Publications by authors named "A Sh Revishvili"

Objective: To determine the current status and main factors influencing the level of emergency laparoscopic surgery in the Russian Federation.

Material And Methods: A retrospective nationwide analysis included patients ≥18 years old undergoing surgery for acute cholecystitis (AC), acute appendicitis (AA), perforated ulcer (PU) and ileus. The database of the chief surgeon of the Russian Ministry of Health for 2018 - 2022 was used.

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Article Synopsis
  • * Effective management of these patients demands a multidisciplinary approach, but there is currently a lack of consensus on best practices.
  • * A working group is using the Delphi method to collect expert opinions and establish key management strategies for elderly patients throughout the surgical process.
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Objective: To analyze potentially preventable causes of mortality from acute calculous cholecystitis (ACC) at the population level.

Material And Methods: A retrospective study of causes of ACC-related mortality was conducted. We used online survey of state hospitals and estimated fatal outcomes following ACC considering appropriate annual e-database.

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The authors present a 57-year-old patient with synchronous left atrial myxoma and gastric cancer undergoing staged treatment. Distal gastrectomy with gastroduodenostomy at the first stage was followed by resection of the left atrial myxoma after 22 days. Postoperative period was uneventful after both interventions.

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The review addresses debatable issues of myocardial revascularization in chronic forms of ischemic heart disease, shows major differences between percutaneous coronary intervention and coronary artery bypass grafting in terms of long-term prognosis, and the dependence of the results on the clinical profile of the disease. The review of current publications demonstrates advantages of open surgery in long-term survival and prevention of adverse outcomes in target groups of patients.

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