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Tarasov EE, Nishnevich EV, Prudkov MI, Bagin VA, Salemyanov AZ, Korishch YA, Korishch DA, Anferov ID. [Laparoscopic totally extraperitoneal repair of strangulated groin hernia]. Khirurgiia (Mosk) 2022:42-47. [PMID: 35477199 DOI: 10.17116/hirurgia202204142] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
OBJECTIVE To study the possibility of totally extraperitoneal repair combined with diagnostic laparoscopy in the treatment of strangulated groin hernias (Laparoscopy-Assisted Totally Extraperitoneal Plasty, LATEP). MATERIAL AND METHODS We analyzed the results of laparoscopic totally extraperitoneal hernia repair. The trocar placement technique was modified. There were 38 patients with strangulated groin hernia. The sample included 26 patients with strangulated inguinal hernia, 9 ones with strangulated femoral hernia and 3 patients with recurrent strangulated inguinal hernia. RESULTS LATEP was attempted in 38 patients and successful in 37 (97.3%) cases. In 1 (2.6%) patient, correction of small bowel strangulation was failed and conversion to open surgery was required. In 29 patients (76.3%), correction of strangulation was performed after laparoscopy-assisted external manipulations and careful traction from abdominal cavity. In 8 (21%) cases, strangulation spontaneously regressed before laparoscopy. Laparoscopy confirmed viability of strangulated organs in 36 patients. One (2.6%) patient required bowel resection due to small intestine wall necrosis. Later, all patients underwent totally extraperitoneal repair. We were able to prevent the contact of hernia sac fluid with the implant in all cases. At the stage of preperitoneal repair, local damage to peritoneum occurred in 9 patients. Nevertheless, sealing was not required since hernia fluid was previously removed from abdominal cavity. There were no signs of implant infection and hernia recurrence within 6-14 months. CONCLUSION Totally extraperitoneal repair combined with diagnostic laparoscopy is possible for strangulated groin hernias.
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Affiliation(s)
- E E Tarasov
- Ural State Medical University, Yekaterinburg, Russia.,City Clinical Hospital No. 40, Yekaterinburg, Russia
| | - E V Nishnevich
- Ural State Medical University, Yekaterinburg, Russia.,City Clinical Hospital No. 40, Yekaterinburg, Russia
| | - M I Prudkov
- Ural State Medical University, Yekaterinburg, Russia.,City Clinical Hospital No. 40, Yekaterinburg, Russia
| | - V A Bagin
- Ural State Medical University, Yekaterinburg, Russia.,City Clinical Hospital No. 40, Yekaterinburg, Russia
| | | | - Ya A Korishch
- Ural State Medical University, Yekaterinburg, Russia.,City Clinical Hospital No. 40, Yekaterinburg, Russia
| | - D A Korishch
- Ural State Medical University, Yekaterinburg, Russia
| | - I D Anferov
- Ural State Medical University, Yekaterinburg, Russia.,City Clinical Hospital No. 40, Yekaterinburg, Russia
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Panin SI, Beburishvili AG, Prudkov MI, Sovtsov SA, Timerbulatov VM, Bykov AV, Abdullaev EG, Khasanov AG, Nishnevich EV, Fedorov AV. [Open and laparoscopic surgery via minimally invasive approach in the treatment of perforated ulcer: a systematic review and metaanalysis]. Khirurgiia (Mosk) 2021:94-100. [PMID: 33570362 DOI: 10.17116/hirurgia202102194] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
OBJECTIVE Systematic review and metaanalysis of the effectiveness of open and minimally invasive laparoscopic suturing of perforated peptic ulcer. MATERIAL AND METHODS Searching for Russian and English language reports included Scientific Electronic Library, Cochrane Collaboration Library and PubMed databases. We have analyzed contents of specialized journals, reviews and their references. Unpublished data were obtained via communication with chiefs of national surgical hospitals. RevMan 5.3 software was used for metaanalysis. RESULTS We found no international randomized trials in available literature. Metaanalysis was based on national non-randomized studies. Total sample was 1177 cases. Laparoscopic minimally invasive surgery was performed in 43% of cases (n=503), open suturing - in 57% (n=674) of patients. Choice of these procedures is not currently not standardized. Minimally invasive procedures are shorter in time (mean difference -8.02, 95% CI -11.26 - -4.77, p<0.00001) and ensure less hospital-stay (mean difference -1.93, 95% CI -2.97 - -0.88, p=0.0003). Complications were less common (OR 0.14, 95% CI 0.07-0.27, p<0.00001) after minimally invasive operations (2.4%, 12/503) compared to laparotomy (11.4%, 77/674). Incidence of suture failure was similar (OR 0.4, 95% CI 0.1-1.6, p=0.2) (0.4% (2/503) vs. 0.7% (5/674)). Postoperative mortality was higher (OR 0.14, 95% CI 0.05-0.37, p<0.0001) after laparotomy (8%, 54/674) compared to laparoscopy (0.8%, 4/503). CONCLUSION A metaanalysis indicates the advantage of laparoscopy-assisted suturing of perforated ulcer via minimally invasive approach over laparotomy. The absence of a standardized approach in choosing of minimally invasive laparotomy and conventional approach is a limitation of these results.
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Affiliation(s)
- S I Panin
- Volgograd State Medical University, Volgograd, Russia
| | | | - M I Prudkov
- Ural State Medical University, Ekaterinburg, Russia
| | - S A Sovtsov
- South Ural State Medical University, Chelyabinsk, Russia
| | | | - A V Bykov
- Volgograd State Medical University, Volgograd, Russia
| | | | | | | | - A V Fedorov
- Vishnevsky National Medical Research Center of Surgery, Moscow, Russia
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Khatkov IE, Avanesyan RG, Akhaladze GG, Beburishvili AG, Bulanov AY, Bykov MI, Vinnitskaia EV, Virshke ER, Gabriel SA, Granov DA, Darvin VV, Dolgushin BI, Dyuzheva TG, Efanov MG, Korobka VL, Korolev MP, Kulabukhov VV, Maystrenko NA, Melekhina OV, Nedoluzhko IY, Okhotnikov OI, Pogrebnyakov VY, Polikarpov AA, Prudkov MI, Ratnikov VA, Solodinina EN, Stepanova YA, Subbotin VV, Fedorov ED, Shabunin AV, Shapovalyants SG, Shulutko AM, Shishin KV, Tsvirkun VV, Chzhao AV, Kulezneva YV. Diagnostic and conservative treatment nuances in patients with obstructive jaundice: in the wake of Russian consensus. TERAPEVT ARKH 2021; 93:138-144. [DOI: 10.26442/00403660.2021.02.200619] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2021] [Accepted: 04/05/2021] [Indexed: 12/07/2022]
Abstract
The research was performed at the Loginov Moscow Clinical Scientific Center. It is based on Russian obstructive jaundice (OJ) consensus results, considered at the 45th annual Central Research Institute of Gastroenterology Scientific session Oncological issues in the gastroenterologist practice (1 March 2019). The article objective is to note the diagnostic and conservative treatment current issues in patients with OJ. The increase in the number of patients with OJ of different etiology provides problem actuality. In a large number of cases, medical treatment is delayed due to inadequate diagnostic and management, while correct patients routing today can be provided regardless of medical institution level. In this article the examination steps and conservative treatment role in patients with biliary obstruction management are presented.
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Khatkov IE, Avanesyan RG, Akhaladze GG, BeburIshvili AG, Bulanov AY, Bykov MI, Virshke EG, Gabriel SA, Granov DA, Darvin VV, Dolgushin BI, Dyuzheva TG, Efanov MG, Korobka VL, Korolev MP, Kulabukhov VV, Maystrenko NA, Melekhina OV, Nedoluzhko IY, Okhotnikov OI, Pogrebnyakov VY, Polikarpov AA, Prudkov MI, Ratnikov VA, Solodinina EN, Stepanova YA, Subbotin VV, Fedorov ED, Shabunin AV, Shapovalyants SG, Shulutko AM, Shishin KV, Tsvirkun VN, Chzhao AV, Kulezneva YV. [Russian consensus on current issues in the diagnosis and treatment of obstructive jaundice syndrome]. Khirurgiia (Mosk) 2020:5-17. [PMID: 32573526 DOI: 10.17116/hirurgia20200615] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
The Russian consensus document on topical issues of the diagnosis and treatment of obstructive jaundice syndrome was prepared by a group of experts in various fields of surgery, endoscopy, interventional radiology, radiological diagnosis and intensive care. The goal of this document is to clarify and consolidate the opinions of national experts on the following issues: timing of diagnosis of obstructive jaundice, features of diagnostic measures, the need and possibility of conservative measures for obstructive jaundice, and strategy of biliary decompression depending on the cause and level of biliary block.
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Affiliation(s)
- I E Khatkov
- Loginov Moscow Clinical Research Center, Moscow, Russia
| | - R G Avanesyan
- St. Petersburg City Mariinskaya Hospital, St. Petersburg, Russia
| | | | | | - A Yu Bulanov
- Moscow City Clinical Hospital No. 52, Moscow, Russia
| | - M I Bykov
- Ochapovsky Regional Clinical Hospital No. 1, Krasnodar, Russia
| | - E G Virshke
- Blokhin National Medical Research Center of Oncology, Moscow, Russia
| | - S A Gabriel
- Regional Clinical Hospital No. 2, Krasnodar, Russia
| | - D A Granov
- Granov Russian Research Center of Radiology and Surgical Technologies, St. Petersburg, Russia
| | - V V Darvin
- Surgut Regional Clinical Hospital, Surgut, Russia
| | - B I Dolgushin
- Blokhin National Medical Research Center of Oncology, Moscow, Russia
| | - T G Dyuzheva
- Sechenov First Moscow State Medical University, Moscow, Russia
| | - M G Efanov
- Loginov Moscow Clinical Research Center, Moscow, Russia
| | - V L Korobka
- Rostov Regional Clinical Hospital, Rostov-On-Don, Russia
| | - M P Korolev
- St. Petersburg City Mariinskaya Hospital, St. Petersburg, Russia
| | - V V Kulabukhov
- Blokhin National Medical Research Center of Oncology, Moscow, Russia
| | | | - O V Melekhina
- Loginov Moscow Clinical Research Center, Moscow, Russia
| | | | | | | | - A A Polikarpov
- Granov Russian Research Center of Radiology and Surgical Technologies, St. Petersburg, Russia
| | - M I Prudkov
- Sverdlovsk Regional Clinical Hospital No. 1, Sverdlovsk, Russia
| | - V A Ratnikov
- Sokolov Clinical Hospital No. 122, St. Petersburg, Russia
| | - E N Solodinina
- Central Clinical Hospital with Polyclinic of the Presidential Administration, Moscow, Russia
| | - Yu A Stepanova
- Vishnevsky National Research Center of Surgery, Moscow, Russia
| | - V V Subbotin
- Loginov Moscow Clinical Research Center, Moscow, Russia
| | - E D Fedorov
- Pirogov Russian National Research Medical University, Moscow, Russia
| | - A V Shabunin
- Botkin Municipal Clinical Hospital, Moscow, Russia
| | - S G Shapovalyants
- Pirogov Russian National Research Medical University, Moscow, Russia
| | - A M Shulutko
- Sechenov First Moscow State Medical University, Moscow, Russia
| | - K V Shishin
- Loginov Moscow Clinical Research Center, Moscow, Russia
| | - V N Tsvirkun
- Loginov Moscow Clinical Research Center, Moscow, Russia
| | - A V Chzhao
- Vishnevsky National Research Center of Surgery, Moscow, Russia
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Abstract
Acute cholecystitis (AC) is one of the most common surgical diagnoses in emergency setting. Despite its high incidence there remains a range of treatment approaches. There is growing evidence in support of performing early cholecystectomy for acute cholecystitis but the definition of early operation varies from 0 through 10 days from onset or admission. The optimum time to perform cholecystectomy is still controversial. Aim. To determine the best practice for the patients presenting with AC focused on patients characteristics, timing of surgery, disease severity and intra- and postoperative complications. Materials and Methods. A multicentric retrospective study was conducted and included 754 patients operated for acute cholecystitis at 8 hospitals in 4 cities of Russian Federation (Moscow, Yekaterinburg, Volgograd, Kislovodsk) during 1 year period (from Jan 1, 2011 to Dec 31, 2011). Median time from symptoms onset to hospitalization varied from 15 to 72 hours, and median time spent at hospitals before operation was 9-71 hours. Results. We found that optimal time for cholecystectomy is 60 hours from the onset of symptoms in Grade I AC (TG18) and 36 hours for patients with Grade II of the disease. Delay of the operation beyond this time leads to more difficult cholecystectomies and higher complication rates. We compared results of the surgical treatment of AC in 2 groups of patients, operated in median 9 [4; 13] and 50 [29; 88] hours from admission using propensity score matching technique. Rate of Grade I AC in the 1st group was higher (59,8% vs 17,0%, p < 0,001) and incidences of gangrenous cholecystitis (15,3% vs 34,1%, p < 0,001) and difficult cholecystectomies (28,4% vs 41,5%, p=0,003) were lower. The Integral Complications Severity Index (based on Accordion classification and takes into account all intra- and postoperative complications and summarizes their respective severity) was also lower in the 1st group. Conclusions. The optimal time for cholecystectomy for mild (Grade I) acute cholecystitis is 60 hours of presentation of disease and for Grade II - 36 hours from symptoms onset. Cholecystectomy performed after short trial conservative treatment in 6-8 hours from admission yielded the best outcomes.
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Mersaidova KI, Prudkov MI, Nishnevich EV, Bagin VA, Tarasov EE, Isakova EV. [Laparoscopic rendezvous surgery for cholecystocholedocholithiasis]. Khirurgiia (Mosk) 2019:36-41. [PMID: 31355812 DOI: 10.17116/hirurgia201907136] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
OBJECTIVE To present a modified technique of laparoscopic surgery (Rendezvous technique) for cholecystocholedocholithiasis. MATERIAL AND METHODS There were 41 patients with cholecystocholedocholithiasis who underwent hybrid single-stage laparoscopic surgery (Rendezvous technique) as an alternative to conventional two-stage approach. RESULTS Two (4.8%) patients had elevated serum amylase level without signs of pancreatitis in postoperative period. Other 2 patients required redo transpapillary intervention due to residual stones. Laparoscopic interventions were successful in 95.2% of cases.
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Affiliation(s)
- K I Mersaidova
- Munitsipal Clinical Hospital No.40, Yekaterinburg, Russia
| | - M I Prudkov
- Ural State Medical University of Ministry of Health of the Russia, Yekaterinburg, Russia
| | - E V Nishnevich
- Munitsipal Clinical Hospital No.40, Yekaterinburg, Russia; Ural State Medical University of Ministry of Health of the Russia, Yekaterinburg, Russia
| | - V A Bagin
- Munitsipal Clinical Hospital No.40, Yekaterinburg, Russia; Ural State Medical University of Ministry of Health of the Russia, Yekaterinburg, Russia
| | - E E Tarasov
- Munitsipal Clinical Hospital No.40, Yekaterinburg, Russia
| | - E V Isakova
- Ural State Medical University of Ministry of Health of the Russia, Yekaterinburg, Russia
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Tarasov EE, Bagin VA, Nishnevich EV, Astafyeva MN, Rudnov VA, Prudkov MI. [Epidemiology and risk factors of adverse outcome in nonvariceal upper gastrointestinal bleeding]. Khirurgiia (Mosk) 2019:31-37. [PMID: 31169816 DOI: 10.17116/hirurgia201905131] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
AIM To identify risk factors of adverse outcomes in patients with nonvariceal upper gastrointestinal bleeding. MATERIAL AND METHODS Epidemiological observational analytical longitudinal retrospective cohort study included 312 patients who were hospitalized in the Clinical Hospital #40 of Yekaterinburg in 2014-2016. The main inclusion criterion was nonvariceal upper gastrointestinal bleeding. RESULTS In-hospital mortality was 31 (9.9%) of 312 patients. Multivariate analysis confirmed the following risk factors of mortality: severity of blood loss (OR 22.70, 95% CI 5.08-102.00); open surgery (OR 15.20, 95% CI 2.71-74.80); M. Charlson comorbidity index (OR 2.15, 95% CI 1.34-3.43); risk of recurrent bleeding according to T. Rockall scale (OR 1.76, 95% CI 1.18-2.64). CONCLUSION Independent risk factors of adverse outcomes in patients with nonvariceal upper gastrointestinal bleeding are severe hemorrhagic shock, open surgery, high M. Charlson comorbidity index and risk of recurrent bleeding according to T. Rockall scale.
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Affiliation(s)
- E E Tarasov
- City Clinical Hospital #40, Yekaterinburg, Russian Federation
| | - V A Bagin
- City Clinical Hospital #40, Yekaterinburg, Russian Federation
| | - E V Nishnevich
- City Clinical Hospital #40, Yekaterinburg, Russian Federation; Ural state medical university, Ministry of health of the Russian Federation, Yekaterinburg, Russian Federation
| | - M N Astafyeva
- City Clinical Hospital #40, Yekaterinburg, Russian Federation
| | - V A Rudnov
- City Clinical Hospital #40, Yekaterinburg, Russian Federation; Ural state medical university, Ministry of health of the Russian Federation, Yekaterinburg, Russian Federation
| | - M I Prudkov
- Ural state medical university, Ministry of health of the Russian Federation, Yekaterinburg, Russian Federation
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Kochmashev IV, Prudkov MI, Mansurov YV, Sherstobitov VE, Shushanov AP, Chernyshev SD, Galimzyanov FV. ENDOVASCULAR INTERVENTIONS FOR PANCREATIC BLEEDINGS. ACTA ACUST UNITED AC 2017. [DOI: 10.16931/1995-5464.2017230-35] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Beburishvili AG, Prudkov MI, Shulutko AM, Natroshvili AG, Panin SI, Nesterov SS, Natroshvili IG. [The comparative analysis of laparoscopic and minilaparotomic techniques in emergency abdominal surgery]. Khirurgiia (Mosk) 2013:53-57. [PMID: 23503351] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
Owing the experience of 16 101 miniinvasive operations by acute diseases of the abdominal cavity, the authors pose that the introduction of polytechnological methods has certain perspectives. The combination of different methods with the use of modern technologies lead to better results.
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Prudkov MI, Stolin AV, Karmatskikh AI. [Rapid diagnosis of purulent-destructive forms of acute calculous cholecystitis]. Khirurgiia (Mosk) 2005:32-4. [PMID: 16007022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/03/2023]
Abstract
Results of examinations and treatment of 200 patients with acute calculous cholecystitis were analyzed. It is demonstrated that risk of purulent-destructive forms depends on nature of pathologic process in the gall bladder. Among patients with obstructive calculous cholecystitis 79.7% underwent surgery due to purulent-destructive forms of the disease, with non-obstructive calculous cholecystitis -- 38.9%. Risk of intraabdominal complications depends on the fact of obstruction of gallbladder neck and extrahepatic bile ducts. Algorithm of a rapid diagnosis was diagnosed. It permits to diagnose purulent-necrotic forms of acute calculous cholecystitis in 63.5% patients during 2 hours and in 85.7% patients during 6 hours from the time of hospitalization that ensures timely surgery.
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Vetshev PS, Shulutko AM, Prudkov MI. [Surgical treatment of cholelithiasis: stable principles, sparing technologies]. Khirurgiia (Mosk) 2005:91-3. [PMID: 16145774] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/04/2023]
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Prudkov MI, Titov KV. [Cholecystogenic cyst after mucoclasis of the gallbladder as a cause of postcholecystectomy syndrome]. Vestn Khir Im I I Grek 2002; 160:79-80. [PMID: 11901632] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/24/2023]
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Levit AL, Prudkov MI, Korkin OV, Razzhigaeva NE. [A scale for estimating multiple organ dysfunction in surgical patients]. Anesteziol Reanimatol 2000:26-8. [PMID: 10900716] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/17/2023]
Abstract
A scale is proposed for estimating the severity of multiple organ dysfunction in surgical patients and its changes in the course of treatment. The scale was tried in 37 patients after abdominal operations. Estimations performed by means of the scale ore revealed good correlation with the patient's clinical status. Routine parameters are used in the scale, which facilitates its utilization in any surgical intensive care. The scale helps evaluate the severity of each system damage.
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Prudkov MI. [Minilaparotomy and "open" laparoscopic surgeries in treatment of patients with cholelithiasis]. Khirurgiia (Mosk) 1997:32-5. [PMID: 9121042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
The theoretical bases and techniques of an original method for operations on the abdominal organs and peculiarities of the instruments used are discussed. The results of treatment of 374 patients by "open" laparoscopic operations are shown. These were: cholecystectomy with intraoperative cholangiography, choledochotomy, choledocholithotomy, choledochostomy and formation of choledochoduodenostomy. The author claims that the method supplements the conventional laparoscopic and laparotomy method of transabdominal operations. It is suggested that such methods may prove valuable in urology and gynecology.
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Affiliation(s)
- M I Prudkov
- Surgical Clinic, Faculti of Advanced Training for Doctors of Ural State Medical Institute, Ekaterinburg
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Prudkov ID, Prudkov MI. [Transfistular endoscopic resection of residual stones in the bile ducts]. Khirurgiia (Mosk) 1983:64-7. [PMID: 6632629] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
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Prudkov MI. [Extraction of stones from the hepaticocholedochus and bougienage of the major duodenal papilla via the cholecystostoma]. Khirurgiia (Mosk) 1981:103-4. [PMID: 7311335] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
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Prudkov ID, Vikhriev SS, Khodakov VV, Prudkov VV, Prudkov MI, Dorofeeva IG. [Conservative treatment of hepaticocholedochus stones via external biliary fistulae]. Vestn Khir Im I I Grek 1978; 120:45-8. [PMID: 354175] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
The experience with non-surgical treatment of retained stones in 13 patients is described. The treatment was successful in 8 cases. The method of dissolution of the stones and their mechanical removal with the help of a lithotrap of own design was used. The conclusion is drawn, that the treatment of the patients with gallstones in presence of external biliary fistulas should start from conservative methods.
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