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1.
Khirurgiia (Mosk) ; (5): 129-136, 2024.
Artigo em Russo | MEDLINE | ID: mdl-38785249

RESUMO

The article includes a clinical case of a patient with deep infiltrating endometriosis with rectum involving and using intraoperative controlled fluorescence in order to increase the radicality of surgery and improve the prognosis of the disease. Surgical excision of the endometrioitic nodules is the only effective way of treating patients with colorectal endometriosis in terms of relieving pain, improving quality of life and restoring reproductive function. The possible types of surgical interventions can be performed: endometrioid lesion shaving, discoid or circular intestinal resection with anastomosis. The extent of the operation is determined by the following morphological parameters: the number of endometrioid infiltrates of the intestinal wall, the size of each of them, the degree of involvement of the intestine circumference, the depth of the intestinal wall lesion, the distance from the level of anus to the endometriotic nodule and lymphatic dissemination.


Assuntos
Endometriose , Humanos , Feminino , Endometriose/cirurgia , Endometriose/diagnóstico , Adulto , Doenças Retais/cirurgia , Doenças Retais/diagnóstico , Resultado do Tratamento , Reto/cirurgia , Reto/patologia , Imagem Óptica/métodos , Cirurgia Vídeoassistida/métodos
2.
Georgian Med News ; (313): 113-117, 2021 Apr.
Artigo em Russo | MEDLINE | ID: mdl-34103441

RESUMO

The aim of the article is scientific conceptualization of the problem of mental derangement as a mandatory medical criterion of limited sanity according to criminal legislation by experience of Ukraine and some foreign countries and development of new approaches to such status assessment. Empirical study base of the problem consists of judgments of conviction taken from Unified State Register of Court Rulings of Ukraine and carried out on persons who commit crimes in the state of limited sanity from March 1st, 2014, till August 1st, 2020. Results of some foreign researchers' studies of the problem in question have been used as well. A combination of general and special scientific methods (comparative method, system structural method, method of statistical analysis, method of legal phenomenon system analysis etc.) has been applied to reach the aim in view. In conclusion: medical criterion of limited sanity ("mental derangement") used by lawmaker does not allow defining clearly types of illnesses, represent all possible types of psychiatric pathology and also causes complications in law enforcement practice. It has been proved that increase of quantity of people having mental derangements and quantity of crimes committed by such people shows that non-application of compulsory measures of medical care, correlational programs leads to repeated crimes commitment. Taking into account absence of duration of compulsory measures of medical care application, it has been suggested to stipulate this by Ukrainian legislation and to develop classification of mental derangements and criteria of their division into severe and non-severe.


Assuntos
Criminosos , Crime , Humanos , Aplicação da Lei , Projetos de Pesquisa , Ucrânia
3.
Khirurgiia (Mosk) ; (8): 73-8, 2011.
Artigo em Russo | MEDLINE | ID: mdl-21983582

RESUMO

80 operations for various gynecological diseases were carried out using system. The technique of operations and short-term results are described.


Assuntos
Ginecologia , Robótica , Doenças dos Genitais Femininos , Humanos
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