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Biomedical subjects

M V Bondarenko

Publications and source records attributed to M V Bondarenko.

15 recordsLinked to original sources
PubMed2005

[Decrease of the surgical risk level due to enhancement of the operative activity].

The surgical risk dynamics was studied up, basing on the scientific investigations data, performed during last 30 years. Basing on controversies existed in majority of aspects while performing the risk estimation calculation the need for the process to gain objective was established. The mathematical modelling procedure was proposed for the risk estimation. There were studied the influence of the surgeon qualification on the operative treatment volume and the result, as well as the surgeons of highest qualification occupation when the quantity of severely ill patients in emergency surgery enhances. The results, witnessing the reduction of the surgical risk factors influence while operative activity enhances, were adduced.

Models, Theoretical↗
PubMed2004

[Strategies in the surgery choice in patients with hepato-pancreatic-duodenal-biliary diseases involving cardiovascular and respiratory system diseases].

Results of treatment of 38 patients, suffering nontumoral and tumoral diseases of the hepatopancreatoduodenal zone organs and concurrent diseases of cardiovascular and respiratory systems were analyzed. Septic-purulent affections, caused by the principal disease, had constituted the leading complication in occlusion-stenotic affection of cardiac coronary vessels. Due to the alternative absence the majority of the patients were operated on with lethal outcome. Basing on analysis of morphometric investigations of cardiac vessels there was suggested the expedience of coronarographic investigation conduction and, basing on its results, to perform preoperatively the balloon dilatation or stenting of cardiac coronary vessels, independently of kind of the main disease present. In presence of haemodynamically significant stenosis of the cardiac coronary vessels trunk and main branches (more than 70% of their lumen) the lethal outcome risk after performance of operative intervention is very high.

Cardiovascular Diseases↗
PubMed2004

[Revision laparotomy in patients with high surgical risk].

Results of analysis of exitus letalis in 256 patients, in 36 of whom relaparotomy was conducted, were adduced. There were established prognostically significant factors of the surgical treatment risk, which was choosed for the absence of alternative methods. It was established, that the main cause of mortality of patients in 7.2-10.9% of cases was the complicated course of the disease. The main diseases, in which the need for relaparotomy performance occurs, are gastric, colonic, rectal, hepatopancreatobiliary zone cancer, complicated gall-stone disease. The mortality risk during performance of treatment constitutes 6.41%. In 93.8% of patients atherosclerotic affection of cardiac coronary vessels was revealed, demanding conduction of the staged cardiosurgical correction. The direct cause of the death were cardiovascular system diseases on background of the principal disease progressing.

Female↗
PubMed2004

[Surgical treatment of high risk patients with icterus].

Thorough analysis of complications and fatal cases of surgical patients has shown, that polyorganic pathology resulted in severe progressive surgical complications and considerable pathological changes of cardiovascular and bronchopulmonary systems. Minimal as possible number of surgical complications allow performing surgical operations more effectively. The results of analysis of a series of cases indicates for the necessity of improving operation technique to decrease the risk of complications. With growing experience of minimal invasive surgical technique and comparing surgical treatment results with other alternative methods of treatment, it is possible to reveal high reliable factors to prevent them.

Digestive System Diseases↗
PubMed2004

[The operative activity factors in hospital clinics and surgical departments and variants of their solution].

There were investigated the causes, influencing operative activity in hospital clinics and surgical stationaries. The operative activity limitations were influenced by factor of the organization-management tactics, equally with the patients state severity, determined by surgical disease strictly and the presence of concurrent diseases of cardiovascular and respiratory systems. It was established, that to almost 50% of patients with an acute surgical disease the special cardiological examination is indicated, what demands to change the bed fund specialization and to standardize the surgical service volume in regional hospitals. In 28.4% of observations the surgical treatment is not conducted without objective substantiation, causing the patients quantity increase, suffering severe polyorgan diseases.

Hospital Departments↗
PubMed2004

[The volume of surgery on the abdominal cavity organs in patients with associated cardiovascular and respiratory system diseases].

The cardiovascular and respiratory disturbances are the main risk factor in acute and chronic surgical deseases of the abdominal cavity organs, including oncological. It is limits the possibility and volume of the diagnostics and surgical tactics choice. The complicated current of main disease is a risk factor of operation perform and the reason of the undertaking inadequate and palliative intervention, which significant reduce of the quality of life. Real by risk level reductions in surgery is a determination of tissues viability, estimation of compensatory reserve sick evidences for determination for operation performance including simultaneous and staged.

Abdominal Cavity↗
PubMed2004

[The risk factors in operative treatment of an acute and chronic surgical diseases].

According to retrospective analysis of the surgical treatment of patients in presence of cardial risk factors it was established the absence of alternative for surgical intervention while choosing the treatment tactic in 80% of observations, in 16%--the necessity for relaparotomy performance. The direct cause of death in this patients was cardial insufficiency and coronary blood circulation insufficiency, and complications of principal abdominal surgical disease. To improve the results of treatment of this severely ill patients it is expedient to conduct one-stage and the staged surgical and cardiosurgical intervention.

Acute Disease↗
PubMed2004

[Modern methods of assessment of high operative risk].

In the patients with the most frequent diseases investigation was performed for revealing of the risk factors. It was established the increase of the revealing frequency of cardiovascular system diseases, as well as oncological and pediatric. Investigation of indexes of the medical aid delivery to the people witnesses the increase of the physicians occupation. Also the misbalance of stationary medical help due to the hospital bed fund surplus was revealed. The factor of the population ageing was noted, correlating with mortality index. For the qualitative conduction of surgical interventions the original assessment of the risk factors, based on systemic criterions and the calculating index of surgical aggression, owing high correlation index with prognostic systems, was proposed. The scale of the risk degree estimation for practical application, permitting to elucidate the results of surgical treatment, was adduced. For the first time the mathematical modeling of the patients state severity in changing the operation traumaticity for those who have had the severe course of surgical disease was conducted.

Humans↗
PubMed2004

[Risk level correction when choosing treatment and diagnostics surgical tactics for surgical patients in grave condition].

The study on risk level reduction in specialized surgical clinics with the use of mathematical modeling for optimization medical-diagnostics tactics has been conducted by the author. 215 patients have been observed. The carried out analysis reflects FR of surgical operations as follows: general condition of the patients, severity of surgical pathology, complexity of surgical aggression. The modeling is designed using computer data processing and the system of Cartesian. Number risk assessment enabled to analyze surgical operation outcomes and optimize treatment-and-diagnostics tactics, reduce in number of operated patients in grave condition.

Critical Illness↗
PubMed2003

[Changes in tissue viability of digestive organs in current surgical pathology].

Modern surgical treatment of people according with legislation and health care law has to consider defining of tissue viability. The paper deals with the technique directed to evaluate specific tissue viability by structure functional alterations indices of mitochondrion crista. The technique can be introduced into clinic practice for above mentioned purposes.

Digestive System↗
PubMedDate not supplied

[Mortality rate in reconstructive plastic surgery in patients with cardiorespiratory diseases].

The results of the reconstruct-plastic operations of 25 patients are presented in the article. The treatment of patients has some specific pecularities. They are the following: difficulties in diagnosing stomach and large intestine cancer recurrence after surgical treatment as well as surgical reoperation restriction resulted from cardio-vascular system, especially heart coronary arteries being affected through the disease development. To improve surgical treatment results of such patients it is recommended to examine vital organs in order to prevent fatal complications and mortality of the surgical operations.

Female↗
PubMedDate not supplied

[Changes of central hemodynamics during the progression of cholelithic and cardiovascular diseases].

The central hemodynamic state in 111 patients has been studied, 78 (70.27%) of them underwent surgical operation. The depression of central homodynamic indices which correlated with the severity of patients' state, cardiovascular system reserves, was revealed by means of current diagnostic procedures. Among the main reliable characteristics of central hemodynamic by which we can forecast consequences of disease are an ejection fraction of the left ventricle, stroke volume, and minute volume. In the process of preoperative preparation it is necessary to consider common peripheral vascular resistance fluctuation. An increase in this peripheral vascular resistance can lead to myocardial infarction, acute disorder of coronal blood flow, hypertension stroke. The optimal tactics of treatment of such patients with heart insufficiency is the correction of coronal blood flow after an operation and assessment the risk of carrying out an surgical operation.

Blood Circulation Time↗
PubMedDate not supplied

[Selection of prognostic criteria for external respiration function during surgical treatment of progressive cholelithiasis].

Studying risk factors of developing damage and complication of cardio-respiratory system it was established that indices of external respiration system function such as respiratory minute volume, general oxygen uptake are reliable in forecasting consequences of surgical treatment of cholelithiasis. Availability of inspection and calculation methods makes it possible to recommend these indices to fully implement in Health Care to control treatment quality in patients with acute surgical diseases.

Cholecystectomy↗
PubMedDate not supplied

[A correlational analysis of dermatoglyphic indices in women with abortion].

Having made the correlative analysis of dermatoglyphic characteristics the dependence between distribution of finger and palm patterns and inclination to abortive delivery was established. The computer programme of analysis of dermatoglyphic characteristics gives an opportunity to determine the inclination of a certain person to abortive delivery.

Abortion, Spontaneous↗