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1.
Khirurgiia (Mosk) ; (6): 43-7, 2011.
Artigo em Russo | MEDLINE | ID: mdl-21716218

RESUMO

The comparative characteristic of the accepted methods of low-temperature sterilization of medical equipment is given. Special attention is devoted to the surgical infection prophylaxis. The efficacy, expediency and safety of gas sterilization with ethilenoxide is proved. Plasmic methods of sterilization is recommended for use together with other methods of low-temperature sterilization.


Assuntos
Temperatura Baixa , Infecção Hospitalar/prevenção & controle , Desinfetantes/farmacologia , Contaminação de Equipamentos/prevenção & controle , Esterilização/métodos , Antibacterianos/farmacologia , Bactérias/efeitos dos fármacos , Infecção Hospitalar/microbiologia , Óxido de Etileno/farmacologia , Estudos de Avaliação como Assunto , Formaldeído/farmacologia , Humanos , Peróxido de Hidrogênio/farmacologia , Ácido Peracético/farmacologia , Esterilização/tendências , Equipamentos Cirúrgicos/microbiologia , Instrumentos Cirúrgicos/microbiologia
2.
Khirurgiia (Mosk) ; (8): 45-51, 2005.
Artigo em Russo | MEDLINE | ID: mdl-16091680

RESUMO

Results of examination and treatment of 194 patients with acute pancreatitis were analyzed. It is revealed that the diagnosis of an etiopathogenetic form of acute pancreatitis is a key moment in the choice of the treatment. Patients with acute biliary pancreatitis and alimentary pancreonecrosis with pancreatogenic peritonitis require urgent surgical treatment at early stages of the disease. Laparoscopic cholecystectomy and Haulstad's drainage of the common bile duct are the procedures of choice in acute biliary pancreatitis. Alimentary pancreonecrosis with pancreatogenic peritonitis is the indication for videolaparoscopic drainage procedure and peritoneal dialysis as soon as possible after the disease beginning. This approach decreased lethality, number of complication and hospital stay.


Assuntos
Algoritmos , Colecistectomia Laparoscópica/métodos , Pancreatite/diagnóstico , Pancreatite/cirurgia , Doença Aguda , Drenagem , Humanos , Pancreatite/etiologia , Índice de Gravidade de Doença
3.
Khirurgiia (Mosk) ; (12): 34-8, 2003.
Artigo em Russo | MEDLINE | ID: mdl-14671602

RESUMO

Comparative assessment of different methods of reflexotherapy - RT (acupuncture, electroacupuncture, pharmacopuncture and the termopuncture) in treatment of ischemic angiopathies of the lower extremities is presented. One hundred and twenty-four patients with ischemic angiopathies were treated, 86 of them had I - II stage of the disease, 38 - III stage. Diagnosis of the disease and assessment of treatment efficacy were based on clinical, laboratory and special instrumental examinations. Functional examinations revealed equal reaction of peripheral blood flow to different RT methods. Moderate hypocoagulation compared with the baseline was demonstrated. Clinical symptoms (improvement of the general condition, decrease of pain syndrome) and improvement of biochemical and physiological parameters were criteria of successful treatment. The results of the study helped to develop methods of treatment with different variants of RT and to recommend them in clinical practice for combined treatment of this disease.


Assuntos
Terapia por Acupuntura , Arteriopatias Oclusivas/terapia , Perna (Membro)/irrigação sanguínea , Reflexoterapia , Acupuntura Auricular , Arteriopatias Oclusivas/sangue , Arteriopatias Oclusivas/diagnóstico , Arteriopatias Oclusivas/fisiopatologia , Testes de Coagulação Sanguínea , Eletroacupuntura , Humanos , Medição da Dor , Pletismografia
4.
Khirurgiia (Mosk) ; (11): 55-7, 2002.
Artigo em Russo | MEDLINE | ID: mdl-12501467

RESUMO

Occurrence of postoperative purulent-inflammative complications (PPIC), their structure and dynamics after improvement of sterilization are studied. For epidemiological analysis 65,246 medical histories of operated patients were studied, in 404 of them PPIC were revealed. The PPIC rate reduced from 3.05% in 1981 to 0.49 in 2000 though surgical activity increased 12 times after this period. Thus developed measures for improvement of sterilization promoted reduction of the PPIC rate.


Assuntos
Esterilização , Instrumentos Cirúrgicos , Infecção da Ferida Cirúrgica/prevenção & controle , Humanos , Reprodutibilidade dos Testes , Esterilização/métodos , Esterilização/organização & administração , Supuração/microbiologia , Supuração/prevenção & controle , Infecção da Ferida Cirúrgica/microbiologia
5.
Khirurgiia (Mosk) ; (4): 37-40, 1992 Apr.
Artigo em Russo | MEDLINE | ID: mdl-1447882

RESUMO

The results of repeated operations on the large intestine, mainly reconstructive operations, are analysed. Surgical interventions with the performance of a triangular anastomosis, including that by a method modified by the authors, were carried out on 50 patients. The operative results, particularly those in the last group of patients, are very promising. The number of complications, such as suppuration of the postoperative wound and incompetence of the anastomosis sutures, reduced from 28.8% to 10%, which allows the method to be recommended for wide application in the clinic.


Assuntos
Colo/cirurgia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Anastomose Cirúrgica/métodos , Anastomose Cirúrgica/estatística & dados numéricos , Emergências , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Reoperação , Deiscência da Ferida Operatória/epidemiologia , Deiscência da Ferida Operatória/cirurgia , Infecção da Ferida Cirúrgica/epidemiologia , Infecção da Ferida Cirúrgica/cirurgia , Técnicas de Sutura
6.
Khirurgiia (Mosk) ; (2): 130-2, 1992 Feb.
Artigo em Russo | MEDLINE | ID: mdl-1527955

RESUMO

The method of primarily postponed radical surgical treatment of acute purulent paraproctitis consists in puncture of the abscess, introduction of a double-channel drain, and continuous drop irrigation of the cavity for 1-2 days with antiseptic solutions and active aspiration for preoperative management. When the inflammatory process abates, fistulochromography is conducted and a radical operation is carried out on the same day with excision of the inner opening of rectal fistula. The method makes it possible to combine two operations in one stage which are undertaken in one third of patients in routine surgical treatment of acute paraproctitis. The described method shortens the period of treatment to 14-15 days and improves the immediate and long-term results. Eight patients were operated on with a good outcome.


Assuntos
Proctite/cirurgia , Abscesso/cirurgia , Doença Aguda , Humanos , Masculino , Métodos , Pessoa de Meia-Idade , Fístula Retal/cirurgia , Reto/cirurgia
7.
Khirurgiia (Mosk) ; (10): 68-71, 1989 Oct.
Artigo em Russo | MEDLINE | ID: mdl-2687577

RESUMO

Intraoperative determination of the viability of the intestine by means of laser Doppler flow measurement was conducted in 26 patients. The method proved to be highly effective, made it possible to judge most objectively the degree of changes in blood flow in various parts of the intestine in a short time and correct them subsequently during the operation, and considerably reduced the possibility of the development of postoperative complications due to inadequate appraisal of the degree of vascularization of the mobilized segments of the small and large intestine which are prepared for the formation of the anastomosis.


Assuntos
Intestinos/cirurgia , Lasers , Idoso , Idoso de 80 Anos ou mais , Diagnóstico Diferencial , Técnicas de Diagnóstico por Cirurgia , Hérnia Inguinal/cirurgia , Humanos , Íleo/cirurgia , Intestinos/irrigação sanguínea , Masculino , Pessoa de Meia-Idade , Modelos Biológicos , Neoplasias Retais/cirurgia
8.
Khirurgiia (Mosk) ; (10): 65-8, 1989 Oct.
Artigo em Russo | MEDLINE | ID: mdl-2593578

RESUMO

The article discusses experience in surgical treatment of 480 patients with the most common diseases of the anorectal region (acute and chronic haemorrhoids, acute and chronic paraproctitis, polyps, chronic fissures of the anal canal) in which special laser tools were used. The carbonic acid laser Skalpel-1 with a wave length of 10.6 microns and power of 30 W was used as the source of laser radiation. Methods of operations with the use of these tools are described in detail. The advantages of laser instruments in the treatment of patients with the above listed diseases are shown on a rich clinical material.


Assuntos
Doenças do Ânus/cirurgia , Terapia a Laser/instrumentação , Doenças Retais/cirurgia , Adolescente , Adulto , Animais , Feminino , Fissura Anal/cirurgia , Hemorroidas/cirurgia , Humanos , Pólipos Intestinais/cirurgia , Masculino , Pessoa de Meia-Idade , Proctite/cirurgia , Neoplasias Retais/cirurgia
9.
Khirurgiia (Mosk) ; (4): 68-70, 1989 Apr.
Artigo em Russo | MEDLINE | ID: mdl-2739311

RESUMO

The authors were able to prevent uncontrollable discharge of intestinal contents in 70 patients with colostomy by means of a pneumo-obturator of an original design. Its advantages over magnetic obturating devices were revealed: the simple and light design, hygienic properties, short adaptation period, and no need for implantation of a foreign body into the tissues surrounding the colostomy. Sixty-four patients use the device regularly and are able to retain feces of any consistency. No complications have been noted. The pneumo-obturator may therefore be used for creating a new method for controllable evacuation of the intestine.


Assuntos
Colostomia/instrumentação , Adulto , Idoso , Idoso de 80 Anos ou mais , Colostomia/efeitos adversos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
10.
Vopr Onkol ; 34(1): 51-6, 1988.
Artigo em Russo | MEDLINE | ID: mdl-3422524

RESUMO

Carbohydrate antigens (CA-19.9 and CA-125) levels were assayed in patients suffering rectal, ovarian, breast and hepatic carcinoma, severe recurrent hepatitis A, chronic persistent hepatitis B, hepatic cirrhosis and in cases of normal pregnancy. Patients with early-stage cancer usually failed to reveal the said antigens. This was also the case in some patients with clinically manifest tumor. Clinical application of said assay may improve postoperative monitoring cancer patients. Cancer was more frequently associated with increased level of CA-19.9 than with that of CA-125.


Assuntos
Antígenos de Neoplasias/análise , Biomarcadores Tumorais/análise , Neoplasias/imunologia , Antígenos Glicosídicos Associados a Tumores , Neoplasias da Mama/imunologia , Neoplasias do Colo/imunologia , Feminino , Humanos , Neoplasias Ovarianas/imunologia , Neoplasias Pancreáticas/imunologia , Gravidez
18.
Vopr Onkol ; 24(4): 26-31, 1978.
Artigo em Russo | MEDLINE | ID: mdl-207018

RESUMO

Besides generally accepted tests for prognostication of the results of radical surgical treatment for rectal cancer, great practical importance is attached to the complex of accessory tests such as the combined intensity of immune lymphocytic infiltrates, the tumor and adjacent tissues, the amount of pathological mitoses, the degree of vascularization and the absolute number of lymphocytes in peripheral blood. An estimation of different combinations of the tests concerned makes it possible to prognosticate the results of radical treatment for rectal cancer in each particular case.


Assuntos
Neoplasias Retais/patologia , Adenocarcinoma/patologia , Adenocarcinoma Mucinoso/patologia , Adenocarcinoma Esquirroso/patologia , Adulto , Idoso , Carcinoma/patologia , Carcinoma de Células Escamosas/patologia , Feminino , Humanos , Contagem de Leucócitos , Metástase Linfática , Linfócitos/imunologia , Masculino , Pessoa de Meia-Idade , Prognóstico , Neoplasias Retais/imunologia , Neoplasias Retais/mortalidade
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