Search PubMed⌕ Search

Biomedical subjects

E P Danilina

Publications and source records attributed to E P Danilina.

4 recordsLinked to original sources
PubMed1994

[Treatment of diffuse peritonitis].

From study of the values of central and peripheral hemodynamics in 369 patients with peritonitis of the diffuse form, it may be concluded that they reflect objectively the degree of intoxication. A hypodynamic reaction of the blood-vascular system is a poor prognostic sign indicative of progressing peritonitis. Much significance is attached to morphological and microbiological study of the biopsy material of the parietal peritoneum, which allows judgement of the stage of peritonitis. Along with the traditional infusion and antibacterial therapy in peritonitis, UVI of autoblood and intravenous laser irradiation of the blood in stages IIA and IIB are applied. This should be followed by hemosorption which contributes to the active excretion of toxins from the organism. The authors recommend the method of programmed relaparotomy in stage IIB when there is a large amount of exudate with a collibacillary odour and a tendency to the formation of unterintestinal abscesses. Intraaortal infusion of medicinal agents is recommended in this clinical group marked by a tendency towards hypotension. In the group of 369 patients who underwent operation 112 (29.5%) died.

Adolescent↗
PubMed1994

[Treatment of generalized peritonitis with fenestration of the abdominal cavity].

The authors suggest a new method for the treatment of generalized peritonitis. It is based on the use of a device of the authors' construction which allows the condition of the abdominal cavity to be visualized continuously and the cavity to be cleansed regularly with the aid of laparoscope. The method is called fenestration of the abdominal cavity. The authors had 395 patients with purulent peritonitis, 171 (43.3%) of them were treated by the semiopen method, 41 of these patients (10.4%) were subjected to fenestration of the abdominal cavity. The authors consider fenestration indicated in generalized peritonitis with signs of polyorganic insufficiency in the presence of a large amount of exudate and concurrent interintestinal, subdiaphragmatic, and pelvic abscesses or when there is a tendency towards their development. With the use of the device for fenestration the number of cleansing relaparotomies was reduced to minimum. Relaparotomy was conducted once in 35, twice in 4, and three times in 2 patients. In all patients the abdominal cavity was examined daily with a laparoscope, the exudate was aspired, and antibiotics were introduced. Phlegmon of the anterior abdominal wall was in early postoperative complication in 2 patients. Five (12.2%) patients died.

Adolescent↗