[Combined thoracoabdominal injury].
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Biomedical subjects
Publications and source records attributed to A V Alekseenko.
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From the analysis of surgical treatment results in 144 patients with hiatal hernia, it is concluded that differential approach in the choice of plasty method is necessary. It is determined by hernia's type, anatomical features of esophageal hiatus, concomitant diseases and patient's age. The authors show a preference for incomplete fundoplications methods from transabdominal approach (by Dor, Toupet and by method developed by the authors).
Results of operative treatment of patients with esophageal hernias of the diaphragm can be substantially improved in cases of differential approach to choice of the plasty method. Choice of the method of plasty depends on the hernia type, topographic-anatomical structure of the esophageal opening of the diaphragm, concomitant diseases and age of the patient. Preference should be given to methods of non-complete fundoplication performed from the transabdominal access.
The prophylactics of bronchopulmonary complications was performed by the authors original method of intrapulmonary electrophoresis. It was shown to be effective and allowed the amount of postoperative bronchitis and pneumonia to be reduced from 15-20% to 4.4%.
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Various magnetic (continuous current, alternating current and "running" impulse) fields were applied in 74 patients with trophic ulcers of lower limbs. 10-12 days after the beginning of the magnetic therapy wound surface has completely cleaned from necrotic tissues, surrounding inflammatory changes eliminated, epithelization of the wounds began. The most pronounced clinical effect was observed after the use of "running" impulse of magnetic field.
The supraexpanded (combined) operation was conducted in 36 patients for pulmonary cancer. The conduction of such operations is indicated in spite of their significant postoperative complications occurrence and high postoperative mortality (22.2%) because it permits to improve a grade II pulmonary cancer result of treatment.
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The experience of treatment of 305 patients with the edematous++ forms of pancreatitis is assigned. The application efficacy of intra-tissue (pancreatic) electrophoresis and electrophonophoresis using inhibitors, cytostatics, antibacterial and the other medicinal agents was studied. Decrease of frequency of the destructive pancreatitis appearance and the treatment results improvement were promoted by application of the intra-tissue electrophonophoresis with the chemotherapeutic agents in the complex treatment of an acute or exacerbated pancreatitis.
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The results of treatment of 86 patients with the use of magnetotherapy in combination with galvanization and intratissue electrophoresis are presented. To create an electric field, the "Potok-1" apparatus with a density of current equal to 0.05-0.1 mA/cm2 was employed. Simultaneously, the "MAG-30" apparatus for low-frequency magnetotherapy with induction of 30 mT and area of exposure of 20 cm2 was applied to a trophic ulcer site. The use of magnetogalvanotherapy in the complex of treatment of trophic ulcers of the lower extremities is recommended.
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At experimental investigations on 38 adult dogs for studying pharmacokinetics of kanamycin in the bile and liver tissue under the influence of the electric field of constant current, the increase in concentration of the preparation as compared with that in the control group was established. Optimal concentration of kanamycin retained for 14-16 h. Clinical study has shown the high effectiveness of the method for treatment of acute cholangitis suggested.
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A clinico-laboratory study revealed the efficiency of intratissue electrophoresis of drugs in the complex treatment of patients with trophic ulcer of the lower extremities. This is related to the favourable effect of the electromagnetic field on the lesion focus and possibility to increase the concentration of drugs in the inflammation focus.