Study of Dinamics of Pyoinflammatory Process in Soft Tissue of Patients With Acute Anaerobic Paraproctitis (Experimental-Clinical Research)

Nikol'skiy, V. I.

doi:10.24884/0042-4625-2016-175-3-22-25

VESTNIK KHIRURGII IMENI I.I.GREKOVA

2016

DOI: 10.24884/0042-4625-2016-175-3-22-25

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Study of Dinamics of Pyoinflammatory Process in Soft Tissue of Patients With Acute Anaerobic Paraproctitis (Experimental-Clinical Research)

V. I. Nikol'skiy

Abstract: Fighting with progressive pyoinflammatory processes in cellular tissue area and in postoperative wound is an actual problem in treatment of patients with acute paraproctitis. There was carried out an experiment, which estimated electrochemical properties of wound’s effluent in dinamics in patients with acute anaerobic non-clostridial paraproctitis. Electrochemical properties of wound’s effluent fitted to clinical and laboratory data in 90,9% of cases: findings completely coincided in 54,5% cases, but some resu… Show more

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2019

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Results of the optimization of diagnostic and treatment algorithm in patients with acute paraproctitis of anaerobic etiology

Sergatskiy

Nikolsky

2019

VESTNIK KHIRURGII IMENI I.I.GREKOVA

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The OBJECTIVEwas to analyze the treatment results of patients with acute anaerobic paraproctitis in 2009–2017.MATERIAL AND METHODS. The treatment results of 71 patients with acute anaerobic paraproctitis were analyzed. All patients were divided into 2 groups depending on the applied diagnostic and treatment methods.RESULTS. General number of patients who required several operative sanation was 47 (66.2 %). 9 (26.5%) patients died in the comparison group, 4 (10.8 %) patients died in the main group.CONCLUSION. The optimization of diagnostic and treatment algorithm in patients with acute anaerobic paraproctitis allowed to reduce the all-cause mortality in patients with acute paraproctitis from 1.2 to 0.5 % (p<0.01), and mortality in patients with acute anaerobic paraproctitis from 26.5 to 10.8 %.

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Results of the optimization of diagnostic and treatment algorithm in patients with acute paraproctitis of anaerobic etiology

Sergatskiy

Nikolsky

2019

VESTNIK KHIRURGII IMENI I.I.GREKOVA

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Questions of complex treatment of extensive small pelvis phlegmons in patients with diabetes mellitus

Bayduzha

Fushtey

Goldovsky

2019

Modern Medical Technology

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Hypertension (HT) occupies today a leading position on the incidence and prevalence of all cardiovascular disease (CVD). It is one of the main risk factors determining the prognosis of morbidity and mortality rate of the population of Ukraine due to CVD. The incidence of HT in the world has the character of a pandemic. The purpose of the study. Was to determine the indicators relationships of the blood vessels viscoelasticity of the shoulder, and systemic hemodynamics in patients with essential hypertension. Materials and methods. The purpose of the study was carried out a comprehensive survey of 224 HT patients, including 126 ones with stage II hypertension of 1–3 degree arterial hypertension and 98 people with 1–3 stage HT of I degree of hypertension. Practically healthy individuals were examined on an outpatient basis. The study of viscoelasticity of arterial vessels was conducted using the rheographic complex «REOKOM» (HAI-Media, Kharkiv) according to the standard Protocol. They recorded rheogram of a shoulder and examined the following indicators: quick time (tQKH) and slow the blood flow (tSKH), the amplitude of the systolic wave (ASV), the ratio of peripheral resistance (RPR), the tone of large arteries (TLA), the tone of the medium and small arteries (TMSA), inter-amplitude indicator of diastolic waves (MIDW). Results. There were evaluated viscoelasticity of shoulder vessels in patients with hypertension of the stage II and determined the relationship with the indicators of systemic hemodynamics. It was found that the increase in blood pressure affects the increase in the parameters of systemic hemodynamics and arterial stiffness. Conclusions. 1. In patients with stage II HT, there is a violation of the viscoelasticity of the muscular type of arterial vessels with manifestations of their walls remodeling, with an increase in time, both fast and slow their blood filling. 2. There may be no significant differences in systemic hemodynamic parameters between subgroups of patients with stage II and stage I HT, which indicates compensatory changes in the cardiovascular system. 3. A strong direct relationship between average dynamic pressure and the time of rapid blood filling, as well as average dynamic pressure and the tonus of large arteries were determined. Keywords: hypertension, remodelling of the cardiovascular system, resilient-elastic properties of the vessels of the shoulder, rheogram.

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Study of Dinamics of Pyoinflammatory Process in Soft Tissue of Patients With Acute Anaerobic Paraproctitis (Experimental-Clinical Research)

Cited by 2 publications

References 3 publications

Results of the optimization of diagnostic and treatment algorithm in patients with acute paraproctitis of anaerobic etiology

Results of the optimization of diagnostic and treatment algorithm in patients with acute paraproctitis of anaerobic etiology

Questions of complex treatment of extensive small pelvis phlegmons in patients with diabetes mellitus

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