[Strengthening the cooperation between Transcarpathian surgeons and surgeons of the Eastern-Slovak region of Czechoslovakia].
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Biomedical subjects
Publications and source records attributed to M N Polazhinets.
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The article generalizes experience with the surgical treatment of 1988 patients with different diseases of the thyroid gland. Indications for the surgical treatment, special preoperative management, choosing the anesthesia, methods and technique of the operation are discussed.
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On the basis of observation of the ulcer disease of the stomach and duodenum in 970 patients given the restorative treatment in rehabilitation hospitals after being discharged from the surgical hospital the authors recommend the earlier rehabilitative treatment since it gives more rapid reestablishment of their working capacity.
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The author observed 225 patients subjected to 261 repeated surgical interventions for early postoperative complications. Some patients were operated upon 3--4 times. Different complications caused various repeated surgical interventions. The experience acquired shows that the curative complex should include (in addition to all kinds of surgery) the timely measures directed to correction of metabolic shifts, to the increase of immune activity of the organism, to detoxications and desensitization.
Data concerning immunologic changes in postoperative peritonitis and the most common causes of their occurrence are set forth. The report is grounded on the observation over 112 patients and on the experiments on 60 dogs. The depression of the immunoreactivity and sensitization of the organism and its autoallergization with tissue decay products against the background of postoperative peritonitis have been found. It is advisable to use the desensitizing and detoxicating therapy together with relaparotomy and correction of metabolic disorders in postoperative peritonitis.
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