Vestnik khirurgii imeni I. I. Grekova
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The results of 44 patients treatment with neck wounds are analysed. Isolated wounds of the neck were shown to be in 77.3%, combined trauma was determined in 22.7% of examination. ⋯ Postsurgical complications have developed in 6. The main reasons for complications occurred to be primary surgical wound treatment from little operative approach and noncomplete revision of the wound canal.
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Vestn. Khir. Im. I. I. Grek. · Jan 1996
Case Reports Comparative Study[The diagnosis and treatment of odontogenic mediastinitis].
A program of early diagnostics of odontogenic mediastinitis was developed on the basis of an analysis of clinico-laboratory manifestations and the evaluation of its clinical efficiency is given. The criteria were established for determining the phases of odontogenic mediastinitis-reactive, toxic and terminal ones. A program of complex treatment was worked out and introduced into practice which included the methods of efferent therapy-hemosorption and perfusion through xenospleen. Substantially decreased lethality (from 39.5% to 15.3%) from odontogenic mediastinitis was obtained.
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Vestn. Khir. Im. I. I. Grek. · Jan 1996
[The possibilities of surgical treatment in injuries to the major blood vessels today].
Under analysis were results of surgical treatment of 47 patients with injuries of the aorta, major arteries and veins. Higher lethality was noted in people with injuries of major veins, especially vena cava. Specific operative methods are described for various kinds of injuries of the vessels of the thoracic and abdominal cavities. Lethality was 25.5%.
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Vestn. Khir. Im. I. I. Grek. · Jan 1996
[The diagnosis and treatment of injuries to the major vessels of the extremities and neck in wartime].
During the time of rendering special angiosurgical aid in the zone of military operations near the city of Gagra 28 wounded with gunshot injuries of major vessels of the neck and extremities were operated upon, which was 4.5% of all the wounded. Different procedures on the vessels were performed immediately after diagnosing the injuries within minimum terms after wounds in parallel with antishock measures. ⋯ Thrombosis of the restored arteries was noted in 4 out of all the patients operated upon. The extremity had to be amputated because of thrombosis of the operated artery in 2 cases only which made up 7.2% of all the interventions performed.