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Biomedical subjects

A M Nikitin

Publications and source records attributed to A M Nikitin.

At least 37 records · Page 2Linked to original sources
PubMed1989

[Reoperations in the treatment of caudal teratomas].

The article analyses the experience in the treatment of 49 patients with caudal teratomas for which reoperations had to be conducted. The operations were repeated because of diagnostic errors, inadequate surgical approach, and the development of intraoperative complications. Prolonged epidural anaesthesia with concurrent application of trimecaine hydrochloride and morphine was considered the most adequate type of anesthesia. In cases of fistulas draining the caudal teratomas into the rectum, the surgical tactics is determined by the location and size of the fistulas openings. To improve the results of treatment, all the coats of the teratoma must be removed and the cicatricially changed tissues excised, endolymphatic injection of antibiotics conducted, and the wound treated by the closed method.

Adult↗
PubMed1987

[Clinical evaluation of the condition of patients with ileostomy operated on for diffuse polyposis of the large intestine].

The work gives a clinical assessment of the state of 116 patients with ileostoma after radical surgery for diffuse polyposis of the colon. Metabolic disorders were noted in 40-50% of the patients with ileostoma for a long time after surgery. More than 60% of the patients do not participate in socially useful labor being the 1 and 2nd group invalids. Persons with ileostoma need dispensary observation, treatment at the hospital including therapeutic measures and reconstructive-restorative operations.

Adolescent↗
PubMed1987

[Cancer of the small intestine at the site of an ileostomy].

A rather rare case of tubular-villous adenoma located on the small intestine mucosa in the ileostomy area and its transformation into adenocarcinoma is described. The patient had undergone previously a two-stage colectomy for a giant creeping large intestinal tumor with malignancy in the left and right colic flexure and in the rectum 7 cm apart from the anal margin. Adenocarcinoma of the small intestine developed 5 years later in the ileostomy zone. Ileostomy was reconstructed with the excision of 15 cm of the small intestine. The tumor structure at the site of ileostomy was that of adenocarcinoma, and it infiltrated the muscular layer of the small intestinal wall.

Adenocarcinoma↗