Biomedical subjects
Publications and source records attributed to V G Sakhautdinov.
Results of surgical treatment of 310 patients with inguinal hernias were analyzed depending on hernioplasty method. Advantages of hernioplasty methods without tissues tension over traditional ones were demonstrated. Indications and contraindications of each method were determined. Algorithm of individual choice of surgery method for inguinal hernias has been developed.
Results of treatment of 89 patients with cholelithiasis complicated by obstructive jaundice and purulent cholangitis using the minimally invasive technologies are analyzed. The advantages of two-stages surgical treatment of these patients are demonstrated. The decompression of biliary tract are performed as the first stage, radical operations by laparoscopy or minilaparotomy--as the second stage. This method permits to refuse the large and traumatic operations and to improve significantly the nearest and long-term results of treatment.
Minimally invasive technologies were used in treatment of 89 patients with cholelithiasis complicated by mechanical jaundice and purulent cholangitis. Advantages of the two-stage operative treatment of such patients were shown. The first stage is decompression of the bile duct, the second stage is a radical operation either by laparoscopic or minilaparotomic methods. It allows to avoid extensive and traumatic operations and secures better immediate and long-term results of treatment.
The results of differential diagnosis of hemorrhage fever with renal syndrome and acute surgical diseases of abdominal organs in 1250 patients were analyzed. It was revealed that the course of the disease was similar to acute abdomen in 13.2% of them. The combination of fibrogastroduodenoscopy and diagnostic laparoscopy is optimal for differential diagnosis and permits to reveal typical symptoms of hemorrhage fever with renal syndrome.
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Diagnosis and treatment of gastroduodenal ulcers combined with abdominal pathology are discussed. The results of combined operations in 158 patients are analysed. Most often gastroduodenal ulcers were combined with hiatal hernia (62%), peritoneal adhesions (17.7%), cholecystitis (17.7%), abdominal wall hernia (10.1%). Good long-term results were achieved in 69.7% of the patients, satisfactory results-in 26.9%, unsatisfactory-in 3.4%. Combined operations are effective in treatment of peptic ulcers and concomitant disorders.
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Results of mammoplasty with the allotransplant "Bioplant" performed in 41 patients with purulent mastitis were assessed on the basis of studying the dynamics of the echographic, electrothermometric, thermo- and rheographic picture of the mammary gland. Using the methods of echo-, thermo-, rheography at different terms of the postoperative period allowed prognosis to be made of the local pyo-inflammatory complications, activity and completeness of regenerative processes in the allotransplantation area, recovery of the parenchyma and functions of the mammary gland operated upon.
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An experience with treatment of 210 patients with hiatal hernias is summarized, 162 (77.1%) of them having a concomitant pathology of the abdominal cavity. Most frequently the hiatal hernias were associated with gastroduodenal ulcers (48.6%), chronic cholecystitis (18.1%), ventral hernias (5.7%). A new method of correction of hiatal hernias is described which prevents the development of complications resulting from an extreme narrowing of the hiatus. Good long-term results were obtained in 55.9% of the patients, satisfactory--in 34.3% unsatisfactory in 9.8% of the patients, results of the isolated correction of the hiatus being worse that those obtained after the combined operations. A conclusion is made that well-grounded simultaneous operations for hiatal hernias are followed by perfect medico-social and economic effects.
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In June 1989, a methane/propane pipeline explosion destroyed two passenger trains in the Bashkirian Republic of the Soviet Union. Over 400 passengers died immediately and 806 were injured. Most of those injured suffered thermal injuries. One hundred and fifty patients were treated at Hospital 21 in Ufa, Bashkiria, by a combined Soviet-US team. Twenty-six patients underwent excision and grafting of their burn wounds. Microbiological studies indicated significant resistance to locally available antibiotics. Antibiotics provided by the US team proved useful in treating the resistant organisms. This disaster and the international response to it exemplify the need for a coordinated response to major burn disasters and the positive results of international cooperation.
The authors have made an analysis of the frequency of appearance of duodenogastral reflux after resection of the stomach in ulcer disease in 487 patients at remote terms depending on the method of restoration of the gastrointestinal continuity. The results obtained suggest high frequency of the duodenogastral reflux after Billroth-II gastric resection. The method of gastric resection proposed by the authors allowed the frequency of the appearance of duodenogastral reflux to be considerably reduced.