Diagnostics of the Intestine Ischemic Damages  in Some Acute Surgical Diseases of Abdominal Cavity

Тимербулатов, В. М.; Тимербулатов, Ш. В.; Сагитов, Р. Б.; Sultanabaev, Artur U.; Asmanov, Dmitriy I.

doi:10.24060/2076-3093-2017-7-3-12-19

Cited by 10 publications

(3 citation statements)

References 4 publications

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“…The amount of the used antiseptic solution depends on the size of the wound surface. During the postoperative period the patients are provided with a rational antibacterial, analgesic therapy and prophylaxis of thromboembolic complications, individually to each patient (8,9). Statistical analyses were performed with the SPSS statistical software package (version 13.0; SPSS Inc., Chicago, IL).…”

Section: Methodsmentioning

confidence: 99%

Early and Late Outcome After Suprasonic Excision of Infected Mesh Implants After Hernioplasty

Пантелеев

Заварухин²,

Pogorelova³

et al. 2019

Serbian Journal of Experimental and Clinical Research

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Th e purpose of this research is to analyze early and postponed complications of the new method to eliminate mesh implants during full-grown infection process.Th e Republican clinical hospital (Russia) was the location to carry out a post-hoc analysis of 149 cases on surgical removal of infected mesh implants for ventral hernias of different localization in the period 2000 to 2017. Th e control group were 78 patients who underwent meshes removal with traditional surgical instruments. Th e study group included 71 patients, who underwent our method of supra-sonic excision of the implants.Th e duration of surgery in the group of patients subjected to supra-sonic excision of the implants was signifi cantly lower (84.3 min vs. 141.5 min) than in the group of traditional surgical techniques. Complications of early postoperative period was most often registered in the control group: foreign bodies (92.8% vs. 7.2%), infection (81.8% vs. 18.2%) and bleeding (87.5% vs. 12.5%). In the long term the recurrence of hernias in the control group were detected 1.8 times more frequently for ventral hernias than in the group of supra-sonic excision of the implants.Th us, supra-sonic excision of the implant prevents damage to viable tissues of the abdominal wall during the allocation of the implant and provides a good bactericidal eff ect, which promotes normal tissue regeneration and prevents possible recurrence of the herniation. Keywords: hernias, suprasonic excision of infected mesh, early and late outcome SAŽETAKCilj ovog istraživanja je analiza ranih i odloženih komplikacija novog metoda za eliminaciju mrežnih impantata tokom celokupnog procesa infekcije.Republička klinička bolnica (Rusija) je predstavljala lokaciju sprovođenje post-hoc analize 149 slučajeva hirurškog uklanjanja infi ciranih mrežnih impantata ventralnih kila različite lokalizacije u periodu od 2000. do 2017. Kontrolnu grupu je činilo 78 pacijenata kod kojih je mrežica uklonjena tradicionalnim hirurškim instrumenti. Eksperimentalna grupa se sastojala od 71 pacijenta koji su bili podvrgnuti našem metodu suprazvučne ekscizije impantata.Trajanje hirurške intervencije u grupi pacijenata podvrgnutih suprazvučnoj eksciziji implantata značajno je bila niža (84,3 min naspram 141,5 min) nego u grupi u kojoj su korišćene tradicionalne hirurške tehnike. Komplikacije ranog postoperativnog perioda su najčešć e registrovane u kontrolnoj grupi: strana tela (92,8% naspram 7,2%), infekcija (81,8% naspram 18,2%) i krvarenje (87,5% naspram 12,5%). U pogledu kasnih ishoda ponovna pojava kila u kontrolnoj grupi je zabeležena 1.8 puta češć e nego u grupi sa suprazvučnom ekscizijom implantata.Prema tome, suprazvučna ekscizija implantata prevenira ošteć enja tkiva abdominalnog zida prilikom ugradnje implantata i pruža dobar baktericidni efekat, što stimuliše normalnu regeneraciju tkiva i sprečava moguć unost ponovne pojave kila.Ključne reči: kila, suprazvučna ekscizija infi cirane mreže, rani i kasni ishodi

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Section: Methodsmentioning

confidence: 99%

Early and Late Outcome After Suprasonic Excision of Infected Mesh Implants After Hernioplasty

Пантелеев

Заварухин²,

Pogorelova³

et al. 2019

Serbian Journal of Experimental and Clinical Research

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“…ляционная кишечная непроходимость также сопровождается высокой частотой послеоперационных осложнений, обусловленных внутрикишечной гипертензией [13,14], вторичным ишемическим поражением кишечной стенки [15]. Во всех случаях резекция нежизнеспособных и временное отключение «сомнительных» участков кишечника должна завершаться либо выведением кишечной стомы на переднюю брюшную стенку, либо временным (до стабилизации пациента) погружением заглушенных концов кишки в брюшную полость.…”

Section: Review Of Literatureunclassified

Surgery Techniques for Urgent Intestinal Neostomy and Bypass

Sizov

Александрович²,

Romanov

et al. 2020

VECS

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Introduction. Modern standards for the treatment of acute abdominal surgical diseases suggest a temporary exclusion of the impaired intestinal part from the digestion. This reduces the morbidity of the primary operation, but also results in specific postoperative complications.The aim of the study was to analyze current data on the technique and effectiveness of urgent intestinal neostomy and bypass surgery.Results. The authors analyzed 39 modern literature sources that deal with the problem of urgent intestinal neostomy and bypass surgery. Currently, there is a growing interest in developing techniques for early (before anastomosis) restoration of the chyme passage across the intestine bypassing the impaired intestinal area. It has been reported that a number of unresolved issues do not yet allow full implementation of the concept of intestinal bypass (shunt): a safe mechanism for performing an anastomosis between the small intestine and a synthetic prosthesis has not been developed, the problem of creating unidirectional pathway along a non-peristaltic intestinal prosthesis has not been solved.Conclusion. Solution of these problems can contribute to a significant improvement in the clinical outcomes of patients with acute ischemic or traumatic damage to the intestine.

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“…Также существует мнение, что POCT-концепция способна сократить продолжительность пребывания пациента в отделении Н а у к а и и н н о в а ц и и в м е д и ц и н е 4 ( 8 ) / 2 0 1 7 Д и а г н о с т и к а D i a g n o s t i c s реанимации и стационаре [19,20]. А применение PоCT в операционной является экономически выгодным для оценки системы гемостаза и управления трансфузионной программой [21][22][23]. В некоторых случаях, таких как определение паратиреоидного гормона при операции на паращитовидной железе, только скорость получения анализа играет ключевую роль в вопросах экономии операционного времени и сокращения продолжительности госпитализации [19].…”

Section: недостатки технологий Point-of-care Testingunclassified

Implementation of “Point-of-Care Testing” Technologies in the Conditions of Intensive Care

Рахматуллина

Zolotukhin

2017

Science and Innovations in Medicine

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The analysis in the centralized laboratory is the main model of laboratory diagnosis and monitoring in the conditions of intensive care. However, alternative models of “point-of-care testing” technology are being actively introduced nowadays. This review article presents the analysis of “Point-of-care testing” technologies from the perspective of the intensive care doctor. The main advantages of this monitoring idea include the speed of analysis and the cost of components. Among the disadvantages we can identify ambiguous assessment of the accuracy and objectivity of analyses, additional burden on the staff of resuscitation and intensive care units. Possible ways of resolving disputable issues aimed at improving quality and reproducibility of the analyses are outlined in this work. Despite the fact that currently “Point-of-care testing” technologies cannot replace centralized laboratories, they are steadily occupying a certain niche and are going to play a more important role in diagnosing and monitoring patients in critical condition.

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Diagnostics of the Intestine Ischemic Damages in Some Acute Surgical Diseases of Abdominal Cavity

Cited by 10 publications

References 4 publications

Early and Late Outcome After Suprasonic Excision of Infected Mesh Implants After Hernioplasty

Early and Late Outcome After Suprasonic Excision of Infected Mesh Implants After Hernioplasty

Surgery Techniques for Urgent Intestinal Neostomy and Bypass

Implementation of “Point-of-Care Testing” Technologies in the Conditions of Intensive Care

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