapeutic studies - Investing the results of treatment.

scholarly journals Surgical Tactics in Damages of the Scenosis of the Duodenumi of the Fince

2019 ◽  
Vol 12 (3) ◽  
pp. 162-167
Author(s):  
Kubach Gadgimagomedovich Kubachev ◽  
Kantemir Arturovich Hachimov ◽  
Nuriddin Davlatalievich Mukhiddinov ◽  
Nonna Enrikovna Zarkua
Keyword(s):  
Surgical Treatment ◽  
Postoperative Complications ◽  
Early Diagnosis ◽  
Postoperative Period ◽  
Intestinal Wall ◽  
Concomitant Injuries ◽  
Results Of Treatment ◽  
Surgical Tactics ◽  
Duodenal Defect ◽  
Short Time

Rationale. To date, the issues of early diagnosis and surgical treatment of patients with injuries to the retroperitoneal duodenum have not been resolved. Due to late diagnosis, the development of retroperitonitis in a short time after injury, the frequency of postoperative complications reaches 20% - 32%, and mortality - up to 18% - 27%.Purpose of the study. Improving the results of treatment of patients with damages to the retroperitoneal part of the duodenum.Methods. The results of treatment of 54 patients with a rupture of the retroperitoneal part of the duodenum are presented. In the study of patients with suspected damage to the retroperitoneal part of the intestine used ultrasound, EUS, FGDS and MSCT with intraluminal contrastResults. 28 victims were sutured by a duodenal defect and cholecystostomy. In these patients, the patient was disconnected by a flashing apparatus, and a gastroenteroanastomosis was formed. The failure of the duodenal sutures developed in 10 (35.7%), 8 (28.6%) victims died26 victims, after mobilization of the intestine by Kocher, were performed excision of the edges of the rupture of the intestinal wall and the formation of the side-to-side duodenojejunostomy with the Ruian loop of the jejunum off. The postoperative period was smooth in 20 victims. 2 patients with concomitant injuries of the liver, spleen, skeleton bones died 2 and 4 days after the operation due to severe blood loss and shock. In the postoperative period, 4 patients on the 5th and 6th day developed micrononextensity of the seams of duodenojejunostomy. Both patients were treated conservatively and were discharged.

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