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1.
Khirurgiia (Mosk) ; (5): 115-122, 2024.
Article in Russian | MEDLINE | ID: mdl-38785247

ABSTRACT

Pneumatosis cystoides was first described by Du Vernay in 1783. This is a fairly rare disease with nonspecific symptoms and CT data on pneumoperitoneum. The authors present pneumatosis intestinalis in a patient with systemic connective tissue disorder. Free gas in abdominal cavity and dilated intestinal loops were an indication for emergency surgery with subsequent resection of intestine due to signs of ischemic damage. A review of clinical cases allows us to conclude that pneumoperitoneum requires careful differential diagnosis. Free gas in abdominal cavity in patients with cystic pneumatosis is an indication for emergency surgery only in case of complicated course of disease.


Subject(s)
Pneumatosis Cystoides Intestinalis , Tomography, X-Ray Computed , Humans , Pneumatosis Cystoides Intestinalis/diagnosis , Pneumatosis Cystoides Intestinalis/surgery , Pneumatosis Cystoides Intestinalis/etiology , Tomography, X-Ray Computed/methods , Diagnosis, Differential , Treatment Outcome , Pneumoperitoneum/etiology , Pneumoperitoneum/surgery , Pneumoperitoneum/diagnosis , Male , Female , Middle Aged
2.
Khirurgiia (Mosk) ; (2. Vyp. 2): 55-60, 2024.
Article in Russian | MEDLINE | ID: mdl-38380465

ABSTRACT

OBJECTIVE: To analyze the effectiveness of identifying the sentinel lymph node in breast cancer using the «MARS¼ system for fluorescent diagnostics in near infrared light. MATERIAL AND METHODS: There were 51 patients with breast cancer cT0-2N0M0 between July 2023 and October 2023. Mean age of patients was 52.3 years. Invasive ductal carcinoma was diagnosed in 39 (76.5%) patients, invasive lobular carcinoma - in 8 (15.7%) patients, other forms of breast cancer - in 4 (7.8%) patients. RESULTS: Sentinel lymph node was successfully identified in all cases (n=51). A total of 122 sentinel lymph nodes were detected and mapped (2.4 nodes per a patient). CONCLUSION: The MARS system for intraoperative fluorescence diagnostics in near-infrared light is effective for identifying the sentinel lymph node in breast cancer.


Subject(s)
Breast Neoplasms , Humans , Middle Aged , Female , Breast Neoplasms/surgery , Sentinel Lymph Node Biopsy , Lymph Nodes/pathology , Indocyanine Green , Coloring Agents
3.
Khirurgiia (Mosk) ; (2): 68-73, 2020.
Article in Russian | MEDLINE | ID: mdl-32105258

ABSTRACT

National and foreign literature devoted to acute non-cryptogenic suppurations of pararectal tissue was analyzed. Own clinical observations are given. The unsolved questions of terminology and treatment strategy for this rare disease are discussed.


Subject(s)
Fournier Gangrene , Fournier Gangrene/etiology , Fournier Gangrene/therapy , Humans , Rare Diseases
4.
Eksp Klin Farmakol ; 78(12): 26-9, 2015.
Article in Russian | MEDLINE | ID: mdl-27051925

ABSTRACT

This work is an experimental study on 30 rabbits to determine the effect of antioxidants on the process of repair of the esophagus. Chemical agent was 46% acetic acid, a The antioxidant "Mexidol" were injected to core group of test animals in 2 weeks. Animals were taken from the experiment at 5, 14, 21, 30, 45 and 60 hours. We conducted morphometric study of histological exemplars, determining the number of inflammatory cells, epithelial thickness, the area of newformed blood vessels. In the study group we reported an improvement of reparative processes in the wall of the body: it was increased blood supply to the burn surface on 242% and more rapid relief of inflammatory processes on 117% (p < 0.05).


Subject(s)
Antioxidants/pharmacology , Burns, Chemical/drug therapy , Esophagus/drug effects , Picolines/pharmacology , Wound Healing/drug effects , Acetic Acid , Animals , Burns, Chemical/pathology , Epithelium/drug effects , Epithelium/injuries , Esophagus/blood supply , Esophagus/injuries , Injections, Intramuscular , Male , Neovascularization, Physiologic/drug effects , Rabbits
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