Using of three dimentional radiation visualization data at fine-needle aspiration biopsy of adrenal neoplasm.

V.A.Veredchenko, a.E.Mitichkin

Moskovskij gosudarstvennyj mediko-stomatologicheskij universitet im. N.A.Semashko

Dorozhnaja klinicheskaja bolnica im. N.A.Semashko na st. Ljublino OAO «RZhD»

The data of three dimensional radiation visualization of 17 patients with adrenal gland neoplasm have been analyzed. Authors tried to definite the most optimal fine needle access with relatively short trajectory. It need to have good echo accessibility and the risk of great vessels injury should be minimal. The indexes of sensitivity, accuracy and specificity in case of using three dimentional data in puncture trajectory planning and choosing the place of aspiration are 93,6%, 95,3% and 100% accordingly.

Key words: Three dimensional visualization, aspiration biopsy,adrenal gland neoplasm.

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S.A.AFENDULOV, S.A.MOWIN

Voronezhskaja gosudarstvennaja medicinskaja akademija im. N.N.Burdenko

Lipeckaja oblastnaja klinicheskaja bolnica.

The results of treatment of 230 patients with spontaneous pneumothorax have been analyzed. The comparative evaluation of efficiency different methods of treatment of such pathology has been carried out and the algorithm of curation patients with large medium and small spontaneous pneumothorax have been developed. There was defined indications to VATS interventions. The using of developed algorithm let to decrease the number of complications on 10%, number of recurrences on 5,5%, and to shorten period of rehabilitation on 5,6±1,0 days.

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D.A.ISMAILOV, G.L.PAHOMOV, R.JA.HAJALIEV, O.T.IRISOV, B.T.MADIJАROV

Respublikanskij specializirovannyj centr hirurgii im. akad. V.Vahidova, Uzbekistan

Based on the analysis of literary sources the classification of possible postoperative complications and rate of occurrence has been represented, anesthesia risks at thoracic operations have been discussed.The emphasis was made on analysis of development mechanisms, prophylaxis variants and treatment of postoperative pleural empyema. Authors have represented their own experience in curation of patients with pleural empyema based on 1118 thoracic operations which were performed from 2003 to 2007 years in the departments of lung and mediastinum surgery in RSCH im. acad. V.Vahidova. The results of complex treatment of 59 patients with acute postoperative pleural empyema have been analyzed, mistakes lead to it development have been discussed, also different treatment plans and cure results were stated.

Key words: pleural emryema, prophylaxis

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Regional thrombolytic therapy of proximal (iliac - femoral) venous thrombosis.

V.GINZBURG, G.GRINBERG, O.MAJZLER, G.SANDRO

Medicinskij fakul'tet Universiteta im. Ben-Guriona, Izrail'

Klinicheskaja bol'nica «Soroka», g. Negeva

25 patients got regional thrombolytic therapy for treatment of proximal (iliac - femoral) venous thrombosis in th period from 1996 to 2007 years. The results of treatment have been analyzed. On the basis of results it was proved that the most successful treatment is started as early as possible but favorable outcome could be reached even when treatment is started in a 3 week term from the first symptoms appearance. Good results with low level of complications could reach regional thrombolythic therapy with urokinase.

Key words: regional thrombolytic therapy, iliac - femoral venous thrombosis