Vestnik khirurgii imeni I. I. Grekova
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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.
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Vestn. Khir. Im. I. I. Grek. · Jan 2007
Comparative Study[Experience with using of solutions of hydroxyethyl starch (refortan and voluven) in neuroanesthesiology].
The investigation has shown that solutions of hydroxyethyl starch included in complex infusion therapy facilitate stabilization of hemodynamics in neurosurgical patients during surgery. Refortan exerts a more pronounced effect on the indices of hemodynamics as compared with voluven, but its modifying action on the hemostasis system is also more pronounced. These medicines used in doses 6-8 ml/kg fail to have substantial effects on efficiency of hemostasis in the brain wound and do not increase risk of postoperative hemorrhagic complications.
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An analysis of 2376 case histories of patients with surgical infections has shown that in 827 (34.8%) patients the course of main disease was complicated by sepsis. The most frequent causes of the development of sepsis were surgical infections with localization in the abdominal cavity, lungs and mediastinum. ⋯ The annual growth of this category of patients was 8.3%. The outcome of abdominal sepsis was shown to depend on the score number according to scales APACHE II and SOFA, and on the timely operative treatment and beginning of antibacterial therapy.