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Biomedical subjects

E G Grigor'ev

Publications and source records attributed to E G Grigor'ev.

At least 19 recordsLinked to original sources
PubMed2002

[Minimally invasive method in the treatment of liver trauma complications].

78 patients aged from 14 to 73 years (57 men, 21 women) with complications after trauma of the liver were studied. Minimally invasive operations (puncture, drainage, puncture + drainage) were performed in 62 (79%) patients. 8 patients with small bilema received conservative treatment under visual follow-up. 8 patients with middle and big posttraumatic lesions not treated with minimally invasive surgery entered control group. Intracavitary prolonged proteolysis with immobilized proteinases (imosimase Literum, Novosibirsk) was used. Imosimase injection led to lysis of thick inflammation products, intensified sanation of focus. There were neither complications nor lethal outcomes. 2 (2.6%) patients were operated. Tissue sequestrum and bleeding were indications for surgery. Efficacy of minimally invasive treatment of posttraumatic lesion of the iver was 96%.

Abdominal Injuries↗
PubMed2000

[Puncture-drainage sanation of abdominal abscesses: is it sufficient treatment?].

Some anatomical grounds of postoperative extravisceral abscess formation, methods and results of their treatment, therapeutic policy in abscesses of parenchymatous organs are presented. 681 patients with abdominal abscess of various location were examined. Detailed analysis of ultrasonic and computed tomographic semiotics of postoperative extravisceral suppurative focus was carried out in 164 patients. The risk zones of extravisceral abscess formation in the conditions of changed visceral syntopy and destroyed ligamentic structures were determined. The efficiency of puncture-drainage treatment in different variants of subdiaphragmatic abscess was 89.4%, in abscess of omental bursa--83.3%. Intracavital prolonged proteolysis by immobilized proteinases (imosimase) was applied. The injection of imosimase in abscess cavity led to its content lysis, including the thick products of inflammation, improving their secretion through the drainage. In the majority of the patients, the puncture-drainage treatment of abscesses of various etiology and pathogenesis is an adequate method of sanation.

Abdominal Abscess↗
PubMed1991

[Programmed cleansing of abdominal cavity in postoperative generalized suppurative peritonitis].

Programmed cleansing of the abdominal cavity was performed in 54 patients in the management of postoperative generalized purulent peritonitis. Indications for stage inspection of the abdomen in different variants are discussed. The results were best in the group of patients (42 cases) treated by programmed relaparotomy and poor in patients (10 cases) in whom laparostomy had to be established. Total mortality in the analysed group was 46.3%. Polyorganic insufficiency was the main cause of death.

Adolescent↗
PubMed1990

[Liver abscesses of the right hepatic lobe after cholecystectomy].

The authors discuss the results of the diagnosis and treatment of abscesses of the right hepatic lobe which were consequent upon ischemic necrosis; they were encountered after cholecystectomy in 0.15% of cases. Ultrasonography and angiography are the main diagnostic methods suggested. The optimal results of treatment were produces in combination of percutaneous drainage and puncture of the destruction cavities under control of ultrasonography and endovascular regional infusion therapy.

Aged↗
PubMed1989

[Intravascular laser irradiation of blood in the treatment of patients with lung abscess].

Intravascular blood laser irradiation has been introduced into a multimodality treatment of pulmonary abscesses in 47 patients. Intracavitary laser irradiation of the abscess or pleural empyema was performed in 10 cases. A suggested detoxication and immunostimulation related to the laser therapy was confirmed. The highest efficacy of the treatment was found for chronic pulmonary abscesses, the least one in decompensation associated with multiorgan failure.

Adolescent↗
PubMed1988

[Treatment of acute complicated abscess of the lungs].

Results of examination and treatment of 194 patients with acute complicated abscesses of the lungs were analyzed. The main pathogenic agent of this pathology is gram-negative microorganisms and anaerobic neclostridial flora. Methods of bacterioscopy and gas-liquid chromatography were used for its verification. It was noted that the basis of medical tactics in complicated abscesses of the lungs is the rational antibiotic therapy in combination with parasurgical methods of treatment. Surgical methods are indicated in gangrening abscess, pulmonary hemorrhage, non-effective complex therapy.

Acute Disease↗