[Endocrinopathy as a factor of surgical risk in proctology].
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Biomedical subjects
Publications and source records attributed to K I Myshkin.
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Indications to reoperations and conditions of performing them are analyzed on the basis of an experience with 188 reoperations. Principles of choice of the method of reoperations are given which depend on the defects of the primary operations.
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The authors have performed 25 experiments in dogs for the creation of compressive intestinal anastomoses with the help of permanent magnets. "End-to-end" and "side-to-side" anastomoses were formed on the large and small intestines. The magnets were eliminated together with necrotized tissues in the natural way on the 4-5th and 9-10th days after operation. Results of the application of "magnet" anastomoses in clinical practice (6 patients) are described.
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Reactions of the cell and humoral immunity in 40 emergent surgical patients with concomitant diabetes mellitus were studied which manifested themselves as a transitory immune reactions without immunization. The operative intervention eliminating mutual aggravation was shown to improve the indices of the cell and humoral immunity.
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Experiences with diagnostics of contusion of the heart in 96 patients were analyzed. A complex of methods has been proposed for express-diagnostics of contusion of the heart which allowed the contusion to be reliably differentiated from other manifestations of the trauma disease. Topographic anatomic peculiarities of the injury were established more exactly as well as a degree of the trauma and the adequate treatment could be started in due time. The outcomes of the trauma became better, lethality was reduced.
Causes of relaparotomies after operations for cholelithiasis are analyzed. The frequency of relaparotomies after cholecystectomies was 2.1%. Technical defects in performing operations were the cause of postoperative complications in 52.4% of the cases. Of 63 patients subjected to relaparotomy 23 patients died (36.5%). Prophylactics of complications after operations on bile ducts should be directed first of all to careful observation of the cholecystectomy technique.
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