[Intraoperative methods of diagnosing the causes of peptic ulcers after Billroth II resection of the stomach].
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Biomedical subjects
Publications and source records attributed to I D Prudkov.
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On the basis of an analysis of 297 laparoscopic interventions on the stomach fulfilled in 266 patients (laparoscopic puncture gastrostomy, laparoscopic ablation of polyps and foreign bodies of the stomach) it was shown that they can be used as sparing methods of the surgical treatment of some diseases of the esophagus, stomach, pancreas.
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The experience with non-surgical treatment of retained stones in 13 patients is described. The treatment was successful in 8 cases. The method of dissolution of the stones and their mechanical removal with the help of a lithotrap of own design was used. The conclusion is drawn, that the treatment of the patients with gallstones in presence of external biliary fistulas should start from conservative methods.
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The authors report their experience with laparoscopic cholecystostomy in 37 patients. No failure in the surgery was noted, and complications were rare. The operation should be performed only by those specialists, who are experienced in the performance of laparoscopy.
The author has elaborated the method of additional hermetical closing of labioid fistulas of the stomach and jejunum on the basis of creation of a fibrous ring in edges of an exterior fistular orifice. In case of impaired hermeticity this ring allows permanent bearing of a cannula and hermetic closure of the fistula again. Doubling of the methods of hermetical closure of fistulas provided an opportunity to facilitate the technic of their creation up to a simple bringing out of the visceral wall into the abdominal wall puncture. Thus, 26 fistulas were established in laparotomy, and 60 operations were performed without a wide exposure of the abdominal cavity, using laparoscopy.
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