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Biomedical subjects

V V Beliaev

Publications and source records attributed to V V Beliaev.

At least 19 recordsLinked to original sources

[Modern tactics for choledocholithiasis treatment].

There is presented tactics of treatment of 1325 patients, in whom choledocholithiasis was diagnosed. In 1023 (7.4%) of them in the first stage endoscopic papillosphincterotomy was performed and transpapillar endobiliary manipulations, in 1-2 days--laparoscopic cholecystectomy. In 302 (2.9%) patients laparoscopic exploration of common biliary duct with cholecystectomy were performed. Intraoperative complications occurred in 28 (2.7%) and postoperative--in 72 (7%) patients. All patients are alive.

Cholecystectomy, Laparoscopic↗

[Complications of endoscopic transpapillary interventions].

The results of endoscopic papillosphincterotomy with subsequent endobiliary intervention performance in the clinic in 2235 patients in 2000-2006 yrs were studied up. Early complications had occurred in 113 (5.1%) patients, including hemorrhage--in 57 (50%); late complications--in 64 (2.9%). All the patients are alive.

Adult↗

[Prophylaxis and treatment of intraabdominal purulent complications after performance of laparoscopic cholecystectomy using interventions with ultrasonographic control].

The results of treatment of 9103 patients, to whom laparoscopic cholecystectomy was performed, were adduced. In 6714 patients intraabdominal postoperative complications were absent, ultrasonographic investigation (USI) was not performed. Dynamical USI was done in 2389 patients, permitting to estimate timely the wound course severity in the gallbladder bed, to administer an adequate therapv, in 9 of them--to perform puncture of subhepatic formations under USI control. Intraabdominal infectious complications were revealed in 65 (0.71%) of patients.

Abdominal Cavity↗

[Thromboembolic complications in laparoscopic surgery and their prophylaxis].

Frequency of thromboembolic complications occurrence after laparoscopic intervention was studied in 8230 patients. Efficacy of prophylactic perioperative application of low-molecular heparin fraxiparin was estimated. Thrombosis of deep veins had occurred in 6 (0.073%), thromboembolism of pulmonary artery--in 3 (0.037%) patients. General frequency of thromboembolic complications had constituted 0.11%.

Adolescent↗

[Prevention of thromboembolic complications in laparoscopic surgery].

The rate of thromboembolic complications was studied in 6672 patients who underwent laparoscopic intervention. The effectiveness of preventive use of low-molecular weight heparin fraxiparine was evaluated. 5 patients (0.075%) developed deep veins thrombosis, 2 patients (0.03%)--pulmonary thromboembolis. The general rate of thromboembolic complications was 0.11%. Specific prevention by fraxiparine together with decrease of mean duration of operation, maintaining insufflation pressure equal or less than 1.6 kPa (12 mm Hg), periodical exsufflation every 30-40 min and turning of the patient into Trendelenburg's position permitted to reduce the rate of thromboembolic complications to 0.045%.

Adolescent↗

[Lessons on laparoscopic cholecystectomy (summary of the experience].

The experience of laparoscopic cholecystectomy conduction in 6524 patients with nontumoral diseases of gallbladder (chronic calculous cholecystitis, an acute calculous cholecystitis, chronic noncalculous cholecystitis, the gallbladder polyposis) was summarized. While comparing the initial seizing experience in laparoscopic cholecystectomy in the clinic the tendency was noted, trusting the skills improvement in management of laparoscopic technique, permitting to reduce the contraindications quantity for laparoscopic cholecystectomy. Several principles were elaborated, which is necessary to follow doing laparoscopic cholecystectomy for improvement of results of treatment in patients and for complications reduction.

Adolescent↗