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Biomedical subjects

G V Pakhomova

Publications and source records attributed to G V Pakhomova.

At least 19 recordsLinked to original sources
PubMed1998

[Postoperative treatment of retroperitoneal fat suppuration in patients with gastrointestinal injuries].

Early diagnosis of retroperitoneal festering is possible if methodologically strictly carrying out of succession of radiation methods (US, computed tomography, roentgenological examination) is applied and used in complex. Extraperitoneal approach to phlegmon of retroperitoneal cellular tissue provides good visualization and is less traumatic. Infusional and enteral therapy in postoperative period promote effective elimination of volemic disturbances, stabilization of hemodynamic indices, and provides stable curative effect.

Abdominal Injuries↗
PubMed1997

[The surgical treatment of retroperitoneal phlegmons].

Based on the experience with treatment of 112 patients with retroperitoneal phlegmons of different etiology the authors distinguish and describe the diffuse and complicated forms of the disease. In treatment of phlegmons special importance is attached to the optimal surgical access. The article describes main principles of performing sanitation of the suppurative foci of the retroperitoneal space, variants of the aspiration-irrigation methods of treatment of the suppurative process. The authors believe that their original differentiated surgical method using different variants of the aspiration-irrigation drainage is effective in treatment of patients with retroperitoneal phlegmons. This method of treatment gave 23.2% lethality while after the traditional methods of treatment 90% of the patients died.

Cellulitis↗
PubMed1991

[Enteral correction in gastroduodenal hemorrhage of peptic ulcer etiology].

Among 115 patients with gastroduodenal hemorrhage 60 received nonoperative treatment, 30 of them underwent enteral correction with a monomer electrolyte solution. Emergency operation was carried out on 55 patients, 35 of them were subjected to enteral correction in the postoperative period. Enteral administration of the monomer electrolyte solution in the early posthemorrhagic and postoperative periods promoted filling up of the blood circulation volume and its components and stabilization of the values of central hemodynamics. It was established on grounds of the clinical data, studies of the volemic indices and central hemodynamics that enteral correction does not yield to the traditional intravenous infusion-transfusion therapy in efficacy.

Blood Transfusion↗
PubMed1990

[A comparative evaluation of the results of using a method for the endoscopic denervation of the corpus gastricum and for local laser therapy in the combined treatment of patients with duodenal ulcers].

The authors provide the results of the treatment of patients with duodenal ulcers using common conservative therapy, local laser therapy and endoscopic denervation of the body of the stomach. Inclusion of endoscopic treatment methods into multimodality treatment brought about the enhancement of the treatment efficacy, more pronounced with endoscopic denervation.

Adolescent↗
PubMed1989

[Treatment of disorders of the homeostatic system in patients with colonic obstruction of tumor etiology].

Data obtained in examination of 195 patients are analysed. The most marked changes in the homeostasis system in patients with intestinal obstruction due to cancer of the colon are related to hydro-ion and protein metabolism, acid-base equilibrium, and blood toxic properties. This requires purposeful preoperative management which allows the results of operative treatment to be improved. Characteristic changes of the absorptive property of the small intestine are of principal importance in the genesis of intoxication in these patients. The authors emphasize the important role of decompression of the intestine and intestinal lavage in the complex of therapeutic measures.

Acid-Base Equilibrium↗
PubMed1985

[Subtotal colectomy in the treatment of intestinal obstruction in cancer of the left half of the colon].

Eleven cases of acute obstructing carcinoma of the left colon were treated by emergency subtotal colectomy with immediate ileocolorectal anastomosis. The procedure of on-table closed antegrade preparation of the small bowel has been developed by the authors preventing the anastomosis incompetence. In all cases during postoperative treatment the long-tube decompression, enteral tube feeding and HBO were used. Two patients died. In five cases non-fatal postoperative complications have developed. Further research is recommended for more careful selection of patients for the procedure.

Adult↗
PubMed1980

[Morphologic aspects of the results of intravascular embolization of patients with gastric hemorrhages].

The paper describes morphological alterations of 15 stomachs after endovascular embolization of the gastric artery performed for gastric hemorrhages of different etiology. Introduction of hemostatic sponge into the gastric artery results in thrombosis of its lumen followed by organization and recanalization of the thrombus. Elements of the hemostatic sponge do not resolve 1 1/2 months after introduction but do not prevent thrombus formation. Complications of embolization include the development of acute ulcers and necrotic foci in the gastric wall the extent of which depends on the development of network of intraorgan anastomoses. Complications of embolization may be prevented depending on the rate of its performance and previous alterations of the arterial walls. Epithelization of chronic gastric ulcers after embolization of the gastric artery proceeds rather slowly.

Arteries↗