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Biomedical subjects

G A Bluvshteĭn

Publications and source records attributed to G A Bluvshteĭn.

At least 19 recordsLinked to original sources
PubMed1990

[Psychological aspects of relaparotomy].

The authors analyse the importance of the psychological barrier in the choice of the method of treatment in performing relaparotomy. Proceeding from the fact that the surgeon's psychological barrier is an objective factor aggravating the results of management of postoperative complications, the authors suggest that the indications for relaparotomy should be considered collectively. They believe that the second operation should be carried out by another, more experienced surgeon of the department. The surgeon who performed the first operation acts as an assistant during the relaparotomy.

Abdomen, Acute↗
PubMed1989

[Relaparotomy after operations on the rectum and colon].

During 15 years 1663 intraabdominal operations on the rectum and colon were performed, relaparotomy resulting from the complications was fulfilled in 134 patients (8%). The main indication for relaparotomy was peritonitis (57 patients). Its sources were: incompetence of the colonic anastomosis suture, technical errors during the first operation, opening of the abscess into the abdominal cavity. Five types of the course of postoperative peritonitis were established: primary, atypical, artificial, perforative and necrotic types.

Abscess↗
PubMed1989

[Relaparotomy after emergency surgical interventions].

Relaparotomy was conducted 251 times on 210 emergency surgical patients. Diffuse and localized circumscribed peritonitis were the main causes of relaparotomy (70.5%). The level of serum cortisol was tested by the radioisotope method in a group of patients before and after relaparotomy. Operations conducted for the second time 6-7 days after the first operation were undertaken in adrenal insufficiency. Radical relaparotomy produced the best results.

Abdomen, Acute↗
PubMed1987

[Surgical treatment of complications after operations on the biliary tract].

Causes of relaparotomies after operations for cholelithiasis are analyzed. The frequency of relaparotomies after cholecystectomies was 2.1%. Technical defects in performing operations were the cause of postoperative complications in 52.4% of the cases. Of 63 patients subjected to relaparotomy 23 patients died (36.5%). Prophylactics of complications after operations on bile ducts should be directed first of all to careful observation of the cholecystectomy technique.

Abscess↗
PubMed1984

[Surgical treatment of toxic goiter in diabetes mellitus patients].

Under analysis were 55 cases of toxic goiter associated with diabetes mellitus. All the patients were operated upon with good early results. A scheme for the choice of necessary preoperative dosage of insulin is recommended. The authors believe the combination of toxic goiter and diabetes mellitus to be an indication for surgery. Decompensation of diabetes mellitus in patients with thyrotoxicosis is associated with the increased amount of contrinsular hormones. The operations resulted in the improvement of the course of both diseases.

Adult↗