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V V Minin

Publications and source records attributed to V V Minin.

17 recordsLinked to original sources

[Injuries of the ducts in surgery of the biliary tract].

The authors analysed 92 reconstructive and restorative operations on the biliary tract injured at a high level during emergency operations. Such complications occur most frequently when the surgeon is insufficiently experienced or due to unavailability or incomplete use of the radiological method of intraoperative diagnostics. The expediency of reinfusion of the lost bile into the gastrointestinal tract in the diagnosis of injury to the biliary tract is pointed out. It is emphasized that patients must be transferred early to a specialized medical establishment for a reconstructive operation. The creation of hepato-digestive anastomoses on a transhepatic drain produces better results than the other drainage methods. In the group of 92 patients 77 recovered and 15 died in different periods after the operation.

Adult↗

[The late results after rehabilitative and reconstructive operations on the bile ducts].

Of 7000 patients operated on biliary ducts in 622 the recovering and reconstructive interventions were conducted. Late follow-up result was studied in 313 (51%) patients. Good result was noted in 179 (57.7%) patients, fair--in 99 (32.2%), poor--in 35 (10.1%) in terms from 3 months till 17 years. In patients operated on for the "forgotten" biliary ducts concrements, frequently combined with stenosis of common biliary duct terminal portion, most frequently good and fair result was noted. Late follow-up result of reconstructive operations using external transhepatic carcass drainage was significantly better than after application of other methods of correction for high stricture and injury of biliary ducts.

Bile Ducts↗

[Chronic gastritis in patients following cholecystectomy].

A study of 198 patients with chronic gastritis after cholecystectomy revealed that chronic gastritis occurred in 2.6-4.5% of patients with benign diseases of the biliary tract and postcholecystectomy syndrome that were not diagnosed before surgery. Gastric disorders should be considered in the complex of rehabilitation measures after cholecystectomy. Treatment in a gastroenterological department and at health resort will improve long-term results.

Adult↗

[Acute gastrectasia].

The authors report their 20 observations of acute gastrectasia. An importance of early diagnosis of this pathology is emphasized, and due attention should be given to a proper interpretation of the observed symptoms. Also, the authors stress the importance of decompensated pyloric stenosis in the development of acute gastrectasia. It is concluded that in early diagnosis of acute gastric dilation the complex conservative therapy with a mandatory gastric sounding, correction of hydroelectrolytic disorders and patients' being in Shnitzler-Diterichs posture are of primary importance. In case of failure of this therapy and for intraoperative establishing of the diagnosis of acute gastrectasia gastrostomy may be performed.

Acute Disease↗