Biomedical subjects
Publications and source records attributed to A M Tishchenko.
The results of 204 relaparotomy operations, performed by a single surgeon in 1985-2004 yrs, were analyzed. The data concerning primary operations, their order of emergency, complications, occurred in postoperative period, demanding relaparotomy performance, the causes of their occurrence, were presented.
Experience of treatment in the clinic of 162 patients with pancreatic pseudocyst was analyzed. Modern principles of diagnosis and treatment of patients were adduced. Operation before the cyst capsule formation is compulsory, caused by the complications occurrence and the pancreonecrosis progression. External drainage of an acute pancreatic pseudocyst was performed in 61 patients, internal drainage--in 72. After external drainage the cyst recurrence was noted in 17, the pancreatic fistula formation--in 7 patients. The poorest results were noted in patients with infected pancreonecrosis and in pseudocyst formation.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
The increased risk factors--gender, age of the patient, the cholelithic disease existence duration, the acuteness of inflammation, the operations performed earlier on the abdominal cavity organs, influencing the laparoscopic cholecystectomy conduction for Courvoisier's gallbladder--were analyzed. The increase of intraoperative complications occurrence (hemorrhage, perforation of gallbladder, the outhepatic biliary ducts) in patients of elder age with durable disease was noted.
The results of surgical treatment of 320 patients with an acute biliary pancreatitis are analysed. The therapeutic-tactical algorythm, using miniinvasive endoscopical interventions, is elaborated. Mortality for pancreatitis in systemic-toxical phase have constituted 10.1%, and in septical one--33.3%.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Surgical tactics and the peculiarities of operative procedure choice in stenosing duodenal ulcer, complicated with bleeding, were generalized on the base of analysis of surgical treatment results in 134 patients. Clinical application of organ preserving operations in combination with adequate vagotomy permitted to expel the origin of bleeding and pyloroduodenal zone stenosis recurrence and also the severe postoperative gastric stasis occurrence.
The results of surgical treatment of 800 patients with ulcer gastroduodenal bleeding, in 122 of whom diabetes mellitus was diagnosed, were analyzed. Organpreserving operations combined with vagotomy were conducted to the whole of the patients, the elaborated in clinic individualized approach to the diabetes mellitus prophylaxis was used. The glucose-correcting therapy methods were depicted with the respect to diabetes mellitus form, hemorrhage severity and indications for the operation.
A study of 390 patients admitted far gastroduodenal bleeding indicates that these bleedings developed more frequently in young subjects in January, October and September. An analysis of the seasonal dependence of complications on the duration of the disease revealed a tendency of prevalence in the autumn period of patients with a prolonged anamnesis. Data of the study confirm the seasonal character of ulcer disease complications as well as the development of acute gastroduodenal bleedings.
On the basis of the experience with endoscopic examination of 422 patients with ulcer disease complicated by bleeding, the stages of local haemostasis and factors indicating the high likelihood of recurrent bleeding from a gastric, or duodenal ulcer were defined.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.