[Intraoperative intestinal lavage in obstruction of the small intestine].
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Biomedical subjects
Publications and source records attributed to N S Uteshev.
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A special medicinal glue MIK-T capable of infiltrating biological tissue by means of an endoscopic needle was developed. The authors suggest a method for glue endoscopic infiltration of the source of gastroduodenal bleeding for its arrest and prevention of a recurrence. Experimental study was undertaken to study the efficacy of glue endoscopic infiltration, determine the terms of glue resolution, and reveal the morphological changes in the zone of glue injection. The method of glue endoscopic infiltration was employed in complex treatment of 109 patients with acute gastroduodenal bleeding. The results provide evidence of the high efficacy of the method and its advantages over diathermocoagulation in arresting and preventing recurrences of acute gastroduodenal bleeding.
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Eleven cases of acute obstructing carcinoma of the left colon were treated by emergency subtotal colectomy with immediate ileocolorectal anastomosis. The procedure of on-table closed antegrade preparation of the small bowel has been developed by the authors preventing the anastomosis incompetence. In all cases during postoperative treatment the long-tube decompression, enteral tube feeding and HBO were used. Two patients died. In five cases non-fatal postoperative complications have developed. Further research is recommended for more careful selection of patients for the procedure.
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Under observation were 315 patients subjected to primary gastric resection for perforated ulcer. Twelve patients died. Late results were followed up in 171 patients. Good issues were noted in 74.3 per cent, satisfactory--in 23.4 per cent and poor--in 2.3 per cent.
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