Biomedical subjects
R T Medzhidov
Publications and source records attributed to R T Medzhidov.
[Method of laparoscopy in ventral hernia].
A new method of laparoscopy have been designed: a laparoscope is introduced through a ventral hernia. The method can be used in patients with contraindications for a regular laparoscopy. Umbilical hernia with the hernia orifice less than 3 cm is a contraindication for "herniolaparoscopy". The method was used in 32 patients, including 17 patients with the acute cholecystitis. In 12 patients besides of umbilical hernia there were other contraindications, including postoperative scarring, obesity etc. There were no any complications with the use of the new method. In all cases pneumoperitoneum was preserved till the end of a procedure.
[A device for laparoscopic transhepatic microcholecystostomy].
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[Diagnostic and therapeutic laparoscopy in acute cholecystitis in middle and old age].
Laparoscopic decompression of the gallbladder in elderly and senile patients having acute cholecystitis and in patients with severe coexistent diseases allows arresting the acute inflammatory process in the gallbladder, reducing the amount of forced operations which are extremely dangerous for this contingent of patients. Sanitation of the gallbladder with the electrolytic silver solution and irradiation of the bladder mucosa with laser is highly effective. Microcholecystostoma performed with a catheter having a diameter not less than 2.5 mm maintains adequate decompression of bile ducts and allows performing complete examination of them.
[Roentgenological contrast examination of the abdominal organs during laparoscopy].
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[Transillumination of abdominal organs during laparoscopy].
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[Laparoscopic ultrasonic Dopplerography in the diagnosis of disorders of the intramural blood circulation of the abdominal organs].
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[Experience with laparoscopic ultraviolet laser therapy in the treatment of acute inflammatory diseases of the adnexa uteri].
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[Ultrasonic defectoscopy combined with laparoscopy in the diagnosis of the liver and biliary tract].
A new technique and a device developed by the authors allowed obtaining additional data at panoramic laparoscopy thus promoting valid diagnosis in complicated cases of choledocholithiasis and cholelithiasis+ as well as in parenchymatous abscesses and cysts. The accuracy of the diagnosis rose by 10-15%.
[Use of fluorouracil combined with laser irradiation of the pancreas in the treatment of acute pancreatitis].
Direct irradiation by a helium-neon laser of the pancreas in acute pancreatitis potentiates the action of fluorouracil, permits to reduce its dosage, improve the results of treatment.
[Silver electrophoresis in the treatment of lactation mastitis].
The results of treatment of 476 patients with lactation mastitis (infiltrative, with abscess formation, phlegmonous) are discussed. The patients were treated by intra-tissue or intracavitary silver electrophoresis and by the commonly applied methods (control group). Treatment by silver electrophoresis alone and, in cases of an abscess cavity, with addition of drip-flow lavage with silver electrolyte improved the results considerably and reduced the term of in-patient treatment to one half as compared to the control group of patients.
[Laparoscopic diagnosis and laser therapy of tuberculous peritonitis].
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[Laparoscopic organic rheography in the diagnosis of disorders of visceral blood flow].
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[Right-sided hemicolectomy using a compression suture].
Results of rightsided hemicolectomy performed in 23 patients using the compression suture with the help of apparatus AKA-2 and apparatus NZhKA-60 supplied with silicon paddings are described. The use of compression sutures have considerably shortened the time of formation of anastomosis and large intestine stump and allowed to standardize the technical methods of the operation. The ideal union of the sutured intestinal walls, antiseptic condition of the operation, high hermetic property facilitated the healing of anastomoses and the stump by first intention. The proposed method gives better functional results due to advantages of the compression method of joining the tissues.
[Laser therapy of chronic hepatitis and liver cirrhosis].
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[Laparoscopic local thermometry in acute inflammatory diseases of the organs of the abdominal cavity].
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[Diagnosis and treatment of acute pancreatitis].
In diagnosis of acute pancreatitis of special importance is determination of the activity of transamidinase, phospholipase A, lipase, concentration of copper, calcium and triglycerides in blood serum as well as laparoscopy with biopsy and local thermometry of the pancreas. The dosage of 5-fluoruracil in the complex treatment of patients should be differentiated corresponding to the form of the disease: 3 mg/kg in the endomatous form, 5 mg/kg in the destructive form. The general lethality was 1.4%. In conservative treatment there were no lethal outcomes.
[Laparoscopic decompression puncture of the gallbladder in acute cholecystitis].
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