Vestnik khirurgii imeni I. I. Grekova
-
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.
-
Vestn. Khir. Im. I. I. Grek. · Jan 1999
Historical Article[History of the surgery of military injuries].
-
Vestn. Khir. Im. I. I. Grek. · Jan 1998
Comparative Study[Comparative evaluation of endoscopic hemostatic methods in gastroduodenal ulcer hemorrhage].
An experience with using various methods of endoscopic hemostasis for bleeding gastroduodenal ulcers is presented. The efficiency of different methods of arresting the bleedings depending on localization of the ulcer, place of the bleeding vessel and activity of the hemorrhage is discusses. The frequency of hemorrhages was shown to depend of the phase of the ulcer disease. A conclusion is made about high efficiency of using the combined endoscopic hemostasis as compared with using each of the methods of arresting the hemorrhage separately.
-
Vestn. Khir. Im. I. I. Grek. · Jan 1998
[Gunshot and blast injuries to the abdomen. The problems of mechanogenesis and of diagnostic and treatment procedures based on the experience of delivering surgical care to the wounded during the war in Afghanistan (1980-1989)].
The work is bases on an analysis of treatment of 2687 wounded in the abdomen. There are two main groups of factors in mechanogenesis of military injuries of the abdomen: ballistic parameters of gunshot shells and additional injuring factors of mine-explosive ammunition. ⋯ The following questions are discussed: the adequacy of the access, reinfusion of the blood accumulated in the abdominal cavity, surgical treatment for gunshot peritonitis, errors in treatment of wounded with abdominal injuries, application of new methods of treatment. Surgical features of traumatic disease and its treatment in wounded with gunshot abdominal injuries are described.