The Role of Various Methods of Kidney Drainage in Obstructive Pyelonephritis

Іvashchenko, D. М.; Дудченко, Максим Андрійович; Kravtsiv, M.I.; Prykhidko, R. A.; Shevchuk, M. P.; Shchasnyi, D. M.

doi:10.26724/2079-8334-2021-4-78-66-70

Cited by 3 publications

(2 citation statements)

References 10 publications

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“…Проте дані клінічні симптоми МЖ у цієї категорії хворих в багатьох випадках трактуються хірургами, як прояви холедохолітіазу. Обставини які склалися заставляють нас та інших дослідників відмовитися від терміну «безбольова» жовтяниця в якості синоніма пухлинної [8].…”

Section: обговоренняunclassified

Personalized Approach to the Choice of Biliary Drainage Tactics in Patients With Tumor-Induced Mechanical Jaundice

Shevchuk,

Dudchenko,

Kravtsiv

et al. 2023

Act. Probl. of the Modern Med.

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Mechanical jaundice resulting from the tumor-induced obstruction of bile ducts is usually the first and quite severe complication of malignant neoplasms of the organs of the hepatopancreatoduodenal zone. Radical treatment for this condition, as reported by various sources, remains below 20-25%. Therefore, the imperative is to select the most effective minimally invasive biliary drainage method to alleviate biliary tract pressure and address the issue of mechanical jaundice. This approach serves both as a preparatory step for potential radical surgical intervention and as a definitive method for palliative treatment in this patient category. The aim of this work is to develop an optimal algorithm for diagnosis and treatment of patients with tumor-induced mechanical jaundice, which will increase the effectiveness of primary surgical intervention and reduce the number of complications and mortality for this category of patients. The investigation focused on examining the results of diagnostic and surgical interventions in 108 patients with tumor-induced mechanical jaundice. These patients underwent biliary drainage operations in surgical hospitals between 2017 and 2023. Analysis of the surgical outcomes revealed that endoscopic drainage and percutaneous transhepatic drainage exhibited similar effectiveness in I and II levels of biliary obstruction. However, endoscopic drainage demonstrated lower complication rates and improved quality of life for patients, establishing it as the preferred method. For level III blockages, percutaneous transhepatic drainage is recommended. The implementation of a diagnostic and treatment algorithm, which considers the level of biliary block, the severity of mechanical jaundice, and the tumor process stage, enables the selection of the most effective minimally invasive biliary drainage method. This approach contributes to a reduction in postoperative mortality.

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Section: обговоренняunclassified

Personalized Approach to the Choice of Biliary Drainage Tactics in Patients With Tumor-Induced Mechanical Jaundice

Shevchuk,

Dudchenko,

Kravtsiv

et al. 2023

Act. Probl. of the Modern Med.

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“…DOI 10.31718/2077-1096.23.2.1.22 УДК: 616.6:619.9(COVID-19) Іващенко Д.М., Дудченко М.О., Кравців М.І., Шевчук М.П., Прихідько Р.А., Заєць С.М., Зезекало Є.О. [4,5].…”

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Impact of Covid-19 on the Structure and Severity of Urological Pathology in Emergency Patients

Ivashchenko¹,

Dudchenko²,

Kravtsiv³

et al. 2023

Act. Probl. of the Modern Med.

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The coronavirus disease (COVID-19) has entered our lives since 2019. This severe respiratory disease is caused by type 2 coronavirus (SARS-CoV-2). Since its first appearance in December 2019, it has led to a worldwide pandemic that continues to this day. Kidneys can be one of the target organs when infected with coronavirus type 2 (SARS-COV-2). It is necessary to pay attention to surgical interventions on the urinary system against the background of COVID-19. In light of the COVID-19 pandemic, special attention should be given to surgical interventions involving the urinary system. While various methods of correction for purulent-septic and obstructive urological diseases have been proposed for numerous conditions, specific indications and contraindications for patients with coronavirus infection remain largely unexplored. The purpose of the study is to analyze the impact of the incidence of COVID-19 on the prevalence and severity of acute urological pathology, to determine the frequency and distribution of complications. The study is based on the analysis of 323 medical histories of patients with acute urological pathology who needed emergency medical aid and were admitted to medical settings in the city of Poltava in 2020-2021. Patients were divided into 2 groups: without and with co-infection of COVID-19. Having analyzed the structure of urgent urological diseases and their course in patients with co-morbid COVID-19, we were able to highlight certain statistically reliable points: an increase in the number of inflammatory diseases of the kidney and urinary tract, an increase in the number of cases of macrohematuria, and an increase in the number of emergency interventions for purulent-septic kidney pathology. The pathogenetic mechanisms of the development of these conditions are currently not yet sufficiently studied and require separate studies to further improve the provision of urological care to patients in the context of the persistence of the COVID-19 pandemic.

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Retrograde Intrarenal Surgery as a Method of Improving the Endoscopic Management of Occlusive Concrements of the Upper Parts of the Ureter

Ivashchenko,

Dudchenko,

Kravtsiv

et al. 2023

WOMAB

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The Role of Various Methods of Kidney Drainage in Obstructive Pyelonephritis

Cited by 3 publications

References 10 publications

Personalized Approach to the Choice of Biliary Drainage Tactics in Patients With Tumor-Induced Mechanical Jaundice

Personalized Approach to the Choice of Biliary Drainage Tactics in Patients With Tumor-Induced Mechanical Jaundice

Impact of Covid-19 on the Structure and Severity of Urological Pathology in Emergency Patients

Retrograde Intrarenal Surgery as a Method of Improving the Endoscopic Management of Occlusive Concrements of the Upper Parts of the Ureter

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