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Biomedical subjects

A I Guzeev

Publications and source records attributed to A I Guzeev.

18 recordsLinked to original sources

[Repeat operations on the biliary tract in a district hospital].

An experience with 79 reoperations in 68 patients who had been subjected to operations for acute and chronic cholecystitis enabled the author to conclude that retained calculi in bile ducts were the main cause of reoperations. The amount of repeated surgical interventions and postoperative lethality can be decreased by a complex intraoperative examination of bile ducts during the first operation and by higher qualification of the surgeons.

Adult

[Means of reducing mortality in peritonitis of appendicular origin].

An experience with the treatment of 836 patients with appendicular peritonitis has shown that early diagnosis of the disease and exact determination of the degree of peritonitis could improve results of their treatment. The operative measures should be fulfilled under general anesthesia. The access should ensure good treatment of the abdominal cavity and drainage of the small intestine in paralytic obstruction. Special care is necessary in the postoperative period for timely recognition of intraabdominal abscesses.

Abscess

[Diagnosis and treatment of intraperitoneal abscesses after appendectomy].

The symptoms and complex treatment method of the post-appendectomy abscesses in destructive appendicitis are set forth in this work. The author believes that there is a number of characteristic signs helping to recognize these complications in due time within the postoperative period. An expedient surgical intervention and intense therapy have permitted to gain quite favorable results in the treatment of such severe cases.

Abscess

[Treatment of acute pancreatitis].

The experience with the treatment of 482 patients with acute pancreatitis under the conditions of a central district hospital is presented. An outline for the conservative treatment depending upon the severity of the patient's status, when admitted to a surgical department, is suggested. 80 cases were operated upon; most of them with destructive forms of pancreatitis and with complications of the disease. The success of the treatment of acute pancreatitis depends upon complex, intensive conservative treatment rendered in due time. Total lethality was 6.2%, the postoperative one-32.5%.

Acute Disease

[Surgical tactics in acute cholecystitis in old patients].

Based on some characteristic features of the clinical course of acute cholecystitis and large number of its destructive forms in aged persons, it is recommended to operate patients of this group during 24-28 hours after their admission. 216 aged and senile patients with acute cholecystitis were operated upon, the postoperative mortality being 9.7%. Cholecystectomy is considered to be the operation of choice. In the appropriate indications this operation was associated with drainage of the common bile duct. Cholecystostomy was performed in 10.6%.

Acute Disease

[Diagnosis of retrocecal appendicitis].

Based on the analysis of case reports of 223 patients, operated upon for acute retrocecal appendicitis, there was found a definite dependence between the clinical course and anatomical features of the appendix position. Intramural, intraparietal and retroperitoneal forms of the appendix localization present the extreme dificulty for diagnosis. In free localization of the appendicular process retrocecally a typical clinical picture of the disease is observed.

Appendicitis