87 research outputs found
THE SIMULATION RESULTS OF THE BOAT IN SHALLOW WATER
The questions are considered of the movement vessel in shallow with constant and variable depth. The equations of dynamics vessel are obtained, permitting to allow the impact on the dynamics of shallow vessel by substituting the coefficients of the equations of motion the vessel in deep water relations draft of the vessel to the depth of the waters. The mathematical model has been developed of the vessel on a given curse trajectory in shallow at variable depth
Stability of the inverse resonance problem on the line
In the absence of a half-bound state, a compactly supported potential of a
Schr\"odinger operator on the line is determined up to a translation by the
zeros and poles of the meropmorphically continued left (or right) reflection
coefficient. The poles are the eigenvalues and resonances, while the zeros also
are physically relevant. We prove that all compactly supported potentials
(without half-bound states) that have reflection coefficients whose zeros and
poles are \eps-close in some disk centered at the origin are also close (in a
suitable sense). In addition, we prove stability of small perturbations of the
zero potential (which has a half-bound state) from only the eigenvalues and
resonances of the perturbation.Comment: 21 page
A Spectroscopic Study of Field and Runaway OB Stars
Identifying binaries among runaway O- and B-type stars offers valuable
insight into the evolution of open clusters and close binary stars. Here we
present a spectroscopic investigation of 12 known or suspected binaries among
field and runaway OB stars. We find new orbital solutions for five single-lined
spectroscopic binaries (HD 1976, HD 14633, HD 15137, HD 37737, and HD 52533),
and we classify two stars thought to be binaries (HD 30614 and HD 188001) as
single stars. In addition, we reinvestigate their runaway status using our new
radial velocity data with the UCAC2 proper motion catalogs. Seven stars in our
study appear to have been ejected from their birthplaces, and at least three of
these runaways are spectroscopic binaries and are of great interest for future
study.Comment: 21 pages, 1 figure, 7 tables; Accepted to Ap
MODELING OF PATTERN FORMING PROCESS OF AUTOMATIC RADIO DIRECTION FINDER OF PHASE VHF IN THE DEVELOPMENT ENVIRONMENT OF LabVIEW APPLIED PROGRAMS
In the article is developed the model demonstrating the forming process of pattern of antenna system of aerodrome quasidopler automatic radiodirection-finder station in the development environment of LabVIEW applied programs of National Instrument company
ΠΠ»ΠΎΡΠΊΠΎΠΊΠ»Π΅ΡΠΎΡΠ½Π°Ρ ΠΊΠ°ΡΡΠΈΠ½ΠΎΠΌΠ° ΡΠΈΡΠΊΠ° ΠΈ ΠΏΠ°ΡΠ°ΡΠ΅ΡΡΠΈΠΊΡΠ»ΡΡΠ½ΡΡ ΡΠΊΠ°Π½Π΅ΠΉ
Testicular tumors occur in 1β1.5 % of cases in the structure of the general oncological morbidity among men and constitute 5 % among tumors of the urogenital tract. In Western Europe, 3β6 new cases are recorded a year per 100 thousand male population. Nevertheless, in relation to young men, this particular type of neoplasm is not only the most common oncological pathology (up to 60 % of all neoplasms), but also the main cause of cancer mortality. Risk factors for developing ovarian cancer include a family history, previous development of a tumor in the contralateral testicle, and components of testicular dysgenesis syndrome (cryptorchidism, hypospadias, spermatogenesis disorders leading to infertility). Tumors of paratesticular tissues are much less common and most of them are benign. Squamous cell carcinoma rarely develops as a primary tumor of the testis and / or paratesticular tissue, isolated cases have been described in the English literature. Secondary damage to the scrotum organs is more frequent, but such situations are usually found in patients of an older age group. This article presents the clinical case and the final results of treatment of a patient with squamous cell carcinoma of paratesticular tissue.ΠΠΏΡΡ
ΠΎΠ»ΠΈ ΡΠΈΡΠΊΠ° Π²ΡΡΡΠ΅ΡΠ°ΡΡΡΡ Π² 1β1,5 % ΡΠ»ΡΡΠ°Π΅Π² Π² ΡΡΡΡΠΊΡΡΡΠ΅ ΠΎΠ±ΡΠ΅ΠΉ ΠΎΠ½ΠΊΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΎΠΉ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π΅ΠΌΠΎΡΡΠΈ Ρ ΠΌΡΠΆΡΠΈΠ½ ΠΈ ΡΠΎΡΡΠ°Π²Π»ΡΡΡ 5 % ΡΡΠ΅Π΄ΠΈ ΠΎΠΏΡΡ
ΠΎΠ»Π΅ΠΉ ΡΡΠΎΠ³Π΅Π½ΠΈΡΠ°Π»ΡΠ½ΠΎΠ³ΠΎ ΡΡΠ°ΠΊΡΠ°. Π ΠΠ°ΠΏΠ°Π΄Π½ΠΎΠΉ ΠΠ²ΡΠΎΠΏΠ΅ ΡΠ΅Π³ΠΈΡΡΡΠΈΡΡΠ΅ΡΡΡ 3β6 Π½ΠΎΠ²ΡΡ
ΡΠ»ΡΡΠ°Π΅Π² Π² Π³ΠΎΠ΄ Π½Π° 100 ΡΡΡ. ΠΌΡΠΆΡΠΊΠΎΠ³ΠΎ Π½Π°ΡΠ΅Π»Π΅Π½ΠΈΡ. ΠΡΠΈ ΡΡΠΎΠΌ Ρ ΠΌΡΠΆΡΠΈΠ½ ΠΌΠΎΠ»ΠΎΠ΄ΠΎΠ³ΠΎ Π²ΠΎΠ·ΡΠ°ΡΡΠ° ΡΡΠΎΡ ΡΠΈΠΏ Π½ΠΎΠ²ΠΎΠΎΠ±ΡΠ°Π·ΠΎΠ²Π°Π½ΠΈΠΉ ΡΠ²Π»ΡΠ΅ΡΡΡ Π½Π΅ ΡΠΎΠ»ΡΠΊΠΎ Π½Π°ΠΈΠ±ΠΎΠ»Π΅Π΅ ΡΠ°ΡΠΏΡΠΎΡΡΡΠ°Π½Π΅Π½Π½ΠΎΠΉ ΠΎΠ½ΠΊΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΎΠΉ ΠΏΠ°ΡΠΎΠ»ΠΎΠ³ΠΈΠ΅ΠΉ (Π΄ΠΎ 60 % Π²ΡΠ΅Ρ
Π½ΠΎΠ²ΠΎΠΎΠ±ΡΠ°Π·ΠΎΠ²Π°Π½ΠΈΠΉ), Π½ΠΎ ΠΈ ΠΎΡΠ½ΠΎΠ²Π½ΠΎΠΉ ΠΏΡΠΈΡΠΈΠ½ΠΎΠΉ ΡΠΌΠ΅ΡΡΠ½ΠΎΡΡΠΈ ΠΎΡ ΡΠ°ΠΊΠ°. Π€Π°ΠΊΡΠΎΡΡ ΡΠΈΡΠΊΠ° ΡΠ°Π·Π²ΠΈΡΠΈΡ ΡΠ°ΠΊΠ° ΡΠΈΡΠ½ΠΈΠΊΠΎΠ² Π²ΠΊΠ»ΡΡΠ°ΡΡ ΡΠ΅ΠΌΠ΅ΠΉΠ½ΡΠΉ Π°Π½Π°ΠΌΠ½Π΅Π·, ΠΏΡΠ΅Π΄ΡΠ΅ΡΡΠ²ΡΡΡΠ΅Π΅ ΡΠ°Π·Π²ΠΈΡΠΈΠ΅ ΠΎΠΏΡΡ
ΠΎΠ»ΠΈ Π² ΠΊΠΎΠ½ΡΡΠ°Π»Π°ΡΠ΅ΡΠ°Π»ΡΠ½ΠΎΠΌ ΡΠΈΡΠΊΠ΅ ΠΈ ΠΊΠΎΠΌΠΏΠΎΠ½Π΅Π½ΡΡ ΡΠΈΠ½Π΄ΡΠΎΠΌΠ° Π΄ΠΈΡΠ³Π΅Π½Π΅Π·Π° ΡΠΈΡΠΊΠ° (ΠΊΡΠΈΠΏΡΠΎΡΡ
ΠΈΠ·ΠΌ, Π³ΠΈΠΏΠΎΡΠΏΠ°Π΄ΠΈΡ, Π½Π°ΡΡΡΠ΅Π½ΠΈΡ ΡΠΏΠ΅ΡΠΌΠ°ΡΠΎΠ³Π΅Π½Π΅Π·Π°, ΠΏΡΠΈΠ²ΠΎΠ΄ΡΡΠΈΠ΅ ΠΊ Π±Π΅ΡΠΏΠ»ΠΎΠ΄ΠΈΡ). ΠΠΏΡΡ
ΠΎΠ»ΠΈ ΠΏΠ°ΡΠ°ΡΠ΅ΡΡΠΈΠΊΡΠ»ΡΡΠ½ΡΡ
ΡΠΊΠ°Π½Π΅ΠΉ Π²ΡΡΡΠ΅ΡΠ°ΡΡΡΡ Π·Π½Π°ΡΠΈΡΠ΅Π»ΡΠ½ΠΎ ΡΠ΅ΠΆΠ΅, ΠΈ Π±ΠΎΠ»ΡΡΠΈΠ½ΡΡΠ²ΠΎ ΠΈΠ· Π½ΠΈΡ
Π΄ΠΎΠ±ΡΠΎΠΊΠ°ΡΠ΅ΡΡΠ²Π΅Π½Π½ΡΠ΅. ΠΠ»ΠΎΡΠΊΠΎΠΊΠ»Π΅ΡΠΎΡΠ½ΡΠΉ ΡΠ°ΠΊ ΡΠ΅Π΄ΠΊΠΎ ΡΠ°Π·Π²ΠΈΠ²Π°Π΅ΡΡΡ ΠΊΠ°ΠΊ ΠΏΠ΅ΡΠ²ΠΈΡΠ½Π°Ρ ΠΎΠΏΡΡ
ΠΎΠ»Ρ ΡΠΈΡΠΊΠ° ΠΈ / ΠΈΠ»ΠΈ ΠΏΠ°ΡΠ°ΡΠ΅ΡΡΠΈΠΊΡΠ»ΡΡΠ½ΠΎΠΉ ΡΠΊΠ°Π½ΠΈ, ΠΎΡΠ΄Π΅Π»ΡΠ½ΡΠ΅ ΡΠ»ΡΡΠ°ΠΈ Π±ΡΠ»ΠΈ ΠΎΠΏΠΈΡΠ°Π½Ρ Π² Π°Π½Π³Π»ΠΈΠΉΡΠΊΠΎΠΉ Π»ΠΈΡΠ΅ΡΠ°ΡΡΡΠ΅. ΠΡΠΎΡΠΈΡΠ½ΠΎΠ΅ ΠΏΠΎΠ²ΡΠ΅ΠΆΠ΄Π΅Π½ΠΈΠ΅ ΠΎΡΠ³Π°Π½ΠΎΠ² ΠΌΠΎΡΠΎΠ½ΠΊΠΈ ΠΏΡΠΎΠΈΡΡ
ΠΎΠ΄ΠΈΡ ΡΠ°ΡΠ΅, Π½ΠΎ ΡΠ°ΠΊΠΈΠ΅ ΡΠΈΡΡΠ°ΡΠΈΠΈ ΠΎΠ±ΡΡΠ½ΠΎ Π²ΡΡΡΠ΅ΡΠ°ΡΡΡΡ Ρ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² ΡΡΠ°ΡΡΠ΅ΠΉ Π²ΠΎΠ·ΡΠ°ΡΡΠ½ΠΎΠΉ Π³ΡΡΠΏΠΏΡ. Π Π΄Π°Π½Π½ΠΎΠΉ ΡΡΠ°ΡΡΠ΅ ΠΏΡΠ΅Π΄ΡΡΠ°Π²Π»Π΅Π½Ρ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΈΠΉ ΡΠ»ΡΡΠ°ΠΉ ΠΈ ΠΎΠΊΠΎΠ½ΡΠ°ΡΠ΅Π»ΡΠ½ΡΠ΅ ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΡ Π»Π΅ΡΠ΅Π½ΠΈΡ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠ° Ρ Π΄ΠΈΠ°Π³Π½ΠΎΠ·ΠΎΠΌ ΠΏΠ»ΠΎΡΠΊΠΎΠΊΠ»Π΅ΡΠΎΡΠ½ΠΎΠ³ΠΎ ΡΠ°ΠΊΠ° ΠΏΠ°ΡΠ°ΡΠ΅ΡΡΠΈΠΊΡΠ»ΡΡΠ½ΡΡ
ΡΠΊΠ°Π½Π΅ΠΉ
ΠΡΠ»Π°ΠΌ ΠΈ ΡΡΠΎΡΡΠΎΠΌΠ°: ΡΠΎΠ²ΡΠ΅ΠΌΠ΅Π½Π½ΡΠΉ Π²Π·Π³Π»ΡΠ΄ ΡΠ΅ΡΠ΅Π· ΠΏΡΠΈΠ·ΠΌΡ ΡΠ΅Π»ΠΈΠ³ΠΈΠΎΠ·Π½ΠΎ-ΡΡΠ°Π΄ΠΈΡΠΈΠΎΠ½Π½ΠΎΠΉ ΠΏΡΠ°Π²ΠΎΠ²ΠΎΠΉ ΡΠΈΡΡΠ΅ΠΌΡ
Patients who practice Islam often refuse the proposed type of treatment for malignant neoplasms, citing religious reasons. Most fear that complete or partial non-retention of urine, the presence of a urostoma (ileal conduit) will violate their ritual purity and, as a result, their religious duties. The consequence of such refusal of treatment may be a lower quality of life, compared with patients of other faiths. Unfortunately, a low awareness of religious responsibilities among surgeons performing pelvic exentesis, cystectomy, prostatectomy, may prevent a full-fledged discussion of these issues before surgery. The presented review of the literature examined studies, legal aspects, and religious arguments that assist doctors in choosing treatment tactics for patients.ΠΠ°ΡΠΈΠ΅Π½ΡΡ, ΠΈΡΠΏΠΎΠ²Π΅Π΄ΡΡΡΠΈΠ΅ ΠΈΡΠ»Π°ΠΌ, Π·Π°ΡΠ°ΡΡΡΡ ΠΎΡΠΊΠ°Π·ΡΠ²Π°ΡΡΡΡ ΠΎΡ ΠΏΡΠ΅Π΄Π»ΠΎΠΆΠ΅Π½Π½ΠΎΠ³ΠΎ Π²ΠΈΠ΄Π° Π»Π΅ΡΠ΅Π½ΠΈΡ ΠΏΠΎ ΠΏΠΎΠ²ΠΎΠ΄Ρ Π·Π»ΠΎΠΊΠ°ΡΠ΅ΡΡΠ²Π΅Π½Π½ΠΎΠ³ΠΎ Π½ΠΎΠ²ΠΎΠΎΠ±ΡΠ°Π·ΠΎΠ²Π°Π½ΠΈΡ, ΡΡΡΠ»Π°ΡΡΡ Π½Π° ΡΠ΅Π»ΠΈΠ³ΠΈΠΎΠ·Π½ΡΠ΅ ΠΏΡΠΈΡΠΈΠ½Ρ. ΠΠΎΠ»ΡΡΠΈΠ½ΡΡΠ²ΠΎ ΠΎΠΏΠ°ΡΠ°ΡΡΡΡ, ΡΡΠΎ ΠΏΠΎΠ»Π½ΠΎΠ΅ ΠΈΠ»ΠΈ ΡΠ°ΡΡΠΈΡΠ½ΠΎΠ΅ Π½Π΅Π΄Π΅ΡΠΆΠ°Π½ΠΈΠ΅ ΠΌΠΎΡΠΈ, Π½Π°Π»ΠΈΡΠΈΠ΅ ΡΡΠΎΡΡΠΎΠΌΡ (ΠΏΠΎΠ΄Π²Π·Π΄ΠΎΡΠ½ΠΎΠ³ΠΎ ΠΊΠΎΠ½Π΄ΡΠΈΡΠ°) Π½Π°ΡΡΡΠ°Ρ ΠΈΡ
ΡΠΈΡΡΠ°Π»ΡΠ½ΡΡ ΡΠΈΡΡΠΎΡΡ ΠΈ, ΠΊΠ°ΠΊ ΡΠ»Π΅Π΄ΡΡΠ²ΠΈΠ΅, ΠΈΡ
ΡΠ΅Π»ΠΈΠ³ΠΈΠΎΠ·Π½ΡΠ΅ ΠΎΠ±ΡΠ·Π°Π½Π½ΠΎΡΡΠΈ. Π‘Π»Π΅Π΄ΡΡΠ²ΠΈΠ΅ΠΌ ΡΠ°ΠΊΠΎΠ³ΠΎ ΠΎΡΠΊΠ°Π·Π° ΠΎΡ Π»Π΅ΡΠ΅Π½ΠΈΡ ΠΌΠΎΠΆΠ΅Ρ ΡΠ²ΠΈΡΡΡΡ Π±ΠΎΠ»Π΅Π΅ Π½ΠΈΠ·ΠΊΠΎΠ΅ ΠΊΠ°ΡΠ΅ΡΡΠ²ΠΎ ΠΆΠΈΠ·Π½ΠΈ ΠΏΠΎ ΡΡΠ°Π²Π½Π΅Π½ΠΈΡ Ρ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠ°ΠΌΠΈ Π΄ΡΡΠ³ΠΈΡ
ΠΊΠΎΠ½ΡΠ΅ΡΡΠΈΠΉ. Π ΡΠΎΠΆΠ°Π»Π΅Π½ΠΈΡ, Π½ΠΈΠ·ΠΊΠ°Ρ ΠΎΡΠ²Π΅Π΄ΠΎΠΌΠ»Π΅Π½Π½ΠΎΡΡΡ ΠΎ ΡΠ΅Π»ΠΈΠ³ΠΈΠΎΠ·Π½ΡΡ
ΠΎΠ±ΡΠ·Π°Π½Π½ΠΎΡΡΡΡ
ΡΡΠ΅Π΄ΠΈ Ρ
ΠΈΡΡΡΠ³ΠΎΠ², Π²ΡΠΏΠΎΠ»Π½ΡΡΡΠΈΡ
ΡΠΊΠ·Π΅Π½ΡΠ΅ΡΠ°ΡΠΈΠΈ ΡΠ°Π·Π°, ΡΠΈΡΡΡΠΊΡΠΎΠΌΠΈΠΈ, ΠΏΡΠΎΡΡΠ°ΡΡΠΊΡΠΎΠΌΠΈΠΈ, ΠΌΠΎΠΆΠ΅Ρ ΠΏΡΠ΅ΠΏΡΡΡΡΠ²ΠΎΠ²Π°ΡΡ ΠΏΠΎΠ»Π½ΠΎΡΠ΅Π½Π½ΠΎΠΌΡ ΠΎΠ±ΡΡΠΆΠ΄Π΅Π½ΠΈΡ ΡΡΠΈΡ
Π²ΠΎΠΏΡΠΎΡΠΎΠ² Π΄ΠΎ ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΈ. Π ΠΏΡΠ΅Π΄ΡΡΠ°Π²Π»Π΅Π½Π½ΠΎΠΌ ΠΎΠ±Π·ΠΎΡΠ΅ ΡΠ°ΡΡΠΌΠΎΡΡΠ΅Π½Ρ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ, ΠΏΡΠ°Π²ΠΎΠ²ΡΠ΅ Π°ΡΠΏΠ΅ΠΊΡΡ, ΡΠ΅Π»ΠΈΠ³ΠΈΠΎΠ·Π½ΡΠ΅ Π΄ΠΎΠ²ΠΎΠ΄Ρ, ΠΏΠΎΠΌΠΎΠ³Π°ΡΡΠΈΠ΅ Π²ΡΠ°ΡΠ°ΠΌ Π² Π²ΡΠ±ΠΎΡΠ΅ ΡΠ°ΠΊΡΠΈΠΊΠΈ Π»Π΅ΡΠ΅Π½ΠΈΡ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ²
ΠΠ°ΠΏΠ°ΡΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠ°Ρ ΡΠ°Π΄ΠΈΠΊΠ°Π»ΡΠ½Π°Ρ Π½Π΅ΡΡΡΠΊΡΠΎΠΌΠΈΡ Ρ ΡΡΠΎΠΌΠ±ΡΠΊΡΠΎΠΌΠΈΠ΅ΠΉ ΠΈΠ· Π½ΠΈΠΆΠ½Π΅ΠΉ ΠΏΠΎΠ»ΠΎΠΉ Π²Π΅Π½Ρ I - III ΡΡΠΎΠ²Π½Ρ: ΠΎΠΏΡΡ ΠΎΠ΄Π½ΠΎΠ³ΠΎ ΡΠ΅Π½ΡΡΠ° ΠΈ ΠΎΠ±Π·ΠΎΡ Π»ΠΈΡΠ΅ΡΠ°ΡΡΡΡ.
Objective. Radical nephrectomy with thrombectomy of the inferior vena cava is the preferred treatment for renal cell carcinoma with an tumor thrombosis. We describe our experience and presentreview of the literature evaluating the feasibility and safety of laparoscopic nephrectomy with inferior vena cava thrombectomy.Materials and methods. The study included 37 patients who underwent laparoscopic radical nephrectomy with level IβIII thrombectomy for renal cell carcinoma in our institution from 2018 to 2021. We analyzed the clinical, radiographic, intraoperative, pathological and postoperative parameters of the patients. The literature was reviewed by the Medline search engine, PubMed, with a review of publications on laparoscopic radical nephrectomy with inferior vena cava levelIβIIIthrombectomy.Results. The mean operation time was 275 Β± 60.1 min, the median blood loss was 450 Β± 81.6 ml (β₯50 % of the circulating blood volume β 32.4 %). Intraoperative complications were observed during 10 (27.0 %) operations. Postoperative complications developed in 29.7 % of patients and reached gradesIIIβIV according to the ClavienβDindo scale on 13.0 % ill. All patients are activated according to the fast track rehabilitation program. The average hospital stay was 5 days. A literature review identified clinical cases and small series demonstrating the technical feasibility and safety of laparoscopic radical nephrectomy with thrombectomy in selected patients.Conclusion. Laparoscopic radical nephrectomy with thrombectomy is a technically feasible approach in carefully selected patients with level IβIII tumor thrombosis. Optimal patient selection, extensive experience in laparoscopy and specialized centers are essential for the safe use of thistechnique.Π¦Π΅Π»Ρ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ β ΠΏΡΠ΅Π΄ΡΡΠ°Π²ΠΈΡΡ Π½Π΅ΠΏΠΎΡΡΠ΅Π΄ΡΡΠ²Π΅Π½Π½ΡΠ΅ ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΡ Π²ΡΠΏΠΎΠ»Π½Π΅Π½ΠΈΡ Π»Π°ΠΏΠ°ΡΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠΎΠΉ ΡΠ°Π΄ΠΈΠΊΠ°Π»ΡΠ½ΠΎΠΉ Π½Π΅ΡΡΡΠΊΡΠΎΠΌΠΈΠΈ Ρ ΡΡΠΎΠΌΠ±ΡΠΊΡΠΎΠΌΠΈΠ΅ΠΉ ΠΈΠ· Π½ΠΈΠΆΠ½Π΅ΠΉ ΠΏΠΎΠ»ΠΎΠΉ Π²Π΅Π½Ρ IβIII ΡΡΠΎΠ²Π½Π΅ΠΉ Π² ΡΡΠ»ΠΎΠ²ΠΈΡΡ
ΠΎΠ΄Π½ΠΎΠ³ΠΎ ΠΎΠ½ΠΊΠΎΡΡΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΡΡΠ°ΡΠΈΠΎΠ½Π°ΡΠ°.ΠΠ°ΡΠ΅ΡΠΈΠ°Π»Ρ ΠΈ ΠΌΠ΅ΡΠΎΠ΄Ρ. Π ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠ΅ Π±ΡΠ»ΠΈ Π²ΠΊΠ»ΡΡΠ΅Π½Ρ 37 ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ², ΠΏΠ΅ΡΠ΅Π½Π΅ΡΡΠΈΡ
Π»Π°ΠΏΠ°ΡΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΡΡ ΡΠ°Π΄ΠΈΠΊΠ°Π»ΡΠ½ΡΡ Π½Π΅ΡΡΡΠΊΡΠΎΠΌΠΈΡ Ρ ΡΡΠΎΠΌΠ±ΡΠΊΡΠΎΠΌΠΈΠ΅ΠΉ ΠΈΠ· Π½ΠΈΠΆΠ½Π΅ΠΉ ΠΏΠΎΠ»ΠΎΠΉ Π²Π΅Π½Ρ IβIII ΡΡΠΎΠ²Π½Π΅ΠΉ ΠΏΠΎ ΠΏΠΎΠ²ΠΎΠ΄Ρ ΠΏΠΎΡΠ΅ΡΠ½ΠΎ-ΠΊΠ»Π΅ΡΠΎΡΠ½ΠΎΠ³ΠΎ ΡΠ°ΠΊΠ° Π² ΠΠΠΠ¦ ΠΎΠ½ΠΊΠΎΠ»ΠΎΠ³ΠΈΠΈ ΠΈΠΌ. Π.Π. ΠΠ΅ΡΡΠΎΠ²Π° Π² ΠΏΠ΅ΡΠΈΠΎΠ΄ Ρ 2018 ΠΏΠΎ 2021 Π³. ΠΡΠΎΠ°Π½Π°Π»ΠΈΠ·ΠΈΡΠΎΠ²Π°Π½Ρ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΈΠ΅, ΡΠ΅Π½ΡΠ³Π΅Π½ΠΎΠ³ΡΠ°ΡΠΈΡΠ΅ΡΠΊΠΈΠ΅, ΠΈΠ½ΡΡΠ°ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΎΠ½Π½ΡΠ΅, ΠΏΠ°ΡΠΎΠΌΠΎΡΡΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΠΈ ΠΏΠΎΡΠ»Π΅ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΎΠ½Π½ΡΠ΅ ΠΏΠ°ΡΠ°ΠΌΠ΅ΡΡΡ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ². Π ΡΠΈΡΡΠ΅ΠΌΠ°Ρ
Medline ΠΈ PubMed Π²ΡΠΏΠΎΠ»Π½Π΅Π½ ΠΏΠΎΠΈΡΠΊ ΠΏΡΠ±Π»ΠΈΠΊΠ°ΡΠΈΠΉ, ΠΏΠΎΡΠ²ΡΡΠ΅Π½Π½ΡΡ
Π»Π°ΠΏΠ°ΡΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠΎΠΉ ΡΠ°Π΄ΠΈΠΊΠ°Π»ΡΠ½ΠΎΠΉ Π½Π΅ΡΡΡΠΊΡΠΎΠΌΠΈΠΈ Ρ ΡΡΠΎΠΌΠ±ΡΠΊΡΠΎΠΌΠΈΠ΅ΠΉ ΠΈΠ· Π½ΠΈΠΆΠ½Π΅ΠΉ ΠΏΠΎΠ»ΠΎΠΉ Π²Π΅Π½Ρ IβIII ΡΡΠΎΠ²Π½Π΅ΠΉ Π·Π° ΠΏΠΎΡΠ»Π΅Π΄Π½ΠΈΠ΅ 10 Π»Π΅Ρ.Π Π΅Π·ΡΠ»ΡΡΠ°ΡΡ. Π‘ΡΠ΅Π΄Π½Π΅Π΅ Π²ΡΠ΅ΠΌΡ ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΈ ΡΠΎΡΡΠ°Π²ΠΈΠ»ΠΎ 275 Β± 60,1 ΠΌΠΈΠ½, ΠΌΠ΅Π΄ΠΈΠ°Π½Π° ΠΎΠ±ΡΠ΅ΠΌΠ° ΠΊΡΠΎΠ²ΠΎΠΏΠΎΡΠ΅ΡΠΈ β 450 Β± 81,6 ΠΌΠ» (β₯50 % ΠΎΠ±ΡΠ΅ΠΌΠ° ΡΠΈΡΠΊΡΠ»ΠΈΡΡΡΡΠ΅ΠΉ ΠΊΡΠΎΠ²ΠΈ β 32,4 %). ΠΠ½ΡΡΠ°ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΎΠ½Π½ΡΠ΅ ΠΎΡΠ»ΠΎΠΆΠ½Π΅Π½ΠΈΡ ΠΎΡΠΌΠ΅ΡΠ΅Π½Ρ Π² 10 (27,0 %) ΡΠ»ΡΡΠ°ΡΡ
. ΠΠΎΡΠ»Π΅ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΎΠ½Π½ΡΠ΅ ΠΎΡΠ»ΠΎΠΆΠ½Π΅Π½ΠΈΡ ΡΠ°Π·Π²ΠΈΠ»ΠΈΡΡ Ρ 29,7 % ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² ΠΈ Π΄ΠΎΡΡΠΈΠ³Π»ΠΈ IIIβIV ΡΡΠ΅ΠΏΠ΅Π½Π΅ΠΉ ΡΡΠΆΠ΅ΡΡΠΈ ΠΏΠΎ ΡΠΊΠ°Π»Π΅ ClavienβDindo Ρ 13,0 % Π±ΠΎΠ»ΡΠ½ΡΡ
. ΠΡΠ΅ ΠΏΠ°ΡΠΈΠ΅Π½ΡΡ Π°ΠΊΡΠΈΠ²ΠΈΠ·ΠΈΡΠΎΠ²Π°Π½Ρ ΠΏΠΎ ΠΏΡΠΎΠ³ΡΠ°ΠΌΠΌΠ΅ ΡΡΠΊΠΎΡΠ΅Π½Π½ΠΎΠΉ ΡΠ΅Π°Π±ΠΈΠ»ΠΈΡΠ°ΡΠΈΠΈ fast track. Π‘ΡΠ΅Π΄Π½ΡΡ ΠΏΡΠΎΠ΄ΠΎΠ»ΠΆΠΈΡΠ΅Π»ΡΠ½ΠΎΡΡΡ ΠΏΡΠ΅Π±ΡΠ²Π°Π½ΠΈΡ Π² ΡΡΠ°ΡΠΈΠΎΠ½Π°ΡΠ΅ ΡΠΎΡΡΠ°Π²ΠΈΠ»Π° 5 ΡΡΡ. ΠΠ±Π·ΠΎΡ Π»ΠΈΡΠ΅ΡΠ°ΡΡΡΡ Π²ΡΡΠ²ΠΈΠ» ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΡΠ»ΡΡΠ°ΠΈ ΠΈ Π½Π΅Π±ΠΎΠ»ΡΡΠΈΠ΅ ΡΠ΅ΡΠΈΠΈ, Π΄Π΅ΠΌΠΎΠ½ΡΡΡΠΈΡΡΡΡΠΈΠ΅ ΡΠ΅Ρ
Π½ΠΈΡΠ΅ΡΠΊΡΡ ΠΎΡΡΡΠ΅ΡΡΠ²ΠΈΠΌΠΎΡΡΡ ΠΈ Π±Π΅Π·ΠΎΠΏΠ°ΡΠ½ΠΎΡΡΡ Π»Π°ΠΏΠ°ΡΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠΎΠΉ ΡΠ°Π΄ΠΈΠΊΠ°Π»ΡΠ½ΠΎΠΉ Π½Π΅ΡΡΡΠΊΡΠΎΠΌΠΈΠΈ Ρ ΡΡΠΎΠΌΠ±ΡΠΊΡΠΎΠΌΠΈΠ΅ΠΉ Ρ ΠΎΡΠ΄Π΅Π»ΡΠ½ΡΡ
ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ².ΠΠ°ΠΊΠ»ΡΡΠ΅Π½ΠΈΠ΅. ΠΠ°ΠΏΠ°ΡΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠ°Ρ ΡΠ°Π΄ΠΈΠΊΠ°Π»ΡΠ½Π°Ρ Π½Π΅ΡΡΡΠΊΡΠΎΠΌΠΈΡ Ρ ΡΡΠΎΠΌΠ±ΡΠΊΡΠΎΠΌΠΈΠ΅ΠΉ β ΡΠ΅Ρ
Π½ΠΈΡΠ΅ΡΠΊΠΈ ΠΎΡΡΡΠ΅ΡΡΠ²ΠΈΠΌΡΠΉ ΠΏΠΎΠ΄Ρ
ΠΎΠ΄ Ρ ΡΡΠ°ΡΠ΅Π»ΡΠ½ΠΎ ΠΎΡΠΎΠ±ΡΠ°Π½Π½ΡΡ
ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Ρ ΠΎΠΏΡΡ
ΠΎΠ»Π΅Π²ΡΠΌ ΡΡΠΎΠΌΠ±ΠΎΠΌ IβIII ΡΡΠΎΠ²Π½Π΅ΠΉ. ΠΠΏΡΠΈΠΌΠ°Π»ΡΠ½ΡΠΉ ΠΎΡΠ±ΠΎΡ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ², ΠΎΠ±ΡΠΈΡΠ½ΡΠΉ ΠΎΠΏΡΡ Π»Π°ΠΏΠ°ΡΠΎΡΠΊΠΎΠΏΠΈΠΈ ΠΈ ΡΠΏΠ΅ΡΠΈΠ°Π»ΠΈΠ·ΠΈΡΠΎΠ²Π°Π½Π½ΡΠ΅ ΡΠ΅Π½ΡΡΡ ΡΠ²Π»ΡΡΡΡΡ ΠΏΡΠΈΠ½ΡΠΈΠΏΠΈΠ°Π»ΡΠ½ΡΠΌΠΈ ΡΠ»Π΅ΠΌΠ΅Π½ΡΠ°ΠΌΠΈ Π΄Π»Ρ Π±Π΅Π·ΠΎΠΏΠ°ΡΠ½ΠΎΠ³ΠΎ ΠΏΡΠΈΠΌΠ΅Π½Π΅Π½ΠΈΡ ΡΡΠΎΠ³ΠΎ ΠΌΠ΅ΡΠΎΠ΄Π°
Treatment of cryptorchidism in pediatric surgical practice: a multicenter study
Introduction. Cryptorchidism is a common disease in pediatric urological and andrological practice since the issues of tactical approaches and its optimal treatment remain extremely relevant. Cryptorchidism makes a significant contribution to the structure of male infertility.Objective. To conduct a retrospective analysis of treatment results in children and adolescents with cryptorchidism.Materials & methods. This study summarises the treatment results of 8308 patients with cryptorchidism aged from 6 months to 17 years who underwent inpatient treatment in the Russian Federation and the Republic of Uzbekistan.Results. It was revealed that from 2015 to 2019, patients were admitted for surgical treatment evenly over the years. The ratio of right-sided / left-sided / bilateral cryptorchidism was 4.6 : 4.4 : 1 The inguinal form prevailed more than 6 times over the abdominal location. At the same time, 26.1% of the patients underwent surgery at the optimal time, and 9.8% were older than 10 years. More often, children are operated from an open inguinal access (95.0%), much less often β laparoscopically and percutaneously. Stage-by-stage treatment was carried out in 6.0% of patients.Conclusion. Thus, the approach presented in the study in the surgical treatment of cryptorchidism provided good treatment results. The number of disease relapses was 1.9% (mainly among children over 7 years old). Most surgeons are very reserved about primary orchidectomies (only 3.8% were performed)
ΠΠΠ’Π£ΠΠΠ¬ΠΠ«Π ΠΠ ΠΠ ΠΠΠΠ-ΠΠ§ΠΠΠΠΠ«Π ΠΠΠ€ΠΠΠ¦ΠΠ, ΠΠΠ ΠΠΠΠΠΠΠΠ«Π ΠΠΠΠ©ΠΠΠ, Π Π‘ΠΠΠΠ’-ΠΠΠ’ΠΠ ΠΠ£Π ΠΠ
Purpose: to conduct a comparative analysis and to identify the epidemiological and clinical features of tick-borne encephalitis (TBE) and Lyme borreliosis as a mono- and coinfections in St. Petersburg. Materials and methods. 718 cases of TBE, 4353 cases of Lyme borreliosis and 127 combined diseases registered by the St. Petersburg epidemiological bureau in 2006-2017 were studied. Identification of combined diseases was carried out by a special software that allows to identify co-morbid diseases from the array of monoinfections. To identify clinical and epidemiological features, 144 cases of TBE, 286 Lyme borreliosis, and 43 cases of co-infection were studied. Age and sex characteristics, places of human contagion, infection rates of ticks, clinical forms of mono- and associated diseases, morbidity dynamics changes and patientsβ IgM seropositivity were studied. Results. The long-term dynamics of TBE and Lyme borreliosis incidence had did not have significant upward or downward trends, it was characterized by synchronous fluctuations. The priority of the incidence of men over women is revealed. 61β69% cases of TBE and Lyme borreliosis occurred in Leningrad region, 19β30% β in the adjacent territories of Russia, 5,7β6,7% of cases were imported from other countries. High tick infection rates of TBE virus and Borrelia was revealed. Borrelia Π°nd virus of TBE and were detected in 81,6β87,5% of the examined ticks removed from patients with a later established diagnosis. Seasonal distribution of Lyme borreliosis was shifted by a month to the right in comparison with TBE. The clinical forms of both diseases did not differ in their structure from the country data, however after 2012 subclinical forms were more common in women. The proportion of non-erythematous forms of Lyme borreliosis in 2011β2015 compared with the 2006β2010 observation period increased almost 1,5-fold mainly forms, including those with co-infection. The IgM seropositivity rate in the dynamics of the disease testifies to the incomplete rehabilitation of patients. Conclusion. The clinical and epidemiological characteristics of TBE, Lyme borreliosis and combined infection in the North-West region of Russia, with the example of St. Petersburg, have certain distinctive features. The reasons for the revealed features need further study.Π¦Π΅Π»Ρ: ΠΏΡΠΎΠ²Π΅ΡΡΠΈ ΡΡΠ°Π²Π½ΠΈΡΠ΅Π»ΡΠ½ΡΠΉ ΡΠΏΠΈΠ΄Π΅ΠΌΠΈΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈΠΉ Π°Π½Π°Π»ΠΈΠ· ΠΈ Π²ΡΡΠ²ΠΈΡΡ ΡΠΏΠΈΠ΄Π΅ΠΌΠΈΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΠΈ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΠΎΡΠΎΠ±Π΅Π½Π½ΠΎΡΡΠΈ ΠΊΠ»Π΅ΡΠ΅Π²ΠΎΠ³ΠΎ ΡΠ½ΡΠ΅ΡΠ°Π»ΠΈΡΠ° ΠΈ Π±ΠΎΡΡΠ΅Π»ΠΈΠΎΠ·Π° ΠΊΠ°ΠΊ ΠΌΠΎΠ½ΠΎ- , ΡΠ°ΠΊ ΠΈ ΠΎΠ΄Π½ΠΎΠ²ΡΠ΅ΠΌΠ΅Π½Π½ΠΎΠ³ΠΎ ΡΠΎΡΠ΅ΡΠ°Π½ΠΈΡ ΡΡΠΈΡ
ΠΈΠ½ΡΠ΅ΠΊΡΠΈΠΉ Ρ Π±ΠΎΠ»ΡΠ½ΡΡ
Π² Π‘Π°Π½ΠΊΡ-ΠΠ΅ΡΠ΅ΡΠ±ΡΡΠ³Π΅. ΠΠ°ΡΠ΅ΡΠΈΠ°Π»Ρ ΠΈ ΠΌΠ΅ΡΠΎΠ΄Ρ: ΡΠ΅ΡΡΠΎΡΠΏΠ΅ΠΊΡΠΈΠ²Π½ΠΎ ΠΈΠ·ΡΡΠ΅Π½ΠΎ 718 ΡΠ»ΡΡΠ°Π΅Π² ΠΊΠ»Π΅ΡΠ΅Π²ΠΎΠ³ΠΎ ΡΠ½ΡΠ΅ΡΠ°Π»ΠΈΡΠ°, 4353 ΡΠ»ΡΡΠ°Ρ ΠΊΠ»Π΅ΡΠ΅Π²ΠΎΠ³ΠΎ Π±ΠΎΡΡΠ΅Π»ΠΈΠΎΠ·Π° ΠΈ 127 ΡΠΎΡΠ΅ΡΠ°Π½Π½ΡΡ
Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΉ, Π·Π°ΡΠ΅Π³ΠΈΡΡΡΠΈΡΠΎΠ²Π°Π½Π½ΡΡ
Π² ΠΎΡΠ΄Π΅Π»Π΅ ΡΡΠ΅ΡΠ° ΠΈ ΡΠ΅Π³ΠΈΡΡΡΠ°ΡΠΈΠΈ ΠΈΠ½ΡΠ΅ΠΊΡΠΈΠΎΠ½Π½ΡΡ
ΠΈ ΠΏΠ°ΡΠ°Π·ΠΈΡΠ°ΡΠ½ΡΡ
Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΉ Π¦Π΅Π½ΡΡΠ° Π³ΠΈΠ³ΠΈΠ΅Π½Ρ ΠΈ ΡΠΏΠΈΠ΄Π΅ΠΌΠΈΠΎΠ»ΠΎΠ³ΠΈΠΈ Π‘Π°Π½ΠΊΡ-ΠΠ΅ΡΠ΅ΡΠ±ΡΡΠ³Π° Π·Π° 2006β2017 Π³Π³. ΠΠ΄Π΅Π½ΡΠΈΡΠΈΠΊΠ°ΡΠΈΡ ΡΠΎΡΠ΅ΡΠ°Π½Π½ΡΡ
Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΉ ΠΏΡΠΎΠΈΡΡ
ΠΎΠ΄ΠΈΠ»Π° Ρ ΠΏΠΎΠΌΠΎΡΡΡ ΡΠΏΠ΅ΡΠΈΠ°Π»ΡΠ½ΠΎΠΉ ΠΏΡΠΎΠ³ΡΠ°ΠΌΠΌΡ, ΠΏΠΎΠ·Π²ΠΎΠ»ΡΡΡΠ΅ΠΉ Π²ΡΡΠ²Π»ΡΡΡ ΡΠΎΡΠ΅ΡΠ°Π½Π½ΡΠ΅ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΡ ΠΈΠ· ΠΌΠ°ΡΡΠΈΠ²Π° ΠΌΠΎΠ½ΠΎΠΈΠ½ΡΠ΅ΠΊΡΠΈΠΉ. ΠΠ»Ρ Π²ΡΡΠ²Π»Π΅Π½ΠΈΡ ΠΊΠ»ΠΈΠ½ΠΈΠΊΠΎ-ΡΠΏΠΈΠ΄Π΅ΠΌΠΈΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΎΡΠΎΠ±Π΅Π½Π½ΠΎΡΡΠ΅ΠΉ ΠΈΠ·ΡΡΠ΅Π½ΠΎ 144 ΠΈΡΡΠΎΡΠΈΠΈ Π±ΠΎΠ»Π΅Π·Π½ΠΈ ΠΊΠ»Π΅ΡΠ΅Π²ΡΠΌ ΡΠ½ΡΠ΅ΡΠ°Π»ΠΈΡΠΎΠΌ, 286 β ΠΊΠ»Π΅ΡΠ΅Π²ΡΠΌ Π±ΠΎΡΡΠ΅Π»ΠΈΠΎΠ·ΠΎΠΌ ΠΈ 43 ΠΈΡΡΠΎΡΠΈΠΈ Π±ΠΎΠ»Π΅Π·Π½ΠΈ Π² ΡΠ»ΡΡΠ°ΡΡ
ΡΠΎΡΠ΅ΡΠ°Π½ΠΈΡ ΡΡΠΈΡ
ΠΈΠ½ΡΠ΅ΠΊΡΠΈΠΉ. ΠΡΠΎΠ°Π½Π°Π»ΠΈΠ·ΠΈΡΠΎΠ²Π°Π½Ρ Π²ΠΎΠ·ΡΠ°ΡΡΠ½ΠΎ-ΠΏΠΎΠ»ΠΎΠ²ΡΠ΅ Ρ
Π°ΡΠ°ΠΊΡΠ΅ΡΠΈΡΡΠΈΠΊΠΈ, ΠΌΠ΅ΡΡΠ° Π·Π°ΡΠ°ΠΆΠ΅Π½ΠΈΡ Π»ΡΠ΄Π΅ΠΉ, Π²ΠΈΡΡΡΠΎ- ΠΈ Π±ΠΎΡΠ΅Π»ΠΈΠ°ΡΠΎΡΠ½ΠΎΡΡΡ ΠΊΠ»Π΅ΡΠ΅ΠΉ, ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΡΠΎΡΠΌΡ ΠΌΠΎΠ½ΠΎ- ΠΈ ΡΠΎΡΠ΅ΡΠ°Π½Π½ΡΡ
Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΉ, ΠΈΠ·ΠΌΠ΅Π½Π΅Π½ΠΈΡ, ΠΏΡΠΎΠΈΡΡ
ΠΎΠ΄ΡΡΠΈΠ΅ Π²ΠΎ Π²ΡΠ΅ΠΌΠ΅Π½ΠΈ. ΠΠΎΡΡΡΠΈΡΠΈΠ΅Π½Ρ ΡΠ΅ΡΠΎΠΏΠΎΠ·ΠΈΡΠΈΠ²Π½ΠΎΡΡΠΈ IgM Ρ Π±ΠΎΠ»ΡΠ½ΡΡ
ΠΎΡΠ΅Π½ΠΈΠ²Π°Π»ΡΡ Π² Π΄ΠΈΠ½Π°ΠΌΠΈΠΊΠ΅ ΠΎΠ±ΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ². Π Π΅Π·ΡΠ»ΡΡΠ°ΡΡ: ΠΌΠ½ΠΎΠ³ΠΎΠ»Π΅ΡΠ½ΡΡ Π΄ΠΈΠ½Π°ΠΌΠΈΠΊΠ° Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π΅ΠΌΠΎΡΡΠΈ ΠΊΠ»Π΅ΡΠ΅Π²ΡΠΌ ΡΠ½ΡΠ΅ΡΠ°Π»ΠΈΡΠΎΠΌ ΠΈ ΠΊΠ»Π΅ΡΠ΅Π²ΡΠΌ Π±ΠΎΡΡΠ΅Π»ΠΈΠΎΠ·ΠΎΠΌ Π½Π΅ ΠΈΠΌΠ΅Π»Π° Π²ΡΡΠ°ΠΆΠ΅Π½Π½ΡΡ
ΡΠ΅Π½Π΄Π΅Π½ΡΠΈΠΉ ΠΊ ΡΠΎΡΡΡ ΠΈΠ»ΠΈ ΡΠ½ΠΈΠΆΠ΅Π½ΠΈΡ ΠΈ Ρ
Π°ΡΠ°ΠΊΡΠ΅ΡΠΈΠ·ΠΎΠ²Π°Π»Π°ΡΡ ΡΠΈΠ½Ρ
ΡΠΎΠ½Π½ΡΠΌΠΈ ΠΊΠΎΠ»Π΅Π±Π°Π½ΠΈΡΠΌΠΈ. ΠΡΡΠ²Π»Π΅Π½ ΠΏΡΠΈΠΎΡΠΈΡΠ΅Ρ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π΅ΠΌΠΎΡΡΠΈ ΠΌΡΠΆΡΠΈΠ½ Π½Π°Π΄ ΠΆΠ΅Π½ΡΠΈΠ½Π°ΠΌΠΈ. ΠΠ°ΡΠ°ΠΆΠ΅Π½ΠΈΡ ΠΊΠ»Π΅ΡΠ΅Π²ΡΠΌ ΡΠ½ΡΠ΅ΡΠ°Π»ΠΈΡΠΎΠΌ ΠΈ Π±ΠΎΡΡΠ΅Π»ΠΈΠΎΠ·Π°ΠΌΠΈ Π² 61β69% ΡΠ»ΡΡΠ°Π΅Π² ΠΏΡΠΎΠΈΡΡ
ΠΎΠ΄ΠΈΠ»ΠΈ Π² ΠΠ΅Π½ΠΈΠ½Π³ΡΠ°Π΄ΡΠΊΠΎΠΉ ΠΎΠ±Π»Π°ΡΡΠΈ, Π² 19β30% β Π½Π° ΡΠΎΠΏΡΠ΅Π΄Π΅Π»ΡΠ½ΡΡ
ΡΠ΅ΡΡΠΈΡΠΎΡΠΈΡΡ
Π ΠΎΡΡΠΈΠΈ, Π² 5,7β6,7% β Π² ΡΡΡΠ°Π½Π°Ρ
Π±Π»ΠΈΠΆΠ½Π΅Π³ΠΎ ΠΈ Π΄Π°Π»ΡΠ½Π΅Π³ΠΎ Π·Π°ΡΡΠ±Π΅ΠΆΡΡ. ΠΡΡΠ²Π»Π΅Π½Π° Π²ΡΡΠΎΠΊΠ°Ρ ΠΈΠ½ΡΠΈΡΠΈΡΠΎΠ²Π°Π½Π½ΠΎΡΡΡ ΠΊΠ»Π΅ΡΠ΅ΠΉ Π²ΠΈΡΡΡΠΎΠΌ ΠΊΠ»Π΅ΡΠ΅Π²ΠΎΠ³ΠΎ ΡΠ½ΡΠ΅ΡΠ°Π»ΠΈΡΠ° ΠΈ Π±ΠΎΡΡΠ΅Π»ΠΈΡΠΌΠΈ. ΠΠΎΡΡΠ΅Π»ΠΈΠΈ ΠΈ Π²ΠΈΡΡΡ ΠΊΠ»Π΅ΡΠ΅Π²ΠΎΠ³ΠΎ ΡΠ½ΡΠ΅ΡΠ°Π»ΠΈΡΠ° Π²ΡΡΠ²Π»Π΅Π½Ρ Ρ 81,6 ΠΈ 87,5% ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½Π½ΡΡ
ΠΏΠ΅ΡΠ΅Π½ΠΎΡΡΠΈΠΊΠΎΠ², ΡΠ½ΡΡΡΡ
Ρ Π±ΠΎΠ»ΡΠ½ΡΡ
Ρ ΠΏΠΎΠ·Π΄Π½Π΅Π΅ ΡΡΡΠ°Π½ΠΎΠ²Π»Π΅Π½Π½ΡΠΌ Π΄ΠΈΠ°Π³Π½ΠΎΠ·ΠΎΠΌ. Π‘Π΅Π·ΠΎΠ½Π½ΠΎΠ΅ ΡΠ°ΡΠΏΡΠ΅Π΄Π΅Π»Π΅Π½ΠΈΠ΅ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΉ Π±ΠΎΡΡΠ΅Π»ΠΈΠΎΠ·ΠΎΠΌ Π±ΡΠ»ΠΎ ΡΠ΄Π²ΠΈΠ½ΡΡΠΎ Π½Π° ΠΌΠ΅ΡΡΡ Π²ΠΏΡΠ°Π²ΠΎ ΠΏΠΎ ΡΡΠ°Π²Π½Π΅Π½ΠΈΡ Ρ ΠΊΠ»Π΅ΡΠ΅Π²ΡΠΌ ΡΠ½ΡΠ΅ΡΠ°Π»ΠΈΡΠΎΠΌ. ΠΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΡΠΎΡΠΌΡ ΠΊΠ°ΠΊ ΠΊΠ»Π΅ΡΠ΅Π²ΠΎΠ³ΠΎ ΡΠ½ΡΠ΅ΡΠ°Π»ΠΈΡΠ°, ΡΠ°ΠΊ ΠΈ Π±ΠΎΡΡΠ΅Π»ΠΈΠΎΠ·Π° ΠΏΠΎ ΡΠ²ΠΎΠ΅ΠΉ ΡΡΡΡΠΊΡΡΡΠ΅ Π½Π΅ ΠΎΡΠ»ΠΈΡΠ°Π»ΠΈΡΡ ΠΎΡ Π»ΠΈΡΠ΅ΡΠ°ΡΡΡΠ½ΡΡ
Π΄Π°Π½Π½ΡΡ
ΠΏΠΎ ΡΡΡΠ°Π½Π΅, ΠΎΠ΄Π½Π°ΠΊΠΎ ΡΡΠ±ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΡΠΎΡΠΌΡ ΡΠ°ΡΠ΅ Π²ΡΡΡΠ΅ΡΠ°Π»ΠΈΡΡ Ρ ΠΆΠ΅Π½ΡΠΈΠ½ Π² ΠΏΠ΅ΡΠΈΠΎΠ΄ ΠΏΠΎΡΠ»Π΅ 2012 Π³. ΠΠΎΠ»Ρ Π±Π΅Π·ΡΡΠΈΡΠ΅ΠΌΠ½ΡΡ
ΡΠΎΡΠΌ Π±ΠΎΡΡΠ΅Π»ΠΈΠΎΠ·Π° Π² 2011β2015 Π³Π³. ΠΏΠΎ ΡΡΠ°Π²Π½Π΅Π½ΠΈΡ Ρ 2006β2010 Π³Π³. Π½Π°Π±Π»ΡΠ΄Π΅Π½ΠΈΡ ΡΠ²Π΅Π»ΠΈΡΠΈΠ»Π°ΡΡ ΠΏΠΎΡΡΠΈ Π² 1,5 ΡΠ°Π·Π°, Π² ΡΠΎΠΌ ΡΠΈΡΠ»Π΅ ΠΈ ΠΏΡΠΈ ΡΠΎΡΠ΅ΡΠ°Π½Π½ΠΎΠΉ ΠΈΠ½ΡΠ΅ΠΊΡΠΈΠΈ. ΠΠΎΡΡΡΠΈΡΠΈΠ΅Π½Ρ ΡΠ΅ΡΠΎΠΏΠΎΠ·ΠΈΡΠΈΠ²Π½ΠΎΡΡΠΈ IgM Π² Π΄ΠΈΠ½Π°ΠΌΠΈΠΊΠ΅ Π±ΠΎΠ»Π΅Π·Π½ΠΈ ΡΠ²ΠΈΠ΄Π΅ΡΠ΅Π»ΡΡΡΠ²ΡΠ΅Ρ ΠΎ Π½Π΅ΠΏΠΎΠ»Π½ΠΎΠΌ Π²ΡΠ·Π΄ΠΎΡΠΎΠ²Π»Π΅Π½ΠΈΠΈ Π±ΠΎΠ»ΡΠ½ΡΡ
. ΠΠ°ΠΊΠ»ΡΡΠ΅Π½ΠΈΠ΅: ΠΊΠ»ΠΈΠ½ΠΈΠΊΠΎ-ΡΠΏΠΈΠ΄Π΅ΠΌΠΈΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠ°Ρ ΠΊΠ°ΡΡΠΈΠ½Π° ΠΊΠ»Π΅ΡΠ΅Π²ΠΎΠ³ΠΎ ΡΠ½ΡΠ΅ΡΠ°Π»ΠΈΡΠ°, ΠΊΠ»Π΅ΡΠ΅Π²ΠΎΠ³ΠΎ Π±ΠΎΡΡΠ΅Π»ΠΈΠΎΠ·Π° ΠΈ ΡΠΎΡΠ΅ΡΠ°Π½ΠΈΡ ΡΡΠΈΡ
ΠΈΠ½ΡΠ΅ΠΊΡΠΈΠΉ Π² Π‘Π΅Π²Π΅ΡΠΎ-ΠΠ°ΠΏΠ°Π΄Π½ΠΎΠΌ ΡΠ΅Π³ΠΈΠΎΠ½Π΅ Π ΠΎΡΡΠΈΠΈ Π½Π° ΠΏΡΠΈΠΌΠ΅ΡΠ΅ Π‘Π°Π½ΠΊΡ-ΠΠ΅ΡΠ΅ΡΠ±ΡΡΠ³Π° ΠΈΠΌΠ΅Π΅Ρ ΠΎΠΏΡΠ΅Π΄Π΅Π»Π΅Π½Π½ΡΠ΅ ΠΎΡΠ»ΠΈΡΠΈΡΠ΅Π»ΡΠ½ΡΠ΅ ΠΎΡΠΎΠ±Π΅Π½Π½ΠΎΡΡΠΈ. ΠΡΠΈΡΠΈΠ½Ρ Π²ΡΡΠ²Π»Π΅Π½Π½ΡΡ
ΠΎΡΠΎΠ±Π΅Π½Π½ΠΎΡΡΠ΅ΠΉ Π½ΡΠΆΠ΄Π°ΡΡΡΡ Π² Π΄Π°Π»ΡΠ½Π΅ΠΉΡΠ΅ΠΌ ΠΈΠ·ΡΡΠ΅Π½ΠΈΠΈ
Use of new technologies in surgery
The paper is devoted to surgical care of the patients with ventral hernia by different non-intention hernia plastic techniques. A medical treatment of 103 patients divided by two groups are described. A new medical polymeric latex glue has been used for one experimental group. A comparative analysis of different treatment results is presented and related conclusions are made
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