[Small-intestine invagination due to lipoma].
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Biomedical subjects
Publications and source records attributed to S Vasilev.
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For a two-year period (1987-1988) 14 peritoneal-venous shunts with Le Veen's valve were performed in patients with cirrhosis of the liver and ascites. Immediate effect, manifested by decrease in the abdominal circumference and diminution or even complete disappearance of ascites with increased diuresis, was observed in 12 patients. Two patients died during the early postoperative period. The indications, postoperative preparation, operative technique, complications and postoperative care in this type of operative intervention are discussed. Inference is made that the good postoperative results depend on the need patients with refractory ascites to report early enough for operative treatment.
A variety of pathogenetic mechanisms underly rectal prolapse. Treatment is predominantly operative. Some of the basic surgical techniques are reviewed. The modification of posterior rectopexy with ampoxen, implicated at the Department of Surgery of the Medical Academy in Sofia, is presented. After exposure of the rectum at the side of the sacrum, the intestine is fixed to the presacral fascia. The aim is to create adhesions. Septic complications are avoided, which otherwise, with applications of other synthetic implants are quite common. Experience is recorded with the application of the method in three patients, who were followed up over a period of 2 years.
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