scholarly journals Monitoring And Evaluation Of Hemodynamic Parameters During Anesthesia In Endocrine Surgery

2020 ◽  
Vol 02 (12) ◽  
pp. 40-46
Author(s):  
Joniev Sanjar Shuxratovich ◽  
◽  
Shukur Pardaev Kuylievich ◽  
Akramov Bahodir Raxmonovich ◽  
Hushvakov Ulmas Oftedal Ugli ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Nodular Goiter ◽  
Monitoring And Evaluation ◽  
Endocrine Surgery ◽  
Hemodynamic Parameters ◽  
Preoperative Period ◽  
Preoperative Preparation ◽  
New Approach ◽  
Toxic Nodular Goiter ◽  
Modified Method

The article presents the results of preoperative preparation, anesthesia and surgical treatment of patients operated on for non-toxic nodular goiter. A new approach to preoperative preparation for thyroid surgery is described. The effectiveness in the preoperative period of using the modified method of preoperative preparation using sibazon and droperidol and anesthesia with the use of ketamine and the advantages of this method compared with other methods of general anesthesia are shown.

scholarly journals ASSISTANT OF DEPARTMENT OF ANESTHESIOLOGY AND REANIMATOLOGY, SAMARKAND STATE MEDICAL INSTITUTE SAMARKAND UZBEKISTAN

2020 ◽  
Vol 6 (5(74)) ◽  
pp. 38-41
Author(s):  
S.Sh. Zhoniev ◽  
A. Muminov ◽  
U.O. Hushvaktov
Keyword(s):  
Surgical Treatment ◽  
General Anesthesia ◽  
Preoperative Therapy ◽  
Medical Institute ◽  
Preoperative Preparation ◽  
New Approach ◽  
State Medical Institute

The results of surgical treatment, preoperative preparation and anesthesia of 72 patients operated on goiter are presented in the article. A new approach to stress-protective preoperative therapy is suggested. The efficacy of anesthesia with of ketamine and advantages of this approachin comparison with standard general anesthesia are shown

scholarly journals Peculiarities of individual miniinvasive surgery in the surgical treatment of nodular pathology of the thyroid gland in children

2021 ◽  
Vol 70 (2) ◽  
Author(s):  
Andrei Tibirna ◽  
◽  
Gheorghe Tibirna ◽  
Lilian Bejenaru ◽  
◽  
...  
Keyword(s):  
Thyroid Cancer ◽  
Surgical Treatment ◽  
Postoperative Complications ◽  
Thyroid Gland ◽  
Nodular Goiter ◽  
Neck Region ◽  
Head And Neck Region ◽  
Toxic Nodular Goiter ◽  
Republic Of Moldova ◽  
Miniinvasive Surgery

Peculiarities of individual mini-invasive surgery in the surgical treatment of nodular pathology of the thyroid gland in children. During 40 years in the clinic „Surgery of tumors of the head and neck region” of the Oncological Institute of Republic of Moldova were treated 18549 patients with thyroid nodular pathologies, of which 1078 were children. 105 (9,7%) children were diagnosed with thyroid cancer, 534 (49,5%) – with adenomas, 213 (19,7%) – with toxic nodular goiter, 226 (21%) – with Hashimoto’s stroke. The ratio of affecting girls / boys 6: 1, the most vulnerable age – 9-16 years. The most common morphological forms were papillary and follicular cancer 97 children (92,3%). During 2020, the method of mini-invasive organ-threatening operations in children with thyroid nodular processes was implemented. The main advantages of mini-invasive operations are the following:Intraoperative safety The small cost Minimal postoperative complications.

Clinical analysis and efficacy of bimanual surgical treatment of retinal detachment in severe forms of proliferative diabetic retinopathy with preoperative preparation with anti-VEGF drugs in combination with the use of the Ngenuity ALCON 3D imaging system

2021 ◽  
pp. 195-198
Author(s):  
D.V. Chernykh ◽  
Keyword(s):  
Visual Acuity ◽  
Diabetic Retinopathy ◽  
Surgical Treatment ◽  
Retinal Detachment ◽  
Postoperative Period ◽  
3D Imaging ◽  
Imaging System ◽  
3D Visualization ◽  
Preoperative Preparation ◽  
Anti Vegf

The purpose of the study was to evaluate the effectiveness of bimanual surgery with anti-VEGF preparation of patients with severe forms of PDR complicated by traction retinal detachment, with intraoperative use of 3D visualization. Material and methods. Operated on 18 patients with a diagnosis of PDR complicated by traction retinal detachment. Of these, there were 7 patients with type 1 diabetes, type 2 diabetes. There were 5 men and 13 women. The average age was 58 + -2 years. All patients underwent a three-port vitrectomy, using an additional light source, with preoperative preparation with anti-VEGF drugs, using bimanual technique and 3D visualization, using air tamponade. Results and its discussion. As a result of the study, it was found that the visual acuity before the treatment was 0.03 [0.01; 0.1], and 4-6 months after the surgical treatment, 0.3 [0.15; 0.5]. The performed statistical analysis made it possible to establish a statistically significant increase in visual acuity 4-6 months after the treatment. (p = 0.001) Achieved complete anatomical retinal fit. With increased visual acuity. There were 5 complications in the postoperative period. Recurrent hemophthalmos was diagnosed in 3 people, which required repeated surgical intervention. In 2 patients in the postoperative period, DMO developed, which required IVI biodegradable dexamethasone implant. Conclusion. Bimanual, surgical treatment of traction retinal detachments, in severe forms of PDLP, with preoperative preparation with anti-VEGF drugs, and the use of the Ngenuity ALCON 3D imaging system, is one of the effective methods of treatment in this group of patients, and is aimed at reducing both intra and postoperative complications. Key words: рroliferative diabetic retinopathy, vitrectomy, 3D imaging, bimanual surgery, anti-VEGF drugs.

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?

scholarly journals Results obtained after the surgical treatment of Graves’ disease depending on the levels of anti-thyroid antibodies

2021 ◽  
Author(s):  
S. L. Shliakhtych ◽  
V. R. Antoniv
Keyword(s):  
Surgical Treatment ◽  
Postoperative Complications ◽  
Surgical Technique ◽  
Hormone Receptors ◽  
Thyroid Stimulating Hormone ◽  
Endocrine Surgery ◽  
Graves Disease ◽  
Autoimmune Thyroid ◽  
Early Postoperative Complications ◽  
Surgery Duration

Graves' disease (GD) is a hereditary autoimmune disease which is characterized by persistent abnormal hypersecretion of thyroid hormones and thyrotoxicosis syndrome development. GD affects from 0.5 % to 2.0 % of population in different regions. 46 % of these patients develop ophthalmopathy. GD is a common cause of disabilities in patients under 60 years of age. In recent years, the incidence of GD in Ukraine has increased by 9.9 % — from 106.2 to 117.9 per 100,000 individuals. This can be connected with the improved diagnostic possibilities and active disease detection as well as with the increased number of autoimmune thyroid disorders. The recent studies focus on prevention of specific complications and recurrences of GD after surgery. Objective — to compare the levels of antibodies to the thyroid‑stimulating hormone receptors (TSHR‑Ab) during different postoperative periods as well as the incidence of early and late complications depending on the surgical technique used for the treatment of GD. Materials and methods. The results of surgical treatment of 130 patients, with GD were compared. 29 male patients and 101 female patients aged from 19 to 76 (average — 44.1 ± 3.2 years), receiving their treatment for GD in Kyiv Center of Endocrine Surgery during 2010—2018, were randomly selected and divided into two groups. At the time of operation the duration of disease was from 1 to 30 years (average — 4.6 ± 1.2 years). Group  1 included 65 patients that underwent total thyreoidectomy (TT) and group 2 included 65 patients that underwent subtotal thyreoidectomy (ST). The following parameters were compared: surgery duration, the incidence of early postoperative complications, including bleedings and damage to the recurrent laryngeal nerves, and late outcomes of surgical treatment (persistent hypoparathyreoidism disorder and disorder recurrences) depending on the method of surgery (ST or TT). Furthermore, the patterns of the TSHR‑Ab level reduction were studied for different postoperative periods. Results. The comparison of surgical outcomes following TТ and ST didn’t reveal any statistically significant differences in such evaluation criteria as the average surgery duration, the average volume of intraoperative blood loss and the average duration of the postoperative inpatient treatment. The comparative assessment of the thyroid stump volume and the average amount of drained discharge showed statistically significant differences for TТ. It allows considering TТ as a surgery which causes less complications than ST. The studied parameters of early postoperative complications had no significant differences for ST and TТ. The long‑term (5 years) postoperative level of TSHR‑Ab was statistically significantly lower in patients after TT and made up 1.15 ± 0.13 IU/L (thus corresponding to the normal level). Conclusions. Total thyroidectomy is an optimal surgical technique and is more appropriate compared with subtotal thyroid gland resection. It should be noted that TT provides lower risk of complications due to significantly lower level of TSHR‑Ab in late postoperative period.  

scholarly journals Intractable hiccups as the presenting symptom of toxic nodular goiter

2018 ◽  
Vol 3 (3) ◽  
pp. e19
Author(s):  
Luís Miguel Fernandes Teles ◽  
Inês Domingues Neto ◽  
Bernardo Luís Fernandes Macedo ◽  
Fernando Moreira
Keyword(s):  
Nodular Goiter ◽  
Toxic Nodular Goiter ◽  
Intractable Hiccups

scholarly journals MODIFIED METHODS OF SURGICAL TREATMENT REST OF THE RECT

2020 ◽  
pp. 151-155
Author(s):  
I. A. Kryvoruchko ◽  
I. V. Sorokina ◽  
K. Y. Parkhomenko ◽  
T. N. Firsik ◽  
A. P. Bozhko
Keyword(s):  
Surgical Treatment ◽  
Anal Fistula ◽  
Fistula Tract ◽  
Rectal Fistula ◽  
Complete Excision ◽  
Modified Method ◽  
Minimal Damage ◽  
Significant Addition ◽  
Standard Techniques

Summary. The use of mini-invasive technologies for the treatment of rectal fistula prevents many postoperative complications. Complete excision of the rectal fistula is not the only important result of treatment. Ensuring a high quality of life for patients is also very important. The proposed methods of surgical correction are a significant addition to the list of existing operations. Objective. To compare and analyze the results of the treatment patients with anal fistula by using standard techniques, the modified method LIFT and excision anal fistula with biowelding. Materials and methods. A retro- and prospective study of the surgical treatment of 90 patients with uncomplicated transsphincteric anal fistula using different techniques from September 2018 to February 2020 was conducted. Results. The introduction of these methods has shown a decrease in the number of relapses. This was achieved by combining complete excision of the fistula tract and minimal damage to the sphincter complex. Conclusion. The use of combined methods of surgical treatment of rectal fistula has significant advantages over standard techniques.

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