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Biomedical subjects

A B Salov

Publications and source records attributed to A B Salov.

4 recordsLinked to original sources

[Risk factors of thrombotic complications in laparoscopic operations and their prevention].

The possible appearance of thrombotic complications of laparoscopic cholecystectomy (LCE) is one of negative consequences of the effects of carboxyl pneumoperitoneum (CPP). Risk factors of thrombogenesis were investigated in 91 patients who had been subjected to LCE and in 50 patients after open cholecystectomy. It was established that the rate of blood flow in the femoral vein after CPP was 31% lower. The creation of CPP facilitates the development of hypercoagulation. The greatest alteration occurs in the anticoagulation system of blood: "free heparin" becomes 31.7% lower, fibrinolytic activity of blood reduces by 73.1%. Prophylactics of thrombotic complications must be complex and be started with the detection of risk factors and finished with a combination of physical and pharmacological methods.

Aged↗

[Completion of choledochotomy].

An analysis of 144 operations using external drainage of the common bile duct per 926 cholecystectomies and using T-shaped drains (in 90 patients drains of vulcanized latex [Revultex] proposed by the authors were used) has brought the authors to a conclusion that the temporary external drainage of the common bile duct is the method of choice for the completion of choledochotomy, when it is not possible to carefully visually control the hepatocholedochus lumen. The T-shaped cast latex drains are thought to be most adequate for the operations.

Adult↗

[Treatment of peritonitis].

Different forms of peritonitis were observed in 209 patients. Generalized results of treatment have shown positive effects of the complex treatment including preoperative management, timely radical operation aimed at liquidation of the source of peritonitis, lavage of the abdominal cavity and adequate drainage and finally, intensive therapy in the postoperative period. Lethality in generalized peritonitis was 11.1%.

Adolescent↗