LIPOFILLING OPPORTUNITIES IN BREAST CANCER SURGERY

In this article the authors described the experience of lipofilling usage at the National Cancer Institute. Aim of this work was to improve the aesthetic results of surgical treatment of breast cancer patients by the usage of lipofilling in patients after breast reconstruction. The description of methods of lipofilling and their application in cancer patients, the benefits of usage of LipiVage® system was performed. Materials and methods. The study included 42 women with breast cancer, who received special treatment in 2012–2016. The main group included 21 patients that have received special treatment and undergone lipofilling. The control group included 21 patients, who received only special treatment, (with no lipofilling). Different objective and subjective criteria for evaluating the effectiveness of lipofilling in achieving a satisfactory aesthetic result in patients, who underwent radical and reconstructive surgery for breast cancer, were used in this investigation. The results shows that the implementation of lipofilling improves the aesthetic perception after breast reconstruction in 20 % of patients, decreases the number of complications after reconstructive operations and are not accompanied by a worsening of results of special treatment in breast cancer patients. In conclusion it can be noted that our results show a high efficiency of lipofilling after special treatment, its safety and advisability for further usage

Die Enterosorption Verwendung In Der Behandlung Von Dynamic Darmverschluss Bei Der Patienten Mit Akute Destruktive Pankreatitis.

In 50 Patienten mit dynamischen Darmverschluss durch akute Pankreatitis destruktiven beobachtet die dynamischen Änderungen der fibrinolytischen Blutsystem in der Anwendung Enterosorption Droge "ENTEROSGEL" in de

PECULIARITIES OF THE CROSS-CULTURAL COMMUNICATION IN MEDICAL STUDETS

The problem of acquiring the ability to cross-cultural communication is urgent to address the contemporary development stage of a globalized society, since communication is an integral part of the individual living in society. Especially important is the formation of cross-cultural communicative competence of future health professionals. Integration into the global cultural, educational, and economic environment requires high-quality training, including healthcare industry experts capable of successful professional activities within the international community

THYROID HORMONES INFLUENCE ON PRIMARY HAEMOSTASIS STATUS AND CERTAIN ENZYME SYSTEMS IN LOCAL FORMS OF PERITONITIS

One of the main significances in postoperative changes in biochemical and enzymes criterion of the pathology of the organs depends to T-3, the decreasing of level of which in blood plasma is related to disorders in peripheral T-4 monoiodising and depends on the level of the organisms intoxication. The influence of T-3 on the process of intraanginal blood coagulation is realizing on the level of the vessel component (synthesis of PGI2) primary haemostasis with following secondary increasing of functional antagonism in prostacycline-tromboxan system of regulation of the trombocytal-vessel haemostasis. The correction method for postoperative hypothyreosis, disorders in blood aggregation status regulation and polyorganic insufficiency syndrome was investigated. It¢s based on the enteral use of thyreoidine, itс efficacy is clinically proved in patients with local peritonitis