[Emergency pancreaticoduodenal resection in closed abdominal trauma].
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Biomedical subjects
Publications and source records attributed to N E Dolgushin.
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The authors show the results of experimental and clinical study of a single-row Pirogov-Mateshuk serous-muscular-subserous suture with the knots inside the lumen. It was demonstrated in experiments on 191 dogs that regeneration in the zone of anastomoses formed by a single-row suture is more perfect and occurs earlier than with the application of a double-row suture. Among 2,623 anastomoses formed on the esophagus, stomach, small intestine, colon, and rectum by means of a single-row suture, 1.5% were incompetent. The authors consider the single-row Pirogov-Mateshuk suture to be the method of choice.
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The authors have performed 25 experiments in dogs for the creation of compressive intestinal anastomoses with the help of permanent magnets. "End-to-end" and "side-to-side" anastomoses were formed on the large and small intestines. The magnets were eliminated together with necrotized tissues in the natural way on the 4-5th and 9-10th days after operation. Results of the application of "magnet" anastomoses in clinical practice (6 patients) are described.
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