[A complex method of treatment of suppurative diseases of the hand].
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Biomedical subjects
Publications and source records attributed to A A Samofalov.
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An analysis of treatment of ulcer disease of the stomach and duodenum with the help of helium-neon lasers has been made. The pathological focus (ulcer) was influenced in two ways: through the endoscope and by means of biologically active points. Positive effects were obtained in 96.9% of the patients. Operations were performed on 3.1% of the patients where laser therapy failed to give good effects. Contraindications to laser therapy were considered to be bleeding, callous and malignant ulcers.
Based upon the experience with the treatment of 2312 patients with ulcer disease of the stomach and duodenum the authors analysed the major tasks which must be solved for obtaining better immediate and long-term results of the surgical treatment. In 1880 (81,3%) of the patients with a gastric ulcer and a complicated ulcer of the duodenum the stomach resection gave favorable outcomes in 98,6%. In 432 patients (18,7%) organ-preserving operations were made, in 185 of them it was vagotomy. The vagotomy was followed by recovery of 99,5% of the patients. Longterm results were studied in 1486 patients. Bad outcomes were noted in 34 patients (2,4%) after stomach resections and in 16 patients (11%) after vagotomy.
An experience with the treatment of 429 patients with postgastroresection syndrome was generalized, in 231 out of them (53,8%) associated pathological conditions had been revealed. The selection of the method of treatment was dependent on clinical manifestations of the syndrome and its causes. The surgical treatment was used in 226 patients (52,7%). Resections occupied the first place (69,5%) among the reconstructive operations. Long-term results in 95,2% of the examined patients were excellent, good and satisfactory.
The authors' experience with the complex treatment of 241 patients with different purulent diseases and complications shows that the application of laser improves results of the treatment and shortens the period of staying of the patients at the hospital.
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