Biomedical subjects
Publications and source records attributed to K V Novikov.
The authors have made a detailed analysis of data of 112 patients who had injuries of bile ducts during investigations on the gallbladder (100 patients) or on the stomach (12 patients). There are many factors predisposing to casual injuries of organs during surgical procedures.
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Follow-up results are available for 108 patients who had perforation of the duodenum at the age under 30 followed at various time intervals by vagotomy with varying gastric drainage, 91.7% of them are cured, 9 developed the recurrence, 3 underwent gastric resection.
In a work, the information about the patients who had their duodenal ulcer once (836 case), or twice (28) perforated is analysed. Recurrency of a perforative ulcer after its closure was noted in 1.4% of cases. After closure of a perforating ulcer, it is expedient to watch and examine the patients in a specialized institutions. In disease recurrency after closure of a perforative ulcer and ineffective therapy, the performance of radical operation preventing the subsequent development of a disease complication is indicated.
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From target studies of the clinical value of choledochal drainage through the stump of the cystic duct by Halsted-Pikovsky method, following cholecystectomy for Courvosier's gallbladder without choledochotomy, the authors have come to the conclusion that such drainage does not improve the postoperative clinical course, while evolving an added risk of some complications.
The authors report their experience with the use of a T-shape drainage in 258 choledochotomies, accomplished in 248 patients, and suturing of the common bile duct in 77 patients. The technic of preparation of a T-shape drainage, its fixation in the common bile duct and the postoperative management of patients with such drainages are described. The complications developed while using a T-shape drainage are analysed. Late sequelae of application of the drainage were taken into account after 219 operations, whereas in 163 patients intravenous cholangiography was performed after such drainage of bile ducts, the terms being longer than 3 years in 140 cases.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.