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Biomedical subjects

V S Zemskov

Publications and source records attributed to V S Zemskov.

At least 55 records · Page 3Linked to original sources

[Laparostomy and planned reoperations in the complex treatment of suppurative pancreatitis].

An experience with using laparostomy and planned reoperations in 22 patients with purulent pancreatitis is presented. A method of creation of open controlled drainage cavity is described which allows to make the timely and adequate revision of the pancreato-duodenal zone and other organs of the abdominal cavity in planned relaparotomies. Criteria of choice of the optimal terms of reoperations are proposed.

Abdominal Muscles↗

[Various problems of surgery of the extrahepatic bile ducts].

Debatable questions of indications to choledochotomy and placing bile-eliminating anastomoses are discussed on the basis of personal experiences and data of literature. It is supposed that the amount of choledochotomies should be restricted at the expense of wider use for the revision of extrahepatic bile ducts of the cystic duct stump. In cases when bile-elimination anastomoses are not supposed oblique choledochotomy should be preferred through the cystic duct stump. Indications to the creation of bile-elimination anastomoses should not be wider. In doubtful cases the question should be solved in favour of external drainage of the common bile duct.

Ampulla of Vater↗

[Repeated and combined operations in tumors of the retroperitoneal space].

Based on an experience with the treatment of 76 patients with tumors of the retroperitoneal space the authors show the expediency of operations of a "region resection" type with the intraoperative control of hemostasis. Such operations were performed in 18 patients with left-side tumors and in 7 patients with the right-side localization of tumors. The choice of the regional resection is considered by the authors to elevate the resectability in patients with tumors of the retroperitoneal space.

Adolescent↗

[Errors and complications in external drainage of the common bile duct].

Errors and complications taking place in external drainage of the common bile duct were analyzed in 484 patients. They appear due to choice of a wrong drainage tube. The authors describe their method of fixation the drain when draining through the stump of the bladder duct. In the postoperative period it is necessary to perform intracholedochal therapy with antibiotics for treatment of purulent cholangitis and for preventing a secondary infection of the bile ducts. Time of the removal of the drain depends on the state of the pancreas and on the data of transdrainage cholangiography.

Common Bile Duct↗

[Non-clostridial anaerobic infection in complicated cholecystitis].

Results of bacteriological investigations and treatment of 112 patients with complicated forms of acute cholecystitis are described. It was found that in complicated forms of acute cholecystitis an important part was played by associations of bacteria among which neclostridial anaerobes were of leading importance responsible for the aggravation of the inflammatory process and course of the postoperative period. The intracholedochal antibacterial therapy with Dioxidin in combination with antibiotics is thought to be expedient.

Acute Disease↗

[Rational parenteral feeding in acute pancreatitis].

The efficiency of amino acid drugs Polyamine and Amikin as means of nutrition in treatment of acute pancreatitis are not inferior to the preparation Alvezin "New" (GDR), the degree of nitrogen retention being even superior.

Acute Disease↗