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Biomedical subjects

P V Ogorodnik

Publications and source records attributed to P V Ogorodnik.

At least 19 recordsLinked to original sources
PubMed2006

[Modern tactics for choledocholithiasis treatment].

There is presented tactics of treatment of 1325 patients, in whom choledocholithiasis was diagnosed. In 1023 (7.4%) of them in the first stage endoscopic papillosphincterotomy was performed and transpapillar endobiliary manipulations, in 1-2 days--laparoscopic cholecystectomy. In 302 (2.9%) patients laparoscopic exploration of common biliary duct with cholecystectomy were performed. Intraoperative complications occurred in 28 (2.7%) and postoperative--in 72 (7%) patients. All patients are alive.

Cholecystectomy, Laparoscopic↗
PubMed2006

[Complications of endoscopic transpapillary interventions].

The results of endoscopic papillosphincterotomy with subsequent endobiliary intervention performance in the clinic in 2235 patients in 2000-2006 yrs were studied up. Early complications had occurred in 113 (5.1%) patients, including hemorrhage--in 57 (50%); late complications--in 64 (2.9%). All the patients are alive.

Adult↗
PubMed2005

[Prophylaxis and treatment of intraabdominal purulent complications after performance of laparoscopic cholecystectomy using interventions with ultrasonographic control].

The results of treatment of 9103 patients, to whom laparoscopic cholecystectomy was performed, were adduced. In 6714 patients intraabdominal postoperative complications were absent, ultrasonographic investigation (USI) was not performed. Dynamical USI was done in 2389 patients, permitting to estimate timely the wound course severity in the gallbladder bed, to administer an adequate therapv, in 9 of them--to perform puncture of subhepatic formations under USI control. Intraabdominal infectious complications were revealed in 65 (0.71%) of patients.

Abdominal Cavity↗
PubMed2005

[Possibilities of miniinvasive interventions in isolated stenosis of lobar biliary ducts].

In 2000-2004 yrs miniinvasive interventions for isolated stenosis of lobar biliary ducts were performed in 27 patients. The stenosis was caused by nontumoral (choledocholithiasis, primary sclerosing cholangitis) or malignant lesion of biliary ducts. Miniinvasive technologies included interventions, using laparoscopic and endoscopic transpapillary accesses. The authors consider expedient and justified the performance of such interventions in present contingent of patients, because this promotes improvements of immediate and late results of treatment and quality of life as well.

Adult↗
PubMed2004

[Simultaneous operations during laparoscopic cholecystectomy].

Simultant laparoscopic operations were performed in 1993-2003 yrs period in 321 patients, including 287--using laparoscopic and 34--the combined (laparoscopic and open) access. Concurrent diseases were diagnosed preoperatively in 219 (68.2%) of patients and were disclosed while doing intraoperative revision--in 102 (31.8%). The simultant operations performance, as a rule, enhanced mildly the total duration of a basic stage, did not influence the duration of postoperative period and the patients rehabilitation essentially, as well as for frequency of the intra--and postoperative complications occurrence. The authors consider that it is expedient to perform laparoscopic intervention simultaneously for concurrent surgical diseases of abdominal cavity.

Adolescent↗
PubMed2001

[Laparoscopic choledocholithotomy. Indications and methods of completion].

Modern views on diagnostic and medical algorithm using mini-invasive technologies for complicated cholelithic disease (CHLD) were summarized. Main indications and methods of the laparoscopic choledocholithotomy completion in 71 patients with choledocholithiasis were presented. Original, elaborated in the clinic methods were presented along with conventional diagnostic methods. Introduction of the proposed diagnostic-medical complex had permitted to improve the results of planned and urgent operations for complicated CHLD.

Adult↗
PubMed2001

[Lessons on laparoscopic cholecystectomy (summary of the experience].

The experience of laparoscopic cholecystectomy conduction in 6524 patients with nontumoral diseases of gallbladder (chronic calculous cholecystitis, an acute calculous cholecystitis, chronic noncalculous cholecystitis, the gallbladder polyposis) was summarized. While comparing the initial seizing experience in laparoscopic cholecystectomy in the clinic the tendency was noted, trusting the skills improvement in management of laparoscopic technique, permitting to reduce the contraindications quantity for laparoscopic cholecystectomy. Several principles were elaborated, which is necessary to follow doing laparoscopic cholecystectomy for improvement of results of treatment in patients and for complications reduction.

Adolescent↗
PubMed2000

[Laparoscopic interventions on choledochus: 5 year experience].

Complex examination of 69 patients with complicated cholelithic disease was performed. The elaborated in the clinic algorithm for preoperative examination of the patients was applied to reveal the main bile ducts pathology. Indications for the laparoscopic interventions on choledochus performance were substantiated.

Adult↗
PubMed1994

[Diagnosis of cancer of the pancreatic body and tail].

Results of 194 patients observation with cancer of corpus et cauda pancreatis are adduced. Clinical forms of the disease are distinguished. Rational algorithm for the examination of patients with probable cancer of corpus et cauda pancreatis diagnosis was elaborated grounded on the efficacy analysis of various methods of examination (ultrasonic investigation, computed tomography, endoscopic retrograde cholangiopancreatography, selective, angiography and so on). The algorithm application permitted to improve significantly the diagnosis of disease.

Adult↗
PubMed1993

[A rational procedure for the treatment of patients with chronic calculous cholecystitis complicated by choledocholithiasis].

The results of surgical treatment of 156 patients with chronic calculous cholecystitis complicated by choledocholithiasis have been analysed. In 62 patients, cholecystectomy in combination with choledocholithotomy was performed. Ninety four patients underwent additional drainage operations on the terminal common bile duct. Endoscopic papillosphincterotomy was performed in 90% of cases, other drainage interventions (choledochoduodenostomy and transduodenal papillosphincterotomy)--in 10%.

Cholecystectomy↗
PubMed1991

[Diagnosis and principles of treatment of obstructive purulent cholangitis].

Having substantiated the results of treatment of 425 patients with purulent cholangitis caused by benign obstruction of the bile ducts, the authors suggest their definition of "purulent cholangitis". The two-stage operative interventions were used. At the first stage, the sparing decompression of the bile ducts, and as well rational regional antibacterial therapy were performed. The lethality reduced from 3 to 1.3%, purulent cholangitis was cupped off in 98.7% of the patients. The indications, methods for performance of endoscopic papillotomy, and as well of closed interventions in obstruction of the bile ducts with the use of a transcutaneous transhepatic approach are presented.

Cholangiopancreatography, Endoscopic Retrograde↗
PubMed1991

[Several problems of surgical treatment in acute biliary pancreatitis].

The authors used in 39 patients with the intact gallbladder and after previously performed cholecystectomy the therapeutical tactics developed on the basis of consideration of the peculiarities of clinical course of acute biliary pancreatitis, and as well the original methods of treatment (auriculotherapy, selective hepatic vagotomy). This permitted to achieve the reduction in incidence of complications down to 11.5%, lethality--to 2.8%.

Acute Disease↗