Vestnik khirurgii imeni I. I. Grekova
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Vestn. Khir. Im. I. I. Grek. · Jan 2007
[Clinical significance of inflammation markers in abdominal sepsis patients].
Possibilities of using C-reactive protein (CRP), procalcitonin (PCT), interleukin-6 (IL-6), lactoferrin (LF) and sorption ability of erythrocytes (SAE) as markers of the severity, prognosis and criteria of effectiveness of treatment were studied in 334 patients with abdominal sepsis. The investigation of the sepsis marker dynamics has shown that fast kinetics of CRP and PCT makes it impossible to assess the prognosis and effectiveness of treatment using these markers. IL-6, LF and SAE are the only ones to be used for this purpose.
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Vestn. Khir. Im. I. I. Grek. · Jan 2007
Comparative Study[Potentialities of videothoracoscopy in diagnostics and treatment of traumatic hemothorax].
Therapeutic-diagnostic videothoracoscopy was used in complex treatment of hemothorax in 86 patients for isolated and combined stab-slash wounds and closed traumas of the chest. Thoracoscopy was not used in 321 patients with the same pathology taken as control. It was found that videothoracoscopy used for medium and big hemothorax always allowed the doctors to make the precise topical diagnosis of chest injury and due to medicinal endosurgical manipulations the thoracotomies were made 2.1 times more rarely, the duration of pleural drainage was 2.2 times shorter. Complications of the traumatic disease were 1.6 times less often, the time of in-patient treatment and lethality 1.3 times less.
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Vestn. Khir. Im. I. I. Grek. · Jan 2007
[Multimodal neuronavigation and intraoperative ultrasound visualization in the surgery of intracranial tumors].
The author presents an analysis of using neuronavigation and intraoperative ultrasound in 317 patients after surgical treatment of intracranial tumors. High efficacy of the intraoperative ultrasound visualization has been shown in the detection of remaining parts of the intracranial tumor, improved radical surgery and less lesion to the brain. The strategy of using neuronavigation and intraoperative ultrasound visualization with the tumor size (volume) taken into consideration has been developed.
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Vestn. Khir. Im. I. I. Grek. · Jan 2007
[Compensation of operation blood loss by autohemotransfusion with intraoperative blood taking or infusion of colloid and crystalloid solutions].
Compensation of operation blood loss up to 10% of the circulating blood volume (CBV) by autohemotransfusion with intraoperative blood collection (33 patients) and infusion of colloid and crystalloid solutions (33 patients) was studied. It was shown that the intraoperative blood loss up to 10% of CBV resulted in statistically considerable changes in hemoglobin, packed cell volume, erythrocytes, and fibrinogen appearing by the moment of blood loss compensation; within 4-6 hours after surgery the changed clinical and hemostasiological indices caused by blood loss up to 10% of CBV were rapidly arrested by autohemotransfusion with the intraoperatively collected blood or infusion of colloid and crystalloid solutions. No advantages of autohemotransfusion with the intraoperatively collected blood over the infusion of colloid and crystalloid solutions were found in compensation of intraoperative blood loss up to 10% of CBV.