Biomedical subjects

V A Andrianov

Publications and source records attributed to V A Andrianov.

At least 19 recordsLinked to original sources

PubMed1998

[The experience of 1100 esophagoplasties].

The experience of esophagoplasties in various benign diseases (566) and cancer (534) of the esophagus is outlined. The operation of choice now is extirpation of the esophagus by cervico-abdominal approach with one-state posterior-mediastinal esophagoplasty by the stomach or (in case of impossibility to form the graft from the stomach)--large bowel. If there are contraindications to such operation or in case of necessity of one-stage reconstruction of the pharynx the optimal operation is sub- and total bypass esophagoplasty by the large bowel.

Contraindications↗

PubMed1997

[Choice of esophageal plastic surgery].

The choice of an access to different parts of the esophagus, the need and scope of its resection, the choice of a surgical stage and an organ for creating the artificial esophagus, the position of a graft and the method for forming an esophageal anastomosis are the matters under discussion. A total of 1000 esophageoplasties were performed using different methods. In cancer of the esophagus and its benign diseases, the optimum intervention is esophageal extirpation with one-stage plasty using an isoperistaltic gastric tube; if there are contraindications to this operation, subtotal and total esophageoplasties with the colon are the operations of choice.

Decision Making↗

PubMed1991

[Prevention and treatment of early complications in patients after reconstructive surgery of the esophagus].

The work deals with clinical appraisal of the course of the early postoperative period and the prevention and treatment of complications after reconstructive operations on the esophagus. The postoperative period was studied in 99 patients. Complications occurred in the early postoperative period in 48.5% of patients, obstructive processes in the lungs were of principal importance among them. The authors conclude that particular significance in the prevention of acute respiratory failure in patients after one-stage plasty of the esophagus should be attached to the early diagnosis of pulmonary complications, prolonged artificial lung respiration, and measures for maintaining normal passage of the respiratory tract (cleansing bronchoscopy, early activation of patients, adequate anesthesia). The main importance in reducing mortality after one-stage esophageal plasty belongs to the measures of prevention and treatment of incompetence of the sutures of the esophageal anastomosis and mediastinitis.

Acute Disease↗

PubMed1991

[Prevention of incompetence of esophageal sutures].

Patients suffering from esophageal and gastric diseases were divided into 2 clinical groups: main (133) and control (115 patients) groups. In the main group particular attention was focussed on correct formation of the grafts, precision techniques of application of the sutures of the anastomosis, the use of laser, and adequate correction of the alimentary and immunological status. The incidence of incompetence of the esophageal anastomoses reduced from 12.2 to 0.8%. Fatal outcomes were not encountered in the main group, 9 patients died in the control group.

Esophageal Diseases↗

PubMed1991

[Combined gastrectomy with extensive lymph node excision in the surgical treatment of cancer of the stomach].

The authors discuss experience in combined gastrectomy in 206 patients with gastric carcinoma. They encountered 72 various postoperative complications which were not fatal. Fourteen patients died, which made up a total postoperative mortality of 6.8%. The most frequent and threatening complication was incompetence of the esophago-intestinal++ anastomosis, which occurred in 17 cases (8.3%) and was the cause of death of 6 patients (42.9%). The incidence of purulent and pleuropulmonary complications was 19.9 and 3.4%, respectively. Extensive lymphadenectomy was performed in combined gastrectomy in 40 cases, which accounted for 42.6% of all combined interventions. The incidence of complication was lowest in this group of patients (15%), and there were only 2 fatal outcomes (5%). The authors believe that total gastrectomy with omentectomy, splenectomy, resection of the lower esophagus, and extensive lymphadenectomy is the method of choice in surgical treatment of gastric carcinoma.

Adult↗

PubMed1990

[Artificial therapeutic feeding in esophageal surgery].

Manifestations of the protein-energy deficiency were studied in 150 patients with burn strictures of the esophagus, and the ways of their correction by means of artificial therapeutic feeding were analysed. It was shown, that inclusion of an adequate artificial nutrition diet into the preoperative medication allows for preoperative normalization of the patient's nutritional status and thus for a significant improvement of postoperative results.

Adolescent↗

PubMed1990

[Principles of creating esophageal anastomoses].

The techniques of formation of esophageal anastomoses are discussed on the basis of experience with 317 operations. The authors believe the following moments to be most important in the creation of communications with the esophagus: the use of a laser scalpel and monophilic atraumatic suture material, accurate apposition of the identical coats of the anastomosed organs by means of sutures placed at some distance from one another and tied not too tightly, creation of an antireflux mechanism in formation of the anastomosis, adequate drainage of the zone of the anastomosis with compulsory isolation of the wound on the neck from the mediastinum by circular stitching of the graft to the surrounding tissues, provision of adequate blood supply to the esophageal stump, correction of tension exerted on the sutures of the anastomosis by means of adequate intraluminal decompression.

Adult↗

PubMed1990

[Use of the sigmoid in esophagoplasty].

The authors worked out the indications for and the technical aspects of subtotal and total esophagoplasty with the left half of the colon together with a segment of the sigmoid colon. The described method allows the formation of an iso- or antiperitaltic graft of any length, in patients who underwent right hemicolectomy also. The operation was conducted on 54 patients with a mortality rate of 1.9%; 9 of them had been subjected earlier to unsuccessful esophagoplasty with the right half of the colon, which terminated in necrosis of the graft.

Burns, Chemical↗

PubMed1990

[Total esophagoplasty with pharyngeal anastomosis].

The results of total esophagoplasty in cicatricial stenoses of the esophagus and pharynx are analysed. The technical details of formation of the pharyngeal anastomosis with consideration for the anatomo-physiological peculiarities of the pharynx are explained. The method of pharyngoesophagoplasty in combined cicatricial affections of the esophagus and pharynx is described.

Adolescent↗

PubMed1988