14 months

In the Moscow Institute of Surgery named. AV Wisniewski for the first time in Russia was carried out a unique operation to remove a fraction of the human liver using a surgical robot.

Preparations for the operation took 14 months, Itar-Tassbrand viagra online news service Health Ministry. The entire team during this period, rehearsed with the robot more simple operations on the abdominal organs.

"Instead of a large traumatic incision surgery was performed in five small punctures the anterior abdominal wall. Because of this the day after the operation the patient could walk alone "- the press service of the ministry. There added that post-operative period will flow much easier, and two days later the patient "is no longer in need of medicines, and physical activity was restored almost to normal."

In Russia, historically, that it was the military doctors have developed and implemented best generic viagra practices in domestic medicine. Advances in technology will dictate the need for military surgeons to the widespread and informed of their application, otherwise we will be an order of magnitude below the level of "civilian medicine," the tendency to what is observed today in the garrison hospital. To this there as its objective reasons, namely: poor technical equipment of surgical departments, the vector of supply ", directed towards the district and central hospitals, a small staff, do not allow to send doctors to study" bloodless "for separation, integration, by combining highly specialized offices, and subjective - sometimes weak motivation surgeons to study and application of advanced technologies.

The main part of the article.

In Vladimir garrison military hospital during the last two years is widely used in endovideosurgery planned and urgent surgical pathology. Mastered and put brand name levitra into practice laparoscopic cholecystectomy (LCE), appendectomy (LAE), closure of perforated gastroduodenal ulcer (UL), the removal of adhesive intestinal obstruction and bowel twisting. At the stage of development, due to difficulties in patient selection, laparoscopic fundoplication in gastroesophageal reflux disease. So for the last year (April 2009), in the surgical department performed 61 endovideohirurgicheskaya operation. Of these, 41 (65,5%) in emergency and urgent indications, 20 (34,5%) on scheduled and delayed readings. Of the operations of fixed-term and emergency indications have the greatest share LAE, a little less - a diagnostic laparoscopy, a few operations (4) holds for the acute perforated ulcer LDPK and pyloric stomach (no conversion of access), an acute gangrenous cholecystitis (2), adhesive intestinal obstruction and twisting colon (3). Scheduled transactions are mainly represented by LCE (18), 2 operations were performed over an ovarian cyst.

One of the promising directions in the treatment of acute gastroduodenal ulcers complicated by perforation and development of peritonitis, in patients with severe somatic pathology and in young patients is the use of minimally invasive technology. Namely: laparoscopic suturing (LU), ulcers, sanitation and drainage of the abdominal cavity. In determining the indications for this operation, above all, must be considered: the severity of the patient's symptoms of respiratory failure, lack of ulcer history, experience of operating surgeon, as the prolonged increase of intra-abdominal pressure can "nullify" all the positive aspects of this method. Of course, at the slightest suspicion of a chronic ulcer should abandon its attempts to DR last. Positives LU ulcers are: early activation of the patient in the postoperative period due to minor pain and low-impact operations, thereby preventing adhesion formation is achieved, enteral insufficiency syndrome, restore intestinal motility as soon as possible, minimizing the manifestations of complications from respiratory and cardiovascular systems. One can not ignore the cosmetic effect, the initial decrease in the probability of formation of abdominal adhesions in a minimally invasive access.

normalization
pathogenetic mechanisms
family planning
how to store insulin