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Biomedical subjects

L V Lebedev

Publications and source records attributed to L V Lebedev.

90 records · Page 5Linked to original sources

[Suppurative complications after prosthesis of the abdominal aorta and main arteries].

The classification of a local wound infection, developed after reconstructive operations on the abdominal aorta and its distal branches, is given. Among 245 reconstructive-restorative procedures there were 14 cases of deep local wound infection associated with an exposure of vascular grafts. A system of measures for prevention of infectious complications has been elaborated. It comprised strict observation of the asepsis rules, an improvement of the technic of surgical intervention, lessening of the duration of surgery and blood loss. Special attention is given to the technic of closure and management of vascular wounds, prophylactic application of antibiotics of a wide spectrum of action. In development of the wound infection it seems rational to accomplish an active drainage of the wound with local and general administration of massive doses of specific antibiotics, proteolytic enzymes, antiseptics and then to close a vascular graft by viable tissues. Should these measures fail, then a bypass shunting and removal of the infected prosthesis is indicated.

Aorta, Abdominal↗

Soviet-made vascular prostheses.

The authors present some facts concerning the history of developing synthetic vascular prostheses in the Soviet Union, the data pertinent to the Soviet and some foreign models of synthetic vascular grafts, dwell on their characteristics. The authors discuss further possible modifications of vascular prosthesis. The vascular prosthesis is considered as an artificial false aneurysm within a synthetic frame, in this connection they discuss favourable possibilities of application of vascular grafts in arterial injuries and its consequences. The authors also provide information on some new types of vascular prostheses, velour and rough ones in particular, as well as microprosthesis.

Animals↗

[The partial ileal bypass in the treatment of familial hypercholesterolemia].

Data on the influence of a partial ileal bypass on the level of lipids in 8 patients with a heterozygous variant of familial hypercholesterolemia are presented. The operation was followed by a decreased concentration of circulating cholesterol at the expense of cholesterol of low density lipoproteins, but the normalization of the lipid level in blood took place in 1 case only. To improve the results of treatment it is expedient to administer inhibitors of cholesterol synthesis in the postoperative period.

Adult↗