[Malignization of stomach ulcers].
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Biomedical subjects
Publications and source records attributed to F K Papazov.
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The experience with surgical treatment of 89 patients with recurrent inguinal hernia is presented. A method for hernioplasty with the use of the pyramidal muscle transferred for covering the inguinal space is described. In 37 patients, no hernia recurrence and injury to the femoral vessels were revealed. This was indicative of the effectiveness of the method suggested.
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Changes of intra-abdominal pressure, the degree of abdominal wall stretching, the strength of connection of the tissues and the quality of the operative wound, central hemodynamics, and the indices of external breathing were studied depending on the type of hernioplasty in 44 animals (dogs) and 420 patients with large ventral hernias. The authors suggest a method for surgical treatment of ventral hernias by twisted aponeurotic sutures applied under control of intraabdominal pressure. With the use of this method the number of complications in the main group reduced 3.5 times. With an increase of intraabdominal pressure by more than 1.5 times as compared to the initial value, slackening incisions of the anterior walls of the sheath of the rectus abdominis muscle are recommended. The length of the incisions is controlled by the values of intraoperative tensiomanometry. The number of recurrences with the of the suggested method was 6%.
The authors generalize the material on the surgical treatment of 151 patients who were operated on for complicated gastroduodenal ulcers by means of an improved method of tubular resection of the stomach with selective vagotomy, subtotal excision of the lesser curvature, and the formation of a ++post-colonic rectangular gastroenteroanastomosis on a short loop with oblique division of the jejunum. The late-term results were studied in follow-up periods of up to 4 years in 110 patients (72.8%) and appraised according to Visik's scale. The results were excellent in 78 (70.9%), good in 25 (22.7%), satisfactory in 6 (5.5%) patients, and poor (recurrence of the disease) in one (0.94) patient.
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The authors have made an analysis of their experience with the treatment of 119 patients who had tubular resections of the stomach with the anastomozed gastric stump to the side with the obliquely dissected short loop of the jejunum. Specific methods of treatment of a "difficult" duodenal stump and measures to prevent its incompetence are described. In order to increase the reliability of the duodenal stump sutures a complex of measures directed to the elimination of duodenal hypertension and adequate drainage of the periduodenal zone is to be used.
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