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Biomedical subjects

S A Sovtsov

Publications and source records attributed to S A Sovtsov.

13 recordsLinked to original sources
PubMed2002

[Acute appendicitis: disputable problems].

Latest Russian publications about pathogenesis of acute appendicitis, surgical policy and new approaches to its treatment are discussed. Based on many-year experience of surgical treatment of abdominal diseases and literature data, the author gives his opinion about inexpedience of appendectomy for cataral and unchanged appendix. Unfounded proposals towards changed diagnosis formulation in various forms of destructive appendicitis are subjected to criticism. It is concluded that it is necessary to use traditional approaches to diagnosis and treatment of acute appendicitis.

Acute Disease↗
PubMed2002

[Diagnostic value of Dopplerography in mechanical intestinal blockage].

With intestinal obstruction taken into consideration, it is thought to be expedient to study changes to hemodynamics occurring in the basin of the superior mesenteric artery (SMA) with the help of dopplerography. A reliable elevation was noted in indices of the peak systolic circulation rate in SMA, mean linear circulation rate in SMA, correlation between the peak systolic rate in SMA and the systolic rate in the abdominal aorta, volume circulation rate in SMA. In addition, these indices were shown to depend on the level of the obstacle resulting in intestinal obstruction.

Hemodynamics↗
PubMed2001

[Main principals of clinical diagnosis formation in peritonitis].

Based on great clinical experience (more 1000 patients) the author makes attempt to standardize classification of peritonitis. Bearing in mind the critical analysis of available peritonitis classifications, it is proposed to divide toxic phase of peritonitis (by K.S. Simonyan) into two variants--with poliorganic insufficiency or without it. This elaboration permits to make the treatment of the patients with general peritonitis more detailed. Besides, the changes were made in division of peritonitis by degree of generalization along peritoneum, it is proposed to distinguish only 4 types by abdominal exudate character that also determine the actions of surgeon. Individual surgical situations in various forms and types of peritonitis are analyzed. The own model of peritonitis classification permits to receive comparable immediate results of treatment.

Diagnosis, Differential↗
PubMed2001

[Principles of medical care of patients with gastrointestinal ulcer hemorrhage].

A new protocol of treatment policy is proposed based on the results of treatment of 518 patients with gastrointestinal ulcer bleedings. All the patients are divided into 3 groups: with continued bleeding, with unstable spontaneous hemostasis, and with stable spontaneous hemostasis. Corresponding policy of treatment was used: surgery, endoscopic hemostasis, conservative treatment. In endoscopic hemostasis we preferred to clamp vessel or ulcer leading to hemostasis in all 36 cases. Hemostasis was not achieved in 6% patients, recurrence of bleeding was in 4.2% patients, 24.6% patients underwent emergency operations. The majority of operated patients underwent stomach resection (51.6%). The proposed principles of treatment permitted to decrease overall lethality from 5.2 to 2.6%, postoperative lethality--from 15.7 to 7.5%.

Duodenal Ulcer↗
PubMed1998

[Present-day diagnostic techniques in breast nodes].

AIM: A comparative analysis of the effectiveness of preoperative diagnostic techniques in breast nodes. MATERIALS AND METHODS: 110 females with breast cancer and 306 females with benign tumors of the breast were examined (mammography, ultrasound, aspiration biopsy). A new technique of ultrasound histography of the tumor which enhances diagnostic specificity of echography is introduced. RESULTS: Diagnostic sensitivity averaged 82.8 +/- 3.9, 88.3 +/- 3.2, 69.3 +/- 4.5% for mammography, ultrasonic visualization and aspiration biopsy, respectively. Informative value of mammography and aspiration biopsy decreased in females of reproductive age, especially in preexisting hyperplastic processes in the breast. CONCLUSION: With greater size of the tumor in the breast ultrasound becomes more sensitive but less specific. The additional histography of the tumor in such cases is useful.

Adult↗
PubMed1992

[Errors, hazards and complications in the treatment of patients with diffuse suppurative peritonitis].

Errors and complications encountered in the treatment of 208 patients with generalized purulent peritonitis are analysed. The importance of preoperative management of patients is shown, when properly conducted it improves the results of treatment. The author discusses tactical and technical errors which are encountered most frequently during the operation and lead to increase of the mortality rate. Rational postoperative management requires particular attention. The immediate results of treatment are improved when errors, hazards, and complications occurring in the treatment of patients with generalized purulent peritonitis are taken into account.

Acute Disease↗
PubMed1980

[Value of antibiotics in treated acute cholecystitis in elderly patients].

The treatment of 673 patients with acute cholecystitis aged 70 and more was analyzed. Half of the patients were treated with antibiotics. Under study were 110 antibioticograms of bile of the operated patients. In 71% Escherichia coli was found sensible to tetracycline, chloramphenicol, monomycin and kanamycin. The results of the investigation show that use of antibiotics of the tetracycline order for the treatment of acute cholecystitic results in decreased mortality of patients aged 70 and older.

Acute Disease↗
PubMedDate not supplied

[Organization of surgical services for disaster victims].

The principal problems of the organization of surgical aid to the injured were considered from the analysis of the elimination of the consequences of large catastrophes which happened in the country in the recent years. The role and significance of rendering mutual and self-assistance are shown and methods for their study and mastering are suggested. At the stages of qualified and specialized aid priority is given to the work of medical service teams. Variants of their formation, financing, and working regimen are discussed. The author also discusses questions dealing with the organizational structures of the base medical institutions rendering qualified and specialized surgical service.

Commonwealth of Independent States↗