Klinichna khirurhiia / Ministerstvo okhorony zdorov'ia Ukraïny, Naukove tovarystvo khirurhiv Ukraïny
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Catamenial pneumothorax is an rare disease which arise in women during menses, etiologically related to endometriosis of diaphragm and lung. The five observations and literature review are presented. During 2006-2008 years 45 women with spontaneous pneumothorax were treated at Kyiv Clinical Hospital Number 17. ⋯ No recurrences were observed during the average 32 months. The treatment of catamenial pneumothorax is symptomatic, to prevent recurrences and avoid illness every month. Since catamenial pneumothorax is caused by thoracic endometriosis, decisions on treatment should be made with a gynecologist's opinion.
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The arterial inflow disorder and chronic tissue ischemia occurrence constitutes a frequent consequence of a hand and fingers trauma, unfavorably influencing the tissues reparation processes and the lost function restoration tactics. The hand and fingers tissues microcirculation disorders in chronic ischemia are still unsufficiently studied. The qualitative and quantitative preoperative diagnosis of arterial inflow of a hand and fingers was done using arteriography, laser Doppler flowmetry and arterial duplex ultrasonic scanning. Application of these methods had permitted to study up the principal variants of arterial blood circulation in hand and fingers in patients, suffering remote consequences of their trauma.
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Basing on the literature data, the analysis of efficacy and the main complications of interventions, most frequently used in bariatric surgery, was done. The choice algorithm of optimal bariatric intervention method was adduced.