Biomedical subjects
Publications and source records attributed to M A Liepin'sh.
Splenic contusion was revealed in 12% of the sufferers with splenic trauma. The main methods for diagnosis of contusion are computerized tomography and angiography. The treatment is conservative. The operation is indicated in development of complications: splenic abscess, posttraumatic thrombophlebitic splenomegaly, intrasplenic hematoma.
Seven patients with pseudocysts of the spleen were treated in the clinic of the 2nd chair of surgical diseases of the Riga Medical Institute. The cysts in all of them lacked characteristic signs and were recognized late, when they had grown to a large size. Ultrasonic examination and computerized tomography played the main role in establishing the diagnosis. The pseudocysts of the spleen were treated by surgery. In large cysts splenectomy was the operation of choice, though organ-preserving operations (enucleation of the cyst, resection of the spleen) were suggested.
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On the basis of an analysis of the surgical treatment of 325 patients with hiatal hernias the authors consider Nissen fundoplication to be the operation of choice in such cases. The operation was performed in 277 patients. Postoperative lethality was 1,2%. Good remote results were obtained in 88% of the patients. Recurrent hernias were noted in 1,8% of cases.
The authors observed and treated 3 patients with a transverse rupture of the pancreas. All the patients had associated traumas resulting from severe compression of the body (1), automobile crush (1) and a blow to the abdomen. The exact diagnosis of a complete transverse rupture of the pancreas was made during surgical operation which confirms difficulties of the diagnosis of such injuries. All the patients were subjected to resection of the left half of the pancreas with suturing the stump and pancreatic duct by the II-shaped sutures. The results were favourable.
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