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Biomedical subjects

A I Nechaĭ

Publications and source records attributed to A I Nechaĭ.

At least 73 records · Page 4Linked to original sources
PubMed1985

[Results of truncal vagotomy in duodenal ulcer 10 years or more after the operation].

Results of truncal vagotomy for duodenal ulcer performed in 201 patients ten and more years ago were analyzed. The dumping syndrome, diarrhea and gastric dyspepsia of moderate degree were observed in 7% of the patients. No severe disorders were noted. Recurrent ulcers could develop at any time after operations, 10 years later as well, but mostly within the first three years. During 10 years recurrent ulcers were found in 11,5% of the patients. The incidence of recurrencies was influenced by the age of the patient by the time of operation and high level of acid night gastric secretion. A single course of conservative treatment was followed by a persistent healing of every third patient with recurrent ulcers.

Adult↗
PubMed1985

[Surgical tactics in the treatment of patients with arterial hypertension of adrenal origin].

On the basis of the surgical treatment of 199 patients with different pathological conditions frequently followed by the development of arterial hypertension of the adrenal origin the authors describe specific features and problems of diagnosis of this kind of symptomatic hypertension. All these features and diagnostic problems should be taken into consideration when determining indications for surgery.

Adrenal Gland Neoplasms↗
PubMed1983

[Current problems of diagnosis and treatment of choledocholithiasis].

The article gives an estimation of a number of diagnostic methods of examination, modes of intraoperative revision of the ducts, means of finishing the operations. The endoscopic retrograde cholangiopancreatography is highly estimated as revealing the stones before the operation in 96% of cases in patients with jaundice and a post-cholecystectomy syndrome. The importance of a certain sequence of using the methods of intraoperative diagnosis (such as cholangiography and cholangiodebitometry--before choledochotomy; choledochoscopy, instrumental revision of the duct and control cholangiography--after choledochotomy) is stressed. The authors are against the tight suture of the common bile duct and show advantages of T-shape drains for the external drainage. The development of methods of non-operative removal of the retained stones with the external drainage of the ducts being present allows sharp restriction of indications for creating biliodigestive anastomoses for multiple stones in the common bile duct.

Cholangiography↗
PubMed1980

[Surgical treatment of the Itsenko-Cushing syndrome accompanying an adrenal cortex neoplasm].

The data of remote observations of 39 operated patients with adrenal cortex tumors were analyzed as well as the functional state of the hypothalamo-hypophysial system and morphological investigations of the adrenals removed. In the light of the results obtained the questions of surgical methods and choice of the operation volume are discussed which can liberate the patients of the Itsenko-Cushing syndrome.

Adenoma↗
PubMed1980

[Choledocholithiasis after cholecystectomy].

Concrements were found in the ducts of 172 patients subjected to secondary surgical interventions on bile ducts. The detailed analysis of the data failed to answer the question whether the stones could be formed immediately in the ducts without such conditions as a mechanical obstacle for the outflow of bile, the presence of foreign bodies and a big stump of the cystic duct. Such a formation of stones can take place in very few cases. The authors have shown that control cholangiography and especially choledochoscopy can reduce the danger to leave the stones in the ducts, but does not eliminate the danger completely. Nevertheless they think that now it is possible to lessen the indications for biliodigestive anastomoses in choledocholithiasis since the retained stones can be revealed within the first days after surgery and, as a rule, removed with instruments or by other methods using the drainage left in the ducts.

Cholecystectomy↗