The article discusses the most frequently used prognostic scales intended to assess the risk of cardiac complications in surgical patients. The choice of optimal point scales for patients with colorectal cancer is justified.
The article describes a clinical observation of Ledd’s syndrome complicated by total megacolon. The epidemiology, clinical manifestations, diagnosis and treatment of this pathology are discussed.
AIM: to assess late results of parastomal hernia repair using Sugarbaker’s technique modifications.PATIENTS AND METHODS: prospective non-randomised study included 60 patients with parastomal hernia, which underwent surgery in 2013-2019. Patients were divided in two groups. The control group included 30 patients with “classic” Sugabacker method, the main group included 30 patients with Sugarbaker’s procedure added by suture of abdominal wall defect. Both groups were homogenous by age, gender, hernia size, type of primal disease and preoperative quality of life (EQ-5D-5L). The efficacy of the treatment was estimated by recurrence rate and quality of life 1 and 2 years after surgery.RESULTS: the recurrence rate in the main group was significantly lower after 1 and 2 years (3 vs 13; p = 0.01). Quality of life in the main group was significantly higher after the first year of follow-up (the median of the weighted coefficient 0.92 vs 0.89; p = 0.04) and this trend has preserved 2 years after surgery.CONCLUSION: suture of abdominal wall defect in Sugarbaker’s procedure for parastomal hernia reduces recurrence rate significantly and provides better quality of life.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.