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Biomedical subjects

T A Gabinskaia

Publications and source records attributed to T A Gabinskaia.

9 recordsLinked to original sources

[Laparoscopy in the diagnosis of acute appendicitis in children].

In the period between 1984 and 1988 laparoscopy was conducted 846 times in children with suspected acute appendicitis. In 301 children the diagnosis was confirmed in atypical forms of appendicitis. In 418 children laparoscopy revealed diseases which are recognized with great difficulties (mesadenitis, primary peritonitis, genital diseases, etc.), in which the final diagnosis is usually established during laparotomy. In 39 children laparoscopic diagnosis was conducted during intercurrent diseases in which the abdominal pain syndrome simulated the clinical picture of acute appendicitis. As the result of laparoscopic examination the number of operations for simple forms reduced from 38.3 to 6.2% and the timely diagnosis of acute appendicitis improved.

Abdomen, Acute↗

[Ways of improving results of the treatment of appendicular peritonitis in children].

The analysis of the results of treating 849 children with appendicular peritonitis for 1975-1989 was carried out. In 1975-1982, the reoperations for early intraabdominal complications were performed in 28 (5.4%) patients, the lethality was 1.7%. Use in the clinic of the common classification of peritonitis permitted to enhance the effectiveness of preoperative diagnosis, and improve the results of its treatment. The incidence of relaparotomy reduced to 0.8%, and lethality--to 0.3%.

Acute Disease↗

[Secondary omentitis in children following appendectomy].

The data on treatment of 18 children with secondary omentitis, which developed after appendectomy, are presented. A complication can manifest itself as an abscess of the omentum and as its infiltration, differing in clinical picture and the findings of electromyography. On the basis of the analysis of 463 appendectomies, at the time of which the changes in the omentum were revealed, the association of the form of appendicitis and secondary omentitis is shown. The necessity for resection of the omentum in periappendicular abscess and general peritonitis is noted.

Appendectomy↗