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Постійне посилання на розділhttps://repository.kpi.kharkov.ua/handle/KhPI-Press/35393
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Документ Comparison of the intensity of pain in patients with acute cholecystitis with different types of surgical accesses(KRPOCH Publishing House, 2021) Hordiienko, Polina Oleksiivna; Sochnieva, Anastasiia LvovnaBackground: Topicality is related to the widespread prevalence of acute cholecystitis as one of the surgical pathologies. There are 3 types of surgical access for cholecystectomy: laparotomy, laparoscopic and mini-laparotomy in the right hypochondrium. At the postoperative period, patients complain of the pain that occurs at the site of the surgical wound. Intensity of pain depends on the type of surgery. The aim of the study: To analyze and compare the intensity of postoperative pain in different types of surgical accesses in patients with acute cholecystitis. Methods: The study was performed at the State Institution “V. T. Zaitsev Institute of General and Urgent Surgery of the National Academy of Medical Sciences of Ukraine” on the treatment of acute cholecystitis from 2019 to 2021. 30 case histories of patients with acute cholecystitis were analyzed. Patients were divided into 3 groups: Group I - 24 (80.00%) patients underwent laparoscopic cholecystectomy, Group II – 5 (16.67%) – with mini-access and Group III – 1 (3.33%) – laparotomy due to the pronounced adhesion process of the abdominal organs. The intensity of pain was assessed by using a Visual Analog scale. Results: According to the results of the assessment of pain intensity by Visual Analog scale: patients of Group I on the 2nd day after surgery noted pain at the level 50±8.75 mm, on the 5th day – 0 mm, patients of the II Group on the 2nd day – 70±9.32 mm, on the 5th day – 20±5.88 mm. Group III on 2nd day – 90±8.85 mm, on 5th day – 40±2.87 mm. Conclusions: The use of laparoscopic access in the surgical treatment of acute cholecystitis improves the quality of life of patient in the postoperative period and reduces pain.Документ Biliary decompression in patients with obstructive jaundice(KRPOCH Publishing House, 2021) Boyko, Valeriy Volodymyrovych; Avdosyev, Yuriy Vladimirovich; Sochnieva, Anastasiia Lvovna; Yevtushenko, Denys Oleksandrovych; Minukhin, Dmytro Valeriiovych; Shevchenko, Oleksandr MykolaiovychBackground: Benign and malignant diseases of bile ducts usually cause mechanical jaundice. The aim of the study: To determine the optimal duration of percutaneous transhepatic biliary drainage (PTBD) depending on the duration of mechanical jaundice and the initial level of total bilirubin in the serum. Methods: This paper presents the experience of using PTBD in 88 patients with benign and malignant diseases of bile ducts complicated by mechanical jaundice, who were hospitalized at the State Institution “V. T. Zaitsev Institute of General and Urgent Surgery of the National Academy of Medical Sciences of Ukraine” from 2011 to 2017 years. Patients were divided into three groups. The first group consisted of 15 (17.1%) patients with benign diseases of the biliary tract. The second group consisted of 11 (12.5%) patients with resectable cholangiocarcinomas. The third group – 62 (70.4%) patients with unresectable cholangiocarcinomas. Results: For patients of group 1, the process is somewhat slower, but the end result is also quite strongly influenced by the initial level of total bilirubin. The duration of biliary decompression in this category of patients averages 10-12 days. For patients in group 2, biliary decompression requires at least 12 days, but the result is not significantly affected by the initial level of total bilirubin and the duration of obstructive jaundice. Conclusions: Using the Poisson process, or more precisely the quasi-Poisson distribution, it was possible to determine the optimal duration of biliary decompression by using PTBD depending on the duration of obstructive jaundice and the initial level of total serum bilirubin.Документ Assessment of ultrasound effectiveness for the diagnostics of common bile duct diseases complicated by obstructive jaundice(Харківська обласна громадська організація "Культура здоров'я", 2019) Boyko, Valeriy Vladimirovich; Avdosyev, Yuriy Vladimirovich; Sochnieva, Anastasiia Lvovna; Yevtushenko, Denys OleksandrovychUltrasound is the first-priority screening test in the diagnostics of common bile duct diseases that enables the differentiation of jaundice genesis and determination of indications and contraindications for further non-invasive and invasive tests. The aim of research is to determine the effectiveness of ultrasound for the diagnostics of common bile duct diseases complicated by obstructive jaundice (OJ).Документ Combined antegrade and retrograde approaches for the treatment of "endoscopically complex" forms of choledocholithiasis: clinical cases(Харківська обласна громадська організація "Культура здоров'я", 2018) Boyko, Valeriy; Avdosyev, Yuriy; Makarov, Vitaliy; Hroma, Vasil; Sochnieva, Anastasiia Lvovna