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Biomedical subjects

V A Opushnev

Publications and source records attributed to V A Opushnev.

13 recordsLinked to original sources
PubMed1990

[The Ogilvie syndrome].

The authors observed 3 patients with the Ogilvie syndrome. The Ogilvie syndrome is a peculiar form of acute intestinal obstruction characterized by acute dilatation of the colon without obstruction of its distal portions and often developing against the background of other grave diseases. For a timely diagnosed pathology the conservative treatment including a colonoscopic decompression of the colon and epidural anesthesia++ proved to be effective. In cases of ineffective conservative measures a cecostomy was put, resection of the injured portion was used for necrosis and perforation of the over-stretched++ gut.

Adult↗
PubMed1989

[Acute diseases of the gallbladder and pancreas in patients with severe trauma and shock (characteristics of the diagnosis and treatment)].

Under study were 56 observations of posttraumatic cholecystitis and pancreatitis in patients with polytrauma without a direct injury of the gallbladder and pancreas. Diagnostics of posttraumatic cholecystitis and pancreatitis is based on data of laparoscopic and ultrasonic examinations. Treatment of acute cholecystitis in the postshock period of trauma disease is operation, while treatment of posttraumatic pancreatitis must be started with intensive therapy.

Acute Disease↗
PubMed1989

[Acute acalculous cholecystitis as a surgical problem].

Experience in operative treatment of 228 patients for acute acalculous cholecystitis is analysed. This disease differs from acute calculous cholecystitis essentially in the main clinical and morphological signs. Four types of acute acalculous cholecystitis were distinguished according to origin: vascular, enzymatic, enzymatic-vascular, and obturative. The clinical forms are shown: primary vascular, emphysematous, posttraumatic, gallbladder torsion, enzymatic, obturative. It is pointed out that acute acalculous cholecystitis is characterized by rapid destruction of the cystic wall and frequent and severe involvement of the liver and bile ducts, in view of which the tactics of early operations is justified in this pathological condition.

Acute Disease↗
PubMed1988

[Injuries of the venae cavae].

An experience with the operative treatment of 12 patients with injured vena cava is analyzed. Traumas of the vena cava are a comparatively rare pathology characterized by catastrophic deterioration of the clinical course with the underlying massive internal hemorrhage. Injuries of the vena cava are difficult not only for preoperative but also for suboperative diagnosis. They are characterized by difficulty of surgical procedures and high percent of unfavorable outcomes due to special severity of blood loss and shock.

Abdominal Injuries↗
PubMed1986

[Post-traumatic cholecystitis].

The authors have studied causes of the appearance of acute cholecystitis after a critical multiple trauma complicated by shock. Problems of diagnosis, treatment and prophylactics of the disease are discussed on the basis of 4 personal observations and literature data.

Acute Disease↗