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Biomedical subjects

L A Orekhova

Publications and source records attributed to L A Orekhova.

12 recordsLinked to original sources
PubMed2004

[Differential diagnosis of venous aneurysm of femoral hernia].

Eight hundred and twelve patients with varicose disease were examined, 18 (2.2%) of them had aneurysms in the region of sapheno-femoral anastomosis. Venous aneurysm was diagnosed before surgery in all 18 patients. All of them underwent surgery with positive result. Diagnosis of aneurysm of great saphena vein in inguinal region is not difficult in most cases. Difficulties usually occur in patients with overweight. In 5 patients with obesity aneurysm was initially diagnosed as femoral hernia. Duplex scanning is the best non-invasive method of diagnosis of venous aneurysm in obese patients.

Adult↗
PubMed2004

[The treatment of varicosity associated with persistent edema of the lower limbs].

From February 1998 to September 2002, 36 patients suffering from varicosity of the saphenous veins of the lower limbs associated with edema were operated on. All of them were provided different variants of intraoperative sclerotherapy (IOST). By the character of venous disorders the patients were divided into 2 groups. The first group (n=19) comprised patients with stages 2 and 3 varicosity according to the clinical classification of the CEAP. The maximal diameter of the varicose greater saphenous vein (GSV) in these patients did not exceed 1 cm, with no trophic disorders. The second group (n=17) included patients suffering from stages 2-4 varicosity according to the clinical classification of the CEAP. In these patients, the diameter of the varicose GSV on the thigh exceeded 1 cm and there were trophic disorders on the leg in the form of pigmentation and/or skin induration. The first group patients underwent crossectomy and IOST of the GSV over the whole length. The second group patients were provided combined intervention: crossectomy, GSV stripping on the thigh and IOST: of the GSV on the leg. To define the effectiveness of the surgical treatment using sclerotherapy, the reference group including 38 persons with varicosity also complicated by edema of the lower limbs was under our observation. This group underwent surgical intervention which consisted in radical venectomy according to Babcock and excision of the lateral venous branches according to Narat. Analysis of the immediate results has demonstrated that in the basic group, the complications occurred in 5.6% of patients versus 29% in the reference group; the postoperative bed day in the basic group was 1.8 times less. Evaluation of the edematous syndrome carried out in the long-term period (after 2 years) showed its complete absence in 96,4% of the basic group patients versus 72.4% of the reference group patients. So, the use of different variants of IOST in the treatment of patients suffering from varicosity complicated by edema evidences the advantages of the treatment tactics offered by us as compared to the routine surgical techniques.

Adult↗
PubMed1995

[Use of cava-filter in the treatment of acute venous thrombosis in the end of pregnancy].

Cava-filters were implanted in 16 women suffering from acute thrombosis of the deep veins of the lower limbs in the third gestation trimester. Initial or relapsing thromboembolism of the pulmonary artery (TEPA) had place in 5 cases. Two types of filters were used, the REPTEPA ones being used more frequently. As a rule, a filter was implanted in the infrarenal segment of vena cava inferior. Complications occurred in two patients: perforation of right atrial wall and thrombosis of the filter. Pregnancy ended in delivery in all the cases, cesarean section was made in the majority of patients. No TEPA was recorded from the moment of cava-filter implantation. In remote period 15 women developed moderately expressed postthrombotic syndrome.

Adolescent↗
PubMed1978

[Anterior tibial syndrome resulting from acute arterial insufficiency].

From the experience with 11 patients the authors show that in acute patency disorders of the iliac, femoral and popliteal arteries some symptoms of the injury mainly to the muscles and sometimes to the nerves of the anterior bed of the leg--"anterior tibial syndrome"--are likely to occur. An urgent reconstructive surgical intervention upon the artery, anterior fasciotomy is of a crucial importance in the treatment of this condition. Depending on the cause of the disease embol- and thrombectomy, circular suture or autovenous plasty of the artery were performed. 6 patients recovered, 3 patients developed a considerable functional disorder of the foot and toes extensors, in 2 patients the process resulted in the development of gangrene of the extremity.

Acute Disease↗