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Biomedical subjects

M I Prudkov

Publications and source records attributed to M I Prudkov.

8 recordsLinked to original sources

[Rapid diagnosis of purulent-destructive forms of acute calculous cholecystitis].

Results of examinations and treatment of 200 patients with acute calculous cholecystitis were analyzed. It is demonstrated that risk of purulent-destructive forms depends on nature of pathologic process in the gall bladder. Among patients with obstructive calculous cholecystitis 79.7% underwent surgery due to purulent-destructive forms of the disease, with non-obstructive calculous cholecystitis -- 38.9%. Risk of intraabdominal complications depends on the fact of obstruction of gallbladder neck and extrahepatic bile ducts. Algorithm of a rapid diagnosis was diagnosed. It permits to diagnose purulent-necrotic forms of acute calculous cholecystitis in 63.5% patients during 2 hours and in 85.7% patients during 6 hours from the time of hospitalization that ensures timely surgery.

Adolescent↗

[Minilaparotomy and "open" laparoscopic surgeries in treatment of patients with cholelithiasis].

The theoretical bases and techniques of an original method for operations on the abdominal organs and peculiarities of the instruments used are discussed. The results of treatment of 374 patients by "open" laparoscopic operations are shown. These were: cholecystectomy with intraoperative cholangiography, choledochotomy, choledocholithotomy, choledochostomy and formation of choledochoduodenostomy. The author claims that the method supplements the conventional laparoscopic and laparotomy method of transabdominal operations. It is suggested that such methods may prove valuable in urology and gynecology.

Cholelithiasis↗

[Conservative treatment of hepaticocholedochus stones via external biliary fistulae].

The experience with non-surgical treatment of retained stones in 13 patients is described. The treatment was successful in 8 cases. The method of dissolution of the stones and their mechanical removal with the help of a lithotrap of own design was used. The conclusion is drawn, that the treatment of the patients with gallstones in presence of external biliary fistulas should start from conservative methods.

Biliary Fistula↗

[A scale for estimating multiple organ dysfunction in surgical patients].

A scale is proposed for estimating the severity of multiple organ dysfunction in surgical patients and its changes in the course of treatment. The scale was tried in 37 patients after abdominal operations. Estimations performed by means of the scale ore revealed good correlation with the patient's clinical status. Routine parameters are used in the scale, which facilitates its utilization in any surgical intensive care. The scale helps evaluate the severity of each system damage.

Adolescent↗