Biomedical subjects
Publications and source records attributed to A I Rylov.
Retrospective analysis of severity of the postoperative peritonitis clinical course was conducted in 69 patients. There were identified two forms: classical and atypic. There was established, that for classical clinical form the presence of the pain syndromes characteristic as well as of the peritoneal irritation symptoms, and for the atypic one--the sepsis occurrence.
The retrospective analysis of treatment of 42 patients with the closed abdominal trauma, whom the relaparotomy carried out. Principal causes bringing to repeatcd operative interventions were separated, and classification of operations depending on terms of performance, are allocated. An inclination the basic directions as system and local character are allocated.
Experience of treatment of 52 injured persons with combined pancreatic trauma was summarized. Among combined injuries the thoracic trauma had predominated. Laparocentesis was performed in all patients in emergency. In pancreatic injury a gastroepiploica was cannulated with subsequent infusion of sandostatin and antibiotics. In 11 patients complications after the operation had occurred, mortality was 23.1% (12 patients).
The experience of treatment of 69 injured persons with posttraumatic retroperitoneal hematoma suffering severe multiple combined abdominal trauma was analyzed. Application of the classification proposed permits to formulate diagnosis and to choose the tactic of treatment correctly. The intraoperative tactics algorithm was elaborated. It promotes the correct analysis of intraoperative findings and reduction of the diagnostic mistakes frequency as well. In the presence of vast defect, making impossible to suture over the parietal peritoneum, extraperitonization using cerebral dura mater was done. Operative intervention was concluded by drainage with subsequent laserotherapy.
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