A5025285249- Abdominal Surgery and Complications
- Hip disorders and treatments
- Intestinal and Peritoneal Adhesions
- Hip and Femur Fractures
- Cardiac, Anesthesia and Surgical Outcomes
- Renal function and acid-base balance
- Diet and metabolism studies
- Antifungal resistance and susceptibility
- Diverticular Disease and Complications
- Pneumothorax, Barotrauma, Emphysema
- Enhanced Recovery After Surgery
- Appendicitis Diagnosis and Management
- Clinical Nutrition and Gastroenterology
- Medical and Biological Ozone Research
- Antibiotic Use and Resistance
Saint-Petersburg I. I. Dzhanelidze Research Institute of Emergency Medicine
2019-2025
Research Institute of Emergency Care
2020-2023
Intestinal fistulas remain a multidisciplinary, often life-threatening problem of clinical medicine. Such patients in the process their conservative and surgical stages treatment state systemic metabolic dysfunction for long time, which is usually accompanied by phenomena trophological insufficiency varying severity. In this regard, one most important areas category nutritional-metabolic therapy (NMT), aimed at minimizing consequences, and, if possible, stopping catabolic orientation...
This consensus was prepared by a group of experts from various specialties in the interests improving quality specialized medical care for elderly and old age patients with hip fractures, which are almost always result osteoporosis an increased risk falls. Difficulties treatment this category due to both severity injury itself comorbidity, is accompanied high mortality extremely low life survivors. Effective management such possible only joint involvement doctors nurses surgical internal...
INTRODUCTION. The development of an interdisciplinary consensus on the care elderly and patients with proximal femoral fractures is urgent problem modern medicine. provisions this Consensus will help to establish effective interaction between physicians different specialties basis their better understanding, which contribute improvement specialized medical care, saving lives reducing disability hip through. MAIN CONSENSUS CONTENT. Hip through are one most frequent severe complications...
BACKGROUND: Enteroatmospheric fistulas account for 1–2% of all postoperative complications, with mortality ranging from 14–25%. Moreover, in more than 60% cases they occur people working age, which determines the social significance problem. AIM: To present results management patients enteroatmospheric applying two-stage protocol. METHODS: The article presents experience treating 169 by a multidisciplinary team over past decade at Saint Petersburg I.I. Dzhanelidze Research Institute...
Objective To determine an optimal approach in the treatment of patients with intestinal fistulae. Material and methods We have used above-mentioned algorithm 46 patients. The majority (n=44, 96%) were transferred under supervision our multidisciplinary team severe water-electrolyte disturbances signs secondary protein-energy malnutrition (PEM) that required complex combined nutritional support. A two-stage was applied all cases. first one conservative included correction prevention...
INTRODUCTION: Sepsis remains an actual problem of modern medicine. Among other treatment options, timely prescribed optimal nutritional-metabolic support is one the priority methods intensive for this category patients. OBJECTIVE: To study severity metabolic dysfunction in sepsis and determine parameters substrate supply MATERIALS AND METHODS: The included 166 patients with sepsis. We studied systemic impact various options energy protein on course disease its outcome. Energy expenditure...
This article is about the successful treatment of patient with such heavy complications a perforative duodenal ulcer as abdominal sepsis, subsequent formation fistulas gastrointestinal tract. Application technique «open abdomen» using vacuum assisted closure, allowed in this case to realize principle «sourcecontrol» and achieve stabilization condition multiple organ failure septic shock. It worth noting advantage stage reconstructive surgical interventions category patients that allows...
We present a case of fungal peritonitis in patient secondary to intestinal perforation and repeated laparotomy. An analysis data from the register patients with invasive candidiasis is also presented. In study were included 42 candida peritonitis. The risk factors: antibiotics (100%), vascular catheters (95%), total parenteral nutrition (81%), abdominal surgery (69%), sepsis bacteremia (50%), perforations on gastrointestinal tract (43%), oncopathology (36%), infected pancreatic necrosis...