Vol 3, No 3 (2010)

Original articles

Performance algorithm in closure colostomy operation

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Abstract

The article presents the recommendations of optimal preparation algorithm for way and method of performing closure colostomy operation, individual way and method of operation. Basic principles of performing closure colostomy operations as well as criteria of data monitoring with respect to natural passage rehabilitation are considered. One can see comparison of after effects depending on the method of operational access. The data and results of operation on 161 patients with colostomy are given. Good and satisfactory results were obtained in treating this category of patients, with minimum complications in treating patients with severe colostomy.

Journal of Experimental and Clinical Surgery. 2010;3(3):242-245
pages 242-245 views

Problems of diagnosis congenital kinking of the aortic arch

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Abstract

The article deals with modern aspects of diagnosis of a rare congenital malformation of the cardiovascular system - congenital deformation of the aortic arch (CDAA), characterized by elongation, kinking, and excesses of the aortic arch pathological structure of its wall. Many case of kinking of the aorta associated with aortic aneurysm formation. This article describe main methods of diagnosis anomaly (chest radiography, ultrasound cardiography, angiography, CT, MRI), evaluate facility and specificity of this methods. The modern level of development of diagnostic technics allows to answer the majority of questions facing to the doctor and to exclude diagnostic thoracotomies.

Journal of Experimental and Clinical Surgery. 2010;3(3):184-190
pages 184-190 views

Сliniko-morphological aspects topographical anatomy of the back surface thyroid gland

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Abstract

Features of the sizes, volume, the form and thyroid gland topography (GT) at persons of Central Black Earth region according to ultrasonic and intrasurgical researches are studied. New laws on topographical anatomy of a back surface of lateral shares GT that it is necessary to consider both at performance of ultrasonic researches and during operative interventions are received. Revealed new patterns of topographic anatomy of the posterior lateral surface of the shares of the thyroid, it is necessary to consider both the performance of ultrasound examinations, as well as during surgical interventions.

Journal of Experimental and Clinical Surgery. 2010;3(3):201-206
pages 201-206 views

The importance of an extended volume in the surgical cure of lung carcinoma

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Abstract

The surgical procedure still remains the leading one in a drastic treatment of lung carcinoma. The reduction of the postoperative lethality gives a chance of widening indications for a surgical treatment. The term “an expanded operation” reflects an expansion at the expense of mediastinal tissue and lymph nodes excision, and “a  combination operation” means resections of neighboring to lung anatomic lumps. The necessity of a complete mediastinal tissue and lymph nodes ablation, both from principal considerations and forcedly, is proved by studying lymphogenic metastasis staging.

Journal of Experimental and Clinical Surgery. 2010;3(3):246-249
pages 246-249 views

Clinico-experimental research at a primary glaucoma

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Abstract

Article is devoted questions of surgical treatment of not compensated glaucoma of various degrees by means of the modified technique of performance of classical filtering operation. The offered method of preventive maintenance of a cicatrisation
of filtrational area is based on application of a principle of a denervation at surgical intervention performance. The pathomorphologic mechanism of more expressed hypotensive effect offered antiglaucomatous operations is studied in experiment. The proposed method is technically simple, safe and contributes to the stabilization of visual functions and ophthalmotonus, which improve the quality of life of patients with glaucoma.

Journal of Experimental and Clinical Surgery. 2010;3(3):265-270
pages 265-270 views

First experience of fibrinous glue use in the surgical treatment of rectal fistulas

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Abstract

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Journal of Experimental and Clinical Surgery. 2010;3(3):271-272
pages 271-272 views

Structural and functional features of healing of aseptic wounds of soft tissues using by platelet-rich blood plasma

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Abstract

Morpho-functional characterization of the wound process during platelet-rich plasma application to evaluate the regeneration processes using this method of treatment. Histochemical techniques combined with classical histological methods give the opportunity to monitor the state of the wounds on morphological indicators. The use of platelet-rich plasma stimulates collagenization, epidermization, angiogenesis, promotes more rapid formation of qualitative scar.

Journal of Experimental and Clinical Surgery. 2010;3(3):210-213
pages 210-213 views

Actovegin application in treatment of diabetic polyneuropathy and preventive maintenance of diabetic foot syndrome in surgical patients with type 2 diabetes mellitus and arterial hypertension

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Abstract

On the basis of the Voronezh municipal hospital of the first help №10 in type 2 diabetes mellitus patients with diabetic polyneuropathy and arterial hypertension total oxidative capacity increase, LDLс oxidized antibodies enhanced level and total antioxidative capacity deficiency were revealed. Antioxidative and antihypoxemic action caused by actovegin in 400 mg daily dose in diabetic patients are established. We observed that actovegin indication produces corrective influence
on lipid peroxidation parameters and promotes improvement of diabetic polyneuropathy clinical implications preventive maintenance of diabetic foot syndrome.

Journal of Experimental and Clinical Surgery. 2010;3(3):260-264
pages 260-264 views

Immunotherapy in complex treatment of non-clostridial anaerobic phlegmons of the facial and neck

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Abstract

The results of treatment of 118 patients with confirmed diagnosis o of nonclostridial anaerobic phlegmons of the facial and neck, are analyzed. The most frequent immune disorders in septic patients are: decrease in lymphocyte count, both T (54%) and В (39,1%) populations, decrease of T-helpers and T-suppressors (57,6%) count and phagocytic coefficient (45,4%). Standard immunoglobulins were used in the treatment: «Intraglobin» and «Pentaglobin» (Biotest, Germany). Analyze of the control immunogramms showed the reliable improvement of immune indices and normalization of T-cell counts.

Journal of Experimental and Clinical Surgery. 2010;3(3):227-229
pages 227-229 views

Results of plasma flows in the complex treatment of chronic osteomyelitis

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Abstract

The authors analyze 80 cases of surgical treatment of chronic osteomyelitis. In the study group (53,75 %) used a plasma stream in complex treatment of patients. In comparison group (46,25 %) carried out traditional treatment. In the study group the quantity of unsatisfactory results was essential less, than in comparison one. The authors conclude that the use of plasma flow in the «coagulation» in chronic osteomyelitis can significantly improve surgical treatment by reducing the exudative phase and acceleration of reparative processes.

Journal of Experimental and Clinical Surgery. 2010;3(3):207-209
pages 207-209 views

Features total hip replacement in patients previously undergone surgical intervention for femoral neck fractures

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Abstract

The article analyzes the results of treatment of 48 patients with complications (failure of union and aseptic necrosis of the femoral head). Total hip arthroplasty, they were held after osteosynthesis of the various latches. Date hip replacement ranged from several months to several years of receiving a fracture of the femoral neck. When treating patients with fractures of the
femoral neck were applied total endoprosthesis import manufacturers (De Puy, MATHYS, Zimmer). Cement-free fixation implants (press-fit) set 29 (60,4%) patients, cement fixation - 19 (39,6%). To select the type of implant used a system of clinics Lahey (U.S.). The results of arthroplasty in the period from 1 to 2 years were studied in 46 patients (95,8%) patients. In all 48 patients, when performing hip, had problems as expressed by scar tissue. These difficulties eventually led to an increase in the duration of the operation, that arthroplasty is undesirable, because it increases the risk of infectious complications. But despite the above difficulties, we believe that only the hip joint during the development of complications can rehabilitate the patient as quickly as possible and to restore its quality of life.

Journal of Experimental and Clinical Surgery. 2010;3(3):230-233
pages 230-233 views

Remote preconditioning influence on ischemic tissues survival potential

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Abstract

The investigation of remote preconditioning influence on isolated skin pedicle flap was taken. Also the role of К+ATP-channels was detected in the realization of positive remote preconditioning effect. Application of remote preconditioning allowed to half again as raise the survival potential of skin flap in comparison with control group. Preconditioning positive effect cancellation in introducing of К+ATP-channels blocker glibenclamid to animals witness that ATP-dependent К+-channels are important and necessary part in the realization of preconditioning positive effect.

Journal of Experimental and Clinical Surgery. 2010;3(3):214-217
pages 214-217 views

Use of methods of reconstructively-plastic surgery in treatment of consequences of a deep thermal head injury and neck

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Abstract

In work the analysis of surgical treatment deep a thermal head and a neck injury is carried out. Traditional methods of operative treatment in the early period often not-are effective. Long existence wounds defect involves a great risk of occurrence of heavy complications, up to vitals. A method of a choice of elimination of extensive defects of a head and a neck is operative treatment with use free tissue flaps. This method is fairly atravmatichen, allows a reasonable time to adequately
restore the integrity of the integumentary tissues.

Journal of Experimental and Clinical Surgery. 2010;3(3):238-241
pages 238-241 views

About the possibility and usage perspectives of biologically active suture materials with antimicrobial and complex effect in sugery (experimental trials)

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Abstract

«In vitro» experiment the antimicrobial properties of various kinds of biologically active threads (420 samples) were studied. Some of them were used «in vivo» experiment on 173 white rats using visual criteria, cytological and histological methods, electronic microscopy and tensionmetry to estimate the results of experiences. Presence of expressed and prolonged antimicrobial activity of threads containing doxycycline and ciprofloxacin was confirmed. It is established that presence in threads of doxycycline; the substance from germanium containing organic compounds group (GOC), doxycycline and GOC stimulates reparative processes in the wound model and fasten its healing. Results of the experimental researches allow to recommend suture materials with doxycycline and doxycycline and GOC to use in surgical practice.

Journal of Experimental and Clinical Surgery. 2010;3(3):191-200
pages 191-200 views

The analysis of efficiency of introduction of the arthroscopic equipment in NUZ «DKB station Voronezh 1 OAO «RZHD»

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Abstract

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Journal of Experimental and Clinical Surgery. 2010;3(3):275-278
pages 275-278 views

Magnetolasertherapy and miliacylum in the treatment of trophic ulcers in lower extremities

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Abstract

The study was undertaken to determine the clinical effect of local combined use of miliacylum and magnetolazertheraphy in complex treatment of lower extremeties trophic ulcers of differet genesis. Two hundred twenty-six patients with trophic ulcers have been examined. It was established that the of trophic ulcers treatment proved to be more successful with combined use of miliacylum end magnetolazertheraphy than with the use of 1% dioxidine solutions and hyppophae oil, miliacylum alone or, combination of miliacylum and lazer beams. The mean period inpatient treatment was reduced at 2,5; 1,5 u 1,1 times respectively.

Journal of Experimental and Clinical Surgery. 2010;3(3):234-237
pages 234-237 views

Morphological changes of the pancreas in acute pancreatitis experimentally and the application of complex «sandostatin and antiserum to snake venom Vipera berus»

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Abstract

Studied the morphological changes in the pancreas of rats with acute experimental pancreatitis induced by the second Vipera berus snake venom and phospholipase A2, and If the instrument is complex sandostatin and antiserum to snake venom.
These results demonstrate the high efficiency of complex «sandostatin and antiserum to snake venom» as evidenced in the absence of animals mortality, pancreatic necrosis using smaller doses of sandostatin and antiserum to snake venom.

Journal of Experimental and Clinical Surgery. 2010;3(3):218-221
pages 218-221 views

Analysis of lethal outcomes in children with burn dieases

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Abstract

The data of 16 children with serious burns who were treated and died in burn centre in Tyumen were analyzed. 9 boys (56,25%) and 7 girl (43,75%) aged (9 month – 3 years) had large burn area from 7 to 70%. The result of investigation revealed the most typical errors of organization, diagnostic and curative ensuring. Prognosis of recovery depends on many factors. The main ones are the state of person before injury, localization and area of burns, development of complication, and completeness of necessary extent and intensity of medical measures. To make the treatment of the patients with burns more affective it is necessary to find the way of burn wound infection decreasing and to use measures leading to increasing of patients’ immune system.

Journal of Experimental and Clinical Surgery. 2010;3(3):256-259
pages 256-259 views

Effect on mexicor syndrome during abdominal hypertension in experimental total peritonitis

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Abstract

A Mexicor’s effect onto microcirculation disorders, endothelial dysfunction, and free radical lipid oxidation has been assessed in 166 male Vistar rates having experimental total peritonitis complicated by intraabdominal hypertension. All animals have been selected into three groups: intact, control, and basic respectively. An intraabdominal injection of 10% concentration of fecal mixture was used to cause peritonitis. Thereby intraabdominal hypertension was created by double fold plasty of the abdominal wall aponewrosis. A 10mg/kg Mexicor injections during 7 days were used in the basic group rates. During the treatment it was noticed that Mexicor injection increased microcirculation characteristics in the colon wall by 45,5%. It also lead to drop of free radical lipid oxidation characteristics by 1,8 times, NO concentration in 1,6 times, and intraabdominal
pressure in 1,4 times comparing to the control group.

Journal of Experimental and Clinical Surgery. 2010;3(3):222-226
pages 222-226 views

Evaluating the effectiveness of mexidol and actovegin in treatment of acute toxic hepatitis

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Abstract

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Journal of Experimental and Clinical Surgery. 2010;3(3):273-274
pages 273-274 views

Prosthetic hernioplasty of umbilical hernias: outpatient experience

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Abstract

Despite the fact that the treatment of umbilical hernias is a common and relatively simple operation, there is no single standard. Traditionally used surgical interventions allow recurrences to 40% during the first year after surgery, with a small difference in hernia of large and small sizes. The solution of this problem is associated with the spread of prosthetic methods. The article summarizes the experience of treating 558 patients with umbilical hernias, including 318 patients for whom prosthetic hernioplasty by the original method was used. It is noteworthy that their treatment was carried out in the outpatient ambulatory surgical center. Due to this fact the author concludes that the possibility of organizing a broad and qualitative planned renovation of patients, suffering from umbilical hernias, in outpatient centers is real.
Journal of Experimental and Clinical Surgery. 2010;3(3):250-255
pages 250-255 views

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