Klinichna khirurhiia / Ministerstvo okhorony zdorov'ia Ukraïny, Naukove tovarystvo khirurhiv Ukraïny
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Randomized Controlled Trial
[Diagnosis and correction of hemostasis disorder during surgeries for bile duct diseases].
The aim of the study was to reduce the frequency of hemorrhagic complications in the surgical treatment of patients for diseases of bile ducts. Hemostatic state before, immediately after and on the following day after the operation was controlled by the data of frequency piezoelectric thromboelastography. It is established, that the application of tranexamic acid to promote incidence of hemorrhagic complications are reduced by 38.65%.
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The algorithm for cervical interbody stabilization with the use of vertical cylindrical mesh implant was improvement. Implementation of the developed method allows to reduce the load per unit area of bone bodies of recorded vertebrae in contact with the terminal part of the implant, which reduces the risk of loss of correction of the deformity after surgery. Results of surgical treatment of 5 patients for diseases and injuries of the cervical spine show the effectiveness of the method and the possibility of its application in clinical practice.