http://ir.librarynmu.com/handle/123456789/18687 2026-04-09T23:19:08Z http://ir.librarynmu.com/handle/123456789/18716 Название: General Surgery №4 (11) 2024 2024-01-01T00:00:00Z http://ir.librarynmu.com/handle/123456789/18715 Название: A case of metachronous ascending colon cancer and synchronous primary rectal and duodenal cancer in a patient with Lynch syndrome Авторы: Susak, Y.; Leschyshyn, I.; Lobanova, O. Краткий осмотр (реферат): Multiple primary malignant tumours (MPMTs) are defined as the simultaneous or sequential occurrence of two or more primary malignant tumours in a single patient, which may originate from the same organ, paired organs, different parts of the same system, or different organs. Synchronous MPMTs develop within 6 months of the primary tumour, while metachronous ones occur more than 6 months later. The available sources have no information on metachronous or synchronous colorectal and duodenal cancer. 2024-01-01T00:00:00Z http://ir.librarynmu.com/handle/123456789/18713 Название: 26-Year perspective on stapled hemorrhoidopexy – insights into managing severe complications. Two case reports and literature review Авторы: Prokopchuk, O.; Fuchs, F.; Nedic, D.; Quaiser, D.; Novotny, H.; Friess, H.; Bachmann, J.; Spelsberg, F. Краткий осмотр (реферат): Stapled Hemorrhoidopexy, first introduced by Longo in 1998, has become a widely adopted surgical method for treating hemorrhoidal disease. This innovative procedure gained popularity due to reduced postoperative pain, shorter hospital stays, and faster recovery. However, it is not without risk and is associated with rare but severe complications that can significantly affect patient outcomes. This study describes two illustrative clinical cases of such complications. The first case involves a 41-year-old male patient who developed a perirectal hematoma accompanied by acute abdominal bleeding caused by mesenteric vessel rupture at the rectosigmoid junction. Urgent surgical intervention and intensive postoperative care were required. The second case concerns a 49-year-old female patient who experienced anal stenosis and subsequent fecal incontinence, necessitating both surgical correction and prolonged rehabilitative therapy to restore bowel function and improve quality of life. These cases emphasize the critical importance of early recognition and effective management of complications associated with stapled hemorrhoidopexy. They also highlight the necessity of a multidisciplinary approach involving colorectal surgeons, general surgeons, and gastroenterologists to optimize patient care. A comprehensive literature review identifies key risk factors for complications, including patient comorbidities, technical nuances of the procedure, and the careful selection of candidates. Best practices for preventing and managing complications are also discussed, focusing on surgical technique refinement, thorough preoperative evaluation, and enhanced staff training. These insights aim to equip clinicians with essential knowledge to minimize risks, enhance patient safety, and maintain the advantages of this innovative method. 2024-01-01T00:00:00Z http://ir.librarynmu.com/handle/123456789/18711 Название: Postoperative quality of life in patients with chronic slow-transit constipation according to the PAC-QOL scale Авторы: Leshchyshyn, I.; Markulan, L.; Okhotska, O.; Byk, P. Краткий осмотр (реферат): Chronic constipation is a common heterogeneous condition affecting all population groups, with its prevalence increasing with age. The prevalence of chronic constipation varies from 3 % to 27 % in the general population. Worldwide, the average prevalence of constipation is 16 %, with a prevalence of 33.5 % in adults aged 60 — 110 years. Information about the quality of life in patients with chronic slow transit constipation (CSTC) in Ukraine is very limited. 2024-01-01T00:00:00Z