Vestnik khirurgii imeni I. I. Grekova
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Vestn. Khir. Im. I. I. Grek. · Jan 2009
Randomized Controlled Trial Comparative Study[Evaluation of the efficiency of balanced and unbalanced crystalloid solutions used in the program of infusion therapy in patients with blood loss].
The authors present a comparative assessment of the efficiency of balanced and unbalanced crystalloid solutions used in the program of infusion therapy in patients with blood loss. It was found that infusion therapy with unbalanced crystalloid solution facilitated the appearance of electrolytic changes and decrease of pH of venous blood while infusion therapy with balanced crystalloid solution did not cause negative changes of the water-electrolytic and acid-base balance.
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Vestn. Khir. Im. I. I. Grek. · Jan 2009
Comparative Study[Reduction of shoulder dislocation by Kocher's method].
Many present-day manuals on surgery and traumatology give distorted description of the method of shoulder dislocation by Kocher. In treatment of 69 patients with anterior dislocation of the shoulder the authors used the original Kocher's method (without traction, countertraction, without an assistant) and studied its effectiveness and safety. ⋯ There were no complications. The original Kocher's method of reduction of anterior dislocation of the shoulder is effective and safe.
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Vestn. Khir. Im. I. I. Grek. · Jan 2009
Comparative Study[Intraventricular thrombolysis and liquor filtration in treatment of newborns with severe intraventricular hemorrhages].
The authors have analyzed 32 cases of complex treatment of severe forms of neonatal intraventricular hemorrhages and proved high clinical efficiency of complex treatment. The stage-by-stage application of tissue plasminogen activator and operation of extracorporeal cerebrospinal fluid filtration resulted in decreased mortality, reduced duration of the cerebrospinal fluid sanitation period, reduced number of shunting-dependent children. One year follow-up showed an improvement of the patients' quality of life.
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Vestn. Khir. Im. I. I. Grek. · Jan 2008
Case Reports[Application of exchangeable transhepatic frame stents in patients with posttraumatic strictures of the hepatic and common bile duct].
For the period from 2000 through 2007 there were 27 patients treated for lesions of extrahepatic bile ducts of different genesis. Since all the lesions were high, we have formed biliodigestive anastomoses on the exchangeable transhepatic drains by the method of Groetz-Saypol-Kurian. In a month after the operation and a standard management of the exchangeable transhepatic drains we departed from the classical technique and applied nonperforated drains. Using the nonperforated exchangeable transhepatic drains in patients after reconstructive operations on the extrahepatioc bile ducts gave good immediate results of operations and substantially improved quality of life of the patients in the postoperative period.