Obesity is an additional high-risk factor in the development of thromboembolic complications (TEC) in the surgical treatment. 110 cases of obese patients who underwent a treatment at the Surgical Department from January, 2015 to March, 2018. Prior to the operation, all the patients received a medication to prevent thromboembolic complications, while intermittent pneumocompression was applied during the surgery. The use of intermittent pneumocompression of the lower extremities in the laparoscopic surgical treatment of obese patients reduces the amount of venous thromboembolic complications via normalization of the intravenous haemodynamics
The aim of the article is to review the results of regional lower limb haemodynamics, haemostatic disturbances in patients undergoing laparoscopic surgery for hiatal hernia and intermittent pneumocompression in terms of embolism prevention. The impact of laparoscopic surgical technique on linear bloodflow velocity and venous diameter in lower limbs.
In order to identify the advantages of the original modification of Nissen fundoplication techniques and identify the safest mash material for prosthetic reinforcement of hiatal closure, was made analysis of early postoperative complications in 121 patients with hiatal hernia.The formation of the non tension fundoplication reduces the level of early postoperative complications. The usage of biological prosthesis has the advantage in comparison with synthetic ones. In general, the usage of mashes significantly increases the severity of the complaints of patients after the intervention, but most of them are within 3-14 days of the postoperative period.
Ростовская клиническая больница Федерального медико-биологического агентства, Ростов-на-Дону, Россия 2 Ростовский государственный медицинский университет, Ростов-на-Дону, Россия compleX perioperational analgesia in patients undergoing laparoscopic surgerY for hiatal hernia Burikov m. a. 1 , makhno Yu. e. 1 , Volkova n. V. 1 , shoolgin o. V. 1 , skazkin i. V. 1 , sokirenko i. a. 2 , Kinyakin a. i. 1 1 rostov clinical hospital of federal medicine and Biology agency, rostov-on-don, russia 2 rostov state medical university, rostov-on-don, russia В последнее время прослеживается тенденция к применению современных подходов ведения пациентов с использованием принципов программы ускоренного выздоровления FAST TRACK. Поскольку одним из центральных пунктов этой программы является применение мультимодальной комбинированной анестезии, целью данного исследования явилось изучение ее влияния на пациентов с грыжей пищеводного отверстия диафрагмы (ГПОД), оперированных лапароскопически. Проведен сравнительный анализ 92 больных, оперированных лапароскопически в оригинальной модификации Ниссена-Розетти. Из них 39 пациентов оперировали в условиях общепринятого эндотрахеального наркоза (ЭТН),
Presents a clinical case of successful surgical treatment of kidney cancer with tumor thrombus of the inferior vena cava (IVC) to the level of the atrium, with simultaneous resection of segment I of the liver containing a single metastasis, in 57-year patient.
The aim of the investigation was to study the morphological condition of blood cells in the basins of the ischemic limbs and their dynamics as a result of various types of surgical treatment. Implementation of combined surgical treatment has a more normalizing effect in comparison with isolated reconstructive surgical treatment. The use of lumbar sympathectomy in patients with occlusive lesions of arteries of lower limbs and varying degrees of ischemia reduces endothelial dysfunction and normalizes a number of parameters describing the morphology and functioning of red blood cells and platelets. There was detected the deformation of red blood cells indicating that the restoration of the plasticity of red blood cell membranes significally reduced the degree of agglutination of red blood cells. According to obtained data the influence of sympathectomy depends on the severity of the disease in general the highest efficiency is observed at the II and III degree of ischemia.
В настоящее время гр ыжа пищеводного отверстия диафрагмы (ГПОД) является хорошо диагностируемым, часто выявляемым заболеванием [1]. Большинство специалистов признают, что при оперативном лечении пациентов с ГПОД больших размеров недостаточно обычной крурорафии, необходимо применение материалов, укрепляющих зону операции для профилактики развития рецидива заболевания [1, 2].
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