[Cystic dilatation of the common bile duct].
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Biomedical subjects
Publications and source records attributed to E M Mokhov.
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On the basis of the results of experimental investigations performed on 69 dogs, the authors came to conclusion about the possibility to use effectively demucosed small intestinal fragments on a vascular pedicle as a plastic material in operative interventions on the stomach and intestine. The developed operative techniques were employed in 8 patients.
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The authors share their experience with using laser scalpels for performing gastrectomies in 55 patients with gastric cancer (28 of them were subjected to extended operations). Bloodless and atraumatic operations and prevention of leakage of bile and enzymes reduce risk of combined operations and thereby widen indications for them.
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Experimentally on 16 dogs the terminal defect of the duodenum was replaced by a pedicled jejunal graft (one formated by incising the duodenal segment along its contramesenteric margin). In the early postoperative period 2 animals died, 2 animals are kept under observation. The remainder were sacrified for the study within the terms from 2 to 3 years postoperatively. Duodenal specimens from these animals were examined macroscopically, by vasography (with contrast medium filling of the transplant vascular system via the mesenteric pedicle artery) and microscopically using review, special and some histochemical technics of micropreparations staining. The results of the investigations performed indicate the possibility of using the technic of plastic repair of the duodenal wall defect under consideration in clinical practice too.
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