scholarly journals «Low-Invasive» A Way Of Surgical Treatment Ulcer Pyloric-Duodenal Stenosis

2020 ◽  
Vol 02 (11) ◽  
pp. 115-119
Author(s):  
Djamalov S.I. ◽  
◽  
Aripova N.U. ◽  
Israilov B.N. ◽  
Pulatov M.M. ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Stomach Ulcer ◽  
Frequency Of Occurrence ◽  
Duodenal Stenosis ◽  
Third Place ◽  
Duodenal Ulcers ◽  
The Third ◽  
Life Threatening

The pyloric-duodenal stenosis (PDS) concerns frequent complications of stomach ulcer and takes the third place after such life-threatening complications duodenal ulcers as punching and ulcer gastrointestinal bleedings. Frequency of occurrence ulcer PDS makes, according to different researchers, 10-18 % and are diagnosed mainly for patients with is long proceeding duodenal an ulcer. Quite often there is simultaneous combination PDS to other complications of stomach ulcer of a duodenal gut that by all means complicates treatment tactics.

scholarly journals Analysis of surgical treatment of duodenal ulcers with multiple combined complications

2021 ◽  
pp. 10-12
Author(s):  
Pavlo Ivanchev ◽  
Maxim Bilyachenko ◽  
Anton Kurbanov ◽  
Oleksii Lissov
Keyword(s):  
Surgical Treatment ◽  
Postoperative Mortality ◽  
Bleeding Complications ◽  
Duodenal Ulcers ◽  
The Third ◽  
Number Of Patients ◽  
Group A ◽  
Analysis Of Results ◽  
Surgical Tactics ◽  
Group B

The aim of the research. Analysis of results and development of surgical tactics for the treatment of DU with multiple combined complications. Materials and methods. The results of the analysis of surgical treatment of duodenal ulcers with multiple combined complications (3 and 4 combined complications) for 3 periods are presented: 1st (1983–1995) (group A) – 77 patients, 2nd (2000–2007) years (group B) – 30 patients and 3rd (2008–2020) (group C) – 46 patients. Results. 153 patients (100 %) underwent surgery for complicated duodenal ulcer (DU), of which 130 patients (84.9 %) had a combination of three complications and 23 (15.1 %) had four complications. Bleeding complications were noted in 139 of 153 patients, accounting for 90.8 %, and ulcer perforation in 69 patients, accounting for 45.1 % of all other complications. Based on the obtained data of the analysis, there is a steady tendency to increase the proportion of organ-preserving operations (OPO) by 1.5 times (from 50.7 % to 76.2 %), reducing the number of gastrectomy (GR) by 3 times (from 14.5 % to 4.8 %) and palliative operations (PAL) 3.3 times (from 15.8 % to 4.8 %) with a relatively stable number of performed organ-saving operations (OSO): in group A – 17 (24.6 %) interventions, in group B – 4 (21.1 %), group C – 6 (14.3 %). Conclusions. The use of modern measures of endoscopic hemostasis allowed to operate on patients in the delayed period, and their share from the second period to the third increased 2.8 times. The number of patients who underwent emergency surgery with perforation of the ulcer as one of the complications decreased in the third period compared to the second by 2.6 times, due to the widespread use of PPIs in the conservative treatment of DU. According to the results of the analysis it became known that the chosen active-individualized tactics and developed algorithms for choosing the type of surgery allowed to achieve a stable level of postoperative mortality at 8.3 %.

scholarly journals Surgical treatment of complicated duodenal ulcers with different variants of their localization

2021 ◽  
Vol 11 (9) ◽  
pp. 773-780
Author(s):  
D. Maksymchuk ◽  
V. Mamchych ◽  
V. Maksymchuk
Keyword(s):  
Duodenal Ulcer ◽  
Surgical Treatment ◽  
Gastrointestinal Bleeding ◽  
Surgical Techniques ◽  
Clinical Protocols ◽  
Duodenal Ulcers ◽  
The Third ◽  
Alternative Method ◽  
Pyloric Canal

Purpose: To analyze and highlight the most effective methods of surgical treatment of complicated duodenal ulcer (DU) depending on its location. Material and methods. 86 patients underwent surgery for complicated combined pyloroduodenal ulcers. All patients with signs of gastrointestinal bleeding and perforation were examined according to clinical protocols. Patients were operated on by various surgical techniques depending on the location of DU. Further the analysis of different methods of surgical treatment of the pathology under study at its various localizations was carried out. Results. It has been established that in complicated combined pyloroduodenal ulcers with localization in the pyloric canal antrumectomy is the method of priority. If duodenum ulcer is complicated by bleeding, excision with pyloroplasty is the method of priority. Suture ulceration with pyloroplasty can be considered as an alternative method of treatment. It has been verified that in complicated duodenal ulcers, exteriorization and suturing of the ulcer have the lowest efficiency. The most frequently used method of duodenal ulcers of any localization treatment was excision of the ulcer with pyloroplasty. 6 (41.8 ± 0.053%).patients had been operated on by this method. In the second place in terms of universality was ulcer’s suturing with pyloroplasty - 22 patients or (25.5 ± 0.047%). The third was the method of exteriorization and suturing of ulcers, which accounted for 10 patients (11.6 ± 0.034%).

scholarly journals Conservative-surgical treatment of the external-internal endometriosis

2021 ◽  
Vol 51 (3) ◽  
pp. 113-116
Author(s):  
V. I. Krasnopolsky ◽  
S. N. Buianova
Keyword(s):  
Surgical Treatment ◽  
Inflammatory Diseases ◽  
Uterine Fibroids ◽  
Short List ◽  
Third Place ◽  
State Problem ◽  
The Third ◽  
Important Family ◽  
Gynecological Disease

Endometriosis as a gynecological disease is becoming a problem of the century, occupying the third place in the structure of gynecological pathology after inflammatory diseases and uterine fibroids. Insufficient effectiveness of treatment, disability and neurotization of women suffering from genital endometriosis, infertility as an important family and state problem. - a short list of troubles. caused by this disease.

Current trends in the structure of eye injuries

2020 ◽  
Vol 21 (3) ◽  
pp. 106-108
Author(s):  
M. N. Ponomareva ◽  
◽  
S. V. Sakharova ◽  
E. M. Pochinok ◽  
E. V. Fomina ◽  
...  
Keyword(s):  
Medical Records ◽  
Young Patients ◽  
Present Stage ◽  
Eye Injuries ◽  
Third Place ◽  
The Third ◽  
Eye Trauma ◽  
Current Trends ◽  
The Poor ◽  
Leading Position

Aim. To identify current trends in hospital eye trauma based on the materials of the specialized ophthalmology department of a round-the-clock hospital. Materials and methods. The analysis of medical records of patients treated in the round-the-clock specialized ophthalmology department of the state medical establishment OKB No. 2 in the period since January 2017-2019. Results. During the analyzed period, 4948 patients were treated, of which 218 patients (5.6%) were identified for nosologies belonging to the category of eye trauma. Men are most often exposed to eye injuries (84%), in addition, in 62% of cases, these are young patients (18-44 years). The structure of eye trauma is almost unchanged: the leading position is occupied by penetrating wounds of the eyeball and contusions, the third place is occupied by burns, through wounds of the eyeball are rare. Conclusions. Given the poor prognosis of the outcome of a severe eyeball injury, it requires the introduction of modern types of microsurgical intervention using endovitreal surgery at the present stage.

Surgical Treatment of the Clasped Thumb

1989 ◽  
Vol 14 (1) ◽  
pp. 72-79 ◽  
Author(s):  
Esther Lipskeir ◽  
M. Weizenbluth
Keyword(s):  
Surgical Treatment ◽  
Tendon Transfer ◽  
Pathological Feature ◽  
Tendon Transfers ◽  
Extensor Tendons ◽  
The Third ◽  
First Ray ◽  
Intrinsic Muscles

We report a series of 12 patients (19 hands) with clasped thumb who underwent surgical treatment. The series is divided into three groups. In the first group, the prominent pathological feature was hypoplasia of the extensor tendons which was treated by tendon transfer. The second group, the arthrogryphotic type, had contracture of the intrinsic muscles of the thumb and shortening of the skin; these needed mainly release operations. In only three hands out of nine was tendon transfer performed. The third group was defined by a combination of skeletal, muscular and tendon hypoplasia. Instability of the M.P. joint and adduction contracture of the first ray were found in all hands of this group. The adduction deformity was corrected by skin-plasty of the first web and the extension was improved by tendon transfers. Only one case needed stabilisation of the M.P. joint. The final results were related to the extent of the contractures and to the age of the patient when treatment started.

scholarly journals Rivaroxaban-Induced Nontraumatic Spinal Subdural Hematoma: An Uncommon Yet Life-Threatening Complication

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Mazen Zaarour ◽  
Samer Hassan ◽  
Nishitha Thumallapally ◽  
Qun Dai
Keyword(s):  
Subdural Hematoma ◽  
Lower Risk ◽  
Oral Anticoagulants ◽  
Factor Xa ◽  
Bleeding Events ◽  
Spinal Hematoma ◽  
The Third ◽  
Spinal Subdural Hematoma ◽  
Life Threatening ◽  
Life Threatening Complication

In the last decade, the desire for safer oral anticoagulants (OACs) led to the emergence of newer drugs. Available clinical trials demonstrated a lower risk of OACs-associated life-threatening bleeding events, including intracranial hemorrhage, compared to warfarin. Nontraumatic spinal hematoma is an uncommon yet life-threatening neurosurgical emergency that can be associated with the use of these agents. Rivaroxaban, one of the newly approved OACs, is a direct factor Xa inhibitor. To the best of our knowledge, to date, only two published cases report the incidence of rivaroxaban-induced nontraumatic spinal subdural hematoma (SSDH). Our case is the third one described and the first one to involve the cervicothoracic spine.

The Christian character of Christian mystical experiences

1984 ◽  
Vol 20 (3) ◽  
pp. 417-427
Author(s):  
Steven Payne
Keyword(s):  
Common Elements ◽  
Third Place ◽  
Cognitive Value ◽  
The Third ◽  
Affirmative Response ◽  
The Common ◽  
Mystical Experiences ◽  
Contemporary Writers ◽  
Mystical Literature

Are mystical states essentially ‘everywhere the same’? Though this question is notoriously obscure and difficult to answer, many contemporary writers on mysticism seem to favour an affirmative response to it, for a variety of reasons. First of all, some are impressed by the undeniable similarity in the testimony of mystics from widely divergent backgrounds and cultures; like most readers of mystical literature, they are deeply struck by the degree of apparent consensus between Christian, Hindu, and Buddhist contemplatives, for example. Secondly, there is a commendable desire in recent times to adopt a more positive and open-minded approach to other religions, and to acknowledge the value of their spiritual traditions; consequently, Christian authors today tend to focus on the common elements in Christian and non-Christian spiritualities, downplaying any differences. In the third place, those who wish to defend the cognitive value of mystical experiences on the basis of the ‘universal agreement’ of mystics will naturally maintain that there is a fundamental unanimity behind their different reports.

Problems Of Metabolic Syndrome

2021 ◽  
Vol 03 (06) ◽  
pp. 52-55
Author(s):  
Maksuda Ahmedjanovna Karimova ◽  
◽  
Dilnoza Kakhramanovna Kurbanbaeva ◽  
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Metabolic Syndrome ◽  
Lifestyle Modification ◽  
Syndrome X ◽  
Steady Increase ◽  
The Third ◽  
Calorie Content ◽  
Single Term ◽  
Life Threatening

At the beginning of the third millennium, for mankind, which overcame the epidemic of life-threatening infections during its centuries-old history, the problem of cardiovascular diseases (CVD) came to the fore in relevance among all causes of morbidity and mortality. A significant role in this was played by lifestyle modification associated with limiting physical activity, increasing the calorie content of food, and a steady increase in emotional stress. All of this potentiates the main risk factors for CVD, which are a “negative asset of progress,” namely increased blood pressure (BP), dyslipidemia, diabetes mellitus (DM) and obesity. Since 1988, after G. Reaven's Banting lecture, it is customary to designate the interconnected combination of these pathologies by the single term "metabolic syndrome X".

Hubungan Alokasi Dana Amil dan Efektivitas Pengelolaan Zakat Dalam Perspektif Hukum Ekonomi Syariah pada Baznas Kota Bandar Lampung

2022 ◽  
Vol 4 (3) ◽  
pp. 595-610
Author(s):  
Indah Harum Rezeki ◽  
Muhammad Iqbal Fasa ◽  
A. Kumedi Ja’far
Keyword(s):  
Poverty Alleviation ◽  
Field Research ◽  
Third Place ◽  
Fund Allocation ◽  
The Third ◽  
Economic Law ◽  
Welfare And Poverty

Zakat is an act of worship contained in the pillars of Islam. In the pillars of Islam, tithing is in the third place after prayer. The management of zakat funds aims to increase the usability and efficiency of zakat which has an impact on the realization of justice, community welfare and poverty alleviation in the vicinity. The Amil Fund Allocation in Bandar Lampung City has increased from 2018-2020. In managing the allocation of amil funds, the greater the zakat collection, the greater the allocation of amil rights funds. The research conducted by the author is (Field Research), direct research is carried out in the field using respondent data. Zakat assets funds that occur in BAZNAS Bandar Lampung city have not been maximized for amil rights, because the collection that occurs at BAZNAS Bandar City funds infaq shodaqah is greater than zakat assets. Therefore, to fulfill amil rights, BAZNAS Bandar Lampung City uses infaq shodaqah funds to fulfill amil rights. Keywords: Amil Fund, Zakat Management, Sharia Economic Law

Role of hyperbaric oxygenation in preoperative preparation of patients with pyloroduodenal ulcers

1986 ◽  
Vol 67 (3) ◽  
pp. 164-166
Author(s):  
A. A. Chernyavsky ◽  
P. S. Zubeev ◽  
O. V. Milovidova ◽  
N. G. Mikhailova
Keyword(s):  
Surgical Treatment ◽  
Hyperbaric Oxygenation ◽  
Conservative Therapy ◽  
Selective Proximal Vagotomy ◽  
Preoperative Preparation ◽  
Duodenal Ulcers ◽  
Operative Method ◽  
Surgical Practice

Although conservative therapy remains the main treatment for duodenal ulcers, however, 20-30% of patients require surgical treatment. In recent years a new operative method - selective proximal vagotomy - has been introduced into the wide surgical practice of pyloroduodenal ulcers treatment. Its performance is connected with the decision on the surgeon's tactics concerning the ulcerous niche: should it be excised or left?

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