Biomedical subjects
Publications and source records attributed to O A Fadeev.
The authors analyze indications, technique and results of 143 laparoscopies in blood diseases and diseases with hematological symptoms; evidence obtained at combined and separate hepatic and splenic biopsies (55, 84 and 1 patients, respectively). Trepan biopsy was preferred to other biopsies. The technique proposed by the authors is complications safe even in patients with serious hemostatic disorders.
Outcomes of urgent laparoscopy performed in 31 patients with various hematological diseases were favourable in spite of serious condition of the patients and apparent hemorrhagic syndrome. No laparoscopy-related complications were registered. Due to endoscopic investigation surgical intervention was rejected as unjustified in half of the examinees, 11 operations were performed just in time. Diagnostic difficulties in acute abdominal conditions requiring surgery and indications to laparoscopy in suspected perforations, peritonitis, acute appendicitis, hemorrhages are detailed.