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Ukhanov A.P.

Central City Clinical Hospital;
Jaroslav the Wise Novgorod State University

Zakharov D.V.

Central City Clinical Hospital;
Institute of Medical Education of Jaroslav the Wise Novgorod State University

Zhilin S.A.

Central City Clinical Hospital;
Jaroslav the Wise Novgorod State University

Bolshakov S.V.

Central City Clinical Hospital

Kochetygov D.V.

Central City Clinical Hospital

Leonov A.I.

Central City Clinical Hospital

Muminov K.D.

Central City Clinical Hospital

Aselderov Yu.A.

Central City Clinical Hospital

Results of emergency care for patients with acute surgical diseases of the abdominal organs in Veliky Novgorod: the role of the introduction of minimally invasive technologies

Authors:

Ukhanov A.P., Zakharov D.V., Zhilin S.A., Bolshakov S.V., Kochetygov D.V., Leonov A.I., Muminov K.D., Aselderov Yu.A.

More about the authors

Journal: Endoscopic Surgery. 2022;28(5): 5‑12

DOI: 10.17116/endoskop2022280515

Read: 1810 times

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Table of contents

RESULTS OF EMERGENCY CARE FOR PATIENTS WITH ACUTE SURGICAL DISEASES OF THE ABDOMINAL ORGANS IN VELIKY NOVGOROD: THE ROLE OF THE INTRODUCTION OF MINIMALLY INVASIVE TECHNOLOGIES
RESULTS OF EMERGENCY CARE FOR PATIENTS WITH ACUTE SURGICAL DISEASES OF THE ABDOMINAL ORGANS IN VELIKY NOVGOROD: THE ROLE OF THE INTRODUCTION OF MINIMALLY INVASIVE TECHNOLOGIES

To cite this article:

Ukhanov AP, Zakharov DV, Zhilin SA, et al. . Results of emergency care for patients with acute surgical diseases of the abdominal organs in Veliky Novgorod: the role of the introduction of minimally invasive technologies. Endoscopic Surgery. 2022;28(5):5‑12. (In Russ.)
https://doi.org/10.17116/endoskop2022280515

Подписка 2026 Эндоскопическая хирургия (Endoscopic Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To evaluate main trends and outcomes of emergency surgical care among patients with acute surgical diseases of the abdominal cavity admitted to the Central City Clinical Hospital, Velikiy Novgorod, during 2011—2021.

MATERIAL AND METHODS

During study period between 2011 and 2021, 12.535 patients with acute surgical diseases of the abdominal cavity were admitted to the Central City Clinical Hospital, 8.397 (67.0%) of those patients underwent surgical treatment. Among the operated patients, 5.237 (62.4%) underwent minimally invasive interventions using videolaparoscopy or puncture-drainage operations under ultrasound control. In 3.160 patients the surgical intervention was performed by laparotomy.

RESULTS

In the treatment of acute appendicitis and acute cholecystitis, the share of laparoscopic interventions was 99 and 98%, respectively. There is an increasing trend in performing minimally invasive interventions for perforated gastric and duodenal ulcers, acute intestinal obstruction and acute pancreatitis treatment, where the rates of those procedures increased 5.9, 9.3 and 2.2 times, respectively, over the last five years.

CONCLUSION

Expansion of the use of minimally invasive technologies in medical institutions of the second level, which includes the Central City Clinical Hospital in Velikiy Novgorod, which is an interdistrict center, allows to provide modern surgical treatment to the residents of rural and remote communities, and thereby increases the availability of specialized surgical care throughout the region.

Keywords:

emergency surgical care
abdominal surgery
laparoscopic surgery
mortality

Authors:

Ukhanov A.P.

Central City Clinical Hospital;
Jaroslav the Wise Novgorod State University

Zakharov D.V.

Central City Clinical Hospital;
Institute of Medical Education of Jaroslav the Wise Novgorod State University

Zhilin S.A.

Central City Clinical Hospital;
Jaroslav the Wise Novgorod State University

Bolshakov S.V.

Central City Clinical Hospital

Kochetygov D.V.

Central City Clinical Hospital

Leonov A.I.

Central City Clinical Hospital

Muminov K.D.

Central City Clinical Hospital

Aselderov Yu.A.

Central City Clinical Hospital

Contribution of Authors:

Concept and design of the study — A.P. Ukhanov, D.V. Zakharov

Data collection and processing — S.A. Zhilin, S.V. Bolshakov, A.I. Leonov, K.D. Muminov, Yu.A. Aselderov

Statistical processing of the data — D.V. Kochetygov

Text writing — A.P. Ukhanov, D.V. Zakharov

Editing — A.P. Ukhanov

Received:

29.12.2021

Accepted:

11.01.2022

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References:

  1. Revishvili ASh, Fedorov AV, Sazhin VP, Olovyannyy VYe. Emergency surgery in Russian Federation. Khirurgia. Zhurnal im. N.I. Pirogova. 2019;3:88-97. (In Russ.). https://doi.org/10.17116/hirurgia201903188
  2. Ukhanov AP, Zakharov DV, Bolshakov SV, Zhilin SA. Leonov A.I., Ambartsumyan VM. Laparoscopic appendectomy — the «gold standard» technique for all kinds of acute appendicitis. Endoscopicheskaya khirurgiya. 2018;24(2):3-7. (In Russ.). https://doi.org/10.17116/endoskop20182423
  3. Ukhanov AP, Zakharov DV, Jukhno MV. The use of endovideosurgery in the treatment of acute appendicitis and its complications in the city general hospital. Veliky Novgorod: TPK Pechatny Dvor; 2018. (in Russ.).
  4. Costa-Navarro D, Jimenez-Fuertes M, Illan-Riquelme A. Laparoscopic appendectomy: quality care and cost-effectiveness for today.s economy. World J Emerg Surg. 2013;8(1):45.  https://doi.org/10.1186/1749-7922-8-45
  5. Blohm M, Osterberg J, Sandblom G, Lundell L, Hedberg M, Enochsson L. The Sooner, the Better? The Importance of Optimal Timing of Cholecystectomy in Acute Cholecystitis: Data from the National Swedish Registry for Gallstone Surgery, GallRiks. J Gastrointest Surg. 2017;21(1):33-40.  https://doi.org/10.1007/s11605-016-3223-y
  6. Wang YR, Richter JE, Dempsey DT. Trends and outcomes of hospitalizations for peptic ulcer disease in the United States, 1993 to 2006. Ann Surg. 2010;251(1):51-58.  https://doi.org/10.1097/SLA.0b013e3181b975b8
  7. Thorsen K, Soreide JA, Kvaloy JT, Glomsaker T, Soreide K. Epidemiology of perforated peptic ulcer: age- and gender-adjusted analysis of incidence and mortality. World J Gastroenterol. 2013;19(3):347-354.  https://doi.org/10.3748/wjg.v19.i3.347
  8. Zakharov DV, Ukhanov AP, Zhilin SA, Bolshakov SV, Leonov AI, Ambartsumyan VM. Endovideosurgical suture of perforated gastric and duodenal ulcers. Endoscopicheskaya khirurgiya. 2018;24(3):17-20. (in Russ.). https://doi.org/10.17116/endoskop201824317
  9. Di Saverio S, Bassi M, Smerieri N, Masetti M, Ferrara F, Fabbiri C, Ansalonu L,Gherrsi S, Serenary M, Coccolini F, Naidoo N, Sartelli M, Tugnoli G, Catena F, Cennamo V, Jovine E. Diagnosis and treatment of perforated or bleeding peptic ulcers: 2013 WSES position paper. World J Emerg Surg. 2014;9:45.  https://doi.org/10.1186/1749-7922-9-45
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