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Biomedical subjects

V V Mitusov

Publications and source records attributed to V V Mitusov.

11 recordsLinked to original sources
PubMedDate not supplied

[State of the gastric mucosa in patients with benign prostatic hyperplasia in the early postoperative period at initial stages of chronic renal failure].

Biochemical, endoscopic and morphological tests were made to study changes in gastric mucosa and activity of antioxidant defense enzymes of the blood in patients with benign prostatic hyperplasia and initial chronic renal failure early after transvesical adenomectomy. Acute erosive-ulcerative lesions of gastric mucosa and acute gastric hemorrhages arose most frequently in patients with latent stage of chronic renal failure operated on without preoperative preparation. Preoperative medication lowers probability of the complications.

Aged↗
PubMedDate not supplied

[Endoscopic nephropexy].

In line with new prospects, introduction of laparoscopic technique in nephropexy gave rise to some problems. One of them--postoperative rotation of the kidney (RK). Upper-pole endovideosurgical nephropexy (EVSN) with prolen net performed in the diagnostic center "Zdoroviye" in 90 patients has demonstrated that late after surgery 9 (10%) patients had pains provoked by RK and abnormal renal circulation confirmed by Dopplerography. In 1998 specialists of the diagnostic center "Zdoroviye" developed a novel method of EVSN providing elimination of the ptosis and RK. A total of 88 patients have been operated since. 67 patients with nephroptosis and RK have undergone nephropexy with a splitted flap of the prolen net, 21 patients without RK--standard nephropexy. Long-term postoperative follow-up showed that only 3 of 88 patients failed to retain normal velocity of the major renal blood flow, though they improved this velocity noticeably. Thus, a differentiated approach to EVSN based on dopplerographic examination of the major renal blood flow brings about improved treatment results in nephroptosis.

Humans↗
PubMedDate not supplied

[Extracorporeal shock-wave therapy in Peyronie's disease].

The aim of the study was to validate clinical methodology on application of shock-wave impact on plaques in Peyronie's disease (PD). We studied short- and long-term results of extracorporeal shock-wave therapy (ESWT) in 54 patients 3, 6 and 12 months after the exposure. We performed ESWT sessions on different lithotriptors using different mechanisms of shock wave mechanism (hydromechanical and piezoelectric). Choice of the ESWT technique was based on the thickness and density of the plaque. The proposed ESWT method provides an effective treatment of the disease basing on the initial angle of penis deformation in erection.

Adult↗
PubMedDate not supplied

[Cystourethroanastomosis in extended obliterations and strictures of the posterior urethra in men].

The authors review short- and long-term clinical results of surgical treatment of extended urethral strictures and obliterations. A new vesicourethral anastomosis was created by novel technique with longitudinal suturing of the neck of the urinary bladder. A scheme of the operation is presented. Causes necessitating this plastic intervention are analysed. Variants of possible urine incontinence after operation depending on etiological cause of the stricture or obliteration of the posterior urethra in males are considered.

Adolescent↗
PubMedDate not supplied

[A new approach in the surgery of prostatic sclerosis].

The authors propose a new technique of prostatic sclerosis surgery which makes use of a transperineal approach and is based on the principles underlying surgical management of posterior urethra high strictures with establishment of a cystourethral shunt. Good results obtained in 17 patients with prostatic sclerosis allow the authors to consider the above procedure as an alternative to transvesicular prostatectomy according to V. S. Karpenko.

Adult↗
PubMedDate not supplied

[The validation of applying a longitudinal suture to the bladder neck in bladder-urethra anastomosis].

The author gives theoretical validation for placing a longitudinal suture instead of a cross suture on the bladder cervix in cystourethral shunting. Cross sutures preclude deviations in the shunt region thus reducing probability of urethral stricture recurrences. For conduction of the suturing a special device "needle bougie" has been developed. Surgical treatment of 11 patients with recurrent strictures of the prostatic urethra with the use of the above unit secured positive results in all those treated.

Anastomosis, Surgical↗