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Biomedical subjects

S P Gaĭbatov

Publications and source records attributed to S P Gaĭbatov.

At least 19 recordsLinked to original sources
PubMed2006

[Clinical finding and treatment of festered hepatic echinococcosis].

Results of treatment of 72 patients with festered hepatic echinococcosis were analyzed. Ultrasonic examination was the main method of examination. Method of residual cavity liquidation was determined by localization of cyst. Original method of liquidation of residual cavity using omentum and oxygen insufflations has been successfully applied in 21 patients. Open methods of residual cavity liquidation are often accompanied by complications (bile-purulent fistulas, residual purulent cavities, long period of treatment).

Adolescent↗
PubMed2003

[Temporary distance shunting of the anastomosis with a probe shunt].

The authors present results of using temporary shunting of intestinal anastomosis in combination with selective lavage of the suture line with a curative antiseptic mixture in experiment in 12 dogs and in clinic in 36 patients with a probe of the authors' original construction. The probe consists of a polychlorvenyl tube with the inner diameter 0.8-1.0 cm, having two inflatable rubber cuffs mounted on the distal end at a distance of 15 cm from each other. After inflation of the cuffs a closed isolated cavity is formed in the zone of intestinal sutures, into which the distal end of the tube is opened for the decompression and selective intraluminal lavage of the anastomosis. The using of the temporary shunting of intestinal anastomosis in combination with selective intraluminal lavage with a mixture of broad-spectrum antibiotics and antioxidant 1.5% Reamberin accelerates the process of the intestinal suture healing, results in favorable course of the postoperative period, prevents complications.

Adult↗
PubMed2000

[The immune status and hemorheological indices in patients with an amebic liver abscess].

The immune status and hemorheological indices were studied in 95 patients with amebic abscess of the liver. Changes in the immune status and hemorheological indices were detected according to the clinical course of the disease. In cases of complications appearing during the disease the patients needed immunostimulating therapy and administration of desaggregants. Drainage of the thoracic lymphatic duct is thought by the authors to be a necessary component of treatment while performing massive infusion therapy and adequate recovery of the loss of blood proteins.

Hemorheology↗
PubMed2000

[Associated lesions of the liver by amebiasis and echinococcosis].

Diagnosis and treatment of combined damage to the liver by echinococcosis and amebiasis were analyzed in 36 patients. The clinical picture in this combination depends on the phase, localization and sizes of a focal lesion. The authors consider ultrasound to be a basic diagnostic method that clarifies the nature of the contents of cavities, which will aid in making a correct diagnosis. The examination of liver function and its correction are required in the preoperative period. The authors consider omentoplasty to be the operation of choice for uncomplicated echinococcosis. It is necessary to drain an abscess residual cavity it the umbilical vein is catheterized.

Diagnosis, Differential↗
PubMed2000

[Hemorheological indices in patients with amebic abscesses of the liver and their correction].

Hemorheological indices were studied in 89 patients. In 61 patients the authors have revealed somewhat increased viscosity potential of blood and negligible changes in the aggregation activity of erythrocytes which is thought by the authors to be due to the saved compensatory potentialities of the organism. In 28 patients with the complicated course of the disease the rheological parameters of blood became worse because of the suppressed compensatory potentialities of organism. So, in addition to the adequate transfusion-infusion therapy the complex of treatment must include immunostimulating means (Levamisole, Prodigiozan, Tactivin etc.).

Adjuvants, Immunologic↗
PubMed1999

[Elimination of residual cavities in multiple echinococcosis of liver].

The results of operative treatment of 65 patients with multiple echinococcosis of the liver are analysed. For the purpose of treatment of the cyst's residual cavity in 19 cases the authors used furacillin solution warmed up to 70 degrees C. As a result of the study it was established, that at a distance of 2 cm around the fibrous capsule rather high temperature is mounted, which is fatal for oncosphera. This method advantageously differs from others (4% formalin solution, iodine tincture). In 29 cases the residual cavity was treated with 4% formalin solution, in 11 cases 4% formalin solution was combined with iodine tincture, in the rest 6 cases--4% formalin solution was used and 1% chlorhexidinum solution followed by 70% alcohol. For elimination of residual cavities, which appeared after echinococcectomy, combinations of various methods were used, among which the proposed by the authors method of "hood", which is formed from the omentum with vascular pedicle. Complications (purulent fistulas formation) occurred in 5 patients. The authors come to a conclusion that for elimination of residual cavities after echinococcectomy in multiple echinococcosis of the liver the combination of various methods is obligatory.

Anti-Infective Agents, Local↗
PubMed1995

[Isolated echinococcosis of the left hepatic lobe].

The authors analyse 47 patients with isolated echinococcosis of the left hepatic lobe. There were 36 males and 11 females. One cyst was found in 39 patients, two cysts in 8 patients. The volume and character of the operative interventions were determined by the peculiarities of the case and its complications. Cholectomy together with the parasite but without opening the cavity was conducted in 8 patients with cirrhosis and deficiency of the left lobe. In rupture of the cysts into the bile ducts echinococcectomy was combined with cleansing and drainage of the ducts: retrograde drainage after Abu proved to be the best method. Wedge resection was conducted in 7 patients and thermal treatment in 8 patients. In the remaining cases various methods of echinococcectomy were applied.

Adult↗
PubMed1994

[Methods of treatment for suppurative biliary fistulas of amebic etiology].

Experience in the treatment of 43 patients with pyobiliary fistulas which formed after abscessotomy in amebic abscess of the liver is generalized. The fistulas occurred after open drainage in 29 patients, spontaneous opening of the abscess on the external surface of the body in 8, and after operation for transdiaphragmatic opening of a hepatic abscess in 6 patients. Two groups of patients were distinguished according to the method of completion of the operation. Among the 24 patients of the first clinical group 9 were subjected to drainage of the residual cavity with excision of the fistula, biliary fistulas opening into the cavity were closed in 5 patients, and routine drainage of the cavity was performed in other 5 patients. In 5 cases the operation was completed by plastics of the residual cavity with a pedicle diaphragmatic flap. In the second clinical group, filling of the cavity with the omentum was carried out in 13 patients and a variant of operation suggested by the author was used in 6 patients. The organism's immune reactivity was found to be reduced in prolonged existence of the fistula. The author recommends immunostimulants to be included in the therapeutic complex.

Adjuvants, Immunologic↗
PubMed1992

[The diagnosis and treatment of hepatopulmonary fistulae of amebic etiology].

The author has analyzed results of treatment of 28 patients with hepato-thoracic complications of amebic abscesses of the liver. Different variations of operative interventions are proposed including the separate (subdiaphragmatic) draining of the cavity of the liver abscess and pleural cavity and in cases of the appearance of bilio-bronchial fistulas--resection of the lung.

Biliary Fistula↗
PubMed1991

[Immunologic status and its correction in amebic liver abscess].

The author analyses the results of study of the immune status in 100 patients with amebic abscess of the liver, who were divided into 2 groups. In an uncomplicated course of the disease (50 patients, Group 1) there were no essential shifts in the immune status in the preoperative period. In the postoperative period (1st-3rd day), however, the percentage and absolute number of T- and B-lymphocytes reduced. Due to this, immunostimulation therapy (decaris, gamma-globulin, hyperimmune antistaphylococcal plasma, activin) had to be applied. In a complicated course of amebic abscess of the liver (50 patients, group 2) the water-electrolyte metabolism was disturbed and the blood erythrocyte-globular volume was reduced and the cellular and humoral links of immunity were markedly depressed in the preoperative period. Intensive transfusion-infusion therapy had to be conducted along with immunostimulation treatment (decaris, T-activin, gamma-globulin, hyperimmune antistaphylococcal plasma, direct transfusion of blood) and prescription of anabolic hormones (pentoxyl, retabolil).

Adjuvants, Immunologic↗
PubMed1990

[Renal syndrome in amebic lesions of the liver].

The author observed 315 patients with the amebic liver abscess. Of them in 134 (42.5%), the renal syndrome was diagnosed. The kidney damage had the course of the secondary pyelonephritis type, or in the form of a toxic kidney. On the basis of clinico-laboratory analysis, the author distinguishes the mild, moderate and severe degrees of kidney damage, recommends an adequate transfusion-infusion, antibacterial and specific therapy.

Anti-Bacterial Agents↗
PubMed1990

[Immunological status of patients with amebic abscess of the liver and its correction].

Results of the investigation of 89 patients with the amebic abscess of the liver are presented which are divided into 4 groups depending on the clinical form of the disease and the immunological state. A correlating relationship was established between the functional state of the liver and changes of the immunological status of the organism. Variants of complex therapy of patients with the amebic abscess of the liver are proposed.

Adjuvants, Immunologic↗
PubMed1988

[Results of the surgical treatment of patients with hematologic diseases].

The article presents results of the operative treatment of 42 patients with different hematological diseases. The surgical treatment is indicated to patients resistant to cytostatic drugs and having symptoms of hyperplenism. The appearance of thrombohemorrhagic syndrome is sometimes possible in the postoperative period which can be prevented by heparin therapy.

Anemia↗
PubMed1984

[Omentoplasty of residual cavities of the liver].

Results of omentoplasty of residual cavities of the liver are described. New variants of operations of omentoplasty following hydatidectomy and abscessotomy gave good near and remote results of the treatment.

Echinococcosis, Hepatic↗