[Technical characteristics of small-pelvic drainage through the obturator foramen].
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Biomedical subjects
Publications and source records attributed to T A Larionova.
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The presented material consists of 9 postoperative patients' investigations. Interstitial nephritis was diagnosed in them after histological examination. Seven patients had a chronic disease, 2--acute disease. The revealed possible predisposing factors were: a prolonged use of analgetics, contact with formalin and typographical dyes, systematic alcohol usage, frequent catarrhal diseases with long-term fever, a history of acute renal destructive process. The clinical picture of patients with chronic interstitial nephritis was characterized by long periods of temperature elevation, small changes in blood counts, weakness, pain in the lumbar region. In urine analyses: moderate microhematuria, leukocyturia, proteinuria. There were signs of early damaged renal tubular functions. Antiinflammatory therapy was ineffective so the patients were operated on for various indications. During the operations there were severe macroscopic renal cirrhotic deteriorations. 2 patients underwent nephrectomy, 15 intraoperative biopsy. Histologically there were revealed: signs of interstitial tissue various cirrhotic changes in hydrops and lymphoplasmacytic infiltration with tubular compression and dystrophic changes. The following complex therapy including nonsteroid antiinflammatory agents, in some cases corticosteroids, desensitizing and antihistaminic remedy allowed one to achieve alleviation of the process.
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A nephropexy technique modified by the author implies dissection of the flap from musculus transversus abdominis and lumbodorsal fascia. The dissection of the fixing flap is made in the muscular-tendinous part of the musculus transversus abdominis with involvement of the lumbodorsal fascia and lumbocostal ligament. The flap is fixed to anterior surface of the kidney supracapsularly. The technique is adjusted for the following indications: vertically movable kidney with lateral dislocation of the upper pole and medial of the low pole; hypertension; simultaneous pelvic intervention; movable dystopic kidney with backward position of the renal sinus. The surgery was performed in 35 nephroptosis patients. Long-term results proved satisfactory.
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