About difficulties in the examination of the quality of medical care in the complicated course of the postoperative period after cystectomy

Cystectomy, as a type of surgical treatment, is performed for various diseases of the bladder. Most often — with malignant tumors, as well as with benign pathological conditions. Complications in the postoperative period in patients undergoing cystectomy are mainly caused by the need to ensure adequ...

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Main Authors: K. N. Movchan, K. E. Chernov, B. S. Artyushin, A. V. Zharkov, A. Yu. Chernova
Format: Article
Language:Russian
Published: QUASAR, LLC 2020-12-01
Series:Исследования и практика в медицине
Subjects:
Online Access:https://www.rpmj.ru/rpmj/article/view/640
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author K. N. Movchan
K. E. Chernov
B. S. Artyushin
A. V. Zharkov
A. Yu. Chernova
author_facet K. N. Movchan
K. E. Chernov
B. S. Artyushin
A. V. Zharkov
A. Yu. Chernova
author_sort K. N. Movchan
collection DOAJ
description Cystectomy, as a type of surgical treatment, is performed for various diseases of the bladder. Most often — with malignant tumors, as well as with benign pathological conditions. Complications in the postoperative period in patients undergoing cystectomy are mainly caused by the need to ensure adequate urine derivation. One of the options for solving this problem is the implementation of ileocystoplasty, which, in turn, is associated with the performance of technically difficult and large-scale manipulations during the operation. Successful prevention of severe complications of cystectomy (or their elimination) is probably possible only in those multidisciplinary medical organizations in which the provision of medical care to patients with urological oncology is a daily programmed activity. Outpatient health care specialists play a special role in routing patients with bladder diseases, and not only their formal referral and delivery to multidisciplinary medical and prophylactic institutions in an emergency mode with “on-duty” syndromic diagnoses such as “renal colic or hematuria”. At present, in St. Petersburg, all conditions have been created for the concentration of patients with severe diseases of the bladder in a number of specialized medical organizations, in which a large number of cystectomies with intestinal plastic are routinely performed annually, which makes it possible with a high probability to guarantee a favorable clinical outcome without discrediting method of the rarity of its implementation.
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institution Kabale University
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publisher QUASAR, LLC
record_format Article
series Исследования и практика в медицине
spelling doaj-art-6a376ad1b6e44ffcb13265ef944601ec2025-02-03T00:57:37ZrusQUASAR, LLCИсследования и практика в медицине2410-18932020-12-017416417410.17709/2409-2231-2020-7-4-13361About difficulties in the examination of the quality of medical care in the complicated course of the postoperative period after cystectomyK. N. Movchan0K. E. Chernov1B. S. Artyushin2A. V. Zharkov3A. Yu. Chernova4Medical Information and Analytical Center; North-Western State Medical University named after I.I.MechnikovMedical Information and Analytical CenterMedical Information and Analytical CenterMedical Information and Analytical CenterNorth-Western State Medical University named after I.I.MechnikovCystectomy, as a type of surgical treatment, is performed for various diseases of the bladder. Most often — with malignant tumors, as well as with benign pathological conditions. Complications in the postoperative period in patients undergoing cystectomy are mainly caused by the need to ensure adequate urine derivation. One of the options for solving this problem is the implementation of ileocystoplasty, which, in turn, is associated with the performance of technically difficult and large-scale manipulations during the operation. Successful prevention of severe complications of cystectomy (or their elimination) is probably possible only in those multidisciplinary medical organizations in which the provision of medical care to patients with urological oncology is a daily programmed activity. Outpatient health care specialists play a special role in routing patients with bladder diseases, and not only their formal referral and delivery to multidisciplinary medical and prophylactic institutions in an emergency mode with “on-duty” syndromic diagnoses such as “renal colic or hematuria”. At present, in St. Petersburg, all conditions have been created for the concentration of patients with severe diseases of the bladder in a number of specialized medical organizations, in which a large number of cystectomies with intestinal plastic are routinely performed annually, which makes it possible with a high probability to guarantee a favorable clinical outcome without discrediting method of the rarity of its implementation.https://www.rpmj.ru/rpmj/article/view/640cystectomyinterstitial cystitismicrocystsbladder tumorsquality of carepostoperative complications
spellingShingle K. N. Movchan
K. E. Chernov
B. S. Artyushin
A. V. Zharkov
A. Yu. Chernova
About difficulties in the examination of the quality of medical care in the complicated course of the postoperative period after cystectomy
Исследования и практика в медицине
cystectomy
interstitial cystitis
microcysts
bladder tumors
quality of care
postoperative complications
title About difficulties in the examination of the quality of medical care in the complicated course of the postoperative period after cystectomy
title_full About difficulties in the examination of the quality of medical care in the complicated course of the postoperative period after cystectomy
title_fullStr About difficulties in the examination of the quality of medical care in the complicated course of the postoperative period after cystectomy
title_full_unstemmed About difficulties in the examination of the quality of medical care in the complicated course of the postoperative period after cystectomy
title_short About difficulties in the examination of the quality of medical care in the complicated course of the postoperative period after cystectomy
title_sort about difficulties in the examination of the quality of medical care in the complicated course of the postoperative period after cystectomy
topic cystectomy
interstitial cystitis
microcysts
bladder tumors
quality of care
postoperative complications
url https://www.rpmj.ru/rpmj/article/view/640
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AT bsartyushin aboutdifficultiesintheexaminationofthequalityofmedicalcareinthecomplicatedcourseofthepostoperativeperiodaftercystectomy
AT avzharkov aboutdifficultiesintheexaminationofthequalityofmedicalcareinthecomplicatedcourseofthepostoperativeperiodaftercystectomy
AT ayuchernova aboutdifficultiesintheexaminationofthequalityofmedicalcareinthecomplicatedcourseofthepostoperativeperiodaftercystectomy