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Biomedical subjects

A N Alimov

Publications and source records attributed to A N Alimov.

10 recordsLinked to original sources
PubMed2006

[Surgical policy and future of endo-surgery of closed abdominal injuries in severe combined trauma].

Results of examination and treatment of 646 patients with severe combined trauma and closed abdominal trauma are analyzed. Laparocentesis and laparoscopy were used for diagnosis. Laparocentesis (342 procedures) diagnosed injuries of the abdominal organs in 47% cases and excluded them in 33% cases that made a total of 80% of accurate diagnoses. Laparoscopy (304 procedures) provided accurate diagnosis in 99.34% cases. Laparoscopy did not reveal injuries that required additional surgical procedures in 56% patients, in the rest 44% patients surgical methods of treatment were used including laparotomy (29.2%) and endo-surgical procedures (14.8%). Algorithm of diagnosis and treatment is described.

Abdominal Injuries↗
PubMed2006

[Choice of the method of surgical treatment of spleen disruption in combined and isolated abdominal trauma in terms of endosurgery].

The results of the treatment of 378 patients with severe combined (n=270) and isolated (n=108) close abdominal trauma with an injury of the spleen are analyzed. Overall lethality was 11.9% including 7.41% during the first 24 hours. Spleen-preserving surgery was performed in 150 patients, 98% of them had severe injuries of this organ. Splenectomy was performed in 228 patients. Ligation of splenic artery is the indispensable condition of spleen-saving surgery. The level of ligation was validated by the data of own 102 x-ray and 73 anatomic examinations. Optimal level of ligation is located in proximal and middle part of the splenic artery. Spleen-preserving surgeries (especially laparoscopic procedures) significantly reduced lethality, number of postoperative complications and hospital stay.

Abdominal Injuries↗
PubMed2005

[Evaluation of status severity in patients with isolated and combined injury of abdomen associated with spleen disruption].

Results of treatment of 378 patients with severe combined and isolated abdominal trauma with spleen injury are analyzed. Severity of patients state and severity of trauma are assessed. General lethality was 11.9% including 7.41% during first day. Spleen-saving surgery was performed in 150 patients, 96% of them had severe injuries of organ. Spleen was removed in 228 patients. Spleen-saving surgeries (especially laparoscopic procedures) permitted to reduce significantly lethality, number of postoperative complications and hospital stay.

Abdominal Injuries↗
PubMed2005

[Organ-saving method of treatment of spleen disruption].

Based on 102 X-ray and 73 anatomic examinations, the scheme of arterial circulation of the pancreas and spleen, features of their collateral circulation are analyzed. Optimal level of spleen artery ligation at proximal part as the main stage of organ-saving surgical treatment in traumatic disruption of the spleen is substantiated.

Adolescent↗
PubMed1997

[The effect of various surgical management methods of stenosing duodenal ulcers on the stomach mucosa defence barrier].

The article deals with one of the pressing problems of clinical medicine-restoration of the mucosal defence barrier in surgery for stenosing duodenal ulcer (SDU). The authors studied the defence barrier of the mucosa of the upper part of gastrointestinal tract by measuring the transmural potential difference (TPD) and the level of oxygenation of the organ mucosa in the early and late periods after surgical treatment of 118 patients with SDU. The defence barrier of the gastric mucosa (GM) and the duodenal mucosa (D) was effectively restored after selective proximal vagotomy (SPV) with duodenoplasty (DP) performed in 58 (49.2%) patients. Evidence of this was an increase of the TPD values and oxygenation level of the mucosa, whereas after SDU with Jaboulay's gastroduodenoanastomosis (CDA) conducted in 60 (50.8%) patients, the desired restoration of the mucosal defence barrier did not occur and in some areas of the stomach and duodenum it was damaged. The incidence of recurrences was 8.6% after SPV with DP and 10% after SPV with CDA. Therefore, SPV with DP does not yield to SPV with CDA in efficacy, and from the standpoint of curing peptic ulcer it also promotes effective restoration of the defence barrier of the gastric and duodenal mucosa.

Adolescent↗
PubMed1997

[Selective proximal vagotomy with duodenoplasty in the treatment of duodenal stenosis in patients with duodenal ulcer].

The results of surgical treatment of 118 patients with duodenal ulcer complicated with stenosis that have been operated on from 1981 to 1992 have been analysed. Selective proximal vagotomy (SPV) and duodenoplasty was performed in 58 (49.2%) patients (study group). SPV and gastroduodenal anastomosis by the method of Jabulay was performed in 60 (50.8%)-control group. The rate of postoperative morbidity in the study group-5.1%, in the control group-8.4%. The long-term follow up is from 1 year to 10 years (mean 5 + 0.6). The rate of recurrence of peptic ulcer is 8.6% in the study group and 10% in the control group. The modified scale (D. Johnson, 1976) was used for comparative evaluation of efficacy of two types of surgery. SPV and duodenoplasty was estimated in 175.1 points, that is 2.5 times less that SPV and gastroduodenal anastomosis (406.1 points). This demonstrates the advantages of SPV and duodenoplasty. The authors advocate SPV and duodenoplasty as a method of choice in the treatment of stenotic duodenal ulcer.

Adult↗
PubMed1997

[Secretion, evacuation function of stomach and duodenogastric reflux in patients with ulcerative stenosis of duodenum after various type of operations].

The results of surgical treatment of 118 patients with ulcerative disease of the duodenum, complicated by stenosis, were studied. 58 from them (49.2%) underwent selective proximal vagotomy (SPV) with duodenoplasty and 60 (50.8%) patients--SPV with gastroduodenoanastomosis by Zhabuley. In the early and long-term periods lowering of the audio productive function of the stomach was observed both in patients after SPV with duodenoplasty and after SPV with gastroduodenoanastomosis by Zhabuley. According to X-ray examination data in the long-term period after SPV with duodenoplasty the regular evacuation function has been restored in 95.5% of patients, and after SPV with gastroduodenoanastomosis--in 52.2% of patients the acceleration of evacuation was detected. The radionuclear examination after SPV with duodenoplasty manifested evacuation curves characteristic for healthy people in 93.3% of patients, and after SPV with gastroduodenoanastomosis--in 84% of patients the acceleration of the evacuation of various degrees, was revealed. The duodenogastral reflux (DGR) in long-term periods after SPV with duodenoplasty was revealed in 25% of patients, in most cases being periodic (18.8%). After SPV with gastroduodenoanastomosis DGR was registered almost 3 times more frequently (73.3%); permanent DGR was revealed in 46.7% of cases.

Adolescent↗
PubMed1990

[Intraoperative cholangiography].

The diagnostic value of intraoperative cholangiography (IV) is shown on the basis of analysis of data in the literature and material of two surgical clinics. Statistically significant criteria of the risk of cholangiolithiasis in patients with calculous cholecystitis are identified, which are indications for IC. It is shown that in substantiated rejection of IC the possibility of a diagnostic error is minimal. In tentative diagnosis of cholangiolithiasis in the case, and, consequently, in the choice of the required diagnostic manipulations and methods one should proceed from the principle of reasonable adequacy in a specific case.

Cholangiography↗