[Hepatic circulation in patients with compressive stenosis of the celiac trunk before and after decompression].
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Biomedical subjects
Publications and source records attributed to L V Potashov.
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Considerable disturbances of the visceral blood circulation have been found to occur in stenosis of the celiac trunk. Circulatory disorders in the liver, pancreas, stomach and duodenum are dependent on the degree of the celiac trunk narrowing. The collateral vascular bed fails to provide the complete compensation of the reduced organic blood flow. As a result, chronic ischemia of the organs persists.
The experimental work on the autotransfusion of the blood irradiated wit UV rays has shown this method to increase the oxygenating capacity of the blood. The clinical experience with more than 240 reinfusions of the UV irradiated own blood to 65 patients with different surgical diseases showed a pronounced curative effect. The method was used in 45 patients with purulent diseases, in 15 patients in the pre- and postoperative periods.
Experience in the treatment of 218 patients with compression stenosis of the celiac trunk is generalized. The clinical symptoms and the angiographic semiotics of the disease are described in detail. Active surgical tactics is substantiated and the results of operations are studied.
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The article analyzes the causes of relapses of varicose veins of lower extremities in 60 patients: in 38 patients after preceding surgery and in 22 patients after phlebo-sclerosing treatment. Of 60 patients 52 were operated upon. The operation in case of recurrence of the disease after surgery must include careful revision of the sapheno-femoral anastomosis, removal of the remaining trunks and segments of veins, detection and ligation of communicating veins with deficient valves.
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25 cases were operated upon at the climax of a massive gastrointestinal bleeding from acute ulcers and erosions. Among them 20 patients underwent stomach resection. One patient died from pancreonecrosis within the early postoperative period. There were no cases of the recurrence of bleeding. Excellent late results were found in 12 of 17 cases, in other 5 cases the results were good.
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