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Biomedical subjects

V I Maliarchuk

Publications and source records attributed to V I Maliarchuk.

11 recordsLinked to original sources
PubMed2002

[Importance of echocardiography in prognosis of surgical outcomes in cholecystitis in elderly patients].

The authors propose to use more often echocardiography (EchoCG) in examination of elderly (over 60 years) of age patients with cholecystitis that permits to increase surgical activity to 92.4%. Left ventricular ejection fraction is the most informative. When this fraction is lower than 45% surgery must be recommended on vital indications only. EchoCG was used in 155 patients with cholecystitis, 131 of them were operated. 2 (1.52%) patients died due to acute cardio-vascular insufficiency and pulmonary artery thromboembolism.

Adult↗
PubMed2002

[Variants of Botkin's biliary-cardiac syndrome in acute cholecystitis].

4 cases of little-known syndromes in acute cholecystitis are described. Cholecystic-pericardial and syncopal-cardiac syndrome are seen in 1.33 and 1.78% cases of acute cholecystitis, respectively, and are the variants of Botkin's biliary-cardiac syndrome. These syndromes disappear after surgery on biliary tract, therefore they must be indications for surgical treatment of cholecystitis.

Acute Disease↗
PubMed2001

[Diagnosis and treatment of abdominal injuries].

Results of treatment of 164 patients with combined abdominal trauma were analyzed. It makes sense to evaluate severity of trauma and severity of the patient condition by scales VPKh-MT and VPKh-SP. These scales permit to standardize severity of damages and choose optimum diagnostic and curative algorithm. The emphasis is on early ultrasonic examination of the abdomen in combined trauma. In obscure ultrasonic diagnosis laparoscopy is recommended, in severe or extremely severe condition of patients (over 31 points by scale VPKh-SP)--laparocentesis. Choice and time of surgical interventions must be determined by priority of severity of damage.

Abdominal Injuries↗
PubMed2000

[Prophylaxis of cardiovascular and respiratory complications after conduction of cholecystectomy in elderly and senile patients].

Surgical treatment of calculous cholecystitis was done in 150 elderly and senile patients. Open intervention was applied in 60 patients, laparoscopic cholecystectomy (LCHE)--in 90, of them in 30--using epidural anesthesy. The LCHE performance in combination with epidural anesthesy reduces the risk of occurrence of vascular and respiratory complications in elderly and senile patients.

Aged↗
PubMed1991

[Precision technique of pancreatoduodenal resection].

Precision termino-lateral pancreatico-jejunal anastomosis with or without mobilization of the pancreatic duct, with the use of inert suture materials in pancreatoduodenal resection was conducted in 21 patients, 3 of them died. Incompetence of the anastomoses was not encountered. The number of patients treated by radical operation increased almost 2.5 fold, and was 27.4%. The authors consider inclusion of the stump of the gland into digestion together with other conservative and technical measures to be most promising trend in the prevention of incompetence of the anastomoses and postoperative pancreatitis, in improvement of the results of pancreatoduodenal resection, and in expanding the scope of its use.

Adult↗
PubMed1989

[Surgical treatment of injuries of the bile ducts].

The bile ducts were injured during cholecystectomy in 143 of 155 patients treated at the clinic. In most cases (78) the iatrogenic injuries occurred under conditions of a severe inflammatory and cicatricial process in the zone of the cystic neck and hepaticocholedochus. Mortality in correction of a fresh injury of the duct by the traditional methods was 11.1%. An alternative approach to improvement of the results of surgical treatment of injury to the bile ducts and its late-term sequelae may be the use of precision techniques with application of sutures of nonreactive and nonlithogenous monofilamentous suture materials.

Adolescent↗