[The potentials of modern methods for the diagnosis and treatment of postoperative intra-abdominal abscesses (a review of the foreign literature since 1981)].
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Biomedical subjects
Publications and source records attributed to I I Bachev.
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Damage of the recurrent nerve was found in 40 (2.5%) of 1555 patients operated upon for benign goiter. The probability of complications was higher in wider volumes of operations. The main task of prophylactics of damages of the recurrent nerves is to identify them during operation and to observe the principle of subfascial dissection and resection of the thyroid gland.
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Results of the surgical treatment of 168 patients with acute ulcer hemorrhage are analyzed. The main type of operation was gastric resection (87,0%), vagotomy with organ-preserving operations being also used. Total postoperative lethality was 8,3%.
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Observations were made on 183 patients with benign ulcers and 48 patients with ulcerated forms of gastric cancer subjected to gastric resection. The data obtained at examining the patients are analyzed. A conclusion is made that the final diagnosis of the character of gastric ulceration is possible only after a histological analysis of endoscopic biopsy and of the preparation removed during operation.
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Under analysis were the results of urgent operations in 197 patients for a perforation of ulcer (112) and ulcerous hemorrhage (85). In perforated ulcer the perforation opening was sutured. The primary resection of the stomach was performed only for strictly limited indications. For ulcerous hemorrhage the operation of choice was resection of the stomach. Elderly and senile patients in critical state were not subjected to extensive resection of the stomach if a less volume of surgery could be possible.