Biomedical subjects
Publications and source records attributed to V F Rybal'chenko.
The results of surgical treatment of 205 patients with pulmonary hypoplasia (PH) were analyzed. Indications for the intervention conduction were determined. Typical anatomic resection of the affected pulmonary zones was conducted in 143 patients, combined resection--in 49, economical operation--in 13, bilateral pulmonary resection --in 3, reoperation--in 8.
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From 1981 till 1993 yr. 144 children with the cystic pulmonary hypoplasia resided in the clinic for treatment. Except the generally accepted methods of instrumental diagnosis for 19 patients the digital subtraction angio-pulmonography was conducted for the diagnosis ascertainment. Bilateral lesion of lungs was observed in 14 patients, one of whom have died without operative treatment conduction. The surgical treatment was done for 130 patients. The combined operations were performed, as well as the classic resection of lungs. One patient was observed with broncho-mediastinal fistula, which have appeared 5 years after operation and one more was reoperated. All the patients survived the operation were discharged from hospital in satisfactory condition.
The experience of treatment of 4 children with nonparasitic diaphragmatic cyst was summarized. The informatic diagnostic methods are--ultrasonography of the thoracic and abdominal cavity organs, and in the cyst presence--sceletotopy in the hepatic segments projection, roentgenography, roentgenoscopy, pneumoperitoneum, pneumothorax. All the patients were operated on. The cyst had the right-sided localization, in 2 observations the mesothelial cyst was diagnosed, and in 2--the cystic teratoma of diaphragm.
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