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V I Trubachev

Publications and source records attributed to V I Trubachev.

10 recordsLinked to original sources

[Restoration of the reproductive function in women with tubal infertility by the method of plastic microsurgery of the fallopian tubes].

The authors considered the scope for using plastic microsurgical techniques in the reconstructive surgery of uterine tubes in females with tubal infertility. Analysis of 51 surgical outcomes demonstrated the correlation between the results of the treatment and the adequate selection of patients, operating technique and the extent of postsurgical rehabilitation measures.

Adult↗

[Acute cholecystitis and liver failure].

The article presents results of treatment of 300 patients with acute cholecystitis, 285 of them (95%) being operated upon. Hepatic insufficiency was found to develop in 173 patients (57,6%). The operation of choice was cholecystectomy (97,1%). Cholecystostomy was fulfilled in 7 patients (2,4%), in 2 patients (0,5%) choledocholithotomy was made following a previous cholecystectomy. Lethality in patients with hepatic insufficiency was 4 times as high as in patients without it. In 34,1% of the operated patients hepatic insufficiency was the main cause of death.

Acute Disease↗

[Cholelithiasis and hepatic insufficiency].

During the recent years 202 patients with cholelithic disease and its complications have been treated in the clinic. In 135 patients admitted to the hospital an attack of severe pains was followed by jaundice and symptoms of hepatic insufficiency (HI). A compensated stage of HI was diagnosed in 68 (50.4%) patients, subcompensated stage--in 38 (28.1%), decompensated--in 25 (18.5%) and terminal stage of HI--in 4 patients (3%). The operative treatment was used in 142 patients (70.3%). The operation of choice was cholecystectomy. An intervention on the common bile duct was performed in 59 patients (41.5%). Operations were performed on 42 patients with the compensated stage of HI (one of them died), in 17 patients with the subcompensated stage (one patient died), in 16 patients with the decompensated stage (three patients died); with the terminal stage there were 4 patients operated upon. Two of them died.

Adult↗

[Treatment experience with acute suppurative lactation mastitis].

Results of the treatment of 518 patients with acute suppurative lactation mastitis are analyzed. Lactastasis and nipple cracks are found to be responsible for the appearance and development of the disease. The infiltrative form of mastitis was found in 1,2% of patients, abscess formation in 69,2%, phlegmonous form in 27,2% and gangrenous form in 2%. Sepsis was found to develop in 9,4% of patients. Complex therapy including antibiotics of wide spectrum of effect, infusive therapy with forced diuresis, immunologic drugs are recommended.

Acute Disease↗