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Biomedical subjects

Iu M Stoĭko

Publications and source records attributed to Iu M Stoĭko.

At least 19 recordsLinked to original sources
PubMed2006

[Transillumination phlebectomy in minimally-invasive surgical treatment of varicose disease].

Transillumination phlebectomy with TriVex was used in 72 patients for the surgical treatment of lower extremities varicose veins. Diagnostic protocol, indications and surgical technique are described in detail. Short- and long-term results are assessed. Transillumination guarantees clear visualization of subcutaneous veins. It is an effective method in surgical treatment of varicose disease, permits to decrease number and length of incisions, time of surgery, to achieve good functional and esthetic results.

Angioscopy↗
PubMed2006

[Differential treatment of gastroduodenal ulcerous bleedings].

Results of treatment of 827 patients with bleedings from chronic gastric and duodenal ulcers are analyzed. Potentialities of various methods of endoscopic hemostasis were studied. Diathermocoagulation was the least effective method of hemostasis (59%). Irrigation of the bleeding source provided hemostasis in 88.7% patients, combined methods - in 94.1%. Methods of irrigation are appropriate in diffuse bleeding from ulcer (Forrest 1B). Stream bleeding (Forrest 1A) is indication for combined methods of hemostasis. It is demonstrated that type of endoscopic procedure does not influence rate of bleeding recurrences. The main element of conservative treatment of gastroduodenal ulcerous bleedings is antisecretory therapy. Proton pump blockers are more effective than H2-blockers; the rate of recurrences was 5.0 and 28.9%, respectively. Prediction of bleeding recurrences and preventive operations are the main way to treatment results improvement.

Adolescent↗
PubMed2005

[Laser obliteration in the treatment of varicose disease of the lower limbs].

Experience of endovenous laser coagulation in the treatment of the varicose disease of the lower extremities is presented. This method was used in 107 patients. Surgical technique of isolated endovenous laser coagulation and combined phlebectomy was described in detail. Morphologic data on laser injury of a venous wall are presented. Short- and long-term results were evaluated with clinical and ultrasonic methods. It is demonstrated that endovenous laser coagulation may be regarded as alternative to traditional saphenectomy. This method decreases surgical trauma, number of complications and hospital stay.

Adolescent↗
PubMed2005

[The use of Ginkor Fort in the program of multimodality rehabilitation treatment of CYI patients with edematous syndrome].

Edematous syndrome is one of the most frequently occurring manifestations of chronic venous insufficiency (CVI). This paper analyzes an experience with conservative treatment of CVI patients with edematous syndrome. A complex of rehabilitation measures was used in addition to therapy by the phleboprotector Ginkor Fort. Based on the study of microcirculatory changes, malleolar volume, the thickness of subcutaneous fat as well as on subjective sensations and the quality of life in 117 patients with the edematous forms of CVI the authors have demonstrated the high efficacy of combined pharmacotherapy by Ginkor Fort and rehabilitation treatment in the given patient group.

Adult↗
PubMed2005

[Treatment of acute venous thromboses in patients with varicose disease of lower extremity veins].

The work was devoted to surgical methods of treatment of acute venous thromboses of main lower extremity veins for prevention of thromboembolic complications in patients with varicose disease of lower extremities. Possibilities of surgical correction of the venous blood flow are discussed at different variants of the course of acute venous thrombosis. An analysis of treatment of 92 patients with thrombotic lesions of the main lower extremity veins and high danger of thromboembolic complications has shown that more than 40% of patients with venous thromboembolism need treatment with surgical and medicodiagnostic endovascular interventions. Surgical and endovascular methods of prophylactics of thromboembolism of the lesser circle of blood circulation for complicated forms of chronic venous insufficiency are described.

Female↗
PubMed2004

[The potential of conservative therapy and surgical treatment of microcirculatory distress in chronic venous insufficiency of the lower extremities in a stage of trophic disorders].

The present work describes the results of an all-round examination and treatment of 120 patients suffering from different forms of chronic venous insufficiency (CVI) of the lower extremities with trophic disorders of soft tissues. Of these, varicosis was present in 91 (75.8%) patients and postthrombotic disease - in 29 (24.2%), patients. Hemomicrocireulation was examined by laser Doppler flow-metry. Assessment was made of the functional activity of neutrophilic granulocytes of the microcirculatory bed. The data were obtained indicating the decrease of skin perfusion and activation of neutrophils in the hemomicrocirculatory bed of the involved extremity at venous outflow decompensation. Of the 120 persons, conservative treatment was provided to 23 patients, in 45 patients, the conservative measures represented a stage in the preoperative preparation. Ninety-seven patients were operated on. The studies of hemomicrocirculation carried out at different times after treatment have demonstrated that conservative treatment produces a beneficial effect on hemomicrocirculatory disorders in the lower extremities of patients with CVI. However, the effects of conservative therapy are unstable and not long-lasting. Surgical correction of the venous outflow in patients with decompensated forms of CVI of the lower extremities leads to a stable improvement of the functional parameters of microcirculation.

Adult↗
PubMed2004

[The clinical and pharmaco-economic aspects of chronic venous insufficiency of the lower limbs].

Presented, herein is a review of the paper "Chronic venous insufficiency; effect of public health reforms on the cost of treatment and hospitalization. Italian prospects" by C.Allegra. The paper evaluates the effect of public health reforms carried out in Italy on the cost of the treatment of patients suffering from chronic venous insufficiency of the lower limbs. It is demonstrated that the change over in Italy to the American system of the classification of the diagnoses and discontinuance of donations for phlebotropic drugs has led to a 23.6 million euro rise of the annual expenditures for the treatment of this group patients due to an increase of the expenditures for hospitalization as well as to material redistribution of the financial expenditures from outpatients to inpatients. The review also contains the results of the author's investigations related to the clinical and economic estimation of the treatment of patients with different forms of varicosity using different types of analysis of the financial expenditures.

Chronic Disease↗
PubMed2003

[Application of early sutures in complex treatment of purulent wounds].

The examination and treatment of 841 patients with purulent diseases and acute purulent surgical diseases of soft tissues included 486 patients (control group) treated by a traditional (open) method and 355 patients (main group) treated by complex methods using early sutures. The primary suture was used in 124 patients. The average number of bed-days in this group of patients was (11.5 +/- 0.2) days. The primary delayed suture was used in 192 patients--the average number of bed-days was (12.8 +/- 0.1) days. The early secondary suture was used in 27 patients--the average number of bed-days was (17.3 +/- 0.4) days. In 327 (92.1%) cases of the main group patients the healing of the wounds by primary intention was obtained with good functional and cosmetic results which allowed to make the period of hospital treatment at an average 12.2 days shorter.

Acute Disease↗
PubMed2002

[Ulcerous gastrointestinal bleedings].

On the basis of the study of 2388 patients with chronic gastric and duodenal ulcers complicated by acute bleeding, the most disputable organizational and tactical issues of ulcer bleeding (UB) treatment are discussed. It is reasonable to divide surgery for UB into urgent, delayed and elective. Indications for different surgeries in UB and basic surgical principles are discussed. Severe blood loss is the main factor of general lethality. Combined conservative therapy must provide correction of posthemorrhagic tissue hypoxia, functional disorders, hemostatic disturbances and immunosuppression. Artificial transmitters of oxygen and infusion of antihypoxants are promising in management of UB. Antisecretory drugs are a necessary component of conservative treatment in UB. Therapeutic endoscopy is important in the treatment of acute UB, but it is not alternative to surgical hemostasis. It may be regarded as a method of temporary hemostasis before delayed for more than 2 hours operation or as a method of final hemostasis in combined conservative treatment, first of all in patients of "surgical risk" group.

Blood Chemical Analysis↗
PubMed2002

[Multilayer deep hernioplasty by E. Shouldice method in inguinal hernias].

The article gives a detailed description of steps of performing multilayer deep hernioplasty after E. Shouldice. In order to substantiate the possibilities to perform the procedure the structure of the transverse fascia in the ilioinguinal area was investigated in 20 corpses without hernias as compared with those having hernias. The data obtained give qualitative characteristics of the content of the collagen and elastic fibers of the transverse fascia. Their amount was proved to be 1.5-2 times less as compared with normal. Under analysis were results of surgical treatment of 786 patients with inguinal hernias. Long-term results of the surgical treatment were studied in 281 patients operated by the method of the multilayer deep hernioplasty after E. Shouldice. The method of surgical treatment of inguinal hernias was proved to be pathogenetic and highly reliable.

Adult↗
PubMed2001

[Bacteriological features of peritonitis in perforative gastroduodenal ulcer].

Bacteriological investigation of 137 probes of the exudate from the abdominal cavity has revealed positive results in 60.6%. The detection of microbial flora was the more frequent the greater was the spread and degree of peritonitis. The monoculture was revealed in 92.8%, the colibacillus being the most frequent. The isolated microbial flora was sensitive to antibiotics of the cephalosporin group.

Bacteria↗
PubMed2001

[Diagnosis and treatment of iatrogenic and criminal injuries of the esophagus].

An experience with treatment of iatrogenic and criminal traumas of the esophagus included 57 patients. There were 36 patients with iatrogenic traumas (perforation of the esophagus during diagnostic and curative manipulations and operations on the lungs and esophagus). Different kinds of operations were made depending on the localization of the injury. Three patients of this group died. Criminal traumas of the esophagus (wounds with cold steel) were treated in 21 patients, sutures on the esophagus were put in 19 of them, drainage--in 2 patients. All the patients recovered. Better results of treatment of the penetrating iatrogenic and criminal injuries of the esophagus can be achieved by timely diagnosis and operation using the proper volume and method.

Adolescent↗