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Biomedical subjects

M N Iatsentiuk

Publications and source records attributed to M N Iatsentiuk.

At least 19 recordsLinked to original sources

[Preoperative preparation and surgical treatment of elderly and very old patients with abdominal hernia].

On the basis of analysis of the results of treatment of 312 elderly and senile patients with abdominal hernia, it was established that performance of adequate preoperative preparation permitted considerable extension of indications for the operation. Contraindications for surgical treatment of such patients should be established after performance of preoperative preparation with regard for indices of external respiration and hemodynamics.

Aged↗

[Intestinal obstruction in extensive postoperative ventral hernia].

The work is based on an experience with surgical treatment of 1017 patients. Intermittent intestinal obstruction was observed in more than 40% of them and was not always dependent on the character of commissural processes. The most frequent cause of its appearance is a combination of commissures with a considerable ptosis and formation of flexions, angular deformities and incomplete torsion of intestinal loops. Supermedial and subcostal hernias with most pronounced commissural processes are comparatively rarely followed by intestinal obstructions (12.5%). It was more often observed in middle- and inferior-medial (56.1%) and iliac (33.3%) hernias with less spreaded commissures.

Abdomen, Acute↗

[The effect of complex preoperative preparation on the respiratory function in patients with large and giant postoperative abdominal hernias].

The study of the indices of external respiration and acid-base state of the blood in 53 patients with large and giant postoperative abdominal hernias has shown the high effectiveness of the complex preoperative preparation, including the measures directed at the improvement of cardiopulmonary activity, its adaptation to the increased intraabdominal pressure, maximum possible intestinal emptying. The investigations mentioned, when performed in dynamics, permit to define with more reliability the possibility and degree of the risk of operative treatment in such patients.

Hernia, Ventral↗

[Strangulated large and giant postoperative ventral hernias in elderly patients].

An experience with the surgical treatment of 245 patients aged over 60 with postoperative ventral hernias of a considerable size (45 of them being operated upon urgently) has shown that incarceration of such hernias in elderly patients are not so rare as it is usually thought. An exact individual selection of the operation volume allows getting better immediate results of the urgent surgical treatment of patients.

Aged↗

[Diagnosis and surgical procedure in acute appendicitis combined with acute diseases of the adnexa uteri].

The observation and surgical treatment of 122 women aged from 16 to 44 with acute appendicitis associated with acute diseases of uterine appendages have shown the differential diagnosis to be rather difficult. In such cases the true character of the pathologic condition can be established during operation only. The histological examinations of "unaltered" vermiform processes ablated during the operations have revealed signs of acute inflammation in most of them which speaks in favour of appendectomy in acute diseases of uterine appendages.

Adnexal Diseases↗

[Adhesive processes in large and huge postoperative ventral hernias].

High incidence, severity and wide distribution of adhesive processes affecting the abdominal organs and the content of the hernial sacs in 250 patients with big and great postoperative ventral hernias were closely associated with the features, clinical manifestations of the disease and character of treatment. The author's experience shows that prolonged postoperative purgation, maximum possible disjoining of adhesions, early activization of the patients and of the evacuo-motor function of the gastrointestinal tract in the early postoperative period are necessary components of the complex surgical treatment of patients with such pathology.

Hernia, Ventral↗

[Classification of postoperative hernias of the anterior abdominal wall].

The author has developed and suggested a classification of hernias of the anterior abdominal wall. The new classification is grounded on observations over numerous clinical manifestations and peculiarities of the disease and subdivides these hernias according to the condition and shape of the hernia sac, localization, number and size of the hernias, time of the occurrence and incidence rate of the hernia following an operation, presence of concommitant diseases and the degree of disability of the patients.

Hernia, Ventral↗