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Biomedical subjects

A M Tetdoev

Publications and source records attributed to A M Tetdoev.

14 recordsLinked to original sources
PubMed1990

[Surgical tactics in cancer of the colon complicated by intestinal obstruction].

Operations were carried out on 128 patients with cancer of the colon complicated by the intestinal obstruction. In right localization of the tumor, 25 patients were subjected to one-stage hemicolectomy, ileotransversoanastomosis was established in 6 patients. In left localization, the tumor was removed with the formation of colostomy in 54 patients, double-barrel colostomy or by-pass intestinal anastomosis were created in 36 patients. Among 63 patients with stage III carcinoma in whom obstruction was relieved and the tumor removed simultaneously, 6 died in the postoperative period. There were no fatal outcomes of two-stage radical operations conducted on 9 patients. A total of 33 (25.8%) patients died in the postoperative period. On the basis of the obtained results, the authors consider treatment of intestinal obstruction by removal of the tumor justified.

Adult↗
PubMed1988

[Restoration of the continuity of the large intestine].

Restorative operations were performed on 55 patients aged from 15 to 76. In 35 patients the first operations were performed for carcinoma of the left half of the colon, in 20 patients -- for non-tumorous diseases. In 51 patients the first intervention was completed by the Hartman operation. In 4 patients a double anus was formed. Restorative operations were fulfilled within the period from 3 till 18 months. Complications in the postoperative period were noted in 21 patients. Five of them died: 4 patients -- from peritonitis and 1 -- from cardio-pulmonary insufficiency.

Adolescent↗
PubMed1986

[Supraduodenal choledochoduodenostomy in complicated forms of cholecystitis in middle-aged and elderly patients].

An analysis of immediate and remote results of supraduodenal choledochoduodenostomy used in 310 patients with acute cholecystitis and diseases of extrahepatic bile ducts enabled the authors to establish exact indications and contraindications to supraduodenal choledochoduodenostomy as one of the methods of finishing choledochoduodenostomy. This method is recommended for elderly and senile patients when elimination of the obstacle for bile outflow in the terminal part of hepaticocholedochus was thought to be impossible or not reliable.

Adult↗
PubMed1983

[Perforation of colonic diverticuli].

Difficulties of preoperative diagnosis of perforations of colonic diverticula are shown by an analysis of 11 patients. The Gartman resection of the sigmoid colon was performed in 8 patients. A conclusion is made concerning advantages of resection of the intestine without a primary anastomosis for perforation of colonic diverticula over other kinds of operative procedures.

Adult↗
PubMed1980

[Long-term results of emergency surgery on the extrahepatic bile ducts].

During urgent and emergent operations for acute cholecystitis choledochotomy was fulfilled in 255 patients. The opening of ductus choledochus was accomplished by external drainage in 179 patients, biliodigestive anastomosis in 61 patients and suture of the bile duct in 15 patients. In the postoperative period 37 patients (14.5%) died (6 of them after biliodigestive anastomosis, the rest--after external drainage). Remote results were studied in 171 (78.4%) patients of 218. Of 171 patients 21 died of various causes, two of them--of bile duct diseases. Good remote results were obtained in 87 (58%) of 150 patients examined. Satisfactory results were observed in 41 (27.3%) patients and 22 patients (14.7%) had bad results. Bad results were mainly observed in patients after choledochostomy (20 patients). The data obtained enabled the authors to emphasize that stable recovery was observed in the people who had a careful revision of the main ducts with use of contrast cholangiography and rationaly accomplished choledochotomy. The authors restrict indications for choledochostomy. The approximation suture of ductus choledochus and choledochoduodenostomy in urgent operations should be combined with the disloading microdrainage through the stump of the bile duct.

Acute Disease↗
PubMed1978

[Choledochotomy in emergency surgery on the extrahepatic biliary tracts].

Choledochotomy in urgent operations for acute cholecystitis has been carried out upon 255 patients. Indications for the dissection of the common bile duct in acute cholecystitis are considered. Methods of completion of choledochotomy are discussed. According to the authors' data in the most of the patients the external drainage of the common bile duct was done. Immediate and late results of this operation happened to be worse than those following choledochal blind suture or biliodigestive anastomosis (choledochoduodenostomy). On this basis it is recommended to restrict the use of the external drainage.

Adult↗