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Biomedical subjects

Kh Deredzhian

Publications and source records attributed to Kh Deredzhian.

At least 19 recordsLinked to original sources
PubMed1998

[Minicholecystectomy--the technical aspects].

In current interventional medicine operations on the gallbladder and biliary tracts, performed by "mini" access are ever more widely used in practice. Cholecystectomy done through minilaparotomy is an attractive procedure with well established superiorities, irrespective of the enthusiasm for laparoscopic accomplishment of the interventions in this particular field of surgery. Approbation of the method initiates in the early 80-ies, and ever since then it marks a ceaseless improvement in technical respect. In this report reference is made to a number of technical hints, rendering the procedure safer and readily accessible in the routine surgical practice, as well as successfully competing with laparoscopic cholecystectomy.

Cholecystectomy↗
PubMed1998

[Relaparotomy after an appendectomy].

The analysis covers 2555 appendectomies, performed on an emergency and scheduled surgery basis in the clinic of emergency surgery.--State University Hospital "Queen Giovanna", Sofia, over the period 1985-1997. Relaparotomy is necessitated in 28 cases (1.09 per cent) because of various postoperative complications. Data are presented on the number of relaparotomies, done under conditions of emergency and scheduled surgery, and with a special reference to the pathoanatomical character of appendicitis. The underlying causes of undertaking relaparotomy and postoperative lethality are analyzed. As shown by the obtained results post-relaparotomy mortality rate is the highest after primary operation for destructive form of appendicitis and advanced form of peritonitis.

Appendectomy↗
PubMed1996

[Transendoscopic drug denervation of the stomach in emergency surgical diseases of the gastrointestinal tract (a preliminary report)].

This is the first, preliminary report on the implementation of transendoscopic medicamentous denervation of the stomach as a therapeutic approach to acute surgical diseases of the gastrointestinal tract. Diminishing the vagus nerve influence after the method described contributes to a substantial improvement of the treatment results in acute pancreatitis patients by shortening the term of therapeutic fasting, avoiding nasogastric tube insertion, and making unnecessary H2-blockers application. TEMDS is indicated in all instances of acute pancreatitis, bleeding duodenal ulcer, bleeding ulcus pepticum jejuni following BII resection of the stomach.

Emergencies↗
PubMed1996

[The views and attitudes of the Clinic of Emergency Surgery of the Clinical Emergency Medical Center at the Queen Ioanna State University Hospital on the potentials of surgical endoscopy in upper digestive hemorrhages].

Transendoscopic sclerotherapy of esophageal varix in children and adults is introduced in the clinic of emergency surgery ever since 1973. In children aged 3 to 14 years presenting preportal block a 100 per cent survivorship is recorded 20 years after the manipulation. The outcome of endoscopy in adult patients is successful in 57.69 per cent. Perilesional sclerosing is introduced in the CES in 1982, with a complete and definitive hemostasis attained in 46.7 per cent of the cases. In 1983, transendoscopic electrocoagulation is practically implemented in the CES, with the rate of successfully cured amounting to 55.49 per cent. Having in mind the limitations and contraindications of therapeutic transendoscopic hemostasis in massive hemorrhages, particularly those of ulcerative origin, preference is given to the safer hemostasis by surgical means.

Adolescent↗
PubMed1993

[The results of the long-term follow-up of an expanded variant of selective proximal vagotomy].

This is a report on a long-term follow-up study of the results of an extended variant of proximal selective vagotomy in patients undergoing clinical approbation over periods ranging from 7 to 9 years. The details of technical implementation of the variant are described. At zero lethality and complete recovery of the patients followed up, the late results are estimated as excellent.

Adult↗
PubMed1989

[The surgical treatment of rectal cancer].

Analysis was made of the case records of 1307 patients operated for rectal cancer--788 (60.3 per cent) men and 519 (39.7 per cent) women. Most common was the disease in the age group 50 to 75 years. The operations performed were: radical--879 (67.3 per cent) and palliative--428 (32.7 per cent). Of all radically operated patients, in 532 (60.5 per cent) the rectum was extirpated. Mortality in this group was 10.9 per cent. Abdominal resection was performed in 235 patients (26.7 per cent) with 8.9 per cent mortality. In 70 patients (8 per cent) sphincter-preserving type Babcock or Toupet operations were performed with case fatality rate about 14 per cent. Of all 1307 patients in the near postoperative period 112 died (8.5 per cent). The authors give preference to low anterior resection to other type of sphincter-preserving operations.

Aged↗
PubMed1989

[Proximal selective vagotomy in the treatment of uncomplicated forms of duodenal ulcer].

Experience is recorded with 893 operations of duodenal ulcer for a period of 15 years. Of these, 872 patients (97.6 per cent) were operated as nonemergency planned cases, 48 of them subjected during a period of 7 years to proximal selective vagotomy in 3 variants. During the postoperative period one patient died of fatty pulmonary embolism. During the early postoperative period in 4 patients developed bronchopneumonia (8.3 per cent), in 3 transient cardiospasm (6.2 per cent) successfully controlled without surgical intervention. According to Visick's classification, excellent and very good postoperative results were recorded in 41 patients (87.2 per cent). Recurrent ulcer was demonstrated in 3 patients (6.4 per cent); only one of them required operative treatment--antrumectomy with revagotomy. It is pointed out that postoperative pH-metry of the stomach is not a pathognomonic sign, but may be criterion for a potentially possible recurrence. Continuous control is needed, since the majority of recurrent ulcers are not manifested by characteristic clinical symptoms.

Adult↗
PubMed1989

[Surgical procedures in duodenal ulcer hemorrhage].

Analysis was made of 893 patients operated for duodenal ulcer. Of these, 872 (97.6 per cent) were operated as nonemergency planned patients; the outcome was fatal in 5 (0.57 per cent). Emergency operative intervention at the acme of the bleeding was performed in 21 patients (2.4 per cent) because of failure to control the bleeding by conservative means. Six of these patients died (24.0 per cent) during the early postoperative period. Highest was the percentage of patients in whom extended gastric resection was made; there were no lethal cases among patients subjected to antrumectomy and truncus resection. Preference is given to truncus vagotomy with sparing resection of the stomach; this is considered a reliable and safe method for stopping the bleeding and curing the patients from the ulcer.

Aged↗