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1.
Zh Nevrol Psikhiatr Im S S Korsakova ; 118(9. Vyp. 2): 8-13, 2018.
Artigo em Russo | MEDLINE | ID: mdl-30499553

RESUMO

AIM: To study the state of cerebral hemodynamics and platelet hemostasis in patients with carotid stenosis (CS). MATERIAL AND METHODS: The prospective study included 123 patients with atherosclerotic CS. The 1st group included 53 patients (mean age 52±12.5 yrs) who underwent carotid endarterectomy (CEA); the 2nd group - 70 patients who were treated conservatively (mean age 58.5±15.9 yrs). The state of blood flow through the main arteries of the head (Doppler flowmetry), platelet aggregation induced by adrenaline, the frequency of acute cardiovascular events that occurred during 12 months were evaluated. RESULTS AND CONCLUSION: The severity of neurological deficits and cognitive impairment increased with increasing of the degree of CS. CEA leads to an improvement of cerebral hemodynamics and stabilization of cognitive functions. The adverse course of the disease occurred in 23.6% of patients (stroke/heart attack during the year in 5.7%, progression of cerebral ischemia in 20%, restenosis within 5 years after CEA in 15%). Hyperaggregation of platelets induced by ADP and epinephrine and decreased aggregation of platelets induced by collagen in patients receiving ASA were identified in 53% of the operated and in 60% of non-operated patients. The use of combined antiplatelet therapy normalize the platelet hemostasis and reduce the frequency of acute cardiovascular events.


Assuntos
Estenose das Carótidas , Transtornos Cerebrovasculares , Endarterectomia das Carótidas , Adulto , Idoso , Estenose das Carótidas/diagnóstico por imagem , Estenose das Carótidas/fisiopatologia , Circulação Cerebrovascular , Transtornos Cerebrovasculares/diagnóstico por imagem , Transtornos Cerebrovasculares/fisiopatologia , Humanos , Pessoa de Meia-Idade , Estudos Prospectivos , Resultado do Tratamento
2.
Khirurgiia (Mosk) ; (6): 58-61, 2018.
Artigo em Russo | MEDLINE | ID: mdl-29953101

RESUMO

AIM: To analyze the outcomes of fast track rehabilitation program in patients with perforated duodenal ulcer (PDU). MATERIAL AND METHODS: For the period 2013-2016 at the Department of Surgery and Endoscopy 206 PDU patients have been treated. Inclusion criterion for the main group (n=77) was duodenal ulcers, their dimension up to 1 cm, laparoscopic suture of perforated ulcer, fast track rehabilitation program implementation. The control group consisted of 129 patients who underwent open suturing of perforated ulcer followed by conventional treatment in postoperative period. RESULTS: In the main group (n=77) laparoscopic suturing of ulcerative defect with the use of Fast Track program was performed. Postoperative complication i.e. sutures failure was observed in 1 (1.3%) case. There were no lethal outcomes in the main group. Mean length of hospital-stay was 4.8 days. In 129 patients of the control group open suturing of the perforated ulcer and conventional postoperative therapy were applied. Postoperative surgical complications were absent in the control group; mortality rate was 2.3%. Mean length of postoperative hospital-stay was 8.1 days. CONCLUSION: Laparoscopic treatment of perforated ulcers facilitates application of fast track rehabilitation program in emergency patients. Fast track rehabilitation protocol after laparoscopic suturing of the perforated ulcer creates conditions for early discharge and is followed by good clinical and economic effects. Recurrent peptic ulcers are noted if antiulcer therapy is absent.


Assuntos
Úlcera Duodenal/cirurgia , Laparoscopia/reabilitação , Úlcera Péptica Perfurada , Complicações Pós-Operatórias , Feminino , Humanos , Laparoscopia/efeitos adversos , Laparoscopia/métodos , Tempo de Internação , Masculino , Pessoa de Meia-Idade , Úlcera Péptica Perfurada/reabilitação , Úlcera Péptica Perfurada/cirurgia , Complicações Pós-Operatórias/etiologia , Complicações Pós-Operatórias/reabilitação , Período Pós-Operatório , Resultado do Tratamento
4.
Khirurgiia (Mosk) ; (7): 62-64, 2015.
Artigo em Russo | MEDLINE | ID: mdl-26271566

RESUMO

It is presented 5 clinical observations of acute ischemia of intestine in which different endovascular interventions including isolated superior mesenteric artery stenting, rheolytic and aspiration thrombectomy and combination of techniques were applied. Surgical success with blood flow restoration in superior mesenteric artery was achieved in 4 of 5 patients. 2 patients have required laparotomy and intestinal resection. In 1 case extent of resection was significantly reduced after previous endovascular thrombectomy. There were no deaths. It is concluded that endovascular interventions may be considered as independent method of treatment of patients with acute mesenteric ischemia.


Assuntos
Procedimentos Endovasculares/métodos , Intestinos/irrigação sanguínea , Isquemia/cirurgia , Artéria Mesentérica Superior/cirurgia , Oclusão Vascular Mesentérica/cirurgia , Trombectomia/métodos , Idoso , Idoso de 80 Anos ou mais , Angiografia , Feminino , Humanos , Isquemia/diagnóstico , Isquemia/etiologia , Masculino , Artéria Mesentérica Superior/diagnóstico por imagem , Oclusão Vascular Mesentérica/complicações , Oclusão Vascular Mesentérica/diagnóstico , Pessoa de Meia-Idade , Resultado do Tratamento
5.
Angiol Sosud Khir ; 20(2): 68-77, 2014.
Artigo em Russo | MEDLINE | ID: mdl-24961328

RESUMO

The authors demonstrate herein their experience (3 clinical case reports) in endovascular interventions in the basin of the superior mesenteric artery, performed for its thromboembolism (2 patients) and thrombosis (1 patient). Rheolytic thrombectomy from the superior mesenteric artery turned out inefficient in one patient and he was operated on in the scope of laparotomy, vast resection of the small intestine and the right half of the large intestine and indirect embolothrombectomy from the superior mesenteric artery. Aspiration thrombectomy had only a partial effect in the second patient presenting with thromboembolism of the proximal segment of the superior mesenteric artery: the major blood flow through the artery was restored and the scope of intestinal resection was reduced to 20 cm of the jejunum. Finally, the third patient underwent combined endovascular (rheolytic and aspiration) thrombectomy performed in an isolated manner, with neither laparotomy nor intestinal resection employed. In the last two cases, endovascular thrombectomy was supplemented by selective administration of platelet glycoprotein IIb/IIIa receptor inhibitors injected into the basin of the mesenteric artery. Endovascular intervention is an operation of choice in patients presenting with acute impairment of mesenteric blood circulation at the stage of intestinal ischaemia.


Assuntos
Colectomia/métodos , Procedimentos Endovasculares , Oclusão Vascular Mesentérica , Complicações Pós-Operatórias , Trombectomia/métodos , Tromboembolia , Idoso , Idoso de 80 Anos ou mais , Colo/irrigação sanguínea , Colo/cirurgia , Diagnóstico Diferencial , Procedimentos Endovasculares/efeitos adversos , Procedimentos Endovasculares/métodos , Humanos , Isquemia/etiologia , Isquemia/fisiopatologia , Isquemia/cirurgia , Jejuno/irrigação sanguínea , Jejuno/cirurgia , Laparotomia/métodos , Masculino , Artéria Mesentérica Superior/fisiopatologia , Artéria Mesentérica Superior/cirurgia , Oclusão Vascular Mesentérica/complicações , Oclusão Vascular Mesentérica/diagnóstico , Oclusão Vascular Mesentérica/fisiopatologia , Oclusão Vascular Mesentérica/cirurgia , Complicações Pós-Operatórias/diagnóstico , Complicações Pós-Operatórias/etiologia , Complicações Pós-Operatórias/cirurgia , Reoperação/métodos , Circulação Esplâncnica , Tromboembolia/complicações , Tromboembolia/diagnóstico , Tromboembolia/fisiopatologia , Tromboembolia/cirurgia , Resultado do Tratamento
6.
Angiol Sosud Khir ; 19(4): 82-7, 2013.
Artigo em Russo | MEDLINE | ID: mdl-24429563

RESUMO

The authors analysed the results of diagnosis and treatment of venous thromboembolic complications in a total of 239 patients presenting with various-aetiology intracranial haemorrhage and tumours of the central system. The total incidence of venous thromboses in the system of the inferior vena cava amounted to 25.1%. Thromboembolism of pulmonary artery complicated the course of the underlying disease in 3.3% of cases. Operative treatment of the underlying disease resulted in an increased incidence rate of thromboses of deep veins from 18.5 to 36.4% (p=0.015) and that of pulmonary artery thromboembolism from 2.7 to 4.5% (p=0.5). The most frequently encountered localization of thromboses in the postoperative period turned out to be the sural veins of the crus. The level of consciousness (p=0.0001), operative treatment (p=0.002), putaminal and thalamic intracranial haematomas (p=0.01), as well as dislocation syndrome (p=0.05) according to the findings of the univariate analysis were the risk factors for the development of venous thromboses in patients with haemorrhagic stroke. Independent predictors of the development of venous thromboembolic complications in patients with haemorrhagic-type acute impairments of cerebral circulation according to the data of the univariate analysis were the level of consciousness by the Glasgow coma scale scoring 4-5 points (p=0.01) and deep-seated localization of the intracerebral haematoma (p=0.01). Patients with intracranial haematoma having endured operative treatment are a cohort of patients running the highest risk for the development of postoperative venous thromboembolic complications.


Assuntos
Doenças do Sistema Nervoso Central/cirurgia , Procedimentos Neurocirúrgicos/efeitos adversos , Complicações Pós-Operatórias , Tromboembolia Venosa/etiologia , Feminino , Seguimentos , Humanos , Incidência , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Fatores de Risco , Federação Russa/epidemiologia , Tromboembolia Venosa/epidemiologia
7.
Khirurgiia (Mosk) ; (10): 30-4, 2012.
Artigo em Russo | MEDLINE | ID: mdl-23235375

RESUMO

The study assumes the results of 1010 Lichtenstein's hernioplasties. The goal of the investigation was to estimate the results in dependence of the type of the polypropylene implant. The "lite" mesh was used in 342 cases, the second group of 668 patients had the so called "heavy" mesh endoprosthesis. Comparing the early postoperative period, it was registered, that the patients of the 2nd group had statistically higher rates of wound inflammatory infiltrate - 2.7% in comparison with 0.6% for the 1st group. The late postoperative period was marked by the higher rate of neuralgia among the "heavy" group - 5.2% in comparison with 1.5% for the "lite" group. Thus, the use of "lite" mesh polypropylene implant proved to be much more preferable for the Lichtenstein's hernioplasty.


Assuntos
Herniorrafia , Neuralgia , Polipropilenos/uso terapêutico , Complicações Pós-Operatórias/prevenção & controle , Telas Cirúrgicas , Infecção da Ferida Cirúrgica , Adulto , Idoso , Materiais Biocompatíveis/uso terapêutico , Análise de Falha de Equipamento , Feminino , Hérnia Inguinal , Herniorrafia/efeitos adversos , Herniorrafia/instrumentação , Herniorrafia/métodos , Humanos , Masculino , Pessoa de Meia-Idade , Neuralgia/etiologia , Neuralgia/prevenção & controle , Desenho de Prótese , Implantação de Prótese/efeitos adversos , Implantação de Prótese/métodos , Prevenção Secundária , Telas Cirúrgicas/efeitos adversos , Telas Cirúrgicas/normas , Infecção da Ferida Cirúrgica/etiologia , Infecção da Ferida Cirúrgica/prevenção & controle , Resultado do Tratamento
8.
Khirurgiia (Mosk) ; (10): 40-4, 2012.
Artigo em Russo | MEDLINE | ID: mdl-23235377

RESUMO

The results of the surgical treatment of the acute mesenteric ischemia in 2 groups of patients were comparatively analyzed. The control group (n=52) experienced the traditional way and criteria of detecting the volume of intestinal resection (color and peristaltic activity, arterial pulsation). For the main group (n=57) the intraoperative estimation of the intestinal viability was performed with the help of laser Doppler flowmetry. As a result, the postoperative intestinal gangrene rate was 9.1% among patients of the main group, whereas the complication was registered among 48.6% of the control group. The main group of patients demonstrated the overall lower rate of postoperative complications in comparison with the control group: 67.6 and 40.9% (p=0.01), respectively. The same picture was for the lethality rate: 76.9 and 52.6% (p=0.03), respectively.


Assuntos
Procedimentos Cirúrgicos do Sistema Digestório , Gangrena , Intestino Delgado , Isquemia , Fluxometria por Laser-Doppler/métodos , Complicações Pós-Operatórias/prevenção & controle , Doenças Vasculares , Idoso , Procedimentos Cirúrgicos do Sistema Digestório/efeitos adversos , Procedimentos Cirúrgicos do Sistema Digestório/métodos , Procedimentos Cirúrgicos do Sistema Digestório/mortalidade , Feminino , Gangrena/etiologia , Gangrena/prevenção & controle , Humanos , Intestino Delgado/patologia , Intestino Delgado/cirurgia , Cuidados Intraoperatórios/instrumentação , Cuidados Intraoperatórios/métodos , Isquemia/diagnóstico , Isquemia/fisiopatologia , Isquemia/cirurgia , Masculino , Isquemia Mesentérica , Estudos Retrospectivos , Resultado do Tratamento , Doenças Vasculares/diagnóstico , Doenças Vasculares/fisiopatologia , Doenças Vasculares/cirurgia
9.
Angiol Sosud Khir ; 18(2): 53-8, 2012.
Artigo em Russo | MEDLINE | ID: mdl-22929671

RESUMO

Presented herein is the first experience in using two instrumental methods (remote contrast- free computed tomography and CT angiography) in a total of twenty-one patients suspected of having acute mesenteric ischaemia. Contrast-free computed tomography allowed of making a correct diagnosis of acute mesenteric ischaemia in 6 of 7 patients (with sensitivity of 85.7% and specificity amounting to 90%). Thrombosis of mesenteric vessels was revealed in all cases on CT angiography, with both sensitivity and specificity of the method equalling 100%. Also described herein is the incidence rate of various CT signs of intestinal lesions depending on aetiology and the stage of the disease. Minimally invasive nature, high spatial resolution of these two methods, high sensitivity and specificity make it possible to recommend them as the first step for instrumental diagnosis of acute mesenteric ischaemia.


Assuntos
Angiografia/métodos , Enteropatias/diagnóstico , Oclusão Vascular Mesentérica/diagnóstico , Circulação Esplâncnica , Tomografia Computadorizada Espiral/métodos , Doença Aguda , Idoso , Idoso de 80 Anos ou mais , Meios de Contraste , Feminino , Humanos , Enteropatias/etiologia , Enteropatias/fisiopatologia , Intestinos/irrigação sanguínea , Intestinos/patologia , Iohexol , Masculino , Oclusão Vascular Mesentérica/complicações , Oclusão Vascular Mesentérica/fisiopatologia , Fluxo Sanguíneo Regional , Sensibilidade e Especificidade
10.
Angiol Sosud Khir ; 18(1): 20-5, 2012.
Artigo em Russo | MEDLINE | ID: mdl-22836324

RESUMO

Analysed in the article is the incidence rate of the development of venous thromboembolic complications in a total of 79 patients presenting with various-aetiology intracranial haemorrhage in different regimens of heparin-mediated prevention. The authors have revealed that early (on day 2-4 after the onset of the disease) administration of preventive doses of heparin in patients with intracerebral and intracranial haematomas is a safe and efficient regimen, since it decreases the rate of venous thromboses in the system of the vena cava inferior and fatal thromboembolic complications as compared with a later term (on day 5 and more) of initiating heparin-mediated prevention.


Assuntos
Coagulação Sanguínea/efeitos dos fármacos , Quimioprevenção/métodos , Heparina de Baixo Peso Molecular , Hemorragias Intracranianas , Veia Cava Inferior/diagnóstico por imagem , Trombose Venosa , Idoso , Anticoagulantes/administração & dosagem , Anticoagulantes/farmacocinética , Monitoramento de Medicamentos/métodos , Intervenção Médica Precoce/métodos , Feminino , Heparina de Baixo Peso Molecular/administração & dosagem , Heparina de Baixo Peso Molecular/farmacocinética , Humanos , Hemorragias Intracranianas/sangue , Hemorragias Intracranianas/complicações , Masculino , Pessoa de Meia-Idade , Tempo de Tromboplastina Parcial , Estudos Retrospectivos , Resultado do Tratamento , Ultrassonografia , Trombose Venosa/sangue , Trombose Venosa/diagnóstico , Trombose Venosa/etiologia , Trombose Venosa/prevenção & controle
11.
Khirurgiia (Mosk) ; (2): 14-8, 2012.
Artigo em Russo | MEDLINE | ID: mdl-22678469

RESUMO

The study represents the retrospective analysis of major intestinal resections (the length of the left in olace bowel less then 200 sm) and non-major resections in 52 patients operated on the acute mesenterial thrombosis. Major bowel resection was performed in 30 patients (57.7%). 66.7% of those patients (20 of 30) died soon after the operation. Whereas lethality rate among patients with non-major resections was 54.5% (12 of 22). All 10 survived patients demonstrated the short-bowel syndrome during the follow-up period (the median follow-up time was 25 months).


Assuntos
Intestinos/cirurgia , Artérias Mesentéricas/patologia , Síndrome do Intestino Curto/cirurgia , Trombose/cirurgia , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias , Estudos Retrospectivos , Síndrome do Intestino Curto/sangue , Síndrome do Intestino Curto/patologia , Trombose/patologia
12.
Khirurgiia (Mosk) ; (9): 27-32, 2011.
Artigo em Russo | MEDLINE | ID: mdl-22413156

RESUMO

Quantitative and functional parameters of regional intestinal blood circulation were intraoperatively investigated with the use of laser Doppler flowmetry. The first group consisted of patients with necrotized parts of the intestine, while the second (control) group consisted of flowmetry data from intact intestine. Such indexes, as basal circulation, variation coefficient, blood oxygen perfusion saturation index, maximal perfusion amplitude of endothelial, neurogenic and myogenic oscillations in the intestinal volume, were showed to be valuable for the intestinal viability assessment. Thus, the method of the intraoperative laser Doppler flowmetry can be useful for determining the volume of intestinal resection.


Assuntos
Colo , Íleo , Artérias Mesentéricas , Necrose , Tromboembolia , Colo/irrigação sanguínea , Colo/patologia , Feminino , Humanos , Íleo/irrigação sanguínea , Íleo/patologia , Cuidados Intraoperatórios , Fluxometria por Laser-Doppler/métodos , Masculino , Artérias Mesentéricas/patologia , Artérias Mesentéricas/fisiopatologia , Microcirculação , Necrose/diagnóstico , Necrose/etiologia , Necrose/fisiopatologia , Imagem de Perfusão/métodos , Fluxo Sanguíneo Regional , Tromboembolia/complicações , Tromboembolia/diagnóstico , Tromboembolia/fisiopatologia , Sobrevivência de Tecidos
13.
Khirurgiia (Mosk) ; (12): 4-8, 2010.
Artigo em Russo | MEDLINE | ID: mdl-21311465

RESUMO

Frequency of venous thromboses and thromboembolic complications was retrospectively analyzed in 95 patients with intracranial hemorrhage of various etiology. Thrombosis of inferior caval vessels was registered in 19 (20%) patients; of them 3 patients had thromboembolism of a pulmonary artery, lethal in one case. The high frequency of venous thromboses indicates the necessity of early use of anticoagulants in treatment dosages and importance of the prophylaxis measures. Cava-filter implantation for pulmonary artery thromboembolism prevention should be considered only in patients with strong contraindications for anticoagulant therapy.


Assuntos
Anticoagulantes/administração & dosagem , Hemorragias Intracranianas/complicações , Tromboembolia/prevenção & controle , Relação Dose-Resposta a Droga , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Prognóstico , Estudos Retrospectivos , Tromboembolia/etiologia
14.
Angiol Sosud Khir ; 16(3): 34-8, 2010.
Artigo em Russo | MEDLINE | ID: mdl-21280292

RESUMO

The authors attempted to determine instrumental criteria for vitality and non-vitality of the intestine with the help of laser Doppler flowmetry and absorption spectroscopy. The material used was subdivided into two study groups: in group one, the indices of microcirculation of the viable small and large intestine were determined during elective cavitary operations; group two comprised 20 portions of resected necrotised segments of the large and small intestine, wherein we registered the indices of microcirculation of the non-viable devitalized intestine. We thus obtained instrumental indices of microcirculation of various intestinal portions in health, as well as in the setting of acute impairment of intestinal blood circulation and intestinal gangrene. Statistically significant differences were revealed only for the parameter of microcirculation and the coefficient of variation of the "viable" and necrotized intestine; blood oxygen saturation and volumetric blood filling of tissue between the two groups did not differ significantly. The instrumental criteria for intestinal vitality and non-vitality of may be used while making a decision as to the scorife of resection of the intestine affected which would thus make it possible to decrease the rate of progression of intestinal necrosis in the postoperative period. We believe that this would make it possible to substantially improve the outcomes of surgical management and to decrease lethality in patients presenting with acute impairment of mesenteric circulation.


Assuntos
Intestino Delgado/irrigação sanguínea , Microcirculação/fisiologia , Fluxo Sanguíneo Regional , Circulação Esplâncnica/fisiologia , Doença Aguda , Humanos , Isquemia/fisiopatologia , Fluxometria por Laser-Doppler , Isquemia Mesentérica , Valores de Referência , Doenças Vasculares/fisiopatologia
15.
Khirurgiia (Mosk) ; (12): 34-7, 2009.
Artigo em Russo | MEDLINE | ID: mdl-20037509

RESUMO

Results of surgical treatment and frequency of intestinal necrosis in 44 patients with acute mesenterial circulation failure were analyzed. Instrumental method of detecting the border of necrosis by the infracted intestine should allow refuse programmed relaparotomies in treatment of such patients and perform a sole operation with intestinal resection and anastomosis.


Assuntos
Intestino Grosso/irrigação sanguínea , Laparotomia/métodos , Oclusão Vascular Mesentérica/cirurgia , Reoperação , Procedimentos Cirúrgicos Vasculares/métodos , Idoso , Feminino , Seguimentos , Humanos , Masculino , Artéria Mesentérica Superior , Oclusão Vascular Mesentérica/diagnóstico , Resultado do Tratamento
16.
Angiol Sosud Khir ; 15(4): 136-8, 2009.
Artigo em Russo | MEDLINE | ID: mdl-20394346

RESUMO

The article deals with a clinical case report of successful endovascular treatment for acute intestinal ischaemia with decompensation of visceral circulation on the background of critical stenoses of the unpaired branches of the abdominal aorta. Roentgen-endovascular interventions for occlusive stenotic lesions of the visceral branches of the abdominal aorta may be considered as an alternative method for treatment of acute and chronic intestinal ischaemia.


Assuntos
Angioscopia/métodos , Artéria Celíaca/cirurgia , Intestino Delgado/irrigação sanguínea , Isquemia/cirurgia , Artéria Mesentérica Superior/cirurgia , Oclusão Vascular Mesentérica/cirurgia , Stents , Doença Aguda , Arteriopatias Oclusivas/complicações , Arteriopatias Oclusivas/diagnóstico por imagem , Arteriopatias Oclusivas/cirurgia , Artéria Celíaca/diagnóstico por imagem , Seguimentos , Humanos , Isquemia/diagnóstico por imagem , Isquemia/etiologia , Masculino , Artéria Mesentérica Superior/diagnóstico por imagem , Oclusão Vascular Mesentérica/complicações , Oclusão Vascular Mesentérica/diagnóstico por imagem , Pessoa de Meia-Idade , Radiografia
18.
Vestn Khir Im I I Grek ; 165(2): 11-4, 2006.
Artigo em Russo | MEDLINE | ID: mdl-16752631

RESUMO

The authors have analyzed results of operative treatment of 128 patients with terminal chronic renal failure (59) and cardiac pathology (69) associated with general surgical diseases (cholelithiasis, abdominal hernias, ulcer disease, malignant tumors etc). The authors recommend the indications, terms and character of operative measures be defined individually.


Assuntos
Procedimentos Cirúrgicos Cardíacos/tendências , Cardiopatias/cirurgia , Falência Renal Crônica/cirurgia , Transplante de Rim/tendências , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Resultado do Tratamento
19.
Bull Exp Biol Med ; 140(3): 352-5, 2005 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-16307057

RESUMO

Morphological changes in the thyroid tissue after exposure to coagulators were studied. Application of a monopolar coagulator resulted in the formation of narrow marginal coagulation necrosis on day 3, with a fibrous capsule of different thickness, and marginal sclerosis of the glandular parenchyma; inflammatory changes in the connective tissue in the resection edge persisted for 14 days. Bipolar coagulator produced the most pronounced damaging effect leaving septae up to 10 mm long penetrating into the depth of the gland and causing stubborn persistent deep and marginal sclerosis of the gland.


Assuntos
Eletrocoagulação/efeitos adversos , Glândula Tireoide/patologia , Animais , Cães , Feminino , Masculino , Necrose/etiologia
20.
Khirurgiia (Mosk) ; (6): 4-6, 2005.
Artigo em Russo | MEDLINE | ID: mdl-16044117

RESUMO

Experience in surgical treatment of 69 patients suffering from coronary heart disease and valve pathology in combination with various general surgical diseases was summarized. Two methods of surgical correction were studied: combined one and staged one. Up-to-date technologies such as endoscopic surgery, tension free hernioplasty, and artificial materials were used during the procedures. Combined procedures reduce the risk of general surgery complications early after surgery. Correction of cardiovascular pathology has a priority in curative algorithm.


Assuntos
Ponte Cardiopulmonar/métodos , Colelitíase/cirurgia , Herniorrafia , Estenose da Valva Mitral/cirurgia , Isquemia Miocárdica/cirurgia , Algoritmos , Colelitíase/epidemiologia , Feminino , Hérnia/epidemiologia , Humanos , Masculino , Pessoa de Meia-Idade , Estenose da Valva Mitral/epidemiologia , Isquemia Miocárdica/epidemiologia
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