Saratov JOURNAL of Medical and Scientific Research

surgical tactics

Acute varicothrombophlebitis: modern approach to the problem

Year: 2018, volume 14 Issue: №1 Pages: 87-94
Heading: Surgery Article type: Review
Authors: Tsarev О.А., Anisimov A.Yu., Prokin F.G., Zakharov A.A., Lobanov A.V., Senin A.A.
Organization: Saratov State Medical University
Summary:

Acute varicothrombophlebitis, or thrombosis of superficial veins (TSV), is a dangerous complication of lower extremity varicose vein disease, as it is a frequent cause for pulmonary artery thromboembolism. The survey states the modern approach to pathogenesis, diagnostics, clinical findings and therapeutic approach to patients with TSV.

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Surgical approach to patients with varicothrombophlebitis with undifferentiated dysplasia of connective tissue

Year: 2016, volume 12 Issue: №1 Pages: 66-70
Heading: Surgery Article type: Original article
Authors: Tsarev О.А., Anisimov A.Yu., Zakharov N.N., Korobov A.V.
Organization: Saratov State Medical University
Summary:

Aim: to study the peculiar features of clinical course of acute varicothrombophlebitis and surgical approach to patients with undifferentiated dysplasia of connective tissue. Material and Methods. The features of undifferentiated dysplasia of connective tissue, character of clinical course of acute varicothrombophlebitis, remote results for 94 patients, who had had Troyanov — Trendelenburg's operation, were studied. Results. 70 patients (74,5%) with acute varicothrombophlebitis demonstrated more than four phenotypic characters which showed the presence of undifferentiated dysplasia of connective tissue. 22 patients (31,4%) with acute varicothrombophlebitis with undifferentiated dysplasia of connective tissue were proved to have the discrepancy between localization of acute varicothrombophlebitis clinical evidences and level of proximal part of thrombus in the lumen of great saphenous vein. During the remote observation period, 66 patients (94,3%) with acute varicothrombophlebitis with undifferentiated dysplasia of connective tissue had pheblectomy, as there was vertical and horizontal pathological venous reflux. Out of 24 patients (25,5%) with acute varicothrombophlebitis without undifferentiated dysplasia of connective tissue, only four patients (16,7%) needed thesecond stage of surgical treatment, because 20 patients (83,3%), in 6 months after Troyanov — Trendelenburg's operation, demonstrated the restoration of functional consistency of valves of great saphenous and perforating veins. Conclusion. When determining the indications for urgent disconnection of saphenofemoral junction for patients with acute varicothrombophlebitis and also when choosing surgical treatment approach during remote observation period, it is reasonable to examine the phenotypic characters of undifferentiated dysplasia of connective tissue.

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Surgery of vertebral bodies compressive fractures according to results of algorithm of osteoporosis radial diagnostics

Year: 2011, volume 7 Issue: №4 Pages: 930-933
Heading: Traumatology and Orthopedics Article type: Original article
Authors: Tomilov А.В., Eidlina Е.М., Kuznetsova N.L.
Organization: Uralsk Scientific Research Institute of Traumatology and Orthopedics n. a. V.D. Chaklin
Summary:

The research goal is to optimize the algorithm of radial methods of investigation of early vertebral osteoporosis and vertebral compressive fractures in case of osteoporosis, as well as surgical tactics in vertebral compressive fractures, aggravated by osteoporosis. 220 postmenopausal women have been examined. 100 patients with compressive vertebral fractures and 120 patients without risk factors of compressive fractures were under study. 220 patients have received lateral spinal radiography and dual-energy X-ray absorptiometry. 60 patients with compressive vertebral fractures have been examined by quantitative computed tomography. Compressive fractures have been diagnosed in 20 men who suffered from osteoporosis. Statistical processing of received data has been performed. It has been concluded that the use of quantitative computed tomography has made possible to identify the reduction in bone mineralization with an increase in age of patients. When the difficulties in interpretation of clinical data and X-ray densitometry findings have been determined, quantitative computed tomography has occurred to be the method of choice. Quantitative computed tomography helps determine the degree of resorption of trabecular bone in vertebral bodies and prognose high risk of fractures. Surgeries have been performed in presence of osteoporosis which does not affect the stability of the structure.

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ВЫБОР МЕТОДА ОПЕРАТИВНОГО ВМЕШАТЕЛЬСТВА ПРИ ВАЗОРЕНАЛЬНОЙ ГИПЕРТЕНЗИИ (RUS)

Year: 2006, volume 2 Issue: №4 Pages: 75-77
Heading: Urology Article type: Original article
Authors: P.V. Gkybochko, A.B. Polozov, A.N. Rossolovsky, D.N. Chot'ko
Organization: Saratov State Medical University
Summary:

Analysis of results of treatment of 102 patients, taking place to clinic concerning a renovascular hypertension carried out. Modern methods of diagnostics , and also the operative treatment by the patient with renovascular the hypertensions, caused both second, and bilateral stenoses renal arterias are described. The substantiation is given to a choice of various kinds of operative treatment at the given category of patients.

Keywords: surgical tactics

REVASCULARISATION OF THE HUMAN CAROTID ARTERY USING DIFFERENT PATCHING MATERIALS

Year: 2006, volume 2 Issue: №2 Pages: 32-42
Heading: Surgery Article type: Original article
Authors: L. Yu. Kossovich, I.V. Kirillova , Y.P. Gulyaev , A.S. Desyatova , A.V. Kamenskiy , Y.E. Salkovskiy , N.V. Ostrovskiy , V.O. Polyaev , K.M. Morozov
Organization: Saratov State Medical University, Saratov National Research University n.a. N. G. Chernyshevsky
Summary:

Carotid endarterectomy is one of the most spread and effective ways of carotid stenosis surgical treatment . However , restenosis, development in the reconstructed zone is observed in more than 31 % of cases (1) first of all because the objective premises for the certain type of material to be used for operation are not yet defined. Present paper deals with FE modeling of the blood flow through the carotid with real geometry in the normal state and after the reconstructive operation done with different patches that are used novadays. The described technique can be used for determining the results of the long time follow-ups is also made . The described technique can be used for determining the approropriate patching material to be used by surgeon for a specific patient.

Keywords: surgical tactics

OPTIMIZATION OF SURGICAL TREATMENT PATIENTS WITH HORMONAL-AWAKE TUMOURS OF ADRENALS

Year: 2007, volume 3 Issue: №3 Pages: 85-87
Heading: Urology Article type: Original article
Authors: P.V. Glybochko, A.A. Svistunov, A.B. Polosov. M.V. Novogilova
Organization: Saratov State Medical University
Summary:

Long-term results of surgical treatment of 260 patients with hormonal awake tumours of adrenals are analysed. The following parameters were studied: arterial pressure in the remote periods after operation, vascular complications, necessity and a choice of hypotensive therapy in the postoperative periods, a lethality in the remote periods after operation. Analysis of efficacyy of various kinds of operative treatment in the remote postoperative periods is carried out. Also the substantiation of selection of hypotensive therapy in dependence on a kind of hormonal activity is given.

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Лапароскопическая аппендэктомия при неосложненных формах аппендицита у детей с ожирением (RUS)

Year: 2007, volume 3 Issue: №2 Pages: 62-64
Heading: Surgery Article type: Original article
Authors: Morozov D.A., Masevkin V.G., Nikolaev A.V., Filippov Yu.A., Karpov S.A.
Organization: Saratov State Medical University
Summary:

ince 2005 in pediatric surgery department were treated 10 children at the age 9-14 years with obesity (4) in a combination with appendicitis that underwent laparoscopic appendectomy. The authors did the comparative analysis of medical-diagnostic stages between traditional and laparoscopic appendectomy at the children with obesity and appendicitis without complication.

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Выбор оперативного доступа при эхинококкозе печени у детей (RUS)

Year: 2007, volume 3 Issue: №2 Pages: 58-62
Heading: Surgery Article type: Original article
Authors: Goremikin I.V., Filippov Yu.V.
Organization: Saratov State Medical University
Summary:

The use of laparoscopic devices in hydatidectomy is caused by the severity of the operative trauma and prolonged duration of rehabilitation in traditional operations. In the clinic of pediatric surgery of the Saratov state medical university 49 hydatidectomies in cases of hydatid cysts of the liver using the traditional laparotomic and laparoscopic approaches in patients aged 4-15 were performed.

Keywords: surgical tactics
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Многоузловые поражения щитовидной железы у детей: структура, диагностика, хирургическое лечение (RUS)

Year: 2007, volume 3 Issue: №2 Pages: 47-54
Heading: Surgery Article type: Original article
Authors: Morozov D.A., Napolnikov F.K.
Organization: Saratov State Medical University
Summary:

he mathematical correlation between recurrent of multimodular goiter and morfological and geterogenic nodular, the damage own ore more anatomic site of thyroid, and volume of resection of thyroid was found. Suggested model of the surgical treatment allow identifying the volume of thyroid resection in different forms of multimodular goiter and decreasing risk of the recurrent disease to minimum.

Keywords: surgical tactics
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WAY AND OPPORTUNITIES INTRAOPERATION CONTRASTIHG OF NERVOUS TRUNKS IN EXPERIMENT

Year: 2007, volume 3 Issue: №1 Pages: 80-83
Heading: Traumatology and Orthopedics Article type: Original article
Authors: D.K.Dzumagishiev, I.A.Norkin, R.P.Gorskov, V.G.Ninel
Organization: Saratov Scientific Research Institute of Traumatology and Orthopedics
Summary:

The way of artificial contrastment of peripheral nerves by non ionic water-soluble contrasts «Omnipaque-ЗОО» and «Ultravist-ЗОО», has shown high informaticy and simplicity of performance is developed in experiment. Contrast substance entered under epineuria of a nerve trunk to degree of hard filling ofepineural tubes and x-ray pictures performers. Experimenta researches have shown, that using of non-ionic contrast substance «Omnipaque-ЗОО» and «Ultravist-ЗОО» have low histitoxicit. in relation to tissues of peripheral nerves.

Keywords: surgical tactics