Biomedical subjects
Publications and source records attributed to N T Chemodurov.
There were treated 554 patients for functional, organic and combined forms of postresectional syndrome. Reconstructive jejunogastroplasty was applied as the method of choice of the operative treatment. Intraoperative and postoperative complications have occurred in 112 (20.2%) of patients.
For the 1970-1997 yrs. period 1357 patients were operated on for an ulcer disease using vagotomy, in 361 (26%) simultant operations were carried out, including in 340--for the abdominal cavity organs diseases and in 21--for intraoperative complications.
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Intraoperative complications occurred in 28 (2.8%) and early postoperative complications in 157 (15.7%) out of 1,000 operations for vagotomy in duodenal ulcer (109 truncal, 64 selective, 445 isolated SPV, and 372 SPV combined with draining operations). Postoperative lethality was 1.3%. Controllable types of complications were encountered in 2.6%, prognostic in 9.6%, and non-prognostic in 5.7% of cases. The first two groups of complications accounted for two thirds of the total number and determined the lethal outcome in 0.7% of the fatal cases. Thus, mastering of the operative techniques and realization of the complex of preventive measures allows the postoperative results of vagotomy to be considerably improved.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
By means of radial immunodiffusion the quantitative content of blood serum proteins was studied in healthy persons and in patients with the following impairments:gastric ulcer, duodenal ulcer, carcinoma of the stomach, disease of the operated stomach, hepatic echinococcosis. In blood sera of healthy persons the patterns of the proteins studied were found within the limits of normal values reported by other investigators. As compared with the normal values distinct quantitative alterations were observed in content of proteins under the above-mentioned pathological states.
Recurrent ulcers after vagotomy make their appearance mainly within the first 2 years after operation. Main causes of recurrences are: not complete vagotomy, disturbance of the motor-evacuatory function of the stomach and duodenum and their combination. Continuous rational antiulcer therapy is expedient for noncomplicated course of the recurrent ulcer. The method of reoperation must be chosen with reference to causes of the recidivation established by findings of special preoperative examinations and suboperative data.