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FEATURES OF DIAGNOSTICS AND SURGICAL TREATMENT OF ACUTE DESTRUCTIVE CALCULOSIS CHOLECYSTITIS IN PATIENTS WITH OVERWEIGHT AND OBESITY. LITERATURE REVIEW.
Introduction: Acute calculous cholecystitis (ACC) is one of the most common pathologies, which is an important problem of modern surgery and has tended to increase in recent decades. Each year, more than two million operations are performed worldwide (mainly cases of cholecystectomy). Mortality in case of acute calculous cholecystitis in emergency surgical situations reaches more than 50%, while with planned interventions in the background of minimized inflammatory reactions, comprehensive examination and preparation of the patient for surgery, the mortality rate does not e...
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2019 year | Issue: 3 | Pages: 54-67

USE OF ROBSON CLASSIFICATION FOR ANALYSIS THE WORK OF MUNICIPAL STATE ENTERPRISE ON THE RIGHT OF ECONOMIC MANAGEMENT "PAVLODAR REGIONAL PERINATAL CENTER №1" AND FINDING WAYS TO REDUCE THE FREQUENCY OF SURGICAL INTERVENTION
Introduction. Caesarean section (CS) is the most common operation in the world, the rate of which, according to WHO, has reached a maximum in the last decade and amounted to 25-30% in economically developed countries [14]. In many countries, there is growing concern among obstetrician-gynecologists about the increasing frequency of long-term complications after one or more CS operations, such as placenta ingrowth, placental retention in the uterus after childbirth, and uterine rupture with possible subsequent hysterectomy [22].
The aim. Retrospective analysis of work of Munic...
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2019 year | Issue: 3 | Pages: 135-141

АНАЛИЗ РЕЗУЛЬТАТОВ ТЯЖЕЛЫХ МАЛОВОДИЙ У БЕРЕМЕННЫХ ЖЕНЩИН ПО ПЕРИНАТАЛЬНОМУ ЦЕНТРУ ГОРОДА ПАВЛОДАР ЗА 2018 ГОД
Актуальность: Одним из недостаточно изученных участков в перинатальном акушерстве является патология амниона, особенно маловодие, характеризующаяся уменьшением количества околоплодных вод во второй половине беременности, уменьшением вертикальной глубины кармана - на 2 см или более или индекс амниотической жидкости менее 5 см. Оценка объема околоплодных вод является неотъемлемой частью дородового наблюдения. Объем физиологической жидкости увеличивается с гестационным возрастом до 36-37 недель. Связь маловодия с высокими показателями перинатальной смертности в современном акушерстве определяет а...
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2019 year | Issue: 3 | Pages: 128-134

RESULTS OF TREATMENT OF NON-SMALL CELL LUNG CANCER IN THE FAST TRACK PROGRAM
Introduction. Lung cancer is one of the common malignant tumors with serious medical, social and economic consequences. One of the methods of treatment is surgical, but at the same time, pulmonary operations belong to the group of high trauma and often leads to complications associated with pre, intra, and postoperative management. The development and implementation of Fast Track programs can reduce the number of complications, the duration of the recovery (postoperative) period and achieve the earliest possible recovery of the patient.
Aim of the study. To evaluate the results o...
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2019 year | Issue: 3 | Pages: 116-127