Saratov JOURNAL of Medical and Scientific Research

Capralov S.V.

Ministry of Defens of the RF, Saratov Military Medical Institute, Department of Military-Field Surgery, Doctor of Medical Science

General surgery in higher medical schools: innovative teaching methods

Year: 2011, volume 7 Issue: №4 Pages: 992-993
Heading: Pedagogics and Education Article type: Author's opinion
Authors: Shapkin Y.G., Kapralov S.V., Khilgiyaev R.H., Belikov A.M., Horoshkevich A.V.
Organization: Saratov State Medical University
Summary:

Educational programmes and computer tests are important in teaching of general surgery. Application of modern computer and Internet technologies in the educational process improves quality of training

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Experimental and clinical application of laser doppler flowmetry in gastric and duodenal ulcerative bleedings

Year: 2011, volume 7 Issue: №4 Pages: 962-965
Heading: Surgery Article type: Original article
Authors: Kapralov S.V., Shapkin Y.G., Frolov I.A., Afanasieva G.A.
Organization: Saratov State Medical University
Summary:

The research goal is to develop a new objective diagnostic method of prerecurrence syndrome that will prognose bleeding recurrence from gastroduodenal ulcers. Materials and methods. Method of laser Doppler flowmetry (LDF) of the regional perfusion of tissue has been used. The experimental part has been done on 30 white laboratory rats. Characteristics of regional tissue perfusion in the simulation and laser hemostasis of bleeding have been studied. Gastroduodenal endoscopy has been performed with laser Doppler flowmetry (ELDF) in clinical conditions to predict the recurrence of ulcerative bleeding. The prognostic method of gastroduodenal ulcerative bleeding was used in 58 patients hospitalized with such pathology and activity of bleeding Forrest II. Results. The study of microcirculation parameters and experimental hemostasis has showed the possibility of using LDF to measure its performance. Effective hemostasis has been accompanied by a significant decrease in perfusion. On the basis of microcirculation parameters in ulcerative bleeding, medical adrenaline test has been proposed for an objective verification pre-recurrence syndrome. To evaluate the effectiveness of endoscopic hemostasis perfusion has been measured before and after its implementation. Conclusion. ELDF has objectified the prognosis of ulcerative bleeding recurrence, verified pre-recurrence syndrome and evaluated the efficacy of endoscopic hemostasis

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Monitoring of gastric secretion and early diagnostics of gastroduodenal ulcerative bleeding recurrences

Year: 2011, volume 7 Issue: №4 Pages: 957-962
Heading: Surgery Article type: Original article
Authors: Potakhin S.N., Shapkin Yu.G., Reshetov P.V., Kapralov S.V., Klimashevich V.Yu., Belikov A.V.
Organization: Saratov State Medical University
Summary:

The research goal is to develop a universal method of monitoring of intragastric medium dynamics. It allows diagnosing of bleeding recurrences and monitoring the effectiveness of gastric secretion suppression. In Saratov clinic of General Surgery use of probe-detector, dynamic endoscopy, laser Doppler flowmetry and methods of endoscopic hemostasis has reduced mortality: postoperative mortality has been decreased from 7,4 to 1,6%, while the general mortality — from 3,5 to 1,5%. The proposed devices can be used separately, and do not allow parallel assessment of pH of gastric juice, the microcirculation in the stomach wall and bleeding recurrences. 47 patients have been under the study. The changes in electroconductivity of intragastric medium have been proved in the suppression of intragastric secretion and the appearance of blood in gastric lumen. The received data have considered impedancemetry as the method of monitoring of intragastric medium in gastroduodenal bleedings

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Endoscopic hemostasis at colic bleedings

Year: 2010, volume 6 Issue: №3 Pages: 719-722
Heading: Surgery Article type: Original article
Authors: Uryadov S.E., Shapkin Yu.G., Kapralov S.V.
Organization: Saratov State Medical University, Saratov Clinical Hospital N 8
Summary:

The article specifies possibilities of colonoscopy in diagnostics of reasons and intensity of colonic bleedings; complex evaluation of endoscopic methods efficacy of hemostasis is given at continued colonic bleedings; value of these methods in preventive maintenance of bleeding relapses is established

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Technique Preventive Maintenance of Complications at Damages of the Pancreas

Year: 2009, volume 5 Issue: №3 Pages: 440-443
Heading: Surgery Article type: Original article
Authors: M.S. Gromov, D.A. Alexandrov, A.M. Skorokhod, S.V. Capralov, I.A. Samedov, V.S. Tarasenco
Organization: Saratov Military Medical Institute
Summary:

Results of treatment of 135 victims with damage of a pancreas and results of experimental researches lead on 127 white rats are analysed. It is established, that expansion of volume of operation on damaged iron does not conduct to
improvement of results of treatment. Phase changes of average perfusion blood in a pancreas are revealed at development of an experimental posttraumatic pancreatitis. Development destruction in iron coincided on time with a phase re-perfusion. Local hypothermya pancreas reduced rate re-perfusion and reduced a degree destruction its fabrics. By results of research the technique intraoperation preventive maintenance of complications of damages of a pancreas is developed

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