PubMed Health⌕ Search

Biomedical subjects

M A Gonchar

Publications and source records attributed to M A Gonchar.

18 recordsLinked to original sources
PubMed1986

[Treatment tactics for diseases of the scrotal organs in children].

An analysis of results of treatment of 163 children with acute diseases of the scrotum organs for five years has been made. The authors consider that urgent surgery for acute diseases parallel with establishing more precise localization of the process is a good pathogenetic treatment, prevents the appearance of disturbances of all the testicle functions, first of all the spermatogenic function, excludes an obliteration of the deferent duct, considerably shortens staying at the hospital and is not followed by complications.

Acute Disease↗
PubMed1983

[Blood coagulation disorder during the combined treatment of testicular tumor patients].

The mechanism of hemocoagulation before, during and after combined therapy was studied in 47 cases of testicular tumor. Thrombophilia was suggested by the basal level of hemocoagulation. All patients received a course of combined therapy which included surgery, telegammatherapy and polychemotherapy. In the course of treatment, all patients revealed a decrease in the coagulative properties of blood which manifested itself in hemorrhages in 7 cases. After therapy, blood coagulation indexes did not vary much from normal. This is believed by the authors to be an indication of the efficacy of the treatment.

Adolescent↗
PubMed1983

[Mechanism of development of fatal pulmonary artery thromboembolism during the treatment of kidney and bladder cancer].

Retrospective evaluation of the state of hemostasis in 20 patients dying with pulmonary artery thromboembolism (PATE) after combined treatment of renal carcinoma (10) and urinary bladder carcinoma (10) was performed. The signs of intravascular blood coagulation (IVBC) in the initial condition were determined in all the patients. After a course of pre-operation actin therapy with large fractions (totally 20 g) activation of IVBC was observed both in renal and urinary bladder carcinoma. In the postoperation period, on the day of PATE development in patients with renal carcinoma the state of hemostasis corresponded to stage I of disseminated intravascular coagulation syndrome. In patients with urinary bladder carcinoma after operation the state of hemostasis corresponded to stage II of DIVC-syndrome with signs of local hemorrhage of the urinary bladder wound. The therapy of this condition with fibrinolysis inhibitors (aminocaproic acid) with hemotransfusion without heparin facilitated thrombus formation in these patients in deep pelvic veins followed by PATE.

Adult↗
PubMedDate not supplied

[The pathogenesis and results of the surgical treatment of stress urinary incontinence in women].

The paper presents the incidence rate (3-19.6%) of stress-induced enuresis (SIE) in females. The impact of birth injuries, obstetric instrumentation and heavy physical work resulting in the impairments of the sphincter-detrusor system of the bladder and the musculature of the pelvic bottom on the pathogenesis of SIE is indicated. As a result the bottom of the bladder, the posterior walls of the neck and urethra moved backward to form an obtuse angle with an anterior wall of the urethra that was roentgenologically evidenced as vesiculation. In this line the angle between the anterior and posterior walls of the urethra and neck became more obtuse with no contact upon contractility of their muscles which caused the stress-induced escape of urine. To eliminate vesiculation and enuresis, the authors used successfully the technique of urethral angulation by the duplication formed by the anterior vaginal wall over the cervix and urethra followed by their fixation to the posterior surface of the pubic area on one side and free skin graft on the other. Hebell-Schteckel's technique was a prototype for the method proposed. A total of 156 females with stages II and III SIE were successfully operated on. The results of 1-15 year follow-ups were good and satisfactory in 97 (89.9%) of 109 females. The relapses were more common in the females who had a repeated delivery or were engaged in heavy physical work as well as in two persons operated on in the menopause.

Adolescent↗