[Identification of blood vessels using ultrasonic flowmetry during surgery of the abdominal cavity].
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Biomedical subjects
Publications and source records attributed to V G Belov.
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Intraoperative determination of the viability of the intestine by means of laser Doppler flow measurement was conducted in 26 patients. The method proved to be highly effective, made it possible to judge most objectively the degree of changes in blood flow in various parts of the intestine in a short time and correct them subsequently during the operation, and considerably reduced the possibility of the development of postoperative complications due to inadequate appraisal of the degree of vascularization of the mobilized segments of the small and large intestine which are prepared for the formation of the anastomosis.
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The clinical picture of injury to the spinal cord in the acute period of the trauma and the results of radiological examination of 184 patients with closed trauma of the cervical spine are analysed. Associations of clinical and radiological signs were revealed which pointed to compression of the spinal cord and showed the degree of its damage. The data obtained allow the method of treatment to be chosen and the possible outcome of the spinal cord injury to be prognosticated.
Analysis of surgical management of 113 patients (92 in the acute period of the injury and 21 in the late period) with closed injury to the cervical segment of the spine and spinal cord made it possible to elaborate strict indications for and determine the volume of anterior decompression of the spinal cord. The principal indication for operation through an anterior approach in the acute period of injury to the cervical spine is anterior compression of the spinal cord caused by different factors identified by detailed X-ray examination including methods of contrast study (warm venospondylography, pneumomyelography, discography, vertebral angiography). In 34 patients the spinal cord was examined by the microsurgical method with removal of the responsible factors. With the use of this method, lethality reduced to 4.3% and the conduction functions of the spinal cord were restored in 72.8% of the patients in the acute period and in two thirds of the patients operated on in the late period.
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