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Biomedical subjects

I V Iarema

Publications and source records attributed to I V Iarema.

At least 19 recordsLinked to original sources
PubMed2006

[Defects in conducting case histories in urgent abdominal surgery and their importance].

Information available in case histories is of great importance, e.g. for court examinations on "medical suits". So, we have investigated 472 case histories for the period from 2000 through 2004. It was found that the number of errors and short-comings in case histories still remains rather great. High professional and juridical competence is thought to be the way to avoid the patient's complains and improve effectiveness of treatment.

Abdomen↗
PubMed2003

[Surgical strategy in oncologic diseases of organs of the pancreatobiliary zone complicated by mechanical jaundice].

In patients operated upon for oncological diseases of organs of the pancreatobiliary zone complicated by mechanical jaundice the lethality was decreased in a group of patients with purulent cholangitis and high biliary hypertension by means of using a two-stage method of operative treatment, use of the dosaged decompression of the bile ducts with a gradually increased diameter of the drain from 4 to 7-8 mm being most effective. A good effect of the application of complex antibacterial therapy was also noted when using a direct endolymphatic administration and intracholedochal perfusion of antibiotics. It allowed twice as quick to arrest the inflammatory process in the bile ducts, to normalize the biochemical indices of blood, and to prepare the patient for the main stage of operation.

Adult↗
PubMed2003

[The first experience with using high frequency thermo-destruction in patients with metastatic cancer of the liver].

Thermodestruction of the metastatic cancer of the liver was used in 18 patients. A high frequency induction thermodestructor ELECTROTOM HITT ("Berhtold" Germany) with the working frequency 343 kHz and power 0-60 Wt was used. After the ablation of the main focus the thermodestruction of metastases was performed in the liver. The effects of thermodestruction were estimated by the intraoperative biopsy before and after thermodestruction. The procedure was considered effective if biopsy revealed necrobiotic tissues. A connective tissue scar was formed at the place of thermodestruction. After operation the patients were given polychemotherapy.

Equipment Design↗
PubMed2001

[Intratracheal lymphotropic ozone therapy in erosive-ulcerous tracheitis].

Under observation there were 452 patients with chronic stenosis of hollow organs of the neck having cannulas during the period from 3 months to several years. During the tracheobronchoscopic examination it was found that 35 patients had trachea ulcers, 46 patients had erosive tracheobronchitis. The ulcers were localized on the anterior wall of the thoracic part of the trachea. Their diameter was from 1 to 2.5 cm. The ulcers were accompanied by diffuse bilateral bronchitis of the II-III degree of the inflammation intensity. 2-3 ml of ozonated sodium chloride solution with the concentration of ozone in it 5 mg/l were introduced into the ulcer edges, i.e. lymphotropically, into the submucous membrane. The same solution (40-60 ml) was used for daily sanitation of the tracheobronchial tree. Complete epithelization of the ulcers and cleansing of the bronchial tree took 3-4 curative bronchoscopies.

Animals↗
PubMed2001

[Combined treatment of patients with acute cholecystitis complicated by choledocholithiasis and mechanical jaundice].

A scheme of combined treatment was used in 72 patients with a complicated form of cholelithiasis. It included retrograde pancreatocholangiography followed by endoscopic papillosphincterotomy, intraoperative cholangiography and drainage of the common bile duct after Pikovsky. There was not a single case of transition to traditional cholecystectomy. Four complications in the postoperative period were obviated during relaparoscopy.

Acute Disease↗
PubMed2000

[Bronchoscopy in complex examination and treatment of patients with lung abscess].

Lung abscess was diagnosed during a complex examination in 115 patients. All the patients had local treatment through the bronchoscope. Cleansing of the abscess cavity takes place 1,3 times quicker in the patients who were given laser irradiation in addition to sanitation bronchoscopy or to whom immunomodulators and antibiotics were introduced lymphotropically intrabronchially, than in those with usual sanitation. The administration of 20 ml of glycerol in the abscess cavity allowed cleansing of the cavity to be 2-3 times quicker.

Adjuvants, Immunologic↗
PubMed2000

[Surgical correction of blood and lymph circulation in liver cirrhosis].

After modeling cirrhosis of the liver in experimental dogs the gastroesophagolienal hemo- and lymphocirculation and that of the greater omentum were transferred into the system of the vena cava inferior, the mesenterial outflow being preserved through the liver. The dynamic observation of the experimental animals has shown the intervention performed to be valid. In 6 patients the gastroesophagolienal circulation and that of the greater omentum were transferred into the system of the vena cava inferior. The proposed method of surgical correction leads to lower portal pressure, to saved hepatopetal blood flow along the portal vein. The reestablished absorbing capacity of the greater omentum and the developed collateral lymph circulation decrease the transudation of the lymph into the abdominal cavity and increase its reabsorption.

Animals↗
PubMed2000

[Correction of lymph circulation in liver cirrhosis].

The approach to surgical correction of lymph circulation in hepatic cirrhosis is described. The main criteria in the choice of operations draining neck lymphatic duct were hyperkinetic central hemodynamics with high functional pressure in thoracic lymphatic duct and lymphovenous pressure gradient, central or mixed type of intrahepatic lymph flow. All the 26 patients underwent transvenous external-internal drainage of thoracic duct as a temporal measure for stabilization of patients state. Reinfusion of lymph after lymphosorption promoted detoxication in hepatic failure in patients with cirrhosis, complicated by resistant ascites. Low pressure indices of central lymphodynamics and mixed intrahepatic lymph flow are indications for anastomosis creation between right lumbar vein and right lymphatic duct. In this case it is possible to save the behind-hepatic portion of cava inferior in potential recipients of liver transplants.

Anastomosis, Surgical↗
PubMed1999

[Method of medicamentous saturation of lymphatic system].

Data of experimental study in 18 mongrel dogs followed by clinical trial in 96 patients are represented, which concerns a method of indirect medicamentous saturation of lymphatic system, consisted in creation of medicamentous subcutaneous infiltration in the thighs followed by pneumocompression. Gentamycin contents in blood lymphatics and organs of experimental animals was studied in various periods of time. The obtained data have determined identity of the effect with the method of introduction of the antibiotics together with the media, which possess hyaluronidaze-like action, and followed by 2 hours duration phlebohypertension (by V.M.Buyanov, 1991). It promotes reduction of time for the procedure more than 3 times and gives possibility to avoid introduction of additional preparations, which are unnecessary load to the procedure. Gentamycin contents in blood serum of patients in various time intervals are demonstrated.

Adult↗
PubMed1998

[Prevention of errors and complications of laparoscopic cholecystectomy].

Great experience with performing laparoscopic cholecystectomies enabled the authors to work out a classification of failures, errors and complications appearing during preparation, in the process or after such operative interventions. Recommendations are given on prevention of them and for their less frequency.

Adolescent↗
PubMed1998

[Hemostatic therapy of gastroduodenal hemorrhage of non-ulcer genesis by the use of reserve mechanisms of hemostasis].

The article presents summarized results of treatment and examinations of 216 patients with gastro-intestinal bleedings due to acute errosive hemorrhagic gastritis and gastroduodenitis, cancer and polyposis of the stomach, liver cirrhosis and portal hypertension, hemorrhage against the background of atherosclerosis and arterial hypertension by administration of hemostatic medicine into the lymphatic system for activation and reinforcement of the reserve monocyte-macrophage mechanism of hemocoagulation. The results obtained confirm the expedience of this method of influencing the monocyte-macrophage hemostasis, having no complications and giving better medical effects.

Acute Disease↗
PubMed1998

[Endoscopic gastroduodenal lymphography with opacification in the diagnosis of penetrating ulcers].

The authors describe the method of endoscopic gastroduodenal lymphography with opacification and its results obtained after treatment of 79 patients with peptic ulcers. The method of diagnosing penetrating ulcers is thought to be highly informative and reliable. It should not be followed by repeated roentgenological examinations, so it decreases the X-ray load both on the patients and on medical personnel and allows the optimal methods of treatment of patients with chronic gastroduodenal ulcers to be chosen.

Adult↗
PubMed1998

[New methods for assessing the severity of endogenous intoxication in surgical patients].

New methods (a reticulocytic test, inhibition of erythrocyte sedimentation, registration of the frog's heart rate) were used in studying the toxicity of the serum, blood plasma and urine of surgical patients. The most informative methods for the assessment of the toxemia degree are thought to be the reticulocytic test and registration of the frog's heart rate. The maximum time for the determination of endotoxicity is 15 minutes. The pathological process severity can be estimated not only by the toxemia degree but also by its dynamics. The determination of endotoxicity is of value for choosing the methods for the individual detoxication therapy.

Acute Disease↗
PubMed1996

[Lymph transfusion in surgical care].

Scientifically grounded transfusion of lymph and its components was first used to treat 123 patients with severe surgical abnormality concurrent with secondary immunodeficiency, dysproteinemia and lipid deficiency. The treatment led to early improvement of the patients' general condition as shown up by normalized body temperatures, diminished intoxications events, reduced pus discharged from wounds, and early activation in patients. At the same time, the postoperative mortality rates decreased from 43 to 20.3%, the number of postoperative complications reduced from 18.2 to 13.4%, and their course abated. The patients' hospital stay reduced from 28.3 to 21.7 bed/days and the time of their disability dropped from 49.1 to 38.3 days.

Convalescence↗
PubMed1994

[Spermatic index of intoxication, a method of the assessment of blood toxicity].

The article deals with a new method for determining the degree of intoxication in patients with peritonitis of various etiology. Bull sperm cells were used as the test-object. The degree of intoxication is judged according to the ratio of the mean life time of the spermatozoa in the studied filtrate, obtained from the blood serum of patients with peritonitis by filtration through polysulfone membranes with a pass band of up to 70,000 daltons, to the life time in a control glucose-nitrate solution. The authors called this ratio as the spermatic index of toxicity. It was 80.1 +/- 18.7% in the donors. The spermatic index of toxicity was 35.0 +/- 9.0% in the first day after the operation, 44.6 +/- 16.7% on the fifth day, and 70.8 +/- 27.7% before discharge from the hospital. The method is automatic, which excludes subjective a appraisal of the results, and may be suggested for use in clinical practice.

Adolescent↗
PubMed1992

[Changes in lymph microcirculation in appendicular peritonitis].

When studied in experiment (63 dogs) and in clinical settings (116 patients), microlymphatic channel in appendicular peritonitis (AP) was found impaired, while lymphatic drainage of large-molecular substances and metabolites coming from the abdominal cavity appeared activated. Methods of correction of AP-induced abnormalities in microlymphocirculation have been developed which imply three levels of the impact: microcirculation, affected organ, lymphatic system. The clinical trial of the methods proved their efficacy even in the most severe AP forms.

Animals↗