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Biomedical subjects

I A Goriachev

Publications and source records attributed to I A Goriachev.

11 recordsLinked to original sources
PubMed1998

[Current aspects of the diagnosis and treatment of prostatic cancer].

Prostate cancer is becoming the most frequent malignant disease in men. Its present-day diagnosis in based on the combination of digital rectal examination, detection of the prostate-specific antigen in blood serum and multifocal transrectal biopsy of the prostate under ultrasonic control. The elevation of the level of prostate-specific antigen correlates with spread of the process and extracapsular penetration of the tumor. Asymmetry of the prostate and hypoechogenic foci represent the main ultrasonic signs of adenocarcinoma of the prostate. When the histological findings speak about the absence of atypical cells, another complex examination with rebiopsy is indicated in 6 months. The principal radical method of treatment of prostate cancer is prostatectomy performed mainly for the T1-T2 stages. At the preoperative period the neoadjuvant androgen deprivation can be performed in order to lessen the tumour volume and risk of a positive surgical margin.

Aged↗
PubMed1996

[Transurethral laser coagulation of benign prostatic hyperplasia].

37 patients with BHPG (average age 76) underwent transurethral laser coagulation of the prostate 23 of these had acute retention of urine. In all the patients urination was restored by the 5-th day after the operation. Thus the laser coagulation should be considered a method of choice in BPH patents with grave recurring pathology including urgent cases.

Acute Disease↗
PubMed1992

[Gunshot wounds of the urogenital system organs].

The article makes a comparative analysis between Afghan war and previous wars concerning the gunshot injuries of urogenital organs. The authors mark limitations in specific symptoms of gunshot urogenital injuries and emphasize the importance of roentgenological method of examination with application of contrast substances. There are indications for surgical interventions and the analysis of medical errors in secondary surgical care.

Afghanistan↗
PubMed1990

[Nephropexy with using interchanging musculo-aponeurotic flaps].

Nephropexy with interchanging muscular-aponeurotic flaps provides a reliable fixation of the pathologically movable kidney which makes it possible to activate the patient during the first days after operation. Technical simplicity of the operation, anatomo-physiological grounds, high clinical efficiency allow the operation to be recommended for wide practical use.

Fascia↗
PubMedDate not supplied

[Gunshot wounds of the kidneys].

Upon the analysis of the treatment for gunshot wounds of the kidneys (n = 113), it is concluded that in the majority of cases such wounds (91.1%) were associated with additional injuries of other viscera, this complicating the diagnosis and treatment, aggravating the prognosis. At admission, 81.4% of the wounded were in shock, with signs of hemorrhage. Serious condition of the patients dictated urgent surgery imposing limitations on diagnostic examinations, e.g. intravenous urography was performed in 5.3% of the cases only. Therefore, preoperative detection of renal injuries was far from universal. (55.6%). Hematuria prompted renal damage in 74% of cases. 92% of the wounded underwent surgery, in 62.8% of them it was nephrectomy. Serious combined wounds terminated in lethal outcomes in 50.4% of cases, though renal damage was responsible for 4% of deaths only. Introduction of up-to-date methods of examination (CT, ultrasonography, excretory urography) may raise the frequency of the kidney-preserving operations and favourable outcomes.

Emergencies↗
PubMedDate not supplied

[Gunshot wounds of the bladder and urethra].

The analysis of medical aid rendered to 48 patients with bladder and 31 with urethral wounds showed that virtually all the wounds were combined. This fact aggravates the prognosis, presents difficulties for diagnosis and treatment. The authors state that x-ray examinations (cystography and urethrography) are rarely used in the diagnosis of the above injuries (in 8.3 and 16% of cases, respectively) in spite of their usefulness. It is emphasized that negligent attitude of the surgeon to epicystostomy and drainage of the pelvic fat may entail very serious complications.

Drainage↗