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Biomedical subjects

I V Gomoliako

Publications and source records attributed to I V Gomoliako.

At least 19 recordsLinked to original sources

[An acute necrotic pancreatitis as a complication of cystic pancreatic tumor].

The peculiarities of the cystic pancreatic tumor morphogenesis were studied up. Possibility and probability of the anastomosis existence between mucinous cystic tumor and pancreatic duct with its secondary mucinous dilatation were confirmed, causing the complications occurrence, an acute pancreatitis in particular. Selecting the surgical tactic in mucinous cystic tumor it is necessary to take into account the probability of the intraductal malignization foci formation, what precludes application of extended pancreatic resection using adjuvant chemotherapy and the postoperative serological control conduction.

Aged↗

[Morphological characteristics of cystic pancreatic tumors].

The results of 86 clinical observations of cystic pancreatic tumor are adduced. The expediency of the postoperative pathomorphological investigation conduction was substantiated because of high degree of the cystic pancreatic tumors polymorphism presence and low informativity of preoperative and intraoperative investigations.

Adenoma↗

[The experience of diagnostic and surgical treatment of Barrett's oesophagus].

There were analyzed five-year late results of prospective investigation on surgical treatment of 23 patients, suffering long-segment Barrett's esophagus (BE). Esophagoplasty and esophagocardioplasty was performed in 7 (30.4%) patients and total fundoplication in combination with endoscopic ablation of metaplastic epithelium--in 16 (69.6%). Excellent and good results marks in 19 (827%) of patients, including those with antireflux operation, and satisfactory--in 4 (17.3%), witnessing high efficacy of surgical treatment in the BE correction.

Adult↗

[Venous thromboembolic complications in abdominal and vascular surgery. The risk factors and measures of prophylaxis].

There were analyzed 4675 histories of cases of patients, who were operated on for disease of the digestion organs (3349) and for obliterating atherosclerosis of abdominal aorta and peripheral arteries (1326). The risk factors of occurrence were established, the prophylaxis methods for venous thromboembolic complications (TEC) in postoperative period were elaborated. High efficacy of application of fraxiparine in the venous TEC prophylaxis in abdominal and vascular surgery was noted.

Adolescent↗

[Diagnostic and surgical treatment of chronic abdominal aneurysm rupture].

Examination and treatment of 8 patients with the abdominal aorta aneurysm (AAA) chronic rupture (CHR) was done. The interval between the aneurysm rupture occurrence and of the operation performance had constituted 3.6 months. The disease was diagnosed basing on the anamnesis data, on the results of clinical, invasive and noninvasive methods of investigation. The authors suggest necessary to operate all the patients with the AAA CHR.

Aged↗

[Compression biliodigestive anastomosis: the morphological characteristics of its dynamics of formation].

The method of the compressive biliodigestive anastomosis formation, using implant and the apparatus for its performance, was elaborated. An experimental investigation on 30 rabbits was done. An optimal strength of compression while doing the tissues connection was 0.002-0.004 N/m2. Minimal traumaticity, preservation of sufficient blood flow of the tissues connected, delineation of the healing zone from the intestinal contents and bile, the absence of chronic inflammation in anastomotic tissues are the advantages of compressive biliodigestive anastomosis, promoting early restoration of the intestinal and gallbladder wall, the formation of functionally full value anastomosis, which is not stenotizes cicatricially.

Anastomosis, Surgical↗

[Morphological diagnosis of chronic bronchitis in patients with tuberculosis of the lungs].

A morphofunctional insufficiency of the bronchial epithelium which is a pathognomonic symptom of chronic bronchitis, was examined in 105 biopsy specimens of the bronchial mucosa of patients with different forms of pulmonary tuberculosis by morphometry. It was found that epithelial changes typical of chronic bronchitis, were observed in 100% of the cases. However, 64.76% of the patients had Stages I and II morphofunctional insufficiency, which corresponded to the presence of chronic nonobstructive bronchitis. The epithelial changes traced in the remaining observations were characteristic of chronic obstructive bronchitis. The presence and the extent of morphofunctional insufficiency were not associated with the form of tuberculosis. The examination of biopsy specimens of the bronchial mucosa taken in the vicinity of the upper bronchus spur is considered to be an adequate and sufficient method of an objective detection of chronic bronchitis in tuberculosis.

Bronchitis↗

[Reliability of mortality rates in respiratory tract diseases].

The ways of developing the mortality rate from respiratory and cardiovascular diseases have been studied in the Ukrainian SSR according to the data of the Bureau (Centre) of Health Statistics, Ministry of Health of the Ukrainian SSR, analysis of 18 thousand of death certificates in a number of regions of the Republic, analysis of materials of 545 autopsies in persons aged 75 and over. As a result of the studies conducted it was found that the mortality rate from respiratory diseases did not reflect the real mortality. The main inaccuracies in defining respiratory diseases as a cause of death were found in the age group of 60 and over and especially in the group of 75 years and over as the diagnoses in this age group were practically not verified.

Adult↗

[New aspects of studying the morphofunctional insufficiency of bronchial epithelium in chronic bronchitis].

The paper is concerned with some data on the state of the epithelium in chronic bronchitis from a view-point of its quantitative assessment with plotting models of the epithelium--morphograms reflecting its morphofunctional insufficiency. A total of 137 patients with chronic bronchitis were investigated. Morphofunctional epithelial insufficiency was shown to be an obligatory symptom of chronic bronchitis. Biopsy of the central, lobar bronchi was sufficient for the detection of morphological (quantitative) signs of chronic bronchitis. Results of morphometric investigations can be applied to differential diagnosis of chronic nonobstructive and obstructive bronchitis as well as chronic bronchitis and other types of pulmonary pathology. Morphometry of biopsy specimens is an indispensable and adequate method of therapeutic control.

Atrophy↗