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Biomedical subjects

D Atanasov

Publications and source records attributed to D Atanasov.

At least 19 recordsLinked to original sources

["Siphon" structure of the digestive system and a method for "siphon" one-stage terminal lateral small-to-large intestine anastomosis with invagination].

The authors have suggested a hypothesis according to which the alimentary canal consists of the separate autonomous S-shaped functional structures possessing the antireflux and sphincter-like properties. The principle mentioned was used in 9 patients who had a "siphon" one-story invagination small-to-large intestinal anastomosis been created.

Adult

[A modification of the classic supraduodenal side-to-side choledochoduodenal anastomosis].

The authors subscribe to the standpoint that a "bile path" passes in biliodigestive anastomoses along the latero-posterior surface of the right hemi-circumference of the hepato-choledochus in the area where the choledocho-digestive anastomoses are constructed. A declivage (to this "bile path" in the hepato-choledochus) supraduodenal latero-lateral choledocho-duodeno-anastomosis is suggested. It is realized through latero-posterior choledochotomy and by oblique section of the duodenum in close proximity to its external edge. The stitches of the common bile duct needle are 2-2.5 mm apart from each other and from the end of the choledochotomy orifice and those of the--3-3.5 mm apart from each other and 6-7 mm from the end of the duodenotomy orifice. The sutures pass totally through the wall of the common bile duct and serous-muscular-submucosally (mucose-muscular-seriously) thorough the duodenal wall.

Adult

[Incisions for an approach to the cervical segment of the thoracic duct].

After a brief review of available data in the literature on the sections for surgical approach to the cervical segment of the thoracic duct, the authors made a comparative analysis, using time-honoured objective criteria on surgery, between the universal transverse cervical section (20 operated patients) for approach to the cervical segment of the thoracic duct and the oblique cervical section which they suggest (28 operated patients) it passes along the bisector of the angle formed between the thoracic pedicle of the sternocleidomastoid muscle and the upper edge of the left clavicle. It is concluded that the oblique cervical section for approach to the cervical segment of the thoracic duct is superior, with respect to accessibility and inflicted trauma.

Adolescent

[External drainage of the thoracic duct with and without lymphosorption in the endotoxic phase of phalloid mushroom poisoning].

For the first time in Bulgaria and maybe in the world is reported very good therapeutic effect of the application of external drainage of the thoracic duct with and without lymphosorption in two consecutive cases of phalloid mushroom poisoning. Concrete indications are suggested for application of the method in this type of poisoning - in the late endotoxic phase of the poisoning when all other methods have been used with no effect.

Amanita

[A method for external and internal fenestration in the surgical treatment of idiopathic hydrocele].

A method is described for operative treatment of idiopathic hydrocele, which consists of tunnelling at 01 o'clock by the clock-dial to the right (11 o'clock to the left) with Payr's probe and from cupula to bottom of the space between the hydrocele sac and fascia spermatica interna and trans section of the thus created tunnel pass in the sac. Through the approach created in this way and at 180 degrees from the first incision (at 07 and respectively at 05 o'clock) from within outward a second incision of the sac is performed. The serous surface of the edges of the fenestrated openings is everted with three catgut sutures as a lapel. The method was applied on 7 patients 10 to 86 years of age. In the early postoperative period within an observation period from 3 to 19 months the characteristic and rather common complications in patients operated for hydrocele did not occur (hematocele, chylomas, which are mostly of ex vacuo type because of impaired blood supply and lymph system of the scrotum, abscesses, indurations of the scrotal and testicular tissues, relapses of the hydrocele, etc).

Adolescent