Post-cardiac arrest syndrome is an extremely complex nosology, characterized by high mortality and the development of severe neurological disorders. Predicting the neurological outcome in this pathology is an urgent problem, since it allows determining the tactics of patient management and optimizing the scope of medical care, as well as preparing the patient's family members for expected results of treatment. Currently, clinical, laboratory and instrumental data are used as predictors of an unfavorable neurological outcome (e.g., pupillary responses, neuron-specific enolase levels, electroencephalography). There is no single criterion with high sensitivity and specificity for predicting neurological disorders; therefore, a multimodal approach is required. This article discusses several factors, the combination of which allows predicting the outcome of post-cardiac arrest syndrome with the greatest degree of reliability.
Аннотация. Формирование послеоперационной вентральной грыжи является наиболее частым осложнением после лапаро-томии и составляет от 2% до 25%. Целью исследования является оценить характер осложнений и качество жизни пациентов после задней сепарационной пластики. В своей работе мы получили низкий процент осложнений со стороны послеопераци-онной раны, низкий процент рецидива и улучшение качества жизни в отдаленном периоде у пациентов с гигантской после-операционной вентральной грыжей и тяжелой сопутствующей патологией. Это позволяет нам рекомендовать заднюю сепа-рационную пластику для лечения данной категории пациентов. Ключевые слова: грыжесечение, задняя сепарационная пластика, послеоперационная вентральная грыжа. THE FIRST RESULTS AFTER POSTERIOR COMPONENT SEPARATION IN PATIONTS WITH MIDLINE HERNIAS Egiev V.N., Kuliev S.A., Evsyukova I.V. Russian peoples friendship University, Moscow, Russian Federation. Annotation. The formation of incisional hernias is the most common complication after laparotomy, occurring in up to 25%. The purpose of our study was to evaluate the nature of complications and the quality of life of patients after performing posterior component separation. In this study, we demonstrated that posterior component separation provides a very durable repair with low morbidity, low recurrence, even in comorbid patients with large defects. This allows us to recommend posterior component separation for the treatment of these patients.
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