Euroasian Health Journal

Plastic surgery in Kyrgyzstan has undergone significant growth in recent decades. In conditions of insufficient postoperative follow-up, the country’s medical institutions are facing an increase in complaints about complications related to the prolonged stay of outdated implants in the body. As the service life of the implants expired (on average 10-15 years), cases of ageing, capsular contracture, deformation, rippling, and intracapsular and extracapsular ruptures began to be recorded more often. The increase in the number of secondary mammoplasty caused by ageing of implants and complications increases the risk of ischaemia of the nipple-areolar complex. Existing risk assessment scales do not fully consider the specific factors of secondary interventions. In this regard, the purpose of this study was to demonstrate the effectiveness of the modified preoperative scale for assessing the risk of ischaemia of the nipple-areolar complex in secondary breast surgery using the example of a clinical case of a high-risk patient and to evaluate the effectiveness of multifactorial therapeutic tactics. This tactic can help minimise the severity of ischaemic complications in high-risk patients after further validation of the scale in an expanded sample

Alveolar echinococcosis of the liver is a chronic parasitic disease with an infiltrative growth pattern, leading to progressive destruction of the hepatic parenchyma and involvement of the vascular-biliary structures. The prolonged course of the disease is often accompanied by a compensatory increase in the total volume of the liver, which is important when assessing resectability and determining surgical tactics. One of the key parameters of preoperative planning is the Future liver remnant, an indicator that characterises the morphological reserve and allows predicting the likelihood of postoperative liver failure. The aim of the study was to evaluate the diagnostic value of computed tomography volumetry and virtual resection in planning surgical treatment for patients with alveolar echinococcosis of the liver. The study included 59 patients with a confirmed diagnosis who were examined at medical centres in Bishkek in 2023-2025. All patients underwent multispiral computed tomography with intravenous contrast, and post-processing was performed using the
LiverAnalysis+ software package. The total liver volume, the volume of affected tissue, the estimated resection volume, and the Future liver remnant were assessed. The average total liver volume in patients without previous surgery was 2,008 cm³, reflecting compensatory hypertrophy in the long-term course of the disease. In patients after surgery, this indicator was lower – 1,635 cm³. The average Future liver remnant was 1,162 cm³ (57.9%) in patients without surgery and 774 cm³ (49.7%) in patients after resection. In one-third of the operated patients, the Future liver remnant was below the critical level (<30–40%), indicating an increased risk of developing liver failure. The results confirmed that computed tomography volumetry with virtual resection is an essential tool
for assessing surgical risks and should be included in the standard preoperative planning for the treatment of patients with alveolar echinococcosis of the liver

In the Kyrgyz Republic, issues of healthy nutrition and food security have gained strategic importance due to the persistent “double burden” of nutritional disorders, the high prevalence of micronutrient deficiencies, and diet-related non-communicable diseases, especially among children and vulnerable population groups. The absence of a specialised institute of nutrition limits the scientific support of state policy in this area. The aim of this work was to justify the need to establish an Institute of Nutrition and Biotechnology at the I.K. Akhunbaev Kyrgyz State Medical Academy as a comprehensive scientific, educational, and clinical production centre in the field of healthy nutrition and biotechnology. An analytical and systematic review was conducted using official statistical data from the Ministry of Health of the Kyrgyz Republic, results of the national study on micronutrient status, regulatory and legal documents, and reports from international organisations. A comparative analysis of international experience in the functioning of nutrition institutes and a content analysis of scientific publications were also employed. It was found that integrating the potential of the Kyrgyz State Medical Academy with the dietetics department of the National Centre for Maternal and Child Health would enable the creation of an institutionally sustainable model for the scientific support of nutrition policy.
The goals, mission, main areas of activity, tasks, and organisational structure of the Institute of Nutrition and Biotechnology were defined, focusing on the prevention of diet-related diseases, the development of clinical nutrition and dietetics, biotechnology, and the training of qualified personnel. It was demonstrated that the establishment of the Institute of Nutrition and Biotechnology is a strategically justified and timely step that will contribute to strengthening the healthcare system, improving food security, and enhancing the quality and length of life of the population of the Kyrgyz Republic