Vestnik khirurgii imeni I. I. Grekova
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Vestn. Khir. Im. I. I. Grek. · Jan 2013
[The choice of polypropylene endoprosthesis for abdominal wall plasty].
The study (on 27rabbits) of postponed tissue reaction of abdominal wall was done after web space plasty of standard, light and superlight polypropylene endoprostheses on 30th, 60th and 120th days. It was stated, that the standard polypropylene prosthesis was the most suitable for endoprosthesis replacement of abdominal wall in strangulated ventral hernia. The light polypropylene endoprosthesis should be used in the uncomplicated hernia. The superlight polypropylene prosthesis should be applied for preventive endoprosthesis replacement of abdominal wall in its anatomico-functional insufficiency.
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Vestn. Khir. Im. I. I. Grek. · Jan 2013
Comparative Study[The influence of modern plasma substitutes on the course of abdominal compartment syndrome in patients with abdominal sepsis].
The changes of intra-abdominal pressure (IAP) were followed up in 244 patients with abdominal sepsis after operation. The influence of liquid "resuscitation" with different types of plasma substitutes on the rates of IAP was studied and the dependence of changes IAP from filling of vascular bed was investigated. The impedance technique was used to determine the circulating blood volume and its percentage from proper index was estimated according to the sex, age and constitution. ⋯ The most severe ACS course was while using the crystalloid solutions in the complex of infusion therapy. The inclusion of colloids in the infusion therapy facilitated more full volume filling of vascular bed with the liquid, reduced the capillary leakage, accelerated the process of reduction of ACS. The advantage was shown by using the derivatives of hydroxyethylstarch, which promoted the elimination of deficiency of intravascular liquid in the best way.