Klinichna khirurhiia / Ministerstvo okhorony zdorov'ia Ukraïny, Naukove tovarystvo khirurhiv Ukraïny
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[Instrumental diagnosis of recurrent lumbar spine herniated discs in different observation periods].
The results of neuroimaging examination methods application in patients with true herniated disc at different time after primary discectomy were summarized. Designated structural morphological features of operated lumbar segment in early, mid and late period. ⋯ Truth relapses at different time after the occurrence of the primary microdiscectomy with features on MRI and MSCT, combined with scar-adhesive fibrosis at various stages of its formation and varying severity stenotic changes in bone structures. MSCT is the method of choice in the early period after primary discectomy when a true recurrence combined with MRI are informative in the diagnosis of late recurrence period.
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In 45 newborns, operated on for the inborn failures of gut, the markers of stress and indices of central hemodynamics were studied up. General anaesthesia was applied together with caudal-epidural injection of local anaesthetics in 15 newborns, in 15--the adjuvants--klophelline and promedol--were added to local anaesthetics, in 15--a standard atharalgesia was used. The best and most durable effect was noted while application of anesthesia in combination with adjuvants.
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Clinical Trial
[Central neuroaxial blocade and metabolic stress-answer in a newborn and babies in surgical diseases].
Investigation of markers of humoral stress was conducted in 25 babies (the main group), in whom a central neuroaxial blocade was performed while doing various surgical interventions. In a control group there were included 20 babies, in whom a standard atharalgesia was applied. The best efficacy was achieved while anesthesia using central neuroaxial blocade.
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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.