[Comparison of early operative treatment and 48-hour conservative treatment in small bowel obstruction (COTACSO): intermediate results].

Unlabelled: Optimal treatment for adhesive small bowel obstruction (SBO) is not defined. Surgery is the only method of treatment for obvious strangulating SBO. Non-operative management (NOM) is widely used among patients with low risk of strangulation, i.

[Prospects for development of laparoscopic surgery in the Central Federal District of the Russian Federation].

Objective: To analyze the achievements of laparoscopic surgery in the Central Federal District of Russia and outline perspective trends for further application.

Material And Methods: The study included adult patients with abdominal surgical diseases hospitalized in general surgical departments of the Central Federal District between 2014 and 2021. We analyzed the prevalence of elective and emergency laparoscopic surgeries.

[In-hospital mortality in acute abdominal diseases in the Central Federal District of Russia depending on availability of laparoscopic procedures].

Objective: To study in-hospital mortality in acute abdominal diseases in the Central Federal District and compared effectiveness of laparoscopic and open surgeries.

Material And Methods: The study was based on the previous data for 2017-2021. The odds ratio (OR) was used to assess significance of between-group differences.

[Laparoscopic versus laparoscopy-assisted suturing of perforated peptic ulcers (meta-analysis)].

Objective: To compare laparoscopic and laparoscopy-assisted repair of perforated peptic ulcer using evidence-based methods.

Material And Methods: A systematic review and meta-analysis were carried out in accordance with the recommendations of the Ministry of Health of Russian Federation and

Unlabelled: Data searching was carried out in Russian and English languages using the E-library, Cochrane Library and PubMed databases. We analyzed titles and references in specialized journals and thematic reviews, respectively.

[Gas in superior mesenteric artery and celiac axis as a rare CT-sign of extensive bowel necrosis].

The authors report endovascular treatment of acute thromboembolic occlusion of superior mesenteric artery in a 75-year-old patient whose postoperative period was complicated by massive reperfusion and translocation syndrome. Contrast-enhanced CT in 12 hours after successful thrombectomy from superior mesenteric artery revealed CT signs of irreversible bowel lesion, i.e.

[Morphological substantiation of laparoscopic suturing of stomach ulcer with formation of a covered perforation].

Objective: Morphological substantiation of laparoscopic suturing of gastric ulcer with formation of a covered perforation.

Material And Methods: To analyze morphological tissue reaction in surgical area, we used 12 Chinchilla rabbits. All animals were divided into 2 groups by 6 animals.

[Modern aspects of the complex treatment of perforated gastric and duodenal ulcer].

Objective: To study the effectiveness of pharmacotherapy for perforated gastric ulcer in a surgical hospital.

Material And Methods: A retrospective analysis of the treatment of 693 patients with perforated gastric and duodenal ulcers was carried out. Laparoscopic and open surgeries were performed.

Influence of the incidence of ulcerative gastroduodenal bleeding on the effectiveness of treatment. Statistical surveillance.

Objective: To study and to justify statistically the influence of the incidence of ulcerative gastroduodenal bleeding on the results of treatment.

Material And Methods: The results of treatment of 56.233 patients with ulcerative gastroduodenal bleeding in the Central Federal district have been analyzed throughout a 5-year follow-up period.

Fast-track recovery for perforated duodenal ulcer.

Objective: To study the outcomes of fast-track recovery in patients with perforated duodenal ulcer (PDU).

Material And Methods: There were 138 patients with PDU who underwent surgical treatment for the period from January 1, 2015 to December 31, 2019. Patients were divided into 3 groups: main group, control group 1 (CG-1) and control group 2 (CG-2).

[Fast track rehabilitation in perforated duodenal ulcer].

Aim: To analyze the outcomes of fast track rehabilitation program in patients with perforated duodenal ulcer (PDU).

Material And Methods: For the period 2013-2016 at the Department of Surgery and Endoscopy 206 PDU patients have been treated. Inclusion criterion for the main group (n=77) was duodenal ulcers, their dimension up to 1 cm, laparoscopic suture of perforated ulcer, fast track rehabilitation program implementation.

[Optimal time of surgery for acute adhesive small bowel obstruction].

Aim: To define optimal terms of surgery for acute adhesive non-strangulatory small bowel obstruction.

Material And Methods: The analysis included 703 publications from e-LIBRARI.RU (342 works) and NCBI (361 works) databases for acute adhesive intestinal obstruction.

[Organization and results of surgical care for ulcerative gastroduodenal bleeding in the hospitals of Central Federal District].

Aim: To present treatment of 52 149 patients with ulcerative gastroduodenal bleeding (UGDB) who were treated in different regions of Central Federal District (CFD) for the period 2011-2014. It is noted that UGDB incidence per 100 thousands is increased proportionally from 32.9 to 77.

[Etiology of "difficult" laparoscopic cholecystectomy].

Aim: To define causes of difficult situations in various forms of acute cholecystitis depending on terms of disease and clinico-morphological changes in gall bladder area and to justify differentiated application of laparoscopic surgery for acute cholecystitis.

Material And Methods: It was reviewed 1132 medical records of patients with acute cholecystitis. It is found that morphological changes in gall bladder and surrounding tissues depend on duration of follow-up of patients with acute cholecystitis and type of inflammation.

[Laparoscopic treatment of perforated ulcers].

It was done comparative analysis the results of different treatment options using of laparoscopic treatment of 331 patients with perforated ulcers. It was defined that postoperative complications frequency is increased to 1.6% in case of perforated ulcers suturing with diameter to 0.

[Laparoscopic resection of stomach in case of stomach ulcer].

Laparoscopic resection of stomach was done in 84 patients with complicated peptic ulcer of stomach and duodenum. There were 1.2% post-operative complications in case of laparoscopic resection of stomach in comparison with open resection, which had 33.

[Complex application of laparoscopic vagotomy in case of hard scarring ulcers after gastroduodenal bleeding].

654 patients with ulcerative gastroduodenal bleeding from duodenum were under observation. It was done the meta-analysis of treatment results of 111 patients with hard scarring duodenal ulcers. It was discovered high efficiency of organ-preserving operations such aslaparoscopic vagotomy and proton pump inhibitors in these observations.

[Treatment of patients with a high risk of gastrointestinal bleeding recurrence].

Of 1102 patients with gastrointestinal ulcer bleeding, 143 developed the recurrence during the hospital stay. 9 critical risk factors of the recurrence were distinguished. The optimal treatment strategies of gastrointestinal ulcer bleeding were worked out, which allowed to decrease the mortality rate from 6.

[The differential approach to appendectomy after the appendicular infiltrate].

84 patients with the acute appendicitis, complicated by the appendicular infiltrate were divided in 2 grpups: the first group consisted of 49 (58,3%) patients with periappendicular abscess; the second group included 35 (41,7%) patients, treated conservatively and were recommended the delayed appendectomy. Of all 84 patients, included in the study, the delayed appendectomy could had been performed in 51 (61%) cases, though only 27 (53%) of patients had the procedure. The thorough analysis of the clinical presentation and pathomorphological data of 51 patients with the clinical presentation of the arrested appendicular infiltrate demonstrated, that only 14 (28%) of them had indications to the the delayed appendectomy.

[The prevention and treatment of the gastroduodenal ulcer bleedings].

The results of the complex prophylaxis and treatment of 33 458 patients with gastric or duodenal ulcer were analyzed. Of the analyzed group, 1002 (2,99%) patients experienced ulcer bleeding. The complex out-patient and stationary treatment of the ulcer disease allowed of bleeding frequency from 8,6 to 2,1%; the decrease of recurrent bleedings from 13,0% to 0; allowed to avoid major surgery (the previous frequency was as high as 14,5%) and decreased lethality rate from 9 to 1%.

[Complex approach to the complicated forms of colorectal cancer].

The results of the colon cancer treatment with the use of laparoscopic surgery and different radiotherapy regimens were compared. 75 patients were observed. The main group consisted of 38 patients, who were operated on laparoscopically and had received neoadjuvant radiotherapy course.

[Antibiotic therapy by suppurative diseases of the abdominal cavity and soft tissues].

Microbial background of the departments of abdominal and septic surgery was monitored and analyzed. More the 950 samples from each department was worked out. Therefore, it was determined, that gram-negative bacteria were more typical for the abdominal pathology, whereas, soft tissue infection was represented by gram-positive strains.

[Non-tension abdominal wall plasty by incarcerated postoperative ventral hernias].

Treatment results of 31 patients with incarcerated postoperative ventral hernias were analyzed. Mesh hernia repair was used in all cases. Signs of hernia incarceration or intestinal obstructions were absolute indications for surgical treatment.