Klinichna khirurhiia / Ministerstvo okhorony zdorov'ia Ukraïny, Naukove tovarystvo khirurhiv Ukraïny
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Comparative Study
[Comparative evaluation of surgical approaches in operative treatment of patients with the fracture of proximal end of the femur].
Metalloosteosynthesis of neck and trochantarian region of the femur, endoprosthesis of the hip joint were performed in the treatment of the femur proximal end fractures. Significant frequency of early and late complications in patients, operated on using posterior approach, is caused by its traumaticity due to transsection of the muscles expanse, creation in them hematomas, significant quantity of the wound exudate. The perspectives of application of anterolateral approach in performing operations for fracture of the femur proximal end are proved.
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In 39 patients the correction of insufficiency of mitral, tricuspid and aortic valves were performed by cardiopulmonary bypass. Genesis of valve diseases was rheumatism. Correction of tricuspid valve insufficiency was performed by annuloplasty with one or two hemiarch sutures by N. ⋯ The late results were followed-up in 21 patients. The good result were marked in 6 (28.6%) patients, satisfactory one--in 6 (28.6%) and unsatisfactory--in 1 (4.8%). 8 (38.1%) patients were died during 1 till 8 years. Correction of combined insufficiency lead to high hospital mortality and there were not good results of survival and good results stability at the late period.
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Experience of application of laryngeal mask (LM) for realization of artificial pulmonary ventilation in patients in complicated conditions for trachea intubation in orthopedic surgery allows to recommend it as an alternative method. Simplicity of establishment, absence of complications after application of LM were noted.