A5085376087- Appendicitis Diagnosis and Management
- Pancreatitis Pathology and Treatment
- Pancreatic and Hepatic Oncology Research
- Esophageal and GI Pathology
- Abdominal Surgery and Complications
- Gastrointestinal disorders and treatments
- Abdominal Trauma and Injuries
- Hernia repair and management
- Gallbladder and Bile Duct Disorders
- Intestinal and Peritoneal Adhesions
- Pediatric Hepatobiliary Diseases and Treatments
- Biliary and Gastrointestinal Fistulas
- Diverticular Disease and Complications
- Intraperitoneal and Appendiceal Malignancies
- Clinical Nutrition and Gastroenterology
- Congenital Anomalies and Fetal Surgery
- Congenital Diaphragmatic Hernia Studies
- Pelvic and Acetabular Injuries
- Gastric Cancer Management and Outcomes
- Dysphagia Assessment and Management
- Tracheal and airway disorders
- Amoebic Infections and Treatments
- Parasitic infections in humans and animals
- Abdominal vascular conditions and treatments
- Urological Disorders and Treatments
Research Institute of Emergency Care
2016-2025
Russian Medical Academy of Continuous Professional Education
2017-2025
Penza State University
2022
Ministry of Health of the Russian Federation
2019-2020
The article presents a clinical observation of successful treatment for retroduodenal perforation (RDP) resulting from conducted retrograde endoscopic examination, papillotomy using combined minimally invasive method, which included bilioduodenal and pancreatic stenting, vacuum therapy (EVT), transluminal drainage. use the EVT system together with stenting biliary ducts made it possible to prevent development fatal retroperitoneal phlegmon by actively removing purulent discharge, necrotic...
ABSTRACT The article provides a historical review of the literature describing evolution bladder drainage and types urinary catheters currently in use. Complications various methods are classified described, measures for their prevention proposed. AIM OF STUDY To study draining methods, advantages disadvantages, possible complications each method. OBJECTIVES assess indications use method, to focus attention health workers on possibility choosing optimal method draining, depending clinical situation.
Echinococcosis of the liver is an important problem hematology, which in many cases solved only with help surgical methods treatment. This primarily due to significant number patients cystic echinococcosis endemic regions, despite implementation preventive measures. There are still complicated and unsolved questions concerning differential diagnostics choice tactics treatment for echinococcosis. The far from its final solution. Depending on size lesion area, nature process, severity type...
A clinical case of treatment a 24-year-old patient D. with perforations the colon and widespread fecal peritonitis after laparoscopic shaving extragenital foci sigmoid rectum is described. This demonstrates possibility using method for perforation advanced peritonitis. Reducing volume surgical aggression it contributed to early rehabilitation was not accompanied by complications. The use programmatic sanitation laparoscopy in abdominal sepsis made possible avoid formation laparostoma, which...
This report describes two clinical cases involving prolonged inhalation sedation using the AnaConDa device in ICU. Both patients achieved and maintained adequate levels throughout treatment period. No significant adverse cardiovascular effects were observed.
One of the intraoperative complications videolaparoscopic cholecystectomy is gallbladder perforation and migration concretions extracted from it into free abdominal cavity, which leads to formation abscesses different localization or fistulas. The article presents a clinical observation patient with late complication — “lost” concretum in cavity that migrated thickness duodenal wall. concrement was by transluminal access.
Objective. To identify the risk factors of external intestinal fistulas in patients with severe acute pancreatitis (SAP) and pancreatic necrosis. Material methods. A retrospective prospective study included 537 (354 (65.9%) men 183 (34.1%) women) SAP. Mean age was 51.2±18.5 years. assess effectiveness intensive therapy, were divided into 2 groups. The control group (n=207) who underwent examination treatment according to national guidelines «Acute pancreatitis», 2020). In main (n=330),...
Disruption of intestinal homeostasis is a leading factor in the pathogenesis and progression systemic inflammation patients with acute severe pancreatitis. The development complications occurs due to both mesenteric hypoperfusion dysregulation motility, as well destruction barrier, translocation bacterial bodies their substrates. This increases risk developing multiple organ failure increased mortality. With advent high-throughput sequencing methods for microbiome samples, example, 16S rRNA...
The objective of our study was to assess the abilities and limitations laparoscopy evaluate its role in examination treatment patients with abdominal trauma. A total 628 blunt penetrating trauma were included this retrospective 12-year survey (2000 2011). All underwent either laparotomy (280 patients) or urgent (348 patients). There no difference demographic data severity between 2 groups. Conversion open surgery performed 130 cases (37.3%). Diagnostic without therapeutic manipulations used...
The intestine plays an important role in the processes of systemic inflammation, sepsis and multiple organ dysfunction, course hemorrhagic shock, trauma, burns, pancreatitis, extensive abdominal surgery seriously ill patients intensive care units (ICUs). One leading causes affecting outcomes treatment surgical after interventions on organs continues to be syndrome intestinal insufficiency developing early postoperative period, which pathogenetic aspect is impairment propulsive function...
Spleen injury appears in 10% to 30% of abdominal trauma patients. Mortality among the patients last 20 years remains high (6% 7%) and shows no tendency decline. Nowadays nonoperative management is widely accepted with low-grade spleen injury, whereas high-grade (III higher) not so obvious. There are 3 methods exist treatment such patients: conservative (with or without angioembolization), spleen-preserving operations, splenectomy. Today laparoscopic splenectomy a used operation only few...
To optimize surgical approach in patients with large and giant postoperative ventral hernias through an analysis of early long-term results modern techniques hernia repair.There were 680 over a 15-year period who underwent surgery the Sklifosovsky Research Institute for Emergency Care Medical Unit Ministry Internal Affairs (445 (65.4%) women, 235 (34.6%) men). Mean age was 63.2±14.2 years. Middle elderly (employable) (45-74 years) prevailed study (n=510, 75%). Hernia repair using «sublay»...
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Aim. To confirm the possibility of minimally-invasive laser procedure for fragmentation stones in pancreatic duct following results laboratory experiments and medical practice. Materials methods. A fully functional hardware complex consisting a pulsed unit, video endoscopic system cooling was created experimental stone laboratory. The involved microscopic registration process, pressure temperature measurement area. Pancreatic stones, human artificial gallstones as well porcine pancreas were...
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Currently, severe combined abdominal trauma ranks third among all causes of mortality In Russia, second only to cardiovascular and oncologic diseases. the period from 2019 2020 in our country, a slight decrease traumatism is noted due number traffic accidents as main cause multiple trauma. The injuries total Russian regions ranges 1.5 36.5% accompanied by high level disability (25-80% 5-8% isolated trauma). Despite modern medical advances, lethality organs varies 10.7 69.7%, with closed...
To improve the results of surgical treatment abdominal abscesses using ultrasound-assisted drainage.There were 103 cases percutaneous drainage intraperitoneal for period from 2012 to 2017. Patients who underwent intraorganic and retroperitoneal associated with pancreatic necrosis excluded study.Complete recovery was observed in 101 (98%) out patients within 10-73 days.Ultrasound-assisted is an effective procedure abscesses. This method has demonstrated high efficiency, availability safety...
To review one of actual problems emergency surgery - diagnosis and treatment patients with non-occlusive mesenteric circulatory disorders.The article presents the clinical observations showing ambiguity picture, features challenges diagnosis, disease opportunities for positive outcomes. Diagnostic methods are x-ray, abdominal ultrasonography according to which acute ischemia may be assumed. However, in all unclear cases diagnostic videolaparoscopy is mandatory determine further tactics....
To analyze videolaparoscopic diagnosis and treatment of abdominal pathology simulating acute appendicitis (AA).For the period 2008-2015 at Sklifosovsky Research Institute Emergency Care 2784 patients with suspected AA underwent clinical, laboratory ultrasonic examination. Depending on survey results were divided into 2 groups. Group I included 1352 (48.6%) AA, group II - 1432 (51.4%) AA. All them videolaparoscopy.Videolaparoscopy confirmed in 1308 (96.7%) 856 (59,8%) II. In 1st 36 (2.7%) had...
To improve the outcomes in ICU patients with blunt abdominal trauma via enteral therapy by saline solution.A retrospective and prospective study included 24 (18 (75%) men 6 (25%) women) who underwent examination treatment at Sklifosovsky Research Institute for Emergency Care. Age of ranged from 38 to 81 years (mean 50.1±13.6).Enteral was followed normalization serum lactate, alanine aminotransferase aspartate after 3 days. There were significant differences decrease lactate dehydrogenase,...
Сomplications of acute colonic diverticulitis occur more frequently nowadays in emergency surgical departments. Despite the high incidence diverticulitis, especially elderly population, there are still many unsolved questions its diagnosis and treatment. The aim our study is to review various means laboratory instrumental examination, also types treatment, used worldwide.
Introduction. Еven though open bladder suturing is a traditional method of surgical treatment intraperitoneal rupture the bladder, laparoscopic prospective for treating such injuries. Materials and methods. In N.V. Sklifosovsky Research Institute Emergency Care during period from January 2016 to April 2020, 22 patients with injury were treated. 15 them had an rupture, 5 extraperitoneal 2 rupture. Among affected men there (68%), women - 7 (32%), average age was 42 ± 18 years. The clinical...