[Diagnosis and treatment of stomach injuries].
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Biomedical subjects
Publications and source records attributed to V A Makhnev.
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On the basis of the experience with the treatment of 100 patients with the ruptured spleen (in 44 of them the injury was associated with injuries of other organs of the abdominal cavity, skeleton bones or cranio-cerebral traumas) the authors recommend to use organ-preserving operations more often (in 42-46% of the patients). A technique of one of the operations--a compression ("hammering") of the spleen by a peritoneum grafts--is described.
Literature data on 294 patients with injuries of the duodenum and 24 personal observations were analyzed in order to reveal the localization and character of the injuries, surgical interventions, complications and outcomes of damages of this organ. Injuries of the duodenum, especially of its retroperitoneal portions, were found to be more frequent. Reserves for improving results of the treatment were shown to be in better diagnosing and performing operations with minimum amount of anastomoses, careful drainage of the retroperitoneal space, aspiration of the gastro-intestinal content.
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