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Biomedical subjects

N N Kanshin

Publications and source records attributed to N N Kanshin.

At least 37 records · Page 2Linked to original sources
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↗
PubMed1984

[First experience with application of compression anastomoses with the apparatus AKA-2 in operations on the large intestine].

The article describes results of the experimental and clinical application of the suturing apparatus AKA-2 forming compression anastomoses on the colon with the help of connecting rings. The results obtained enabled the authors to recommend the suturing apparatus AKA-2 for clinical use. Experience with using the apparatus AKA-2 in several medical institutions in 225 operations on the colon has shown the apparatus to be reliable and to considerably facilitate the creation of anastomoses in operations on the colon and rectum.

Animals↗
PubMed1984

[Suturing the stump of the stomach and the stump of the mesentery using the UO-40, UO-60 and NZhKA-60 surgical apparatus supplied with elastic compression clamps].

Suturing devices UO-40, UO-60 and NZhKA-60 supplied with silicon fixators of compression were used for suturing gastric and mesentery stumps. Silicon gaskets were later rejected into the stomach lumen. Silicon strips stitched by metallic clamps left in the abdominal cavity were found to cause neither inflammatory reactions nor scarry adhesions both in the nearest and remote periods after operation. It was not necessary to put even one thread ligature when ablating great portions of the intestine.

Evaluation Studies as Topic↗
PubMed1983

[Continuous aspiration in prevention of postoperative wound suppuration].

The aspiration method of preventing suppurations (after Redon) was used in 948 patients. After "pure" operations suppurations were found to appear in 0,8%, after "conventionally pure" operations in 1,3% and after operations associated with a considerable postoperative risk of a wound infection--in 17% of cases. The aspiration--irrigation method of preventing suppurations was used in 69 patients operated under conditions of a developing purulent process. Suppuration of the wounds was found to develop in 1,3% of cases.

Drainage↗
PubMed1983

[Transesophageal drainage of the mediastinum in perforating mediastinitis].

The authors describe the method of the aspiration-lavage treatment of perforations of the thoracic portion of the esophagus with a false passage into the mediastinum by a two-lumen tube introduced through the perforation opening with the help of an esophagoslone in combination with transcatheteral feeding. The recovery was reached in all the four patients without a surgical intervention.

Adult↗