[Functional disorders of internal organs after cranio-cerebral injury].
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Biomedical subjects
Publications and source records attributed to E I Babichenko.
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It is reported that the CO2-laser can be used in operations on the brain. Information is given on the response of the brain structures to irradiation with a wave length of 10.6 microns. The optimal regimens of the device operation were elaborated depending on the concrete object of the various stages of the surgical intervention. The medical laser device Skal'pel'-1 was used in the clinic in 109 operations. The low traumatization of such operations and the favourable course of the postoperative period are pointed out.
The clinical picture of injury to the spinal cord in the acute period of the trauma and the results of radiological examination of 184 patients with closed trauma of the cervical spine are analysed. Associations of clinical and radiological signs were revealed which pointed to compression of the spinal cord and showed the degree of its damage. The data obtained allow the method of treatment to be chosen and the possible outcome of the spinal cord injury to be prognosticated.
The work is based on the analysis of 101 clinical cases in 91 of which children were subjected to cranioplasty in different periods after operation for craniocerebral injury, which terminated in the formation of a bone defect. In 5 children cranioplasty was conducted because the bone in the area of the linear fracture had resorbed, and in another 5 children it was carried out as a final stage of operation for anterior craniocerebral herniations. The children's age ranged from 3 months to 16 years. The late results of treatment were studied in 79 of 101 patients in follow-up periods of 12 months to 25 years, in 31 of them in periods of 10 to 25 years after cranioplasty. Cranioplasty must be undertaken in children as early as possible. Primary and early cranioplasty are conductive to the prevention of the formation of a meningocerebral cicatrix and a coarse adhesive process in the meninges and brain matter and are more effective than late cranioplasty.
A method for contrasting plates of acrylic resins for cranioplasty in defects in the skull bones was developed. Per each 1.0 g of protacryl (or butacryl, etc.) powder 0.2 g of iodine-containing agents (verografin, urografin, urotrast, etc.) was added. This ensured a high contrast of the allograft not only in the immediate but also in the late period. The developed method is of great significance in conducting expert medical assessment of working capacity when there is no corresponding medical documentation and the medical history is unclear.
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