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Biomedical subjects

V A Zhuravlev

Publications and source records attributed to V A Zhuravlev.

At least 19 recordsLinked to original sources
PubMed2000

[Abdominal trauma with injuries of the major vessels].

Treatment results in 87 patients (mean age 30.1 years) with traumatic injuries of major abdominal vessels were analyzed. 73 patients had stab-incised wounds, 9--blunt trauma, 5--gunshot wounds. Hemodynamics of the majority of hospitalized patients (66 from 87) was unstable. Inferior cava vein injury was revealed in 29 patients, aorta injury--in 21, iliac vessels injury--in 22, visceral vessels injury--in 15. One vascular wall was injured in 58 cases, two walls--in 27 cases, complete transection or separation of vessel was revealed in 6 cases. Major vessel injuries were associated with abdominal visceral trauma in 97% cases. Vascular operations (side suture--in 49 patients, circular suture--in 11, vein ligation--in 5, prosthesis--in 3) were performed in 17 (25%) patients by general surgeons, in the rest (75%)--by vascular surgeons. General mortality (including hospitalized but non-operated patients, and patients who died during the operation and in postoperative period) was 46%. It is necessary to teach vascular surgery to general surgeons for high-quality and timely care in patients with abdominal trauma complicated by major vessels injuries.

Abdomen↗
PubMed1996

[Resolved and unresolved problems of liver surgery].

Present-day status liver surgery is reviewed. The unsolved problems in surgical treatment of patients with focal lesions of the liver are listed. There is a deficit of modern diagnostical equipment, especially in rural regions of the country. There is a need for special training of specialists for liver surgery and a network of the regional centers for liver and biliary surgery, wider indications for liver resection.

Contraindications↗
PubMed1991

[Study of the effectiveness of the infusion-transfusion support of extensive and maximal resections of the liver].

Under study was the therapeutic effect of the infusion-transfusion maintenance of great and utmost great resections of the liver (154 operations) based on hemodilution and hydration with infusion-forced diuresis. The use of an original infusion-transfusion therapy proved to be the most important factor for safety of liver resection, for less amount of postoperative complications and lethality (up to 7.4%), gave a stable course of the postoperative period.

Blood Transfusion, Autologous↗
PubMed1988

[Intraoperative reserving of large volumes of autologous blood in surgery of the liver].

The authors have developed a method of autohemotransfusion under conditions of hemodilution with stabilized reserved blood by the sorbent method which allows preparation of great (up to 50% of VCB) volumes of autoblood with preserving reserves of circulating erythrocytes at the expense of transfusion of suspension of cryopreserved erythrocytes during exfusion of blood. The use of special nomograms for prognosis of hematocrit changes in exfusion of blood and transfusion of the erythrosuspension is described and for quick orientation in intensity of diuresis. The method of autohemotransfusion was used in 11 surgical interventions on the liver.

Adult↗
PubMed1986

[Optimal anion composition of the perfusate for preservation of the liver].

The search for optimal concentrations of fumarate, malate, acetate, lactate, asparginate and sulphate in the perfusate was performed in 187 experiments with 2 h perfusion of the isolated rabbit liver at different temperature regimens of conservation. Nonlinear relation between the optimal anion composition of the perfusate and temperature of the liver conservation was found. The critical point in changes of the optimal concentrations of anions in the perfusate was shown to be 10-12 degrees C.

Animals↗
PubMed1986

[Transhepatic drainage in focal liver diseases complicated by mechanical jaundice].

Results of using transhepatic drains in 43 patients with focal alterations of the liver complicated by a mechanical jaundice are described (55 operations). Transhepatic drains allowed widening the degree of surgical interventions in this group of patients. Risk of the operative interventions and lethality among these critical patients which were earlier thought to be inoperable became lower due to stage operations using the transhepatic drains.

Cholestasis, Intrahepatic↗
PubMed1985

[Optimal cationic composition of perfusates in relation to temperature during preservation of the liver].

Search for the optimal concentrations of potassium, sodium, magnesium, calcium and H+ under different temperature conditions of preservation was performed in 193 experiments with the 2 h perfusion of the isolated rabbit liver. A nonlinear relation was established between the optimal cationic content of the perfusate and the liver preservation temperature. The sharpest changes to the optimal concentration of cations in the perfusate were found to start when the liver preservation temperature had dropped lower than 10-12 degrees C.

Animals↗
PubMed1985

[Surgical treatment of hemangiomas of the liver].

An experience with 18 resections of the liver for hemangiomas is presented. Hemangioma of the liver is thought to be an indication for radical operation (resection of the organ). A removal of a hemangioma weighing 5500 g is described. Recommendations are given for the prevention of complications.

Adult↗