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Biomedical subjects

G A Bairov

Publications and source records attributed to G A Bairov.

At least 19 recordsLinked to original sources

[Surgical treatment of developmental anomalies of the gallbladder and chronic cholecystitis in children].

The authors report on the diagnosis, therapeutic tactics, the results of morphological studies, and the late-term results of surgery for developmental anomalies of the gallbladder and chronic cholecystitis with organic disorders of bile drainage in 53 children aged from 5 to 15 years. The findings of morphological studies showed that among the causes of impaired bile drainage developmental anomalies of the gallbladder were encountered much more frequently than chronic cholecystitis. Indications for operation were developed on the basis of clinical data and the results of auxiliary methods of examination. Clinical, radiological, and morphological comparisons showed these indications to be well-founded. The immediate and late-term results of surgical management of developmental anomalies of the gallbladder and chronic cholecystitis with organic disorders of bile drainage confirm the expediency of active surgical tactics in the presence of the proper indications.

Adolescent

[Diaphragmatic hernia in children].

Hernia of the diaphragm in children (226 observations) is characterised by a great variety of symptoms. Clinical manifestations of the hernia allow to divide the course of the disease into acute, subacute and recurrent forms and complications (incarcerations) which helps the doctor to timely diagnose the disease.

Acute Disease

[Diagnosis and treatment of cholelithiasis in children].

At the period of from 1965 to 1988, the authors observed 20 children with cholelithiasis. Among the patients, the number of girls was predominant. Operated on were 13 patients. The indications for operative intervention, immediate and long-term results of the treatment are presented.

Adolescent

[Vascular microsurgery during esophagoplasty in children].

Clinico-experimental data on using the microvascular technique in plastic operations on the esophagus are described. Experiments in puppies have revealed specific features of the surgical technique, the morphology of intestinal grafts and their taking under conditions of growing organism. The microvascular technique was used in 3 patients. In 2 patients additional nutrition of the grafts was performed, in 1 patient free transplantation of small intestine grafts to the cervical and thoracic parts of the esophagus was fulfilled. Results were good.

Animals

[Dislocation of both forearm bones complicated by rupture of the internal epicondyle with its incarceration in the articular cavity in children].

An analysis of the clinical picture of dislocation of both forearm bones complicated by abruption of the internal epicondyle with strangulation of it in the articulation cavity in 46 children is given. A method of open reposition of the fragment is described on the basis of many-years experience of treatment of dislocation fractures in the area of elbow joint. Long-term results of treatment were studied in 38 patients during 1-21 years. In 33 of them good results were noted.

Adolescent

[Remote results of the surgical treatment of dystopia of the kidneys in children].

An analysis of results of the surgical treatment of 61 patients aged from 1 to 14 years has been made. Follow-up examinations from 1 to 18 years after treatment was performed in 53 of the 61 patients. In sacral and iliac dystopia of the kidney good outcomes were obtained after combined reconstructive plastic operations consisting of nephropexy associated with ureterolysis, resection of accessory vessels, plasty of the pyeloureteral segment and resection of the kidney pole with abnormal blood supply. With pelvic and crossed dystopia nephrureterectomy is indicated. With the only dystopic kidney good remote results were obtained after a one-step radical correcting operation.

Adolescent

[Chronic acalculous cholecystitis in children].

Based upon literature data and an analysis of immediate and remote results of treatment of 50 children with acalculous cholecystitis the authors point to the advisability of operative interventions in patients with organic disturbances of the bile outflow. An analysis of the clinical picture, effects of the conservative therapy and results of subsidiary investigations enabled the authors to establish indications to surgery. The surgical methods must be determined by the character of pathology of the gallbladder, bile ducts and concomitant diseases. The immediate and long-term results of the surgical treatment of chronic cholecystitis resulting from organic disturbances of bile excretion confirm expediency of active surgical tactics in the presence of indications and of strict dispensary observation after operations for this disease.

Adolescent

[Infiltrative subacute omentitis in children with acute appendicitis].

Results of treatment of 87 children with infiltrative subacute omentitis (ISO) which appeared after operation for acute appendicitis are described. ISO has its clinical and morphological picture, can be complicated by comissural obstruction of the intestine (27 patients) or abscess formation (10 patients). It was observed in acute appendicitis in 0.18% of the cases, after appendicular peritonitis--in 2.8%. The operation of choice in infiltrative omentitis is supposed to be a removal of the greater omentis, in abscessing omentitis--resection of the omentum. Two patients with ISO developed after appendicular peritonitis died.

Acute Disease

[Ectopia cordia].

9 children aged from 40 hours to 7 years were operated upon. The peculiarity of the surgical intervention in a newborn consists in the difficult arising at the correction of the position of the heart. Both newborns died to the heart defects incompatible with life. The operations carried out upon elder children (7) were successful, the difficulty derived from the necessity to form a thoracic frame over the transposed heart. The late results are good.

Age Factors