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Biomedical subjects

V I Maslov

Publications and source records attributed to V I Maslov.

18 recordsLinked to original sources
PubMed2004

[Surgical policy in complicated traumatic diaphragmatic hernias].

Rare variants of surgical policy in different terms after traumatic diaphragmatic hernias complicated with necrosis and perforation of gastric walls and abdominal part of esophagus, ulcerous gastric bleedings, empyema of pleura, enzymatic-gangrenous destruction of lung, cachexia are analyzed. Necessity of revision of diaphragm during surgery for diagnosis of it injuries is noted. In old diaphragmatic hernias and significant disposition of intraabdominal organs into pleural cavity thoracotomy or thoracophrenolaparotomy are recommended, in acute trauma when symptoms of abdominal injuries dominate laparotomy is expedient. In severe conditions minimal and organ-saving surgeries are recommended. Creation of "small stomach" from remains of its wall may be considered as alternative to traumatic gastrectomy.

Adult↗
PubMed2002

[A simple method of creation of invaginated esophago-intestinal and esophago-gastric anastomoses].

Creation of invaginated esophageal anastomosis is easier by Tsatsanidi method, but this is accompanied by certain discomforts. In particular, there is inescapable contamination of intestinal serosa by ligature which fixes esophageal stump from inside and is taken out through intestinal wall. The author proposes to put this ligature into the side hole of the thick gastric tube and to fix it there with bougie. The tube is moved deeplier, ligature and esophageal stump are pulled up. This facilitates creation of invaginated anastomosis. Then bougie is removed from the thick tube and fixed ligature is freed. This method was used in 19 patients. There were no lethal outcomes due to insufficiency of esophageal anastomosis. This method permits to simplify creation of invaginated anastomosis, to increase asepsis of surgery and to dicrease the risk of anastomosis insufficiency.

Aged↗
PubMed2000

[Treatment of multiple ribs fractures].

Of 267 patients with multiple fractures of the ribs, 69 patients had mobile costal valves. As a rule, the presence of the floatable chest wall site, is a cause of increasing respiratory failure ending in lethal outcome in 40 to 80% of cases. Indications for combined conservative therapy and its scope are specified and efficiency of different methods of restoration the chest wall frame is evaluated. The technique of pericostal ligature fixation of the mobile costal valves to the thorax splint offered by the authors was improved. The performance of this manipulation may be essentially easier thanks to the use of the device for passing ligature around the ribs and breast bone, which was developed by the authors and patented in Russian Federation. Clinical application of the developed technique allows rather quickly to control respiratory failure. The lethality tell 6 times in comparison with patients who were treated with the use of the other methods of the floatable costal valves fixation.

Fracture Fixation↗
PubMed2000

[Transesophageal gastrostomy].

For gastrostomy after thoracic esophagus extirpation its distal stump was used. It is confirmed, that transesophageal gastrostomy has a number of advantages. Pezzer's catheter can be used as gastrostomic tube which self-fixes in given position and secures reliable gastrostoma sealing. Suturing of the stomach to parietal peritoneum around gastrostoma is not more necessary. Deformation and reduction of the stomach size are excluded and stomach is kept ready for subsequent plastic replacement of the oesophagus. The operation gets oncologically more radical as a result of removal of paraesophageal cellular fat and potentially metastatic lymph nodes during mobilization of the oesophagus and cardia distal stump. The routine technique of transesophageal gastrostomy is described. This technique is applied in 17 patients. Complications were not registered.

Dental Prosthesis↗
PubMed1982

[Extensive pneumonectomies with resection of the tracheal bifurcation].

Three kinds of resection of the tracheal bifurcation were practically used in combination with extended pneumonectomy in patients with lung carcinoma. They were: graft-wedge shaped resection, wedge-shaped resection with ablation of the carina, resection of the tracheobronchial angle. The application of II-shaped sutures after resection of the trachea and bronchi in 32 patients has revealed a number of their advantages over single interrupted sutures. The outcomes of such interventions are favourable if the operations were performed in non-infected tissues.

Adult↗
PubMedDate not supplied

[Prevention of ventilation hypoxia in surgical interventions on the open trachea].

Presents an analysis of artificial ventilation of the lungs (AVL) during interventions on the open trachea in 32 patients. Before crossing the trachea common AVL through an orotracheal tube was used. At the stage of resection of a portion of the trachea ventilation of one or both lungs was carried out through a tube inserted from the outside as shunting respiration using a method which ruled out additional dissection of the membranous wall of the trachea or main bronchus. At the stage of formation of intertracheal and tracheobronchial anastomosis AVL was resumed through a thin orotracheal tube moved further into the distal stump of the trachea or the main bronchus. High-frequency AVL through a thin orotracheal catheter at a frequency of 150/min provides adequate oxygenation of the blood and creates favorable conditions for the intervention on the open trachea during creating a tracheal anastomosis.

Adult↗