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Biomedical subjects

A A Baulin

Publications and source records attributed to A A Baulin.

15 recordsLinked to original sources

[Prophylaxis of recurrences in herniotomy with P-like suture].

Rate of recurrences of hernias reaches 6%. Dislocation of elements of spermatic cord promotes hernia recurrence. Dislocation of membranes was studied on cadavers and during operations, and also after Postempsky's plastic surgery with additional [symbol: see text]-suture, which divides ostium and cord into three equal parts. Dislocation decreases 3-fold. 42 men were operated with [symbol: see text]-suture, there were no recurrences during 4 years of follow-up.

Hernia, Inguinal↗

[Ten simultaneous operations in one patient].

In a patient, a woman of 62 years, one surgical team has performed consecutively over 3 h 45 min 10 operations for different diseases: extirpation of the uterus with appendages, removal of retroperitoneal fibrosarcoma, appendectomy, 30 cm-resection of the small intestine, polypectomy from the rectum, creation of sygmorectoanastomosis, plastic reconstruction of postoperative ventral hernia with duplication, sectoral resection of mammary gland, removal of papilloma and lipoma of abdominal wall. The outcome is favorable.

Abdominal Muscles↗

[An epidemiological analysis of postoperative suppurative pathology in surgical hospitals].

Approaches to the epidemiological analysis of postoperative wound complications in surgical hospitals are summarized. The indices for the evaluation of the epidemic situation in surgical departments (the ratio of severe and mild forms of complications, severe and posthospital complications) are proposed. To determine the site of infection, the method of graphic analysis, involving the fixation of dates of the operation and the appearance of the complication and taking into account regularities in the development of the outbreak, the depth and severity of the lesion, is proposed. Epidemiological surveillance at medical institutions permits the prognostication of the epidemiological situation. The realization of epidemiological surveillance at the level of individual medical institutions is the prerequisite of effective functioning of the program of epidemiological surveillance at a given territory.

Disease Outbreaks↗

[Gallstone ileus].

The authors discuss 25 patients with gallstone ileus, which is a quite frequently encountered complication of cholelithiasis and is recorded in 0.64% of patient who underwent operation for calculous cholecystitis. The diagnosis and treatment of this complication have some specific features whose knowledge is extremely important in rendering emergency surgical care. Better results can be achieved by a timely and adequate diagnosis, individual choice of the operative method, and subsequent follow-up of the patients who were operated on. Regular medical examination and planned preventive treatment of patients with cholelithiasis are the main trends in the prophylaxis of this disease. Postoperative mortality was 24%.

Acute Disease↗

[Surgical tactics in acute cholecystitis].

The results of treatment of 1,843 patients with acute cholecystitis are analysed. Operations were carried out on 766 patients, postoperative lethality 3.5%. A more active surgical tactics was accepted in the last 3 years, as the result of which postoperative lethality fell to 1.2% in 1988. Cholecystostomy was conducted under local anesthesia in patients who were in a grave condition, and in elderly and old--aged patients with an operative risk. The authors analyse 71 cases in which the late-term results were studied, they proved to be good on the main.

Acute Disease↗

[Various problems of epidemiology and prevention of suppurative-inflammatory complications in surgery].

An epidemiological analysis of pyo-inflammatory diseases (PID) in surgical department of multiprofile hospitals has been made. PIDs were diagnozed in 16.2% of patients operated upon. The observation of fluctuations of the level of PID with regard for the correlation of severe and "minor" forms and terms of their appearance allows to make a conclusion of the probable place of infection and may serve an indicator of epidemiological situation. The application of film-forming drug "Lyfuzol" for closing operative wounds has decreased the incidence of PID in catarrhal and phlegmonous appendicitis 2.6 times.

Antisepsis↗

[Restrictive artificial mechanisms in prevention of late complications after small intestine-colon anastomosis].

The experiments on 30 dogs proved that reduplication and semi-invagination serve as restrictive mechanisms before small intestine-colon anastomosis. These procedures slow dowm the evacuation of intestinal contents, interfere with small intestine-colonic outflow, improve digestion and absorption, contribute to the shortening of the time needed for compensation, provide better late results of the right hemicolonectomy.

Animals↗