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Biomedical subjects

V N Gorbunov

Publications and source records attributed to V N Gorbunov.

18 recordsLinked to original sources
PubMed2001

[Hemipylorectomy with transverse pyloroplasty and vagotomy in perforating and bleeding ulcers of the pyloric canal].

Hemipylorectomy with transverse pyloroplasty and vagotomy was made in 922 patients with perforating and bleeding ulcers of pyloric canal. 510 of them had perforation of ulcer, 412--ulcer bleeding. In all the cases ulcer was excised together with anterior semicircle of the pylorus, the defect was sutured transversely. Hemipylorectomy with transverse pyloroplasty was combined with (anterior selective proximal serous-muscular and posterior trunkal) vagotomy. Postoperative lethality in perforation of ulcer was 4.8%, in bleeding--8.2%. From 1 year to 10 years after operation good functional results were achieved in the majority of the patients. This variant of organsaving operation is optimal in complicated ulcers of pyloric canal.

Adult↗
PubMed1998

[Comparative results of surgical treatment for perforating and bleeding pyloroduodenal ulcers].

Results of treatment of 1309 patients with perforated and bleeding pyloroduodenal ulcers for 20-years period have been analysed. Resection of the stomach performed in 85 cases resulted in high postoperative lethality which made up in bleeding ulcers 14.8%. Drainage operations of the stomach with excision or suturing of ulcer combined with bilateral truncal vagotomy was performed in 60 patients, postoperative lethality rate being 8.4%. 128 patients underwent selective proximal vagotomy together with pyloro- and duodenoplasty, lethality rate being 1.6%. Combined vagotomy (posterior truncal and anterior sero-muscular) with excision of ulcer, transversal pyloroplasty and duodenoplasty was carried out in 1036 patients (postoperative lethality--2.4%). Excellent and good functional results were achieved in 79.6% of the patients.

Drainage↗
PubMed1996

[Evaluation of the gastric outlet function of normal and operated stomach using ultrasound].

The functional condition of the gastric outlet was studied by ultrasound in 25 individuals (the comparison group) and in 37 patients after organ-preserving operations for complicated pyloroduodenal ulcers. The diameter of the gastric outlet and the pylorus, the length of the pyloric canal were recorded during the examination and the presence or absence of duodenogastric reflux was noted. A duodenogastric reflux was found in 48% of persons of the comparison group, in 25% of patients after Judd's pyloroplasty and all patients after Finney's pyloroplasty. The data obtained provide evidence that the functional results are better in pylorus-preserving and pylorus-saving operations that in pylorus destroying operations which lead to loss of the obturation function of the pylorus.

Adolescent↗
PubMed1990

[Clinico-anatomical basis for using the variants of proximal gastric vagotomy in the treatment of gastroduodenal ulcers].

Anatomical examinations (33 cadavers) for studying parasympathetic innervation of the upper abdominal organs formed the basis for developing a new variant of proximal gastric vagotomy--anterior seromyotomy of the body and fundus of the stomach in combination with posterior truncal or posterior selective vagotomy. This variant excludes mobilization of the esophagus and makes it possible to preserve the ligament apparatus of the esophago-gastric junction as well as the parasympathetic innervation of the pancreas, small and large intestine, kidneys, and adrenals, which may be a measure for the prevention of some ++post-vagotomy complications.

Female↗
PubMed1990

[Anterior seromyotomy of the body and the functional part of the stomach combined with posterior truncal vagotomy and ulcer excision in the surgical treatment of complicated stomach ulcer].

Anterior seromyotomy of the body and fundus of the stomach was combined with posterior truncal vagotomy and excision of the ulcer in 23 patients with gastric ulcer complicated by bleeding or perforation. Seventeen patients had chronic ulcers of the body of the stomach (type I), 3 patients had concurrent ulcers (type II), and 3 more patients had acute ulcers of the body of the stomach. Operation was undertaken for active bleeding from the ulcer in 20 patients and for perforating ulcer in 3 patients. One patient died. Mild disorders of evacuation of an aqueous barium sulfate suspension from the stomach were noted in 4 patients.

Adult↗