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Biomedical subjects

S A Pyshkin

Publications and source records attributed to S A Pyshkin.

At least 19 recordsLinked to original sources

[Focal cirrhosis of the liver].

The experience in treatment of 14 patients with focal cirrhosis of the liver is summarized. Clinical and morphological data is presented. It is noted that clinical picture is poor and non-specific. Ultrasonic examination is the main diagnostic tool. It is demonstrated that histological examination of removed specimen is often necessary for final diagnosis. Method of choice in the treatment of patients is surgical one. The scope of surgery depends on intraoperative features, extended hepatic resection is not usually indicated.

Adolescent↗

[Rare tumors of the liver and lesions simulating them].

Problems of diagnostic and treatment policy in hepatic lesions are considered. Based on analysis of 511 cases, the authors demonstrate that among hepatic lesions as well as widespread diseases (hemangioma, cancers, parasitic and non-parasitic cysts) rare diseases can be also found. Diseases of different organs may simulate hepatic lesions.

Actinomycosis↗

[Postoperative peptic ulcer in emergency surgery].

The experience of treatment of 36 patients with peptic postoperative ulcer, admitted to clinic in urgency, was analyzed: 29--with bleeding, 6--with the pronounced pain syndrome, 1--with perforation of ulcer. The conservative therapy conduction permitted to stop the bleeding and to abolish the pain syndrome, but the stable epithelialization of ulcers couldn't be achieved. Transthoracic supradiaphragmatic truncal vagotomy is the operation of choice for the treatment of peptic ulcer caused by inadequate stomach resection extent. All the patients recovered.

Adolescent↗

[Effect of intraoperative lavage of the large intestine with hyperoxygenated solution on the healing of large intestinal anastomosis].

In the experiment on 80 rats, the intraoperative lavage of the colon (IL) in its perforation and acute obstructive ileus was performed. Lavage was performed before wound closure and placing the anastomosis. In using IL with hyperoxigenated solution, the favourable course of the postoperative period, increase in number of the animals survived, decrease in incidence of complications were noted. The wound and intestinal anastomosis healed by first intention. The method is recommended for the use in clinical practice.

Animals↗

[Ultrasonic scanning and duodenoscopy in the diagnosis and treatment of obstructive jaundice].

In 186 patients with obstructive jaundice admitted to the clinic for diagnosis of its cause, the ultrasound scanning with duodenoscopy was employed. This permitted to establish the cause of jaundice in 84.9% of the patients and to choose proper therapeutic tactics at the shortest time after hospitalization. In 80% of the patients, an obstacle for bile outflow was liquidated by means of endoscopy. When it was not possible to established the cause of jaundice by the findings of ultrasound scanning and duodenoscopy, percutaneous transhepatic cholangiography was performed, which has proved to be successful in 5.9% of cases. Use of the given methods for diagnosis permitted to define the optimal therapeutic tactics in patients with obstructive jaundice, to reduce the lethality.

Acute Disease↗

[Use of acelysin solution in the treatment of acute purulent inflammatory diseases of soft tissues].

The authors have successfully used for local treatment of purulent wounds a new preparation acelysin. In animals with the induced abscesses, under the influence of acelysin, more rapid recovery than in the control group of animals treated with hypertonic sodium chloride solution, dioxidine solution was achieved. The effectiveness of treatment was judged by duration of the course of a wound process, findings of morphologic, cytologic and bacteriologic studies. Use of acelysin solution in 24 patients with suppuration of an operative wound has confirmed its effectiveness.

Adolescent↗

[Mortality among patients of general surgical profile].

The lethality for 2 years in two general surgical departments is analysed. In total, 7417 patients underwent 4254 operations, including 1181 (27.7%)--elective, 3073 (72.2%)--emergency ones. After elective operations, 12 (1%) patients died, after the emergency operation--189 (6.1%). There were the following causes of lethality after elective operations: different concomitant diseases present before the operation, or developed after it (0.68% of cases); diagnostic, tactical and technical errors (0.32%). Causes of lethality after emergency operations: related to age and irreversible changes in the organism (2.6% of cases); different concomitant diseases (0.8%); late referral to a physician (1.49%); diagnostic, tactical and technical errors (1.3%).

Adult↗

[The early rehabilitation of patients, operated on for peptic ulcer and cholelithiasis, at Mirgorod health resort].

The authors analyzed the condition of 51 patients in the early period of operation for ulcer and cholelithiasis. It was found that most patients showed asthenic, dyspeptic and pam syndromes, anemia, hypoacidic or achylous gastritis, inflammation at the operative site. As a result of treatment at the Mirgorod health resort (physiotherapy, mineral water) there occurred a significant improvement in the patients' condition. It is concluded that rehabilitation of patients following surgical intervention on the 20th day of operation for ulcer and cholelithiasis at the Mirgorod health resort has good perspectives.

Adult↗