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Biomedical subjects

V G Chuprin

Publications and source records attributed to V G Chuprin.

5 recordsLinked to original sources

[Disputable aspects of surgical treatment of acute disseminated purulent peritonitis].

The comparative clinical analysis of effectiveness of two methods of treatment of acute purulent disseminated peritonitis was performed. In the 1st group (63 patients) the semiopen method was used, in the 2nd group (45 patients)--open method was used. The rate of mortality in the 1st group was 68.3%, in the 2nd group--71.1%. The duration of in-hospital period was 53.4 +/- 3.9 days and 52.1 +/- 4.4 days, respectively. A great number of postoperative complications was noted in both groups. In contrast to other authors, no advantages of the open method over the semiopen method were found.

Acute Disease↗

[Middle weight molecules before and after detoxification in patients with peritonitis].

The dynamics of changes of the middle mass molecule (MMM) content in blood serum and peritoneal exudate was studied in 193 patients before and after different methods of detoxification: intraoperative cleansing of the abdominal cavity in closed treatment, planned stage cleansing in open treatment of peritonitis, hemosorption, therapeutic plasmapheresis, sorption through a pig spleen. The control group was made up of 88 donors and 16 patients with an urgent abdominal disease without signs of peritonitis. The diagnostic value of MMM and the expediency of combining surgical methods for cleansing of the abdominal cavity with methods of extracorporeal detoxification are shown.

Adolescent↗

[A method of peritoneostomy for treating diffuse purulent peritonitis].

For improvement of exudate outflow and prevention of the development of abscesses, a modified method of peritoneostomy has been suggested and successfully used in treatment of 59 patients. After elimination of a source of peritonitis and sanitation of the abdominal cavity, the greater omentum is covered with a hydrocellulose film of corresponding sizes, rolled up as a rouleau, and placed in the epigastrium. The intestinal loops are covered with a perforated polyethylene film sutured to the ends of a laparotomy wound.

Humans↗

[A variant of peritoneostomy as a means for intensive therapy and detoxication in acute diffuse suppurative peritonitis].

The authors have improved the method of open treatment of acute diffuse purulent peritonitis. Clinical test of the original peritoneostomy variant has shown it's perspectivity. The treating effect is explained by the possibility of performing of permanent controlled sanation of abdominal cavity, prophylaxis of lung postoperative complications and defence of abdominal wall tissues from the repeated infection. The method is recommended to be applied in clinic.

Acute Disease↗