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Biomedical subjects

P G Briusov

Publications and source records attributed to P G Briusov.

At least 19 recordsLinked to original sources
PubMed2003

[Experience in the use of Y-shaped anastomosis during surgical treatment of acute colonic ileus of tumoral genesis].

Among the total number of patients suffered from colonic cancer the incidence of acute ileus constitutes 32%. In 1978-1997 we studied 198 patients with such pathology. In 1993-1997 the Y-form anastomosis was applied in 33 patients (37.9% of the cases); anastomosis incompetence was not observed. 1 month after operation the anastomosis provided the natural passage over intestine and in 2-3 months allowed performance of early and safe extraperitoneal closure of unloading stoma. The use of Y-form anastomosis in colonic surgery against the background of acute ileus (of tumoral genesis) permits to decrease the postoperative lethality and to conduct rapid social-and-labor rehabilitation of the patients with the help of early safe extraperitoneal reconstruction operations.

Acute Disease↗
PubMed2001

[Specialized surgical care of severe mechanical multiple trauma].

The authors share their experiences with diagnosing and surgical treatment of 1792 patients with mechanical combined traumas. The average age of the patients was (31.6 +/- 1.4) years. All the patients were divided into two groups according to the medico-diagnostic methods. The traditional methods of diagnosis and treatment were used in 811 patients of the first group. Complications took place in 39.2%, lethality was 28.4%. The diagnosis in 981 patients of the second group included an ultrasound investigation, computed tomography, videothoraco- and laparoscopy. The surgical treatment was based on the objective multifactorial assessment of the trauma severity and determination of the prognosis criteria. Complications developed in 24.8% of the patients. Lethality was 19.5%.

Abdominal Injuries↗
PubMed2001

[Rendering emergency surgical aid in gunshot penetrating thoracic wounds].

In modern limited military conflicts the gunshot penetrating wounds of breast (GPWB) are the most severe type of fighting trauma with high lethality on field and development of complications. Today the main method of treatment in GPWB is low-invasive intervention--thoracocentesis and drainage of pleural cavity. In stationary conditions it is reasonable to conduct the active drainage of pleural cavity with the help of vacuum-aspirators and during evacuation of casualties to use the devices for drainage of pleural cavity with petalled valve. In GPWB to provide rendering of surgical service in time it is necessary to equip hospitals with home-produced equipment and apparatus according to achievements thoracic surgery as well as training of military field surgeons.

Adult↗
PubMed2001

[Advanced techniques in surgical treatment of penetrating gunshot wounds of the chest].

The results of treatment of 322 wounded with penetrating gun-shot wounds of the chest during local hostility from 1994 till 1996 are analyzed. Aggravation in the condition of the hospitalized wounded was observed due to reduction of time of evacuation in hospitals. The indications for surgery were in 96.3% wounded. The main surgical methods were thoracocentesis and drainage of pleural cavity performed in 80.1% wounded. Thoracotomy was performed in 9.6% wounded. High efficiency of operative videothoracoscopy performed in 4.4% wounded in hospital of the first aid is demonstrated, it allowed to reduce frequency of thoracotomy to 2.4%.

Hemothorax↗
PubMed2000

[Surgical treatment of perforated gastroduodenal ulcers in young persons].

The knowledge of surgical tactics in treatment of ulcerous disease and its complications in young persons is of great practical importance for military health service. The problem of choice of surgical method in perforated gastroduodenal ulcers remains contradictory. Many authors draw attention to merits and demerits of both palliative and radical interventions. The long-term results of identical operations obtained by different authors often vary and not infrequently are quite opposite. The review of our and foreign literature concerning the surgical treatment of perforated gastroduodenal ulcers in the young patients shows that the unequivocal decision of this problem today is not available. Discussions about expediency to perform different interventions in the young patients are generally concentrated around the notions of "acute" and "chronic" ulcer. However both these categories are poorly defined because the criteria of their evaluation vary in different authors. Obviously the choice of surgical method in the young patients with perforated gastroduodenal ulcers should be based both on multi-factor analysis of anamnestic data, the patient's general state, intraoperative picture and on retrospective and prospective analysis of conservative treatment, its possibilities and efficiency, on the patient's opinion. The availability of technical possibilities to perform the operation and presence of the adequately trained surgeons are necessary.

Adult↗
PubMed1999

[Modern aspects of wound sepsis in war surgical trauma].

The results of the treatment of 1020 wounded with symptoms of wound infection have been studied. The wounded were admitted with developed complications from the hospitals in Afghanistan. The syndrome of systemic inflammatory reaction detected in 239 (23.4%) wounded was the indication for application of the whole complex of antiseptic treatment. Sepsis in patients with complicated gunshot wounds was revealed only in 54 wounded, i.e. in 5.4%. Early diagnosis and multicomponent therapy resulted in a decrease of mortality rate in wound sepsis up to 9.3%.

Afghanistan↗