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Biomedical subjects

N N Kanshin

Publications and source records attributed to N N Kanshin.

At least 19 recordsLinked to original sources
PubMed1992

[Aspiration-lavage treatment in suture incompetence of the duodenal anastomoses and stump following gastric resection].

An analysis of results of 26 patients has been made who had incompetent sutures of anastomoses and stump of the duodenum at the nearest postoperative period after gastric resection. In 14 patients (main group) aspiration-lavage method of drainage was used, in 12 patients (control group) other methods of treatment of incompetent sutures were employed. The advantage of the aspiration-lavage method of treatment over other methods is shown.

Adult↗
PubMed1991

[A goal-oriented local approach to the prevention of postoperative suppurative complications].

A goal-oriented local approach to the prevention of postoperative purulent complications includes the use of compression suture devices to establish intestinal anastomoses and a complex of measures aimed at preventing surgical wound suppurations. To form compression anastomoses, use was made of the original AKA-2, AKA-4, IZhKA and SPTU devices fitted with compression clamps and of magnet facilities. The complex of measures to prevent postoperative wound suppurations includes optimal methods of laparotomy wound suture and the use of antibacterial suture materials, bathing of the wound by pulsed douche under pressure, local antibacterial prophylaxis by new dosage forms, preventive aspiration lavage and drainage of the wounds. Comparative clinical investigations carried out in more than 3,000 patients have demonstrated the effectiveness of the preventive methods under consideration and a decrease of the rate of postoperative wound suppurations from 11.7 to 2.3%. The rate of anastomosis failure amounted to 2.7%.

Anastomosis, Surgical↗
PubMed1991

[Complications of wound healing after appendectomy. Medical and economic aspects].

The incidence of hospital and posthospital wound complications was studied in 236 patients, residents of Zelonograd, who underwent operation for acute appendicitis. The material was collected at City Hospital No. 3 and four out-patient clinics of Zelenograd. The incidence of suppuration of the surgical wound in the hospital period was 13.1%, that of nonpurulent complications was 9.3%, and the total incidence of the wound complications was 22.4%. In the posthospital period additional suppuration of wounds was encountered in 23.3% of patients, nonsuppurative wound complications in 17.1%, and the total incidence of posthospital wound complications was 40.3%. The frequency of rehospitalization was 5.5%, the incidence of postoperative hernias was 0.9%. The economical loss due to the development of wound complications in 236 patients operated on for acute appendicitis came up to 56,120 roubles.

Acute Disease↗
PubMed1989

[Use of autologous dermal implants in surgery].

Autogenous dermal implants were used for plastic purposes in 359 patients who underwent operations for inguinal, postoperative, and diaphragmatic hernias, closure of laparotomy wounds and fixation of sutures on the esophagus. Suppuration of wounds occurred in 2% of cases. Recurrences were noted in 1.8% in treatment of inguinal hernias and in 2.9% of patients treated for postoperative hernias. There were no eventrations. Morphological examination showed autogenous dermal tissues to possess good properties as plastic material.

Esophagus↗
PubMed1989

[Closed automatic programmed aspiration-irrigation method in the treatment of abdominal abscesses].

Treatment of 124 patients with abdominal abscesses is analysed. Sixty-four patients (a test group) were treated by air-tight drainage of the abscess cavity with double-tube silicone drains and automatic fraction irrigation of the purulent cavity in the postoperative period. Other methods of intraabdominal abscess drainage were used in 60 patients (a control group). The advantages of closed programmed aspiration-irrigation treatment are shown.

Abdomen↗
PubMed1989

[Involvement of the appendix in the inflammatory process in severe nonspecific chronic ulcerative colitis in children].

The authors examined appendix tissues taken from 16 children and adolescents who had undergone colectomy for severe chronic ulcerative colitis. Fourteen patients had the mucosa and submucous layer involved in the chronic inflammatory process that is typical of ulcerative colitis, 5 patients showed inflammation in the muscular and subserous layers. The clinical symptomatology of appendicitis was absent.

Adolescent↗
PubMed1986

[Various approaches to the suturing of laparotomy wounds].

The differential approach to suturing laparotomy wounds is described with special reference to the kind of operation, disease, state of the tissues in the field of the operation wound. The muscle-aponeurotic layer was sutured with the help of an autodermal strip, a modified method of putting removable stitches on the aponeurosis was used, in critical patients with peritonitis aponeurosis was not sutured. The methods were used in the complex treatment of 80 surgical patients, among them 38 patients had acute purulent peritonitis. The incidence of suppurative postoperative wounds was 3.8%, in patients with peritonitis it was 7.9%. There were no eventrations.

Acute Disease↗
PubMed1985

[Pathology of the artificial esophagus made of skin].

Clinico-anatomical analysis of changes in the artificial oesophagi made of the skin and skin additions functioning in 13 patients during 10-38 years after the completion of the oesophagoplasty is given. Fistulas in the transplant wall connected with the effect of gastric juice are found in 4 patients. Constrictions of the transplants located anterothoracally due to the compression of the skin tube by the scars and the papilloma formation on its surface were revealed in 7 patients. Carcinoma of the skin addition developed in the presence of papillomatosis in 2 patients. Morphologically, a considerable reconstruction of the epidermis in the skin transplants is found which is regarded by the authors as a protective response to the persistent action of uncommon irritators. Early diagnosis of carcinoma in these cases is difficult and needs a detailed morphological examination of deep parts of the skin transplant. It is recommended, with a goal of prevention, to limit the use of the skin for the oesophagoplasty.

Adult↗