Biomedical subjects
Publications and source records attributed to A E Solov'ev.
Long-term results of the surgery of 61 children with ureterohydronephrosis of one of doubling kidneys have been estimated. The authors believe that inter-pelvic and ureteropelvic anastomoses are most physiological in ureterohydronephrosis of doubling kidneys in children. In case of absence of vesicoureteral reflux there is no reason to remove the distal part of the ureter.
Explore the source record for details and available documents.
The clinical material includes 117 children with fractures of the proximal part of the radius. A functional method of treatment was used in 44 children with a hinge-rotary device developed by the authors. A complete restitution of movements in the elbow joint was registered in 84% of the children in contrast to 68% of the children treated by traditional methods. An unsatisfactory result was noted in 1 patient while the traditional method resulted in 10% of unsatisfactory outcomes.
The results of 7 observations of duodenum, colon and rectum injuries while urologic operations conduction are adduced. On the author's opinion, the principal method of treatment is the intestinal contents diversion.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
The results of observation of 143 children with intestinal invagination are presented. In 105 patients, the disease was at the stage of compensation, in 27--subcompensation, in 10--decompensation. According to the data of clinical and laboratory investigations, the most pronounced changes in homeostasis were noted in children with intestinal invagination at the late stage. The measures aimed at stabilization of hemodynamics, improvement of microcirculation were carried out. In to the complex of treatment, the methods of extracorporeal detoxication of an organism and intestinal intubation going ahead of aggravation of toxemia were included.
A new method for surgical treatment of girls with vaginal (total) hypospadia is described. Two girls were operated on; the results were good.
Changes in vital functions in endotoxicosis were appraised in 41 patients with acute peritonitis during stages of intensive therapy in a complex fashion. Correlative relations were revealed between the severity of endotoxicosis and the function of blood circulation, blood gases, and respiration. Endotoxicosis was characterized by increased level of middle mass molecules, circulating immune complexes, leukocytic index of intoxication, asparagate and alanine transferase. Hemodynamics functioned in hyperdynamic regimen in the reactive stage of peritonitis, in the normodynamic regimen in the transitional stage, and in the hypodynamic regimen in the toxic stage. The immune status was inhibited in the toxic stage of peritonitis. Normalization of vital functions in the postoperative period occurred in parallel with decrease of the severity of endotoxicosis. The studied values approximated the average-age indices in patients with the toxic stage of peritonitis by postoperative days 7-10; sorption methods of detoxification were included in the complex intensive therapy measures in these children.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
On the basis of the experience with the use of different methods of intestinal decompression in 56 children with severe peritonitis of appendicular genesis, the authors came to conclusion that intubation of the small intestine via a cecostomy is safe, technically simple, convenient for the care, provides reliable intestinal decompression, do not require the reoperation.
Late appendicular infiltration was observed in 23 children during 10 years. The authors make a conclusion that the use of bdellotherapy in children with late appendicular infiltration gives considerably better results of treatment as compared with the routine one. The absence of an effect of using leeches for appendicular infiltration may be used as an additional symptom of the infiltrate abscess formation.
In compensated stage of peritonitis in children, the degree I endotoxicosis, hyperdynamic type of circulation without impairment in the immune status were revealed. In subcompensated stage of peritonitis, the degree II endotoxicosis, normodynamic type of circulation were noted. The values of the indices of the cellular link of immunity were at the lower normal limit. In decompensated stage of peritonitis, the degree III endotoxicosis, hypodynamic type of circulation and immunodepression of the cellular link of the immunity were noted.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.