[Surgical methods in combined injuries of the inferior vena cava and abdominal viscera].
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Biomedical subjects
Publications and source records attributed to N N Volobuev.
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The Plenk method in the author's modification was successfully applied in resection of the stomach "for exclusion" in 22 patients. When there was a threatening incompetence of the duodenal stump sutures, to prevent generalization of peritonitis the stump in 24 patients was covered with a "hood" of the greater omentum and external drainage of this space was installed; the procedure was an alternative of duodenostomy. Incompetence occurred in 3 cases with subsequent recovery. In resection of the stomach for recurrent ulcer after previous vagotomy combined with gastroduodenostomy after Jaboulay, the defects in the duodenal wall were closed with a demucosed antral-pyloric gastric segment after the author's method. The operation was conducted on 4 patients.
The article presents comparative analysis of original median-link access in abdominal surgery under various surgical interventions on the abdominal cavity organs. On the vast experimental material including 60 rabbits and data of clinical observation of 426 patients with different surgical diseases the authors showed the advantages of median-link access.
In 1985-1989, 135 patients were operated on for chronic appendicitis. Correct diagnosis was established in 131 (97%) patient, 89% of the patients operated on recovered.
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The experience with the use of ultraviolet irradiation (UVI) of the blood in 98 patients with purulent-inflammatory disease is presented. UVI of the blood has considerably improved the results of treatment of the patients. The highest effectiveness of UVI of the blood is noted in treatment of chromosepsis. The treatment of psoriasis by the mentioned method appeared ineffective.
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A 13-year-old girl with a clinical picture of severe peritonitis was subjected to emergency operation upon 18 h since the symptoms onset. Laparotomy which detected a 360 degree torsion of the spleen with necrosis and perforation in the fundus of the stomach was followed by splenectomy and suture of the perforation. The patient's death occurred 17 h after the surgical treatment in progressive cardiovascular, renal and hepatic insufficiency and associated DIC syndrome. Specific blood supply to the organs is considered the underlying cause of gastric necrosis in relevant case of splenic torsion.
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Diverticula of the stomach and duodenum were revealed in 21 (2.3%) of the examined patients with ulcer disease. Resection with radical interventions on the diverticulum were fulfilled in 8 patients, with by-passed duodenum in 7 patients, with selective proximal vagotomy associated with invagination of the diverticulum in 6 patients, among them 1 patient with a subpyloric Y-shaped bypass of the duodenum. There were no lethal outcomes.
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