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Biomedical subjects

S Ia Doletskiĭ

Publications and source records attributed to S Ia Doletskiĭ.

At least 19 recordsLinked to original sources
PubMed1994

[Duodenal atresia].

The article deals with 5-year (1986-1992) experience in the diagnosis and treatment of duodenal atresia in 26 infants. Timely diagnosis of this developmental anomaly, the variants of operative treatment, and the principles of postoperative management are discussed. The necessity of antenatal ultrasonic examination and the high diagnostic value of radiological and endoscopic methods of diagnosis are emphasized. Operations were conducted on 25 children for total high intestinal obstruction, on 23 infants in the neonatal period. The continuity of the intestinal tube was restored by duodenoduodenostomy (12), duodenojejunostomy (3), gastroduodenostomy (1), excision of the membrane (4), and dissection of the membrane (5). The latter is technically the simplest and is the operation of choice. Preliminary jejunostomy for adequate preparation for the radical operation is recommended in profoundly preterm infants with as serious premorbid background. Of high importance is postoperative enteral catheteral feeding which is begun from the first day after the operation. Seven out of the 26 patients died from severe combined developmental anomalies and infection. The mortality was 26.9%.

Duodenal Obstruction↗
PubMed1990

[Prolapse of the urethral mucosa in girls].

In the recent 9 years 39 girls aged from 2 to 10 years were treated at the clinic for prolapse of the urethral mucosa. Among them 24 had circular and 15 had segmental prolapse. The disease was encountered most frequently between 6 and 10 years of age, predominantly in the summer. Complex treatment was started with nonoperative measures which were followed by operation if the prolapse persisted or recurred. Spontaneous reduction of the mucosa occurred in 6 of 22 children who were treated by nonoperative measures, in 3 cases the effect was temporary and a recurrence developed. Operative excision of the mucosa was carried out in 36 girls. The results were good. The article discusses the etiopathogenesis of the disease and analyses the morphological changes in the removed urethral mucosa.

Age Factors↗
PubMed1990

[Characteristics of surgical tactics in children with acute appendicitis].

There were 849 children with various forms of acute appendicitis under observation in 1988. Generalized and circumscribed peritonitis was found in 44.2% of cases. The new clinical approach-based introduction of a previously elaborated surgical tactics showed it to be rational. The changing conditions led to a wider use of diagnostic laparoscopy, rejection of the "lavage" system in the postoperative period, and introduction of the method of laparostomy which is simpler and more effective.

Acute Disease↗
PubMed1989

[Organizational and social aspects of pediatric surgery].

Inadequately utilized reserves of rendering surgical aid to children are analysed. The author discusses particular problems linked with prevention, diagnosis, tactics, treatment, and research in the field of pediatric surgery. The prospects of the specialty are intimately connected with general surgery and public health care as a whole and are caused by social reconstructions and stage-by-stage organizational decisions.

Adolescent↗
PubMed1989

[Iatrogenesis].

Iatrogenesis, earlier considered to be an unfavorable effect of the word on the patient has acquired a new essence. Iatrogenesis means an unintentional and often inevitable complication resulting from contact with the patients, the influence upon him or due to inaction of medical personnel during prophylactic, diagnostic and curative procedures. An analysis of clinical and social sources of iatrogenesis gives grounds to find out ways to make it less.

Classification↗
PubMed1988

[Iatrogenic disease: the clinical and social aspects].

Iatrogenic disease is considered as an unintentional or occasionally inevitable damage to the patient which is caused by the medical personnel during the patient management or at examinations, diagnostic and therapeutic procedures. Iatrogenesis, being the reverse side of medicine, is an essential part of medical progress. Any therapeutic exposures, especially to invasive techniques, are prone to both positive and negative effects. The development of the physician's skill, cultural standard, refinement, continuing self-education and analysis of errors in line with governmental program to improve public health are to warrant iatrogenic disease control.

Diagnostic Errors↗