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Biomedical subjects

F F Agaev

Publications and source records attributed to F F Agaev.

9 recordsLinked to original sources

[Endobronchial laser therapy in the surgery of pulmonary tuberculosis].

Endobronchial helium-neon laser therapy was used in 80 patients to undergo surgical intervention. For evaluation of the efficiency of laser therapy, the patients were divided into 2 groups: 1) 50 patients with chronic destructive pulmonary tuberculosis and 2) 30 with postoperative bronchopulmonary complications. A control group included 80 patients with the similar processes. Laser therapy used Group 1 patients expanded indications for surgical intervention. The resections of the lung made in led to postoperative complications in 32% of Group 1 patients and in 63% of the controls. Laser therapy in Group 2 patients promotes sanitation of the bronchial tree by enhancing the efficiency of reoperations by 18% than in the control group.

Bronchoscopy↗

[Temporary occlusion of the bronchi in patients with bronchial fistula].

Temporary bronchial occlusion to reestablish air tightness of the resected lung has been performed in 42 patients. Persistent expanding of the lung occurred within 2-3 days in a single early bronchial occlusion (on day 1-2). In late occlusion (on day 10-15) the residual pleural cavity disappears on day 30-35. Steady expanding of the lung in spontaneous pneumothorax of tuberculous or nontuberculous origin and in empyema (89 patients) was observed within 30 days in 76.5, 87.5 and 36.3% of cases, respectively, unless fistula size is more than 1 cm. In the rest cases (31.5%) temporary bronchial occlusion allows cutting air passage, partial expanding of the lung, cleansing of empyema cavity, alleviation of purulent intoxication, this creating conditions for radical surgery.

Adolescent↗

[The diagnosis and treatment of bronchial carcinoids].

The results of diagnosis and treatment of bronchial carcinoids in 37 patients are discussed. Establishment of the diagnosis is difficult because the clinico-radiological pictures of these tumours are similar to those of unspecific diseases of the lungs as well as tuberculosis. Twenty-six patients received antituberculotic treatment for a long period of time (2 to 5.5 years). Bronchoscopy with biopsy revealed the true cause of the disease in all of the 37 patients, in 9 of them coexistence of bronchial carcinoid and tuberculosis of the lung was found. Eight operations for pulmonectomy, 4 for bilobectomy, and 25 for lobectomy were performed. The volume of the surgical intervention was determined by the location of the bronchial carcinoids and extent of the secondary changes in the pulmonary tissue. Retrospective analysis showed that in timely diagnosis of bronchial carcinoids treatment of some of the patients could be limited to reconstructive-plastic operations with preservation of the whole lung or part of it.

Adult↗

[Endobronchial use of hemostatic drugs feracryl and amifer].

The results of endoscopic administration of hemostatic agents feracryl and Amifer in 147 cases are analysed. In 123 patients 5-10 ml of 1% feracryl were administered after endobronchial bioptic manipulations. Bleeding after collection of bioptic material from the bronchial mucosa was arrested by this method in 69 cases. Moderate bleeding in 42 cases was arrested by pressing to the wound surface a tampon saturated with a feracryl solution. Endoscopic occlusion of a bleeding bronchus by means of feracryl and Amifer was conducted in 16 patients with various forms of lung tuberculosis complicated by hemoptysis and pulmonary hemorrhage. In 9 cases with massive pulmonary hemorrhage 3-4 ml of 20% Amifer solution was administered by endobronchial route into the bleeding area. In 7 cases up to 10 ml of feracryl was introducedby ++endobronchial route. Temporary endoscopic hemostasis in patients with various forms of pulmonary tuberculosis made it possible to postpone an emergency operation for a period of up to 2 weeks in all cases. For the prevention of aspiration pneumonia the bronchi were repeatedly cleansed in 8 patients and therapeutic lavage of the bronchi was carried out in 7 patients.

Acrylic Resins↗