Vestnik khirurgii imeni I. I. Grekova
-
Vestn. Khir. Im. I. I. Grek. · Jan 1999
Comparative Study[Sympathectomy and intra-arterial perfusion therapy in critical ischemia of the lower limbs].
The results of 177 sympathectomies fulfilled in 152 patients with critical ischemia of the lower extremities are presented. Good and satisfactory results were obtained in 69.3% of patients after lumbar sympathectomy only. When the operation was combined with prolonged intraarterial catheter therapy positive effects were noted in 79.7% of the cases. This combined method of treatment is thought to be expedient for patients with the IV degree ischemia.
-
Vestn. Khir. Im. I. I. Grek. · Jan 1999
Historical Article[History of the surgery of military injuries].
-
The authors share their experiences with treatment of wounds of the neck in 210 patients. Major vessels were injured in 85 of them (40.5%), arterial vessels being injured in 19 patients, venous vessels in 23 patients. 43 patients had wounds of the hollow, parenchymatous organs and nerves. ⋯ Lethality among the patients with wounds of the major vessels was 11.9% and was due to a combination of injuries of the vessels and blood loss incompatible with life. Active surgical treatment of penetrating wounds of the neck with careful revision of the wound, use of emergency esophagogastroduodenoscopy, laryngotracheobronchoscopy, X-ray examination allow the amount of diagnostic errors and lethality to be reduced.