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Biomedical subjects

V I Desiaterik

Publications and source records attributed to V I Desiaterik.

At least 19 recordsLinked to original sources

[Aspects of clinical course and treatment of the gastroduodenal ulcer perforation in combination with hemorrhage].

The results of treatment of 51 patients with gastroduodenal ulcer perforation (GDUP) in combination with hemorrhage were analyzed. Frequency of this complication in the gastroduodenal perforative ulcers structure had constituted 2.5%. The GDUP clinical variants in combination with hemorrhage were delineated depending on the time of the particular complication occurrence, the peculiarities of their clinical course were depicted. Necessity of an early radical operative intervention was substantiated as well as application of active surgical tactics while postoperative hemorrhage occurrence. Postoperative mortality was 29.4%.

Gastrointestinal Hemorrhage↗

[Relaparotomy: clinical, strategic and organizational aspects].

The results of relaparotomy (RL) performance in 118 patients were analyzed. Mortality was 16.1%. In 50.8% of patients RL was done with delay. There were proposed for timely diagnosis of postoperative complications to use the "alarm" symptoms group and during RL performance--to follow definite technical methods and rules. The RL performance necessity in 62.7% patients was caused by surgical technique failures and nonrational method of the first operation choice.

Adolescent↗

[Surgical treatment of putrid neck phlegmon].

The experience of treatment of 236 patients with cervical phlegmon, in 7 of whom with putrefactive phlegmon, was summarized. The treatment difficulties are due to rapid infection spreading, the possibility absence of timely laboratory confirmation of diagnosis. Operative intervention was conducted during two hour period of time after the hospitalization moment. An adequate detoxication therapy, hyperbaric oxygenation, antibiotic therapy was conducted to all of the patients, metrogyl was administered without fail. Two patients died because of mediastinitis (1) and the pulmonary artery thromboembolism (1).

Adult↗

[Aspects of surgical treatment of peptic ulcer complicated by hemorrhage].

The article presents materials of clinical examination of 407 patients with ulcer disease of the stomach and duodenum complicated by bleeding. The nearest and long-term results of vagotomy and resection of the stomach are shown in comparison. Totally, organ-preserving interventions give more promising results than resection of the stomach especially by the Billroth-II method. After vagotomy, however, recurrent disease was observed in 8.4% and dyspeptic symptoms took place in 17% of the patients examined. By the data of medical labour examination 3-5 years after operation, advantages of vagotomy become increasingly notable, social labour characteristics of vagotomy as a method of treatment is considerably more preferable than resection of the stomach.

Contraindications↗

[The effect of 5-fluorouracil on lipid metabolism in patients with acute pancreatitis].

The state of lipid metabolism was investigated in 72 patients with acute pancreatitis using the method of thin-layer chromatography on "Silufol" plates. It was established that the level of general phospholipids underwent a reduction in destructive pancreatitis. The level of triglycerids reduced sharply after treatment with 5-fluoruracil. The revealed changes were the basis for instituting fatty emulsions and lipid mixtures in the treatment of these patients.

Acute Disease↗

[Closed injuries of the spleen].

The 10-year experience with diagnosis and treatment of closed injuries to the spleen in 84 patients is presented. In 13 patients, the two-instant splenic rupture, in 5--spontaneous was noted. Seventy (83.3%) patients had isolated injuries. In 17 patients, blood reinfusion with total volume of 22,800 ml was performed at operation. Post-operative lethality was 4.8%, total--5.9%. One patient died without operation.

Abdominal Injuries↗