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Biomedical subjects

S F Bagnenko

Publications and source records attributed to S F Bagnenko.

At least 19 recordsLinked to original sources
PubMed2006

[Evaluation of regional microcirculation of the intestine in patients with inflammatory diseases of the uterus and its appendages complicated by diffuse peritonitis].

The microcirculation in the intestinal wall was evaluated in 42 women in the postoperative period using contact biomicroscopy in laparoscopy with a microhysteroscope. The dynamic contact biomicroscopy unlike other clinico-laboratory data allowed prognosis of the development or progress of peritonitis and choice of the strategy of treatment.

Adolescent↗
PubMed2005

[Acute pancreatitis (protocols of diagnosis and treatment)].

Protocols of diagnosis and treatment of acute pancreatitis are presented. Definition based on pathogenesis of the disease is given. Phases of acute pancreatitis, features of diagnosis and treatment in each phase are analyzed. Terms of surgical treatment, main principles of postoperative treatment are discussed.

Clinical Protocols↗
PubMed2004

[Septic shock].

The problem of sepsis and septic shock (SSH) is known to be very actual due to peak-shaped growth of the number of such patients and unsatisfactory results of treatment. The occurrence of SSH is different--from 10% in the structure of infectious complications after polytrauma to 50% in patients with gram-negative sepsis in patients with burn disease. An analysis of treatment of 165 patients with SSH developed against the background of peritonitis has revealed high level of lethality (64%). In the pathogenesis of SSH an important role is played by immune disorders resulting in the development of generalized inflammation and polyorganic insufficiency. Treatment of patients with SSH must be necessarily supplemented with immuno-correcting techniques: use of medicines of nonspecific anti-cytokine action (pentoxyphillin) and regulators of the immune response (ronkoleukin, blood perfusion through the donor porcine spleen). The timely performed immunomodulating therapy allowed lethality of patients with SSH to be reduced to 32%.

Abdominal Injuries↗
PubMed2004

[First experience of use of a double balloon three-lumen catheter for decreasing the time of heat ischemia in asystolic kidney donors in Russia].

The authors consider actual problems of transplantation of organs associated with using donors. Special attention is given to current methods of preservation and obtaining donor kidneys from irreversible cardiac arrest donors. The authors propose to use a standard protocol of measures aimed at obtaining high quality transplants in every day practice of surgical teams dealing with taking off donor organs. First positive results of using the proposed method are described.

Body Temperature↗
PubMed2003

[Current principles in the organization of emergency surgical care in a large city].

The specific character of emergency surgical care requires a concentration of highly skilled specialists of various profiles on the basis of multi-type hospitals and using expensive modern, highly informative and less invasive methods of diagnosis and treatment. The using of multi-type hospitals for emergency medical care will allow the intensification of treatment, wide application of less invasive technologies that will result in the appearance of incentives and conditions to shorten the number of bed-days, restriction of groundless hospitalization and to improve the tariff politics in the system of compulsory medical insurance.

Emergency Service, Hospital↗
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

[Comparative characteristics of octreotide and famotidine in the treatment of acute pancreatitis].

Antisecretory therapy is an important and integral component of complex therapy of acute pancreatitis. The clinical estimation of efficiency of various antisecterory preparations, sandostatin and famotidin (quamatel) was made in treatment of acute pancreatitis at an early stage of the disease. The results of the research have shown that the efficiency of sandostatin and famotidin (quamatel) in treatment of not severe (mild and medium) forms of acute pancreatitis is approximately identical. But the application of famotidin (quamatel) is economically more favorable (8.3 times cheaper than sandostatin). In treatment of severe acute pancreatitis of paramount importance are the terms of the beginning of antisecretory therapy, the optimum term being the first day of the disease. The preparation of choice is sandostatin, the preparation of reserve--famotidin (quamotel). The duration of a medical course of treatment is the first three days from the beginning of the disease. The application of antisecretory preparations in question is less effective when used in later terms.

Acute Disease↗
PubMed2002

[Minimally invasive technologies in the treatment of severe forms of acute pancreatitis at various periods of the disease].

The choice of the optimum technique of the sanitation procedure in treatment of acute necrotizing pancreatitis (ANP) is now one of the most disputable problems. Clinical estimation of the efficiency of various operative techniques of treatment of ANP at various stages of disease has been made. In the aseptic phase laparoscopic decompression of the pancreas is indicated when the patient has evident hemorrhagic parapancreatitis. In the phase of septic sequestration of ANP the optimum method of minimally invasive surgical intervention is considered to be minilaparotomy which is expedient for abscesses of small volume, lipid abscesses of any volume with the minimal content of necrotizing tissues as the first step of sanitation in critical patient. High quantity of the necrotizing tissues in the zone of the destructive focus requires traditional laparotomy of the abscess under conditions of preventive maintenance of the endotoxic shock.

Humans↗
PubMed2002

[Temporary prosthetics of limb arteries in the acute period of shock-inducing trauma].

A retrospective analysis of treatment of 450 injured with traumas of the extremity vessels was made. These patients were subjected to reconstructive operations. In a considerable part of the patients there appeared thrombosis of the operated vessel. Experiments in dogs have shown that prophylactics of temporary prosthesis and injured artery should be based on the method of active treatment in order to eliminate the posttraumatic spasm of the arteries.

Acute Disease↗
PubMed2002

[Rational surgical strategy in urgent non-gravidic metrorrhagia].

The authors made an analysis of aspects of using the diagnostic and operative hysteroscopy in diagnosis and treatment of urgent nongravidary metarrhagias (UNM) under conditions of the department of urgent gynecology of the multiprophile hospital. The authors have analyzed the causes of the development of UNM, revealed high incidence of adenomyosis (44.3%).

Adult↗
PubMed2002

[Can organ-saving operations be performed in patients with pyo-inflammatory diseases of uterine appendages in emergency surgery?].

The investigations performed allowed the authors to make a conclusion that in female patients with pyo-inflammatory processes in the small pelvis organ-saving operations can be fulfilled in most cases, but the choice of surgical strategy and the volume of operative treatment in particular must depend on many factors: general state of the patients, spread of the infectious process, patient's age, realization of the reproductive function, parameters of intoxication, data of laparoscopic and ultrasonic examinations.

Abscess↗