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Biomedical subjects

V K Gusak

Publications and source records attributed to V K Gusak.

At least 19 recordsLinked to original sources

[Strategies of surgical treatment of hemorrhage in postinfection damage of the main vessels in patients with substance dependence].

There was summarized experience of surgical treatment of 88 patients with narcotic dependence, in whom the hemorrhage have occurred due to postinjection injury of the main vessels. Reconstructive-restorational operations were conducted in acute period in the absence of sepsis, hemorrhagic shock and vast focus of infection, using auto vein and in the remote period--synthetic prostheses. All the patients, suffering narcotic dependence, admitted to the clinic, are considered as probably AIDS-infected. Medical staff, performing medicinal care in such patients, must be provided with the individual defense facilities.

Adult↗

[Application of preparation endotelon in complex treatment of chronic arterial insufficiency of lower extremities].

The results of treatment of 43 patients with chronic ischemia of extremities with application of preparation endotelon were summarized. Stable positive effect, preserved during 2-4 month was noted in 34 patients. Lowering of regional venous pressure, at average for the first week by (1.3 +/- 0.31) kPa, or (10 +/- 2.3) mm Hg, was observed after the first course of treatment conduction.

Anti-Inflammatory Agents, Non-Steroidal↗

[The carotid sinus syndrome: problems and outlook].

Electrocardiostimulator was implanted in 108 patients for the carotid sinus syndrome. In 38 observations ventricular stimulation was applied, in 19--the two-chamber one and in 51--the atrial. The syncope disappearance was observed while the DDD and AAI modes of stimulation. If the atrioventricular conduction disorder do not occur while doing transoesophageal stimulation of left atrium during the provocation tests the atrial stimulation is indicated.

Adolescent↗

[Early surgical treatment of injured persons with very severe burns].

The experience of treatment of patients with deep burns measuring 20% and more of the body surface was summarized. In the principal group 29 injured persons were operated on the 5-7th days after trauma, in the control one in 28 burned persons the skin transplantation was accomplished on granulating wounds. In the principal group lethality was 24.1%, in a control one--42.9%.

Adult↗

[Ways of decreasing lethality in various forms of bradyarrhythmia].

Hospital mortality analysis in patients with different kinds of bradyarrhythmias after electrocardiopacemaker implantation operation performance was conducted. Significant haemodynamics improvement did not occur, if the patients had the pronounced coronary atherosclerosis. It was concluded that combined surgical correction of this pathology is needed.

Adult↗

[Cryotherapy of postburn hypertrophic scars].

A technique for cryotherapy of the postburn hypertrophic scars, and a method for protection of the surrounding tissues from damaging effect of the low temperatures have been suggested. In 76.4% of patients, a good cosmetic result has been obtained.

Adolescent↗

[Experience with the surgical treatment of aortic coarctation].

The initial experience with surgical treatment of aortic coarctation at the cardiosurgical centre in Donetsk has been summarized. Operated on were 24 patients with hypoplasia of the proximal aorta. Waldhausen's isthmoplasty, placing of an end-to-end anastomosis, grafting of the aorta and creation of an oblique anastomosis were performed. Co-operation with therapeutics, pediatrics and neonatologists, as well as thorough examination of the patients, monitoring permit to achieve the results which are compatible to those of the large clinics.

Adolescent↗

[The potentials for noninvasive diagnosis in predicting the effect of a reconstructive operation in patients with severe ischemia of the lower extremities].

The paper discusses whether the outcome of reconstructive surgery can be predicted by using the orthostatic test in Doppler sonography and transcutaneous polarography. A total of 97 patients with severe lower extremity ischemia were studied, of them 87 were operated on. Reconstructive operations on the vessels were performed in 72 patients. There was no relationship between the value of the humero-mallear index of regional systolic pressure as well as TcpO2 and the outcome of an operation. At the same time there was a correlation between the orthostatic rise in regional systolic pressure on the tibial arteries at the ankle-bone and the orthostatic increase in pO2 in the feet and the outcome of a reconstructive operation. The orthostatic rise in pO2 and regional systolic pressure was 8.06 +/- 4.0 and 58.2 +/- 5.43 mm Hg in patients with poor outcomes and inoperable patients, respectively. In good outcomes, these figures were 17.8 +/- 2.14 and 91.3 +/- 3.64 mm Hg (p < 0.05), respectively. The positive outcome of a reconstructive operations was observed in 88.8 = 92.0% patients with an orthostatic rise of pO2 in the feet by more than 20 mm Hg and that at the ankle-bone by more than 90 mm Hg.

Acute Disease↗