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Biomedical subjects

A L Gushcha

Publications and source records attributed to A L Gushcha.

At least 37 records · Page 2Linked to original sources
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↗
PubMed1978

[Comparative assessment of the methods for surgical treatment of cryptorchism].

The experience with the surgical treatment of 305 cases of cryptorchism is presented. 108 Keetly and Torek's operations and 22 Mixter's operations have proved that in surgical technic the main emphasis should be transferred to the mobilization of the spermatic cord elements, but the orchoifixation should be simple and atraumatic. The Fowler's method of the descent of the testicles (107) in superficial inguinal ectopy and various modifications of the Petriwalsky's method of the descent of the testicles (43) in high inguinal retention and abdominal cryptorchism have made a favorable impression.

Adolescent↗
PubMedDate not supplied

[The possibilities for correcting hydro ion metabolism in acute surgical pathology in diabetics].

On the basis of examination of 634 patients with acute surgical endotoxemia in patients with diabetes mellitus the following features have been revealed: hypertonic dehydration has dominant as well as hyperkalemia, marked hyperazotemia. Oliguria was detected only in 18.8% of patients. Plasmic osmolarity was 296-348 mosm/l, predominantly for account of hyperazotemia and hyperglycemia. 86.97% of patients showed ketoacidosis. The scheme of intensive therapy of surgical endotoxemia in patients with decompensative diabetes mellitus with programme applications for paternal computers is suggested.

Acute Disease↗
PubMedDate not supplied

[Reflux esophagitis in cholecystitis].

A frequent combination of cholecystitis and reflux-esophagitis is noted (from 20% to 60%). Pathogenetical mutual interdependence of these diseases was found. At the same time, reflux-esophagitis is not diagnosed and not corrected by surgical treatment of cholecystitis. The frequency of reflux-esophagitis not corrected during cholecystectomy is increased in the structure of "postcholecystectomy syndrome". The article gives an analysis of operative treatment of 438 patients with cholecystitis. In 265 of them only cholecystectomy was performed, in 173--cholecystectomy and fundoplication after Nissen. A comparison of immediate and remote results of the both groups has shown that most favorable results were obtained after simultaneous operations which results in reduced frequency of "postcholecystectomy syndrome" by 30%.

Cholecystectomy↗