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Biomedical subjects

V A Iurishchev

Publications and source records attributed to V A Iurishchev.

7 recordsLinked to original sources
PubMed2005

[Videoendosurgical treatment of postinjection abscesses and phlegmons].

Method of treatment of postinjection abscesses and phlegmons was developed. This method includes endovideoscopy of purulent focus with creation of permanent liquid medium, visual revision of purulent cavity with evacuation of pus, controlled radical surgical treatment and introduction of perforated drainages for flowing drainage. Hand endoscopic instruments or special shaver were used for surgical necrectomy. Flowing-aspiration drainage of formed cavity was performed after surgery. This technique was used in 12 patients. It permitted to improve significantly results of treatment, reduce period of temporary disability and achieve good cosmetic effect.

Adult↗
PubMed2004

[Principles of differentiated treatment of acute pancreatitis].

Results of treatment of 3372 patients with acute pancreatitis for the period from 1990 to 2002 are analyzed. The authors have developed a medico-diagnostic algorithm for acute pancreatitis. The introduction of it into clinics allowed the general lethality from acute pancreatitis to be reduced to 2.9% for 11 years.

Acute Disease↗
PubMed2002

[Laparoscopic appendectomy in acute appendicitis].

Minimally-invasive operations were used in 156 patients with acute appendicitis. Laparoscopic appendectomy with ligature method by F. Gotz was performed in 64 (41%) patients (group 1), combined appendectomy--in 32 (20.5%) patients (group 2), laparoscopic operation with ligature method in the authors modification in combination with developed prophylactic complex--in 60 (38.5%) patients (group 3). Conversion to open operation was necessary in 6 (3.8%) patients. Intraoperative complications were seen in 5.1% operated patients, postoperative--in 6.4%, however rate of complications in each group ranged from 10.9 to 1.7%. Results of bacterial examination during different stages of laparoscopic appendectomy are provided. Programme of postoperative complications prophylaxis is described. Algorithm of differential approach to various methods of laparoscopic or minimally-invasive appendectomy in presented.

Acute Disease↗
PubMed2002

[Possibilities in diagnostic laparoscopy of acute appendicitis].

Results of diagnostic laparoscopy in acute appendicitis suspects are presented. Laparoscopy allowed examination of the appendix in 96.5% cases, to make final diagnosis in 92.5% and to avoid surgery in 31.2% cases. Larger application of diagnostic laparoscopy in patients suspected of acute appendicitis will reduce significantly rate of diagnostic mistakes, complications and unwarranted appendectomies.

Acute Disease↗
PubMed2002

[Laparoscopic diagnosis and treatment of acute pancreatitis].

Laparoscopy and pancreatoscopy were performed in 2091 (62% of all hospitalized) patients with acute pancreatitis. High informative value of laparoscopy and pancreatoscopy in diagnosis of different morphologic forms of acute pancreatitis is demonstrated. Original fistula for pancreatoscopy was developed. It permits one to evaluate visually the dynamics of repair in the pancreas and surrounding tissues and to correct treatment policy.

Acute Disease↗
PubMed1999

[Prophylaxis of complications in injuries of pancreas].

One-stage operations in pancreatic injuries are characterized by high rate of complications (acute traumatic pancreatitis, peritonitis, sepsis, bleeding, etc.) and high mortality rate. The method of repeated sanations of omental bursa and sequestre-necrectomy of the pancreas through the fistulas used in 61 patients provided a considerable decrease of the rate of complications and mortality in injuries of the pancreas and acute traumatic pancreatitis.

Abdominal Injuries↗