[Combined retroperitoneal approach in reconstructive surgery of the infrarenal segment of the aorta, its bifurcation and iliac arteries].
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Biomedical subjects
Publications and source records attributed to A F Dronov.
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By using the method of electromyography of the anterior abdominal wall and punction laparoscopy in the diagnosis of acute appendicitis the author reduced the percentage of diagnostic errors considerably, to 5.7 and 0.9%, respectively (in the traditional means of making the diagnosis, it is about 30%). It is proved convincingly that nondestructive forms of acute appendicitis do not develop into destructive forms.
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The authors' experience with the treatment of 46 patients with secondary and primary omentitis is presented. Operations were performed in all the children. Resection of the altered portion of the omentum was fulfilled in primary omentitis. Draining operations were performed in cases with secondary omentitis. It was found that primary omentitis was caused by a hematogenic infection of peripheral portions of the greater omentum, the secondary omentitis being due to a residual inflammatory process in the resected omentum stump or not correct assessment of its state and rejection of resection while performing appendectomy.
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On the basis of an analysis of remote results of appendectomy for non-destructive forms of appendicitis in children the authors make a conclusion that appendectomy was not justified in these forms of the disease. To differentiate destructive and non-destructive forms of appendicitis the authors recommend to use electromyography and laparoscopy.
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