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Biomedical subjects

V F Tskhaĭ

Publications and source records attributed to V F Tskhaĭ.

14 recordsLinked to original sources

[The diagnosis and treatment of mechanical jaundice of parasitic origin].

From analysis of 230 cases of obstructive jaundice consequent upon opisthorchiasis, alveococcosis, and echinococcosis its causes and the peculiarities of the clinical course were revealed: gradual development, a long duration, disturbed hepatocyte function in the early period, high incidence of cholangitis, deep disorders of immunological reactivity, and allergic reorganization of the organism. With due regard for these characteristics, recommendations are given in respect of the diagnosis, operative treatment, prevention of postoperative complications, and postoperative management.

Adult↗

[Surgical treatment of cysts and fistulas of the pancreas].

Forty-six patients were treated for cysts and fistulas of the pancreas most of which were caused by destructive pancreatitis and trauma of the pancreas. Operations were performed for pancreatic cysts on 22 patients: marsupialization of the cyst (7 patients), cystoenteroanastomosis (11), resection of the gland together with the cyst (3 patients, one of them died), and cytogastroanastomosis (1). Operations for pancreatic fistulas were carried out in 16 patients. Fistuloenterostomy on a "lost" drain with a jejunal loop excluded after Roux is considered to be the operation of choice in the clinic. The fistula recurred in one patient but was reoperated on successfully.

Adult↗

[Diagnosis and treatment of postoperative pancreatitis].

Among 24,498 laparotomies performed for diseases and traumas of the abdominal organs 72 were complicated by postoperative pancreatitis. The most frequently encountered symptoms of postoperative pancreatitis were pain in the upper abdomen, marked intestinal paresis, tachycardia, hyperthermia, and vomiting. Treatment was started with conservative measures, including controlled hemodilution and forced diuresis. If these measures failed, operation was undertaken. Operations were carried out on 21 patients: pancreatic blockade (n = 8), abdomenization (n = 8), cryodestruction (n = 5). The omental bursa was drained through a lumbar approach. Intra-aortic infusions and immunostimulation therapy were conducted in the postoperative period. Nine patients died (2 of them were not operated on). Death was caused by pancreonecrosis.

Adult↗

[Treatment and prevention of neoplastic large intestine obstruction].

An analysis of results of treatment of 101 patients has shown that under favorable conditions (the absence of peritonitis, satisfactory state of the patients) it is possible to use resection of the intestine with primary anastomosis and disloading stoma. The endoscopic examination should be used for prophylactics of tumorous colonic obstruction.

Adult↗

[Omentitis].

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Adult↗

[Relaparotomy].

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Adolescent↗