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Biomedical subjects

N A Baulin

Publications and source records attributed to N A Baulin.

At least 19 recordsLinked to original sources
PubMed1992

[An epidemiological analysis of postoperative suppurative pathology in surgical hospitals].

Approaches to the epidemiological analysis of postoperative wound complications in surgical hospitals are summarized. The indices for the evaluation of the epidemic situation in surgical departments (the ratio of severe and mild forms of complications, severe and posthospital complications) are proposed. To determine the site of infection, the method of graphic analysis, involving the fixation of dates of the operation and the appearance of the complication and taking into account regularities in the development of the outbreak, the depth and severity of the lesion, is proposed. Epidemiological surveillance at medical institutions permits the prognostication of the epidemiological situation. The realization of epidemiological surveillance at the level of individual medical institutions is the prerequisite of effective functioning of the program of epidemiological surveillance at a given territory.

Disease Outbreaks↗
PubMed1991

[Blood cell catecholamines during different methods of postoperative analgesia].

Blood cell catecholamine levels were measured in the patients over the course of the postoperative period administered various types of analgesia, the standard mode with narcotic analgetics and the method suggested by the authors, consisting in blocking of the afferent nervous painful pulsation via the anterior abdominal wall. The blocking is carried out with a micro-irrigator placed in the muscular layer of the anterior abdominal wall during surgery. Procaine solution was employed for anesthesia. Postoperative analgesia efficacy was assessed from blood catecholamine levels. Analysis has shown the efficacy of the suggested analgesia mode.

Adult↗
PubMed1991

[Gallstone ileus].

The authors discuss 25 patients with gallstone ileus, which is a quite frequently encountered complication of cholelithiasis and is recorded in 0.64% of patient who underwent operation for calculous cholecystitis. The diagnosis and treatment of this complication have some specific features whose knowledge is extremely important in rendering emergency surgical care. Better results can be achieved by a timely and adequate diagnosis, individual choice of the operative method, and subsequent follow-up of the patients who were operated on. Regular medical examination and planned preventive treatment of patients with cholelithiasis are the main trends in the prophylaxis of this disease. Postoperative mortality was 24%.

Acute Disease↗
PubMed1991

[Expediency of performing duodenojejunostomy in chronic duodenal obstruction].

The article discusses treatment of 30 patients with chronic duodenal obstruction by means of an operation for duodenojejunostomy. Three variants of subcolonic duodenojejunostomy were used. The best drainage function of longitudinal duodenojejunostomy is noted. The postoperative results were poor in 40% of patients. The operation was repeated in 11 patients. The duodenum was excluded. The results of the second operations were satisfactory. Duodenojejunostomy is poorly effective in the treatment of duodenostasis. Exclusion of the duodenum from passage produced more favorable results in respect of function.

Adolescent↗
PubMed1991

[Surgical tactics in acute cholecystitis].

The results of treatment of 1,843 patients with acute cholecystitis are analysed. Operations were carried out on 766 patients, postoperative lethality 3.5%. A more active surgical tactics was accepted in the last 3 years, as the result of which postoperative lethality fell to 1.2% in 1988. Cholecystostomy was conducted under local anesthesia in patients who were in a grave condition, and in elderly and old--aged patients with an operative risk. The authors analyse 71 cases in which the late-term results were studied, they proved to be good on the main.

Acute Disease↗
PubMed1990

[Selection of the method of plastic surgery of the abdominal wall in ventral hernia].

Materials on surgical treatment of 365 patients with various types of ventral hernias are discussed. The authors describe original methods of ventroplasty which they developed and approved . The methods comprise duplication of the whole peritoneal-muscular-cicatricial-aponeurotic complex of the abdominal wall by means of a double-row suture passed through all these layers and application of a third reinforcing row of sutures; whenever necessary, the operation is divided into two stages. Preoperative compression training of the abdomen is conducted in cases of a large hernia. Attention is focused on the need to choose the method of plasty for each individual patient, which makes it possible to avoid serious complications and fatal outcomes and produce good results of the treatment. Recurrences in large ventral hernias occurred in 8% of cases.

Abdominal Muscles↗
PubMed1988

[Various problems of epidemiology and prevention of suppurative-inflammatory complications in surgery].

An epidemiological analysis of pyo-inflammatory diseases (PID) in surgical department of multiprofile hospitals has been made. PIDs were diagnozed in 16.2% of patients operated upon. The observation of fluctuations of the level of PID with regard for the correlation of severe and "minor" forms and terms of their appearance allows to make a conclusion of the probable place of infection and may serve an indicator of epidemiological situation. The application of film-forming drug "Lyfuzol" for closing operative wounds has decreased the incidence of PID in catarrhal and phlegmonous appendicitis 2.6 times.

Antisepsis↗