Biomedical subjects
Publications and source records attributed to L F Vinnik.
The article presents some conclusions on ambulatory surgery in the Military Medical Academy and Surgery Centers in St. Petersburg resulting in higher efficiency of surgical aid and its availability for military beneficiaries. Organization frames and staffing principles for day-time ambulatory surgery stations.
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The authors describe preconditions of structural reorganization of the work of medical institutions of the ambulatory-polyclinical link of St. Petersburg in order to improve surgical treatment of the population. Main organizational principles underlying the work of ambulatory surgery centers are shown, results of their activities during the recent years are discussed. The advantages resulting from activities of day-time surgical hospitals are also described.
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Centers of ambulatory surgery made on the basis of large city polyclinics and regional medical formations are considered to be a perspective and economically effective form of perestroika of the ambulatory surgical aid to people. Specificity of the operative procedures performed at the Center and specific features of postoperative management of the patients should be taken into consideration, and the staff of such units must consist of highly trained surgeons of wide type. The ambulatory surgery Center must occupy its place in the system of dispensary examinations of the population.
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The authors have applied rheography of the brain and sphygmography of the vessels of the neck and mediastinum for the diagnosis of compression of the neck vessels and organs in goiter and tumors of retrosternal and deep cervical localization. The methods allow to recognize stenosing of the vessels in early stages and facilitate the diagnosis of these conditions.
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An analysis of treatment of 38 patients with multiple recurrences has demonstrated that these are caused by various factors, a combination of several causes and predisposing factors being noted in the majority of patients. Most frequently, multiple recurrences develop in persons operated upon in young age. The clinic of multiply recurrent goiter is characterized by a great variety, and its diagnosis should be established basing on the complex investigation, using all up-to-date methods of study. A predominance of nodular forms of goiter in patients with multiple reocurrences and their frequent malignant transformation necessitate active surgical tactics.
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