Publisher: Vilnius University   (Total: 38 journals)   [Sort by number of followers]

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Accounting Theory and Practice     Open Access   (Followers: 8)
Acta medica Lituanica     Open Access  
Acta Paedagogica Vilnensia     Open Access  
Archaeologia Lituana     Open Access  
Baltic J. of Political Science     Open Access   (Followers: 1)
Baltistica     Open Access  
Criminological Studies     Open Access  
Ekonomika (Economics)     Open Access  
Informacijos mokslai     Open Access  
J.ism Research     Open Access   (Followers: 5)
Jaunujų mokslininkų darbai     Open Access   (Followers: 1)
Kalbotyra     Open Access  
Knygotyra (Book Science)     Open Access  
Lietuvių kalba     Open Access  
Lietuvos istorijos studijos     Open Access  
Lietuvos Matematikos Rinkinys     Open Access  
Lietuvos Statistikos Darbai     Open Access  
Literatūra     Open Access  
Lithuanian Surgery : Lietuvos Chirurgija     Open Access  
Nonlinear Analysis : Modelling and Control     Open Access   (Followers: 1)
Organizations and Markets in Emerging Economies     Open Access   (Followers: 1)
Politologija     Open Access  
Problemos     Open Access  
Psychology     Open Access  
Religija ir kultūra     Open Access  
Respectus Philologicus     Open Access  
Scandinavistica Vilnensis     Open Access  
Semiotika     Open Access  
Slavistica Vilnensis     Open Access   (Followers: 1)
Socialinė teorija, empirija, politika ir praktika     Open Access  
Socialiniai tyrimai     Open Access  
Sociology : Thought and Action     Open Access  
Taikomoji kalbotyra     Open Access  
Teisė : Law     Open Access  
Verbum     Open Access   (Followers: 1)
Vertimo studijos (Translation Studies)     Open Access   (Followers: 1)
Vilnius University Open Series     Open Access  
Vilnius University Proceedings     Open Access  
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Lithuanian Surgery : Lietuvos Chirurgija
Number of Followers: 0  

  This is an Open Access Journal Open Access journal
ISSN (Print) 1392-0995 - ISSN (Online) 1648-9942
Published by Vilnius University Homepage  [38 journals]
  • Editorial Board and Table of Contents

    • Authors: Narimantas Evaldas
      Pages: 1 - 11
      PubDate: 2022-05-02
      Issue No: Vol. 21, No. 2 (2022)
       
  • Trophoblastic Disease: Review of the Literature

    • Authors: Gabrielė Launikonytė, Klaudija Korsakaitė, Diana Bužinskienė
      Pages: 92 - 104
      Abstract: The purpose of this literature review is to discuss the most effective gestational trophoblastic disease diagnostic and treatment methods. Also, to introduce some of the novel treatment options currently being explored. A comprehensive research was carried out on scientific databases of MEDLINE and PubMed over the time period of 2014 to 2021. According to literature sources initial gestational trophoblastic disease diagnosis is multimodal: encompassing clinical features, quantitative human chorionic gonadotropin titers and pelvic ultrasonography. Pelvic magnetic resonance imaging, body computed tomography, chest radiography and angiography are the methods usually used for overall disease staging and metastases detection. The best treatment method is designated with reference to individual features of the patient and the disease. Conventional treatment consists of hysterectomy and chemotherapy; however, the use of new methods, such as directed enzyme prodrug therapy is also being attempted to cure metastasized and/or resistant gestational trophoblastic neoplasias. Most women with gestational trophoblastic disease can be successfully managed with preservation of reproductive function due to early diagnosis in the first trimester of pregnancy. It is important to identify gestational trophoblastic disease promptly and adjust specific treatment for every patient properly to minimize various complications.
      PubDate: 2022-05-02
      DOI: 10.15388/LietChirur.2022.21.60
      Issue No: Vol. 21, No. 2 (2022)
       
  • Experimental Study of Action Different Kinetic Energy on the Colon

    • Authors: Yevhen Kvasnevskyi, Michailo Kashtalian, Oleh Gerasimenko, Oleksandr Kvasnevskyi
      Pages: 105 - 108
      Abstract: The purpose of the study. To increase the effectiveness of surgical care for the wounded with combat trauma of the colon by studying of ballistic, morphological and functional features of the gunshot wounds. Patients and methods. A study of surgical treatment of 83 wounded with combat injuries of the colon, received in the area of anti-terrorist operation in the period from 2014–2018. For comparative analysis of treatment results, two clinical groups were formed: comparison and main. The comparison group included 42 wounded who were treated from April 2014 to February 2015 (the first and second periods of ATO), who used traditional surgical tactics. The main group included 41 wounded who were treated from March 2015 to 2018. Results. Analysis of the distribution of wounded with combat trauma by type of wound / injury revealed that the vast majority of them in both groups had shrapnel wounds – 49 (59.1%). There were 30 (36.1%) victims with bullet wounds, and 4 (4.8%) with closed injuries. The wounded patients with the battle trauma of the thick bowel by type of injury had missile wounds as a rule – 49 (59.1%). There were 30 (36.1%) patients with bullet wounds, and 4 (4.8%) with closed injuries. Most of the injuries were combined – 58 (69.9%), and with only abdominal injuries – 25 (30.1%), mostly multiple – 21 (25.3%). The great majority of the thick bowel injuries belonged to sigmoid – 32 (38.6%) and transverse colon – 21 (25.3%), which is explained by relatively large size of these parts of the intestine. Conclusions. The choice of surgical tactics and scope of surgical interventions on damaged organs and structures took into account the results of experimental study of mechanogenesis and pathomorphology of gunshot wounds of the colon, obtained in bench studies by modeling gunshot wounds on “thoracoabdominal ballistic material”.
      PubDate: 2022-05-02
      DOI: 10.15388/LietChirur.2022.21.61
      Issue No: Vol. 21, No. 2 (2022)
       
  • Does Acute Appendicitis in Pregnancy a Clinical Challenge in Surgery
           Practice' Our Experience

    • Authors: Hakan Bolukbasi, Serhan Yilmaz, Engin Okan Yildirim, Aziz Ocakoğlu
      Pages: 109 - 115
      Abstract: Objective. This study was designed to compare the diagnosis, treatment, and results of acute appendicitis in pregnant and non-pregnant women. Material and Methods. Women between the ages of 18 and 40 who were operated for acute appendicitis between 2015 and 2020 were included in the study. Results. There were 27 (3.8%) patients in Group Pregnant, and 679 (96.2%) patients in Group non-Pregnant. The mean WBC values in Group P and Group non-P was 16.53±2.91 and 13.99±4.31 (x103), and there was a significant difference between the groups.Mean pain symptom duration time was 3.40±1.90 in Group P and 1.91±1.34 day in Group non-P, while it was significantly longer in Group P . When the preoperative USG reports were evaluated, no significant difference was found between the groups.The diagnosis was made by MRI in 2 (7.4%) pregnant patients who non-visualized according to the USG report. In Group P, 10 patients were laparoscopic, 17 patients open; In group non-P, 153 patients laparoscopic and 526 patients were operated using open surgery technique. While the mean operation time did not differ significantly between the groups. Length of hospital stay was significantly higher in Group P with 3.48±4.26 days to 1.95±1.45 days. Conclusion. Diagnosis and treatment of acute appendicitis during pregnancy may be difficult, but with advanced radiological examinations and experienced surgeons, these difficulties can be easily overcome.
      PubDate: 2022-05-02
      DOI: 10.15388/LietChirur.2022.21.62
      Issue No: Vol. 21, No. 2 (2022)
       
  • Large Sacrococcygeal Teratoma in Fetus and Newborn: Clinical Case and
           Review

    • Authors: Jekaterina Butylkina, Jelena Volochovič
      Pages: 116 - 122
      Abstract: We present a clinical case of fetal and neonatal large sacrococcygeal teratoma. Sacrococcygeal teratoma mostly found in neonates, infant, and children below 4 years old and is more common in girls than boys. Antenatal fetus ultrasound is the main diagnostic method.  Antenatal diagnosis is very important making pregnancy care plan, time and method of delivery also to prevent fetal and neonatal death. Complete excision of the sacrococcygeal teratoma, including the coccyx, remains the mainstay of treatment. Patient's birth mother gives consent for information about the patient (photograph and article) to appear in a journal article.
      PubDate: 2022-05-02
      DOI: 10.15388/LietChirur.2022.21.63
      Issue No: Vol. 21, No. 2 (2022)
       
  • Xth Triennial Meeting of the Lithuanian Society of Coloproctologists

    • Authors: Narimantas Evaldas Samalavičius
      Pages: 123 - 159
      Abstract: The Lithuanian Society of Coloproctologists X triennial meeting with International Conference Mayo Clinic days in Vilnius, Lithuanian–Turkish session and The International Society of University Colon and Rectal Surgeons Session. 
      Vilnius, May 12 - 13, 2022.
      PubDate: 2022-05-02
      DOI: 10.15388/LietChirur.2022.21.64
      Issue No: Vol. 21, No. 2 (2022)
       
  • Editorial Board and Table of Contents

    • Authors: Narimantas Evaldas Samalavičius
      Pages: 1 - 11
      Abstract:   
      PubDate: 2022-04-27
      Issue No: Vol. 21, No. 1 (2022)
       
  • The First Clinic of Surgery in Lithuania and its Founders

    • Authors: Vytautas Triponis, Dalia Triponienė
      Pages: 12 - 20
      Abstract: The developement of surgery in Vilnius and Lithuania is related to the Vilnius University Clinic of surgery founded in the middle of 1808–1809 academic year, that is more than 200 years ago and it was the first specialized clinical institution of the Grand Duchy of Lithuania. This new chapter at the Faculty of Medicine was orientated to the teaching and training of surgeons and developing their scientific approach to clinical practice. The Clinic of Surgery took over the concept of clinical education from the Clinic of Therapy which was initiated by Johan Peter Frank (1745–1821) and Joseph Frank (1771–1842) 3 years earlier. They were the founders of Vilnius medical Society as well. The concept consisted of the integration of basic theoretical knowledge into clinical skills learning. The basis of clinical training was ward round teaching on patient’s bedside, round the clock duty in the Clinic, continuous observation of patients and taking part in autopsy. Further developments of the Clinic were related to the activities of surgical professors from Western Europe, as well as highly experienced local doctors who immediately started lecturing and operating patients. These were the creators, developers and cherishers of the Clinic: Jacque Briotet (1746–1819), Johan Andreas Lobenwein (1758–1820), Johan Friedrich Niszkowski (1774–1816), Jakób Szymkiewicz (1775–1818), Konstantin Porcijanka (1793–1841). Foundation and successful operation of the surgical clinic signified a higher level in the evolution of Lithuanian clinical medicine. New concept of teaching and scientific approach to the diagnosis and surgical treatment made the clinic comparable to the European innovative medical institutions of the 19th century. The effective activities and future prospects were roughly cut off by Russian tsarist policy in 1832.
      PubDate: 2022-04-27
      DOI: 10.15388/LietChirur.2022.21.52
      Issue No: Vol. 21, No. 1 (2022)
       
  • Tissue Perfusion Changes after Direct and Indirect Angiosome
           Revascularization in Critical Limb Ischemia

    • Authors: Tomas Baltrūnas, Austėja Račytė, Gabija Pikturnaitė, Ingrida Ašakienė, Vaidas Labunskas, Evaldas Kalvaitis, Kęstutis Ručinskas
      Pages: 21 - 28
      Abstract: Background. Blood flow restore in critical limb ischemia according to angiosomes is becoming very popular. This method allows to restore blood flow precisely to the artery supplying the ischemic zone, based on the angiosome concept. However, angiosome revascularization is not a gold standard because of the lack of evidence supporting this approach. The aim of this study was to compare tissue oxygenation changes in ischemic zone during endovascular revascularization procedure either following angiosome concept or performing indirect revascularization. Methods. A prospective observational study was performed. Patients with critical limb ischemia and tissue loss due to chronic total occlusion of below the knee arteries were included. Endovascular revascularization was performed in all cases. Tissue oxygen saturation was observed intraoperatively using near-infrared spectroscopy. Tissue oxygenation changes near the ischemic wound were compared between direct and indirect revascularization groups. Results. This clinical trial included 30 patients with critical limb ischemia (Rutherford 5) and occluded below the knee arteries intended to treat. In 15 patients the procedure was performed according to angiosome, while the other half underwent indirect revascularization. Tissue oxygenation near the wound was monitored during the intervention. Greater oxygen saturation increase was observed in the group with direct revascularization (29% and 23% accordingly), however the difference between groups was not statistically significant (t-test for independent group, p = 0,544). Conclusions. The increase in tissue oxygen saturation differed very slightly in direct and indirect revascularization groups and the difference was statistically insignificant.
      PubDate: 2022-04-27
      DOI: 10.15388/LietChirur.2022.21.53
      Issue No: Vol. 21, No. 1 (2022)
       
  • A Case Report on the Spontaneous Intraperitoneal Rupture of Urinary
           Bladder Presenting as Acute Intestinal Obstruction – Lessons Learnt

    • Authors: Vipin Venugopal Nair, Pawan Sharma, Swarup Prabhu, Simarjit Singh Rehsi
      Pages: 29 - 33
      Abstract: Acute intestinal obstruction is a common surgical emergency. Most of the time, the cause lies in the gastrointestinal track. A 19 year old boy presented with clinical features of acute intestinal obstruction and radiological features suggestive of large bowel obstruction was taken up for surgery. During evaluation we found extravasation of urine inside pelvic cavity. Exploratory laparotomy showed intraperitoneal rent in dome of urinary bladder with dense adhesion of omentum kinking the transverse colon causing acute intestinal obstruction. We were surprised to see the resolution of obstruction with excision of omental band. The bladder was repaired and he was relieved of the problem. This article is a rare example of nongastrointestinal cause for intestinal obstruction. Most of these cases are seen by a general surgeon in an emergency setting. Hence this report is to enlighten the medical caregivers about the existence of this rare entity.
      PubDate: 2022-04-27
      DOI: 10.15388/LietChirur.2022.21.54
      Issue No: Vol. 21, No. 1 (2022)
       
 
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