[A decubitus ulcer in the sacral area complicated by osteomyelitis of the sacrum].
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Biomedical subjects
Publications and source records attributed to D Videlov.
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For the period 1981 up to 1987 25 patients with a total of 27 decubital ulcers have been healed successfully in the II. Clinic of Surgery, Med. Faculty in Pazardzhik, and the University Clinic of Burns in Sofia. The application of myocutaneous flaps versus free skin grafts plus ulcer first covering after excision appears to have definite advantage in the treatment of such patients.
In a prospective and comparative study were included 129 patients undergone planned operation for colorectal cancer. They were divided in two randomized groups: Group A consisted of 65 patients operated under conditions of preoperative acute normovolemic hemodilution (PANHD) by an own modified technique with Ringer-lactate and hemodex. Group B (control) included 64 patients operated with the use of homologous blood substitution. The results in the two groups were compared as to: intra- and postoperative blood transfusions; time (in days) of postoperative treatment; number of postoperative complications. Statistically significant differences (p less than 0.001) referrable to all three compared values were found. The modified PANHD technique in planned colorectal surgery is safer for the patients than the so far suggested techniques and may readily gain acceptance with the use of solutions of domestic produce. It leads to significant decrease in homologous blood transfusion, shortening the postoperative stay in hospital of patients subjected to hemodilution. The number of patients in whom postoperative complications developed was reduced.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.