Knut, R.P.

Цифровий Репозиторій - Інтелектуальні Фонди Буковинського державного медичного університету

185performed for lower extremity fractures have lower LEFS score after surgery, but in the nextmonths it is improving. In the late outcome the patients that applied for plate removal from femurcomparing with those who did not showed lower LESF score - 44.23±2.12. After osteosynthesis oftibia the score was 40.15±1.72 for the patients that applied for plate removal.After plates osteosynthesis good and satisfactory functional results were achieved in 94.9 %(37 patients) of cases for femoral fractures and 93,2 % (69 patients) cases of tibial fractures.  Theosteosynthesis allows us to improve functional results due to better reduction and stability offractures. The relation between the functional statuses of lower extremity after osteosynthesis withthe removal procedures was found, as LEFS scores was significantly lower for those patients thatapplied for plate removal.Knut R.P.GROIN HERNIA: ANATOMICALLY DETERMINED RISK FACTORS FOR THERECURRENCEGeneral Surgery DepartmentBukovinian State Medical UniversityThe analysis of scientific publications of last 5 years shows that the questions of anatomicalpreconditions, role of gender and physique in recurrences of groin hernias after mesh hernia repairremain up-to-date. Considered as a “gold standard”, tension-free hernioplasty has many advantagescomparing to tissue repair, but the question of the graft’s size remains a subject of discussions.The aim: to substantiate anatomical parameters influencing choice of graft`s size and shapein groin hernia repair. In the research took part 74 patients of both gender with primary groinhernias. All the patients were divided into 3 groups due to type of physique: 26 patients (35.1%) ofendomorph type, 20 patients (27%) of ectomorph type and 28 patients (37.8%) of mesomorph type.An in-depth analysis of anatomical parameters of the groin region was performed in these groups.Received data were used to calculate the optimal sizes of the prosthetic mesh for the groin herniarepair depending on the physique and gender.Results of the study show that the anatomical parameters of pelvis and groin regions inparticular vary not only in people of different gender and type of physique, but sometimes may varyin one person. That leads us to necessity of individual approach to the choice of size of hernia meshin every individual case. Based on the obtained data the optimal size of the allograft for the groinhernia repair for the patients of different physique and gender were calculated. We may concludethat groin allografts of standard size (6×11 cm) correspond not to all patients. During the operation,surgeons have to modify the size of standard graft with the scissors or to use a bigger piece of meshto form the graft of necessary size. All that may lead to mistakes and raise the risk of complicationsand recurrence.The anatomical sizes of groin regions vary not only in people of different gender and bodystructure, but sometimes may also vary in one person, and require an individual approach to thechoice of size of hernia mesh in every individual case.Kozlovska I.M.THE ROLE OF PREOPERATIVE PREPARATION IN THE ANAL FISSURE TREATMENTDepartment of Surgery №2Bukovinian State Medical UniversityPreoperative preparation of the patient is of great importance in the prevention of early andlong-term complications of surgical intervention, and thus plays the integral role in their quickrecovery after the proposed surgical treatment to the state of working capacity.Taking this into account, it is extremely important to improve the preoperative preparationof the patient for surgical excision of the anal fissure to prevent possible complications and achievea favorable treatment result.

Groin hernia: anatomically determined risk factors for the recurrence

http://dspace.bsmu.edu.ua:8080/xmlui/bitstream/123456789/19674/1/185_Knut.pdf

Groin hernia: anatomically determined risk factors for the recurrence

Abstract

Similar works

Full text

Available Versions

Цифровий Репозиторій - Інтелектуальні Фонди Буковинського державного медичного університету