[Antibiotic prophylaxis of surgical infections].
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Biomedical subjects
Publications and source records attributed to G N Tsybuliak.
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The results of the treatment of 2332 patients with wounds and closed chest injuries have been analysed and basic mechanisms of life-threatening conditions development determined. Specific features of the most common variants of chest damages as well as the role of various diagnostic and therapeutic methods are detailed. The indications for urgent thoracotomy are formulated.
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On the basis of a retrospective analysis of results of treatment of 1097 patients with wounds and injuries of the colon of the peace and war time as well as of experiments in 160 dogs it has been established that the level of lethal outcomes and amount of complications are dependent on the size, number and localization of the colon wounds, severity of peritonitis by the moment of primary operation, degree of traumatic shock, blood loss volume, severity of the coexisting injuries and the chosen method of surgical treatment. A classification of the wounds according to the volume of injuries of the colon is proposed. Different variants of surgical treatment and outcomes are considered. Experiments in dogs have shown the indisputable effectiveness of precise one-row sero-musculo-submucous sutures with the present-day sutural material as compared with other methods of treatment of wounds of the colon. The peritoneal sorption with liquid colloid sorbents at the early postoperative period facilitate the prophylaxis and treatment of peritonitis, reduce lethality. A surgical classification of injuries of the colon is developed and types of operative interventions are recommended.
The analysis of 138 patients with injuries of the heart and pericardium has been made. The article describes the problems of diagnosis of different injuries, the diagnostic value of pericardial puncture and pericardiotomy using different anatomic access. The article also discusses possibility of conservative therapy by pericardial puncture and a removal of blood. It was demonstrated that the diagnosis of the heart injury is an absolute indication for surgery and that the pericardial puncture is just a temporary procedure to prepare for the operation.
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Results of an analysis of 1404 cases of gunshot penetrating wounds of the abdomen and 451 thoracoabdominal wounds got by servicemen during the war in Afghanistan (1979-1989) are presented. Under consideration are the character of injuries of organs of the abdominal cavity, the operative procedures performed, the postoperative treatment, complications and outcomes.
The infusion of hypertonic solution is thought by the authors to be effective due to its reflectory action for treatment of patients who are in the state of anaphylactic and cardiogenic shock. This method seems to be expedient for massive blood loss under conditions of prehospital medical aid to victims with very low level of arterial pressure, with craniocerebral trauma and critical trauma of the chest.
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