[Diagnosis and treatment of blue phlegmasia].
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Biomedical subjects
Publications and source records attributed to G L Ratner.
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A usual method of hyperbaric oxygenation is insufficiently effective at the late stages of Raynaud's phenomenon. A new "chamber-in-chamber" method of HBO permits essentially improving the results at these stages. Two versions of the new method should be used, each for its own indications. Intermittent pneumo-compression without rarefaction in the small chamber is good for "functional" Raynaud's phenomenon, whereas in "organic" Raynaud's phenomenon both intermittent compression and rarefaction are necessary.
The work reports the experience with 88 cases of aortic aneurysms, 61 of them having been treated surgically. The conventional classification of aortic aneurysms which permits one to define the disease precisely and to time the operation should be selected for every patient individually. The variant of the main intervention on the aneurysm is finally determined by the surgeon during the operation. The new method of "bandaging" the aneurysm is presented. It is the operation of choice for small aneurysms with preserved elasticity of the wall. The aneurysm is bandaged up to the normal diameter of the aorta by a synthetic bandage. The presence of thrombus is not a contraindication. The immediate and distant results (up to 16 years) of this operation are beneficial.
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