11 research outputs found
Urological tactics in cases of gestational pyelonephritis
Gestational pyelonephritis is a state of the art in practice of urological, gynecological, microbiogical, dermatovenerological and immunological departments. Firstly itβs related with gestational pyelonephritis in a past medical history: complications in pre- and postnatal periods, miscarriage of pregnancy and stillbirth, progression of chronical desease that leading to woman disability. In addition, gestational pyelonephritis has a negative affection on a fetus status and child health. These problems are loom large in social and medical domain.ΠΡΡΡΡΠΉ Π³Π΅ΡΡΠ°ΡΠΈΠΎΠ½Π½ΡΠΉ ΠΏΠΈΠ΅Π»ΠΎΠ½Π΅ΡΡΠΈΡ Π²Π½ΠΎΠ²Ρ ΠΈ Π²Π½ΠΎΠ²Ρ ΠΎΠ±ΡΠ°ΡΠ°Π΅Ρ Π½Π° ΡΠ΅Π±Ρ Π²Π½ΠΈΠΌΠ°Π½ΠΈΠ΅ Π²ΡΠ°ΡΠ΅ΠΉ ΠΌΠ½ΠΎΠ³ΠΈΡ
ΡΠΏΠ΅ΡΠΈΠ°Π»ΡΠ½ΠΎΡΡΠ΅ΠΉ: ΡΡΠΎΠ»ΠΎΠ³ΠΎΠ², Π°ΠΊΡΡΠ΅ΡΠΎΠ²-Π³ΠΈΠ½Π΅ΠΊΠΎΠ»ΠΎΠ³ΠΎΠ², ΠΌΠΈΠΊΡΠΎΠ±ΠΈΠΎΠ»ΠΎΠ³ΠΎΠ², Π΄Π΅ΡΠΌΠ°ΡΠΎΠ²Π΅Π½Π΅ΡΠΎΠ»ΠΎΠ³ΠΎΠ², ΠΈΠΌΠΌΡΠ½ΠΎΠ»ΠΎΠ³ΠΎΠ². Π ΠΏΠ΅ΡΠ²ΡΡ ΠΎΡΠ΅ΡΠ΅Π΄Ρ, ΡΡΠΎ ΠΎΠ±ΡΡΠ»ΠΎΠ²Π»Π΅Π½ΠΎ ΠΏΡΠΎΠ±Π»Π΅ΠΌΠ°ΠΌΠΈ, ΠΊΠΎΡΠΎΡΡΠ΅ ΠΈΠΌΠ΅ΡΡ ΠΏΡΠΈΡΠΈΠ½Π½ΠΎ-ΡΠ»Π΅Π΄ΡΡΠ²Π΅Π½Π½ΡΡ ΡΠ²ΡΠ·Ρ Ρ ΠΏΠ΅ΡΠ΅Π½Π΅ΡΠ΅Π½Π½ΡΠΌ Π³Π΅ΡΡΠ°ΡΠΈΠΎΠ½Π½ΡΠΌ ΠΏΠΈΠ΅Π»ΠΎΠ½Π΅ΡΡΠΈΡΠΎΠΌ: ΠΎΡΠ»ΠΎΠΆΠ½Π΅Π½ΠΈΡ Π² Π΄ΠΎΡΠΎΠ΄ΠΎΠ²ΠΎΠΌ ΠΈ ΠΏΠΎΡΠ»Π΅ΡΠΎΠ΄ΠΎΠ²ΠΎΠΌ ΠΏΠ΅ΡΠΈΠΎΠ΄Π°Ρ
, Π½Π΅Π²ΡΠ½Π°ΡΠΈΠ²Π°Π½ΠΈΠ΅ Π±Π΅ΡΠ΅ΠΌΠ΅Π½Π½ΠΎΡΡΠΈ ΠΈ ΠΌΠ΅ΡΡΠ²ΠΎΡΠΎΠΆΠ΄Π΅Π½ΠΈΠ΅, ΡΠ°Π·Π²ΠΈΡΠΈΠ΅ Ρ
ΡΠΎΠ½ΠΈΡΠ΅ΡΠΊΠΈΡ
Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΉ Ρ ΠΆΠ΅Π½ΡΠΈΠ½, ΠΏΠΎΡΠΎΠΉ ΠΏΡΠΈΠ²ΠΎΠ΄ΡΡΠΈΡ
ΠΊ ΠΈΠ½Π²Π°Π»ΠΈΠ΄ΠΈΠ·Π°ΡΠΈΠΈ. ΠΠ΅ΡΠΎΠΌΠ½Π΅Π½Π½ΠΎ, Π³Π΅ΡΡΠ°ΡΠΈΠΎΠ½Π½ΡΠΉ ΠΏΠΈΠ΅Π»ΠΎΠ½Π΅ΡΡΠΈΡ Π²Π»ΠΈΡΠ΅Ρ Π½Π° ΡΠΎΡΡΠΎΡΠ½ΠΈΠ΅ ΠΏΠ»ΠΎΠ΄Π° ΠΈ ΡΠΎΠΎΡΠ²Π΅ΡΡΡΠ²Π΅Π½Π½ΠΎ Π½Π° Π·Π΄ΠΎΡΠΎΠ²ΡΠ΅ ΡΠ΅Π±Π΅Π½ΠΊΠ°. ΠΡΠΈ ΠΏΡΠΎΠ±Π»Π΅ΠΌΡ ΠΎΡΠ½ΠΎΡΡΡΡΡ ΠΊ ΠΊΠ°ΡΠ΅Π³ΠΎΡΠΈΠΈ ΡΡΠ΅Π·Π²ΡΡΠ°ΠΉΠ½ΠΎ Π²Π°ΠΆΠ½ΡΡ
ΡΠΎΡΠΈΠ°Π»ΡΠ½ΡΡ
ΠΈ ΠΌΠ΅Π΄ΠΈΡΠΈΠ½ΡΠΊΠΈΡ
Π²ΠΎΠΏΡΠΎΡΠΎΠ²
Experience and analyses of results in open and laparoscopic partial nephrectomy
Renal cancer takes the 10th place on incidence among malignant new growths, and on the level of an increase concedes only to a prostate cancer. Today surgical treatment remains by the single efficient method of treatment of the localized renal tumors. In recent years low-invasive surgical interventions at new growths of renal began to be applied more often. In this article experience of realization of 74 operations executed by laparoscopic and open access on the basis of USMU chair of urology in the urological department of MAI "City Clinical Hospital β40" during the 2013-2018 years is explained. The comparative analysis of partial nephrectomy depending on access is carried out. The analysis of 35 patients treatment is made.Π Π°ΠΊ ΠΏΠΎΡΠΊΠΈ Π·Π°Π½ΠΈΠΌΠ°Π΅Ρ 10 ΠΌΠ΅ΡΡΠΎ ΠΏΠΎ ΡΡΠΎΠ²Π½Ρ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π΅ΠΌΠΎΡΡΠΈ ΡΡΠ΅Π΄ΠΈ Π·Π»ΠΎΠΊΠ°ΡΠ΅ΡΡΠ²Π΅Π½Π½ΡΡ
Π½ΠΎΠ²ΠΎΠΎΠ±ΡΠ°Π·ΠΎΠ²Π°Π½ΠΈΠΉ, Π° ΠΏΠΎ ΡΡΠΎΠ²Π½Ρ ΡΠΎΡΡΠ° ΡΡΡΡΠΏΠ°Π΅Ρ ΡΠΎΠ»ΡΠΊΠΎ ΡΠ°ΠΊΡ ΠΏΡΠ΅Π΄ΡΡΠ°ΡΠ΅Π»ΡΠ½ΠΎΠΉ ΠΆΠ΅Π»Π΅Π·Ρ. ΠΠ° ΡΠ΅Π³ΠΎΠ΄Π½ΡΡΠ½ΠΈΠΉ Π΄Π΅Π½Ρ Ρ
ΠΈΡΡΡΠ³ΠΈΡΠ΅ΡΠΊΠΎΠ΅ Π»Π΅ΡΠ΅Π½ΠΈΠ΅ ΠΎΡΡΠ°Π΅ΡΡΡ Π΅Π΄ΠΈΠ½ΡΡΠ²Π΅Π½Π½ΡΠΌ ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΡΠΌ ΠΌΠ΅ΡΠΎΠ΄ΠΎΠΌ Π»Π΅ΡΠ΅Π½ΠΈΡ Π»ΠΎΠΊΠ°Π»ΠΈΠ·ΠΎΠ²Π°Π½Π½ΠΎΠ³ΠΎ ΡΠ°ΠΊΠ° ΠΏΠΎΡΠΊΠΈ. Π ΠΏΠΎΡΠ»Π΅Π΄Π½ΠΈΠ΅ Π³ΠΎΠ΄Ρ ΠΌΠ°Π»ΠΎΠΈΠ½Π²Π°Π·ΠΈΠ²Π½ΡΠ΅ Ρ
ΠΈΡΡΡΠ³ΠΈΡΠ΅ΡΠΊΠΈΠ΅ Π²ΠΌΠ΅ΡΠ°ΡΠ΅Π»ΡΡΡΠ²Π° ΠΏΡΠΈ Π½ΠΎΠ²ΠΎΠΎΠ±ΡΠ°Π·ΠΎΠ²Π°Π½ΠΈΡΡ
ΠΏΠΎΡΠ΅ΠΊ ΡΡΠ°Π»ΠΈ ΠΏΡΠΈΠΌΠ΅Π½ΡΡΡΡΡ ΡΠ°ΡΠ΅. Π Π΄Π°Π½Π½ΠΎΠΉ ΡΡΠ°ΡΡΠ΅ ΠΈΠ·Π»ΠΎΠΆΠ΅Π½ ΠΎΠΏΡΡ Π²ΡΠΏΠΎΠ»Π½Π΅Π½ΠΈΡ 74 ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΉ, Π²ΡΠΏΠΎΠ»Π½Π΅Π½Π½ΡΡ
Π»Π°ΠΏΠ°ΡΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠΈΠΌ ΠΈ ΠΎΡΠΊΡΡΡΡΠΌ Π΄ΠΎΡΡΡΠΏΠ°ΠΌΠΈ Π½Π° Π±Π°Π·Π΅ ΠΊΠ°ΡΠ΅Π΄ΡΡ ΡΡΠΎΠ»ΠΎΠ³ΠΈΠΈ Π£ΠΠΠ£ Π² ΠΎΡΠ΄Π΅Π»Π΅Π½ΠΈΠΈ ΡΡΠΎΠ»ΠΎΠ³ΠΈΠΈ ΠΠΠ£ "ΠΠΎΡΠΎΠ΄ΡΠΊΠ°Ρ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠ°Ρ Π±ΠΎΠ»ΡΠ½ΠΈΡΠ° β40" Π·Π° 2013-2018 Π³ΠΎΠ΄Π°. ΠΡΠΎΠ²Π΅Π΄Π΅Π½ ΡΡΠ°Π²Π½ΠΈΡΠ΅Π»ΡΠ½ΡΠΉ Π°Π½Π°Π»ΠΈΠ· ΡΠ΅Π·Π΅ΠΊΡΠΈΠΉ ΠΏΠΎΡΠ΅ΠΊ Π² Π·Π°Π²ΠΈΡΠΈΠΌΠΎΡΡΠΈ ΠΎΡ Π΄ΠΎΡΡΡΠΏΠ° Π½Π° ΠΎΡΠ½ΠΎΠ²Π°Π½ΠΈΠΈ ΠΈΠ·ΡΡΠ΅Π½ΠΈΡ Π΄Π°Π½Π½ΡΡ
Π½Π°Π±Π»ΡΠ΄Π΅Π½ΠΈΠΉ Π·Π° ΠΏΠ°ΡΠΈΠ΅Π½ΡΠ°ΠΌΠΈ Π² ΡΠ΅ΡΠ΅Π½ΠΈΠ΅ 5 Π»Π΅Ρ. ΠΡΠΏΠΎΠ»Π½Π΅Π½ Π°Π½Π°Π»ΠΈΠ· ΠΎΡΠ΄Π°Π»Π΅Π½Π½ΡΡ
ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΠΎΠ² Π»Π΅ΡΠ΅Π½ΠΈΡ 35 ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ²
Laparoscopic surgery in urology and complications
Laparoscopic surgeon was recommended in urological treatment of diseases for a long time ago not only among Russian urologists but also among the world. From 2002 in our department were completed more than 1500 laparoscopic procedures concerning: idiopathic varicocele, renal cysts, renal and prostate cancer, hydronephrosis, Ormond desease, vesicovaginal fistula and laparoscopic treatment of urolithiasis in cases? When we could not use endoscopic treatment. In the present work we are summarize not only operation experiences but specify possible complications as well to which we have confronted in the last 15 years.ΠΠΈΠ΄Π΅ΠΎΠ»Π°ΠΏΠ°ΡΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠ°Ρ Ρ
ΠΈΡΡΡΠ³ΠΈΡ Π² Π»Π΅ΡΠ΅Π½ΠΈΠΈ ΡΡΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈΡ
Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΉ Π΄Π°Π²Π½ΠΎ Π·Π°ΡΠ΅ΠΊΠΎΠΌΠ΅Π½Π΄ΠΎΠ²Π°Π»Π° ΡΠ΅Π±Ρ Ρ Ρ
ΠΎΡΠΎΡΠ΅ΠΉ ΡΡΠΎΡΠΎΠ½Ρ Π½Π΅ ΡΠΎΠ»ΡΠΊΠΎ ΡΡΠ΅Π΄ΠΈ ΡΡΠΎΠ»ΠΎΠ³ΠΎΠ² Π ΠΎΡΡΠΈΠΈ, Π½ΠΎ ΠΈ ΠΌΠΈΡΠ°. Π‘ 2002 Π³ΠΎΠ΄Π° Π² Π½Π°ΡΠ΅ΠΌ ΠΎΡΠ΄Π΅Π»Π΅Π½ΠΈΠΈ ΠΏΡΠΎΠ²ΠΎΠ΄ΡΡΡΡ Π»Π°ΠΏΠ°ΡΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΈ ΠΏΠΎ ΠΏΠΎΠ²ΠΎΠ΄Ρ: Π²Π°ΡΠΈΠΊΠΎΡΠ΅Π»Π΅, ΠΊΠΈΡΡ ΠΏΠΎΡΠ΅ΠΊ, ΡΠ°ΠΊΠ° ΠΏΠΎΡΠΊΠΈ ΠΈ ΡΠ°ΠΊΠ° ΠΏΡΠΎΡΡΠ°ΡΡ, Π³ΠΈΠ΄ΡΠΎΠ½Π΅ΡΡΠΎΠ·Π°, Π±ΠΎΠ»Π΅Π·Π½ΠΈ ΠΡΠΌΠΎΠ½Π΄Π°, ΠΏΡΠ·ΡΡΠ½ΠΎ-Π²Π»Π°Π³Π°Π»ΠΈΡΠ½ΡΡ
ΡΠ²ΠΈΡΠ°Ρ
, Π° ΡΠ°ΠΊΠΆΠ΅ ΠΊΠΎΠ½ΠΊΡΠ΅ΠΌΠ΅Π½ΡΠΎΠ² ΠΏΠΎΡΠΊΠΈ ΠΈ ΠΌΠΎΡΠ΅ΡΠΎΡΠ½ΠΈΠΊΠ°, ΠΊΠΎΡΠΎΡΡΠ΅ Π½Π΅Π²ΠΎΠ·ΠΌΠΎΠΆΠ½ΠΎ ΠΏΡΠΎΠΎΠΏΠ΅ΡΠΈΡΠΎΠ²Π°ΡΡ ΡΠ½Π΄ΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠΈΠΌ ΠΏΡΡΡΠΌ. Π Π΄Π°Π½Π½ΠΎΠΉ ΡΠ°Π±ΠΎΡΠ΅ ΠΌΡ ΡΡΠΌΠΌΠΈΡΡΠ΅ΠΌ Π½Π΅ ΡΠΎΠ»ΡΠΊΠΎ ΠΎΠΏΡΡ 1500 Π»Π°ΠΏΠ°ΡΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΉ, Π½ΠΎ ΠΈ ΠΎΡΠ²Π΅ΡΠ°Π΅ΠΌ Π²ΠΎΠ·ΠΌΠΎΠΆΠ½ΡΠ΅ ΠΎΡΠ»ΠΎΠΆΠ½Π΅Π½ΠΈΡ, Ρ ΠΊΠΎΡΠΎΡΡΠΌΠΈ ΠΌΡ ΡΡΠ°Π»ΠΊΠΈΠ²Π°Π»ΠΈΡΡ Π½Π° ΠΏΡΠΎΡΡΠΆΠ΅Π½ΠΈΠΈ ΠΏΠΎΡΠ»Π΅Π΄Π½ΠΈΡ
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