[The treatment procedure in cholelithic intestinal obstruction].
The results of diagnosis and treatment of 7 patients with an acute cholelithic ileus were summarized. All the patients were operated on, one of them died.
Biomedical subjects
Publications and source records attributed to A T Tikhiĭ.
The results of diagnosis and treatment of 7 patients with an acute cholelithic ileus were summarized. All the patients were operated on, one of them died.
The results of treatment of 28 patients with "appendicitis-like" form of the Crohn's disease are summarized. Diagnosis before the operation was supposed in 6 patients. Operated on were 25 patients. All of them underwent appendectomy. Differential diagnosis of acute appendicitis and Crohn's disease in difficult, of main importance are the data of clinical investigation. In diagnosis verification by the data of histologic conclusion, the performance of postoperative specific antiinflammatory therapy is mandatory. Danger of appendectomy under such conditions is exaggerated. The result of treatment at the period of from 3 to 20 years was studied in 22 patients operated on. Performance of postoperative treatment contributed to abatement of the disease, achievement of a satisfactory long-term result in all the patients.
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In surgical treatment of hepatic amebic abscesses by means of extensive dissection and drainage the postoperative lethality remains high. The literature data and the author's own observations on 30 patients, who underwent puncture of amebic abscess of the liver together with specific and antibacterial therapy, which resulted in their recovery, permit to consider paracentensis as a method of choice, when there are no complications, such as a purulent discharge into the adjoining organs and tissues, which calls for surgical intervention.
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