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Biomedical subjects

I A Chekmazov

Publications and source records attributed to I A Chekmazov.

At least 19 recordsLinked to original sources

[Determination of the hereditary and constitutive predisposition to peritoneal commissures].

The determination of the hereditary and constitutive predisposition to peritoneal commissures before an abdominal operation and preventive introduction of an anticommissural drug into the abdominal cavity after the operation (in case such a predisposition is revealed) will make it possible to avoid repeated operations caused by commissures. Moreover, economic benefit of the introduction of anticommissural drugs and methods for the determination of the constitutive predisposition to peritoneal commissures before abdominal operations will make up about 20 billion USD for the whole Russia only owing to the reduction of cases of peritoneal commissures.

Acetylation↗

[Diagnosis of peritoneal adhesions of abdominal cavity organs].

The best results produced by objective methods in cases of scheduled examinations of patients with peritoneal commissures of the abdominal cavity organs are observed in a complex study being a combination of X-ray and radionuclide methods of study, ultrasonic method, MRI and laparoscopy.

Abdominal Cavity↗

[Diagnosis of adhesions in abdominal cavity organs].

The best results produced by objective methods in cases of scheduled examinations of patients with peritoneal commissures of the abdominal cavity organs are observed in a complex study being a combination of X-ray and radionuclide methods of study, ultrasonic method, MRI and laparoscopy.

Abdominal Cavity↗

[Gastric leiomyomas].

Leiomyomas are rare tumors found as a rule in the stomach (1-2% of all gastric tumor cases) and occasionally in the intestine. Unless they grow large or become ulcerated gastric leiomyomas run a silent course. Otherwise there is epigastric pain, hemorrhage or impaired gastric evacuation. When complicated, the disease presents diagnostic difficulties and is treated surgically. Gastrotomy with dissection of the tumor or local resection of the gastric wall proved a reliable therapeutic means. Gastric resection is indicated in ill-defined tumors or in suspected malignancy.

Adult↗

[Cholelithiasis in congenital cysts of the hepatic ducts].

The article describes two cases (0.04%) of congenital cystic cholangiectasia complicated by cholelithiasis, which was revealed among 4,800 patients who underwent operation on the biliary tract. The disease was recognized during surgical intervention, retrograde cholangiopancreatography, and computed tomography. The authors carried out hepatoenterostomy with the use of a loop of the small intestine excluded after Roux and formation of choledochoduodenal anastomosis. Biliodigestive anastomoses create good conditions for the passage of bile and concrements from the ducts.

Bile Duct Diseases↗

[Intraoperative injuries of the spleen].

Operations for gastric and duodenal ulcers were performed in 1123 patients. Injuries of the spleen were found in 16 patients. Attention is called to special care necessary during manipulations on the upper part of the stomach.

Electrocoagulation↗

[Surgical treatment of patients with giant stomach ulcers].

The authors analyse 59 cases with giant gastric ulcers (measuring 3 cm or more in diameter) treated by surgery, which accounted for 10.7% of all the operations conducted for gastric ulcers. It is shown that giant gastric ulcers are complicated and recur most frequently. Planned operations were performed on 56 patients, 3 patients underwent emergency operations at the peak of hemorrhage, the stomach was resected in all of them. Total postoperative mortality was 3.4%, no fatal outcomes occurred in emergency operations. The authors conclude that giant gastric ulcers should be treated by operation after 2-3-week course of preoperative management. Resection of the stomach is the operation of choice.

Adult↗

[Reconstructive surgery of peptic ulcer and ulceration of the gastroenteric anastomosis].

An experience with treatment of 177 patients has shown that peptic ulcers are a severe pathology with a pronounced pain syndrome and early development of complications. They are subject to operative treatment after thorough examination and a course of antiulcer therapy during 4-5 weeks before operation. Reconstructive resection of the stomach in combination with truncal vagotomy is thought to be most radical for peptic ulcer. Lethality after reconstructive operations was 5.5%. Trophic ulcers of the gastrointestinal anastomosis is subject to operative treatment but in cases of the presence of other postresection disorders requiring surgical treatment.

Adult↗

[Choledochoduodenostomy in choledocholithiasis and benign strictures of the common bile duct].

The methods of external and of internal drainages of the bile ducts are alternatives in choledocholithiasis and benign strictures of the choledochus. In the Central Research Institute of Gastroenterology, 349 operations were performed on the common bile duct, stones were found in the choledochus in 259 (74.2%) cases and benign strictures of the terminal part of the choledochus and the major duodenal papilla in 103 (29.5%) cases. Ninety-five operations were secondary or reconstructive in character. A precise diagnosis of affection of the biliary tract can be established only during an operation or by retrograde cholangiopancreatography. External drainage of the common bile duct was conducted in 229 (65.6%) cases. Choledochoduodenostomy was undertaken in 105 patients (55 were operated on for the first time and 50 underwent operation on the biliary tract for a second time). Endoscopic papillosphincterotomy was successful in 28 cases with short strictures of the choledochus and choledocholithiasis. The stones were removed from the ducts with instruments or were expelled spontaneously at days 2 to 5.

Choledochostomy↗