scholarly journals EVALUATION OF THE QUALITY OF LIFE OF PATIENTS WITH CIR-RHOSIS AFTER SURGICAL PREVENTION OF BLEEDING FROM VARI-COSEVEINS OF THE ESOPHAGUS

2020 ◽  
pp. 185-189
Keyword(s):  
Liver Cirrhosis ◽  
Varicose Veins ◽  
Scientific Work ◽  
Gastric Bleeding ◽  
Class B ◽  
Endoscopic Ligation ◽  
B 31

The scientific work is based on the experience of endoscopic ligation of varicose veins of the esophagus (EVV) in 65 patients with liver cirrhosis with portal hypertension syndrome. The degree of ERVP was established in accordance with the classification of K.J. Paquet (1982). Varicose veins of the esophagus of III and IV degrees were recorded in 58 (89.2%) patients. For a comprehensive assessment of the degree of liver failure, the Child-Pugh scale was used (1973). 11 (16.9%) patients were assigned to class A, 23 (35.4%) to class B, 31 (47.7%) patients to class C. The effectiveness of endoscopic ligation in the prevention of bleeding was 92.2%. Recurrence of esophageal-gastric bleeding in the immediate period occurred in 3 patients. Hospital mortality was 4.6%. In the long-term period after endoscopic eradication, recurrence of esophageal varicose veins was diagnosed in 27.8% of patients. Endoscopic ligation of varicose veins of the esophagus is an effective method for stopping and preventing bleeding in patients with liver cirrhosis.

scholarly journals Prevention of recurrent bleeding from varicose veins of the esophagus and stomach among patients with decompensated liver cirrhosis

2019 ◽  
Vol 100 (2) ◽  
pp. 333-339
Author(s):  
I E Onnitsev ◽  
S A Bugaev ◽  
S Ya Ivanusa ◽  
I I Dzidzava ◽  
A V Khokhlov ◽  
...  
Keyword(s):  
Liver Cirrhosis ◽  
Esophageal Varices ◽  
Varicose Veins ◽  
Treatment Method ◽  
Recurrent Bleeding ◽  
Gastric Bleeding ◽  
Decompensated Liver Cirrhosis ◽  
Risk Of Bleeding ◽  
Results Of Treatment ◽  
Endoscopic Ligation

Aim. To evaluate the efficiency of laparoscopic devascularization of the esophagus and stomach with endoscopic ligation of varicose esophageal veins in the prevention of esophageal-gastric bleeding among patients with decompensated liver cirrhosis. Methods. The results of treatment of 73 patients with decompensated liver cirrhosis and high risk of bleeding were analyzed. To prevent recurrent bleeding from esophageal and gastric veins, all patients underwent endoscopic ligation at the first step of treatment. In case of inefficiency of ligation and recurrence of varicose veins of esophagus, laparoscopic devascularization of esophagus and stomach was performed. The efficiency of laparoscopic devascularization with intraoperative endoscopic ligation of varicose esophageal veins and ligation as an independent method of treatment for the prevention of upper gastrointestinal bleeding was estimated by comparison of the frequency of recurrence of esophageal and gastric bleeding and recurrence of esophageal varices according to upper endoscopy in comparison groups. Results. In 6 months, 1 and 2 years after laparoscopic devascularization of the esophagus and stomach in combination with endoscopic ligation, the risk of bleeding is less compared to endoscopic ligation as an isolated treatment method (p=0.05; p=0.052; p=0.06). Laparoscopic devascularization with ligation reduces the risk of recurrence of esophageal varices during the first year after surgery by 20% (χ2=2.61; p=0.106), in 2 years by 23% (χ2=1.75; p=0.091) compared to endoscopic ligation only. Conclusion. Patients with liver cirrhosis with decompensated hepatic failure satisfactorily postpone endovideosurgical interventions; laparoscopic gastric devascularization with the intersection of the main inflows to the esophageal varicose veins is an effective method to prevent esophageal-gastric hemorrhage among patients with decompensated liver cirrhosis after ineffective endoscopic ligation.

Care of adults with long-term conditions

2020 ◽  
pp. 597-676
Keyword(s):  
Varicose Veins ◽  
Healthcare Providers ◽  
Motor Neurone ◽  
Chronic Obstructive ◽  
Long Term Conditions ◽  
Obstructive Pulmonary Disease ◽  
Lower Back ◽  
Respiratory Conditions

Multiple comorbidities necessitate care from a number of healthcare providers. Continuity of care is important for both patient satisfaction and quality of life. This chapter outlines primary care for adults with a variety of conditions, including osteoarthritis, rheumatoid arthritis, lower back pain, asthma and acute asthma, and stable and chronic obstructive pulmonary disease. It covers drugs commonly used in the treatment of respiratory conditions, including long-term oxygen and nebulizers. It then goes on to cover coronary heart disease, angina, hypertension, cardiac rehabilitation, heart failure, abnormal cardiac rhythms and atrial fibrillation, patients on anticoagulant therapies, and drugs used in cardiovascular diseases. The chapter also includes information on anaemia, varicose veins, diabetes, multiple sclerosis, motor neurone disease, and Parkinson’s disease.

scholarly journals Oncoplastic and reconstructive breast surgery in Canada: breaking new ground in general surgical training

2018 ◽  
pp. 294-299
Author(s):  
Lashan Peiris ◽  
David Olson ◽  
Kelly Dabbs
Keyword(s):  
Breast Cancer ◽  
Surgical Training ◽  
Breast Surgery ◽  
Fellowship Training ◽  
Immediate Breast Reconstruction ◽  
Oncoplastic Breast Surgery ◽  
The Uk

Oncoplastic breast surgery combines certain plastic surgery procedures with a breast cancer resection to minimize the cosmetic penalty. We compared current practices in breast surgery in Canada and the UK, looking at the classification of oncoplastic breast surgery, management of larger tumours that would otherwise mandate a mastectomy, and the breast surgeon’s role in immediate breast reconstruction. Reconstructive breast surgery has always fallen within the domain of the plastic surgeon, but surgical subspecialization and more focused fellowship training have meant that breast surgeons with the appropriate skillset can offer these procedures. This evolution of the breast surgeon has led to the birth of a new field of breast surgery known as oncoplastic and reconstructive breast surgery. Those tasked with developing surgical training programs in Canada must now decide whether to train breast surgeons in these techniques to improve long-term quality of life among Canadian patients with breast cancer.

How Does the Pathophysiology Influence the Treatment of Pelvic Congestion Syndrome and is the Result Long-lasting?

2012 ◽  
Vol 27 (1_suppl) ◽  
pp. 58-64 ◽  
Author(s):  
M Greiner ◽  
M Dadon ◽  
P Lemasle ◽  
P Cluzel
Keyword(s):  
Long Term Results ◽  
Cross Sectional ◽  
Pelvic Congestion Syndrome ◽  
Venous Anomalies ◽  
Embolic Agents ◽  
Cross Sectional Imaging ◽  
Pelvic Congestion

The objectives of this study are to consider the influence of pathophysiology in the treatment of pelvic congestion syndrome (PCS) and to determine the criteria which impact on the long-term results. A classification of venous pathology including three types of pathophysiological conditions, independent of the location of the pelvic venous pathology, is developed and illustrated. These types, diagnosed by cross-sectional imaging and confirmed by phlebography, are associated with a specific therapeutic plan. The long-term results are dependent on the quality of the initial Phlebographic mapping that must be selective and complete, the angiographic findings, in particular the study of collaterals feeding the venous anomalies, the treatment of all venous anomalies, the respect of contraindications, the use of appropriate materials and the occurrence of new pregnancies. In conclusion, the feasibility and satisfactory short-term results of endovascular treatment of PCS are admitted. Questions remain regarding the effectiveness of the different embolic agents and the long-term results of this treatment.

scholarly journals Review on effect of long term standing posture on varicose veins and its management

2019 ◽  
Vol 7 (01) ◽  
Author(s):  
Prashant Kumar Sing
Keyword(s):  
Varicose Vein ◽  
Varicose Veins ◽  
Early Stage ◽  
Signs And Symptoms ◽  
Lifestyle Changes ◽  
Physiological Changes ◽  
Standing Posture ◽  
Prolonged Standing

The lifestyle changes, obesity, the occupational pattern of prolonged standing and pregnancy are considered to be significantly contributing to this situation known as Varicose veins wherein veins become enlarged and twisted. Incidence of varicose vein is more in people belonging to the occupation that involved prolonged standing. Varicose vein can be co-related to Sirajgranthi as described in Ayurvedic texts. Ayurved formulations are said to be effective in the management of Sirajgranthi (Varicose veins) Sirajgranthi, treated at an early stage or allows proper maintenance of signs and symptoms reduces the complications and support a better quality of life. In this article we have tried to analyse the anatomical and physiological changes due to long term standing.

scholarly journals Efficacy of albumin in the treatment of alcoholic cirrhosis of the liver in combination with obesity

2020 ◽  
Vol 24 (2) ◽  
pp. 274-278
Author(s):  
N. H. Virstiuk ◽  
N. R. Matkovska
Keyword(s):  
Liver Cirrhosis ◽  
Statistical Processing ◽  
Alcoholic Cirrhosis ◽  
Medical Documentation ◽  
Alcoholic Liver Cirrhosis ◽  
Group I ◽  
Class B ◽  
Life Threatening ◽  
Treatment Onset

Annotation. Liver cirrhosis is characterized by an increase in morbidity and prevalence, life-threatening complications, disability and increased mortality of the working population. The aim of the study was to study the effect of albumin on the course of alcoholic liver cirrhosis in combination with obesity at the stage of decompensation. The study included 52 patients with alcoholic liver cirrhosis in combination with obesity (confirmed before the onset of ascites) with the primary uncomplicated ascites of 2-3 degrees, 46 men and 6 women aged 35 to 59 years; 32 patients were diagnosed with class B and 20 – with class C according to the Child-Pugh score. Depending on the treatment, patients were divided into 2 groups: Group I included 26 patients who received in their combination therapy albumin 40.0 g/week for 2 weeks of inpatient treatment and 20.0 g/week for 12 weeks of outpatient treatment, followed by a maintenance dose of 20.0 g/month (10.0 g/2 weeks) for 12 weeks; 24 weeks after the start of treatment, 16 patients gave their consent and continued maintenance therapy for another 24 weeks. Group II included 26 patients who received basic therapy without albumin. Assessment of patients was performed before treatment, 12, 24, 48 weeks after treatment onset; in 96 weeks – according to medical documentation. Statistical processing of the results was performed using software Microsoft Excel spreadsheet and application package Statistica v. 12.0 StatSoft, USA. In patients with alcoholic liver cirrhosis in combination with obesity, the inclusion in the complex therapy of long-term use of albumin improves the course of the disease according to the Child-Pugh score, MELD, DMF and CLIF-SOFA indices. There was a reduce the recurrence of ascites, the number of complications, a re-hospitalization within a year, an increase in the survival of patients within 48 months. No side effects of albumin were noted. Thus, long-term use of albumin in complex treatment of patients with alcoholic liver cirrhosis in combination with obesity contributes to an increase in the effectiveness of treatment.

scholarly journals Treatment and prevention of bleeding from varicose veins of the esophagus

2021 ◽  
Vol 1 (215) ◽  
pp. 80-83
Author(s):  
Eduard Mogilevets ◽  
Keyword(s):  
Liver Cirrhosis ◽  
Portal Hypertension ◽  
High Efficiency ◽  
Varicose Veins ◽  
Mortality Rates ◽  
Long Term Results ◽  
Recurrent Bleeding ◽  
Chronic Liver Diseases ◽  
Treatment And Prevention

Liver cirrhosis is the result of various chronic liver diseases. Portal hypertension is a serious complication of cirrhosis. Its consequences, in turn, along with other complications are gastroesophageal varicose bleeding, which cause high mortality rates. The article contains analysis of the results of laparoscopic esophagogastric devascularization without esophageal transsection and splenectomy in a patient with liver cirrhosis portal hypertension and recurrent bleeding from varicose veins of the esophagus. First successful surgery according to this method was introduced in the Grodno Municipal Clinical Hospital No. 4 in November 2011. Immediate and long-term results show a rather high efficiency of using this operation in the treatment and prevention of bleeding from varicose veins of the esophagus with cirrhosis. It is advisable to conduct further studies of the effectiveness of using this operation, despite the encouraging results of the use of this modification of laparoscopic esophagogastric devascularization.

A review on hetus of varicose veins

2019 ◽  
Vol 7 (4) ◽  
Author(s):  
Shruti Mani ◽  
M. V. Mokashi
Keyword(s):  
Quality Of Life ◽  
Varicose Vein ◽  
Varicose Veins ◽  
Early Stage ◽  
Signs And Symptoms ◽  
Physiological Changes ◽  
Prolonged Standing ◽  
Life Style Changes

The life style changes, obesity, occupational pattern of prolonged standing and pregnancy are considered to be significantly contributing to this situation known as Varicose veins wherein veins become enlarged and twisted. Incidence of varicose vein is more in people belonging to the occupation that involved prolonged standing. Varicose vein can be co-related to Sirajgranthi as described in Ayurvedic texts. Ayurved formulations are said to be effective in the management of Sirajgranthi (Varicose veins)Sirajgranthi, treated at an early stage or allows proper maintenance of signs and symptoms reduces the complications and support a better quality of life. In this article we have tried to analyse the anatomical and physiological changes due to long term standing.

scholarly journals Uncertainties in satellite remote sensing of aerosols and impact on monitoring its long-term trend: a review and perspective

2009 ◽  
Vol 27 (7) ◽  
pp. 2755-2770 ◽  
Author(s):  
Z. Li ◽  
X. Zhao ◽  
R. Kahn ◽  
M. Mishchenko ◽  
L. Remer ◽  
...  
Keyword(s):  
General Circulation ◽  
General Circulation Models ◽  
Noaa Avhrr ◽  
Earth’S Climate ◽  
Aerosol Parameters ◽  
Climate Studies ◽  
Cloud Screening

Abstract. As a result of increasing attention paid to aerosols in climate studies, numerous global satellite aerosol products have been generated. Aerosol parameters and underlining physical processes are now incorporated in many general circulation models (GCMs) in order to account for their direct and indirect effects on the earth's climate, through their interactions with the energy and water cycles. There exists, however, an outstanding problem that these satellite products have substantial discrepancies, that must be lowered substantially for narrowing the range of the estimates of aerosol's climate effects. In this paper, numerous key uncertain factors in the retrieval of aerosol optical depth (AOD) are articulated for some widely used and relatively long satellite aerosol products including the AVHRR, TOMS, MODIS, MISR, and SeaWiFS. We systematically review the algorithms developed for these sensors in terms of four key elements that influence the quality of passive satellite aerosol retrieval: calibration, cloud screening, classification of aerosol types, and surface effects. To gain further insights into these uncertain factors, the NOAA AVHRR data are employed to conduct various tests, which help estimate the ranges of uncertainties incurred by each of the factors. At the end, recommendations are made to cope with these issues and to produce a consistent and unified aerosol database of high quality for both environment monitoring and climate studies.

scholarly journals Сomparative analysis of perioperative results of laparoscopic and open liver resections for hepatocellular carcinoma

2020 ◽  
Vol 25 (2) ◽  
pp. 49-54
Author(s):  
R. B. Alikhanov ◽  
M. G. Efanov ◽  
V. V. Tsvirkun ◽  
A. N. Vankovich ◽  
I. V. Kazakov ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Liver Cirrhosis ◽  
Liver Resection ◽  
Hospital Stay ◽  
Varicose Veins ◽  
Perioperative Complications ◽  
Operation Time ◽  
Early Postoperative Period ◽  
Liver Resections ◽  
Class B

Aim: comparative analysis of peri-operative results of laparoscopic and open liver resections for hepatocellular carcinoma.Matherial and methods. A retrospective analysis included 73 patients with hepatocellular carcinoma who underwent liver resection from 2014 to 2019. In patients with liver cirrhosis contraindications were: 2 degree of varicose veins of eosophagus, severe ascites, liver cirrhosis class B and C (Child–Pugh)Results. Average operation time in comparing groups did not differ. Bloodloss (502 ml and 1380 ml), frequancy of complications by Clavien–Dindo (32.6% and 55.5%), duration of post-operative hospital stay (8 days and 13,6 days) were significantly less in the group of patients with laparoscopic liver resection (р < 0.05). In the early postoperative period, 2 (2.7%) patients died due to sepsis and posthepatectomy liver failure. There were no fatal outcomes in the group of laparoscopic liver resections.Conclusion. Laparoscopic liver resections for hepatocellular carcinoma has advantages in terms of prevention intraoperative bloodloss, and allow to reduce perioperative complications and post-operative hospital stay. This is important for rapid recovery of patients and for prompt ongoing of complex treatment.

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