A5008005418- Esophageal and GI Pathology
- Anorectal Disease Treatments and Outcomes
- Gallbladder and Bile Duct Disorders
- Gastroesophageal reflux and treatments
- Congenital Diaphragmatic Hernia Studies
- Appendicitis Diagnosis and Management
- Abdominal Trauma and Injuries
- Colorectal Cancer Surgical Treatments
- Abdominal Surgery and Complications
- Pelvic and Acetabular Injuries
- Liver Disease and Transplantation
- Minimally Invasive Surgical Techniques
- Liver Disease Diagnosis and Treatment
- Hernia repair and management
- Dysphagia Assessment and Management
- Hepatocellular Carcinoma Treatment and Prognosis
- Trauma Management and Diagnosis
- Intestinal and Peritoneal Adhesions
- Cholangiocarcinoma and Gallbladder Cancer Studies
- Abdominal vascular conditions and treatments
- Cardiac, Anesthesia and Surgical Outcomes
- Diverticular Disease and Complications
- Pleural and Pulmonary Diseases
- Surgical site infection prevention
- Gastrointestinal Bleeding Diagnosis and Treatment
Rostov State Medical University
2014-2025
Ministry of Health of the Russian Federation
2017-2021
Vitebsk State Medical University
2004
Aim : to present the results of an Expert Consensus on standardization indications for surgical treatment gastroesophageal reflux disease (GERD). Materials and methods . The issues GERD were discussed by 39 experts – leading gastroenterologists surgeons from 7 cities Russia, representing 17 institutions. list questions discussion was formed initiative group sent experts. reviewed recent literature, including existing clinical guidelines consensuses, assessed evidence base suggested...
Aim. To analyse and generalize available literature data on the problem of colorectal anastomotic leakage after rectal resection. Key findings. Over last decade, there has been an increasing trend towards sphincter-preserving operations in modern surgery. The widespread use suturing devices various diameters allows formation ultra-low anastomoses (at level pelvic floor). One menacing complications resection is leakage, which frequency can reach 21%. mortality from 40%. analysed sources...
The article describes the experience of application minimally invasive methods treatment chronic hemorrhoids stages II-III. analysis effectiveness and stand-alone when combining on basis dynamic follow-up 493 patients. indications for use, clinical disadvantages techniques. Substantiated efficacy venotonics (micronized flavonoid fraction) in pre - postoperative hemorrhoids. Identified need a differentiated approach to definition choice method surgery depending picture disease (type, stage,...
To study changes of diaphragm and esophageal-diaphragmatic junction depending on age constitutional features.We studied features by using 40 cadaveric specimens (people aged 19-75 years).Esophageal-aortic ligament is observed rarer with age. This poorly developed in brachiomorphic body type while diaphragmatic-cardiac generally absent as a rule. predisposing factor for weakening this area. It was revealed that reduced strength elasticity (especially esophageal-aortic ligaments) one the key...
ЛЕЧЕНИЕ РАН РАЗЛИЧНОЙ ЭТИОЛОГИИ С ПРИМЕНЕНИЕМ ВАКУУМ-ТЕРАПИИЧеркасов М.Ф
Objective. To evaluate the effectiveness and improve treatment outcomes for patients with acute abdominal pathologies using video laparoscopy. Materials methods. The paper is based upon a ten-year experience of laparoscopy in emergency surgery. Within decade (2008 2018), 23127 had been admitted to surgical department City Emergency Hospital city Rostov-on-Don; among them 19748 were operated on. Video laparoscopic surgeries appendicitis, cholecystitis, intestinal obstruction, perforated...
A hernia of the esophageal aperture diaphragm is considered as one factors contributing to development gastroesophageal reflux disease and requires a complete comprehensive examination patient. Routine esophagogastroduodenoscopy does not give picture disease, therefore patients receive symptomatic treatment for long time. Paraesophageal are well understood yet due their relatively low frequency occurrence, may be asymptomatic or manifest chest pain noncardiac origin. patient with history...
Objective : increase effectiveness of wounds treatment after various etiology by using VAC. Materials and methods study included 128 patients with surgical infection. Specter operations is presented: pilonidal cyst excision — 40 (31.2%), sternomediastinitis 23 (18%), mesh hernioplasty 16 (12.5%), laparotomy 15 (11.7%), emergency 7 (5.5%), traumatology paraimplant complications abdominoplasty postoperative esophageal fistulas 6 (4.7%), decubital ulcers 4 (3.1%), mammoplasty 3 (2.3%). Results...
Backgraund: for the purpose of navigation during laparoscopic cholecystectomy, intraoperative ultrasound (IUS, LUS) has been actively used. This technique is non-invasive, non-irradiating and can be performed repeatedly. LUS high sensitivity specificity 93% 96%, respectively, also characterized by quality diagnostics choledocholithiasis in real time, absence invasiveness, short imaging ability to repeat at any stage operation, ionizing radiation. Aims: improve results cholecystectomy using...
Objective: enhancement the outcome of treatment patients with complicated forms hiatal hernia (HH) on base a devised personal complex approach. Materials and methods: review was carried out 204 HH at age 17 to 77 years (men — 44%, women 56.4%). All suffered from gastroesophageal reflux disease (GERD). In 53 (26%) cases synthetic mesh implants were used during surgical management. 38 (18.6%) metaplasia esophageal mucosa (ESM) exposed treatment, which includes antireflux management argon plasma...
To analyze the outcomes in patients with epithelial coccygeal course (ECC) after original vacuum-therapy.The study included 61 ECC. Patients were divided into 3 groups: 22 underwent ECC excision followed by wound closure Donati, following management ointment swathes was used 19 cases, vacuum-therapy of open conducted 20 patients.In group 1 hospital-stay 11±1.9 days (ranged 3-20, Me=11), time complete healing - 14.9±4.9 8-49, Me=12.5), early postoperative complications observed 5 (22.7%)...
Aim. To improve the treatment results of patients with Barrett’s esophagus by using videoendosurgical technologies and application argon plasma coagulation.Methods. Treatment 16 who underwent endoscopic coagulation esophageal epithelium metaplasia foci are presented. Endoscopic studies protocols were based on Prague criteria - maximum extent flames (M) circular segment (C). Long prevailed in majority patients. Argon was performed FORCED mode (power 30-32 watts an flow 2-2.2 L/min). For 1...
AIM. To improve results of complex treatment the pilonidal disease (PD). PATIENTSS AND METHODS. 31 patients with PD were included into study. Of them in 16 postoperative wound was left open and vacuum therapy applied. In 15 managed by ointment dressing. Groups well matched terms age, gender, degree inflammation co-morbidity RESULTS. Application ofvacuum reduced time healing to 27,5±3,6 days comparing 79±6,6 wounds routinely. The mean decrease wounds' area at POD14 treated without 60 % vs. 20...
AIM. to evaluate results of anterior (AR) and low resection (LAR) for rectal carcinoma with stapler anastomosis. MATERIALS AND METHODS. 114 patients aged from 33 84 years were included into study. Of them 60 had resection. RESULTS. Anastomotic leakage developed in 7 (6,1 %) cases (5 (8,3 5 after LAR 2 (3,7 AR) between POD 3 days (р<0,05). CONCLUSION. Mechanical preparation the colon, precise techniques mobilization rectum mesorectum, prevention tension on suture line, compliance application...
The OBJECTIVE is to improve the results of surgical treatment patients with large and giant EHH. MATERIAL AND METHODS. We present our experience 25 EHH, who underwent laparoscopic interventions according original technique, which consisted in method plasty esophageal hiatus: mesh implant was installed fixed posterior mediastinum above diaphragm. RESULTS. Intraoperative bleeding noted 2 (8 %) patients, did not require conversion. In near postoperative period, no complications were noted....
ВЛИЯНИЕ ВАКУУМ-ТЕРАПИИ НА ЗАЖИВЛЕНИЕ РАН КРЕСТЦОВО-КОПЧИКОВОЙ ОБЛАСТИРостовский государственный медицинский университет
AIM. To compare results surgery ofcolorectal cancer with resection or radiofrequency thermoablation of liver metastasesi. MATERIALS AND METHODS. Fifty seven patients were included into study. In first group (n=24) was performed simultaneously primary tumor surgery; in the second (n=33) underwent local thermal destruction metastases. RESULTS. Postoperative complications developed 2 (8,3%) I and 4 (12,1%) II. II, postoperative in-hospital mortality rate 5,8% (2 patients) due to failure colonic...
Acute surgical pathology during pregnancy has a number of features, ignorance which can lead to serious diagnostic errors and the choice wrong treatment tactics. Materials methods. The experience management 68 pregnant patients diagnosed with «acute abdomen» is presented. gestation period ranged from 7 32 weeks. Results. Laparoscopy was performed in 41 cases. Among 36 clinic acute appendicitis laparoscopy, 29 had confirmed diagnosis (28 underwent laparoscopic appendectomy, one case...