[The technic of peritoneoscopy].
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Biomedical subjects
Publications and source records attributed to G N Neĭkov.
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The work discusses the results of analysis of clinical diagnostics of intestinal intussusception in 197 children and their treatment. Age peculiarities of the clinical course of intussusception were revealed. The characteristic pathomorphological changes of the walls of the invaginated portion of the intestine were studied according to the duration of the disease and the type of intussusception. The causes of the inefficacy of nonoperative correction of the invagination are identified. The tactics of intussusception management and the indications for operative treatment were elaborated on the basis of these data. The author suggests his own method for desinvagination. Operations were conducted on 62 children. Nonoperative treatment by the method developed by the clinic was applied in 169 (85.7%) children, the invaginated portion was reduced in 139 (82.2%) children and the treatment proved ineffective in 30 (17.8%) children. The author recommends the method for reduction developed at the clinic as the method of choice in the management of intestinal intussusception in children.
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A clinical analysis of the diagnostics and treatment of 329 children with acute hematogenic osteomyelitis (AHO) has shown that the coloured liquid crystal thermography allows determination of the localization and spread of the inflammatory process in the bone, control of treatment efficiency, prognosis of the course and outcome of the disease. The use of the continuous-intermittent lavage of the bone with an enzyme-antibiotic mixture modified in the clinic in complex with a general treatment gives an improvement of the general condition 4-5 days earlier as compared with the traditional treatment, the disease taking the chronic form in 7.6% of the cases only.
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