ABSTRACT
AIM: To improve immediate results of treatment in patients with breast cancer using a new method of reconstruction. MATERIAL AND METHODS: Prospective study included 215 patients with breast cancer. Patients were treated at the Samara Regional Clinical Oncology Center in 2013-2016. Patients of the control group (n=111) underwent subcutaneous mastectomy followed by conventional endoprosthesis deployment with its complete muscular covering. Patients of the main group (n=104) underwent subcutaneous mastectomy with a new method of single-stage reconstruction. RESULTS: Mean time of operation was 115±15 min in the control group and 90±10 min in the main group (p=0.000). Intraoperative blood loss reached 115±15 ml in the control group, 70±10 ml - in the main group (p=0.000). Duration of postoperative lymphorrhea was 14.6±3.5 days in the control group, 10±3.4 days - in the main group (p=0.000). Postoperative hospital-stay was 17.1±3.7 day in the control group and 14.2±2.4 days in the main group (p=0.001). CONCLUSION: New surgical approach significantly improves early outcomes in patients with breast cancer in comparison with those who undergo conventional surgical repair.
Subject(s)
Breast Implantation/methods , Breast Neoplasms/surgery , Mastectomy, Subcutaneous , Breast Implantation/instrumentation , Breast Implants , Female , Humans , Prospective Studies , Retrospective StudiesABSTRACT
Comparative analysis of the methods of extracorporeal detoxification in 168 patients was conducted. Endoscopic and surgical methods of treatment were applied in 40 patients without extracorporeal detoxification. Various types of extracorporeal detoxification were used along with endoscopic and operative methods in 168 patients: plasmapheresis (PP) in 72, thoracic duct (TD) drainage in 45, and hemosorption in 41 patients. In another 10 patients various types of detoxification were combined. TD drainage is indicated in prolonged obstructive jaundice, particularly when attended with cholangitis. TD drainage or PP is advisable in concomitant renal failure, PP and hemosorption have a good effect in obstructive jaundice as methods of emergency detoxification. Their efficacy increases if they are applied after endoscopic detoxification of the biliary tract.
Subject(s)
Cholestasis/therapy , Sorption Detoxification , Adult , Aged , Aged, 80 and over , Cholestasis/surgery , Drainage , Emergencies , Endoscopy , Evaluation Studies as Topic , Female , Hemoperfusion , Humans , Male , Middle Aged , Plasmapheresis , Thoracic DuctABSTRACT
Results of a study on the distribution of the man-made radionuclides 137Cs and 90Sr in the surface waters of several European seas are presented. Based on an analysis of the ratio of these two radionuclides, an attempt was made to isolate the 'Chernobyl water' and to estimate the contribution of 'Chernobyl radioactivity' to the total radioactivity in the waters of the seas investigated.
