PubMed Health⌕ Search

Biomedical subjects

A V Vakhidov

Publications and source records attributed to A V Vakhidov.

At least 19 recordsLinked to original sources
PubMed1999

[The surgical treatment of echinococcosis of the diaphragmatic surface of the liver].

The results of surgical treatment of 628 patients aged 15-76 years operated on for echinococcosis of diaphragmatic surface of the liver have been analysed for period from 1976 to 1996. 333 patients had complicated echinococcosis, 124 combined pathology of other organs. Methods which have been applied for diagnosis of echinococcosis of the liver and its complications are described. Details of surgical treatment of the echinococcosis of the diaphragmatic surface of the liver are elucidated in time course aspects, as a staged treatment, during which various factors were used for antiparasitic treatment of cystic cavity as well as various methods of elimination of the residual cavity. Problems concerning application of laser and plasmatic scalpel during various stages of the operation, as well as low-intensity lasers and low-frequency ultrasound during the operation and in postoperative period are considered. Postoperative complications were detected in 99 (15.8%) patients, lethal outcomes were in 5 (0.8%) cases.

Adolescent↗
PubMed1998

[The combined treatment of cholangitis in patients with intraoperative damage and posttraumatic cicatricial stricture of the extrahepatic bile ducts].

The result of treatment of 196 patients with cholangitis, occurred due to intraoperative trauma and posttraumatic cicatricial stricture of extrahepatic biliary ducts (EBD) was analysed. Methods of extracorporeal detoxication-hemosorption (in 53 observations), plasmapheresis (in 32), biohemosorption (in 21) were applied in the complex of treatment. The EBD decompression was conducted using endoscopic diathermocoagulation and bougienage of cicatricial stricture (in 56 patients) with introduction of a hidden drain (in 9) or nasobiliary catheter (in 47). In all the patients reconstructive and restorative operations were conducted. Postoperative complications occurred in 43 (22%) patients, 31 (15.8%) patients died. Stricture recurrence, necessitated reoperation conduction, was noted in 15 (7.6%) patients.

Bile Ducts, Extrahepatic↗
PubMed1998

[Diagnosis and treatment of liver echinococcosis complicated by cysto-biliary fistula].

890 patients with echinococcosis of the liver were operated during 1976-1992. Complicated forms of the disease were li detected in 222 (24.9%) patients, among them 141 (15.8%) patients with cysto-biliary fistulas. Ultrasonography examination and endoscopic retrograde cholangiography were regarded as the most informative methods of preoperative diagnosis of cysto-biliary fistulas. Three-stage management was worked out. The usage of laser, plasmatic scalpel and ultrasound of low frequency substantially contributed to improvement of the results of treatment of these patients.

Adolescent↗
PubMed1998

[Minimally invasive transcutaneous interventions in elimination of suppurative residual cavities in liver after echinococcectomy].

The results of treatment of 34 patients with suppurative residual cavities in the liver (SRCL) after echinococcectomy are analyzed. New method of elimination of SRCL consisted in transcutaneous puncture and drainage of the infected cavity followed by transdrainage laser irradiation of its walls by Nitrogen UV laser and Helium-Neon laser of visible spectrum, was applied in 31 patients. Transdrainage irradiation was carried out at the background of daily procedures of transcutaneous laser radiation of the liver (Arsenid-Gallium infrared laser). Minimal traumatism of transcutaneous interventions and pronounced antibacterial, antiinflammatory and stimulating influence of low-energy lasers made it possible to improve significantly the results of treatment of SRCL patients.

Adolescent↗
PubMed1993

[External respiration in patients with craniocerebral injury].

One hundred and twenty patients with a severe craniocerebral trauma were examined to study disorders of external respiration function (ERF) in this injury. The static and dynamic parameters of ERF were determined daily for the first week and on the 10th, 14th, 21st, and 28th days after the trauma. It was found that the underlying factors of ERF disorders in trauma of the brain were diminished volumes and capacities of the lungs, impaired bronchial patency with subsequent development of atelectasis of the lungs and the pulmonary shunt, which were determined by the severity and level of damage of the brain structures. The pharmacological test conducted in the posttraumatic period showed that bronchospasm persisting for a month developed twice more frequently in patients with a severe trauma than in those with a moderately severe injury.

Brain Injuries↗
PubMed1993

[Internal biliodigestive fistulas].

Experience in surgical treatment of 53 patients with internal biliodigestive fistulas is analysed. The formation of the fistula in all cases was caused by cholelithiasis with obstruction of the bile ducts, purulent cholangitis, angiocholitis, cholangiolytic abscesses of the liver, pancreatitis, hepatitis, as well as cholelithic ileus. Cholecystectomy, removal of the stones from the bile ducts, restoration of the main route of bile drainage, elimination of the pathological communication, and closure of the defect in a hollow organ should be considered the operation of choice. In cholelithic ileus operation for correction of the intestinal obstruction is also expedient. Postoperative complications were encountered in 35.8% of cases. Hepatorenal insufficiency developed in 8, incompetence of the choledochus sutures in 3, an external biliary fistula in 2, hepatic abscess in 1, pancreatitis in 2, and suppuration of the postoperative wound in 3 patients. Among the 53 patients treated by operation, 49 (92.5%) recovered and 4 (7.5%) died from various postoperative complications.

Aged↗
PubMed1991

[Complications and reoperations after peritoneo-atrial shunting in patients with liver cirrhosis and diuretic-resistant ascites].

The analysis of postoperative complications, which developed in 33 patients after peritoneoatrial shunting (PAS), was carried out. The effectiveness of PAS is determined by proper choice of the indications, adequate performance of surgical intervention. The use of intraoperative teleroentgenoscopy for control of the venous catheter situation is recommended. Reoperations for postoperative complications are to be performed in presence of a pressure gradient in the valvular system and in patients with shunt infection after elimination of the inflammatory process.

Ascites↗
PubMed1991

[Lasers and plasma scalpel in the surgery of hepatic echinococcosis].

A plasma surgical device and a CO2-laser device were used in operative treatment of 46 patients with hydatid disease of the liver; in 25 in the patients these measures were combined with exposure to low-energy helium-neon laser radiation. The patients' condition improved more rapidly, the frequency of postoperative complications reduced, the term of postoperative hospital stay of the patients decreased. The fibrous capsule was studied morphologically before and after manipulations with the laser and plasma scalpel.

Echinococcosis, Hepatic↗
PubMed1990

[Combined use of peritoneo-atrial shunting and endoscopic sclerotherapy of esophageal varicose veins in treating liver cirrhosis with portal hypertension and resistant ascites].

The authors in 39 patients with liver cirrhosis and intractable ascites performed peritoneoatrial shunting (PAS), in 16--PAS in combination with prophylactic endoscopic sclerotherapy (ES) of gastric varices (GV). Prophylactic use of ES before PAS permitted to reduce more than 3-fold the incidence of postoperative bleeding from EV.

Ascites↗
PubMed1989

[Changes in hemodynamics and angioarchitecture of the hepatolienal basin after embolization of the splenic artery in liver cirrhosis].

Complex investigations of regional hemodynamic changes in the spleno-hepatic basin in 72 patients with cirrhosis of the liver after the embolization of the splenic artery have shown that in most patients the embolization of the splenic artery is followed by pronounced alterations in the portal system, decreased portal pressure, inversed blood flow in the main trunk of the splenic vein. The ESA used in the complex surgical treatment of patients facilitates the compensation of the portal blood circulation.

Embolization, Therapeutic↗
PubMed1988

[Correction of hemodynamics after peritoneoatrial shunt in liver cirrhosis with resistant ascites].

Complex examination of hemodynamics was performed in 26 patients with cirrhosis of the liver with portal hypertension after operation of peritoneoatrial shunt using the methods of integral rheography, probing of heart cavities and pulmonary artery. Clinical results of the operations were analyzed. A conclusion was made of the absence of substantial alterations of gas exchange and hemodynamics of the lesser circulation. The alteration of the colloido-oncotic properties of blood are thought to be the leading factor in pathogenesis of the appearance of postoperative cardiopulmonary complications.

Adolescent↗