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Biomedical subjects

V M Mel'nik

Publications and source records attributed to V M Mel'nik.

At least 19 recordsLinked to original sources
PubMed2006

[Application of a one-row everted suture in operations on the colon].

A method of a one-row everted intestinal suture for the formation of terminal-terminal colon-colonic anastomosis was worked out in experiment in 32 dogs. The suture gives a good connection of fragments of the gut by wound surfaces by the type of sensory adaptation. High mechanical strength of the suture, absence of anastomosis stenosis, primary intension healing of the intestine wound were proved on the basis of using the method of pneumocompression, investigation of the stenosis index and histological investigation of the connection zone. The developed suture was used in 27 patients in forming anastomoses after operations on the colon. No complications resulting from the developed suture were noted.

Aged↗
PubMed2006

[Surgical policy in reconstructive surgery on the colon].

Thirty-year experience with 1685 reconstructive operations on the colon is analyzed. Novel surgical policy has increased the rate of primary-reconstructive operations for the last 5 years from 78.8 to 87.9%, decreased the number of postoperative complications from 33 to 21.8%, intestinal anastomosis-dependent complications -- from 22.6 to 8.4%, postoperative lethality -- from 6.9 to 2.4%, raised the rate of good functional results from 64 to 88.2%.

Digestive System Surgical Procedures↗
PubMed2005

[Abdomino-anal resection in the treatment of low-ampullar cancer of the rectum].

Surgical policy was developed for improvement of functional results and quality of life in patients operated on for low rectal cancer. This policy includes choice of the method of sphincter-saving operation depending on the stage of the tumor, grade of malignancy, distance from a low edge of the tumor to dentate line. Methods of prevention of ischemia and necrosis of brought down colonic transplant and anal incontinence were used. This increased the number of sphincter-saving operations in low location of rectal cancer by 35%, reduced the rate of necrosis of intestinal transplant from 7 to 4.4%, saved continent function and improved significantly quality of life in 89.8% operated patients.

Adolescent↗
PubMed2005

[Method of sphincter-preserving operation for low localization of rectal cancer].

The authors have developed a method and defined indications for sphincter-preserving operation--proctectomy for low localization of rectal cancer. The method of operation suggests ablation of the rectum together with its internal sphincter and preservation of all components of the external sphincter of the rectum that provides realization of voluntary (volitional) component of the anal holding. The operation used in 37 patients gave better functional results of treatment and better quality of their life.

Adult↗
PubMed2003

[Tuberculin sensitivity in infants and preschool children with pulmonary tuberculosis].

The tuberculin sensitivity of the skin was studied in children with tuberculosis, whose age was under 7 years, in relation to the age, the form of tuberculosis, the phases of a process, its severity, the presence of complications and concomitant disease. It was established that in infants the rate of negative reactions was 13.2 times higher and that of hyperergic reactions was 5.8 times less than those in children aged 3 to 7 years. Negative reactions were most common in the complicated and severe forms of tuberculosis and in comorbidity. Hyperergic reactions were more frequently encountered in ocular tuberculosis (44.5%), helminthic invasion (30.4%), and pulmonary tuberculosis first detected in the phase of resolution (32.4%).

Child↗
PubMed2002

[Epidemiological value of the efficiency of treatment in patients with tuberculosis].

The main tuberculosis epidemiological parameters in the Ukraine are analyzed. The present epidemic of tuberculosis has been found to be characterized by the predominance of mortality rates over morbidity ones along less efficiency of treatment and abnormal stabilization of the incidence of recurrent tuberculosis. The efficiency of treatment (ceased bacterial isolation and healed decay cavities and caverns) is of epidemiological value. The range of these parameters, whose achievement may significantly affect immunological parameters is to be defined. It is concluded that it is necessary to make a large-scale epidemiological study of tuberculosis to establish many causal correlations of the present-days epidemic of tuberculosis.

Antitubercular Agents↗
PubMed2002

[On grouping the contingents of tuberculosis dispensaries].

The contingents followed up at the dispensaries in the Ukraine are analyzed. These include as high as 15.42% of patients with tuberculosis, 5.03% with questionable tuberculosis, 67.13% with inactive tuberculosis or infections, and 12.42% of persons contacting with patients. A total of 4.84% of the appropriations are used to follow up the contingents. A new procedure for grouping TB dispensary contingents is proposed.

Ambulatory Care Facilities↗
PubMed1996

[Relaparotomy: determination of the indications and results].

The indications for relaparotomy in cases of bleeding, peritonitis, acute ileus and abdominal abscess were determined. Using the indications gave a possibility to perform the relaparotomy on 1-st postoperative day right after first signs of those complications. The mortality dropped from 46% to 20.5%.

Adolescent↗
PubMed1992

[Intra-abdominal hemorrhages in the early postoperative period and their diagnosis].

In the period from 1977 to 1987, after 13,306 operations carried out on the abdominal organs in the clinic, intra-abdominal hemorrhages occurred in 34 (0.25%) patients which had to de managed by emergency relaparotomy. From analysis of case records (28 taken from the archives and 6 of patients who were under observation) of the relationship between the large number (195) of signs represented by a block of clinico-laboratory and radiological data, an integral diagnostic criterion of intra-abdominal hemorrhages was obtained. The diagnostic significance of the criterion was 98.6%. Its practical application comes to recognition of intra-abdominal hemorrhage by identifying the symptoms and syndromes found in the patient with this early postoperative complication with the symptoms and syndromes composing the integral criterion. A revealed integral diagnostic criterion is a concrete indication for undertaking emergency relaparotomy.

Abdomen↗