[Discussion interview in clinical training in surgery].
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Biomedical subjects
Publications and source records attributed to T V Nartsissov.
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The authors treated 327 patients with purulent wounds, using a solution containing dimexide, iodine, tannin, and as well the flowing-aspirating drainage and silver nitrate electrophoresis. Rapid cleaning of the infected wounds and shortening of duration of the in-patient treatment were noted.
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Autodermal hernioplasty was used in 102 patients. The transplant was treated by heating through a napkin moistened in the physiologic salt solution. Two methods of hernioplasty are proposed for approximated and nonapproximated margins of the hernia hilus. In both cases the flap was placed with its reticular layers directed towards the muscular-aponeurotic plates, being disposed under them. A small amount of wound complications and the absence of recurrences show the efficiency of the proposed methods of autodermal plasty.
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A method of fistula extraction was used in treatment of 42 patients with non-ramified pararectal fistulas. The duration of hospital stay of the patients was 8 days, that of their out-patient treatment--14 days. Within a follow-up period of from 3 mos to 2 yrs, 1 patient with intra-sphincteric fistula developed a disease recurrency.
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We observed 120 patients with acute and chronic paraproctitis. In 75 of them, the pararectal fistulas were revealed. The most frequent causes of a pararectal fistula recurrence were the incomplete excision of the necrotized fat, inadequate wound drainage and incorrect definition of the internal fistulous opening.
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