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Biomedical subjects

N P Fagurel

Publications and source records attributed to N P Fagurel.

6 recordsLinked to original sources

[Safety measures in gastrectomy for peptic ulcer of marked severity].

During the period from 1981 till 1989 87 resections for ulcerous injuries of particular severity were made in connection with the inflammation, destruction or spread of sclerosis in the pyloroduodenal zone. Measures of safety were complex and came to refusal from buried sutures in closing the duodenal stump, predominant use of Billroth-II resection in modifications foreseeing the creation of the Brown anastomosis (after Balfour, Roux), drainage of the abdominal cavity and actions for the liquidation of postoperative complications. Relaparotomy resulting from complications was necessary for 9 patients. One patient of 87 died.

Duodenal Ulcer↗

[Surgical treatment results in arterial injuries of the extremities in childhood].

The authors present their analysis of the surgical treatment of 20 children with injured peripheral arteries. In 14 cases a venous autograft was used for a reconstruction of the artery, in 3 cases lateral sutures were made and in 3 children the artery was ligated. In 7 cases a suture of the nerve and osteosynthesis were necessary. Remote results of the treatment observed in 15 children within the terms from 1 to 10 years and longer have shown that the venous autotransplant were functioning normally and provided a normal growth and functioning of the extremity. Functional disorders were observed following a ligation of major arteries.

Adolescent↗

[Surgical treatment of stomach and duodenal ulcer].

Data on the surgical treatment of 954 patients are described, 613 of them being patients with complicated ulcers. Resection is considered to be indicated for gastric ulcers and for duodenal ulcers with pronounced hypersecretion, for atonia of the stomach and local changes hampering manipulations on the lesser omentum. Selective proximal vagotomy (SPV) was preferable in non-complicated duodenal ulcers, trunkal vagotomy was used as a forced measure in severe cases. The least postoperative lethality was noted after SPV (0,7%). Lethality after resections ranged from 1,3% to 2,2% depending on the method used.

Adult↗