[Therapeutic and diagnostic complex in intestinal failure syndrome in patients with closed abdominal trauma].

Unlabelled: Currently, severe combined abdominal trauma ranks third among all causes of mortality In Russia, second only to cardiovascular and oncologic diseases. In the period from 2019 to 2020 in our country, a slight decrease in traumatism is noted due to a decrease in the number of traffic accidents as the main cause of combined and multiple trauma. The number of abdominal injuries from the total number of injuries In Russian regions ranges from 1.

[Complicated gastric cancer and modern treatment approaches].

Among all patients with gastric cancer, 40% admit to the hospitals due to cancer-related complications. The most common complications of gastric cancer are bleeding (22-80%), malignant gastric outlet obstruction (26-60%), and perforation (less than 5%). The main treatment methods for gastric cancer complicated by bleeding are various forms of endoscopic hemostasis, transarterial embolization and external beam radiotherapy.

Enteral therapy in patients with blunt abdominal trauma.

Objective: To improve the outcomes in ICU patients with blunt abdominal trauma via enteral therapy by saline enteral solution.

Material And Methods: A retrospective and prospective study included 24 patients (18 (75%) men and 6 (25%) women) with blunt abdominal trauma who underwent examination and treatment at the Sklifosovsky Research Institute for Emergency Care. Age of patients ranged from 38 to 81 years (mean 50.

Endoscopic treatment of obstructive jaundice in patients with Klatskin tumor.

Objective: To improve treatment outcomes in patients with Klatskin tumor and obstructive jaundice by using of endoscopic bilioduodenal stenting.

Material And Methods: There were 1904 transpapillary interventions between August 2017 and February 2022. Endoscopic bilioduodenal stenting was performed in 250 patients including 25 (10%) ones with Klatskin tumor.

[Selective nonoperative management (SNOM) for penetrating abdominal wounds].

The authors summarize the world experience in the management of patients with penetrating abdominal wounds. A gradual transition from the concept of «mandatory laparotomy» to selective management and active-expectant approach in appropriate cases is described.

[Serum creatine phosphokinase as a predictor of upper limb amputation in electrical trauma].

Objective: To study the relationship between serum creatine phosphokinase and outcomes of injury in victims with electrical burns.

Material And Methods: Among 40 patients with electrical injury, 7 (18%) ones underwent upper limb amputation. There were 37 (92.

[Pancreatic duct stenting in acute severe pancreatitis].

Objective: To evaluate the efficacy of endoscopic retrograde stenting of the pancreatic duct for acute severe pancreatitis.

Material And Methods: We analyzed 94 patients with acute severe pancreatitis who underwent surgery (=87, 92.6%) and endoscopic retrograde pancreatic stenting (=28, 29.

Endoscopic transluminal drainage for infected pancreatic necrosis.

Objective: To evaluate the effectiveness of intraluminal drainage of acute fluid accumulations for infected pancreatic necrosis.

Material And Methods: There were 848 patients with acute pancreatitis between January 2018 and December 2020 at the Sklifosovsky Research Institute for Emergency Care. Necrotizing pancreatitis was detected in 232 (27.

Management of obstructive jaundice in patients with neoplasms of the major duodenal papilla.

Objective: To develop the indications and assess an effectiveness of treatment of patients with ampullary tumors followed by mechanical jaundice.

Material And Methods: There were 26 patients with major duodenal papilla neoplasms for the period 2015-2020 at the Sklifosovsky Research Institute for Emergency Care.

Results: Twenty patients underwent transpapillary interventions: papillosphincterotomy followed by lithoextraction and bilio-duodenal stenting in 4 (15.

Leveraging Parent Pain Perspectives to Improve Pain Practices for Children with Medical Complexity.

Purpose: Children with medical complexity (MC) must rely on others to notice and address pain. Parents are aware of child pain behaviors and can serve as reliable proxy reporters. Thus, there is a critical need to understand parent perspectives to improve pain practices.

[Diagnosis and treatment of benign neoplasms of the major duodenal papilla].

Objective: To evaluate an efficacy of surgical treatment of patients with benign tumors of the major duodenal papilla.

Material And Methods: For the period from January 2015 to January 2020, sixteenth patients with benign tumors of the major duodenal papilla were treated at the Sklifosovsky Research Institute for Emergency Care. There were 7 men (43.

[Laparoscopy in emergency surgery of rare atypical diseases].

Objective: To analyze the capabilities of laparoscopy in the diagnosis and treatment of atypical diseases.

Material And Methods: Laparoscopy was performed in 5188 patients with established, suspected and unclear diagnosis of acute surgical diseases for the period from 2008 to 2018. Rare atypical diseases were diagnosed in 114 (2.

[Perforative appendicitis in the left-sided false diaphragmal hernia].

Abnormal localization of the appendix in hernial sac occurs in 2-4% of cases. Appendix is often found in inguinal and femoral hernias. Localization of the appendix in diaphragmatic hernia is described as a casuistic case.

[Endoscopic treatment of benign gastrointestinal fistulas].

Objective: To evaluate the possibility and safety of modified endoscopic stent in the treatment of benign intestinal fistulas.

Material And Methods: Analysis of the experience of Sklifosovsky Research Institute for Emergency Care and recent numerous foreign reports confirms that staged treatment followed by delayed radical surgery is the most perspective approach. Modified endoscopic treatment of intestinal fistulas successfully used in 10 patients is reported in the article.

A Retrospective Review of School Nurse Approaches to Assessing Pain.

Background: When students with intellectual disability (ID) experience pain, the pain may limit the extent to which they may engage in school activities. Although school nurses are primarily responsible for addressing students' pain, there are many barriers to identifying pain in students with ID.

Aims: The purpose of the present study was to describe pain assessment practices of school nurses for students with and without ID.

[Laparoscopy in emergency abdominal surgery].

Objective: To evaluate the possibilities of laparoscopy in the diagnosis and treatment of acute abdominal surgical diseases.

Material And Methods: A retrospective analysis of laparoscopic procedures in 4655 patients with confirmed or suspected acute abdominal surgical diseases for the period 2008-2017 was performed. Laparoscopy was applied to confirm or to determine unclear diagnosis.

[Ileocecal intussusceptions].

Aim: To present treatment of patients with ileocecal intussusception.

Material And Methods: There were 3 patients with ileocecal intussusception for the period from June 2016 to August 2017.

Conclusion: Abdominal sonography is main diagnostic method for intestinal intussusception.

[Minimally invasive treatment of rare forms of mechanical intestinal obstruction].

Aim: To develop medical algorithms for reduction of morbidity and mortality in rare forms of mechanical intestinal obstruction.

Material And Methods: 17 patients with mechanical intestinal obstruction have been operated in Sklifosovsky Research Institute for Emergency Care for the period 2010 - 2016. There were 13 women and 4 men aged 56 (44,5-74,5) years on the average.

[Choice of surgical tactics in patients with acute cholecystitis complicated by cholelithiasis].

Purpose Of The Study: Comparison of the methods of surgical treatment of cholelithiasis.

Material And Methods: The work is based on the experience of treating 139 patients with acute cholecystitis complicated by choledocholithiasis from 2008 to 2016, who were on treatment of the department of acute surgical diseases of the liver and pancreas, N.V.

April 2008 Saharan dust event: Its contribution to PM concentrations over the Anatolian Peninsula and relation with synoptic conditions.

An online-coupled regional Weather Research and Forecasting model with chemistry (WRF-Chem) is utilized incorporating 0.1°×0.1° spatial resolution HTAP (Hemispheric Transport of Air Pollution) anthropogenic emissions to investigate the spatial and temporal distribution of a Saharan dust outbreak, which contributed to high levels (>50μg/m) of daily PM concentrations over Turkey in April 2008.

[External pancreatic fistulas management].

The main principles of treatment of external postoperative pancreatic fistulas are viewed in the article. Pancreatic trauma was the reason of pancreatic fistula in 38.7% of the cases, operations because of acute pancreatitis - in 25.

[Long-term results of severe acute pancreatitis management].

Aim: To assess the long-term results and quality of life of patients after different medical and tactical approaches in treatment of severe acute pancreatitis.

Material And Methods: Long-term outcomes were studied in 210 patients with severe acute pancreatitis for the period 2003-2013. There were 144 (68.

Laparoscopic Splenectomy in Patients With Spleen Injuries.

Introduction: Spleen injury appears in 10% to 30% of abdominal trauma patients. Mortality among the patients in the last 20 years remains high (6% to 7%) and shows no tendency to decline. Nowadays nonoperative management is widely accepted management of patients with low-grade spleen injury, whereas management of patients with high-grade spleen injury (III and higher) is not so obvious.

[Mini-invasive technologies in treatment of acute cholecystitis in patients with high operational and anesthetic risk].

The treatment results of 769 patients with acute calculous cholecystitis and high operational and anesthetic risk at admission are presented in the retrospective study. High risk was determined by expressed comorbidities, diseases' terms, the complications of acute cholecystitis, age, which was more than 60 years in most cases. The patients were divided into 2 groups depending on the severity of comorbidity and the possible effects of its correction.

[Gastrectomy with spleen preservation in patients with stomach cancer].

It was analyzed the results of surgical treatment of 118 patients with stomach cancer. Lymphadenectomy and gastrectomy were done in all cases. All patients were divided into two groups.