http://ir.librarynmu.com/handle/123456789/18689 2026-04-10T01:16:25Z 2026-04-10T01:16:25Z http://ir.librarynmu.com/handle/123456789/18740 2026-03-20T11:34:14Z 2024-01-01T00:00:00Z

Название: General Surgery №2 (9) 2024

2024-01-01T00:00:00Z Kravets, O. Yekhalov, V. Gorbuntsov, V. http://ir.librarynmu.com/handle/123456789/18739 2026-03-20T11:20:47Z 2024-01-01T00:00:00Z

Название: Pathophysiology of the gastrointestinal tract in burn disease Авторы: Kravets, O.; Yekhalov, V.; Gorbuntsov, V. Краткий осмотр (реферат): The review of foreign publications resulted in a generalisation of medical reports on the pathological changes of the gastrointestinal tract in burn disease. Burn disease produces an immediate reaction in all organs and systems, which are not always able to maintain homeostasis and frequently suffer pathophysiological and morphological damage. One of those target systems is the gastrointestinal tract. Only in very rare cases do severe (mainly electrical) burns cause direct injury to the abdominal cavity organs, thus resulting in a very severe clinical course and high mortality. Patients of all ages who have experienced a burn injury have an increased overall risk of developing gastrointestinal diseases, which include pathology of the esophagus, stomach, and intestines, as well as lesions of the gallbladder, biliary tract, and pancreas. With a burn area of 40 — 95 %, 5.7 % of the victims were diagnosed with pathology of the abdominal organs. Among them, 26.0 % had an abdominal catastrophe (infarction or perforation), 37.0 % had bleeding from the upper parts of the gastrointestinal tract, 32.0 % had paralytic intestinal obstruction, and 5.0 % developed pancreatitis and acute necrotizing cholecystitis. Large burns are usually associated with a significant decrease in splanchnic perfusion. After severe burns, intestinal ischemia and hypoxia disrupt the intestinal epithelial barrier and enteric bacterial translocation, leading to serious complications such as systemic inflammatory response syndrome, sepsis, and multiple organ failure. Peritonitis or gastrointestinal bleeding accounted for 88.2 % of deaths among patients with gastrointestinal dysfunction. In general, gastrointestinal dysfunction was more common in patients with inhalation injuries, burn shock, large burn areas, and high analgesic requirements.

2024-01-01T00:00:00Z Panchuk, O. Donets, I. Galperin, K. http://ir.librarynmu.com/handle/123456789/18738 2026-03-20T11:16:51Z 2024-01-01T00:00:00Z

Название: A clinical case of secondary breast augmentation after previous implants removal Авторы: Panchuk, O.; Donets, I.; Galperin, K. Краткий осмотр (реферат): The patient underwent primary breast augmentation at a different clinic. Two years later, the implants were replaced with larger breast implants (500 ml each). Three months after the procedure, inflammation of the right and left mammary glands occurred, which led to the removal of both implants. The patient was 24 years old when the surgery took place. She underwent a preoperative examination in accordance with the standards set by the Ministry of Health of Ukraine. The patient came to us for breast augmentation, correction of mammary gland contour imperfections, and management of postoperative scars. Round-shaped and moderate-profile implants were selected. Implant parameters: width 13 cm, projection 4.4 cm, implant texture — microtexture, volume 400 ml. We placed the implants in the retropectoral space, and used the dual-plane method for cavity formation. The surgical procedure lasted for a total of 140 minutes. The duration of the patient’s hospitalisation was one day. No drains were used. The scars on the abdomen were also corrected and fixed in the projection of the inframammary fold. No complications occurred in the postoperative period. The patient received antibiotic therapy and took nonsteroidal anti-inflammatory drugs. Postoperative wound management was carried out. We prescribed compression underwear for the patient to wear for two months after surgery. Mammoplasty is a commonly performed procedure in plastic surgery. It aims to produce predictable and agreedupon aesthetic outcomes for the patient while maintaining a low rate of complications by adhering to modern surgical standards. The patient experienced complications that led to a significant scarring process. The pectoralis major muscle had a significant deformity, and the tissue showed scarring. The lack of muscle elasticity complicated the implant placement, leading to specific challenges throughout the operation. The occurence of complications following mammoplasty invariably has a lasting impact on the capsule’s formation and increases the risk of developing both early and late postoperative issues.

2024-01-01T00:00:00Z Demtröder, C. Agarius, H. Le, T. Kirchmeyer, P. Utz, D. Giger-Pabst, U. Dajchin, D. http://ir.librarynmu.com/handle/123456789/18737 2026-03-20T11:13:12Z 2024-01-01T00:00:00Z

Название: Lemniscate intestinal loop through an internal hernia after Roux-en-Y gastric bypass cause of coecum mobile. A case report Авторы: Demtröder, C.; Agarius, H.; Le, T.; Kirchmeyer, P.; Utz, D.; Giger-Pabst, U.; Dajchin, D. Краткий осмотр (реферат): The internal hernia is a typical complication after laparoscopic Roux-en-Y gastric bypass surgery. In most cases, there are chronic symptoms that only lead to a diagnostic laparoscopy during the diagnostic exclusion procedure. Less common is acute internal hernia with devastating pain, ileus symptoms and even the development of intestinal gangrene. Although this case describes a typical constellation, it posed a particular challenge because it resulted in mesenteric lemniscate-like torsion through the Petersen pouch.

2024-01-01T00:00:00Z