scholarly journals MINIMALLY INVASIVE AND TRADITIONAL OPERATIVE TECHNIQUES IN SURGICAL TREATMENT OF ACUTE COMPLICATED PANCREATITIS

2019 ◽  
Vol 72 (9) ◽  
pp. 1736-1739
Author(s):  
Victor P. Andriuschenko ◽  
Dmytro V. Andriuschenko ◽  
Oleg T. Girniak
Keyword(s):  
Surgical Treatment ◽  
Minimally Invasive ◽  
Main Group ◽  
Subsequent Stage ◽  
Operative Techniques ◽  
Closed Drainage ◽  
Combined Use ◽  
Comparative Group ◽  
Invasive Techniques ◽  
Combined Interventions

Introduction: The issue of surgical treatment of acute pancreatitis, in particular the choice of operative technique, is becoming increasingly relevant. The aim: To work out surgical approach in patients with acute complicated pancreatitis (ACP) using minimally invasive and traditional operative techniques. Materials and methods: 170 patients underwent surgery for ACP. The main group (109 subjects) had minimally invasive techniques (MIT) dominated, the comparative group (61 subjects) – traditional operations. Results: MIT performed “as final” in 62 (69%), “stage”– in 16 (18%) and “stabilizing patient condition” – in 12 (13%) of observations. The number of combined interventions predominated in the main group – 26% and 12% (χ2=4.002; р=0.04), traditional in comparative groups – 67% and 17% cases (χ2=40.291; р<0.0001). Primary laparotomy operations were used in 41 (67%) patients from comparative and 19 (17%) patients from the main group (χ2=40.291; р<0.0001). The extent of traditional operations in the main group consisted predominantly of necrosequestrectomy with Beger closed drainage – in 26 (55%) and 15 (31%) observations, respectively (χ2=5.018; р=0.02). Necrosequestrectomy with subsequent stage lavage performed in common purulent-necrotic lesions were comparable in both groups – in 11 (23%) and 13 (26%) observations (χ2=0.0013; р>0.05). Conclusions: The worked out surgical treatment approach in ACP with individual and combined use of MIT and traditional operations resulted in decreased rates of postoperative complications from 13.1% to 8.3% and mortality from 14.8% to 9.2%.

scholarly journals Selection of the Method and Analysis of the Results of the Application of Minimally Invasive Methods of Treatment of Hydatidous Liver Echinococcosis

2019 ◽  
Vol 12 (4) ◽  
pp. 222-229
Author(s):  
Konstantin Arkad'evich Panfilov ◽  
Sergey Anatol'evich Ivanov ◽  
Evgeniy Anatol'evich Korymasov ◽  
Vladimir Evgen'evich Bogdanov
Keyword(s):  
Surgical Treatment ◽  
Minimally Invasive ◽  
Main Group ◽  
Invasive Treatment ◽  
Clinical Observations ◽  
Choice Of Treatment ◽  
Laparoscopic Intervention ◽  
Surgical Tactics ◽  
The Right ◽  
Invasive Techniques

Objective. To analyze minimally invasive treatment methods (puncture-draining intervention and laparoscopic) of liver echinococcosis and to develop an optimal treatment algorithm.Methods. The results of 120 clinical observations of patients with liver echinococcosis who were treated from 2002 to 2018 are presented. based on SOKB them. V.D. Seredavina (Samara). The comparison group (n = 68) consisted of patients with PDV and laparoscopic intervention in the period from 2002 to 2008, the main group (n = 52) - patients with PDV and laparoscopic intervention in the period from 2009 to 2018.Results. The starting points of the choice of treatment for echinococcosis in patients of the main group were the stage of life and the diameter of the hydatid cyst. Evaluation of the results of surgical treatment was carried out on the basis of a list of criteria that were assigned the values ​​of "good", "satisfactory", "unsatisfactory". With the right choice of surgical treatment tactics, as well as the priority of echinococcectomy in patients of the main group, 94% of clinical observations (n ​​= 52) achieved positive results.Conclusion. The proposed differential algorithm of surgical tactics of echinococcosis using minimally invasive techniques answers questions regarding the choice of access and method of surgical treatment based on the size of cysts, their number and localization, as well as the period of the parasite's vital activity.

scholarly journals An acute complicated pancreatitis: principles of surgical tactics, using miniinvasive technologies and standard operations

2018 ◽  
Vol 85 (6) ◽  
pp. 10-12 ◽  
Author(s):  
V. P. Andriushchenko ◽  
O. T. Girniak ◽  
D. V. Andriushchenko
Keyword(s):  
Surgical Treatment ◽  
Postoperative Complications ◽  
Main Group ◽  
Surgical Interventions ◽  
Combined Application ◽  
Closed Drainage ◽  
Comparative Group ◽  
Surgical Tactics ◽  
Complications Rate ◽  
Standard Operations

Objective. To elaborate a surgical tactics for patients, suffering  an acute complicated pancreatitis (ACP), using miniinvasive technologies (МІТ) and standard surgical interventions. Маterials and methods. There were operated 170 patients, suffering ACP. In the main group (109 patients) a МІТ was applied, and in a comparative one (61 patients) the standard operations were used. Results. МІТ as the «definite» were applied in 62 (57%), «staged» - in 16 (15%) and «the patient’s state stabilizing» - in 12 (11%) patients. The part of operative interventions in the main group have constituted 26%, and in a comparative one - 12% (χ2=4.002; р=0.04). Primary laparotomic operations were performed in 41 (67%) patients of a comparative group and 19 (17%) patients of the main group (χ2=40.291; р<0.0001). Standard operations, mainly consisted of necrosequestrectomies (NSE) with the closed drainage in accordance to Berger procedure were performed in 26 (55%) patients of the main and in15 (31%) patients of comparative group (χ2=5.018; р=0.02). The NSE quantity with further staged sanations, which were conducted in patients, suffering extended purulent-necrotic affections, was comparable in both groups: 11 (23%) - in the main and 13 (26%) - in a comparative group (χ2=0.0013; р > 0.05). Conclusion. Application of elaborated tactics of surgical treatment of an ACP with a separate or combined application of МІТ and standard operations was accompanied by reduction of postoperative complications rate from 13.1 tо 8.3% and lethality - from 14.8 tо 9.2%.

scholarly journals Minimally invasive techniques in spinal surgery: current practice

1998 ◽  
Vol 4 (2) ◽  
pp. E10 ◽  
Author(s):  
Parviz Kambin ◽  
Thomas Gennarelli ◽  
Frank Hermantin
Keyword(s):  
Minimally Invasive ◽  
Spinal Surgery ◽  
Current Practice ◽  
Herniated Disc ◽  
Operative Techniques ◽  
Spinal Motion ◽  
Minimally Invasive Spinal Surgery ◽  
Epidural Steroid ◽  
Visual Diagnosis ◽  
Invasive Techniques

Minimally invasive spinal surgery under arthroscopic or endoscopic magnification and illumination is emerging as an alternative, reliable method of treatment in a variety of spinal disorders. The operative techniques being used for discectomy and retrieval of herniated disc fragments or stabilization of unstable spinal motion segments are being utilized for visual diagnosis and debridement of infectious discitis and osteomyelitis transpedicular and transforaminal vertebral body biopsy, temporary diagnostic fixation of unstable lumbar motion segments, and transforaminal epidural steroid therapy.

scholarly journals Minimum Invasive Stabilizing and Decompressive-Stabilizing Methods of Surgical Treatment for Degenerative-Dystrophic Lesions of Spine

2011 ◽  
Vol 18 (4) ◽  
pp. 3-10
Author(s):  
A V Krut'ko ◽  
Shamil' Al'firovich Akhmet'yanov ◽  
D M Kozlov ◽  
A V Peleganchuk ◽  
A V Bulatov ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Lumbar Spine ◽  
Surgical Techniques ◽  
Pain Syndrome ◽  
Early Postoperative Period ◽  
Main Group ◽  
Control Group ◽  
Surgical Interventions ◽  
Comparative Group ◽  
Operative Wound

Results of randomized prospective study with participation of 94 patients aged from 20 to 70 years with monosegmental lumbar spine lesions are presented. Minimum invasive surgical interventions were performed in 55 patients from the main group. Control group consisted of 39 patients in whom decompressive-stabilizing operations via conventional posteromedian approach with skeletization of posterior segments of vertebral column were performed. Average size of operative wound in open interventions more than 10 times exceeded that size in minimum invasive interventions and made up 484 ± 56 and 36 ± 12 sq.cm, respectively. Mean blood loss was 326.6 ± 278.0 ml in the main group and 855.1 ± 512.0 ml in the comparative one. In the main group no one patient required substitution hemotransfusion, while in 13 patients from the comparative group donor erythrocytic mass and/or fresh-frozen plasma were used to eliminate the deficit of blood components. Intensity of pain syndrome in the zone of surgical intervention by visual analog scale in the main group was lower than in comparative group. In the main and comparative groups the duration of hospitalization made up 6.1 ± 2.7 and 9.7 ± 3.7 bed days, respectively. In no one patient from the main group complications in the zone of operative wound were noted. Three patients from the comparative group required secondary debridement and in 1 patient early deep operative wound suppuration was observed. Application of low invasive surgical techniques for the treatment of patients with degenerative lumbar spine lesions enabled to perform radical surgical treatment with minimal iatrogenic injury. The method possessed indubitable advantages over the conventional open operations especially intraoperatively and in early postoperative period.

scholarly journals Efficiency of minimally invasive surgery for liver echinococcosis and its complications

2021 ◽  
Vol 26 (1) ◽  
pp. 84-91
Author(s):  
Z. A. Azizzoda ◽  
K. M. Kurbonov ◽  
K. R. Ruziboyzoda ◽  
S. G. Ali-Zade
Keyword(s):  
Minimally Invasive Surgery ◽  
Comparative Analysis ◽  
Surgical Treatment ◽  
Liver Resection ◽  
Minimally Invasive ◽  
Postoperative Mortality ◽  
Main Group ◽  
Control Group ◽  
Surgical Methods ◽  
Access Surgery

Aim. Improving outcomes of diagnosis and treatment of patients with liver echinococcosis and its complications. Materials and methods. A comparative analysis of the results of surgical treatment of liver echinococcosis and its complications with traditional laparotomy access surgery (control group) and minimally invasive interventions (main group) was performed.Results. The study included 300 patients (170 in the control and 130 in the main group). In the main group, 37 (28.4%) cases performed open echinococcectomy from various mini-accesses, and 27 (20.7%) performed twostage operations using minimally invasive technology. Laparoscopic echinococcectomy was performed in 23 (17.7%) patients, laparoscopic pericystectomy 12 (9.2%) and laparoscopic liver resection in 10 (7.7%) patients. The frequency of postoperative complications in the main group was 17.7%, in the control 51.8%, postoperative mortality decreased from 2.3% to 0.8%.Conclusion. Minimally invasive technologies in the surgical treatment of liver echinococcosis show the better immediate results compared to traditional open surgical methods.

OPTIMIZATION OF SURGICAL TREATMENT OF PATIENTS WITH ACUTE PANCREATITIS USING MINIINVASIVE TECHNIQUES

2020 ◽  
pp. 16-18
Author(s):  
A. G. Drozdova
Keyword(s):  
Acute Pancreatitis ◽  
Surgical Treatment ◽  
Minimally Invasive ◽  
Pancreatic Necrosis ◽  
Minimal Invasive ◽  
Hospital Treatment ◽  
Bed Days ◽  
Minimal Invasive Techniques ◽  
Invasive Techniques

Summary. The aim of the study. To improve the results of surgical treatment of patients with acute pancreatitis using minimal invasive techniques. Matherials and Methods of the study. The results of surgical treatment of 75 patients with different forms of acute pancreatitis were analyzed. All patients were examined and operated on. Results of the study. Minimally invasive interventions were performed in 92 % of the analyzed patients. Intraoperatively acute pancreatic edema was observed in 43 % of patients, hemorrhagic pancreatic necrosis – in 24 %, infected pancreatic necrosis – in 33 %. The postoperative period was complicated by 13.3 %, the mortality rate was 9.3 %. Conclusions. The use of minimally invasive techniques for treating acute pancreatitis can significantly improve the results of surgical treatment of patients with this pathology. The frequency of complications and lethality decreases. Also, it is possible to significantly reduce operational trauma, and hence the number of bed-days of stay in hospital treatment. This contributes to reducing the financial cost of treatment in patients with acute pancreatitis, as well as improving the quality of life of this category of patients.

OUTCOME SURGICAL TREATMENT OF METATARSALGIA USING MINIMALLY INVASIVE TECHNIQUES

2018 ◽  
Vol 4 ◽  
pp. 7-15
Author(s):  
Bobrov D.S. ◽  
◽  
Shubkina A.A. ◽  
Lychagin A.V. ◽  
Slinyakov L.Yu. ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Minimally Invasive ◽  
Minimally Invasive Techniques ◽  
Invasive Techniques

scholarly journals Potentialities of Minimally Invasive Osteosynthesis in Treatment of Malleolus Fractures

2015 ◽  
pp. 54-59
Author(s):  
E. I. Solod ◽  
A. F. Lazarev ◽  
E. G. Ermolaev
Keyword(s):  
Minimally Invasive ◽  
Main Group ◽  
Invasive Technique ◽  
Medial Malleolus ◽  
Joint Function ◽  
Minimally Invasive Osteosynthesis ◽  
Duration Of Hospitalization ◽  
Fracture Nonunion ◽  
Comparative Group ◽  
Medial Malleolus Fracture

Treatment results for 71 patients with malleolus fractures are presented. In 32 patients (comparative group) surgery was performed by AO/ASIF technique after edema resolution. Thirty nine patients from the main group were operated on by our minimally invasive technique using V-shaped pins and threaded pins on the next day after admission independently on the presence of edema in the ankle joint region. All patients were operated on at terms from 1 to 3 weeks after injury. Duration of hospitalization averaged 16 and 10 days, restoration of joint function made up 6 and 2 weeks for the patients from the comparative and main group, respectively. Complications were observed only in patients from the comparative group, i.e. marginal skin necrosis in 8 (25%), inflammatory complications in 5 (15.6%), metal fixator migration in 1 (3.1%) and fracture nonunion in 4 (12.5%) patients. Outcomes were assessed by AOFAS Ankle- Hindfoot Scale. Mean point made up 90.3 in the main group and 88.6 in the comparative jnt. In the experimental part of the study the strength (tensile and shear) of 3 types of osteosynthesis for medial malleolus fracture were compared: with either 2 cannulated screws, V-shaped pin or 2 biodegradable screws of glycolized lactic acid was compared. Although the osteosynthesis of medial malleolus with V-shaped pin was the least strong it met the requirements of internal osteosynthesis.

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