[Appendectomy as 1 of the causes of a right-side inguinal hernia].
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Biomedical subjects
Publications and source records attributed to A E Dmitriev.
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Based on the experience with treatment of 16 patients with large strangulated postoperative hernias of the anterior abdominal wall, the authors describe some peculiarities of the clinic, diagnosis and surgical tactics in the given pathology in persons aged over 74 years. A planned surgical therapy for postoperative hernias in senile persons is strongly advocated. The question of the planned operation should be settled only under stationary conditions after a careful detailed examination of such patients.
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Having used the method of electrostimulation of the fracture site with direct current of 10--50 mA in patients with crural fractures, the authors noted a more rapid callus formation. The latter is supported by clinical data and roentgenograms. The method results in shortening of the terms of recovery in patients treated conservatively and surgically. It is believed that this method may be recommended for a wider clinical use in crural fractures.
Under consideration are one-moment operations for associated lesions of abdominal organs. Based on the experience with 103 such operations, the authors subdivided patients into two groups: emergency operated patients and those in whom planned interventions were performed. It is believed by the authors, that a careful clinical preoperative examination of the latter and methodical revision of abdominal organs in urgent laparotomies make it possible to reveal an associated pathology of abdominal organs and to perform a radical one-moment operative procedure.
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Basing on clinical observations over 51 patients with cancer of the gallbladder the authors support the opinion of many medical researchers that, in most cases, the disease develop with cholelithiasis in the background. To establish the diagnosis of cancer of the bladder prior to surgery is possible only taking into account the complex of manifestations in patients with a persistant anamnesis of cholelithiasis. The mortality rate is high. One of the effective prophylactic measures against development of the bladder cancer is felt to be an early operative treatment for cholelithiasis and its complications.
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