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Biomedical subjects

T A Oppel'

Publications and source records attributed to T A Oppel'.

8 recordsLinked to original sources
PubMed1998

[Surgical treatment of chronic calculous cholecystitis and its complications].

Introduction of endoscopic and laparoscopic methods in surgical treatment of chronic calculous cholecystitis and its complications has changed not only the character of surgical interventions, but the surgical policy as well. The operation of choice in uncomplicated calculous cholecystitis is laparoscopic cholecystectomy, which whenever indicated, is advisable to be combined with other surgical interventions allowing the recovery from the concomitant surgical diseases. In complicated calculous cholecystitis in dependence on the character of bile ducts disorder and patient's condition, 3 versions of surgical interventions are possible: one stage radical correction of all pathologic changes of the biliary tract and surgical treatment, including 2-3 separate, less traumatic and more tolerable procedure. The choice of optimal policy of treatment reduces the risk of operation, decreases postoperation mortality rate and complications.

Aged↗
PubMed1998

[Vertical gastroplasty as a treatment method in morbid obesity].

Since November 1992 in the RRCS. RAMS 38 patients aged 16-61 years (mean body mass 149.9 kg) for obesity of 3-4 grade underwent operation of vertical gastroplasty (VGP) by E. Mason's method. In 78.9% of patients uncomplicated course of early postoperative period was observed. One patient died due to thromboembolism of pulmonary artery. Two patients underwent regastroplasty due to tearing away of the staples of vertical mechanical suture and restoration of body mass (BM). Up to now stabilization of BM was detected in 19 patients. In this group mean values of surplus BM lowering made up 54.1% and maximal--60.1%. Positive influence of performed operations on the course of majority of the concomitant diseases in the absence of serious metabolic after-effects was observed. Initial results of operations seemed to be favourable, but for final conclusions about the effectiveness of VGP in far off period the accumulation of the experience and prolongation of follow-up period together with standardization of operation procedure are necessary.

Adolescent↗
PubMed1996

[First experience with vertical gastroplasty in the treatment of patients with 4th-degree obesity].

The article discusses four operations for vertical gastroplasty performed for the first time in Russia at the Research Centre of Surgery, RAMS, for degree IV obesity (the body weight of the patients ranged from 115 to 183 kg). The suturing instruments CEEA-28, TA-90, and CIA-90 manufactured by Auto Suture Instruments, USA, were used. Subsequent examination of patients in follow-up periods of as long as 4 months showed a favorable effect of the operations: body weight reduced, the patient's health and the course of concomitant diseases was milder.

Adult↗
PubMed1985

[Chronic non-calculous cholecystitis].

Experience with the surgical treatment of 340 patients with chronic acalculous cholecystitis is described. In 56,5% of observations it was complicated by the involvement of organs of the hepatobiliopancreatic group. The authors stress the importance of a complex instrumental pre- and intra-operative examination which can reveal lesions not only in the gallbladder but also in the major bile ducts, liver and pancreas. The volume of operation in patients with acalculous cholecystitis must include measures correcting lesions of the hepatobiliopancreatic organs in addition to cholecystectomy. Long-term results were studied in 238 patients. Good results were obtained in 129 patients, satisfactory--in 80 patients, unsatisfactory results were noted in 29 patients which were due to chronic recurring pancreatitis.

Ampulla of Vater↗
PubMedDate not supplied

[X-ray study of the stomach after vertical gastroplasty in the treatment of morbid obesity].

The operation vertical gastroplasty is used to treat the so-called morbid obesity. It ends with the formation of a small stomach. Some experience gained with X-ray of the stomach is analyzed in 17 patients undergone vertical gastroplasty. X-ray evaluates the status of the small stomach arranged as a tube in the upper portions in the vicinity of the lesser curvature of the stomach. The shape, sizes, outlet of the small stomach, as well as emptying rates and the state of an internal vertical suture of the stomach are to be studied.

Adult↗