Despite a large number of studies conducted in the field of dentistry, including in the field of surgical dentistry, the etiology and pathogenesis of inflammatory complications after tooth extraction have not been fully determined. This slows down the healing process of the hole and the normal formation of bone tissue. At the same time, the occurrence of complications is facilitated by the presence of concomitant pathology in patients. According to new WHO estimates, "... there are 354 million people worldwide living with chronic hepatitis B and C. In the European region, 14 and 12 million people live with hepatitis B and C – one of the main causes of cirrhosis and liver cancer, respectively ...". Currently, viral liver diseases are one of the global problems not only of a medical, but also of a social nature. First of all, this is due to the significant prevalence of viral hepatitis, despite preventive measures. An urgent problem of modern surgical dentistry is the improvement of methods of prevention and treatment after tooth extraction in patients with chronic hepatitis.
The preventive wound infection remains by an actual problem of modem surgery, that is connected to high frequency aftcropcration wound of complications, which reaches up to 48.7 % in emergency surgery.
Per the last years the increasing application find electrolysis of water solutions sodium hypochlorite, which arc successfully used of purulent surgery, for want of treatment peritonitis, cavities formations of a liver and other.
However, this antiseptics about today was not applied in prophylaxys wound infection.
The author for the first time uses electrolysis of water solutions sodium hypochlorite in preventive wound infection and offers a method aftcropcration of processing of hands of the surgeon in a regime 0.4%-5 minutes, methods intraopcration the express train -processing of surgical gloves in regimes 0.4%-3 minutes and 0.6%-2 minutes, methods intraopcration the express train - processing of surgical tools in regimes 0.3 % during 7 minutes, 0.4 % during 5 minutes, 0.6 % during 3 minutes and processing in a regime 0.05 % during 45 minutes.
For estimation of clinical efficiency of the developed complex intraopcration of preventive wound infection the author develops clinical mark scales on distribution of operations to groups of risk of development wound infection, mark scale of estimation of a condition postopcration wound and scale of estimation of outcomes of healing of wounds.
The clinical material includes an inspection and treatment 643 patients. From them control group included 453 patients and in the basis group included 190 patients. The developed complex intraopcrctation of preventive wound infection has shown high efficiency. Use of the developed complex of preventive wound infection has allowed to reduce frequency wound of complications from 15.3 % up to 8.9%.
To develop surgical tactics and to improve results of treatment of patients with a leakage in the next postoperative period after a holetsistektomiya. Material and methods of research. We analysed results of surgical treatment of 2247 patients who trans- ferred a holetsistektomiya in clinic of SamMI in the period of 2010 – 2014 year. In the early postoperative period it were marked out leakage at 52 (2,31%) the patient. For the purpose of identification of a leakage applied the following methods of research: Ultrasonography, KT, fi-stulografiya, ERPHG. Results. For an assessment of a postoperative leakage used the modified classification of L. Morgenstern (2006), for definition of damages of magistral bile ducts used E.I. Galperin's classification (2002). Consid-ered not only a daily output of bile on a drainage of an abdominal cavity, but also liquid congestion volume in projections of a bed of a gall bladder, and also availability of free liquid in an abdominal cavity according to ultrasonography. Conclusions. Leakage frequency after holetsistektomiya makes 0,74% (after THE – 2,44%, after LHE – 1,08%, after MHE – 2,47%). "Small" damages of bilious channels and 25,26% cases – damage of the main bilious channels were sources of a postoperative leakage in 54,72% of supervision. In 20,02% cases the source isn't established. Ultrasonography is an initial method of diagnostics of a postoperative leakage. At a leakage of 1 degree, lack of signs of irritation of a peritoneum and symptoms of intoxication it is necessary to adhere to tactics of active dynamic supervision. At a leakage of 2-3 degrees repeated intervention – a lapa-roscopy, a laparotomy is shown.
This article provides the results of eliminating scar deformities of the face and body using lipofilling . There were 2 groups of patients: the first group included 12 patients whose skin scars were localized within the dermis and did not affect the subcutaneous fat layer. Second group: 1 4 patients with atrophic scars of the skin and subcutaneous fat layer after injuries and surgical interventions. For the treatment of these patients, the method of autologous fat transplantation was chosen - lipofilling. Outcomes were assessed at 3 months and 9 months. The degree of survival of the autologous fat graft was assessed visually by the quality and type of scar deformities, as well as by ultrasound diagnostics by measuring the thickness of the subcutaneous fat layer over time. Treatment results were assessed according to clinical groups. Good and satisfactory results of surgical treatment, taking into account the additional exposure to high-intensity laser radiation, were observed in 7–2 % of patients in the first group. In the second group, good and satisfactory results were obtained in all patients.
This article presents a brief review of sepsis/SS, reflecting the unresolved issues of pediatric sepsis and the results of our own study of surgical sepsis in children. Optimization of diagnostics and schemes of pathogenetic intensive therapy of surgical sepsis in children based on clinical and laboratory criteria and
bacteriological monitoring. Research period - 2018-2020. The subject of the study (n=73) was children with surgical pathology (widespread peritonitis, bacterial destruction of the lungs, post-traumatic brain hematomas, trauma to the abdominal organs, etc.). Studies have shown the effectiveness of complex intensive care in 86.3% of cases. Mortality was stated in 13.7% of cases. Patients with severe surgical pathology died: fecal, widespread peritonitis, severe TBI + coma with irreversible neurological disorders, urosepsis against the background of chronic renal failure, after repeated surgical interventions, due to the development of refractory SS.
The popularity of orthopedic treatment using the method of dental implantation causes the interest of researchers to study the integration of implants in bone tissue. Analysis of the literature shows that the improvement of research technology and interdisciplinary approach to the study of the phenomenon of osteointegration of dental implants has led to a change in traditional concept in recent years. This article summarizes information about the physiological processes and cellular interactions occurring on the border "implant-bone tissue" in various stages of integration. The results of studies indicate the need for revision notions of bio inertness of titanium implants and consideration of the integration process in the immunological aspect.
Dental implantation is currently one of the most promising areas in the rehabilitation of dental patients. Despite the success achieved, dental implantation, like other surgical methods of treatment, is accompanied by various kinds of complications. The most common complications are of an inflammatory nature. However, there are many problems in dental implantology. This article presents a review of the scientific literature on risk factors for early and late complications of dental implantation. It is considered that a well-established and integrated dental implant should function for at least 10 years, satisfy the patient in aesthetic and functional terms, have clinical stability, and be biocompatible with respect to the surrounding tissues.