- Peripheral Artery Disease Management
- Cardiac, Anesthesia and Surgical Outcomes
- Aortic aneurysm repair treatments
- Cerebrovascular and Carotid Artery Diseases
- Venous Thromboembolism Diagnosis and Management
- Liver Disease and Transplantation
- Abdominal vascular conditions and treatments
- Appendicitis Diagnosis and Management
- Vascular Procedures and Complications
- Aortic Thrombus and Embolism
- Liver Disease Diagnosis and Treatment
- Hip and Femur Fractures
- Pulmonary Hypertension Research and Treatments
- Intraperitoneal and Appendiceal Malignancies
- Central Venous Catheters and Hemodialysis
- Vascular anomalies and interventions
- Coronary Interventions and Diagnostics
- Acute Ischemic Stroke Management
- Enhanced Recovery After Surgery
- Intestinal and Peritoneal Adhesions
- Myofascial pain diagnosis and treatment
- Abdominal Surgery and Complications
- Muscle and Compartmental Disorders
- Long-Term Effects of COVID-19
- Atrial Fibrillation Management and Outcomes
Pirogov Russian National Research Medical University
2006-2024
Ministry of Health of the Russian Federation
2020-2024
National Medical and Surgical Center named after N.I. Pirogov
2015
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To improve treatment outcomes in patients with acute appendicitis (AA).An internet survey was performed. Questionnaire consisted of 15 questions concerning diagnosis and AA: application prognostic scales, incidence technical aspects laparoscopic appendectomy (LA), antibiotic prophylaxis, postoperative management, compliance international national clinical guidelines. A total 690 questionnaires were received analyzed (3.67% all surgeons the Russian Federation).Eighteen percent respondents use...
To discuss the main aspects of multimodal method accelerated postoperative rehabilitation (fast track surgery).The program consists minimization surgical treatment's stressful influence on patient's organism in all stages perioperative period. The implies use efficient preoperative management, minimally invasive operations, regional anesthesia and short-acting anesthetics, early rehabilitation.The improves results treatment, reduces number complications cost "quality" hospital stay...
Aim . To describe the main endovascular interventions used in portal hypertension. The paper presents modern procedures for treating patients with hypertension and varicose transformation of esophageal gastric veins: transjugular intrahepatic portosystemic shunt, balloon-occluded retrograde transvenous obliteration, antegrade partial embolization splenic arteries veins. study extensively discusses radical shunting surgery related to – shunt. involves historical aspects development this...
To analyze various methods for treatment of TIPS dysfunction.There were 45 patients (29 men, 16 women, aged 52.2±2.03 years) with dysfunction. Dysfunction bare-metal stent was noted in 29 cases, stent-graft - cases. thrombosis occurred 24 patients, hyperplasia hepatic vein intima 7, pseudointimal the shunt liver tissue prolapse 5, migration 2 patients. Redo surgery included rheolytic thrombectomy, balloon angioplasty, stent-in-stent technique, u-shaped and parallel stenting.Patients...
Aim. To analyze the dynamics of hepatic encephalopathy after transjugular intrahepatic portosystemic shunting (TIPS). Material and Methods. It was analyzed results complex survey 52 patients who underwent TIPS. Self-expanding stents 8–10 cm, diameter mm stent-graft were applied for shunt creation. Results. The two main complications TIPS are progression shunt’s malfunction. increased degree in 18 months postoperatively revealed 3 (10%) patients. Symptoms eliminated did not effect on...
A popliteal artery aneurysm is a rare disease and therefore it seems currently important to investigate peculiarities of surgical treatment this pathology. Our study included total 60 patients (62 limbs) operated on for aneurysms with various complications. In order assess the obtained findings were subdivided into 3 groups depending emergency rendering care. The spectrum operations performed varied from prosthetic repair posterior approach (graft length 7 cm) femoroplantar bypass grafting...
The article analyses the results of balloon angioplasty in patients with occlusive-stenotic lesions femoropopliteal arterial segment observation period up to 30 months. 95 underwent angioplasty. Long-term primary patency was 43,1%.
В статье кратко рассмотрена тактика выбора антибактериального препарата для лечения пациентов с перитонитом в зависимости от формы перитонита и характеристик пациента (состояние печени, почек, аллергоанамнез). Приведено обоснование позиции его фармакодинамики фармакокинетики. Обсуждены характеристики препаратов стартовой терапии резерва при невозможности использования первого ряда (отсутствие эффекта, непереносимость).
Abdominal aortic aneurysm rupture (AAAR) is a fatal complication and results high mortality rate (40-70%). To date, open surgery remains the method of choice for AAAR in Russian Federation. Various complications can occur after RAAA. Typical adverse events are hemorrhagic complications. The authors describe surgical treatment In postoperative period, hypertensive crisis was followed by distal anastomosis failure bleeding into cavity sutured aneurysmal sac. This successfully eliminated...