[External biliary fistula of surgical origin].
Explore the source record for details and available documents.
Biomedical subjects
Publications and source records attributed to V N Klimov.
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 authors' experience with the treatment of 134 patients enabled them to formulate indications for sympathectomy, reconstructive operations and primary amputations.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
The hemostasis system was investigated in 95 patients with edema of the pancreas (71) and pancreatonecrosis (24). The alterations found speak of the state of hypercoagulation and activation of aggregation properties of the blood in 74 % of patients with edema of the pancreas and in 80 % of patients with pancreatonecrosis. The data obtained enabled the authors to perform the pathogenetic treatment in 63,1 % of patients by means of anticoagulants of the direct and indirect action in combination with the desaggregative therapy activating fibrinolysis. The treatment was carried on in combination with the generally used methods of surgery and therapy. During the period under consideration there were no lethal outcomes in the group of patients subjected to conservative treatment. The postoperative lethality in pancreatonecrosis decreased from 31,8 % to 27,2 %.
For the period from 1958 till 1977 27530 patients were operated upon for acute surgical diseases of organs of the abdominal cavity. Postoperative complications requiring relaparotomy were found in 330 cases (1,2%). Relaparotomy is the main method in the complex treatment of postoperative complications, and when performed for correct indications and in proper time, it contributes to elimination of the source of complications and the threat of their progressing.
Under analysis were 235 repeated operations upon the external bile-excretory ducts, fulfilled in 218 patients. The main indications for repeated operations on the biliary ducts were choledocholithiasis, stenosis of Vater's papilla, stricture of biliary ducts, pancreatitis, external biliary fistula. The pathological conditions were most frequently observed in combinations. During repeated interventions choledochotomy and revision of the biliary ducts were made in 182 patients. Biliodigestive anastomosis was performed in 97 patients, in 54 patients choledochotomy was completed by external drainage of ductus choledochus, in 31 patients the common biliary duct was sutured tightly in combination with the creation of drainage into the stump of the biliary duct after Halsted. Lethality after repeated operations was 3.6%. The remote results were good in 110 patients (80.8%), satisfactory in 23 (16,9%), bad results were in 3 (2,2%) patients.
The data on 292 patients treated in the clinic for acute thrombosis and embolism of the peripheral vessels from 1969 to 1978 are analysed. The dynamics of the frequency of the development of these vascular complications with consideration for the heliogeomagnetic situation were studied. It is established that the condition is more serious and the mortality rate higher in patients who became ill on magnetoactive days than in individuals in whom the disease developed in a magnetotranquil period.
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.
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.