[Transillumination of abdominal organs during laparoscopy].
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Biomedical subjects
Publications and source records attributed to D M Dalgat.
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A new technique and a device developed by the authors allowed obtaining additional data at panoramic laparoscopy thus promoting valid diagnosis in complicated cases of choledocholithiasis and cholelithiasis+ as well as in parenchymatous abscesses and cysts. The accuracy of the diagnosis rose by 10-15%.
Direct irradiation by a helium-neon laser of the pancreas in acute pancreatitis potentiates the action of fluorouracil, permits to reduce its dosage, improve the results of treatment.
The results of treatment of 476 patients with lactation mastitis (infiltrative, with abscess formation, phlegmonous) are discussed. The patients were treated by intra-tissue or intracavitary silver electrophoresis and by the commonly applied methods (control group). Treatment by silver electrophoresis alone and, in cases of an abscess cavity, with addition of drip-flow lavage with silver electrolyte improved the results considerably and reduced the term of in-patient treatment to one half as compared to the control group of patients.
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In diagnosis of acute pancreatitis of special importance is determination of the activity of transamidinase, phospholipase A, lipase, concentration of copper, calcium and triglycerides in blood serum as well as laparoscopy with biopsy and local thermometry of the pancreas. The dosage of 5-fluoruracil in the complex treatment of patients should be differentiated corresponding to the form of the disease: 3 mg/kg in the endomatous form, 5 mg/kg in the destructive form. The general lethality was 1.4%. In conservative treatment there were no lethal outcomes.
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An analysis of 14565 operations on organs of the abdominal cavity has shown that main causes of early relaparotomies were peritonites (47,4%), intestinal obstruction (33,3%), eventration of the abdominal organs (16,0%) and hemoperitoneum (3,3%). The highest lethality was after postoperative peritonitis (54,1%). For the recent 10 years the total lethality has become 31,6% lower due to better diagnosis and early relaparotomies.
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