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Biomedical subjects

V V Vakhidov

Publications and source records attributed to V V Vakhidov.

At least 19 recordsLinked to original sources
PubMed1995

[Surgical treatment of injuries of the vertebral artery].

Surgical treatment of injury to the vertebral artery is one of the most difficult problems of modern vascular surgery. Six operations were carried out for injury to the vertebral artery at the Department of Vascular Surgery of the Tashkent Research Center of Surgery, Uzbekistan. In 3 patients the artery was ligated at the orifice. The performance of the compression test for excluding the possibility of the development of cerebral circulatory disorders is obligatory in all such cases. Two patients with injury to the vertebral artery in the medullary canal were treated by a method elaborated in the clinic and consisting in the tight filling of the canal with a mixture of warm wax and a collagen hemostatic sponge. In none of the cases were disorders of cerebral circulation and a clinical picture of vertebrobasilar insufficiency encountered. One patient died.

Adult↗
PubMed1992

[Characteristics of the blood flow in the vertebral artery before and after the surgical treatment of the proximal segment of the subclavian artery].

The features of the blood flow in the vertebral artery were studied by ultrasonic dopplerography with functional test for reactive hyperemia in 52 patients. The authors claim this to be an objective screening method allowing the sequelae of occlusion of the vertebrosubclavian segment to be studied and providing information for establishing the diagnosis and appraising the efficacy of reconstructive operations.

Arterial Occlusive Diseases↗
PubMed1992

[Diagnosis and treatment of mediastinal neoplasms and cysts].

Possessing experience in the treatment of 314 patients with tumors and cysts of the mediastinum, the authors discuss problems of their diagnosis and surgical treatment. The patients' ages ranged from 7 to 64 years. Tumors were recognized in 216 (68.8%) and cysts in 98 (31.3%) patients. The radiological method, including computed tomography, is the main method for the diagnosis of mediastinal tumors and cysts. The presence of a pathological structure in the mediastinum is an indication for surgery independent of the development of complications. Operations for tumors and cysts of the mediastinum must be carried out in specialized medical institutions because they are complicated surgical interventions.

Adolescent↗
PubMed1990

[Characteristics of the course of gastroduodenal ulcer and its surgical treatment in elderly patients].

The authors analyze in detail the literature on the subject and the results of treatment of 234 patients over 60 years of age. It is confirmed that peptic ulcer in elderly and old-aged individuals has some specific features. The mortality rate after planned surgical interventions for gastric and duodenal ulcer in patients over 60 years was 5.0% and 3.9%, respectively. Emergency surgical interventions for complications of peptic ulcer at old age led to death in 44.4% and 50% of cases, respectively. It is concluded that the range of indications for planned and earlier surgical treatment of peptic ulcer in the elderly must be widened.

Age Factors↗
PubMed1990

[Corrective and reconstructive operations in post-vagotomy syndromes].

Among 322 patients with postvagotomy syndromes who were examined by the authors, 133 were subjected to reconstructive and corrective operations. Most of the patients (73.7%) who underwent surgery for the second time suffered from peptic, recurrent, and persisting ulcers due to vagotomy. The authors give preference to resection methods in recurrent ulcer after vagotomy and do not resort to revagotomy in an isolated form. The authors propose a new method for resection of the stomach in peptic ulcers after vagotomy with gastroduodenoanastomosis by the Jaboulay procedure. In the authors' opinion, the choice of method for reconstructive operations should be made with due regard for the pattern of a complication, the type of a primary surgery, and causes of their development.

Duodenal Ulcer↗
PubMed1990

[Giant stomach ulcers].

The authors analyse the results of endoscopy in 127 patients and clinical observations over 98 patients with giant ulcers of the stomach. The study provided evidence of the low frequency of giant ulcers, their marked polymorphism, and tendency to bleed and degenerate. These ulcers do not differ from the usual ulcers in the values of the secretory activity of the stomach and the duodenogastric reflux, but possess characteristic morphologic criteria. Giant ulcers are marked by higher operative mortality and the late-term results of surgical treatment of these patients yield to those in cases of usual gastric ulcers. Giant ulcers occur most frequently in the elderly.

Adult↗
PubMed1990

[Atypical shunting operations in occlusions of the aorta and iliac and femoral arteries].

The results of 110 operations for atypical shunting in occlusions of the aorta and the iliac and femoral arteries are analysed. The authors suggest modifications of operations for transverse femoro-femoral shunting with the use of venous autografts. Shunting of lower limb arteries from the branches of the arch of the aorta made it possible to preserve the limb in 58.8% of patients who otherwise would have to be subjected to amputation. Study of the late-term results shows that atypical reconstructive operations allowed the limb to be preserved by an 8-year follow-up period in 76.1% of patients.

Aged↗
PubMed1988

[Endoscopy in the evaluation of rare forms of gastric ulcers].

The endoscopic examination made in 49309 patients with long standing "gastritis" history has revealed 1476 patients (2.99%) with ulcers of gastric localization. The diagnosis of ulcer disease of the stomach had been previously established only in 17.5% of them. The analysis performed has revealed atypical rare forms of gastric ulcers: by their localization (proximal, ring of the pylorus or the prepyloric portion), by the size (giant), by the amount (multiple), by typological features (associated or secondary forms). Detailed characteristic of the ulcers mentioned is given.

Adult↗
PubMed1985

[Recurrent peptic ulcer after vagotomy].

The examination of 38 patients with recurrent and peptic ulcers after vagotomy (reconstructive operations were fulfilled in 25 out of them) has established that the main cause of recurrent and peptic ulcers developing after vagotomy is the preserved elevated secretory activity after operation and high content of gastrin in the blood. Surgery is thought to be the main method of treatment of such patients.

Adolescent↗
PubMed1985

[Ways of preventing dumping syndrome after surgical treatment of stomach and duodenal ulcer].

An analysis of results of the examination and surgical treatment of 310 patients have shown that in patients with high predisposition to dumping-syndrome the following operations should be used: Billroth-I resection of the stomach (for gastric ulcers), selective proximal vagotomy or vagotomy with draining operations (for duodenal ulcers). Indications for the above operations should be determined with special reference to the state of the secretory and motor-evacuatory function of the stomach.

Dumping Syndrome↗