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ACTUALITY OF SURGICAL TREATMENT.
I am often asked about my attitude to liposuction as a method of treating obesity.
It seems to me that a sensible woman is unlikely to climb under a knife (or a syringe, unimportantly) without trying to eliminate the very reason for the appearance of fullness.
After all, liposuction is not a method of treating obesity is the surgical correction of the contours of the figure due to the removal of fat deposits by vacuum suction! It corrects the asymmetry of the body - when, for example, one buttock is bigger than the other or with local forms of obesity associated with breaking the contours of the figure. Most often in women there is a "hoopiform" deformation of the thighs, fat deposits on the inner lateral surface of the knee joint, deposits in the thigh, front and side surfaces of the abdomen. To remove the same large amounts of fat is impossible, because with improper metabolism, the lost fat will be restored elsewhere. Very often, such operations are dangerous complications leading to disability and even death. Fat during such operations on large volumes and areas is usually removed unevenly. And then it also grows unevenly. As a result, the abdominal surface may resemble a mountain massif with numerous hillocks and hollows in a year.
Just like liposuction, lipotherapy is a means of correcting the figure, not weight loss. And it allows for many years to keep the achieved results - provided that a person will not gain too many extra pounds.
As you probably remember, there is a type of obesity called -hyperplastic. It is usually predetermined genetic and develops, usually from early childhood. With this type of obesity, a large number of fat cells (adipocytes) are laid down and with weight loss, only the reduction in the volume of fat cells occurs, but the total number of fat cells remains practically unchanged. As a result, fat cells, although sharply reduced in volume, form a small but fairly resistant fat layer, which is not amenable to further conservative treatment. That is, even almost having achieved the desired weight, you do not get rid of any fat cells. They sharply decrease in size, but do not perish, but continue to sit under your skin, waiting for auspicious times to blossom again with unprecedented force. How to destroy these cells, get rid of them once and for all.
It is in this case that "the final chord of the whole symphony" of getting rid of fat can and should be liposuction. Destroyed fat cells can never recover again. In adults, in general, fat cells can not be updated - only their size changes.
However, some patients with alimentary-constitutional obesity, wishing, apparently to get rid of this problem in one fell swoop without the effort, turn to the surgeon. And if before the surgeon, probably, would dissuade such patient from useless and dangerous surgical intervention that now money solve all. In some clinics, these operations have already been put on stream.
I consider expediency of carrying out of such kind of surgical intervention - a method of despair. In some cases, the hopelessness of the situation of patients who have reached the loss not only of working capacity, but also the possibility of self-serving, to complete despair and sometimes even suicide, forces this method of correction of the figure.
Diets and physical stresses are sometimes powerless with a sagging stomach in the form of an extensive skin fold (apron). Such an apron can itself in itself interfere with life. After all, under it with constant sweating creates an ideal environment for the reproduction of microbes. Develops pustular and erysipelatous inflammation. Here, only cosmetic surgery (abdominoplasty) will help.
The help of the surgeon is necessary and justified with local, hard-to-leave fatty deposits in the waist, abdomen, on the back, on the hips.
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ACTUALITY OF SURGICAL TREATMENT.
Over 100 years ago, Miles first described the operation of abdominal perineal extirpation; from then until the early 1960s. it was considered the standard method of surgical treatment of colorectal cancer. To date, this operation is also important for large low-lying tumors of the rectum with locoregional proliferation and low degree of differentiation, and also in the presence of
In patients with diabetic foot syndrome, two fundamentally different groups of operations are performed: reconstructive vascular surgery and surgical treatment of purulent-necrotic forms. The main indications for reconstructive surgical treatment are the ineffectiveness of conservative therapy, the preservation or progression of critical ischemia in the absence of purulent-necrotic
Surgical treatment of HCM by ventriculomyotomy and (or) myectomy, as well as therapy with adrenoblockers, has been applied since the early 1960s. For the first time, the attention of surgeons to this disease attracted E. Brock (1957). The first successful operation, the cutaworthal ventriculomyotomy was performed by M. Cleland and E. Bentall in 1958, and this patient lived after the operation for 25 years. In 1961, A. Morrow and D.
Inadequate efficacy of DCMT therapy has prompted researchers to search for surgical methods for treating this disease and its complications. Relying on the experimental data of R. Salisbury et al. (1964), J. Goodwin (1964) suggested that a pericardectomy should be used to improve diastolic stretching of the left ventricle and its function. The attempted application
In a number of cases, the ineffectiveness of drug treatment of tachyarrhythmias, intolerance to patients with antiarrhythmic drugs, as well as the frequent recurrence of seizures and the severity of hemodynamic disorders that arise lead to cardiac surgical methods of treatment. The latter are based on various damaging effects on the areas of the heart muscle or the conduction system of the heart, in
In economically developed countries, cardiosurgical treatment has become quite widespread. Revascularization improves the survival of patients with severe and / or severe disease prognosis. In the clinic, two methods are most often used: percutaneous transluminal coronary angioplasty (PTCA) and coronary artery bypass graft (CABG). Indications for revascularization are
Despite the use of traditional or non-standard antiarrhythmic drugs and implantable stimulants, some patients have a disabling or life-threatening tachycardia. To treat such patients, surgical methods were developed, applied in combination with EFI. As is known, the atrioventricular electrical connections include a normal conductive
- Surgical treatment of heart failure
Technological progress, and with it the development of cardiac surgery, led to the emergence of invasive techniques that help to provide a complex category of patients with chronic heart failure. It should be noted about the main possible causes of heart failure in patients with ischemic heart disease: 1. A concomitant defeat of the heart valves, the possibilities of surgical treatment of which we touched in
- CABG, surgical treatment of arrhythmias and PCa
According to a number of studies after the operation of CABG, the disappearance of PCa was observed in approximately 40-50% of patients. PCA after CABG was recorded in patients with low VF and frequent ventricular extrasystole, however, in prospective observation for 3 years, sudden deaths were not recorded, so the prognostic value of PAC in this patient population remains unclear. Surgical
- Indications and contraindications to surgical treatment for hemorrhagic stroke
Hemorrhagic stroke: intracerebral hematoma (hematoma) - rapid development of symptoms, subarachnoid hemorrhage. Indications for surgical treatment. Surgical treatment is indicated for: 1. subcortical and putamennal hematoma of more than 30 cm3 (according to other sources - more than 20-30 cm3), accompanied by brain dislocation and marked neurologic deficit; 2. with
- Surgical (electrosurgical, cryosurgical, etc.) Methods of treatment of tachyarrhythmia
Below are discussed mainly indications, contraindications to surgical interventions and their results. As for surgical techniques, peculiarities and variants of operations, access to the heart, anesthesia and many other specific issues of surgery, the reader will be able to familiarize himself with them in detail in special editions and publications, the most important of which
Coronary revascularization In the absence of the effect of drug therapy and the persistence of signs of recurrent myocardial ischemia, coronary revascularization is indicated: percutaneous transluminal coronary angioplasty (PTCA) or aortic coronary artery bypass graft (CABG). The main indications for an emergency coronary revascularization are: I. Repeated episodes of ischemia
- Hydrocephalus. Surgery
Hydrocephalus (from the Greek hydros - liquid + Greek kephale - head) - excessive accumulation of cerebrospinal fluid in the cerebrospinal fluid spaces - ventricles, cisterns, subarachnoid cracks. The cause of hydrocephalus is a disruption of production, resorption and circulation of cerebrospinal fluid. As noted earlier, the normal amount of cerebrospinal fluid in the cerebrospinal fluid
- POSSIBILITIES OF SURGICAL TREATMENT OF METASTATIC LIVER CANCER
Sidorov DV, Lozhkin MV, Shveikin A.O. Moscow Research Institute of Oncology named after PA Herzen. Research objective: Evaluation of immediate and long-term results of surgical treatment of metastatic liver damage in colorectal cancer. Material and methods: From 2005 to the present, we performed 70 resections for colorectal cancer metastasis.
- Conservative and surgical treatment of cerebral stroke
Medical measures in case of ONMC should be started as soon as possible, preferably in the interval of the "therapeutic window" - in the first 3-6 hours from the moment of the disease development. Adequacy to their patient's condition and intensity largely determine the further course and outcome of the disease. Patients are shown hospitalization in a neurological or neurovascular hospital, in the case of an extensive
- SURGICAL TREATMENT OF PATIENTS WITH METHANASES OF CANCER CANCER IN LUNGS
Amiraliev AM, Pikin OV, Alekseev B.Ya., Kolbanov KI, Glushko VI, Vursol DA, Kartveshchenko AS, Bagrov VA FGU MNIO im.P.A.Herzen, Moscow Research objective: Metastatic pulmonary involvement in kidney cancer is diagnosed in 15-20% of patients. The five-year survival rate in the operated patients is 32-48%, and when using drug treatment it does not exceed 5%.
- Modern methods of conservative and surgical treatment of chronic tonsillitis
Conservative treatment Conservative treatment of patients with chronic tonsillitis outside its aggravation should be comprehensive and conducted in several courses. The course of treatment may include washing the lacunae of the tonsil with solutions of antiseptics (furacillin, rivanol, etc.) and the next day physiotherapy (UHF or UHF) on the region of regional lymph nodes and simultaneous UV irradiation of the tonsils.
- Evolution of surgical treatment of coronary heart disease
The first attempts of surgeons to participate in the treatment of angina were made as early as the end of the XIX century, when Charles Francois-Franck (SE Francois-Franck) attempted to eliminate heart pains by crossing sympathetic trunks on the neck. Since the 30s of the XX century, after the reports of Hermann Blumgart (Blumgart HL, 1933) and Peter Alexandrovich Herzen (1938), a new and more developed
- General principles of surgical treatment
General principles of surgical
- Epilepsy. Conservative and surgical treatment
Epilepsy is a chronic disease, manifested by repeated convulsive or other seizures, loss of consciousness and accompanied by personality changes. The disease is known for a long time. Its descriptions are found in Egyptian priests (about 5000 years BC), doctors of Tibetan medicine, Arabic-speaking medicine, etc. Epilepsy in Russia was called the epilepsy, or just a fall