Khirurgiia
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Randomized Controlled Trial Comparative Study
[The efficacy of the moisture and warmed CO(2) for laparoscopic surgery].
A prospective, randomized study comparing 150 patients undergoing laparoscopic operations (110 patients undergoing laparoscopic cholesystectomy and 40 patients laparoscopic fundoplication) with standard CO2 insufflation vs those receiving warmed, humidified CO2 was performed. All patients were randomized into 2 groups - 84 receiving standard CO2 insufflation (control group) and 66 receiving warmed, humidified CO2 (main group). ⋯ We revaeled that warmed, humidified CO2 has advantages that were statistically significant. Patients undergoing warmed, humidified carbon dioxide (CO2) insufflation for maintain a warmer intraoperative core temperature, and have less postoperative pain and need less analgesic requirements than patients with standard CO2 insufflation.
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The study aimed to work out the method of cryodestruction of brain tumors. 10 patients with neuroepithelial brain tumors were prospectively operated on with the use of cryodestruction. MRI was performed before and after the operation. ⋯ The study demonstrated that ultrasound navigation is an effective means of the cryodestruction control on all stages. The cryodestruction itself is a miniinvasive, easily controlled and effective method, applicable for tumors, located in functionally important regions of the brain, where major surgery could be mutilating.
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Case Reports
[The miniinvasive technologies in surgical treatment of diseases and traumas of the spine].
The analysis of miniinvasive surgery for degenerative and traumatic diseases of the spine was conducted. Such methods as microsurgical diskectomy, dynamic implants, vertebroplasty, vertebrae stenting were featured. The use of miniinvasive methods allow the sunstantioal decrease of the hospital-stay time and fasten the rehabilitation.
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Treatment results of 96 patients with ischemic heart disease, operated on with the use of artificial blood circulation and polycomponent anesthesia, were analyzed. The modified protocol of infusion therapy and functional tests (passive limb elevation and volume load test) were used to assess the dynamic vascular reaction among patients of the main group (n=54). ⋯ The simultaneous monitoring of tissue and brain oxygenation permits adequate assessment and correction of short vascular reactions during the cardiac surgery. During short vascular reactions the tissue perfusion in the absence of cardiac insufficiency changes in an inverse proportion to arterial blood pressure.