[Endovascular treatment of traumatic arteriovenous fistulas of the vertebral artery].

The authors describe herein the use of balloon-distensible stent grafts for endovascular treatment of patients presenting with traumatic arteriovenous fistulas in the first segment of the vertebral artery, exemplified by two clinical case reports. In both cases, the arteriovenous fistula formed after a stab-and-slash wound in the neck area. In order to exclude the arteriovenous aneurysm from the blood flow in the first case we performed endoprosthetic repair of the first segment of the subclavian artery with shutting off of the ostium of the vertebral artery carrying the aneurysm.

[Algorithm of surgical treatment of patients with consequences of burn injury].

Rehabilitation of patients suffering from consequences of burn injury is actual problem in plastic surgery. There is no unified strategy defining optimal terms and stages of treatment, possibility and advisability of simultaneous interventions on different anatomical areas, combination of surgical and conservative treatment while it is necessary for decrease of rehabilitation terms in victims. On basis of twelve-year experience of 1246 patients with consequences of burn injury the authors developed universal algorithm for optimization of surgical treatment, improvement of results and reduction of treatment time.

[Minimally invasive surgical treatment of gastrointestinal stromal tumor].

It was operated 24 patients with gastrointestinal stromal tumor (GIST). Robot-assisted method was applied in 15 observations, laparoscopy - in 9 patients. Laparoscopic operations were preferable for GIST localized in anterior wall or greater curvature of stomach, in small intestine and caecum.

[Robot-assisted resection of duodenal inferior horizontal part and duodeno-jejunal transition].

Robot-assisted resection of duodenal inferior horizontal part and duodeno-jejunal transition was performed in 5 patients with tumors in this area including gastrointestinal stromal tumor in 4 cases and jejunal adenocarcinoma in 1 case. It is suggested there section method with vertical and inferior horizontal parts and pancreatic head dissection right-to-left. There were no intra- and postoperative complications.

Renal Function in De Novo Liver Transplant Recipients Receiving Different Prolonged-Release Tacrolimus Regimens-The DIAMOND Study.

Unlabelled: DIAMOND: multicenter, 24-week, randomized trial investigating the effect of different once-daily, prolonged-release tacrolimus dosing regimens on renal function after de novo liver transplantation. Arm 1: prolonged-release tacrolimus (initial dose 0.2mg/kg/day); Arm 2: prolonged-release tacrolimus (0.

[Multiple endocrine neoplasia type 1 syndrome with three classical components and chiasm glioma: specific features of target organ lesions and a clinical observation].

The article briefly reviews the specific features of target-organ lesions in multiple endocrine neoplasia type 1 (MEN1) syndrome and a clinical case of genetically confirmed MEN1 syndrome in a young female patient. Despite the relative rarity of this disease, timely diagnosis, treatment and screening for its main components are very important for the overall prognosis of patients with MEN1 and their first-degree relatives who are MEN1 gene mutation carriers. The described case is noteworthy for a number of specific features.

[Surgical treatment of patients with enteric fistulae].

Aim: To create multidisciplinary diagnostic and curative approach to patients with intestinal fistulae.

Material And Methods: Additional nutritive support was applied in all patients preoperatively. 35 patients with intestinal fistulae were operated.

[The ways to improve the efficiency of surgical care service].

Aim: To examine the work of surgical service in the Central Federal District and to define the main directions to improve the efficacy of surgical care in case of acute abdominal diseases.

Material And Methods: The results of surgical service of the Central Federal District for the period 2011-2014 in treatment of 2.5 millions patients were analyzed.

[Performance evaluation of comprehensive treatment of patients with infectious complications of bullet-extremity fractures].

The objective of the study was to examine the effectiveness of complex treatment of patients with infectious complications of gunshot fractures of limb bones using advanced minimally invasive surgical technologies phased osteosynthesis and new approaches of drug therapy. A prospective, comparative study of the results of examination and treatment of 60 patients with infectious complications of gunshot diaphyseal fractures of the long bones of the limbs treated in hospital Almutavakel (Sana'a, Republic of Yemen) in the period 2009-2011. Patients were randomized and divided into groups depending on the treatment regimen: a comparison (30 patients) received traditional scheme in which only apply external fixation devices or metal obsolete models and basic (30 patients), received treatment for advanced techniques include minimally invasive surgical sanitation of infected fracture zone followed by differentiated (depending on the size of the existing bone defect) tactics of consistent and gradual minimally invasive functionally stable osteosynthesis with modern APS and implants on a background of conservative therapy consisting of Cycloferon.

Postburn neck anterior contracture treatment in children with scar-fascial local trapezoid flaps: a new approach.

One of the dramatic consequences of burns is scar contracture and deformities of the neck. Cervical contracture in children is especially dangerous, leading to face disfigurement and kyphosis; therefore, early reconstruction is indicated. Despite the existence of many various surgical techniques, the successful neck contracture treatment in pediatric patients remains a challenge for surgeons.

Postburn Neck Lateral Contracture Anatomy and Treatment: A New Approach.

Lateral contracture of the neck is a rare and insufficiently researched burn consequent. Contracture restricts head motion, can cause a secondary face deformity, presents severe cosmetic defects, and, therefore, requires surgical reconstruction. Literature does not sufficiently address the issue; therefore, anatomy not researched and treatment techniques not developed.

Total cheek resurfacing with split ascending neck flap: a new approach.

Background: Burn scars and other forms of extensive cheek deformities are a tragedy for patients and pose a great challenge to surgeons due to limited availability of well-matching donor sites. The skin of distant regions and skin transplants contrasts with the facial skin. The most suitable site for tissue in cheek reconstruction is the neck, but this resource is limited.

Proximally based sural adipose-cutaneous/scar flap in elimination of ulcerous scar soft-tissue defect over the achilles tendon and posterior heel region: a new approach.

Scar ulcers that spread over the Achilles tendon and posterior heel disturb patients by causing pain, impeding hygiene, and creating difficulty in finding appropriate shoe wear. As this region undergoes pressure, effective reconstruction is based on the flap use. The most popular flaps currently used are distally based sural fasciocutaneous flap, calcaneal artery skin flap, and free flaps.

Shoulder adduction contracture after burn: anatomy and treatment with quadrangular local scar subcutaneous pedicled flap, a new approach.

Background: Axillary adduction contracture is caused by scars that tightly surround the shoulder joint impairing the function of the upper limb. Due to severe scar surface deficiency, contracture release presents a challenge for surgeons since a method of release is transfer of tissue in the form of a large pedicled or free flap(s). Thus, development of simpler, less traumatic techniques, using local tissues, persists.

Postburn shoulder medial-adduction contracture: anatomy and treatment with trapeze-flap plasty.

Background: Shoulder-adduction contractures after burn, most frequent among big joints, cause functional deficiency of the upper limb and, therefore, benefits from surgical correction. Many reconstructive techniques and flaps have been suggested for contracture treatment, but the problem in choosing an adequate reconstructive technique based on the anatomy of the contracture remains. Shoulder-adduction contracture has been given less emphasis in research than any other type and its surgical reconstructive technique remains of concern.

Remote results of reconstructive operations in pathological deformity of the internal carotid artery.

Objective: to study remote results of surgical treatment of patients presenting with a pathological deformity of the internal carotid artery.

Methods: the study was based on retrospectively analysing the findings of examination and the outcomes of surgical treatment of 142 patients presenting with an isolated pathological deformity of the internal carotid artery (ICA), who underwent a total of 166 reconstructive operations.

Results: 7% of patients were operated on at the asymptomatic stage, more than half (56%) of the patients were found to have transient (21%) or persistent neurological deficit (35%), 37% of patients had stage III cerebrovascular insufficiency.

Ankle dorsiflexion postburn scar contractures: anatomy and reconstructive techniques.

Background: Postburn ankle scar contractures cause functional limitations of all lower extremities and create a serious cosmetic defect, not allowing patients to use normal foot wear, and, therefore, needing surgical reconstruction. The anatomic features of ankle dorsiflexion contractures and their treatment have been covered in the literature far less than other joint contractures, and their treatment is still a challenge for many surgeons. A common treatment method is incisional release of the contracture and defect resurfacing with skin graft.

Ultrastructural characteristics of solid pseudopapillary tumors of the pancreas.

We carried out an electron microscopic study of solid pseudopapillary tumors of the pancreas (operation material) from 15 patients. Two cell types were distinguished. Type 1 cells had large oval nuclei, little changed mitochondria, and short fragments of the granular cytoplasmic reticulum.

Postburn edge shoulder adduction contracture: anatomy and elimination with trapeze-flap plasty--a new approach.

Postburn scar shoulder adduction contracture is the most common among big joints' contractures. As the contracture impedes all upper limb function, surgical reconstruction is indicated as early as the contracture is formed. Many flaps and techniques have been suggested, yet the problem is not resolved completely.