PubMed Health⌕ Search

Biomedical subjects

A I Nechaĭ

Publications and source records attributed to A I Nechaĭ.

At least 91 records · Page 5Linked to original sources
PubMed1979

[Lethality in postoperative peritonitis and the characteristics of its clinical diagnosis].

Within 30 years of their work the authors observed 151 cases of postoperative peritonitis, which made 1.1% of all the laparotomies carried out during this time. None of the known symptoms of peritonitis can be taken as a constant sign of this dangerous complication. In the early recognition of postoperative peritonitis and the determination of the indications for repeated laparotomy the experience of a surgeon, well acquainted with the diagnosis of postoperative complications in the abdominal organs, is the most essential. The diagnostic laparotomy (microlaparotomy) is quite justified even in case when peritonitis symptoms are not well marked, but a progressive general intoxication cannot be explained through any other causes.

Adult↗
PubMed1979

[Phytobezoars of the stomach].

Literature data and the own authors' observations (76 cases), concerning the recognition and treatment of stomach phytobezoars following vagotomy and stomach resection are set forth in the paper. All these formations in the stomach were removed by means of the conservative procedures. Knowledge of the specificity of the phytobezoars manifestations in an operated stomach allows for better understanding and evaluation of the state of the patients who have been subjected to stomach resection of vagotomy.

Bezoars↗
PubMed1978

[Non-surgical removal of calculi left in the bile ducts].

The experience with non-surgical treatment of 8 patients with calculi left in the bile ducts in presence of external drainage of the hepatocholedochus is set forth. Various procedures were used: washing ofthe bile ducts, injection of heparinized physiological solution into the bile ducts and removal of the calculi with the help of Dormia's probe. Good results were obtained in all 8 cases. No repeated operations were needed.

Adult↗
PubMed1978

[Therapeutic action of stress caused by surgical intervention in viral hepatitis and other diseases].

The data on 27 cases of parenchymatous jaundice resulting from acute virus hepatitis (16) chronic hepatitis (6), primary biliary liver cirrhosis (5) are analyzed in this work. All the patients underwent diagnostic laparotomy. The authors have come to the conclusion that the stress induced by surgical interventions results, as a rule in a rapid favorable change in the clinical course of virus hepatitis. Surgical interventions are not likely to exert a therapeutic effect upon patients with chronic hepatitis and primary biliary liver cirrhosis.

Bilirubin↗
PubMed1977

[Use of preparations with sympatholytic activity for prevention and treatment of postoperative intestinal paresis].

For prophylaxis and treatment of postoperative intestinal paresis the authors employed in 1059 patients gangliolytics and drugs of sympatholytic action -- benzohexonium, aminazine, pyrroxane. An early sympathetic blockade after abdominal surgery was found to be effective both with respect to the prophylaxis of intestinal paresis and in treatment of grave functional disturbances of enteric motility, that develop in different abdominal complications.

Adrenergic alpha-Antagonists↗
PubMed1976

[Large stump of the cystic duct].

The authors concluded that a large stump of the gall-bladder duct is of no independent importance as a cause of the affection. However, concretions may be formed in the stump, that was evident in three cases, therefore, the gall duct stump should be no more than 0.5 cm.

Cholecystectomy↗
PubMed1975

[Electric stimulation of intestinal motility in the postoperative period].

The authors performed 208 electric stimulations of the bowel motor activity with the aim of prophylaxis and treatment of its postoperative paresis. The studies have shown that electric stimulation accelerated considerably the process of rehabilitation of the bowel motor function, but it would not prevent the development of grave functional intestinal obstruction. But nevertheless electric stimulation is a highly effective method in the complex of measures for treatment of grave functional intestinal obstruction. Electric stimulation of the bowel should be introduced in every day practice of intensive postoperative care departments.

Electric Stimulation↗
PubMed1975

[Ligature with insoluble material as a cause of formation of bile duct calculi].

The author reports 5 observations on formation of secondary concretions in bile ducts due to getting into the latter silk, capron and lavsan ligatures put on the vesical duct stump or the common bile duct wall. A running suture from the unresolved material proved to be most hazardous in this respect. Sutures from slowly resolving materials such as chromisized catgut best of all meet the requirements of surgical procedures on bile ducts.

Adult↗
PubMed1975

[External drainage and suture of the bile ducts following choledochotomy].

The authors report their experience with the use of a T-shape drainage in 258 choledochotomies, accomplished in 248 patients, and suturing of the common bile duct in 77 patients. The technic of preparation of a T-shape drainage, its fixation in the common bile duct and the postoperative management of patients with such drainages are described. The complications developed while using a T-shape drainage are analysed. Late sequelae of application of the drainage were taken into account after 219 operations, whereas in 163 patients intravenous cholangiography was performed after such drainage of bile ducts, the terms being longer than 3 years in 140 cases.

Bile↗