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Biomedical subjects

I Gherman

Publications and source records attributed to I Gherman.

32 records · Page 2Linked to original sources

[Venous emergencies. Personal experience and viewpoint].

Based on a casuistic report of 226 cases, the authors propose a classification of venous emergencies, including acute deep thrombo-phlebites (with their anatomo-clinical and topographical varieties), the complications of varicose disease, venous traumatism and anorectal venous thrombosis. The authors touch on problems associated with clinical and paraclinical diagnosis, prophylaxis and active surgical therapy, respectively thrombectomy, ligation of the long saphenofemoral junction, the treatment of varico-phlebitis and urgent traumatic lesions, the thrombectomy and radical cure of haemorrhoids. The coupling of any of these affections presents a potential of great seriousness, sometimes a major vital risk which necessitates immediate therapeutic intervention. The classification of the idea of "venous emergency" in comparison with that of "arterial emergency", is outlined, and the authors mention that a surgical treatment in these affections is to be preferred.

Emergencies↗

The portal vein and its main affluents. An anatomic and morphometric study.

There are reported the results of certain measurements made on 158 human cadavers of both sexes. A series of main parameters are given, such as the distance between the superior mesenteric vein and on the one hand its confluence with other vessels and on the other hand the pancreas and the horizontal part of the duodenum: the distance between the superior mesenteric vein together with the portal vein, and the inferior caval vein; the diameters of the portal trunk and the confluence angle between the roots of the portal vein. The results reflect the possibility to perform a troncular portocaval anastomosis in at least 90 per cent of the cases. The authors' attention was, however, directed towards the anatomy of the superior mesenteric vein, as this vessel is preferred by some surgeons in the achievement of the portocaval anastomosis.

Female↗

Absorption studies in patients with parasitic infestation of the small intestine, before and after treatment.

Forty adult patients having intestinal infestation with giardia or with parasitic associations, such as giardia-strongiloides, giardia-taenia solium, were subjected to morphological explorations, iron and vitamin B12 absorption tests, steatorrhea assay and serological tests, before treatment as well as six months and one year after eradication of the infection. On admittance, jejunal morphological lesions were noted only in 15 cases especially in associated infestation, iron depletion in six patients, vitamin B12 malabsorption in five patients and steatorrhea only in two cases. After the lapse of six months and one year, respectively, all the tests ranged within normal values, and the jejunal morphological aspect improved significantly indicating the pathogenetic role of intestinal parasites in the development of selective malabsorption.

Adult↗