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Biomedical subjects

S N Zakharov

Publications and source records attributed to S N Zakharov.

At least 19 recordsLinked to original sources

[External biliary fistulae following surgery of the bile ducts].

Twenty-nine patients with external biliary fistulae were under observation. In 22 cases the formation and functioning of the fistula was caused by obstruction of the flow of bile into the intestine. The abdominal cavity was drained in the acute stage, and then, after the formation of the fistula was concluded and the general condition normalized, its source was removed. In addition to liquidation of the fistula for removal of the cause of biliary hypertension, choledochoenteroanastomosis was established in 4 patients and various manipulations on the papilla were performed in 16 patients.

Adult↗

[Selection of the time of operation in acute cholecystitis].

An experience with the treatment of 760 patients enabled the authors to recommend the early operative treatment only for irreversible (gangrenous and perforative) forms of cholecystitis. Multiple cutaneous electrothermometry, counting the electrocyte index of intoxication and urgent laparoscopy are considered to be helpful for the timely diagnosis of the disease.

Acute Disease↗

[Clinical and treatment characteristics of acute cholecystitis in the middle-aged and elderly].

The clinical picture of acute cholecystitis was analyzed in 221 patients. The authors have studied symptoms of the disease in patients older than 60 such as rapid beginning of the disease, early signs of intoxication and peritonitis. They all made the diagnostics difficult. Urgent operations should be recommended in elderly and senile patients more often due to greater probability of destructive forms of cholecystitis in such patients.

Acute Disease↗

[Metastatic lung abscesses].

The metastatic origin of abscesses was established in 10 of 142 patients (7%) with acute pulmonary abscesses. The disease was observed to be of severe course, being accompanied by pleural and other complications in all the cases. Thirteen distinctive signs of metastatic abscesses were revealed which determine the curative methods. The main problem in the treatment of such patients is struggle against sepsis, correction of immune processes in the organism, sanitation of the abscess cavity through the tracheobronchial tree and liquidation of pleural complications.

Abortion, Septic↗

[Emergency laparoscopy in the diagnosis and treatment of acute cholecystitis in the middle-aged and elderly].

The article describes the results of a laparoscopic transparietal puncture of the gall-bladder used for diagnosis and treatment of acute cholecystitis in 31 patients older than 60. The acute inflammatory process was found to subside due to the procedure in 30 patients, 26 of them were operated upon in the cold stage of the disease. The authors recommend a wider use of the method of urgent laparoscopy for diagnosis and treatment of acute cholecystitis in elderly and senile patients.

Acute Disease↗