[Experience with the surgical services in an emergency service hospital].
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Abdomen, Acute↗
Biomedical subjects
V B Akhrameev
Publications and source records attributed to V B Akhrameev.
[A method of decompression in large intestine obstruction of neoplastic etiology].
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Aged↗
[Means for decreasing mortality and complications in strangulated hernia].
Results of the surgical treatment of various kinds of incarcerated hernias during the 17-years period were analyzed. A great amount of patients aged more than 60 (51.7%) were admitted to the hospital not earlier than 24 hours after the appearance of the disease. Complex treatment of patients with incarcerated hernia gave less amount of postoperative complications and lethality as well as shorter periods of staying at the hospital.
Age Factors↗
[Ways of improvement in surgical treatment of purulent-necrotic complications in the diabetic foot syndrome].
Results of surgical treatment of 168 patients with diabetes mellitus (DM) in the diabetic foot syndrome (DFS) were analyzed. Expediency of operative intervention was substantiated by pathogenic form of affection, its depth and diffusion, composition of microorganisms in purulent-necrotic focus. Performance of more extensive surgical treatment or distal amputation of foot with consequent closure of vast wound defect using full-layer subcutaneous-cutaneous flap with protracted selective intra-arterial anti-aggregate and antibacterial therapy was indicated in order to preserve the lower extremity supporting function and for prophylaxis of diffusion of purulent-necrotic affection. Application of improved tactics and surgical treatment in patients with DFS have allowed to reduce frequency of the lower extremity high amputation performance from 24 to 8.6%.
Adolescent↗
[The results of the surgical treatment of femoral hernias by suture-free alloplasty].
A new method of plasty of hernial hilus for femoral hernias is proposed which consists in sutureless fixation of allotransplants made of silicone having the form of a mushroom-shaped element. The transplant gives good and reliable closure of the hernial hilus without changing the interrelation of tissues. The duration of the operative procedure becomes considerably shorter, any injuries of large vessels were excluded as well as the development of ligature fistulas, suppuration of the wounds and recurrent hernias. An analysis of nearest and long-term results of treatment of 68 patients operated upon shows high efficiency of the method proposed.
Aged↗