[Esophagojejunoduodenal plasty after total gastrectomy].
Explore the source record for details and available documents.
Biomedical subjects
Publications and source records attributed to V I Rusin.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
The work deals with the results of one-stage reconstructive surgical interventions in 15 patients with affection of the coronary arteries, abdominal aorta, and lower limb arteries. All patients underwent operation for the creation of an aortocoronary shunt in combination with various types of vascular reconstructive operations, including the formation of an ascending aorta -bifemoral shunt in 3 patients. The total hospital mortality was 26.7%. The authors discuss the indications and the surgical tactics of one-stage reconstructive interventions in combined affection of the coronary and peripheral arteries.
On the basis of experience in reconstructive operations on 250 patients with combined affection of the coronary arteries, abdominal aorta, and arteries of the lower limbs the authors discuss the diagnostic and tactical features of surgical management of these patients. The article dwells upon the necessary preoperative diagnostic algorithm as well as that in tactical variants of surgical treatment: (1) one-stage reconstructive operations on several vascular beds; (2) successive stage-by-stage treatment of patients with combined vascular pathology; (3) reconstructive vascular intervention on only one of the vascular beds. Correct practical solution of all these problems allowed the authors to reduce postoperative lethality to 5.4% among this grave contingent of patients with combined vascular pathology.
A comprehensive clinicoangiographic and functional examination was made of 180 patients with combined coronary and vascular abnormalities. With this, a diagnostic algorithm was developed, which determined the authors' approach to evaluation of the severity of patients and the choice of surgical policy. A total of 150 patients were operated on, the total mortality being 7.3%. The examination of operative and hospital mortality rates in patients with combined abnormalities showed that pre-aortocoronary bypass surgery before a reconstructive vascular operation in patients with severe coronary diseases made it possible to avoid serious coronary events in the following postoperative period.
The authors in 145 patients with combined atherosclerotic lesion of the coronary arteries, abdominal aorta and vessels of the lower extremities performed the one-stage, staged operations, aortocoronary shunting alone, the vascular operations alone. The total lethality was 7.6%, the postoperative--6.3%.
The authors performed 153 reconstructive vascular operations in patients with associated atherosclerotic lesion of the coronary arteries, abdominal aorta and arteries of the lower extremities. According to the findings of ventriculography and coronarograms, in 13 patients, the inoperable form of the ischemic heart disease was revealed. In all these patients, the vascular operations were performed. The indications for the different reconstructive vascular operations in inoperable coronary pathology have been developed.
The literature and original research data on the incidence of combined lesions of coronary arteries, abdominal aorta, and lower-limb vessels are presented. Operative intervention was undertaken in 112 of 170 examined patients with combined coronary and vascular abnormalities. Fifteen patients underwent one-stage reconstruction of the coronary artery and aortofemoral segment; in 57 patients aortocoronary bypass was performed as the first stage; in 40 patients only vascular reconstruction was performed. Operative risks in these patients are discussed, as well as the diagnostic problems, surgical tactics, and the sequence of operation stages in combined coronary and vascular abnormalities.
First in the literature, the relationship between the coronary and lower limb circulation is detailed on the basis of objective findings. Comparison of the two patient groups (the patients categorized according to the degree of lower limb ischemia revealed by Doppler ultrasound echocardiography) in respect to the clinicomorphofunctional characteristics of the coronary flow in IHD patients suggested the absence of a significant correlation between them. Varying severity of lower limb ischemia does not influence the gravity of IHD manifestation in the same patients.
The results of surgical treatment of 158 patients with high occlusion of the abdominal aorta associated with lesion of the coronary, renal and visceral arteries are presented. The technique of aorto-femoral shunting from the descending aorta with isolated plasty of its branches in patients with concomitant severe coronary disease, permitting to reduce the incidence of complications and lethality, is suggested.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
The results of surgical and conservative treatment of 207 patients with the post-thrombophlebitic syndrome in pedal veins suggested that modified Linton's operation produced very good long-term effect in late postoperative period. Therefore it can be used as an operation of choice in surgical treatment for this pathology. The efficiency of the operation is improved significantly, if postoperative medical, social and occupational rehabilitation is conducted on a consistent basis.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Thirty patients with suspected obstruction of blood flow in the iliofemoral venous segment were examined by radioisotope phlebography and ultrasonic flowmetry. Comparative appraisal of the diagnostic precision of both methods of examination was made. In 93.3% of cases the results of these methods of examination coincided. Combination of the two methods makes the examination more exact and widens their diagnostic possibilities.