Vestnik khirurgii imeni I. I. Grekova
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Vestn. Khir. Im. I. I. Grek. · Jan 1997
Case Reports[The surgical procedure in left-sided thoracoabdominal knife wounds].
An experience with surgical treatment of 136 patients with left-side thoracoabdominal knife wounds has shown that all the patients can be divided into two groups: transpleural wounds (111 cases or 81.7%) and extrapleural wounds (25 cases or 18.3%). Symptoms of extrapleural wounds (medial and lateral) are described. Injuries to organs of the abdominal cavity were shown to depend on the localization of the diaphragm wound. It was found that in patients with wounds to the posterior cupula there were only injuries of organs fixed in the subdiaphragmatic space.
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Vestn. Khir. Im. I. I. Grek. · Jan 1997
[Problems in the diagnosis and surgical care of thoracoabdominal wounds].
The article presents an 11 years experience in work of a specialized department of thoracoabdominal trauma with an analysis of treatment of 292 wounded. The main causes of the thoracoabdominal wounds (TAW) were knife stabs (96.2% of the patients). The diagnosis of injuries to vital organs of the chest and abdomen is known to be very difficult. ⋯ The sequence of measures and surgery volume must be determined by the wound type and the severity of injuries of the internal organs which gives better results of treatment of such patients. Postoperative complications were noted in 9.1% of the wounded. Lethality was 5.1%.
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Vestn. Khir. Im. I. I. Grek. · Jan 1997
Review Case Reports[Intestinal perforation in tuberculosis].
For 5 years the authors observed isolated abdominal tuberculosis in 6 patients. Five of them who were urgently operated upon had perforations of the tuberculous ulcers of the intestine. A specific character of the inflammation was confirmed by histological investigations. ⋯ One of them had six perforated tuberculous ulcers of the jejunum. All these patients died. Recommendations are given how to improve the diagnosis of abdominal tuberculosis and treat patients with this severe disease.
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Vestn. Khir. Im. I. I. Grek. · Jan 1997
Comparative Study[Methodology for the objective assessment of trauma severity (II. The assessment of the severity of gunshot wounds)].
The article presents a scale for an objective assessment of gun-shot wounds developed at the department of military field surgery of the Medical Military Academy. The effectiveness of the scale was estimated by comparing it with the AIS-90 and ISS methods according to 3 criteria: lethality, discharge from the military forces and duration of the period of lost fighting ability. The greatest correlation of the scale with these criteria was established. The sphere of its clinical use is described.
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Vestn. Khir. Im. I. I. Grek. · Jan 1997
[Emergency computed tomography in closed trauma of the chest and abdomen].
An analysis of using computed tomography (CT) in 152 patients with closed traumas of the chest and abdomen has shown that CT is indicated in cases of disagreements between the clinical picture and findings of the laboratory instrumental methods of examination when injuries of organs and tissues and development of early and late complications are suspected. The resolution of CT in closed trauma of the chest was at an average 97.3%, in closed trauma of the abdomen 94.9%. The possibility to perform the emergency CT in patients with a severe combined injury of the chest and abdomen during 24 hs a day allows injuries of the aorta, central and subcapsular hematomas of the liver and spleen to be diagnosed in a short time as well as the exact character of injuries of the pancreas and kidneys. CT is thought to be the method of choice for diagnosis of injuries of organs of the mediastinum and retroperitoneal space.