Novosti
Khirurgii
This journal is
indexed in Scopus









Year 2020 Vol. 28 No 2

SCIENTIFIC PUBLICATIONS
GENERAL & SPECIAL SURGE

DOI: https://dx.doi.org/10.18484/2305-0047.2020.2.133   |  

D.V. OSIPENKO 1, S.P. SALIVONCHIK 1, A.A. SKARAKHODAU 1, A.A. SILANAU 1, A.V. MAROCHKOV 2

EFFICIENCY ESTIMATION OF VARIOUS DOSES OF TRANEXAMIC ACID IN CARDIOPULMONARY BYPASS SURGERY

Gomel Regional Clinical Cardiological Center 1, Gomel,
Mogilev Regional Hospital 2, Mogilev,
The Republic of Belarus

Objective. To determine the effectiveness of various doses of tranexamic acid (TA) in the cardiopulmonary bypass surgery (CPB).
Methods. The study included 128 patients who underwent the heart surgery with CPB. Three groups were formed: group 1 (n=30) a loading dose of TA 10 mg/kg was administered intravenously with titration 1 mg/kg/h during CPB; the 2nd group (n=32) a loading dose of TA was administered intravenously 12.5 mg/kg with titration 6.5 mg/kg/h during CPB and 1 mg/kg/h in the first 6 hours after surgery; 3rd group (n=66) the control one.
Results. The blood loss volume during the period from the operation onset to 42 48 hours after it, in the 1st, 2nd and 3rd group of patients was: 20.9 (18.1; 26.7) ml/kg, 19.3 (13.9; 22.5) ml/kg and 22.8 (18.4; 27.6) ml/kg; statistically significant differences were only between the 2nd and 3rd group of patients. The total volume of the chest tube drainage in the first 42-48 hours after the operation was significantly less in the 1st group (475.0 (350.0; 650.0) ml) and the 2nd group (500.0 (350.0; 550.0) ml), compared with the 3rd group (600.0 (500.0; 750.0) ml). The use of TA in the 2nd group of patients, compared with the 3rd group, led to the decrease in the frequency of blood transfusions in the first 42-48 hours after surgery. In the 1st group of patients, statistically significant differences in the frequency of blood transfusions were not found.
Conclusions. Maintenance of TA according to the method the bolus of 12.5 mg/kg, titration of 6.5 mg/kg/ h during CPB and 1 mg/kg/h in the first 6 hours after surgery (total dose of 2.5 (2.1; 3.0) g) is optimal in the cardiopulmonary bypass heart surgery.

Keywords: tranexamic acid, cardiac surgery, cardiopulmonary bypass, blood loss, blood preparations
p. 133-140 of the original issue
References
  1. Miller R. Millers Anesthesia: ruk v 4 t: per. s angl: Izdatelstvo: Chelovek. Rossiia; 2015. 3472 p. https://www.ozon.ru/context/detail/id/143579136/. (In Russ.)
  2. Pagano D, Milojevic M, Meesters MI, Benedetto U, Bolliger D, von Heymann C, Jeppsson A, Koster A, Osnabrugge RL, Ranucci M, Ravn HB, Vonk ABA, Wahba A, Boer C. 2017 EACTS/EACTA Guidelines on patient blood management for adult cardiac surgery. Eur J Cardiothorac Surg. 2018 Jan 1;53(1):79-111. doi: 10.1093/ejcts/ezx325
  3. Greilich PE, Jessen ME, Satyanarayana N, Whitten CW, Nuttall GA, Beckham JM, Wall MH, Butterworth JF. The effect of epsilon-aminocaproic acid and aprotinin on fibrinolysis and blood loss in patients undergoing primary, isolated coronary artery bypass surgery: a randomized, double-blind, placebo-controlled, noninferiority trial. Anesth Analg. 2009 Jul;109(1):15-24. doi: 10.1213/ane.0b013e3181a40b5d
  4. Henry DA, Carless PA, Moxey AJ, OConnell D, Stokes BJ, Fergusson DA, Ker K. Anti-fibrinolytic use for minimising perioperative allogeneic blood transfusion. Cochrane Database Syst Rev. 2011 Jan 19;(1):CD001886. doi: 10.1002/14651858.CD001886.pub3
  5. Levey AS, Bosch JP, Lewis JB, Greene T, Rogers N, Roth D. A more accurate method to estimate glomerular filtration rate from serum creatinine: a new prediction equation. Modification of Diet in Renal Disease Study Group. Ann Intern Med. 1999 Mar 16;130(6):461-70. doi: 10.7326/0003-4819-130-6-199903160-00002
  6. Gao F-Q, Li Z-J, Zhang K, Sun W, Zhang H. Four methods for calculating blood-loss after total knee arthroplasty. Chin Med J (Engl). 2015 Nov 5;128(21): 2856-60. doi: 10.4103/0366-6999.168041
  7. Jimenez JJ, Iribarren JL, Lorente L, Rodriguez JM, Hernandez D, Nassar I, Perez R, Brouard M, Milena A, Martinez R, Mora ML. Tranexamic acid attenuates inflammatory response in cardiopulmonary bypass surgery through blockade of fibrinolysis: a case control study followed by a randomized double-blind controlled trial. Crit Care. 2007;11(6):R117. doi: 10.1186/cc6173
  8. Dowd NP, Karski JM, Cheng DC, Carroll JA, Lin Y, James RL, Butterworth J. Pharmacokinetics of tranexamic acid during cardiopulmonary bypass. Anesthesiology. 2002 Aug;97(2):390-99. doi: 10.1097/00000542-200208000-00016
Address for correspondence:
246046, Republic of Belarus,
Gomel, Meditsinskaya Str., 4,
Gomel Regional Clinical Cardiological Center,
Department of Anesthesiology and Intensive Care
With the Intensive Care Wards.
Tel.: +375 29 614 65 98,
e-mail: osipenko081081@mail.ru
Dzmitry V. Osipenko
Information about the authors:
Osipenko Dzmitry V., PhD, Anesthesiologist-Resuscitator, the Department of Anesthesiology and Intensive Care with the Intensive Care Wards, Gomel Regional Clinical Cardiological Center, Gomel, Republic of Belarus.
http://orcid.org/0000-0003-4838-1140
Salivonchik Sergey A., PhD, Cardiac Surgeon, Deputy Chief Physician for Surgical Care, Gomel Regional Clinical Cardiological Center, Gomel, Republic of Belarus.
https://orcid.org/0000-0001-6011-9351
Silanau Aliaksandr A., Anesthesiologist-Resuscitator, the Department of Anesthesiology and Intensive Care with the Intensive Care Wards, Gomel Regional Clinical Cardiological Center, Gomel, Republic of Belarus.
http://orcid.org/0000-0002-1849-071X
Skarakhodau Aliaksandr A., Cardiac Surgeon, the Cardiac Surgery Unit, Gomel Regional Clinical Cardiological Center, Gomel, Republic of Belarus.
https://orcid.org/0000-0002-2618-8692
Marochkov Alexey V., MD, Anesthesiologist-Resuscitator, Mogilev Regional Hospital, Mogilev, Republic of Belarus.
https://orcid.org/0000-0001-5092-8315
DOI: https://dx.doi.org/10.18484/2305-0047.2020.2.141   |  

S.N. POTAKHIN, Y.G. SHAPKIN

COMPARATIVE ANALYSIS OF METHODS FOR PREDICTING OF PEPTIC ULCERS REBLEEDING

Saratov State Medical University, Saratov,
The Russian Federation

Objective. To conduct a comparative analysis of methods for predicting of peptic ulcers rebleeding.
Methods. The research was carried out in 2017-2018 years. In the study, the retrospective analysis of the treatment results of 126 patients with the ulcerative gastrointestinal bleeding and the comparative analysis of nine methods for predicting bleeding recurrence for sensitivity, specificity, accuracy and predictability of a positive result were made. The analysis includes: the classification of J.A. Forrest (1974), the classification of G.P. Giderim (1992) in the authors modification, Baylor Bleeding score (1993), Rockall score (1996), the method of forecasting by I. I. Zatevakhin et al. (1997), one of the methods of forecasting by M.A. Evseev (2004), the method of M.M. Vinokurov and M.A. Kapitonova (2009), the System for the prediction of bleeding recurrence (Lebedev N.V. et al., 2009), as well as the authors forecasting methodology for trees classification.
Patients were treated in the surgical department of Saratov City Clinical Hospital 6 from 2001 to 2009. During this period of time, assistance with this pathology was the most complete and corresponded to all current standards. The analysis included 63 patients with recurrent bleeding and 63 patients without recurrent bleeding.
Results. The optimum ratio of sensitivity and specificity, better accuracy and positive predictive value was revealed for the G.P. Giderim method in our own modification (82.5%; 73%; 78% and 75.4%, respectively) and, somewhat worse, for the authors forecast method for trees classification (71.2%; 57.1%; 63.9% and 60.9%, respectively).
Conclusions. Classification of J.A. Forrest, traditionally used to assess the risk of recurrence of bleeding, with a high sensitivity (90.5%) has the lowest specificity (20.6%), which significantly reduces the accuracy of the forecast (55.6%). The most effective is the modified classification of G.P. Giderim, which takes into account the characteristic of the ulcerous bottom, the pulse rate, systolic blood pressure and the presence of collapse. Increasing the number of features in other methods does not improve the accuracy of the forecast.

Keywords: bleeding peptic ulcers, predicting of rebleeding, risk assessment, comparative analysis of methods, signs of recurrence high risk
p. 141-149 of the original issue
References
  1. Sokolova PY, Klimov AE, Lebedev NV, Persov MY. Comparative evaluation of relapse prediction systems in gastroduodenal ulcer bleeding. Zemskii Vrach [Elektronnyi resurs]. 2012 [data obrashcheniia: 2019 Ianv 03];15(4):65-66. Rezhim dostupa: https://cyberleninka.ru/article/n/sravnitelnaya-otsenka-sistem-prognoza (In Russ.)
  2. Forrest JA, Finlayson ND, Shearman DJ. Endoscopy in gastrointestinal bleeding. Lancet. 1974 Aug 17;2(7877):394-97. doi: 10.1016/s0140-6736(74)91770-x
  3. Rockall TA, Logan RF, Devlin HB, Northfield TC. Risk assessment after acute upper gastrointestinal haemorrhage. Gut. 1996 Mar;38(3):316-21. doi: 10.1136/gut.38.3.316
  4. Blatchford O, Murray WR, Blatchford M. A risk score to predict need for treatment for upper-gastrointestinal haemorrhage. Lancet. 2000 Oct 14;356(9238):1318-21. doi: 10.1016/S0140-6736(00)02816-6
  5. Tammaro L, Di Paolo MC, Zullo A, Hassan C, Morini S, Caliendo S, Pallotta L. Endoscopic findings in patients with upper gastrointestinal bleeding clinically classified into three risk groups prior to endoscopy. World J Gastroenterol. 2008 Aug 28;14(32):5046-50. doi: 10.3748/wjg.14.5046
  6. Stanley AJ, Laine L, Dalton HR, Ngu JH, Schultz M, Abazi R, Zakko L, Thornton S, Wilkinson K, Khor CJ, Murray IA, Laursen SB. Comparison of risk scoring systems for patients presenting with upper gastrointestinal bleeding: international multicentre prospective study. BMJ. 2017;356:i6432. doi: 10.1136/bmj.i6432
  7. Lebedev NV, Klimov AE, Barkhudarov AA. Gastroduodenal ulcerative bleeding. Khirurgiia. Zhurn im NI Pirogova [Elektronnyi resurs]. 2014 [data obrashcheniia: 2019 Ianv 03];(8):23-27. Rezhim dostupa: https://www.mediasphera.ru/issues/khirurgiya-zhurnal-im-n-i-pirogova/2014/8/030023-1207201484 (In Russ.)
  8. Shapkin IuG, Potakhin SN, Belikov AV, Uriadov SE, Ivanov RIu. Diagnostika predretsidivnogo sindroma pri krovotochashchei iazve zheludka i dvenadtsatiperstnoi kishki. Vestn Khirurgii im II Grekova. 2004;163(1):43-46. (In Russ.)
  9. Giderim GP, Chikala ET, Gutsu VM, Kontsu GI. Taktika pri zheludochno-kishechnykh krovotecheniiakh v usloviiakh sanitarnoi aviatsii. Khirurgiia Zhurn im NI Pirogova. 1992;68(9-10):24-29. (In Russ.)
  10. Saeed ZA, Ramirez FC, Hepps KS, Cole RA, Graham DY. Prospective validation of the Baylor bleeding score for predicting the likelihood of rebleeding after endoscopic hemostasis of peptic ulcers. Gastrointest Endosc. 1995 Jun;41(6):561-65. doi: 10.1016/s0016-5107(95)70191-5
  11. Zatevakhin II, Shchegolev AA, Titkov BE. Sovremennye podkhody k lecheniiu iazvennykh gastroduodenalnykh krovotechenii. Annaly Khirurgii. 1997;(1):40-46 (In Russ.)\
  12. Gostishchev VK, Evseev MA. Patogenez retsidiva ostrykh gastroduodenalnykh iazvennykh krovotechenii. Khirurgiia Zhurn im NI Pirogova. 2004;(5):46-51. (In Russ.)
  13. Vinokurov MM, Kapitonova MA. Treatment tactics of the patients with gastroduodenal ulcer bleeding. Khirurgiia Zhurn im NI Pirogova. 2008;(2):33-36. https://www.elibrary.ru/item.asp?id=9947541 (In Russ.)
  14. Lebedev NV, Klimov AE, Barkhudarova TV. Prognosis for relapse of gastroduodenal ulcer bleeding. Khirurgiia Zhurn im NI Pirogova. 2009;(2):32-34. https://www.elibrary.ru/item.asp?id=13122943 (In Russ.)
  15. Vasilev AYu, Malyi AYu, Serov NS. Analiz dannykh luchevykh metodov issledovaniia na osnove printsipov dokazatelnoi meditsiny: ucheb posobie [Elektronnyi resurs] [data obrashcheniia: 2019 Ianv 03]. Moscow, RF: GEOTAR-Media; 2008. 32 p. Rezhim dostupa: http://vmede.org/sait/?page=3&id=Onkologiya_analiz_vasilev_2008&menu=Onkologiya_analiz_vasilev_2008 (In Russ.)
Address for correspondence:
410012, Russian Federation,
Saratov, Bolshaya Kazachya Str., 112
Saratov State Medical University,
General Surgery Department.
Tel.: +7 927 220 74 51,
e-mail: potakhin_sn@rambler.ru,
Sergey N. Potakhin
Information about the authors:
Potakhin Sergey N., PhD, Associate Professor, General Surgery Department, Saratov State Medical University, Saratov, Russian Federation.
http://orcid.org/0000-0002-4159-3047
Shapkin Yuri G., MD, Professor, Head of the General Surgery Department, Saratov State Medical University, Saratov, Russian Federation.
http://orcid.org/0000-0003-0186-1892
DOI: https://dx.doi.org/10.18484/2305-0047.2020.2.150   |  

O.O. YASNOGORODSKY, V.K. GOSTISHEV, A.M. SHULUTKO, T.P. PINCHUK, YU.V. STRUCHKOV, M.V. TALDYKIN, F.N. NASIROV, V.A. MOCHALOV

LUNG ABSCESS AND GANGRENE: EVOLUTION OF TREATMENT METHODS

I.M. Sechenov First Moscow State Medical University, Moscow,
The Russian Federation

Objective. To analyze the effectiveness of treatment methods on the basis of many years of experience in assisting patients with abscesses and pulmonary gangrene.
Methods. The treatment results of 2492 patients with the lung abscesses (99.2%) and pulmonary gangrene (0.8%) for the last 42 years (19772018) were evaluated by decades. Diagnostic methods included X-ray examination, CT- scanning, rigid and flexible bronchoscopy, and also bacteriological examination of the bronchial secretions. Surgical treatment applied in 268 patients included pleuropulmonectomy, pneumonectomy, pleurolobectomy, atypical lung resection, thoracoabscessotomy, chest phlegmon drainage. Minimally invasive treatment methods were transthoracic (n=130) or transbronchial (n=485) drainage of the abscess cavity. The frequency of postoperative complications and mortality depending on changes in surgical treatment of purulent-destructive lung diseases for decades and for the past 12 years were analyzed.
Results. In the bacteriological study of 192 patients (70.8%) a predominance of microbial associations of 2 or more microbes was revealed. Transbronchial drainage of the lung abscess was performed in four modifications. It was successful in 437 cases (90.2%). Endoscopic treatment of postoperative bronchopleural fistula was successfully performed in 28 cases.
The significant differences in incidence of lungs destructive diseases for the analyzed periods were not found. However, a significant reduction in total mortality (from 15.9% to 6.8%) and in number of postoperative complications (from 33.5% to zero) was found. The interconnection between the decrease in operational activity (from 15.9% to 1.5%) and wide spreading of transbronchial drainage methods was also revealed. Complications after endoscopic drainage developed in 1.9% of cases.
Conclusions. The widespread use of minimally invasive technologies in the treatment of the lung abscess and postoperative complications led to a significant decrease in overall mortality by 2.3 times over 42 years.

Keywords: lung abscess, pulmonary gangrene, pulmonectomy, bronchoscopy, transbronchial drainage
p. 150-158 of the original issue
References
  1. Grigoryev YeG. Acute abscess and gangrene of the lung. Sib Med Zhurn. 2013;(8):123-29. https://cyberleninka.ru/article/v/ostryy-abstsess-i-gangrena-legkogo (In Russ.)
  2. Marra A, Hillejan L, Ukena D. Management of Lung Abscess. Zentralbl Chir. 2015 Oct;140(Suppl 1):S47-53. doi: 10.1055/s-0035-1557883 [Article in German]
  3. Zhang JH, Yang SM, How CH, Ciou YF. Surgical management of lung abscess: from open drainage to pulmonary resection. J Vis Surg (JOVS). 2018;4:224. doi: 10.21037/jovs.2018.10.14
  4. Azorin JF, Francisci MP, Tremblay B, Larmignat P, Carvaillo D. Closure of a postpneumonectomy main bronchus fistula using video-assisted mediastinal surgery. Chest. 1996 Apr;109(4):1097-98. doi: 10.1378/chest.109.4.1097
  5. Laennec RTH. Traite de 1auscultation mediate etdes maladies des poumons et du Coeur [Electronic resource]. Paris; 1819. 516 p. Available from: https://gallica.bnf.fr/ark:/12148/bpt6k987580.pdf
  6. Roschev IP, Shoikhet YaN, Syzdykbayev MK, Kapitulin SY. Complex treatment of patients with an acute infectious destructive lung diseases. Sovrem Problemy Nauki i Obrazovaniia. [Elektronnyi zhurnal]. 2014;(3). Rezhim dostupa: https://www.science-education.ru/ru/article/view?id=13268 (In Russ.)
  7. Lukomskii GI, Shulutko ML, Vinner MG, Ovchinnikov AA. Bronkhopulmonologiia. Moscow, RF: Meditsina; 1982. 400 p. http://booksshare.net/index.php?id1=4&category=med&author=lukomskiy-gi&book=1982 (In Russ.)
  8. Salamatov AV, Abakumov VA, Menshikova EA, Suvorova TN. Diagnosticheskie i lechebnye vozmozhnosti chrezbronkhialnoi kateterizatsii polostnykh obrazovanii legkikh. V kn: Khropatyi NM, red. Aktualnye voprosy voenno-morskoi i klinicheskoi meditsiny. S-Petersburg, RF; 1995. p. 16-17. https://www.morkniga.ru/p830165.html (In Russ.)
  9. Rozenshtraukh LS, Rybakova NI, Vinner MG. Rentgenodiagnostika zabolevanii organov dykhaniia. Moscow: Meditsina; 1987. 640 p. (In Russ.)
  10. Shoikhet YaN, Syzdykbaev MK, Kurtukov VA, Kapilulin SY. Selective transtracheal catheterisation bronchi in treatment acute abscesses and gangrene of lung. Sovrem Problemy Nauki i Obrazovaniia. [Elektronnyi zhurnal]. 2014;(3). Rezhim dostupa: https://www.science-education.ru/ru/article/view?id=13257 (In Russ.)
  11. Herth F, Ernst A, Becker HD. Endoscopic drainage of lung abscesses: technique and outcome. Chest. 2005 Apr;127(4):1378-81. doi: 10.1378/chest.127.4.1378
  12. Unterman A, Fruchter O, Rosengarten D, Izhakian S, Abdel-Rahman N, Kramer MR. Bronchoscopic drainage of lung abscesses using a pig tail catheter. Respiration. 2017;93(2):99-105. doi: 10.1159/000453003
  13. Shlomi D, Kramer MR, Fuks L, Peled N, Shitrit D. Endobronchial drainage of lung abscess: the use of laser. Scand J Infect Dis. 2010;42(1):65-68. doi: 10.3109/00365540903292690
  14. Goudie E, Kazakov J, Poirier C, Liberman M. Endoscopic lung abscess drainage with argon plasma coagulation. J Thorac Cardiovasc Surg. 2013 Oct;146(4):e35-37. doi: 10.1016/j.jtcvs.2013.05.031
Address for correspondence:
115432, Russian Federation,
Moscow, Dovator Str., 15/1,
I.M. Sechenov First Moscow State
Medical University,
University Clinical Hospital No4.
Tel.: 8 926 581 55 93,
e-mail: 196015@ bk.ru,
Tatyana P. Pinchuk
Information about the authors:
Yasnogorodsky Oleg O., MD, Professor of the Faculty Surgery Department No 2, I.M. Sechenov First Moscow State Medical University, Moscow, Russian Federation.
http://orcid.org/0000-0001-8963-0401
Gostishev Viktor K., MD, Professor, Academician of RAS, Head of the General Surgery Department, I.M. Sechenov First Moscow State Medical University, Moscow, Russian Federation.
https://orcid.org/0000-0002-2900-0069
Shulutko Alexandr M., MD, Professor, Head of the Faculty Surgery Department No 2, I.M. Sechenov First Moscow State Medical University, Moscow, Russian Federation.
https://orcid.org/0000-0002-8001-1601
Pinchuk Tatyana P., MD, Head of the Endoscopy Unit, University Clinical Hospital No 4, I.M. Sechenov First Moscow State Medical University, Moscow, Russian Federation.
https://orcid.org/0000-0002-7928-598X
Struchkov Yuri V., MD, Professor of the General Surgery Department, I.M. Sechenov First Moscow State Medical University, Moscow, Russian Federation.
https://orcid.org/0000-0002-7340-7878
Taldykin Mikhail V., Head of the Thoracic Surgery Unit, University Clinical Hospital No 4, I.M. Sechenov First Moscow State Medical University, Moscow, Russian Federation.
http://orcid.org/0000-0001-5043-6214
Nasirov Fikret N., Associate Professor of the Faculty Surgery Department No 2, I.M. Sechenov First Moscow State Medical University, Moscow, Russian Federation.
http://orcid.org/0000-0001-8311-8220
Mochalov Vadim A., Physician of the Endoscopy Unit, University Clinical Hospital No 4, I.M. Sechenov First Moscow State Medical University, Moscow, Russian Federation.
http://orcid.org/0000-0002-7857-4384
DOI: https://dx.doi.org/10.18484/2305-0047.2020.2.159   |  

S.E. KATORKIN, A.A. CHERNOV, A.V. ZHURAVLEV, A.V. KOLSANOV, P.M. ZELTER

DIRECT AND REMOTE RESULTS OF SURGICAL TREATMENT OF RESISTANT FORMS OF ULCERATIVE COLITIS WITH FORMATION OF J-SHAPED SMALL INTESTINAL RESERVOIR

Samara State Medical University, Samara
The Russian Federation

Objective. To evaluate the functional results of coloproctectomy with the formation of a J-shaped small intestinal pelvic reservoir in patients with severe ulcerative colitis by using CT-reservoirography with 3D visualization and sphincterometry.
Methods. Surgical treatment was performed in 87 (31.6%) of 275 patients with severe ulcerative colitis. Coloproctectomy with a primary J-reservoir and ileo-anal anastomosis was performed in 16 (18.4%) patients. The final proctectomy with the formation of a delayed reservoir was performed in 8 (26.7%) of 29 patients 63.1 months after colectomy. Before restoration of the small itestine integrity, an endoscopic examination of the reservoir, X-ray contrast reservoirography, CT-reservoirography with the construction of the 3D model and sphincterometry were performed.
Results. In 24 patients, J-reservoirs from the ileum with ileo-anal anastomosis were formed, which made up 22.6% of all 106 operated on for ulcerative colitis. Postoperative complications were registered in 11 (68.8%) patients with primary and 3 (37.5%) patients with delayed reservoir formation. Complications of 3-4 severity according to P. Clavien and D. Dindo were observed in 5 (20.8%) patients. Restoration of the integrity of the small intestine was performed in 13 (81.3%) patients with primary and in 7 (87.5%) with a delayed reservoir. Long-term treatment results were monitored in 17 (85%) patients with a functioning reservoir in terms of 536.4 months. The frequency in the daytime of stools was 63 times, nighttime bowel movements from 1 to 2 times. Deficiency of the anal sphincter of the 1st degree according to sphincterometry was detected in 2 (18.2%) patients. The incontinence on the S.D.Wexner scale was 21 points.
Conclusions. The three-stage scheme of reconstructive intervention in patients with ulcerative colitis has fewer postoperative complications. The use of CT-reservoirography with the construction of 3D model and sphincterometry allow timely diagnosing the postoperative complications and objectifying the result of surgical intervention.

Keywords: ulcerative colitis, small intestinal pelvic reservoir, ileo-anal anastomosis, CT-reservoirography
p. 159-172 of the original issue
References
  1. Ivashkin VT, Shelygin YuA, Khalif IL, Belousova EA, Shifrin OS, Abdulganieva DI, Abdulkhakov RA, Alekseeva OP, Alekseenko SA, Achkasov SI, Baranovsky AYu, Bolikhov KV, Valuiskikh EYu, Vardanyan AV, Veselov AV, Veselov VV, Golovenko AO, Golovenko OV, Gubonina IV, Zhigalova TN, Kashnikov VN, Knyazev OV, Kostenko NV, Kulyapin AV, Morozova NA, Muravev AV, Nizov AA, Nikitina NV, Nikolaeva NN, Osipenko MF, Pavlenko VV, Parfenov AI, Poluektova EA, Potapov AS, Rumyantsev VG, Svetlova IO, Sitkin SI, Timerbulatov VM, Tkachev AV, Tkachenko EV, Frolov SA, Chashkova EYu, Shapina MV, Shchukina OB, Yakovlev AA. Clinical guide of Russian association of gastroenterology and Russian association of coloproctology on diagnostics and treatment of Crohns disease. Koloproktologiia. 2017;(1):7-30. https://elibrary.ru/item.asp?id=28298540 (In Russ.)
  2. Molodecky NA, Soon IS, Rabi DM, Ghali WA, Ferris M, Chernoff G, Benchimol EI, Panaccione R, Ghosh S, Barkema HW, Kaplan GG. Increasing incidence and prevalence of the inflammatory bowel diseases with time, based on systematic review. Gastroenterology. 2012 Jan;142(1):46-54.e42; quiz e30. doi: 10.1053/j.gastro.2011.10.001
  3. Cosnes J, Gower-Rousseau C, Seksik P, Cortot A. Epidemiology and natural history of inflammatory bowel diseases. Gastroenterology. 2011 May;140(6):1785-94. doi: 10.1053/j.gastro.2011.01.055
  4. Rutter M, Saunders B, Wilkinson K, Rumbles S, Schofield G, Kamm M, Williams C, Price A, Talbot I, Forbes A. Severity of inflammation is a risk factor for colorectal neoplasia in ulcerative colitis. Gastroenterology. 2004 Feb;126(2):451-59. doi: 10.1053/j.gastro.2003.11.010
  5. Hicks CW, Hodin RA, Bordeianou L. Semi-urgent surgery in hospitalized patients with severe ulcerative colitis does not increase overall J-pouch complications. Am J Surg. 2014 Feb;207(2):281-87. doi: 10.1016/j.amjsurg.2013.06.006
  6. Tsarkov PV. Kravchenko AYu, Tulina IA,. Kitsenko YuY. The short-term and long-term results of three-stage surgical treatment of ulcerative colitis with formation of ileal J-pouch. Rus J Gastroenterology, Hepatology, Coloproctology. 2016;(2):64-72. (In Russ.) doi: 10.22416/1382-4376-2016-26-2-64-72
  7. Uchino M, Ikeuchi H, Sugita A, Futami K, Watanabe T, Fukushima K, Tatsumi K, Koganei K, Kimura H, Hata K, Takahashi K, Watanabe K, Mizushima T, Funayama Y, Higashi D, Araki T, Kusunoki M, Ueda T, Koyama F, Itabashi M, Nezu R, Suzuki Y. Pouch functional outcomes after restorative proctocolectomy with ileal-pouch reconstruction in patients with ulcerative colitis: Japanese multi-center nationwide cohort study. J Gastroenterol. 2018 May;53(5):642-51. doi: 10.1007/s00535-017-1389-z
  8. Fazio VW, Kiran RP, Remzi FH, Coffey JC, Heneghan HM, Kirat HT, Manilich E, Shen B, Martin ST. Ileal pouch anal anastomosis: analysis of outcome and quality of life in 3707 patients. Ann Surg. 2013 Apr;257(4):679-85. doi: 10.1097/SLA.0b013e31827d99a2
  9. Holubar SD, Larson DW, Dozois EJ, Pattana-Arun J, Pemberton JH, Cima RR. Minimally invasive subtotal colectomy and ileal pouch-anal anastomosis for fulminant ulcerative colitis: a reasonable approach? Dis Colon Rectum. 2009 Feb;52(2):187-92. doi: 10.1007/DCR.0b013e31819a5cc1
  10. Buskens CJ, Sahami S, Tanis PJ, Bemelman WA. The potential benefits and disadvantages of laparoscopic surgery for ulcerative colitis: A review of current evidence. Best Pract Res Clin Gastroenterol. 2014 Feb;28(1):19-27. doi: 10.1016/j.bpg.2013.11.007
  11. Tan KK, Manoharan R, Rajendran S, Ravindran P, Young CJ. Assessment of age in ulcerative colitis patients with ileal pouch creation an evaluation of outcomes. Ann Acad Med Singapore. 2015 Mar;44(3):92-97. https://pdfs.semanticscholar.org/85db/f27d74aac175317c1865ce2d3fb20905b7ea.pdf
  12. Hicks CW, Hodin RA, Bordeianou L. Possible overuse of 3-stage procedures for active ulcerative colitis. JAMA Surg. 2013 Jul;148(7):658-64. doi: 10.1001/2013.jamasurg.325
  13. Gorgun E, Remzi FH, Goldberg JM, Thornton J, Bast J, Hull TL, Loparo B, Fazio VW. Fertility is reduced after restorative proctocolectomy with ileal pouch anal anastomosis: a study of 300 patients. Surgery. 2004 Oct;136(4):795-803. doi: 10.1016/j.surg.2004.06.018
  14. Zakharchenko AA, Kuznetsov MN, Shtopell AE, Gulman MI, Kochetova LV. Rol verkhnei mezenterikografii v prognozirovanii rekonstruktivno-vosstanovitelnogo etapa khirurgicheskogo lecheniia iazvennogo kolita. Moskov Khirurg Zhurn. 2010; 3(10): 10-14. (In Russ.)
  15. Kashnikov VN, Achkasov SI, Bolikhov KV, Nazarov IV, Gusev AV. Rezultaty formirovaniia pervichnykh i vtorichnykh tonkokishechnykh rezervuarov pri iazvennom kolite. Rus J Gastroenterology, Hepatology, Coloproctology. 2014; 5(24):73-7. (In Russ.)
  16. Katorkin SE, Kolsanov AV, Bystrov SA, Zelter PM, Andreev IS. Virtual 3-D modeling in surgical treatment of chronic pancreatitis. Novosti Khirurgii. 2017; 25(5): 503-509. doi: 10.18484/2305-0047.2017.5.503 (In Russ.)
  17. Kariv R, Remzi FH, Lian L, Bennett AE, Kiran RP, Kariv Y, Fazio VW, Lavery IC, Shen B. Preoperative colorectal neoplasia increases risk for pouch neoplasia in patients with restorative proctocolectomy. Gastroenterology. 2010 Sep;139(3):806-12, 812.e1-2. doi: 10.1053/j.gastro.2010.05.085
Address for correspondence:
443013, Russian Federation,
Samara, pr. Karl Marks 165 b,
Samara State Medical University,
the chair and clinic of hospital surgery
tel. +7 927 206-71-02,
e-mail: katorkinse@mail.ru
Sergey E. Katorkin
Information about the authors:
Katorkin Sergey E., PhD, AssociateProfessor, Head of the Chair and Clinic of Hospital Surgery, Samara State Medical University, Samara, Russian Federation.
https://orcid.org/0000-0001-7473-6692
Chernov Andrey A., Candidate of Medical Sciences (PhD), Surgeon of the Coloproctological Unit of the Hospital Surgery Clinic, Assistant of the Chair of Hospital Surgery, Samara State Medical University, Samara, Russian Federation.
https://orcid.org/0000-0002-7622-6095
Zhuravlev Andrey V., Candidate of Medical Sciences (PhD), Head of the Coloproctological Unit of the Hospital Surgery Clinic, Associate Professor of the Chair of Hospital Surgery, Samara State Medical University, Samara, Russian Federation.
https://orcid.org/0000-0002-0353-840x
Kolsanov Alexander V., MD, Professor, Head of the Chair of the Operative Surgery and Clinical Anatomy, Professor RAS, Rector Samara State Medical University, Samara, Russian Federation.
http://orcid.org/0000-0002-4144-7090
Zelter Pavel M., Candidate of Medical Sciences (PhD), Assistant of the Chair of Radiation Diagnostics and Radiation Therapy with a Course in Medical Informatics, Samara State Medical University, Samara, Russian Federation.
http://orcid.org/0000-0003-1346-5942

TRANSPLANTOLOGY

DOI: https://dx.doi.org/10.18484/2305-0047.2020.2.173   |  

A.O. NYKONENKO 1,2, O.S. NYKONENKO 1, D.A. BUGA 2, I.V. RUSANOV 2, S.R.VILDANOV 1

HEALTH STATUS ASSESSMENT OF RELATED KIDNEY DONORS IN THE LATE POSTOPERATIVE PERIOD

Zaporizhzhya State Medical University 1,
Zaporizhzhya Medical Academy of Postgraduate Education of the Ministry of Health of Ukraine 2, Zaporizhia,
Ukraine

Objective. To analyze the health status of living kidney donors based on the degree of restoration of the kidney function and the general physical status of the donor.
Methods. 37 related kidney donors underwent nephrectomy between 2014 and 2017. The average age was 48.39.7 (̱σ) years, with 19 men (51%) and 18 (49%) women. In the late postoperative period (1,91,1 years (̱σ)), the levels of proteinuria, and glomerular filtration rate (GFR) were studied. The life quality of kidney donors was assessed using the Medical Outcomes Study-Short Form-36 questionnaire.
Results. The average GFR before the operation was 78,924,5 ml/min per 1.73 m2, and fell to 49,811,2 ml/min per 1.73 m2 on the 2nd day after the operation. Upon discharge (15,27,0 day), average GFR increased to 53,48,0 ml/min per 1.73 m2, and almost reached pre-operation levels 1,91,1 years after the operation. This suggests that a single normally-functioning kidney is capable of taking on the load from the missing kidney. Furthermore, our study showed that, in the late postoperative period, there was no statistically significant difference in either GFR or quality of life between the donors of different age groups (p>0.05). Our research showed that if adequate protocols are used for living donor selection, donor-recipient kidney transplantation is not only an effective method for treating terminal stage of chronic end stage of renal disease, but is also safe for health and the subsequent renal function of the donor.
Conclusions. In living donors, a gradual restoration of renal function is observed, according to GFR, at discharge (day 15.27.0) and in the late postoperative period (1.91.1 years), almost reaching the preoperative level. The physical and psychological health components of donors of different age groups were comparable.

Keywords: transplantation, living kidney donor, donor nephrectomy, postoperative period, renal failure
p. 173-179 of the original issue
References
  1. Gautier SV, Konstantinov VK. Assessment Methods of Quality of Life of Living Organ Donors. Russian Journal of Transplantology and Artificial Organs. 2017;19(1):82-88. doi: 10.15825/1995-1191-2017-1-82-88 (In Russ.)
  2. Lentine KL, Kasiske BL, Levey AS, Adams PL, Alberú J, Bakr MA, Gallon L, Garvey CA, Guleria S, Li PK, Segev DL, Taler SJ, Tanabe K, Wright L, Zeier MG, Cheung M, Garg AX. KDIGO clinical practice guideline on the evaluation and care of living kidney donors. Transplantation. 2017 Aug;101(8S Suppl 1):S1-S109. doi: 10.1097/TP.0000000000001769
  3. Levey AS, Inker LA. GFR evaluation in living kidney donor candidates. J Am Soc Nephrol. 2017 Apr;28(4):1062-71. Published online 2017 Mar 15. doi: 10.1681/ASN.2016070790
  4. Inker LA, Koraishy FM, Goyal N, Lentine KL. Assessment of glomerular filtration rate and end-stage kidney disease risk in living kidney donor candidates: a paradigm for evaluation, selection, and counseling. Adv Chronic Kidney Dis. 2018 Jan;25(1):21-30. doi: 10.1053/j.ackd.2017.09.002
  5. Mehta KS, Swami R, Pajai A, Bhurke S, Shirkande A, Jawle S. Long-term evaluation of kidney function in live-related kidney donors. Saudi J Kidney Dis Transpl. 2017 Sep-Oct;28(5):1041-49. doi: 10.4103/1319-2442.215145
  6. Janki S, Dols LFC, Timman R, Mulder EEAP, Dooper IMM, van de Wetering J, IJzermans JNM. Five-year follow-up after live donor nephrectomy - cross-sectional and longitudinal analysis of a prospective cohort within the era of extended donor eligibility criteria. Transpl Int. 2017 Mar;30(3):266-76. doi: 10.1111/tri.12872
  7. Han X, Lim JY, Raman L, Tai BC, Kaur H, Goh AT, Vathsala A, Tiong HY. Nephrectomy-induced reduced renal function and the health-related quality of life of living kidney donors. Clin Transplant. 2017 Mar;31(3). doi: 10.1111/ctr.12910
  8. Levey AS, Inker LA. GFR Evaluation in Living Kidney Donor Candidates. J Am Soc Nephrol. 2017 Apr;28(4):1062-71. doi: 10.1681/ASN.2016070790
  9. Kasiske BL, Asrani SK, Dew MA, Henderson ML, Henrich C, Humar A, Israni AK, Lentine KL, Matas AJ, Newell KA, LaPointe Rudow D, Massie AB, Snyder JJ, Taler SJ, Trotter JF, Waterman AD. The living donor collective: a scientific registry for living donors. Am J Transplant. 2017 Dec;17(12):3040-48. doi: 10.1111/ajt.14365
  10. Mjøen G, Holdaas H. Long term risk of mortality after living kidney donation. BMJ. 2017 Apr 25;357:j1770. doi: 10.1136/bmj.j1770
  11. Boudville N, Garg AX. End-stage renal disease in living kidney donors. Kidney Int. 2014 Jul;86(1):20-22. doi: 10.1038/ki.2013.560
  12. OKeeffe LM, Ramond A, Oliver-Williams C, Willeit P, Paige E, Trotter P, Evans J, Wadström J, Nicholson M, Collett D, Di Angelantonio E. Mid- and long-term health risks in living kidney donors: a systematic review and meta-analysis. Ann Intern Med. 2018 Feb 20;168(4):276-84. doi: 10.7326/M17-1235
  13. Muzaale AD, Massie AB, Wang MC, Montgomery RA, McBride MA, Wainright JL, Segev DL. Risk of end-stage renal disease following live kidney donation. JAMA. 2014 Feb 12;311(6):579-86. doi: 10.1001/jama.2013.285141
  14. Matas AJ, Vock DM, Ibrahim HN. GFR ?25 years postdonation in living kidney donors with (vs. without) a first-degree relative with ESRD. Am J Transplant. 2018 Mar;18(3):625-31. doi: 10.1111/ajt.14525
  15. Yalin SF, Trabulus S, Seyahi N, Cengiz M, Cicik ME, Altiparmak MR. Ambulatory blood pressure monitoring in living kidney donors: What changes in 10 years? Clin Transplant. 2018 Apr;32(4):e13224. doi: 10.1111/ctr.13224
  16. Wainright JL, Robinson AM, Wilk AR, Klassen DK, Cherikh WS, Stewart DE. Risk of ESRD in prior living kidney donors. Am J Transplant. 2018 May;18(5):1129-39. doi: 10.1111/ajt.14678
  17. Lam NN, Garg AX. Acceptability of older adults as living kidney donors. Curr Opin Nephrol Hypertens. 2016 May;25(3):245-56. doi: 10.1097/MNH.0000000000000215
Address for correspondence:
69035, Ukraine,
Zaporizhia, pr. Mayakovskii, 26,
Zaporizhzhya State Medical University,
the hospital surgery chair,
tel. +38 (097)-594-54-93,
e-mail: nikonandra@gmail.com,
Nykonenko Andriy A.
Information about the authors:
Nykonenko Andriy O., Doctor of Medical Sciences (MD), Professor, Head of the Hospital Surgery Chair, Zaporizhzhya State Medical University, Zaporizhia, Ukraine.
https://orcid.org/0000-0002-5720-2602
Nykonenko Olexandr S., Doctor of Medical Sciences (MD), Professor, Academician of NAMS of Ukraine, Corresponding Member of NAS of Ukraine, Rector, Zaporizhzhya Medical Academy of Postgraduate Education of the Ministry of Health of Ukraine , Zaporizhia, Ukraine.
https://orcid.org/0000-0001-7333-4165
Buga Dmitrii A., MD, Associate Professor, Head of the Department of Transplantology and Endocrine Surgery with the Courses of the Cardiovascular Surgery, Zaporizhzhya Medical Academy of Postgraduate Education of the Ministry of Health of Ukraine, Zaporizhia, Ukraine.
https://orcid.org/0000-0001-5818-3100
Rusanov Ihor V., Candidate of Medical Sciences (PhD), Associate Professor of the Department of Transplantology and Endocrine Surgery with the Courses of the Cardiovascular Surgery, Zaporizhzhya Medical Academy of Postgraduate Education of the Ministry of Health of Ukraine, Zaporizhia, Ukraine.
https://orcid.org/0000-0002-4363-1158
Vildanov Serhii R., Candidate of Medical Sciences (PhD), Assistant of the Hospital Surgery Department, Zaporizhzhya State Medical University, Zaporizhia, Ukraine.
https://orcid.org/0000-0003-3885-9390

ANESTHESIOLOGY-REANIMATOLOGY

DOI: https://dx.doi.org/10.18484/2305-0047.2020.2.180   |  

S.A. TACHYLA

PROGNOSTIC VALUE OF TOTAL PROTEIN AND ALBUMIN LEVELS IN ABDOMINAL SURGERY PATIENTS

Mogilev Regional Hospital, Mogilev,
The Republic of Belarus

Objective. To study the dynamics of total protein and albumin levels in abdominal surgery patients, to determine their prognostic significance, sensitivity and specificity for the development of multiple organ dysfunction syndrome and mortality.
Methods. The prospective cohort study included patients with (n=459) previous surgical interventions in the abdominal surgery for the period from 2014 up to 2018. The 1st group consisted of patients without multiple organ dysfunction syndrome (n=280), the 2nd group patients with multiple organ dysfunction syndrome (n=179). Of these patients, 23 died in the group 2 (12.8%). The levels of total protein and albumin were assessed daily. Logistic regression analysis was performed, receiver operating characteristic curves (ROC curves) were plotted, and the area under the curve (AUC) was also determined.
Results. Patients after the abdominal surgical interventions showed a statistically significant decrease in total protein and albumin. It is established that these markers in the early stages have a prognostic value in relation to multiple organ dysfunction syndrome. Total protein on the 1st and 2nd day after surgery AUC was 0.633 and 0.641, respectively (p<0.05). Albumin on the 1st, 2nd and 3rd day after surgery AUC was 0.673; 0.743 and 0.664, respectively (p<0.05). Albumin level is also a predictor of mortality: AUC 0.639; 95% confidence interval 0.584-0.695 (p<0.05). Total protein does not have a prognostic value in relation to mortality.
Conclusions. The studied parameters of total protein and albumin are prognostic markers of average diagnostic efficacy; their evaluation should be carried out in combination with other clinical and laboratory parameters. The level of albumin as a predictor has advantages, since, with a diagnostic value similar to that of a total protein, with respect to the prediction of multiple organ dysfunction syndrome, it is a prognostic marker of mortality.

Keywords: abdominal surgery, multiple organ dysfunction syndrome, mortality, prognosis, total protein, albumin
p. 180-187 of the original issue
References
  1. Huang W, Qin S, Sun Y, Yin S, Fan X, Huang Q, Chen T, Liang H. Establishment of multiple organ dysfunction syndrome early warning score in patients with severe trauma and its clinical significance: a multicenter study. Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2018 Jan;30(1):41-46. doi: 10.3760/cma.j.issn.2095-4352.2018.01.008 [Article in Chinese]
  2. Wang S, Li T, Li Y, Zhang J, Dai X. Predictive value of four different scoring systems for septic patients outcome: a retrospective analysis with 311 patients. Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2017 Feb;29(2):133-38. doi: 10.3760/cma.j.issn.2095-4352.2017.02.008 [Article in Chinese]
  3. Schmidt de Oliveira-Netto AC, Morello LG, Dalla-Costa LM, Petterle RR, Fontana RM, Conte D, Pereira LA, Raboni SM. Procalcitonin, C-Reactive Protein, Albumin, and Blood Cultures as Early Markers of Sepsis Diagnosis or Predictors of Outcome: A Prospective Analysis. Clin Pathol. 2019 Jun 18;12:2632010X19847673. doi: 10.1177/2632010X19847673. eCollection 2019 Jan-Dec.
  4. Gvozdik P, ononov VS, Dorofejev VD, Nartaylakov . Diagnosis and correction of liver dysfunction in abdominal sepsis. Annaly Khirurg Gepatologii. 2011;16(1):40-44. http://vidar.ru/Article.asp?fid=ASH_2011_1_40 (In Russ.)
  5. Feng JY, Chien JY, Kao KC, Tsai CL, Hung FM, Lin FM, Hu HC, Huang KL, Yu CJ, Yang KY. Predictors of early onset multiple organ dysfunction in major burn patients with ventilator support: experience from a mass casualty explosion. Sci Rep. 2018 Jul 19;8(1):10939. doi: 10.1038/s41598-018-29158-3
  6. Liao MH, Chen SJ, Tsao CM, Shih CC, Wu CC. Possible biomarkers of early mortality in peritonitis-induced sepsis rats. J Surg Res. 2013 Jul;183(1):362-70. doi: 10.1016/j.jss.2013.01.022
  7. Salekhov SA, Sarsembaev BK, Imanbaev AK. Korrektsiia detoksikatsionnoi funktsii pecheni pri abdominalnom sepsise. Retsept. 2008;61(5):135-139. https://elibrary.ru/item.asp?id=20134478& (In Russ.)
  8. Chanchiev ZM. Features of acute liver failure in emergency abdominal surgery. Elektronnyi resurs]. Sovremennye Problemy Nauki i Obrazovaniia. 2015;(6). [data obrashcheniia: 19.07.2019]. Available from: http://www.science-education.ru/ru/article/view?id=23384 (In Russ.)
  9. Sorokina OYu. Acute liver dysfunctions in intensive care unit patients and metabolic therapy methods. Meditsina Neotlozhnykh Sostoianii. 2015;8(71):25-45. https://www.elibrary.ru/item.asp?id=25910942 (In Russ.)
  10. Sun JK, Mu XW, Li WQ, Tong ZH, Li J, Zheng SY. Effects of early enteral nutrition on immune function of severe acute pancreatitis patients. World J Gastroenterol. 2013 Feb 14;19(6):917-22. doi: 10.3748/wjg.v19.i6.917
  11. Shumilina OV, Dostieva ZA, Muradov AM, Khamidov JB. Influence of lungs on common and efficient concentration of an albumin at patients with peritonitis. Nauch-Prakt Zhurn TIPPM (Dushanbe). 2012;(4):51-54. http://www.vestnik-ipovszrt.tj/?p=1091 (In Russ.)
  12. Yu X, Wan X, Wan L, Huang Q. Analysis of high risk factors of intensive care unit-acquired weakness in patients with sepsis. Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2018 Apr;30(4):355-359. doi: 10.3760/cma.j.issn.2095-4352.2018.04.014 [Article in Chinese]
  13. Wang B, Chen G, Cao Y, Xue J, Li J, Wu Y. Correlation of lactate/albumin ratio level to organ failure and mortality in severe sepsis and septic shock. J Crit Care. 2015 Apr;30(2):271-75. doi: 10.1016/j.jcrc.2014.10.030
  14. Magnussen B, Oren Gradel K, Gorm Jensen T, Kolmos HJ, Pedersen C, Just Vinholt P, Touborg Lassen A. Association between Hypoalbuminaemia and Mortality in Patients with Community-Acquired Bacteraemia Is Primarily Related to Acute Disorders. PLoS One. 2016 Sep 9;11(9):e0160466. doi: 10.1371/journal.pone.0160466. eCollection 2016.
  15. Yin M, Si L, Qin W, Li C, Zhang J, Yang H, Han H, Zhang F, Ding S, Zhou M, Wu D, Chen X, Wang H. Predictive value of serum albumin level for the prognosis of severe sepsis without exogenous human albumin administration: a prospective cohort study. J Intensive Care Med. 2018 Dec;33(12):687-94. doi: 10.1177/0885066616685300
Address for correspondence:
212026, Republic of Belarus,
Mogilev, ul. Belyinitskii-Biruli, 12,
Mogilev Regional Hospital,
the intensive care unit,
tel./fax: +375(222) 50-08-81,
+375(222) 50-03-73,
e-mail: tsa80@inbox.ru,
Tachyla Siarhei A.
Information about the authors:
Tachyla Siarhei A., PhD, Physician of the ICU, Mogilev Regional Hospital, Mogilev, Republic of Belarus.
https://orcid.org/0000-0003-1659-5902

REVIEWS

DOI: https://dx.doi.org/10.18484/2305-0047.2020.2.188   |  

I.I. BABICH, YU.N. MELNIKOV

SURGICAL ASPECTS OF TREATMENT OF COMPLICATED FORMS OF INTESTINAL OBSTRUCTION IN CHILDREN

Rostov State Medical University, Rostov-on-Don,
The Russian Federation

Bowel (intestinal) obstruction is a very common case in pediatric surgical practice. Intestinal transit disorder among children is caused by organic or functional causes of the congenital origin as well as by an acquired pathology. The degree of incidence for intestinal obstruction is steadily increasing. This is due to the increasing number of cases with congenital gastrointestinal tract malformations, as well as the increasing number and volume of surgical interventions onto the intestine.
The literature review is dedicated to the problem relevance of the bowel obstruction complicated forms treatment among pediatric patients. One of the key stages of surgical treatment is the determination of the intestinal viability involved into the lesion. The determination of viability has a matter of subjectivity if based only on the visual characteristics of the ischemia area, which can lead to an incorrect assessment of the vital properties of the organ. The current instrumental methods are technically difficult to implement and, in most cases, cannot be applied within the conditions of the emergency departments of public health care. The outcomes of surgical treatment largely depend on the development of the most effective method for determination of the local bowel necrosis, as well as the resection sites. The outstanding problem is the level involved into the creation of entero- or colostomy considering the subsequent reconstructive surgery, verification of the agangliosis area in Hirschsprung disease, which are the directions of the future research.

Keywords: intestinal obstruction, Hirschsprung disease, intussusception, necrotizing enterocolitis, intestinal viability, adhesive obstruction
p. 188-196 of the original issue
References
  1. Razin MP, Syrchin EF, Kuznetsov SY, Lobastov DK. Rare forms of intussusception. Ros Vestn Det Khirurgii, Anesteziologii i Reanimatologii. 2015;5(2):79-82. https://www.rps-journal.ru/jour/article/view/162/163 (In Russ.)
  2. Grant HW, Parker MC, Wilson MS, Menzies D, Sunderland G, Thompson JN, Clark DN, Knight AD, Crowe AM, Ellis H. Adhesions after abdominal surgery in children. J Pediatr Surg. 2008 Jan;43(1):152-56; discussion 156-57.doi: 10.1016/j.jpedsurg.2007.09.038
  3. Yang YJ. The optimal timing of enterostomy closure in preterm infants. Pediatr Neonatol. 2014 Oct;55(Is 5):333-34. doi: 10.1016/j.pedneo.2014.06.001
  4. Lautz TB, Raval MV, Reynolds M, Barsness KA. Adhesive small bowel obstruction in children and adolescents: operative utilization and factors associated with bowel loss. J Am Coll Surg. 2011 May;212 (5):855-61. doi: 10.1016/j.jamcollsurg.2011.01.061
  5. Szylberg L, Marszałek A. Diagnosis of Hirschsprungs disease with particular emphasis on histopathology. A systematic review of current literature. Prz Gastroenterol. 2014;9(5):264-69. doi: 10.5114/pg.2014.46160
  6. Minaev SV, Doronin VF, Obedin AN, Timofeev SV. The peritoneal adhesions in children. Med Vestn Sever Kavkaza. 2009;(1):17-20. https://medvestnik.stgmu.ru/files/medvestnik_2009_1.pdf (In Russ.)
  7. Nasir AA, Abdur-Rahman LO, Bamigbola KT, Oyinloye AO, Abdulraheem NT, Adeniran JO. Is non-operative management still justified in the treatment of adhesive small bowel obstruction in children? Afr J Paediatr Surg. 2013 Jul-Sep;10(3):259-64. doi: 10.4103/0189-6725.120908
  8. Ameh EA, Ayeni MA, Kache SA, Mshelbwala PM. Role of damage control enterostomy in management of children with peritonitis from acute intestinal disease. Afr J Paediatr Surg. 2013 Oct-Dec;10(4):315-19. doi: 10.4103/0189-6725.125429
  9. Razumovskii AYu, Polunina NV, Savvina VA, Iakovleva AI, Varfolomeev AR, Nikolaev VN. Nekroticheskii enterokolit v svete izmeneniia kriteriev zhivorozhdennosti. Vopr Prakt Pediatrii. 2014;9(3):56-59. http://www.phdynasty.ru/katalog/zhurnaly/voprosy-prakticheskoy-pediatrii/2014/tom-9-nomer-3/8446 (In Russ.)
  10. Rees CM, Eaton S, Pierro A. National prospective surveillance study of necrotizingenterocolitis in neonatal intensive care units. J Pediatr Surg. 2010 Jul;45(7):1391-97. doi: 10.1016/j.jpedsurg.2009.12.002
  11. Stoll BJ, Hansen NI, Bell EF, Walsh MC, Carlo WA, Shankaran S, Laptook AR, Sánchez PJ, Van Meurs KP, Wyckoff M, Das A, Hale EC, Ball MB, Newman NS, Schibler K, Poindexter BB, Kennedy KA, Cotten CM, Watterberg KL, DAngio CT, DeMauro SB, Truog WE, Devaskar U, Higgins RD. Trends in care practices, morbidity, and mortality of extremely preterm neonates, 1993-2012. JAMA. 2015 Sep 8;314(10):1039-51. doi: 10.1001/jama.2015.10244
  12. Battersby C, Santhalingam T, Costeloe K, Modi N. Incidence of neonatal necrotising enterocolitis in high-income countries: a systematic review. Arch Dis Child Fetal Neonatal Ed. 2018 Mar;103(2):F182-89. doi: 10.1136 / archdischild-2017-313880
  13. Smolentsev MM, Razin MP. Surgical treatment of children with adhesive intestinal obstruction today. Fundam Issledovaniia. 2015;(1):1680-84. https://fundamental-research.ru/pdf/2015/1-8/38272.pdf (In Russ.)
  14. Rodin AV, Pleshkov VG. Evaluation of the viability of the intestine during surgical treatment in the course of acute intestinal obstruction. Vestn SGMA. 2016;15(1):75-82. https://sgma.info/ru/issues-contents-and-articles-abstracts-rus/2016/issue-1-year-2016.html (In Russ.)
  15. Babich II. Melnicov YuN. Intraoperative diagnostics of intestines vitality under conditions of different variations of childrens intestines obstructions. Med Vestn Sever Kavkaza. 2018;13(4):615-19. doi: 10.14300/mnnc.2018.13119 (In Russ.)
  16. Solovev AE, Anikin IA, Pakholchuk AP. Treatment of necrotic enterocolitis in newborn children. Grekovs Bulletin of Surgery. 2016;175(1):71-73. doi: 10.24884/0042-4625-2016-175-1-71-73 (In Russ.)
  17. Rao SC, Basani L, Simmer K, Samnakay N, Deshpande G. Peritoneal drainage versus laparotomy as initial surgical treatment for perforated necrotizing enterocolitis or spontaneous intestinal perforation in preterm low birth weight infants. Cochrane Database Syst Rev. 2011 Jun 15;(6):CD006182. doi: 10.1002/14651858.CD006182.pub2
  18. Moss RL, Dimmitt RA, Barnhart DC, Sylvester KG, Brown RL, Powell DM , Islam S, Langer JC, Sato TT, Brandt ML, Lee H, Blakely ML, Lazar EL, Hirschl RB, Kenney BD, Hackam DJ, Zelterman D, Silverman BL. Laparotomy versus peritoneal drainage for necrotizing enterocolitis and perforation. N Engl J Med. 2006 May;354(21):2225-34. doi: 10.1056/NEJMoa054605
  19. Rees CM, Eaton S, Kiely EM, Wade AM, McHugh K, Pierro A. Peritoneal drainage or laparotomy for neonatal bowel perforation? A randomized controlled trial. Ann Surg. 2008 Jul;248(1):44-51. doi: 10.1097/SLA.0b013e318176bf81
  20. Rees CM, Eaton S, Khoo AK, Kiely EM; Members of NET Trial Group, Pierro A. Peritoneal drainage does not stabilize extremely low birth weight infants with perforated bowel: data from the NET Trial. J Pediatr Surg. 2010 Feb;45(2):324-28; discussion 328-9. doi: 10.1016/j.jpedsurg.2009.10.066
  21. Singh M, Owen A, Gull S, Morabito A, Bianchi A. Surgery for intestinal perforation in preterm neonates: anastomosis vs stoma. J Pediatr Surg. 2006 Apr;41(4):725-29; discussion 725-9. doi: 10.1016/j.jpedsurg.2005.12.017
  22. Haro JI, Prat OJ, Albert CA, Muñoz FE, Castañón G-AM. Long term outcome of preterm infants with isolated intestinal perforation: A comparison between primary anastomosis and ileostomy. J Pediatr Surg. 2016 Aug;51(8):1251-54.doi: 10.1016 / j. jpedsurg.2016.02.086
  23. Hamraev AJ, Karimov IM, Shamsiev AF, Saidalihodjaev B, Fayzullaev L. Tactics treatment of neonates with necrotising enterokolitis. Ros Vestn. 2014;4(1):55-57. https://www.rps-journal.ru/jour/article/view/13/14 (In Russ.)
  24. Karpova II, Parshikov VV, Batanov GB, Nikolajchuk VA. Experience with surgical treatment of newborns with necrotizing enterocolitis. Vestn Khirurgii im II Grekova. 2012;171(2):58-60. https://cyberleninka.ru/article/v/opyt-hirurgicheskogo-lecheniya-novorozhdyonnyh-s-nekroticheskim-enterokolitom (In Russ.)
  25. Trushin PV, Sklyar KE, Kostylyova ES, Shelkovnikov DS, Tolmachyov IA. Analysis of compliance of surgical treatment techniques on necrotizing coloenteritis to process stages. Journal of Siberian Medical Sciences. 2015;(3):34. https://jsms.elpub.ru/jour/article/view/125/126 (In Russ.)
  26. Kozlov YuA, Novozhilov VA, Kovalkov , Chubko DM, Baradieva PZh, Timofeev AD, Us GP, Kusnelsova NN. New surgical strategies for treatment of necrotizing enterocolitis in neonates. Annaly Khirurgii. 2015;(5):24-30. https://cyberleninka.ru/article/v/novye-hirurgicheskie-strategii-lecheniya-nekrotiziruyuschego-enterokolita-u-novorozhdennyh (In Russ.)
  27. Kozlov YuA, Novozhilov VA, Weber IN, Rasputin AA, Kovalkov KA, Chubko DM, Baradieva PZ, Zvonkov DA, Timofeev AD, Ochirov CB, Rasputina NV, Us GP, Kuznetsova NN. Surgical treatment of necrotizing enterocolitis multifocal forms in premature infants clip and drop technique. Pediatriia. 2017;96(4):116-20. doi: 10.24110/0031-403X-2017-96-4-116-120 (In Russ.)
  28. Karpova IIu, Parshikov VV, Nikolaichuk VA, Batanov GB. Primenenie otsrochennogo kishechnogo anastomoza pri multisegmentarnom iazvenno-nekroticheskom porazhenii kishechnika u novorozhdennogo rebenka. Vestn Khirurgii im II Grekova. 2012;171(2):100. https://cyberleninka.ru/article/v/primenenie-otsrochennogo-kishechnogo-anastomoza-pri-multisegmentarnom-yazvenno-nekroticheskom-porazhenii-kishechnika-u (In Russ.)
  29. Ron O, Davenport M, Patel S, Kiely E, Pierro A, Hall NJ, Ade-Ajayi N. Outcomes of the clip and drop technique for multifocal necrotizing enterocolitis. J Pediatr Surg. 2009 Apr;44(4):749-54. doi: 10.1016/j.jpedsurg.2008.09.031
  30. Pang KK, Chao NS, Wong BP, Leung MW, Liu KK. The clip and drop back technique in the management of multifocal necrotizing enterocolitis: a single centre experience. Eur J Pediatr Surg. 2012 Feb;22(1):85-90. doi: 10.1055/s-0031-1291287
  31. Svirsky AA, Sevkovsky IA, Averin VI, Marakhovsky KYu, Makhlin A, Valek LV, Silina EV, Anisimova EV, Ustinovich EV, Poleschuk VYu, Kachan AA. Necrotizing enterocolitis of newborns pressing issues and factors prognosticating treatment outcome. Ros Vestn Det Khirurgii Anesteziologii i Reanimatologii. 2016;6(3):19-26. https://www.rps-journal.ru/jour/article/view/265/266 (In Russ.)
  32. Kozlov YuA, Novozhilov VA, Timofeev AD. Spontaneous perforation of the intestine in prematurely born children. Ros Vestnik Det Khirurgii Anesteziologii i Reanimatologii. 2016;6(4):102-10. https://www.rps-journal.ru/jour/article/view/300/301 (In Russ.)
  33. Hamraev AZh, Ergashev , Hamroev UA. Clinical features, diagnosis and surgical treatment of Hirschsprungs disease newborn and infants. Ros Vestn Det Khirurgii Anesteziologii i Reanimatologii. 2013;3(4):59-62. https://cyberleninka.ru/article/v/osobennosti-kliniki-diagnostiki-i-hirurgicheskogo-lecheniya-bolezni-girshprunga-u-novorozhdennyh-i-grudnyh-detey (In Russ.)
  34. Chubarova AI, Kostomarova , Mokrushina OG, Shumikhin VS, Cherkasova SV, Tshapov NF, Dmilrieva IB, Selivarova EV, Petrova LV, Emirbekova SK, Koshko OV, Korchagina NS. Complications of diagnostics and treatment of patients with total and subtotal intestinal aganglionosis. Ros Vestn Det Khirurgii Anesteziologii i Reanimatologii. 2016;6(2):26-37. https://cyberleninka.ru/article/n/opyt-diagnostiki-i-lecheniya-patsientov-s-totalnym-i-subtotalnym-agangliozom-kishechnika(In Russ.)
  35. Akilov KhA, Saidov FKh, Khodjimuhamedova NA. Hirschsprungs disease, complications of perforation of the colon (case report). Koloproktologiia. 2014;(2):11-14. http://www.gnck.ru/pdf/journal_2_48_2014.pdf (In Russ.)
  36. Strukovsky E, Tarakanov VA, Starchenko V, Nadgeriev V, Lunyaka N, Tereschenko A, Poleev V, Palchikov V, Shatov V. Levchenko IS, Pilipenko NV. Emergency colostomy in treatment of children with illness Hirschsprung. Kuban Nauch Med Vestn. 2010;(9):137-39. https://cyberleninka.ru/article/v/ekstrennaya-kolostomiya-v-lechenii-detey-s-boleznyu-girshprunga (In Russ.)
  37. Ionov AL, Shcherbakova OV. Postoperative complications in colorectal surgery in children. Ros Vestn Det Khirurgii, Anesteziologii i Reanimatologii. 2013;3(4):50-58. (In Russ.)
    https://cyberleninka.ru/article/v/posleoperatsionnye-oslozhneniya-v-kolorektalnoy-hirurgii-u-detey
  38. Smirmov AN, Dronov AF, Kholostova VV, Mannanov AG, Ermolenko EYu. Intestinal stoma in children: related problems and solutions. Ros Vestn Det Khirurgii, Anesteziologii i Reanimatologii. 2013;3(4):71-82. https://cyberleninka.ru/article/v/kishechnye-stomy-u-detey-soputstvuyuschie-problemy-i-puti-ih-resheniya (In Russ.)
  39. Novozhilov VA, Kozlov YuA, Kashicyna AA, Podkamenev AV, Krasnov PA, Kononenko MI. The role of entero- and colostomy in management of congenita l gastrointestinal diseases in newborns and infants. Sib Med Zhurn (Irkutsk). 2010;94(3):112-14. https://cyberleninka.ru/article/v/entero-i-kolostomiya-v-lechenii-porokov-razvitiya-i-zabolevaniy-zheludochno-kishechnogo-trakta-u-novorozhdennyh-i-detey-rannego-grudnogo (In Russ.)
  40. Arts E, Botden SM, Lacher M, Sloots P, Stanton MP, Sugarman I, Wester T, de Blaauw I. Duhamel versus transanal endorectal pull through (TERPT) for the surgical treatment of Hirschsprungs disease. Tech Coloproctol. 2016 Oct;20(10):677-82. doi: 10.1007/s10151-016-1524-5
  41. Momynkulov AO, Tursunkulov BSh, Ruzuddinov DB, Kartalova DF, Kryuchkov VA. Contemporary diagnosis and management of intussusception children. Ros Vestn Det Khirurgii, Anesteziologii i Reanimatologii. 2014;4(1):51-54. https://cyberleninka.ru/article/n/sovremennaya-diagnostika-i-lechenie-invaginatsii-kishechnika-u-detey (In Russ.)
  42. Smolentsev MM, Razin MP, Sukhikh NK. Comparative characteristics of different methods of surgical treatment in children with adhesive intestinal obstruction. Ros Vestn Det Khirurgii Anesteziologii i Reanimatologii. 2015;5(3):20-27. https://cyberleninka.ru/article/n/sravnitelnaya-harakteristika-razlichnyh-metodov-operativnogo-lecheniya (In Russ.)
  43. Barskaya MA, Varlamov AV, Zavyalkin VA, Zebrova TA, Terekhina MI, Ustinova TK. Our experience of diagnostics and treatment of intestinal intussusception in children. Sovrem Problemy Nauki i Obrazovaniia [Elektronnyi zhurnal]. 2018;(2):14. Rezhim dostupa: https://science-education.ru/ru/article/view?id=27453 (In Russ.)
  44. Geraskin AV, Vrublevskiy SG, Trunov VO, Popov VE. Briling SR, Poddubny GS. Golovanev UB. Sulavko YaP. Laparoscopic treatment of adhesion intestinum illness in children. Ros Vestn Det Khirurgii, Anesteziologii i Reanimatologii. 2012;2(1):15-18 https://cyberleninka.ru/article/v/laparoskopiya-v-lechenii-detey-so-spaechnoy-boleznyu (In Russ.)
  45. Ntoulia A, Tharakan SJ, Reid JR, Mahboubi S. Failed Intussusception Reduction in Children: Correlation Between Radiologic, Surgical, and Pathologic Findings. AJR Am J Roentgenol. 2016 Aug;207(2):424-33. doi: 10.2214/AJR.15.15659
  46. Lochhead A, Jamjoom R, Ratnapalan S. Intussusception in children presenting to the emergency department. Clin Pediatr (Phila). 2013 Nov;52(11):1029-33. doi: 10.1177/0009922813506255
  47. Fallon SC, Lopez ME, Zhang W, Brandt ML, Wesson DE, Lee TC, Rodriguez JR. Risk factors for surgery in pediatric intussusception in the era of pneumatic reduction. J Pediator Surg. 2013 May;48(5):1032-36. doi: 10.1016/j. jpedsurg. 2013.02.021
  48. Fallon SC, Kim ES, Naik-Mathuria BJ, Nuchtern JG, Cassady CI, Rodriguez JR. Needle decompression to avoid tension pneumoperitoneum and hemodynamic compromise after pneumatic reduction of pediatric intussusception. Pediatr Radiol. 2013 Jun;43(6):662-67. doi: 10.1007/s00247-012-2604-y
  49. Tareen F, Ryan S, Avanzini S, Pena V, Mc Laughlin D, Puri P. Does the length of the history influence the outcome of pneumatic reduction of intussusception in children? Pediatr Surg Int. 2011 Jun;27(6):587-89. doi: 10.1007/s00383-010-2836-6
  50. Feigin E, Kravarusic D, Goldrat I, Steinberg R, Dlugy E, Baazov A, Zer M, Freud E. The 16 golden hours for conservative treatment in children with postoperative small bowel obstruction. J Pediatr Surg. 2010 May;45(5):966-8. doi: 10.1016/j.jpedsurg.2010.02.025
  51. Babich II, Melnikov YuN. Treatment of severe forms of enteric emboly among infants. Sovrem Nauka: Aktualnye Problemy Teorii i Praktiki. Ser Estestvennye i Tekhnicheskie nauki. 2018;(12):117-20. http://www.nauteh-journal.ru/files/0404cb55-0b73-433f-932b-2e903628a63c (In Russ.)
Address for correspondence:
344022, Russian Federation,
Rostov-on-Don, Nakhichevansky Lane, 29,
Rostov State Medical University,
Surgical Diseases Department of the
Faculty of the Advanced Training and Staff Retraining.
Tel.: +7 950 849 27 21,
e-mail: pobzder@rambler.ru,
Yuri N. Melnikov
Information about the authors:
Babich Igor I., MD, Professor, Professor of the Surgical Diseases Department of the Faculty of the Advanced Training and Staff Retraining, Rostov State Medical University, Rostov-on-Don, Russian Federation.
https://orcid.org/0000-0001-8282-2785
Melnikov Yuri N., Post-Graduate Student of the Surgical Diseases Department of the Faculty of the Advanced Training and Staff Retraining, Rostov State Medical University, Rostov-on-Don, Russian Federation.
https://orcid.org/0000-0002-7035-0415
DOI: https://dx.doi.org/10.18484/2305-0047.2020.2.197   |  

N.M. GREKOVA 1 , N.B. SHISHMENCEV 2, Y.V. NAIMUSHINA 2, A.G. BUHVALOV 3

ACUTE PANCREATITIS: MODERN CONCEPTS OF SURGICAL TREATMENT

South Ural State Medical University 1,
Chelyabinsk Railway Clinical Hospital 2, Chelyabinsk,
Central Health Care Unit No15 3, Snezhinsk,
The Russian Federation

The literature review over the past 15 years presents a modern approach to acute pancreatitis and its complications. An up-to-date international classification system for acute pancreatitis, adopted in Atlanta (USA) in 1992 and revised in 2012 (3rd revision) is given. The current principles and trends in the treatment of moderate-to-severe acute pancreatitis and severe acute pancreatitis are reviewed. Particular attention is paid to the integrated, multidisciplinary approach in the diagnosis and surgical treatment planning in acute severe necrotizing pancreatitis and its complications. Algorithms of a modern staged treatment of acute severe pancreatitis, depending on the cause of the disease, on the phases and periods of the disease, the severity of a patients condition, and prevalence of the pathological process are presented. Various approaches to the management of patients with the infected pancreatic necrosis, including minimally invasive technologies are analyzed. The maximal effectiveness of the acute severe pancreatitis surgical treatment is provided by a step-by-step strategy that depends on the etiology of the disease. The combination or alternation of minimally invasive puncture-draining interventions with open surgery and retroperitoneoscopy provided all necessary equipment is the most rational.

Keywords: acute pancreatitis, necrotizing pancreatitis, infected necrotizing pancreatitis, unlimited infected retroperitoneal necrosis, retroperitoneoscopy, minimally invasive interventions, percutaneous drainage
p. 197-206 of the original issue
References
  1. Ermolov AS, Ivanov PA, Blagovestnov DA, Grishin AA, Andreeva VG. Diagnostika i lechenie ostrogo pankreatita. Moscow, RF: Vidar-M; 2013. 384 p. (In Russ.)
  2. Bollen TL, van Santvoort HC, Besselink MG, van Leeuwen MS, Horvath KD, Freeny PC, Gooszen HG. The Atlanta Classification of acute pancreatitis revisited. Br J Surg. 2008 Jan;95(1):6-21. doi: 10.1002/bjs.6010
  3. Tenner S, Baillie J, DeWitt J, Vege SS. American College of Gastroenterology guideline: management of acute pancreatitis. Am J Gastroenterol. 2013 Sep;108(9):1400-15; 1416. doi: 10.1038/ajg.2013.218
  4. Dibirov MD, Isaev AI, Jadjiev AB, Ashimova AI, Ataev T. Role of correction of the syndrome of intestinal failure and abdominal hypertension in the prevention of infection of pancreatic necrosis. Khirurgiia Zhurn im NI Pirogova. 2016;(8):67-72 doi: 10.17116/hirurgia2016867-72 (In Russ.)
  5. Ostryi pankreatit [Elektronnyi resurs]. V kn: Prudkov MI (ruk), Shulutko AM, Antonenko IV, Barykov VN, Darvin VV, Gibert BK, Kislitsin DP, Malinkin AV, Mashkin AM, Sovtsov SA, Chernov VF. Neotlozhnaia khirurgiia. Klinicheskie rekomendatsii po okazaniiu meditsinskoi pomoshchi naseleniiu Uralskogo Federalnogo okruga. Ekaterinburg, RF: Liga-7; 2013.p. 23-29. Rezhim dostupa: http://www.chelsma.ru/files/misc/klinicheskierekomendaciipokhirurgiiurfo_m_i_prudkov.pdf (In Russ.)
  6. Mizgirev DV, Duberman BL, Epshtein AM, Kremlev VV, Bobovnik SV, Pozdeev VN, Prudieva EV. Complications and mortality rates in mini-invasive procedures for acute necrotizing pancreatitis. Annaly Khirurg Gepatologii. 2014;19(2):66-71. http://hepatoassociation.ru/docs/abstact_2014_19_2.pdf (In Russ.)
  7. Bagnenko SF, Blagovestnov DA, Galperin EI, Diuzheva TG, Dibirov MD, Prudkov MI, Filimonov MI, Chzhao AV. Diagnostika i lechenie ostrogo pankreatita (Rossiiskie klinicheskie rekomendatsii) [Elektronnyi resurs] [data obrashcheniia: 2018 Dek 11]. Rezhim dostupa: http://xn----9sbdbejx7bdduahou3a5d.xn--p1ai/stranica-pravlenija/unkr/urgentnaja-abdominalnaja-hirurgija/nacionalnye-klinicheskie-rekomendaci-po-ostromu-pankreatitu.html (In Russ.)
  8. Ostryi pankreatit. Natsionalnye klinicheskie rekomendatsii [Elektronnyi resurs]. 2014 [data obrashcheniia: 2019 Avg 26]. Rezhim dostupa: http://xn----9sbdbejx7bdduahou3a5d.xn--p1ai/stranica-pravlenija/klinicheskie-rekomendaci/urgentnaja-abdominalnaja-hirurgija/ostryi-pankreatit-ye-01-01-004-2-0-2019.html (In Russ.)
  9. Banks PA, Bollen TL, Dervenis C, Gooszen HG, Johnson CD, Sarr MG, Tsiotos GG, Vege SS. Classification of acute pancreatitis 2012: revision of the Atlanta classification and definitions by international consensus. Gut. 2013 Jan;62(1):102-11. doi: 10.1136/gutjnl-2012-302779
  10. Zaynutdinov , Malkov IS, Sharafislamov LF, Kirshin AP, Tukhubatullin MG. Methods of intervention radiology in complex treatment of patients with pancreonecrosis. Prakt Meditsina. 2014;5(81):50-53. https://cyberleninka.ru/article/v/metody-interventsionnoy-radiologii-v-kompleksnom-lechenii-bolnyh-pankreonekrozom (In Russ.)
  11. Mikhailusov SV, Moiseenkova EV, Tronin RYu. Miniinvazivnye vmeshatelstva pod kontrolem UZI pri pankreonekroze. Annaly Khirurg Gepatologii [Elektronnyi resurs]. 2014;19(2):72-78. Rezhim dostupa: https://rucont.ru/efd/501763 (In Russ.)
  12. Grekova NM, Bukhvalov AG, Lebedeva YuV, Bukhvalova SA. Acute pancreatitis: updates in classification system. Sovrem Problemy Nauki i Obrazovaniia [Elektronnyi zhurnal]. 2015 [data obrashcheniia: 2018 Dek 11];(3). Rezhim dostupa: https://www.science-education.ru/ru/article/view?id=18133 (In Russ.)
  13. Dyuzheva TG, Jus EV, Shefer AV, Akhaladze GG, Chevokin AYu, Kotovski AE, Platonova LV, Shono NI, Galperin EI. Pancreatic necrosis configuration and differentiated management of acute pancreatitis. Annaly Khirurg Gepatologii. 2013;18(1):92-102. https://elibrary.ru/item.asp?id=20201335 (In Russ.)
  14. Galimzyanov FV, Prudkov MI, Shapovalova OP. The infected pancreatic infiltarate, pancreatic abscess and phlegmona diagnostic and treatment. Vestn Ural Med Akad Nauki [Elektronnyi resurs]. 2011 [data obrashcheniia: 2018 Dek 11];(4):34-37. Rezhim dostupa: http://vestnikural.ru/uploads/article_file/5/2011_4_37.pdf (In Russ.)
  15. Galimzyanov FV, Gafurov BB. Possibilities of surgical treatment of patients with acute pancreatitis of the heavy decree in conditions of specialized department of regional clinical hospital. Vestn Avitsenny. 2017;19(3):338-343. doi: 10.25005/2074-0581-2017-19-3-338-343 (In Russ.)
  16. Aranda-Narváez JM, González-Sánchez AJ, Montiel-Casado MC, Titos-García A, Santoyo-Santoyo J. Acute necrotizing pancreatitis: Surgical indications and technical procedures. World J Clin Cases. 2014 Dec 16;2(12):840-45. doi: 10.12998/wjcc.v2.i12.840
  17. Bugiantella W, Rondelli F, Boni M, Stella P, Polistena A, Sanguinetti A, Avenia N. Necrotizing pancreatitis: A review of the interventions. Int J Surg. 2016 Apr;28(Suppl 1):S163-71. doi: 10.1016/j.ijsu.2015.12.038
  18. Rosenberg A, Steensma EA, Napolitano LM. Necrotizing pancreatitis: new definitions and a new era in surgical management. Surg Infect (Larchmt). 2015 Feb;16(1):1-13. doi: 10.1089/sur.2014.123
  19. Trikudanathan G, Arain M, Attam R, Freeman ML. Interventions for necrotizing pancreatitis: an overview of current approaches. Expert Rev Gastroenterol Hepatol. 2013 Jul;7(5):463-75. doi: 10.1586/17474124.2013.811055
  20. van Santvoort HC, Bakker OJ, Bollen TL, Besselink MG, Ahmed Ali U, Schrijver AM, Boermeester MA, van Goor H, Dejong CH, van Eijck CH, van Ramshorst B, Schaapherder AF, van der Harst E, Hofker S, Nieuwenhuijs VB, Brink MA, Kruyt PM, Manusama ER, van der Schelling GP, Karsten T, Hesselink EJ, van Laarhoven CJ, Rosman C, Bosscha K, de Wit RJ, Houdijk AP, Cuesta MA, Wahab PJ, Gooszen HG. A conservative and minimally invasive approach to necrotizing pancreatitis improves outcome. Gastroenterology. 2011 Oct;141(4):1254-63. doi: 10.1053/j.gastro.2011.06.073
  21. Nazarenko PM, Nazarenko DP, Samghina A, Kanishchev YV. Our experience of surgical treatment of acute biliary pancreatitis. Kursk Nauch-Prakt Vestn Chelovek i Ego Zdorove. 2017;(4):57-66. doi: 10.21626/vestnik/2017-4/11 ( In Russ.)
  22. an Santvoort HC, Besselink MG, Bakker OJ, Hofker HS, Boermeester MA, Dejong CH, van Goor H, Schaapherder AF, van Eijck CH, Bollen TL, van Ramshorst B, Nieuwenhuijs VB, Timmer R, Laméris JS, Kruyt PM, Manusama ER, van der Harst E, van der Schelling GP, Karsten T, Hesselink EJ, van Laarhoven CJ, Rosman C, Bosscha K, de Wit RJ, Houdijk AP, van Leeuwen MS, Buskens E, Gooszen HG. A step-up approach or open necrosectomy for necrotizing pancreatitis. N Engl J Med. 2010 Apr 22;362(16):1491-502. doi: 10.1056/NEJMoa0908821
  23. van Baal MC, van Santvoort HC, Bollen TL, Bakker OJ, Besselink MG, Gooszen HG. Systematic review of percutaneous catheter drainage as primary treatment for necrotizing pancreatitis. Br J Surg. 2011 Jan;98(1):18-27. doi: 10.1002/bjs.7304
  24. Freeman ML, Werner J, van Santvoort HC, Baron TH, Besselink MG, Windsor JA, Horvath KD, van Sonnenberg E, Bollen TL, Vege SS. Interventions for necrotizing pancreatitis: summary of a multidisciplinary consensus conference. Pancreas. 2012 Nov;41(8):1176-94. doi: 10.1097/MPA.0b013e318269c660
  25. Mizgirev DV, Kremlev VV, Neledova LA, Pozdeev VN, Katysheva AA, Duberman BL. Acute necrotising pancreatitis causes of deaths: single-centre retrospective study. Vestn Eksperim i Klin Khirurgii. 2019;12(1):29-37. doi: 10.18499/2070-478X-2019-12-1-29-37 ( In Russ.)
  26. Kokosis G, Perez A, Pappas TN. Surgical management of necrotizing pancreatitis: an overview. World J Gastroenterol. 2014 Nov 21;20(43):16106-12. Published online 2014 Nov 21. doi: 10.3748/wjg.v20.i43.16106
  27. Trikudanathan G, Vege SS. Current concepts of the role of abdominal compartment syndrome in acute pancreatitis an opportunity or merely an epiphenomenon. Pancreatology. 2014 Jul-Aug;14(4):238-43. doi: 10.1016/j.pan.2014.06.002
  28. Dyuzheva TG, Schaefer AV. Intra-abdominal hypertension in patients with severe acute pancreatitis.Khirurgiia. Zhurn im NI Pirogova. 2014;(1):21-29. https://www.mediasphera.ru/issues/khirurgiya-zhurnal-im-n-i-pirogova/2014/1/030023-1207201414 (In Russ.)
  29. Mantke R, Lippert H, Büchler MW, Sarr MG, eds. International Practices in Pancreatic Surgery. Springer-Verlag Berlin Heidelberg; 2013. doi: 10.1007/978-3-540-74506-8
  30. Cacopardo B, Pinzone M, Berretta S, Fisichella R, Di Vita M, Zanghì G, Cappellani A, Nunnari G, Zanghì A. Localized and systemic bacterial infections in necrotizing pancreatitis submitted to surgical necrosectomy or percutaneous drainage of necrotic secretions. BMC Surg. 2013;13(Suppl 2):S50. doi: 10.1186/1471-2482-13-S2-S50
  31. Salina NN, Nikulina VP, Borisov RN, Godkov MA. Presepsin as the early marker of purulent septic complications in patients with severe acute pancreatitis. Zhurn im NV Sklifosovskogo Neotlozh Med Pomoshch. 2018;7(1)30-36. doi: 10.23934/2223-9022-2018-7-1-30-36 ( In Russ.)
  32. van Grinsven J, van Santvoort HC, Boermeester MA, Dejong CH, van Eijck CH, Fockens P, Besselink MG. Timing of catheter drainage in infected necrotizing pancreatitis. Nat Rev Gastroenterol Hepatol. 2016 May;13(5):306-12. doi: 10.1038/nrgastro.2016.23
  33. Karakayali FY. Surgical and interventional management of complications caused by acute pancreatitis. World J Gastroenterol. 2014 Oct 7;20(37):13412-23. doi: 10.3748/wjg.v20.i37.13412
  34. Greenberg JA, Hsu J, Bawazeer M, Marshall J, Friedrich JO, Nathens A, Coburn N, May GR, Pearsall E, McLeod RS. Clinical practice guideline: management of acute pancreatitis. Can J Surg. 2016 Apr;59(2):128-40. doi: 10.1503/cjs.015015
  35. Papachristou GI, Takahashi N, Chahal P, Sarr MG, Baron TH. Peroral endoscopic drainage/debridement of walled-off pancreatic necrosis. Ann Surg. 2007 Jun;245(6):943-51. doi: 10.1097/01.sla.0000254366.19366.69
  36. Babu BI, Sheen AJ, Lee SH, OShea S, Eddleston JM, Siriwardena AK. Open pancreatic necrosectomy in the multidisciplinary management of postinflammatory necrosis. Ann Surg. 2010 May;251(5):783-86. doi: 10.1097/SLA.0b013e3181b59303
  37. Bukhvalov AG, Grekova NM, Lebedeva YuV, Bordunovskiy VN, Shishmencev NB, Vasilyev VS. Effectiveness of staging transcanal video-assisted bursoomentoscopy and retroperitoneoscopy with ultrasonic cavitation for treatment of nonbiliary infected pancreanecrosis. Vestn IuUrGU. Ser: Obrazovanie Zdravookhranenie Fiz Kultura [Elektronnyi resurs]. 2015 [data obrashcheniia: 2018 Dek 11];15(1):43-51. Rezhim dostupa: http://vestnik.istis.ru/last-edition/699-effektivnost-etapnykh-chreskanalnykh (In Russ.)
  38. Amano H, Takada T, Isaji S, Takeyama Y, Hirata K, Yoshida M, Mayumi T, Yamanouchi E, Gabata T, Kadoya M, Hattori T, Hirota M, Kimura Y, Takeda K, Wada K, Sekimoto M, Kiriyama S, Yokoe M, Hirota M, Arata S. Therapeutic intervention and surgery of acute pancreatitis. J Hepatobiliary Pancreat Sci. 2010 Jan;17(1):53-59. doi: 10.1007/s00534-009-0211-6
  39. Bakker OJ, van Santvoort HC, van Brunschot S, Geskus RB, Besselink MG, Bollen TL, van Eijck CH, Fockens P, Hazebroek EJ, Nijmeijer RM, Poley JW, van Ramshorst B, Vleggaar FP, Boermeester MA, Gooszen HG, Weusten BL, Timmer R. Endoscopic transgastric vs surgical necrosectomy for infected necrotizing pancreatitis: a randomized trial. JAMA. 2012 Mar 14;307(10):1053-61. doi: 10.1001/jama.2012.276
  40. Abdulianov AV, Farrakhov AZ, Borodin MA. Diagnosis and surgical treatment of patients with destructive pancreatitis. Prakt Meditsina [Elektronnyi resurs]. 2010 [data obrashcheniia: 2018 Dek 11]; 47(8):30-37. Rezhim dostupa: http://mfvt.ru/diagnostika-i-xirurgicheskoe-lechenie-bolnyx-destruktivnym-pankreatitom (In Russ.)
  41. Bukhvalov AG, Grekova NM, Lebcdeva YV, Bordunovskiy VN. Ways of reduction of mortality and postoperative complications rate in patients with acute severe nonbiliary pancreatitits. Fundam Issledovaniia [Elektronnyi resurs]. 2015 [data obrashcheniia: 2018 Dek 11];(1 ch 1):41-42. Rezhim dostupa: http://www.fundamentalresearch.ru/ru/article/view?id=36762 ( In Russ.)
  42. Loveday BP, Rossaak JI, Mittal A, Phillips A, Windsor JA. Survey of trends in minimally invasive intervention for necrotizing pancreatitis. ANZ J Surg. 2011 Jan;81(1-2):56-64. doi: 10.1111/j.1445-2197.2010.05265.x
  43. Ivshin VG, Ivshin MV, Malafeev IV, Yakunin AYu, Kremyansky MA, Romanova NN, Nikitchenko VV. Innovative instrumentation and techniques for pancreonecrosis and diffuse parapancreatitis transcutaneous management and diffuse parapancreatitis transcutaneous management. Annaly Khirurg Gepatologii [Elektronnyi resurs]. 2014 [data obrashcheniia: 2018 Dek 11];19(1):30-39. Rezhim dostupa: http://hepatoassociation.ru/docs/abstact_2014_19_1.pdf (In Russ.)
    44 . Loveday BP, Petrov MS, Connor S, Rossaak JI, Mittal A, Phillips AR, Windsor JA. A comprehensive classification of invasive procedures for treating the local complications of acute pancreatitis based on visualization, route, and purpose. Pancreatology. 2011;11(4):406-13. doi: 10.1159/000328191
Address for correspondence:
454092, Russian Federation,
Chelyabinsk, Vorovsky Str., 64,
South Ural State Medical University,
Faculty Surgery Department.
Tel. +7 351 902 83 46,
e-mail: grekovanm@mail.ru,
Natalia M Grekova
Information about the authors:
Grekova Natalia M., PhD, Associate Professor of the Faculty Surgery Department, South Ural State Medical University, Chelyabinsk, Russian Federation.
https://orcid.org/0000-0002-3364-7201
Shishmentsev Nikolay B., Surgeon, the Purulent Surgery Department, Chelyabinsk Railway Clinical Hospital, Chelyabinsk, Russian Federation.
https://orcid.org/0000-0003-0997-3442
Naimushina Yuliana V., PhD, Associate Professor of the Faculty Surgery Department, South Ural State Medical University, Chelyabinsk, Russian Federation.
https://orcid.org/0000-0002-6032-3501
Buhvalov Andrey G., MD, Surgeon, the Surgical Unit, Central Health Care Unit No15 of Federal Biomedical Agency, Snezhinsk, Russian Federation.
https://orcid.org/0000-0002-9428-6972
DOI: https://dx.doi.org/10.18484/2305-0047.2020.2.207   |  

A.L. ISTRANOV, A.A. ZAKIROVA, YU.I. ISAKOVA

MODERN ASPECTS OF FEMINIZING MAMMOPLASTY IN PATIENTS WITH A MALE FORM OF TRANSSEXUALISM

I.M. Sechenov First Moscow State Medical University, Moscow,
The Russian Federation

The main surgical operations in the birth-assigned male patient being affirmed as female include feminizing of the chest (breast augmentation) and genital reconstruction. Woman-shape breast formation is an important part of feminization for most trans-women, more often augmentation mammoplasty is performed first. Significantly increased requirements for the aesthetic result of any sex reassignment operations in this group of patients should be noted.
The purpose of this review is to summarize modern concepts and standards for augmentation mammoplasty in transgender individuals who want to change their sex from male to female. Knowledge of these aspects is necessary to achieve the best aesthetic result and patients satisfaction, ensuring their psychosocial and physical well-being. The following sections have been studied and presented in details: proportions of the ideal breast, breast development in transsexuals under the influence of hormonal therapy, anatomical differences between the male and female chest, size and position of the nipple-areola complex, choice of operative access and the implant position, choosing the volume and shape of the implant, formation and fixation of the inframammary fold, possible complications after augmentation mammoplasty, satisfaction with the results of the operation.

Keywords: transgender, transsexual, breast augmentation, nipple-areola complex, inframammary fold, hormonal therapy, quality of life, sex reassignment surgery
p. 207-221 of the original issue
References
  1. American Psychiatric Association. Cautionary statement for forensic use of DSM-5. In: Diagnostic and statistical manual of mental disorders. 5th ed. Washington. DC: Author; 2013. http://dx.doi.org/10.1176/appi.books.9780890425596.CautionaryStatement
  2. Frey JD, Poudrier G, Thomson JE, Hazen A. A Historical Review of Gender-Affirming Medicine: Focus on Genital Reconstruction Surgery. J Sex Med. 2017 Aug;14(8):991-1002. doi: 10.1016/j.jsxm.2017.06.007
  3. Standarty meditsinskoi pomoshchi transseksualam, transgenderam i genderno nekonformnym individuumam. 7 versiia [Elektronnyi resurs] [data dostupa: 2019 Avg 15]. Professionalnaia Assotsiatsiia po zdoroviu transseksualov; 2013. 139 s. Rezhim dostupa: https://www.wpath.org/media/cms/Documents/SOC%20v7/SOC%20V7_Russian.pdf (In Russ.)
  4. Sutcliffe PA, Dixon S, Akehurst RL, Wilkinson A, Shippam A, White S, Richards R, Caddy CM. Evaluation of surgical procedures for sex reassignment: a systematic review. J Plast Reconstr Aesthet Surg. 2009 Mar;62(3):294-306; discussion 306-8. doi: 10.1016/j.bjps.2007.12.009
  5. Istranov AL, Mkhitorian OA, Zakirova AA. Endoprotezirovanie molochnykh zhelez u patsientov s muzhskoi formoi transseksualizma. Annaly Plast, Rekonstrukt i Estet Khirurgii. 2018;(4):92. https://elibrary.ru/contents.asp?titleid=9557 (In Russ.)
  6. Blondeel PN, Hijjawi J, Depypere H, Roche N, Van Landuyt K. Shaping the breast in aesthetic and reconstructive breast surgery: an easy three-step principle. Plast Reconstr Surg. 2009 Feb;123(2):455-62. doi: 10.1097/PRS.0b013e3181954cc1
  7. Lewin R, Amoroso M, Plate N, Trogen C, Selvaggi G. The Aesthetically Ideal Position of the Nipple-Areola Complex on the Breast. Aesthetic Plast Surg. 2016 Oct;40(5):724-32. doi: 10.1007/s00266-016-0684-z
  8. Mallucci P, Branford OA. Shapes, proportions, and variations in breast aesthetic ideals: the definition of breast beauty, analysis, and surgical practice. Clin Plast Surg. 2015 Oct;42(4):451-64. doi: 10.1016/j.cps.2015.06.012
  9. Nahai F, ed. The Art of aesthetic surgery principles and techniques. 2nd ed. St Louis, MO: Quality Medical Publishing, Inc; 2011. 2500 p.
  10. Bensimon E. Commentary on: long-term outcomes in breast augmentation in trans-women: a 20-year experience. Aesthet Surg J. 2019 Mar 14;39(4):391-92. doi: 10.1093/asj/sjy200
  11. Claes KEY, DArpa S, Monstrey SJ. Chest surgery for transgender and gender nonconforming individuals. Clin Plast Surg. 2018 Jul;45(3):369-80. doi: 10.1016/j.cps.2018.03.010
  12. Morrison SD, Wilson SC, Mosser SW. Breast and body contouring for transgender and gender nonconforming individuals. Clin Plast Surg. 2018 Jul;45(3):333-42. doi: 10.1016/j.cps.2018.03.015
  13. Beer GM, Budi S, Seifert B, Morgenthaler W, Infanger M, Meyer VE. Configuration and localization of the nipple-areola complex in men. Plast Reconstr Surg. 2001 Dec;108(7):1947-52; discussion 1953. doi: 10.1097/00006534-200112000-00015
  14. Atiye B, Chahine F. Metrics of the aesthetically perfect breast. Aesthetic Plast Surg. 2018 Oct;42(5):1187-94. doi: 10.1007/s00266-018-1154-6
  15. Yonguc GN, Kurtulus A, Bayazit O, Adiguzel E, Unal I, Demir S, Acar K. Estimation of stature and sex from sternal lengths: an autopsy study. Anat Sci Int. 2015 Mar;90(2):89-96. doi: 10.1007/s12565-014-0235-0
  16. Seal LJ, Franklin S, Richards C, Shishkareva A, Sinclaire C, Barrett J. Predictive markers for mammoplasty and a comparison of side effect profiles in transwomen taking various hormonal regimens. J Clin Endocrinol Metab. 2012 Dec;97(12):4422-28. doi: 10.1210/jc.2012-2030
  17. Murad MH, Elamin MB, Garcia MZ, Mullan RJ, Murad A, Erwin PJ, Montori VM. Hormonal therapy and sex reassignment: a systematic review and meta-analysis of quality of life and psychosocial outcomes. Clin Endocrinol (Oxf). 2010 Feb;72(2):214-31. doi: 10.1111/j.1365-2265.2009.03625.x
  18. Wierckx K, Gooren L, TSjoen G. Clinical review: Breast development in trans women receiving cross-sex hormones. J Sex Med. 2014 May;11(5):1240-47. doi: 10.1111/jsm.12487
  19. Wesp LM, Deutsch MB. Hormonal and surgical treatment options for transgender women and transfeminine spectrum persons. Psychiatr Clin North Am. 2017 Mar;40(1):99-111. doi: 10.1016/j.psc.2016.10.006
  20. Lawrence AA. Transgender health concerns. In: Meyer IH, Northridge ME, eds. The health of sexual minorities: public health perspectives on lesbian, gay, bisexual and transgender populations. New York, NY: Springer; 2007. . 437-505.
  21. de Blok CJM, Klaver M, Wiepjes CM, Nota NM, Heijboer AC, Fisher AD, Schreiner T, TSjoen G, den Heijer M. Breast development in transwomen after 1 year of cross-sex hormone therapy: results of a prospective multicenter study. J Clin Endocrinol Metab. 2018 Feb 1;103(2):532-38. doi: 10.1210/jc.2017-01927
  22. Dittrich R, Binder H, Cupisti S, Hoffmann I, Beckmann MW, Mueller A. Endocrine treatment of male-to-female transsexuals using gonadotropin-releasing hormone agonist. Exp Clin Endocrinol Diabetes. 2005 Dec;113(10):586-92. doi: 10.1055/s-2005-865900
  23. McGuire P, Reisman NR, Murphy DK. Risk factor analysis for capsular contracture, malposition, and late seroma in subjects receiving natrelle 410 form-stable silicone breast implants. Plast Reconstr Surg. 2017 Jan;139(1):1-9. doi: 10.1097/PRS.0000000000002837
  24. Li S, Mu D, Liu C, Xin M, Fu S, Xu B, Li Z, Qi J, Luan J. Complications following subpectoral versus prepectoral breast augmentation: a meta-analysis. Aesthetic Plast Surg. 2019 Aug;43(4):890-98. doi: 10.1007/s00266-019-01404-7
  25. Shi H, Cao C, Li X, Chen L, Li S. A retrospective study of primary breast augmentation: recovery period, complications and patient satisfaction. Int J Clin Exp Med. 2015 Oct 15;8(10):18737-43. eCollection 2015. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4694389/
  26. Araco A, Gravante G, Araco F, Delogu D, Cervelli V, Walgenbach K. A retrospective analysis of 3,000 primary aesthetic breast augmentations: postoperative complications and associated factors. Aesthetic Plast Surg. 2007 Sep-Oct;31(5):532-39. doi: 10.1007/s00266-007-0162-8
  27. Benito-Ruiz J, Manzano ML, Salvador-Miranda L. Five-year outcomes of breast augmentation with form-stable implants: periareolar vs transaxillary. Aesthet Surg J. 2017 Jan;37(1):46-56. Epub 2016 Sep 30. doi: 10.1093/asj/sjw154
  28. Kerfant N, Henry AS, Hu W, Marchac A, Auclair E. Subfascial primary breast augmentation with fat grafting: a review of 156 cases. Plast Reconstr Surg. 2017 May;139(5):1080e-85e. doi: 10.1097/PRS.0000000000003299
  29. Coombs DM, Grover R, Prassinos A, Gurunluoglu R. Breast augmentation surgery: Clinical considerations. Cleve Clin J Med. 2019 Feb;86(2):111-22. doi: 10.3949/ccjm.86a.18017
  30. Kanhai RC, Hage JJ, Mulder JW. Long-term outcome of augmentation mammaplasty in male-to-female transsexuals: a questionnaire survey of 107 patients. Br J Plast Surg. 2000 Apr;53(3):209-11. doi: 10.1054/bjps.1999.3298
  31. Fakin RM, Zimmermann S, Kaye K, Lunger L, Weinforth G, Giovanoli P. Long-term outcomes in breast augmentation in trans-women: a 20-year experience. Aesthet Surg J. 2019 Mar 14;39(4):381-90. doi: 10.1093/asj/sjy143
  32. Atiyeh B, Ibrahim A, Saba S, Karamanoukian R, Chahine F, Papazian N. The Inframammary Fold (IMF): a poorly appreciated landmark in prosthetic/alloplastic breast aesthetic and reconstructive surgery-personal experience. Aesthetic Plast Surg. 2017 Aug;41(4):806-14. doi: 10.1007/s00266-017-0854-7
  33. Swanson E. Photometric evaluation of inframammary crease level after cosmetic breast surgery. Aesthet Surg J. 2010 Nov-Dec;30(6):832-37. doi: 10.1177/1090820X10386943
  34. Campbell CF, Small KH, Adams WP Jr. The Inframammary Fold (IMF) fixation suture: proactive control of the IMF in primary breast augmentation. Aesthet Surg J. 2016 May;36(5):619-23. doi: 10.1093/asj/sjv178
  35. Pozzi M, Zoccali G, Buccheri EM, de Vita R. Technique to achieve the symmetry of the new inframammary fold. Can J Surg. 2014 Aug;57(4):278-79. doi: 10.1503/cjs.026913
  36. Ching JA, Dayicioglu D. The stylet technique for inframammary fold definition in breast reconstruction. J Plast Reconstr Aesthet Surg. 2014 Feb;67(2):273-75. doi: 10.1016/j.bjps.2013.08.009
  37. Nakajima Y, Kondoh S, Nishioka H, Kasuga W. A new percutaneous method for inframammary fold reconstruction in implant-based breast reconstruction: Vertical pendulum suture. Medicine (Baltimore). 2018 Aug;97(33):e11964. doi: 10.1097/MD.0000000000011964
  38. Eichler C, Schell J, Uener J, Prescher A, Scaal M, Puppe J, Warm M. Inframammary Fold Reconstruction: A Biomechanical Analysis. Plast Reconstr Surg Glob Open. 2016 Mar 7;4(3):e634. doi: 10.1097/GOX.0000000000000568
  39. Egeberg A, Sørensen JA. The impact of breast implant location on the risk of capsular contraction. Ann Plast Surg. 2016 Aug;77(2):255-59. doi: 10.1097/SAP.0000000000000227
  40. Henriksen TF, Hölmich LR, Fryzek JP, Friis S, McLaughlin JK, Høyer AP, Kjøller K, Olsen JH. Incidence and severity of short-term complications after breast augmentation: results from a nationwide breast implant registry. Ann Plast Surg. 2003 Dec;51(6):531-39. doi: 10.1097/01.sap.0000096446.44082.60
  41. Henriksen TF, Hölmich LR, Fryzek JP, Friis S, McLaughlin JK, Høyer AP, Kjøller K, Olsen JH. Incidence and severity of short-term complications after breast augmentation: results from a nationwide breast implant registry. Ann Plast Surg. 2003 Dec;51(6):531-39. doi: 10.1097/01.sap.0000096446.44082.60
  42. Handel N, Garcia ME, Wixtrom R. Breast implant rupture: causes, incidence, clinical impact, and management. Plast Reconstr Surg. 2013 Nov;132(5):1128-37. doi: 10.1097/PRS.0b013e3182a4c243
  43. Namnoum JD, Largent J, Kaplan HM, Oefelein MG, Brown MH. Primary breast augmentation clinical trial outcomes stratified by surgical incision, anatomical placement and implant device type. J Plast Reconstr Aesthet Surg. 2013 Sep;66(9):1165-72. doi: 10.1016/j.bjps.2013.04.046
  44. Hillard C, Fowler JD, Barta R, Cunningham B. Silicone breast implant rupture: a review. Gland Surg. 2017 Apr;6(2):163-68. doi: 10.21037/gs.2016.09.12
  45. Gorczyca DP, Gorczyca SM, Gorczyca KL. The diagnosis of silicone breast implant rupture. Plast Reconstr Surg. 2007 Dec;120(7 Suppl 1):49S-61S. doi: 10.1097/01.prs.0000286569.45745.6a
  46. Hidalgo DA, Spector JA. Breast augmentation. Plast Reconstr Surg. 2014 Apr;133(4):567e-83e. doi: 10.1097/PRS.0000000000000033
  47. de Boer M, van Leeuwen FE, Hauptmann M, Overbeek LIH, de Boer JP, Hijmering NJ, Sernee A, Klazen CAH, Lobbes MB, van der Hulst RRWJ, Rakhorst HA, de Jong D. Breast implants and the risk of anaplastic large-cell lymphoma in the breast. JAMA Oncol. 2018 Mar 1;4(3):335-41. doi: 10.1001/jamaoncol.2017.4510
  48. El-Hadi H, Stone J, Temple-Oberle C, Harrop AR. Gender-affirming surgery for transgender individuals: perceived satisfaction and barriers to care. Plast Surg (Oakv). 2018 Nov;26(4):263-68. doi: 10.1177/2292550318767437
  49. Sohn M, Bosinski HA. Gender identity disorders: diagnostic and surgical aspects. J Sex Med. 2007 Sep;4(5):1193-207; quiz 1208. doi: 10.1111/j.1743-6109.2007.00580.x
  50. Löwenberg H, Lax H, Neto RR, Krege S. Complications, subjective satisfaction and sexual experience by gender reassignment surgery in male-to-female transsexual. Z Sexualforsch. 2010;23:328-47.
  51. Hess J, Rossi Neto R, Panic L, Rübben H, Senf W. Satisfaction with male-to-female gender reassignment surgery. Dtsch Arztebl Int. 2014 Nov 21;111(47):795-801. doi: 10.3238/arztebl.2014.0795
  52. Weigert R, Frison E, Sessiecq Q, Al Mutairi K, Casoli V. Patient satisfaction with breasts and psychosocial, sexual, and physical well-being after breast augmentation in male-to-female transsexuals. Plast Reconstr Surg. 2013 Dec;132(6):1421-29. doi: 10.1097/01.prs.0000434415.70711.49
  53. Cardoso da Silva D, Schwarz K, Fontanari AM, Costa AB, Massuda R, Henriques AA, Salvador J, Silveira E, Elias Rosito T, Lobato MI. WHOQOL-100 before and after sex reassignment surgery in brazilian male-to-female transsexual individuals. J Sex Med. 2016 Jun;13(6):988-93. doi: 10.1016/j.jsxm.2016.03.370
Address for correspondence:
119991, Russian Federation,
Moscow, Trubetskaya Str., 8,
I.M. Sechenov First Moscow
State Medical University,
Department of Oncology,
Radiotherapy and Plastic Surgery.
Tel.: +7 917 914 26 06,
e-mail: albinazakirovasno@gmail.com,
Albina A. Zakirova
Information about the authors:
Istranov Andrey L., MD, Professor of the Department of Oncology, Radiotherapy and Plastic Surgery, I.M. Sechenov First Moscow State Medical University, Moscow, Russian Federation.
https://orcid.org/0000-0003-0222-2910
Zakirova Albina A., Resident Doctor of the Department of Oncology, Radiotherapy and Plastic Surgery, I.M. Sechenov First Moscow State Medical University, Moscow, Russian Federation.
https://orcid.org/0000-0002-1117-9427
Isakova Yuliya I., Resident Doctor of the Department of Oncology, Radiotherapy and Plastic Surgery, I.M. Sechenov First Moscow State Medical University, Moscow, Russian Federation.
https://orcid.org/0000-0001-7695-0078

CASE REPORTS

DOI: https://dx.doi.org/10.18484/2305-0047.2020.2.222   |  

V.A. ZHURAULIOU 1, K.M. KUBRAKOV 2, S.T. AKMYRADOV 3

PITUITARY ABSCESS

Belarusian Medical Academy of Postgraduate Education1, Minsk,
Vitebsk State Medical University 2, Vitebsk,
Republican Research and Clinical Center of Neurology and Neurosurgery3, Minsk,
The Republic of Belarus

The article presents two clinical observations of a rare pathology pituitary abscess, complicated by the secondary purulent meningitis. Clinical and instrumental examination, as well as hormonal changes indicated a pituitary adenoma. The laboratory tests and magnetic resonance imaging showed no signs of inflammation in the patients body. However, when performing the planned transsphenoidal endoscopic operations, pituitary abscesses were diagnosed. The latter were completely removed, purulent cavities washed with antiseptic solutions. In the first observation, liquorrhea was detected intraoperatively, which required plastic closure of the defect of the Turkish saddle with adhesive compositions. The patient developed secondary purulent meningitis, which was cured by the rational antibacterial therapy. In the second observation, the outflow of the cerebrospinal fluid was not observed intraoperatively. The plastic of the bottom of the Turkish saddle was also made. Antibacterial drugs were prescribed. Both patients were discharged from the hospital, the hormonal background improved. Liquorrhea was not detected during the control examinations. Four months after discharge, the second patient developed secondary purulent meningitis, which required emergency hospitalization. The active tactics of patient management with the use of diagnostic test systems D-lactam and Biolactam allowed quick prescription and correction of effective antibacterial drugs for negative bacteriological analysis. The patient was discharged on the 23rd day without neurologic deficit. These clinical cases are of interest as options for disease-free treatment of rather a rare inflammatory pathology of the pituitary gland.

Keywords: pituitary abscess, meningitis, liquorrhea, antibiotics, beta-lactamase activity, D-lactate
p. 222-232 of the original issue
References
  1. Hanel RA, Koerbel A, Prevedello DM, Moro MS, Araújo JC. Primary pituitary abscess: case report. Arq Neuropsiquiatr. 2002 Sep;60(3-B):861-65. http://dx.doi.org/10.1590/S0004-282X2002000500033
  2. Karagiannis AK, Dimitropoulou F, Papatheodorou A, Lyra S, Seretis A, Vryonidou A. Pituitary abscess: a case report and review of the literature. Endocrinol Diabetes Metab Case Rep. 2016;2016:160014. doi: 10.1530/EDM-16-0014
  3. Giovanni Muscas, Francesco Iacoangeli, Laura Lippa, Biagio R. Carangelo. Spontaneous rupture of a secondary pituitary abscess causing acute meningoencephalitis: Case report and literature review. Surg Neurol Int. 2017;8:177. doi: 10.4103/sni.sni_131_17
  4. Iplikcioglu AC, Bek S, Bikmaz K, Ceylan D, Gökduman CA. Aspergillus pituitary abscess. Acta Neurochir (Wien). 2004 May;146(5):521-24. doi: 10.1007/s00701-004-0256-x
  5. Agyei JO, Lipinski LJ, Leonardo J. Case Report of a Primary Pituitary Abscess and Systematic Literature Review of Pituitary Abscess with a Focus on Patient Outcomes. World Neurosurg. 2017 May;101:76-92. doi: 10.1016/j.wneu.2017.01.077
  6. Kim HC, Kang SG, Huh PW, Yoo do S, Cho KS, Kim DS. Pituitary abscess in a pregnant woman. J Clin Neurosci. 2007 Nov;14(11):1135-39. doi: 10.1016/j.jocn.2006.03.012
  7. Danilowicz K, Sanz CF, Manavela M, Gomez RM, Bruno OD. Pituitary abscess: a report of two cases. Pituitary. 2008;11(1):89-92. doi: 10.1007/s11102-007-0033-y
  8. Kuge A, Sato S, Takemura S, Sakurada K, Kondo R, Kayama T. Abscess formation associated with pituitary adenoma: a case report: Changes in the MRI appearance of pituitary adenoma before and after abscess formation. Surg Neurol Int. 2011 Jan 24;2:3. doi: 10.4103/2152-7806.76140
  9. Jaiswal AK, Mahapatra AK, Sharma MC. Pituitary abscess associated with prolactinoma. J Clin Neurosci. 2004 Jun;11(5):533-34. doi: 10.1016/j.jocn.2003.07.010
  10. Meftah A, Moumen A, Eljadi H, Guerboub AA, Elmoussaoui S, Belmejdoub G. Pituitary abscess simulating a pituitary adenoma. Presse Med. 2016 Jun;45(6 Pt 1):602-4. doi: 10.1016/j.lpm.2016.03.016 [Article in French]
  11. Takayasu T, Yamasaki F, Tominaga A, Hidaka T, Arita K, Kurisu K. A pituitary abscess showing high signal intensity on diffusion-weighted imaging. Neurosurg Rev. 2006 Jul;29(3):246-48. doi: 10.1007/s10143-006-0021-0
  12. Zhang X, Sun J, Shen M, Shou X, Qiu H, Qiao N, Zhang N, Li S, Wang Y, Zhao Y. Diagnosis and minimally invasive surgery for the pituitary abscess: a review of twenty nine cases. Clin Neurol Neurosurg. 2012 Sep;114(7):957-61. doi: 10.1016/j.clineuro.2012.02.020
Address for correspondence:
210023, Republic of Belarus,
Vitebsk, Frunze Ave., 27,
Vitebsk State Medical University,
Department of Neurology and Neurosurgery,
Tel.: +375 29 734 93 36,
e-mail: k-kubrakov@yandex.ru,
Konstantin M. Kubrakov
Information about the authors:
Zhurauliou Vladimir A., PhD, Associate Professor, the Department of Neurology and Neurosurgery, Belarusian Medical Academy of Postgraduate Education, Minsk, Republic of Belarus.
https://orcid.org/0000-0002-5269-3406
Kubrakov Konstantin M., PhD, Associate Professor, the Department of Neurology and Neurosurgery, Vitebsk State Medical University, Vitebsk, Republic of Belarus.
https://orcid.org/0000-0001-6723-0589
Akmyradov Selimmyrat T., Neurosurgeon, the 1st Neurosurgical Unit, Republican Research and Clinical Center of Neurology and Neurosurgery, Minsk, Republic of Belarus
https://orcid.org/0000-0002-8917-7245
DOI: https://dx.doi.org/10.18484/2305-0047.2020.2.233   |  

T. PUNIT 1, H. KAUR 2, S.S. LEONCHUK 3

SPONTANEOUS RUPTURE OF EXTENSOR POLLICIS LONGUS TENDON: DEMONSTRATION OF EXTENSOR INDICES PROPRIUS TRANSFER TECHNIQUE

Maharishi Markandeshwar Medical College and Hospital Solan 1,
All India Institute of Medical Sciences Bathinda 2,
India,
National Ilizarov Medical Research Center for Traumatology and Orthopedics
of Ministry of Healthcare 3, Kurgan,
The Russian Federation

Till now no single scheme of surgical treatment has gained wide acceptance in rupture of extensor pollicis longus tendon (EPL). The result of treatment of a patient with spontaneous rupture of EPL in IV zone by B.Boichev with ultrasonographic examination is presented in the paper. In surgical treatment we used Pulvertaft technique in transfer of tendon of m. extensor indicis proprius (EIP) to EPL. After 3 months of surgery the patient showed a full range of motions of the thumb joints and functional restoring. Ultrasonography can be considered as an accurate and cost effective diagnostic investigation in evaluation of cases with the suspected extensor pollicis longus tendon rupture and tendinosis. This case report shows that technique of EIP to EPL transfer is effective and reliable surgical option.

Keywords: extensor pollicis longus, tendon rupture, spontaneous, Pulvertaft, surgical technique
p. 233-239 of the original issue
References
  1. Björkman A, Jörgsholm P. Rupture of the extensor pollicis longus tendon: a study of aetiological factors. Scand J Plast Reconstr Surg Hand Surg. 2004;38(1):32-35. doi: 10.1080/02844310310013046
  2. Baitinger VF, Kamolov FF. Experience of surgical treatment of subcutaneous tendon damage long extensor of the thumb. Vopr Rekonstrukt i Plast Khirurgii. 2015;18(3):12-17 http://journals.tsu.ru/plastic_surgery/&journal_ age=arc hive&id=1352&article_id=24683 (In Russ.)
  3. Kim CH. Spontaneous rupture of the extensor pollicis longus tendon. Arch Plast Surg. 2012 Nov;39(6):680-82. Published online 2012 Nov 14. doi: 10.5999/aps.2012.39.6.680
  4. Boichev B, Kholevich Ia, red. Khirurgiia kisti i paltsev [Elektronnyi resurs]. Sofiia: Meditsina i fizkultura; 1971. 316 p. https://studfiles.net/preview/1213673/ (In Russ.)
  5. Maffulli N, Wong J, Almekinders LC. Types and epidemiology of tendinopathy. Clin Sports Med. 2003 Oct;22(4):675-92. doi: 10.1016/S0278-5919(03)00004-8
  6. Maffulli N, Khan KM, Puddu G. Overuse tendon conditions: time to change a confusing terminology. Arthroscopy. 1998 Nov-Dec;14(8):840-43. doi: 10.1016/S0749-8063(98)70021-0
  7. Bass E. Tendinopathy: why the difference between tendinitis and tendinosis matters. Int J Ther Massage Bodywork. 2012;5(1):14-17. doi: 10.3822/ijtmb.v5i1.153
  8. De Maeseneer M, Marcelis S, Osteaux M, Jager T, Machiels F, Van Roy P. Sonography of a rupture of the tendon of the extensor pollicis longus muscle: initial clinical experience and correlation with findings at cadaveric dissection. AJR Am J Roentgenol. 2005 Jan;184(1):175-79. doi: 10.2214/ajr.184.1.01840175
  9. Low CK, Pereira BP, Chao VT. Optimum tensioning position for extensor indicis to extensor pollicis longus transfer. Clin Orthop Relat Res. 2001 Jul;(388):225-32. doi: 10.1097/00003086-200107000-00031
  10. Jung SW, Kim CK, Ahn BW, Kim DH, Kang SH, Kang SS. Standard versus over-tensioning in the transfer of extensor indicis proprius to extensor pollicis longus for chronic rupture of the thumb extensor. J Plast Reconstr Aesthet Surg. 2014 Jul;67(7):979-85. doi: 10.1016/j.bjps.2014.03.006
  11. Lee JH, Cho YJ, Chung DW. A New Method to Control Tendon Tension in the Transfer of Extensor Indicis Proprius to Extensor Pollicis Longus Rupture. Ann Plast Surg. 2015 Dec;75(6):607-9. doi: 10.1097/SAP.0000000000000593
  12. Jain A, Goyal N, Mishra P. Spontaneous rupture of EPL and ECRB tendons in a washerwoman: an unusual phenomenon. Hand Surg. 2014;19(2):241-44. doi: 10.1142/S0218810414720186
  13. Zinger G, Dalu KA, Bregman A, Yudkevich G. Spontaneous Rupture of the Extensor Pollicis Longus Tendon With Repair and Contralateral Prophylactic Decompression: A Case Report and Review of the Literature. J Hand Surg Am. 2019 Aug;44(8):702.e1-702.e5. doi: 10.1016/j.jhsa.2018.09.011
  14. Hu CH, Fufa D, Hsu CC, Lin YT, Lin CH. Revisiting spontaneous rupture of the extensor pollicis longus tendon: eight cases without identifiable predisposing factor. Hand (NY). 2015 Dec;10(4):726-31. doi: 10.1007/s11552-015-9746-y
  15. Taş S, Balta S, Benlier E. Spontaneous rupture of the extensor pollicis longus tendon due to unusual etiology. Balkan Med J. 2014 Mar;31(1):105-106. doi: 10.5152/balkanmedj.2013.9027
  16. Magnussen RA, Dunn WR, Thomson AB. Nonoperative treatment of midportion Achilles tendinopathy: a systematic review. Clin J Sport Med. 2009 Jan;19(1):54-64. doi: 10.1097/JSM.0b013e31818ef090
  17. Andres BM, Murrell GA. Treatment of tendinopathy: what works, what does not, and what is on the horizon. Clin Orthop Relat Res. 2008 Jul;466(7):1539-54. doi: 10.1007/s11999-008-0260-1
Address for correspondence:
640014, Russian Federation,
Kurgan, ul. M. Ulyanova, 6,
Russian Ilizarov Scientific
Center for Restorative
Traumatology and Orthopedics,
6th traumatologic-orthopaedic department,
mob. +7 905 8516338,
e-mail: leon4yk@mail.ru
Sergey S. Leonchuk
Information about the authors:
Tiwari Punit, Orthopedic Traumatologist, Assistant Professor,Orthopedics Department, Solan city, Himachal Pradesh state, India.
https://orcid.org/0000-0002-4174-8344
Harmeet Kaur, Radiologist, Assistant Professor, Department of Radial Diagnosis, All India Institute of Medical Sciences, Bathinda city, Punjab state, India https://orcid.org/0000-0001-7962-8463
Leonchuk Sergey S., PhD, Head of the 6th Orthopedic department, National Ilizarov Medical Research Center for Traumatology and Orthopedics of Ministry of Healthcare, Kurgan, Russian Federation.
https://orcid.org/0000-0003-0883-9663
Contacts | ©Vitebsk State Medical University, 2007