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V V Darvin

Publications and source records attributed to V V Darvin.

11 recordsLinked to original sources

[Surgical treatment of injuries of the colon].

Having analyzed results of treatment of 214 patients with an injury of the colon and its mesentery the authors have made a conclusion that most typical errors are related with problems of diagnostics in closed and associated trauma of the colon and the absence of single tactical recommendations in choice of the optimum operation volume. The primary suture of the gut was performed in 165 patients, in 9 patients suturing was supplemented by proximal colostomy. Resection of the intestine with a one-lumen anus was performed in 9 patients, and resection with primary anastomosis--in 6 patients more. In 2 patients the injured loop was brought onto the anterior abdominal wall. For decompression of the gut lumen after its resection or suturing the wound the authors propose a method of the duct decompression lavage of colonic anastomoses which was used in 7 patients. Pyo-septic complications were noted in 79 patients, 23 patients died (10.7%).

Adolescent

[Treitz's hernia].

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Child, Preschool

[Torsion of the greater omentum].

The greater omentum torsion was revealed in 10 of 10143 patients operated upon urgently. The complex of symptoms established by the authors facilitates making the correct diagnosis. It includes a typical pain syndrome, the presence of a mobile tumor-like mass in the abdominal cavity without disturbances in intestinal passage, disagreement between the satisfactory state of the patient and duration of the disease. The operation of choice for the greater omentum torsion is resection of the torsioned lobe. The postoperative period in 9 patients was good. In one patient there was suppuration of the operation wound.

Abdomen, Acute

[Prevention of incompetence of sutures of the colon in its injuries].

The authors analysed 242 clinical cases of open and closed injury to the colon and the results of experiments on 120 animals. Incompetence of the sutures of the colon was encountered in 12 (4.9%) patients: in 10 (5.2%) with punctured-incised injuries, in one (3.3%) with subcutaneous rupture, and in one (5.5%) with gunshot injury. Clinico-experimental studies allowed 2 groups of pathogenetic factors (predisposing and resolving) in the development of incompetence of colonic sutures to be distinguished. The pathogenetic approach forms the basis of the developed complex program of the prevention of incompetence of the sutures of the colon in its injuries. Introduction of the suggested program into clinical practice made it possible to reduce the incidence of incompetence of colonic sutures from 6.6 to 2.0%.

Adolescent