Vestnik khirurgii imeni I. I. Grekova
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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.
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Vestn. Khir. Im. I. I. Grek. · Jan 2008
Comparative Study[Anesthesiological maintenance of endoprostheses of the hip joint].
An analysis of 44 clinical observations of anesthesia for endoprostheses of the hip joint fulfilled according to the protocol proposed by the authors was made. It includes the authors' variant of unilateral spinal anesthesia in combination with isoflurane inhalation. The indices of red blood, dynamics of the mean arterial pressure and of the motor block of the lower extremities were taken as objective criteria of adequacy of the anesthesia. The authors propose the protocol as the method of choice in endoprostheses of the hip joint.
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Vestn. Khir. Im. I. I. Grek. · Jan 2007
Comparative Study[Potentialities of videothoracoscopy in diagnostics and treatment of traumatic hemothorax].
Therapeutic-diagnostic videothoracoscopy was used in complex treatment of hemothorax in 86 patients for isolated and combined stab-slash wounds and closed traumas of the chest. Thoracoscopy was not used in 321 patients with the same pathology taken as control. It was found that videothoracoscopy used for medium and big hemothorax always allowed the doctors to make the precise topical diagnosis of chest injury and due to medicinal endosurgical manipulations the thoracotomies were made 2.1 times more rarely, the duration of pleural drainage was 2.2 times shorter. Complications of the traumatic disease were 1.6 times less often, the time of in-patient treatment and lethality 1.3 times less.