[Portal circulation in hepatic echinococcosis. Manometry. Circulatory velocity. Splenoportography].
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In dependence of size, localization, observed complications and associated forms of disease, the clinical symptomatology is characterized whith a different view. Three stages are made out during the illness. Infrequently associated and complicated forms of disease are special interest. Surgical treatment is the basic method of treatment in hydatidosis. It's specificity at children keeps special because of age. The surgery of the hydatidosis has been simpified and except for some cases. Surgical procedurs is great variability of pathology amond hydatid cyst, logically a inform treatment can not be recommended. Surgical approaches were: 1. Conservative methods--leaving of pericyst in situ; or 2. Radical methods--total pericystectomy of liver resection. Modern surgical treatments must be individualized for each cases.
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A plasma surgical device and a CO2-laser device were used in operative treatment of 46 patients with hydatid disease of the liver; in 25 in the patients these measures were combined with exposure to low-energy helium-neon laser radiation. The patients' condition improved more rapidly, the frequency of postoperative complications reduced, the term of postoperative hospital stay of the patients decreased. The fibrous capsule was studied morphologically before and after manipulations with the laser and plasma scalpel.
The results of using the laser scalpel in surgery for echinococcosis of the liver in 68 patients are discussed. It was established that carbon dioxide laser induces coagulation of small blood vessels and intrahepatic bile ducts and thus prevents postoperative complications like bleeding and escape of bile, destroys live protoscoleces, and has a harmful effect on the microflora. This creates favourable conditions for shortening the period of treatment for patients with echinococcosis.
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The ultrasound method of examination led to revolutionary changes in the diagnosis of liver echinococcosis [correction of Echinococcus]. The ultrasound image of this disease, which is common in the region, is presented. The ultrasound method is compared with other diagnostic methods and its importance is pointed out. The ultrasound method of examination is a reliable means for the diagnosis of liver echinococcosis [correction of Echinococcus].