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Biomedical subjects

G Stoianov

Publications and source records attributed to G Stoianov.

At least 37 records · Page 2Linked to original sources
PubMed1994

[A new method for the surgical treatment of hepatic echinococcosis].

A procedure for operative management of liver echinococcosis (hydatid disease) is implemented in practice, consisting in resection of the "protruding dome", resection of the altered and thinned surrounding liver tissue, and omentoplasty using tissue adhesive. The method proposed has definite advantages, namely: readily performed with minimal traumatism, the likelihood of a nonparasitic cyst formation is ruled out, shortened postoperative period and quicker recovery of the patients with resuming of the previous jobs. The indications and contraindications for performing the operation, and possible postoperative complications are discussed.

Contraindications↗
PubMed1993

[Rare localizations of echinococcosis].

The author describes 28 observations of rare localizations of the echinococcosis in patients with proved "omission" of the hexacantic embryo of the liver and the lung barrier. It has been established that the spleen is most often affected. The necessity of diagnostication with modern visual technics--echography and KT--has been proved, as well as confirmation of the specificity of the process with the immunological reactions for echinococcosis. The approach for an organ-preserving operation at the spleen localization has been emphasized, stating as well the indications for splenectomy. General theoretical and practical conclusions for the diagnostics and the treatment of these localizations have been made.

Adult↗
PubMed1993

[The surgery of huge retroperitoneal tumors].

Observations of successfully operated huge retroperitoneal tumors, one of them weighing 14.700 kg, are reported. The advantages for precise diagnosis of modern visualizing techniques--echography and computer tomography--and the inability to establish always an exact cytologic diagnosis by puncture aspiration biopsy are demonstrated. Total extirpation of the tumor with subsequent combined chemo-, radio- and immunotherapy is advised.

Adult↗
PubMed1990

[Gastrectomy at the peak of gastric hemorrhage].

Two patients have been operated at the acme of gastric hemorrhage: one of them had disseminated gastric and the other--combination of giant bleeding ulcer with total acute hemorrhagic-erosive gastritis. Gastrectomy was performed. The former patient recovered, the latter died of hemorrhagic shock 36 hours after the operation. Inferences are drawn on the need of emergency fiber gastroscopy for exact diagnosis of the hemorrhage and early operative intervention in an optimal term after the possibilities for nonoperative treatment have been exhausted. Indications are determined for gastrectomy at the acme of the hemorrhage as a radical operation promising a better outlook during the postoperative period.

Aged↗
PubMed1990

[Changes in the level of immunoglobulins and other serum proteins in hepatic echinococcosis].

The humoral immunity and the protein-synthesizing function of the liver of 35 patients with liver echinococcosis were studied. No humoral immunity deficit was found. Statistically significant abnormalities in a number of proteins were reduced, with evidence of reduced protein-synthesizing liver function. Inferences are made on the anesthesia, resuscitation and operative interventions, in connection with the results of the study.

Adolescent↗
PubMed1990

[Sphincter-sparing operations in rectal cancer].

Data on 564 patients who underwent operation for cancer of the rectum are analysed. Amputation of the rectum was resorted to most frequently because of the low localization of the neoplastic process in the majority of patients. Mortality was higher in amputation than in anterior resection of the rectum. Criteria for sphincter-preserving operations are determined. Preference is given to anterior resection of the rectum as a more physiological operation which was also performed on elderly patients.

Adult↗
PubMed1985

[Diagnostic value and the criteria for abdominal echography in cancer of the gallbladder and bile ducts].

Sixty one patients were studied during a three-year clinical investigation: 39 patients with cancer of gallbladder and 22 with cancer of biliary ducts. The diagnostic values of echography in those diseases was assessed. The method proved to be sensitive in 84,6 per cent in cancer of gallbladder, with specificity in 94,6 per cent and accuracy in 90,5 per cent and in cancer of biliary ducts, with the exception of papilla of Vater, those values were 66,6, 96,2 and 95,5 per cent respectively, and in papilla--28,6, 98,8 and 93,7 per cent. The good diagnostic values of the method in cholestasis and the place of biliary stop is stressed upon. Various echographic images of cancerous alterations of gallbladder and biliary ducts are described.

Abdomen↗