Search PubMed⌕ Search

Biomedical subjects

K I Myshkin

Publications and source records attributed to K I Myshkin.

At least 19 recordsLinked to original sources
PubMed1991

[Use of a single-row suture in surgery of the gastrointestinal tract].

The authors show the results of experimental and clinical study of a single-row Pirogov-Mateshuk serous-muscular-subserous suture with the knots inside the lumen. It was demonstrated in experiments on 191 dogs that regeneration in the zone of anastomoses formed by a single-row suture is more perfect and occurs earlier than with the application of a double-row suture. Among 2,623 anastomoses formed on the esophagus, stomach, small intestine, colon, and rectum by means of a single-row suture, 1.5% were incompetent. The authors consider the single-row Pirogov-Mateshuk suture to be the method of choice.

Anastomosis, Surgical↗
PubMed1991

[The choice of the extent of the operation in patients with thyroid cancer].

The results of 676 radical operations for thyroid cancer are discussed. The choice of procedure was determined by tumor histology which was assessed using trephine biopsy. Extracapsular hemithyroidectomy was the basic procedure (420 out of 676 cases) used for the treatment of well-differentiated thyroid cancer affecting one lobe only. No fatalities were registered. Bilateral surgery was associated with paralysis of n. laryngeus in 1.5% of cases and with the nerve injury in 5.1%. With unilateral surgery, the parameter was 2.8%. The unilateral procedure offered the advantage of sparing the intact lobe which assured a decrease in thyrotropin and lower rates of relapse, hypothyrosis, hypoparathyroidism and paresis of n. laryngeus. Five-, ten- and twenty-year cumulative survival rates were 91.8, 87.8 and 71.6% whereas corrected rates--94, 93.6 and 92.9%, respectively.

Age Factors↗
PubMed1991

[The course and surgical treatment of gastroduodenal ulcer in patients with diabetes mellitus].

The work deals with the features of the course of gastric and duodenal ulcers in diabetes mellitus and the frequency and pattern of the complications. The authors recommend criteria for preparation for surgical treatment, methods for compensation of the disturbances of carbohydrate metabolism, and the methods of postoperative management of such patients. The late-term results and analysis of treatment are discussed briefly. The coexistence of peptic ulcer and diabetes mellitus is a rare occurrence. During a 20-year period 31 patients were treated at the clinic, 21 of them underwent operation, in 5 patients an operation was considered inexpedient, another 5 patients refused to be operated on. The postoperative period was free of complications in 19 patients, there were no fatal outcomes.

Diabetes Complications↗
PubMed1990

[Psychological aspects of relaparotomy].

The authors analyse the importance of the psychological barrier in the choice of the method of treatment in performing relaparotomy. Proceeding from the fact that the surgeon's psychological barrier is an objective factor aggravating the results of management of postoperative complications, the authors suggest that the indications for relaparotomy should be considered collectively. They believe that the second operation should be carried out by another, more experienced surgeon of the department. The surgeon who performed the first operation acts as an assistant during the relaparotomy.

Abdomen, Acute↗
PubMed1990

[Pathogenetic treatment of chronic paraproctitis].

Operations were performed on 865 patients for pararectal fistulas. The fistulas occurred after injury in 18 patients, histological examination revealed fistulous form of Crohn's disease in 14 patients, 12 patients had tuberculous paraproctitis. The late-term results of surgical treatment of chronic paraproctitis were studied in 560 patients according to the presence of concomitant hemorrhoids. One-stage excision of the fistula and hemorrhoidectomy was conducted in 329 patients. The fistula recurred in 1.3% of cases. Hemorrhoidectomy was not undertaken in 231 patients; a recurrence of fistula occurred in 6.1%. Therefore, to prevent recurrences of pararectal fistulas existing hemorrhoids must also be removed.

Chronic Disease↗
PubMed1989

[Surgical tactics in ulcerous pyloroduodenal stenosis].

The authors generalize their experience in the treatment of 528 patients with ulcerous pyloroduodenal stenosis, who accounted for 19.3% of all patients who were operated on and for 29.8% of those with complicated forms of peptic ulcer. All the patients underwent operation after brief (2-3 days) replacement of hydrogen ion deficiencies. Resection of the stomach was carried out in 418 patients, organ-preserving operations-in 102, gastroenteroanastomosis-in 8 patients. Total mortality was 2.5%. There were no fatal outcomes in organ-preserving operations. The incidence of postoperative gastric atony was 6.1% after organ-preserving operations and 4.9% after resection of the stomach.

Adolescent↗
PubMed1989

[Relaparotomy after operations on the rectum and colon].

During 15 years 1663 intraabdominal operations on the rectum and colon were performed, relaparotomy resulting from the complications was fulfilled in 134 patients (8%). The main indication for relaparotomy was peritonitis (57 patients). Its sources were: incompetence of the colonic anastomosis suture, technical errors during the first operation, opening of the abscess into the abdominal cavity. Five types of the course of postoperative peritonitis were established: primary, atypical, artificial, perforative and necrotic types.

Abscess↗
PubMed1989

[Relaparotomy after emergency surgical interventions].

Relaparotomy was conducted 251 times on 210 emergency surgical patients. Diffuse and localized circumscribed peritonitis were the main causes of relaparotomy (70.5%). The level of serum cortisol was tested by the radioisotope method in a group of patients before and after relaparotomy. Operations conducted for the second time 6-7 days after the first operation were undertaken in adrenal insufficiency. Radical relaparotomy produced the best results.

Abdomen, Acute↗
PubMed1989

[Simultaneous surgery in gastroduodenal ulcer].

The results of 96 simultaneous operations for peptic ulcer are discussed. The indications for their performance are substantiated and the principles of their conduction in various diseases aggravating one another are determined. The low incidence of postoperative complications (4.2%) and lethality (1.04%) are evidence of the expediency of the suggested tactics.

Appendectomy↗