Buccal ureteroplasty options, techniques, long-term results
Purpose of the study. Surgical treatment of extended strictures and obliterations of the ureter is still a complicated problem of modern urology. The aim of the study was to analyze our own experience of ureteral replacement plastic surgery with buccal graft, i.e buccal ureteroplasty (BU) with its e...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
A. A. Volkov [verfasserIn] N. V. Budnik [verfasserIn] O. N. Zuban [verfasserIn] I. D. Mustapaev [verfasserIn] M. A. Abdulaev [verfasserIn] A. V. Muziev [verfasserIn] |
|---|
| Format: |
E-Artikel |
|---|---|
| Sprache: |
Russisch |
| Erschienen: |
2022 |
|---|
| Schlagwörter: |
|---|
| Übergeordnetes Werk: |
In: Issledovaniâ i Praktika v Medicine - QUASAR, LLC, 2016, 9(2022), 2, Seite 86-95 |
|---|---|
| Übergeordnetes Werk: |
volume:9 ; year:2022 ; number:2 ; pages:86-95 |
| Links: |
|---|
| DOI / URN: |
10.17709/2410-1893-2022-9-2-7 |
|---|
| Katalog-ID: |
DOAJ031345069 |
|---|
| LEADER | 01000caa a22002652 4500 | ||
|---|---|---|---|
| 001 | DOAJ031345069 | ||
| 003 | DE-627 | ||
| 005 | 20230503142638.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 230226s2022 xx |||||o 00| ||rus c | ||
| 024 | 7 | |a 10.17709/2410-1893-2022-9-2-7 |2 doi | |
| 035 | |a (DE-627)DOAJ031345069 | ||
| 035 | |a (DE-599)DOAJa165f66905ce4f52b26e5fa1caf691c6 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a rus | ||
| 100 | 0 | |a A. A. Volkov |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Buccal ureteroplasty options, techniques, long-term results |
| 264 | 1 | |c 2022 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a Computermedien |b c |2 rdamedia | ||
| 338 | |a Online-Ressource |b cr |2 rdacarrier | ||
| 520 | |a Purpose of the study. Surgical treatment of extended strictures and obliterations of the ureter is still a complicated problem of modern urology. The aim of the study was to analyze our own experience of ureteral replacement plastic surgery with buccal graft, i.e buccal ureteroplasty (BU) with its extended strictures/obliterations.Patients and methods. We’ve observed 25 patients who underwent BU. The lower third of the ureter was affected in 3 (12.0 %) cases, the lower third and the mouth of the ureter was affected in 7 people (28.0 %), the middle third in 2 (8.0 %), the upper third in 5 patients (20.0 %), the combined lesion of the upper third of the ureter and the pelvic‑ureteral segment (PUS) was in 8 (32.0 %) patients. All patients underwent repeated operations on a ureter, all revealed a significant comorbid background. The surgery was performed with a tubularized buccal graft in 13 (52.0 %), the onlay technique was applied in 12 (48.0 %). Laparoscopic surgery was performed in 10 (40.0 %) patients, surgical aid was carried out in an open way in 15 (60 %).Results. Severe complications according to the Clavien‑Dindo classification, requiring hospitalization of patients in the intensive care unit with organ dysfunction, as well as lethal outcomes were absent. The follow‑up period of patients ranged from 1 to 57 months (an average of 14.7 months). One patient after laparoscopic BU with a tubular graft had a short (1 mm) stenosis in the anastomosis area for 6 months of follow‑up, which was successfully eliminated by laser endoureterotomy. During the entire follow‑up period, residual hydronephrosis was recorded in 4 patients (16.0 %) against the background of complete patency of the anastomosis. A control flexible ureteroscopy performed in 16 (64.0 %) patients did not reveal rejection of the buccal graft. There are still 20 patients under our supervision.Conclusion. Our experience shows that the implementation of BU is possible on any part of the VMP using various techniques. This operation can be regarded as the "second" line of surgical treatment of strictures and obliterations of the ureter, especially after unsuccessful attempts of other reconstructions in a group of patients with severe concomitant pathology. | ||
| 650 | 4 | |a буккальная уретеропластика | |
| 650 | 4 | |a буккальный графт | |
| 650 | 4 | |a стриктура мочеточника | |
| 650 | 4 | |a облитерация мочеточника | |
| 650 | 4 | |a лапароскопическая уретеропластика | |
| 653 | 0 | |a Medicine | |
| 653 | 0 | |a R | |
| 700 | 0 | |a N. V. Budnik |e verfasserin |4 aut | |
| 700 | 0 | |a O. N. Zuban |e verfasserin |4 aut | |
| 700 | 0 | |a I. D. Mustapaev |e verfasserin |4 aut | |
| 700 | 0 | |a M. A. Abdulaev |e verfasserin |4 aut | |
| 700 | 0 | |a A. V. Muziev |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i In |t Issledovaniâ i Praktika v Medicine |d QUASAR, LLC, 2016 |g 9(2022), 2, Seite 86-95 |w (DE-627)1760599905 |x 24101893 |7 nnns |
| 773 | 1 | 8 | |g volume:9 |g year:2022 |g number:2 |g pages:86-95 |
| 856 | 4 | 0 | |u https://doi.org/10.17709/2410-1893-2022-9-2-7 |z kostenfrei |
| 856 | 4 | 0 | |u https://doaj.org/article/a165f66905ce4f52b26e5fa1caf691c6 |z kostenfrei |
| 856 | 4 | 0 | |u https://www.rpmj.ru/rpmj/article/view/763 |z kostenfrei |
| 856 | 4 | 2 | |u https://doaj.org/toc/2410-1893 |y Journal toc |z kostenfrei |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a SYSFLAG_A | ||
| 912 | |a GBV_DOAJ | ||
| 912 | |a SSG-OLC-PHA | ||
| 951 | |a AR | ||
| 952 | |d 9 |j 2022 |e 2 |h 86-95 | ||
| author_variant |
a a v aav n v b nvb o n z onz i d m idm m a a maa a v m avm |
|---|---|
| matchkey_str |
article:24101893:2022----::uclrtrpatotosehius |
| hierarchy_sort_str |
2022 |
| publishDate |
2022 |
| allfields |
10.17709/2410-1893-2022-9-2-7 doi (DE-627)DOAJ031345069 (DE-599)DOAJa165f66905ce4f52b26e5fa1caf691c6 DE-627 ger DE-627 rakwb rus A. A. Volkov verfasserin aut Buccal ureteroplasty options, techniques, long-term results 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose of the study. Surgical treatment of extended strictures and obliterations of the ureter is still a complicated problem of modern urology. The aim of the study was to analyze our own experience of ureteral replacement plastic surgery with buccal graft, i.e buccal ureteroplasty (BU) with its extended strictures/obliterations.Patients and methods. We’ve observed 25 patients who underwent BU. The lower third of the ureter was affected in 3 (12.0 %) cases, the lower third and the mouth of the ureter was affected in 7 people (28.0 %), the middle third in 2 (8.0 %), the upper third in 5 patients (20.0 %), the combined lesion of the upper third of the ureter and the pelvic‑ureteral segment (PUS) was in 8 (32.0 %) patients. All patients underwent repeated operations on a ureter, all revealed a significant comorbid background. The surgery was performed with a tubularized buccal graft in 13 (52.0 %), the onlay technique was applied in 12 (48.0 %). Laparoscopic surgery was performed in 10 (40.0 %) patients, surgical aid was carried out in an open way in 15 (60 %).Results. Severe complications according to the Clavien‑Dindo classification, requiring hospitalization of patients in the intensive care unit with organ dysfunction, as well as lethal outcomes were absent. The follow‑up period of patients ranged from 1 to 57 months (an average of 14.7 months). One patient after laparoscopic BU with a tubular graft had a short (1 mm) stenosis in the anastomosis area for 6 months of follow‑up, which was successfully eliminated by laser endoureterotomy. During the entire follow‑up period, residual hydronephrosis was recorded in 4 patients (16.0 %) against the background of complete patency of the anastomosis. A control flexible ureteroscopy performed in 16 (64.0 %) patients did not reveal rejection of the buccal graft. There are still 20 patients under our supervision.Conclusion. Our experience shows that the implementation of BU is possible on any part of the VMP using various techniques. This operation can be regarded as the "second" line of surgical treatment of strictures and obliterations of the ureter, especially after unsuccessful attempts of other reconstructions in a group of patients with severe concomitant pathology. буккальная уретеропластика буккальный графт стриктура мочеточника облитерация мочеточника лапароскопическая уретеропластика Medicine R N. V. Budnik verfasserin aut O. N. Zuban verfasserin aut I. D. Mustapaev verfasserin aut M. A. Abdulaev verfasserin aut A. V. Muziev verfasserin aut In Issledovaniâ i Praktika v Medicine QUASAR, LLC, 2016 9(2022), 2, Seite 86-95 (DE-627)1760599905 24101893 nnns volume:9 year:2022 number:2 pages:86-95 https://doi.org/10.17709/2410-1893-2022-9-2-7 kostenfrei https://doaj.org/article/a165f66905ce4f52b26e5fa1caf691c6 kostenfrei https://www.rpmj.ru/rpmj/article/view/763 kostenfrei https://doaj.org/toc/2410-1893 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA AR 9 2022 2 86-95 |
| spelling |
10.17709/2410-1893-2022-9-2-7 doi (DE-627)DOAJ031345069 (DE-599)DOAJa165f66905ce4f52b26e5fa1caf691c6 DE-627 ger DE-627 rakwb rus A. A. Volkov verfasserin aut Buccal ureteroplasty options, techniques, long-term results 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose of the study. Surgical treatment of extended strictures and obliterations of the ureter is still a complicated problem of modern urology. The aim of the study was to analyze our own experience of ureteral replacement plastic surgery with buccal graft, i.e buccal ureteroplasty (BU) with its extended strictures/obliterations.Patients and methods. We’ve observed 25 patients who underwent BU. The lower third of the ureter was affected in 3 (12.0 %) cases, the lower third and the mouth of the ureter was affected in 7 people (28.0 %), the middle third in 2 (8.0 %), the upper third in 5 patients (20.0 %), the combined lesion of the upper third of the ureter and the pelvic‑ureteral segment (PUS) was in 8 (32.0 %) patients. All patients underwent repeated operations on a ureter, all revealed a significant comorbid background. The surgery was performed with a tubularized buccal graft in 13 (52.0 %), the onlay technique was applied in 12 (48.0 %). Laparoscopic surgery was performed in 10 (40.0 %) patients, surgical aid was carried out in an open way in 15 (60 %).Results. Severe complications according to the Clavien‑Dindo classification, requiring hospitalization of patients in the intensive care unit with organ dysfunction, as well as lethal outcomes were absent. The follow‑up period of patients ranged from 1 to 57 months (an average of 14.7 months). One patient after laparoscopic BU with a tubular graft had a short (1 mm) stenosis in the anastomosis area for 6 months of follow‑up, which was successfully eliminated by laser endoureterotomy. During the entire follow‑up period, residual hydronephrosis was recorded in 4 patients (16.0 %) against the background of complete patency of the anastomosis. A control flexible ureteroscopy performed in 16 (64.0 %) patients did not reveal rejection of the buccal graft. There are still 20 patients under our supervision.Conclusion. Our experience shows that the implementation of BU is possible on any part of the VMP using various techniques. This operation can be regarded as the "second" line of surgical treatment of strictures and obliterations of the ureter, especially after unsuccessful attempts of other reconstructions in a group of patients with severe concomitant pathology. буккальная уретеропластика буккальный графт стриктура мочеточника облитерация мочеточника лапароскопическая уретеропластика Medicine R N. V. Budnik verfasserin aut O. N. Zuban verfasserin aut I. D. Mustapaev verfasserin aut M. A. Abdulaev verfasserin aut A. V. Muziev verfasserin aut In Issledovaniâ i Praktika v Medicine QUASAR, LLC, 2016 9(2022), 2, Seite 86-95 (DE-627)1760599905 24101893 nnns volume:9 year:2022 number:2 pages:86-95 https://doi.org/10.17709/2410-1893-2022-9-2-7 kostenfrei https://doaj.org/article/a165f66905ce4f52b26e5fa1caf691c6 kostenfrei https://www.rpmj.ru/rpmj/article/view/763 kostenfrei https://doaj.org/toc/2410-1893 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA AR 9 2022 2 86-95 |
| allfields_unstemmed |
10.17709/2410-1893-2022-9-2-7 doi (DE-627)DOAJ031345069 (DE-599)DOAJa165f66905ce4f52b26e5fa1caf691c6 DE-627 ger DE-627 rakwb rus A. A. Volkov verfasserin aut Buccal ureteroplasty options, techniques, long-term results 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose of the study. Surgical treatment of extended strictures and obliterations of the ureter is still a complicated problem of modern urology. The aim of the study was to analyze our own experience of ureteral replacement plastic surgery with buccal graft, i.e buccal ureteroplasty (BU) with its extended strictures/obliterations.Patients and methods. We’ve observed 25 patients who underwent BU. The lower third of the ureter was affected in 3 (12.0 %) cases, the lower third and the mouth of the ureter was affected in 7 people (28.0 %), the middle third in 2 (8.0 %), the upper third in 5 patients (20.0 %), the combined lesion of the upper third of the ureter and the pelvic‑ureteral segment (PUS) was in 8 (32.0 %) patients. All patients underwent repeated operations on a ureter, all revealed a significant comorbid background. The surgery was performed with a tubularized buccal graft in 13 (52.0 %), the onlay technique was applied in 12 (48.0 %). Laparoscopic surgery was performed in 10 (40.0 %) patients, surgical aid was carried out in an open way in 15 (60 %).Results. Severe complications according to the Clavien‑Dindo classification, requiring hospitalization of patients in the intensive care unit with organ dysfunction, as well as lethal outcomes were absent. The follow‑up period of patients ranged from 1 to 57 months (an average of 14.7 months). One patient after laparoscopic BU with a tubular graft had a short (1 mm) stenosis in the anastomosis area for 6 months of follow‑up, which was successfully eliminated by laser endoureterotomy. During the entire follow‑up period, residual hydronephrosis was recorded in 4 patients (16.0 %) against the background of complete patency of the anastomosis. A control flexible ureteroscopy performed in 16 (64.0 %) patients did not reveal rejection of the buccal graft. There are still 20 patients under our supervision.Conclusion. Our experience shows that the implementation of BU is possible on any part of the VMP using various techniques. This operation can be regarded as the "second" line of surgical treatment of strictures and obliterations of the ureter, especially after unsuccessful attempts of other reconstructions in a group of patients with severe concomitant pathology. буккальная уретеропластика буккальный графт стриктура мочеточника облитерация мочеточника лапароскопическая уретеропластика Medicine R N. V. Budnik verfasserin aut O. N. Zuban verfasserin aut I. D. Mustapaev verfasserin aut M. A. Abdulaev verfasserin aut A. V. Muziev verfasserin aut In Issledovaniâ i Praktika v Medicine QUASAR, LLC, 2016 9(2022), 2, Seite 86-95 (DE-627)1760599905 24101893 nnns volume:9 year:2022 number:2 pages:86-95 https://doi.org/10.17709/2410-1893-2022-9-2-7 kostenfrei https://doaj.org/article/a165f66905ce4f52b26e5fa1caf691c6 kostenfrei https://www.rpmj.ru/rpmj/article/view/763 kostenfrei https://doaj.org/toc/2410-1893 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA AR 9 2022 2 86-95 |
| allfieldsGer |
10.17709/2410-1893-2022-9-2-7 doi (DE-627)DOAJ031345069 (DE-599)DOAJa165f66905ce4f52b26e5fa1caf691c6 DE-627 ger DE-627 rakwb rus A. A. Volkov verfasserin aut Buccal ureteroplasty options, techniques, long-term results 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose of the study. Surgical treatment of extended strictures and obliterations of the ureter is still a complicated problem of modern urology. The aim of the study was to analyze our own experience of ureteral replacement plastic surgery with buccal graft, i.e buccal ureteroplasty (BU) with its extended strictures/obliterations.Patients and methods. We’ve observed 25 patients who underwent BU. The lower third of the ureter was affected in 3 (12.0 %) cases, the lower third and the mouth of the ureter was affected in 7 people (28.0 %), the middle third in 2 (8.0 %), the upper third in 5 patients (20.0 %), the combined lesion of the upper third of the ureter and the pelvic‑ureteral segment (PUS) was in 8 (32.0 %) patients. All patients underwent repeated operations on a ureter, all revealed a significant comorbid background. The surgery was performed with a tubularized buccal graft in 13 (52.0 %), the onlay technique was applied in 12 (48.0 %). Laparoscopic surgery was performed in 10 (40.0 %) patients, surgical aid was carried out in an open way in 15 (60 %).Results. Severe complications according to the Clavien‑Dindo classification, requiring hospitalization of patients in the intensive care unit with organ dysfunction, as well as lethal outcomes were absent. The follow‑up period of patients ranged from 1 to 57 months (an average of 14.7 months). One patient after laparoscopic BU with a tubular graft had a short (1 mm) stenosis in the anastomosis area for 6 months of follow‑up, which was successfully eliminated by laser endoureterotomy. During the entire follow‑up period, residual hydronephrosis was recorded in 4 patients (16.0 %) against the background of complete patency of the anastomosis. A control flexible ureteroscopy performed in 16 (64.0 %) patients did not reveal rejection of the buccal graft. There are still 20 patients under our supervision.Conclusion. Our experience shows that the implementation of BU is possible on any part of the VMP using various techniques. This operation can be regarded as the "second" line of surgical treatment of strictures and obliterations of the ureter, especially after unsuccessful attempts of other reconstructions in a group of patients with severe concomitant pathology. буккальная уретеропластика буккальный графт стриктура мочеточника облитерация мочеточника лапароскопическая уретеропластика Medicine R N. V. Budnik verfasserin aut O. N. Zuban verfasserin aut I. D. Mustapaev verfasserin aut M. A. Abdulaev verfasserin aut A. V. Muziev verfasserin aut In Issledovaniâ i Praktika v Medicine QUASAR, LLC, 2016 9(2022), 2, Seite 86-95 (DE-627)1760599905 24101893 nnns volume:9 year:2022 number:2 pages:86-95 https://doi.org/10.17709/2410-1893-2022-9-2-7 kostenfrei https://doaj.org/article/a165f66905ce4f52b26e5fa1caf691c6 kostenfrei https://www.rpmj.ru/rpmj/article/view/763 kostenfrei https://doaj.org/toc/2410-1893 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA AR 9 2022 2 86-95 |
| allfieldsSound |
10.17709/2410-1893-2022-9-2-7 doi (DE-627)DOAJ031345069 (DE-599)DOAJa165f66905ce4f52b26e5fa1caf691c6 DE-627 ger DE-627 rakwb rus A. A. Volkov verfasserin aut Buccal ureteroplasty options, techniques, long-term results 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose of the study. Surgical treatment of extended strictures and obliterations of the ureter is still a complicated problem of modern urology. The aim of the study was to analyze our own experience of ureteral replacement plastic surgery with buccal graft, i.e buccal ureteroplasty (BU) with its extended strictures/obliterations.Patients and methods. We’ve observed 25 patients who underwent BU. The lower third of the ureter was affected in 3 (12.0 %) cases, the lower third and the mouth of the ureter was affected in 7 people (28.0 %), the middle third in 2 (8.0 %), the upper third in 5 patients (20.0 %), the combined lesion of the upper third of the ureter and the pelvic‑ureteral segment (PUS) was in 8 (32.0 %) patients. All patients underwent repeated operations on a ureter, all revealed a significant comorbid background. The surgery was performed with a tubularized buccal graft in 13 (52.0 %), the onlay technique was applied in 12 (48.0 %). Laparoscopic surgery was performed in 10 (40.0 %) patients, surgical aid was carried out in an open way in 15 (60 %).Results. Severe complications according to the Clavien‑Dindo classification, requiring hospitalization of patients in the intensive care unit with organ dysfunction, as well as lethal outcomes were absent. The follow‑up period of patients ranged from 1 to 57 months (an average of 14.7 months). One patient after laparoscopic BU with a tubular graft had a short (1 mm) stenosis in the anastomosis area for 6 months of follow‑up, which was successfully eliminated by laser endoureterotomy. During the entire follow‑up period, residual hydronephrosis was recorded in 4 patients (16.0 %) against the background of complete patency of the anastomosis. A control flexible ureteroscopy performed in 16 (64.0 %) patients did not reveal rejection of the buccal graft. There are still 20 patients under our supervision.Conclusion. Our experience shows that the implementation of BU is possible on any part of the VMP using various techniques. This operation can be regarded as the "second" line of surgical treatment of strictures and obliterations of the ureter, especially after unsuccessful attempts of other reconstructions in a group of patients with severe concomitant pathology. буккальная уретеропластика буккальный графт стриктура мочеточника облитерация мочеточника лапароскопическая уретеропластика Medicine R N. V. Budnik verfasserin aut O. N. Zuban verfasserin aut I. D. Mustapaev verfasserin aut M. A. Abdulaev verfasserin aut A. V. Muziev verfasserin aut In Issledovaniâ i Praktika v Medicine QUASAR, LLC, 2016 9(2022), 2, Seite 86-95 (DE-627)1760599905 24101893 nnns volume:9 year:2022 number:2 pages:86-95 https://doi.org/10.17709/2410-1893-2022-9-2-7 kostenfrei https://doaj.org/article/a165f66905ce4f52b26e5fa1caf691c6 kostenfrei https://www.rpmj.ru/rpmj/article/view/763 kostenfrei https://doaj.org/toc/2410-1893 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA AR 9 2022 2 86-95 |
| language |
Russian |
| source |
In Issledovaniâ i Praktika v Medicine 9(2022), 2, Seite 86-95 volume:9 year:2022 number:2 pages:86-95 |
| sourceStr |
In Issledovaniâ i Praktika v Medicine 9(2022), 2, Seite 86-95 volume:9 year:2022 number:2 pages:86-95 |
| format_phy_str_mv |
Article |
| institution |
findex.gbv.de |
| topic_facet |
буккальная уретеропластика буккальный графт стриктура мочеточника облитерация мочеточника лапароскопическая уретеропластика Medicine R |
| isfreeaccess_bool |
true |
| container_title |
Issledovaniâ i Praktika v Medicine |
| authorswithroles_txt_mv |
A. A. Volkov @@aut@@ N. V. Budnik @@aut@@ O. N. Zuban @@aut@@ I. D. Mustapaev @@aut@@ M. A. Abdulaev @@aut@@ A. V. Muziev @@aut@@ |
| publishDateDaySort_date |
2022-01-01T00:00:00Z |
| hierarchy_top_id |
1760599905 |
| id |
DOAJ031345069 |
| language_de |
russisch |
| fullrecord |
<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01000caa a22002652 4500</leader><controlfield tag="001">DOAJ031345069</controlfield><controlfield tag="003">DE-627</controlfield><controlfield tag="005">20230503142638.0</controlfield><controlfield tag="007">cr uuu---uuuuu</controlfield><controlfield tag="008">230226s2022 xx |||||o 00| ||rus c</controlfield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.17709/2410-1893-2022-9-2-7</subfield><subfield code="2">doi</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627)DOAJ031345069</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-599)DOAJa165f66905ce4f52b26e5fa1caf691c6</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rakwb</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">rus</subfield></datafield><datafield tag="100" ind1="0" ind2=" "><subfield code="a">A. A. Volkov</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Buccal ureteroplasty options, techniques, long-term results</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2022</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Purpose of the study. Surgical treatment of extended strictures and obliterations of the ureter is still a complicated problem of modern urology. The aim of the study was to analyze our own experience of ureteral replacement plastic surgery with buccal graft, i.e buccal ureteroplasty (BU) with its extended strictures/obliterations.Patients and methods. We’ve observed 25 patients who underwent BU. The lower third of the ureter was affected in 3 (12.0 %) cases, the lower third and the mouth of the ureter was affected in 7 people (28.0 %), the middle third in 2 (8.0 %), the upper third in 5 patients (20.0 %), the combined lesion of the upper third of the ureter and the pelvic‑ureteral segment (PUS) was in 8 (32.0 %) patients. All patients underwent repeated operations on a ureter, all revealed a significant comorbid background. The surgery was performed with a tubularized buccal graft in 13 (52.0 %), the onlay technique was applied in 12 (48.0 %). Laparoscopic surgery was performed in 10 (40.0 %) patients, surgical aid was carried out in an open way in 15 (60 %).Results. Severe complications according to the Clavien‑Dindo classification, requiring hospitalization of patients in the intensive care unit with organ dysfunction, as well as lethal outcomes were absent. The follow‑up period of patients ranged from 1 to 57 months (an average of 14.7 months). One patient after laparoscopic BU with a tubular graft had a short (1 mm) stenosis in the anastomosis area for 6 months of follow‑up, which was successfully eliminated by laser endoureterotomy. During the entire follow‑up period, residual hydronephrosis was recorded in 4 patients (16.0 %) against the background of complete patency of the anastomosis. A control flexible ureteroscopy performed in 16 (64.0 %) patients did not reveal rejection of the buccal graft. There are still 20 patients under our supervision.Conclusion. Our experience shows that the implementation of BU is possible on any part of the VMP using various techniques. This operation can be regarded as the "second" line of surgical treatment of strictures and obliterations of the ureter, especially after unsuccessful attempts of other reconstructions in a group of patients with severe concomitant pathology.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">буккальная уретеропластика</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">буккальный графт</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">стриктура мочеточника</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">облитерация мочеточника</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">лапароскопическая уретеропластика</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Medicine</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">R</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">N. V. Budnik</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">O. N. Zuban</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">I. D. Mustapaev</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">M. A. Abdulaev</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">A. V. Muziev</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="773" ind1="0" ind2="8"><subfield code="i">In</subfield><subfield code="t">Issledovaniâ i Praktika v Medicine</subfield><subfield code="d">QUASAR, LLC, 2016</subfield><subfield code="g">9(2022), 2, Seite 86-95</subfield><subfield code="w">(DE-627)1760599905</subfield><subfield code="x">24101893</subfield><subfield code="7">nnns</subfield></datafield><datafield tag="773" ind1="1" ind2="8"><subfield code="g">volume:9</subfield><subfield code="g">year:2022</subfield><subfield code="g">number:2</subfield><subfield code="g">pages:86-95</subfield></datafield><datafield tag="856" ind1="4" ind2="0"><subfield code="u">https://doi.org/10.17709/2410-1893-2022-9-2-7</subfield><subfield code="z">kostenfrei</subfield></datafield><datafield tag="856" ind1="4" ind2="0"><subfield code="u">https://doaj.org/article/a165f66905ce4f52b26e5fa1caf691c6</subfield><subfield code="z">kostenfrei</subfield></datafield><datafield tag="856" ind1="4" ind2="0"><subfield code="u">https://www.rpmj.ru/rpmj/article/view/763</subfield><subfield code="z">kostenfrei</subfield></datafield><datafield tag="856" ind1="4" ind2="2"><subfield code="u">https://doaj.org/toc/2410-1893</subfield><subfield code="y">Journal toc</subfield><subfield code="z">kostenfrei</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_USEFLAG_A</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">SYSFLAG_A</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_DOAJ</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">SSG-OLC-PHA</subfield></datafield><datafield tag="951" ind1=" " ind2=" "><subfield code="a">AR</subfield></datafield><datafield tag="952" ind1=" " ind2=" "><subfield code="d">9</subfield><subfield code="j">2022</subfield><subfield code="e">2</subfield><subfield code="h">86-95</subfield></datafield></record></collection>
|
| author |
A. A. Volkov |
| spellingShingle |
A. A. Volkov misc буккальная уретеропластика misc буккальный графт misc стриктура мочеточника misc облитерация мочеточника misc лапароскопическая уретеропластика misc Medicine misc R Buccal ureteroplasty options, techniques, long-term results |
| authorStr |
A. A. Volkov |
| ppnlink_with_tag_str_mv |
@@773@@(DE-627)1760599905 |
| format |
electronic Article |
| delete_txt_mv |
keep |
| author_role |
aut aut aut aut aut aut |
| collection |
DOAJ |
| remote_str |
true |
| illustrated |
Not Illustrated |
| issn |
24101893 |
| topic_title |
Buccal ureteroplasty options, techniques, long-term results буккальная уретеропластика буккальный графт стриктура мочеточника облитерация мочеточника лапароскопическая уретеропластика |
| topic |
misc буккальная уретеропластика misc буккальный графт misc стриктура мочеточника misc облитерация мочеточника misc лапароскопическая уретеропластика misc Medicine misc R |
| topic_unstemmed |
misc буккальная уретеропластика misc буккальный графт misc стриктура мочеточника misc облитерация мочеточника misc лапароскопическая уретеропластика misc Medicine misc R |
| topic_browse |
misc буккальная уретеропластика misc буккальный графт misc стриктура мочеточника misc облитерация мочеточника misc лапароскопическая уретеропластика misc Medicine misc R |
| format_facet |
Elektronische Aufsätze Aufsätze Elektronische Ressource |
| format_main_str_mv |
Text Zeitschrift/Artikel |
| carriertype_str_mv |
cr |
| hierarchy_parent_title |
Issledovaniâ i Praktika v Medicine |
| hierarchy_parent_id |
1760599905 |
| hierarchy_top_title |
Issledovaniâ i Praktika v Medicine |
| isfreeaccess_txt |
true |
| familylinks_str_mv |
(DE-627)1760599905 |
| title |
Buccal ureteroplasty options, techniques, long-term results |
| ctrlnum |
(DE-627)DOAJ031345069 (DE-599)DOAJa165f66905ce4f52b26e5fa1caf691c6 |
| title_full |
Buccal ureteroplasty options, techniques, long-term results |
| author_sort |
A. A. Volkov |
| journal |
Issledovaniâ i Praktika v Medicine |
| journalStr |
Issledovaniâ i Praktika v Medicine |
| lang_code |
rus |
| isOA_bool |
true |
| recordtype |
marc |
| publishDateSort |
2022 |
| contenttype_str_mv |
txt |
| container_start_page |
86 |
| author_browse |
A. A. Volkov N. V. Budnik O. N. Zuban I. D. Mustapaev M. A. Abdulaev A. V. Muziev |
| container_volume |
9 |
| format_se |
Elektronische Aufsätze |
| author-letter |
A. A. Volkov |
| doi_str_mv |
10.17709/2410-1893-2022-9-2-7 |
| author2-role |
verfasserin |
| title_sort |
buccal ureteroplasty options, techniques, long-term results |
| title_auth |
Buccal ureteroplasty options, techniques, long-term results |
| abstract |
Purpose of the study. Surgical treatment of extended strictures and obliterations of the ureter is still a complicated problem of modern urology. The aim of the study was to analyze our own experience of ureteral replacement plastic surgery with buccal graft, i.e buccal ureteroplasty (BU) with its extended strictures/obliterations.Patients and methods. We’ve observed 25 patients who underwent BU. The lower third of the ureter was affected in 3 (12.0 %) cases, the lower third and the mouth of the ureter was affected in 7 people (28.0 %), the middle third in 2 (8.0 %), the upper third in 5 patients (20.0 %), the combined lesion of the upper third of the ureter and the pelvic‑ureteral segment (PUS) was in 8 (32.0 %) patients. All patients underwent repeated operations on a ureter, all revealed a significant comorbid background. The surgery was performed with a tubularized buccal graft in 13 (52.0 %), the onlay technique was applied in 12 (48.0 %). Laparoscopic surgery was performed in 10 (40.0 %) patients, surgical aid was carried out in an open way in 15 (60 %).Results. Severe complications according to the Clavien‑Dindo classification, requiring hospitalization of patients in the intensive care unit with organ dysfunction, as well as lethal outcomes were absent. The follow‑up period of patients ranged from 1 to 57 months (an average of 14.7 months). One patient after laparoscopic BU with a tubular graft had a short (1 mm) stenosis in the anastomosis area for 6 months of follow‑up, which was successfully eliminated by laser endoureterotomy. During the entire follow‑up period, residual hydronephrosis was recorded in 4 patients (16.0 %) against the background of complete patency of the anastomosis. A control flexible ureteroscopy performed in 16 (64.0 %) patients did not reveal rejection of the buccal graft. There are still 20 patients under our supervision.Conclusion. Our experience shows that the implementation of BU is possible on any part of the VMP using various techniques. This operation can be regarded as the "second" line of surgical treatment of strictures and obliterations of the ureter, especially after unsuccessful attempts of other reconstructions in a group of patients with severe concomitant pathology. |
| abstractGer |
Purpose of the study. Surgical treatment of extended strictures and obliterations of the ureter is still a complicated problem of modern urology. The aim of the study was to analyze our own experience of ureteral replacement plastic surgery with buccal graft, i.e buccal ureteroplasty (BU) with its extended strictures/obliterations.Patients and methods. We’ve observed 25 patients who underwent BU. The lower third of the ureter was affected in 3 (12.0 %) cases, the lower third and the mouth of the ureter was affected in 7 people (28.0 %), the middle third in 2 (8.0 %), the upper third in 5 patients (20.0 %), the combined lesion of the upper third of the ureter and the pelvic‑ureteral segment (PUS) was in 8 (32.0 %) patients. All patients underwent repeated operations on a ureter, all revealed a significant comorbid background. The surgery was performed with a tubularized buccal graft in 13 (52.0 %), the onlay technique was applied in 12 (48.0 %). Laparoscopic surgery was performed in 10 (40.0 %) patients, surgical aid was carried out in an open way in 15 (60 %).Results. Severe complications according to the Clavien‑Dindo classification, requiring hospitalization of patients in the intensive care unit with organ dysfunction, as well as lethal outcomes were absent. The follow‑up period of patients ranged from 1 to 57 months (an average of 14.7 months). One patient after laparoscopic BU with a tubular graft had a short (1 mm) stenosis in the anastomosis area for 6 months of follow‑up, which was successfully eliminated by laser endoureterotomy. During the entire follow‑up period, residual hydronephrosis was recorded in 4 patients (16.0 %) against the background of complete patency of the anastomosis. A control flexible ureteroscopy performed in 16 (64.0 %) patients did not reveal rejection of the buccal graft. There are still 20 patients under our supervision.Conclusion. Our experience shows that the implementation of BU is possible on any part of the VMP using various techniques. This operation can be regarded as the "second" line of surgical treatment of strictures and obliterations of the ureter, especially after unsuccessful attempts of other reconstructions in a group of patients with severe concomitant pathology. |
| abstract_unstemmed |
Purpose of the study. Surgical treatment of extended strictures and obliterations of the ureter is still a complicated problem of modern urology. The aim of the study was to analyze our own experience of ureteral replacement plastic surgery with buccal graft, i.e buccal ureteroplasty (BU) with its extended strictures/obliterations.Patients and methods. We’ve observed 25 patients who underwent BU. The lower third of the ureter was affected in 3 (12.0 %) cases, the lower third and the mouth of the ureter was affected in 7 people (28.0 %), the middle third in 2 (8.0 %), the upper third in 5 patients (20.0 %), the combined lesion of the upper third of the ureter and the pelvic‑ureteral segment (PUS) was in 8 (32.0 %) patients. All patients underwent repeated operations on a ureter, all revealed a significant comorbid background. The surgery was performed with a tubularized buccal graft in 13 (52.0 %), the onlay technique was applied in 12 (48.0 %). Laparoscopic surgery was performed in 10 (40.0 %) patients, surgical aid was carried out in an open way in 15 (60 %).Results. Severe complications according to the Clavien‑Dindo classification, requiring hospitalization of patients in the intensive care unit with organ dysfunction, as well as lethal outcomes were absent. The follow‑up period of patients ranged from 1 to 57 months (an average of 14.7 months). One patient after laparoscopic BU with a tubular graft had a short (1 mm) stenosis in the anastomosis area for 6 months of follow‑up, which was successfully eliminated by laser endoureterotomy. During the entire follow‑up period, residual hydronephrosis was recorded in 4 patients (16.0 %) against the background of complete patency of the anastomosis. A control flexible ureteroscopy performed in 16 (64.0 %) patients did not reveal rejection of the buccal graft. There are still 20 patients under our supervision.Conclusion. Our experience shows that the implementation of BU is possible on any part of the VMP using various techniques. This operation can be regarded as the "second" line of surgical treatment of strictures and obliterations of the ureter, especially after unsuccessful attempts of other reconstructions in a group of patients with severe concomitant pathology. |
| collection_details |
GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA |
| container_issue |
2 |
| title_short |
Buccal ureteroplasty options, techniques, long-term results |
| url |
https://doi.org/10.17709/2410-1893-2022-9-2-7 https://doaj.org/article/a165f66905ce4f52b26e5fa1caf691c6 https://www.rpmj.ru/rpmj/article/view/763 https://doaj.org/toc/2410-1893 |
| remote_bool |
true |
| author2 |
N. V. Budnik O. N. Zuban I. D. Mustapaev M. A. Abdulaev A. V. Muziev |
| author2Str |
N. V. Budnik O. N. Zuban I. D. Mustapaev M. A. Abdulaev A. V. Muziev |
| ppnlink |
1760599905 |
| mediatype_str_mv |
c |
| isOA_txt |
true |
| hochschulschrift_bool |
false |
| doi_str |
10.17709/2410-1893-2022-9-2-7 |
| up_date |
2024-07-03T20:06:30.896Z |
| _version_ |
1803589717483061248 |
| fullrecord_marcxml |
<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01000caa a22002652 4500</leader><controlfield tag="001">DOAJ031345069</controlfield><controlfield tag="003">DE-627</controlfield><controlfield tag="005">20230503142638.0</controlfield><controlfield tag="007">cr uuu---uuuuu</controlfield><controlfield tag="008">230226s2022 xx |||||o 00| ||rus c</controlfield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.17709/2410-1893-2022-9-2-7</subfield><subfield code="2">doi</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627)DOAJ031345069</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-599)DOAJa165f66905ce4f52b26e5fa1caf691c6</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rakwb</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">rus</subfield></datafield><datafield tag="100" ind1="0" ind2=" "><subfield code="a">A. A. Volkov</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Buccal ureteroplasty options, techniques, long-term results</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2022</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Purpose of the study. Surgical treatment of extended strictures and obliterations of the ureter is still a complicated problem of modern urology. The aim of the study was to analyze our own experience of ureteral replacement plastic surgery with buccal graft, i.e buccal ureteroplasty (BU) with its extended strictures/obliterations.Patients and methods. We’ve observed 25 patients who underwent BU. The lower third of the ureter was affected in 3 (12.0 %) cases, the lower third and the mouth of the ureter was affected in 7 people (28.0 %), the middle third in 2 (8.0 %), the upper third in 5 patients (20.0 %), the combined lesion of the upper third of the ureter and the pelvic‑ureteral segment (PUS) was in 8 (32.0 %) patients. All patients underwent repeated operations on a ureter, all revealed a significant comorbid background. The surgery was performed with a tubularized buccal graft in 13 (52.0 %), the onlay technique was applied in 12 (48.0 %). Laparoscopic surgery was performed in 10 (40.0 %) patients, surgical aid was carried out in an open way in 15 (60 %).Results. Severe complications according to the Clavien‑Dindo classification, requiring hospitalization of patients in the intensive care unit with organ dysfunction, as well as lethal outcomes were absent. The follow‑up period of patients ranged from 1 to 57 months (an average of 14.7 months). One patient after laparoscopic BU with a tubular graft had a short (1 mm) stenosis in the anastomosis area for 6 months of follow‑up, which was successfully eliminated by laser endoureterotomy. During the entire follow‑up period, residual hydronephrosis was recorded in 4 patients (16.0 %) against the background of complete patency of the anastomosis. A control flexible ureteroscopy performed in 16 (64.0 %) patients did not reveal rejection of the buccal graft. There are still 20 patients under our supervision.Conclusion. Our experience shows that the implementation of BU is possible on any part of the VMP using various techniques. This operation can be regarded as the "second" line of surgical treatment of strictures and obliterations of the ureter, especially after unsuccessful attempts of other reconstructions in a group of patients with severe concomitant pathology.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">буккальная уретеропластика</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">буккальный графт</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">стриктура мочеточника</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">облитерация мочеточника</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">лапароскопическая уретеропластика</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Medicine</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">R</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">N. V. Budnik</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">O. N. Zuban</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">I. D. Mustapaev</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">M. A. Abdulaev</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">A. V. Muziev</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="773" ind1="0" ind2="8"><subfield code="i">In</subfield><subfield code="t">Issledovaniâ i Praktika v Medicine</subfield><subfield code="d">QUASAR, LLC, 2016</subfield><subfield code="g">9(2022), 2, Seite 86-95</subfield><subfield code="w">(DE-627)1760599905</subfield><subfield code="x">24101893</subfield><subfield code="7">nnns</subfield></datafield><datafield tag="773" ind1="1" ind2="8"><subfield code="g">volume:9</subfield><subfield code="g">year:2022</subfield><subfield code="g">number:2</subfield><subfield code="g">pages:86-95</subfield></datafield><datafield tag="856" ind1="4" ind2="0"><subfield code="u">https://doi.org/10.17709/2410-1893-2022-9-2-7</subfield><subfield code="z">kostenfrei</subfield></datafield><datafield tag="856" ind1="4" ind2="0"><subfield code="u">https://doaj.org/article/a165f66905ce4f52b26e5fa1caf691c6</subfield><subfield code="z">kostenfrei</subfield></datafield><datafield tag="856" ind1="4" ind2="0"><subfield code="u">https://www.rpmj.ru/rpmj/article/view/763</subfield><subfield code="z">kostenfrei</subfield></datafield><datafield tag="856" ind1="4" ind2="2"><subfield code="u">https://doaj.org/toc/2410-1893</subfield><subfield code="y">Journal toc</subfield><subfield code="z">kostenfrei</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_USEFLAG_A</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">SYSFLAG_A</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">GBV_DOAJ</subfield></datafield><datafield tag="912" ind1=" " ind2=" "><subfield code="a">SSG-OLC-PHA</subfield></datafield><datafield tag="951" ind1=" " ind2=" "><subfield code="a">AR</subfield></datafield><datafield tag="952" ind1=" " ind2=" "><subfield code="d">9</subfield><subfield code="j">2022</subfield><subfield code="e">2</subfield><subfield code="h">86-95</subfield></datafield></record></collection>
|
| score |
7.399867 |