Biomedical subjects
Publications and source records attributed to N S Kravets.
Retrospective analysis of severity of the postoperative peritonitis clinical course was conducted in 69 patients. There were identified two forms: classical and atypic. There was established, that for classical clinical form the presence of the pain syndromes characteristic as well as of the peritoneal irritation symptoms, and for the atypic one--the sepsis occurrence.
The retrospective analysis of treatment of 42 patients with the closed abdominal trauma, whom the relaparotomy carried out. Principal causes bringing to repeatcd operative interventions were separated, and classification of operations depending on terms of performance, are allocated. An inclination the basic directions as system and local character are allocated.
The experience of treatment of 69 injured persons with posttraumatic retroperitoneal hematoma suffering severe multiple combined abdominal trauma was analyzed. Application of the classification proposed permits to formulate diagnosis and to choose the tactic of treatment correctly. The intraoperative tactics algorithm was elaborated. It promotes the correct analysis of intraoperative findings and reduction of the diagnostic mistakes frequency as well. In the presence of vast defect, making impossible to suture over the parietal peritoneum, extraperitonization using cerebral dura mater was done. Operative intervention was concluded by drainage with subsequent laserotherapy.
Cranioabdominal trauma (CAT) is one of the most severe forms of combined injury, in which the mortality rises up to 80%. Four principle factors in diagnosis and treatment of CAT are noted. The absence or noncomplete volume of the aid provided in the before hospitalization period causes unsatisfactory result of treatment in 30% of injured persons. Instrumental methods of investigation play the main role in CAT diagnosis. The informativity of laparocentesis in the closed abdominal trauma constitutes 98%. Operative intervention is performed under the support of antishock intensive therapy. When an urgent operation conduction is necessary it is performed by two teams of surgeons.
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The authors have successfully used for local treatment of purulent wounds a new preparation acelysin. In animals with the induced abscesses, under the influence of acelysin, more rapid recovery than in the control group of animals treated with hypertonic sodium chloride solution, dioxidine solution was achieved. The effectiveness of treatment was judged by duration of the course of a wound process, findings of morphologic, cytologic and bacteriologic studies. Use of acelysin solution in 24 patients with suppuration of an operative wound has confirmed its effectiveness.