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Biomedical subjects

V V Darvin

Publications and source records attributed to V V Darvin.

13 recordsLinked to original sources
PubMed1998

[Evaluation of results of surgical treatment of peptic ulcer associated with Helicobacter pylori].

Under observation there were 82 patients operated on for ulcer disease of the stomach and duodenum. Dissemination of the mucosa with Helicobacter pylori (HP) was studied by means of using the urease test. Before the operation the positive result of the study was obtained in 73 patients (89%). In 1-6 months after the operation the HP infection was found in 29 patients (39.7%). The HP persistence retained in 39.7% of the patients subjected to resection of the stomach in spite of the preoperative treatment including De-nol and Metronidazole. Post-resectional reflux-gastritis and anastomositis were more pronounced in HP carriers. The antireflux variants of anastomoses (transversal, terminolateral gastroduodenal anastomosis and gastrojejunal anastomosis by Roux) were followed by much less HP persistence and less frequent cases of anastomositis and gastritis of the gastric stump.

Adult↗
PubMed1994

[Stomach injury].

The results of treatment of 221 patients with injury to a stomach (IS), whose age range was from 3.5 to 71 years, have been analysed. Closed IS was noted in 9 (4.1%), open--in 212 (95,9%), isolated--38.5%. The main method of operative treatment (in 92.8% of sufferers) was the organ closure. Surgical errors were made in 9.5% of the patients. The postoperative complications occurred in 75 (33.9%) sufferers. Total lethality was 11.8%. A good long-term result of treatment was noted in 48.0%, a satisfactory one--in 45.2%, an unsatisfactory one--6.8% patients.

Adolescent↗
PubMed1990

[Surgical treatment of injuries of the colon].

Having analyzed results of treatment of 214 patients with an injury of the colon and its mesentery the authors have made a conclusion that most typical errors are related with problems of diagnostics in closed and associated trauma of the colon and the absence of single tactical recommendations in choice of the optimum operation volume. The primary suture of the gut was performed in 165 patients, in 9 patients suturing was supplemented by proximal colostomy. Resection of the intestine with a one-lumen anus was performed in 9 patients, and resection with primary anastomosis--in 6 patients more. In 2 patients the injured loop was brought onto the anterior abdominal wall. For decompression of the gut lumen after its resection or suturing the wound the authors propose a method of the duct decompression lavage of colonic anastomoses which was used in 7 patients. Pyo-septic complications were noted in 79 patients, 23 patients died (10.7%).

Adolescent↗
PubMed1987

[Treitz's hernia].

Explore the source record for details and available documents.

Child, Preschool↗
PubMed1985

[Torsion of the greater omentum].

The greater omentum torsion was revealed in 10 of 10143 patients operated upon urgently. The complex of symptoms established by the authors facilitates making the correct diagnosis. It includes a typical pain syndrome, the presence of a mobile tumor-like mass in the abdominal cavity without disturbances in intestinal passage, disagreement between the satisfactory state of the patient and duration of the disease. The operation of choice for the greater omentum torsion is resection of the torsioned lobe. The postoperative period in 9 patients was good. In one patient there was suppuration of the operation wound.

Abdomen, Acute↗
PubMedDate not supplied

[Prevention of incompetence of sutures of the colon in its injuries].

The authors analysed 242 clinical cases of open and closed injury to the colon and the results of experiments on 120 animals. Incompetence of the sutures of the colon was encountered in 12 (4.9%) patients: in 10 (5.2%) with punctured-incised injuries, in one (3.3%) with subcutaneous rupture, and in one (5.5%) with gunshot injury. Clinico-experimental studies allowed 2 groups of pathogenetic factors (predisposing and resolving) in the development of incompetence of colonic sutures to be distinguished. The pathogenetic approach forms the basis of the developed complex program of the prevention of incompetence of the sutures of the colon in its injuries. Introduction of the suggested program into clinical practice made it possible to reduce the incidence of incompetence of colonic sutures from 6.6 to 2.0%.

Adolescent↗