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Biomedical subjects

V Ia Vasiutkov

Publications and source records attributed to V Ia Vasiutkov.

At least 19 recordsLinked to original sources
PubMed1991

[The clinical x-ray parallels in traumatic diaphragmatic hernias].

An experience with diagnosing and treatment of traumatic diaphragmatic hernias in 68 patients (63 of them operated upon) is discussed. The leading role belongs to roentgenological examination of organs of the gastrointestinal tract. Lethality in free diaphragmatic hernias was 2.4%, in incarcerated hernias--52.4%.

Abdominal Injuries↗
PubMed1991

[The surgical treatment of traumatic diaphragmatic hernias].

The article discusses experience in treating traumatic diaphragmatic hernias in 68 patients, 63 of them underwent operation. Closed injuries to the diaphragm suffered in falling from a height and in car accidents and knife thoracoabdominal injuries were the main causes of this type of hernia. The principal role in their diagnosis belongs to X-ray examination with obligatory contrast study of the organs of the gastrointestinal tract. Among 41 patients who were operated on for non-strangulated hernia of this localization one died. In a group of 21 patients with a strangulated diaphragmatic hernia 11 died after surgery. Necrosis of the gastric and colonic wall, incompetence of the anastomosis sutures, peritonitis, and pleuritis were causes of death.

Adult↗
PubMed1991

[Principles of conservative treatment of trophic leg ulcers].

Long-term experience gained in the treatment of 647 patients suffering from trophic ulcer of the leg due to chronic venous insufficiency led the author to the conclusion on minimal benefit of chemotherapy in the treatment of the condition. Good therapeutic effect was achieved with enzymes used for cleansing purposes and local elastic compression of the leg with 3% boric acid solution fomentation. Epithelialization ++ of the ulcer occurred in 86.2% of the patients.

Administration, Cutaneous↗
PubMed1990

[Obturation ileus in cancer of the large intestine].

The analysis of treatment and diagnosis is presented for 168 colon cancer patients with occlusive ileus. Late diagnosis is responsible for high percentage of palliative operations (61.9%) with a 26% mortality. Radical surgery involves, as a rule, delayed primary one-stage resection and establishment of a single- or doubled-barreled anus. The mortality in this case reaches 19%. Advances in colon cancer treatment results and ways to reduce mortality in this conditions lie in early diagnosis and better knowledge by general practitioners of occlusive ileus pathogenesis and clinical appearance.

Cecal Neoplasms↗
PubMed1990

[Blood level of phosphatidylinositols as a criterion of diagnosis and control of the effectiveness of surgical treatment in gastric cancer].

In patients with gastric cancer, the content of phosphatidylinositols in the blood was significantly decreased, in average 2-fold, as compared with their level in donors. After surgical treatment in 36 patients, these indices increased and achieved a maximum value in a year. In these patients, the general state improved, there were no disease recurrences. In 44 patients after the operation, the content of phosphatidylinositols remained low, or increased insignificantly as compared with their level before the operation. In this group, 16 patients died, 10 developed a disease recurrency.

Humans↗
PubMed1989

[Malignization of trophic leg ulcers].

The paper treats of the diagnostic and therapeutic results for 40 cases of lower limb trophic ulcers transformed into malignant. The frequency of the malignant transformation and the ulcer site and area are found to correlate. The underlying cause of the ulcer onset and the time from its diagnosis to the first signs of the malignancy have been elucidated. Clinical features of the ulcer malignant transformation, methods of differential diagnosis and therapeutics are described.

Amputation, Surgical↗
PubMed1989

[Trauma of the iliac blood vessels].

The authors generalized experience in the treatment of 32 patients with closed (in 7), puncture-incised (in 8) and iatrogenic (in 17) injuries to the iliac vessels. Three patients had a concurrent acute injury to the main arteries and veins, one patient had a posttraumatic arteriovenous fistula. Operations were performed on 29 persons: restorative operation on the main vessels in 21 and ligation of the vessels in 8 patients. The arterial blood flow was completely restored in 11 patients, the venous blood flow - in 8 patients. The lethality in injuries to the iliac vessels of various genesis was 9.4%.

Adolescent↗
PubMed1989

[Injuries of the pancreas].

Trauma of the pancreas was studied in 48 patients. It has a typical mechanisms and is characterized by intensity of the exerted force. Due to the last named circumstance, extensive retroperitoneal hematomas, ruptures of the parenchymatous organs, ligaments, veins, and large arteries often occur A severe condition of the patients with fall of arterial pressure and the development of shock is characteristic. It is difficult to establish the diagnosis of trauma of the pancreas before the operation. The most frequent complication is traumatic pancreatitis which is often attended by the development of cysts, fistulas, and peritonitis. The surgeon's tactics is determined by the character of the injury and is individual in each patient.

Adolescent↗
PubMed1988

[Damage to the major vessels during surgical interventions in patients with cancer].

The paper discusses causes and outcome of injuries to major arteries and veins observed in 53 surgical cases of cancer of various sites. Radical removal of tumor invading the vascular wall proved the main cause of iatrogenic trauma. Lateral and circular atraumatic sutures were used to restore major circulation in 31 cases; vessels were ligated in 17. Failure to arrest intraoperative bleeding was reported in 5 patients. There were 7 (13.2%) fatalities.

Adolescent↗
PubMed1988

[Wounds and intraoperative injuries of the inferior vena cava].

An analysis of 1054 acts of medicolegal examinations of corpses of people who died from injuries of major vessels has been made. It was established that wounds of the v. c. i. took place in 0.7% of the cases. The experience with the treatment of 9 patients with thrust-cut wounds of v. c. i. and 14 patients with iatrogenic trauma of v. c. i. is described. Methods of help in the prehospital period, specific operative interventions, methods of postoperative management of patients with injuries of v. c. i. are described.

Abdominal Injuries↗
PubMed1985

[Injuries of the blood vessels of the neck].

The investigation of protocols of medicolegal examinations of victims of injuries of major blood vessels has shown that traumas of the neck vessels equal 8,8%. The clinical observation of 27 patients with injured vessels of the neck shows that the selection of correct methods of temporary arrest of hemorrhage at the place of the accident can save most victims, life. The main cause of death in such cases in ischemia of the brain, hemorrhagic shock, associated trauma of organs of the neck.

Adolescent↗