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Biomedical subjects

V V Ivashchenko

Publications and source records attributed to V V Ivashchenko.

At least 19 recordsLinked to original sources
PubMed2005

[Correction of the glicemia level in elderly and senile patients with diabetes mellitus, operated for purulent-necrotic foot lesion].

Basing on the analysis of surgical treatment experience of 685 elderly and senile patients with diabetes mellitus, suffering purulent-necrotic affection of foot, the authors admit possibility of the insulinotherapy abolition before the operation in patients with for the first time diagnosed diabetes type II or in those, who before hospitalization received preparations in tablets, while the signs of intoxication are absent (extended purulent process, humid gangrene) and initial level of glycemia no more than 10 mmol/l.

Aged↗
PubMed2001

[The prognostic value of poly-organic insufficiency in patients with acute pancreatitis].

The results of surgical treatment of 148 patients aged from 18 to 83 years old suffering from acute pancreatitis (AP) were analyzed. Acute biliary pancreatitis (ABP) was determined in 49.3% of patients. The use of biochemical, ultrasound, endoscopic and laparoscopic methods of diagnostics permitted to determine the pathogenesis of AP and initial manifestation of polyorganic insufficiency syndrome (POIS). In 58.8% of patients mild intoxication syndrome was observed, in 41.2% it was considered severe. 56.1% of patients underwent surgical treatment that included laparocentesis, laparoscopy, and toxic exudate removement, drainage of abdominal cavity. In patients with ABP laparoscopic cholecystectomy and the drainage of common bile duct was performed. Total mortality was 5.4%. The wide introduction of endovideosurgical technologies permits to perform several actions in order to treat AP, to prevent POIS and pyo-necrotic complications and to achieve the decrease of mortality.

Acute Disease↗
PubMed2000

[Application of auto-dermal hernioplasty for treatment of postoperative abdominal hernia].

The results of surgical treatment of 98 patients with postoperative abdominal hernia, in whom various methods of autodermal hernioplasty were applied, were summarized. In 33 patients for the hernial defect closure deepithelized cutaneous strip was used, in 22--free cutaneous flap, in 12--the defect was closed with the help of free armourized autodermotransplant, in 10 patients--with free cutaneous flap in combination with lavsan mesh. Recurrency after application of cutaneous strip had occurred in 41% of patients, of cutaneous flap--in 36.3%, armourized flap--in 23.1%, after the combined plasty--in 20%. Insufficient blood circulation in transplant is the cause of high recurrency rate after doing the plasty using free flaps. To eliminate this shortage and to improve the results of surgical treatment in 20 patients there was applied original method of autodermal hernioplasty using deepithelized cutaneous flap on two nourishing pedicles. Recurrency had occurred in one patient during follow-up from 1 to 5 years.

Adult↗
PubMed1999

[On the legality of the term "diabetic angiopathy of the lower extremities". Part III. The influence of the stage of the lower extremities' main artery occlusion on the severity of microangiopathy].

In 40 patients with diabetic angiopathy of lower extremities in terminal stage during investigation of cutaneous biopsies using electronic microscopy it was established that changes in femoral skin are more pronounced than in a foot skin, showing more severe signs of microangiopathy in a preserved main blood flow zone. The author proposes a concept, according to which the angiopathy stage reflects the diabetes mellitus stage.

Adult↗
PubMed1998

[Accuracy of the term "diabetic angiopathy of the lower limbs". II. Possibilities of the morphological assessment of the stage of diabetic angiopathy of the lower limbs and the choice of treatment tactics].

In 40 patients with diabetic angiopathy of lower extremities of terminal stage the foot tissue biopsies were studied up using electron and light microscopy. A skin was supposed to be most acceptable substrate for biopsy because there was established morphological changes of tissues, occurring in a single direction and in a single type. Morphological criteria of the angiopathy stages were delineated, permitting to make a differentiative choice of the treatment tactics.

Adult↗
PubMed1998

[On the legal aspects of the term "diabetic angiopathy of the lower extremities". Part I. Clinico-morphological parallels of the lower diabetic angiopathy].

The clinico-morphological data analysis was done in 100 examined patients with diabetic angiopathy of the lower extremities. The morphological changes revealed have corresponded to severity of the disease clinical symptoms in 70% only. Purulent affection of extremities have characterized not the end stage of angiopathy only but it was observed in another stages of the disease.

Diabetic Angiopathies↗