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Biomedical subjects

A L Gushcha

Publications and source records attributed to A L Gushcha.

At least 19 recordsLinked to original sources
PubMed1992

[The current problems of relaparotomy].

Relaparotomy was performed in 252 of 23,232 (1.08%) patients operated upon. The most frequent cause of relaparotomy is purulent complications. These patients have immunodeficient states due to different causes (duration of the disease, old age, diabetes mellitus, toxemia, anemia, extension of the injuries, irrational administration of antibiotics). Due to it, anaerobic neclostridial infection is widely used. Its participation in the purulent process in the abdominal cavity achieves 80-90%. For prevention and treatment of purulent complications of great importance is the modern and adequate struggle against intoxication and hypoxia, correction of immunodepression, purposeful antimicrobial therapy. Problems in determination of indications for relaparotomy are emphasized and the necessity to perform it in earlier terms.

Adult↗
PubMed1990

[Combined extracorporeal detoxification in the complex treatment of pancreonecrosis].

Experimental investigations and experience with treatment of 74 patients with pancreonecrosis have shown the highest effectiveness of associated usage of hemosorption and external elimination of lymph from the thoracic duct. Associated detoxication for pancreonecrosis facilitates to rapidly decrease the level of the intoxication which is demonstrated by positive dynamics of biochemical and toxicological parameters of blood and lymph.

Acute Disease↗
PubMed1989

[Actual problems of the treatment of lactation mastitis].

The article describes the experience with the treatment of 886 patients with lactation mastitis. For limited purulent foci preference is given to the dissection or wide opening of the abscess with wound dialysis and putting primary sutures. In patients with mastitis and symptoms of anaerobic damage wide openings (beyond the limits of the tissue involved) with necrectomy and following aeration of the wound are recommended; after complete cleansing the wound secondary sutures are possible or plastic closure of the wound. Complex conservative treatment after operation must be combined with the application of trichopol and its derivatives, oxygentherapy.

Abscess↗
PubMed1988

[The use of endovascular laser irradiation of the blood in the complex treatment of acute pancreatitis and peritonitis in experimental and clinical conditions].

Experimental (118 experiments) and clinical (30 patients) investigations have shown a positive effect of endovascular irradiation of blood with the helium-neon and ultraviolet lasers on recovery of homeostasis in pancreatitis and peritonitis. The procedure stimulates the erythrocyte bioenergetics, reduces the degree of haemic hypoxia and increases nonspecific immunological reactivity.

Acute Disease↗
PubMed1984

[Supraduodenal choledochoduodenal anastomosis in treating cholelithiasis].

In the recent years the number of patients with cholelithiasis has been increasing. The absolute majority of the patients are admitted to hospitals for urgent indications. Elderly patients with long histories, complications and concomitant diseases prevail. Not only the disease but complications as well must be exactly diagnosed. On the basis of the experience with 1298 operations on biliary ducts (178 of them subjected to choledochoduodenal anastomosis) the authors have determined the following indications for choledochoduodenal anastomosis: choledocholithiasis and dilated bile duct over 1,5 cm in diameter, cleavage of concrements in the bile duct, uncertainty of complete sanitation of the dilated duct and constricted terminal end of the choledochus with a concomitant pancreatitis. A one-row suture and the Yurash-Vinogradov method of choledochoduodenal anastomosis are preferred.

Adult↗
PubMed1983

[Acid-forming function of the stomach in duodenal ulcer after vagotomy].

Under analysis was the dynamics of pH-metry indices in patients with the ulcer disease of the duodenum in different terms after vagotomy. The continuous decompensated acid formation of high intensity has been established to be typical for this localization of ulcer. At the early terms after vagotomy it had a considerably decreased intensity. The maximally inhibited gastric secretion was observed within 3-5 months after vagotomy.

Duodenal Ulcer↗
PubMed1980

[Errors and risk in the surgery of closed trauma to the pancreas and duodenum].

Errors and risk in the surgery of closed traumas of the pancreas in 10 patients and ruptures of the duodenum in 4 patients are analyzed. It is emphasized that a suspicion of a trauma of these organs is a sufficient ground for surgery. At all stages of the treatment of these patients the intensive complex therapy is indicated.

Adult↗