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Biomedical subjects

S N Khunafin

Publications and source records attributed to S N Khunafin.

10 recordsLinked to original sources
PubMed2002

[Intestinal obstruction due to cholelithiasis].

Medical histories of 22 patients operated for obturative intestinal obstruction due to cholelithiasis were analyzed, some specific features of this disease were defined. Surgical treatment consisted of enterotomy and cholelithoextraction with obligative decompression of higher intestinal parts. Sound stimulation of the intestine by Russian apparatus "Aropak-536" in combined treatment permitted to restore earlier motor function of gastrointestinal tract.

Aged↗
PubMed2001

[Diagnosis and surgical treatment of internal biliary fistula].

Results of examination and surgical treatment of 172 patients with internal biliary fistula (IBF) are analyzed. IBF was revealed in 0.22% of hospitalized patients with cholelithiasis. There were 4 variants of fistula formation. Combined spontaneous multiple fistula were described for the first time in 8 patients. Based on assessment of IBF's clinical symptoms formula for prediction of IBF development was proposed. Diagnostic potential of instrumental, X-ray, endoscopic and ultrasonic examinations was assessed. Differential surgical policy depending on IBF variant is described.

Adolescent↗
PubMed2000

[Internal biliary fistulas of cholelithic origin].

The investigations performed have established that the cause of formation of internal biliary fistulas in 162 patents was cholelithiasis in combination with obstruction of the bile tracts, purulent cholelithiasis, cholangiolitic abscesses of the liver, pancreatitis and cholelithic ileus. The operation of choice is thought to be cholecystectomy, removal of the stones from the bile ducts, reestablishment of the major bile outflow, liquidation of the pathological anastomosis and suturing the hollow organ defect. Fibrogastroduodenoscopy, retrograde cholangiopancreatography and percutaneous transhepatic cholangiography are the most informative methods of diagnosing the internal biliary fistulas. The postoperative lethality was 17.2%.

Adolescent↗
PubMed1999

[The clinical picture and surgical treatment of adhesive intestinal obstruction].

Results of examination and treatment of 128 operated patients were analyzed. In addition to clinical and roentgenological data the ultrasonic investigation and laparoscopy were also made for diagnosis of commissural ileus. Prevailing was terminal ileus (109 patients). Dissection of the commissures was performed in 115 patients, dissection of the commissures with resection of the intestine was made in 29 patients. Combined operations were fulfilled in 17% of the patients. Sonic stimulation of the intestine was used parallel with medication at the postoperative period which led to earlier restoration of the intestine function. Serious complications were noted in 19 patients, 14 patients died. Main causes of the death were intoxication and peritonitis, hepato-renal and cardio-vascular insufficiency.

Adolescent↗
PubMedDate not supplied

[Modern approaches to volemic compensation in children with severe thermal injury during acute period].

To determine the minimally allowable levels of oxygen delivery and consumption in infants with acute severe thermal injury, the authors studied the oxygen transport system in 36 patients aged 1 year and 2 months to 3 years who had burns of more than 15%, but less than 50% of the body surface in February 2001 to January 2004. The findings indicate that in infants, the acute period of thermal injury is characterized by oxygen debts despite the hyperdynamic circulatory regimen. By calculating the coefficients of paired correlation and deriving the linear regression of oxygen uptake with other parameters of the oxygen transport system, the authors estimated the minimum allowable levels of performance of the oxygen transport system: less than 623.2 ml/min/m2 for oxygen delivery, more than 190.0 ml/min/m2 for oxygen consumption with the cardiac index of greater than 4.31 l/min/m2.

Acute Disease↗