Vestnik khirurgii imeni I. I. Grekova
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Vestn. Khir. Im. I. I. Grek. · Jan 2006
[Surgical strategy for combined gun-shot wounds of extremities with injuries of main arteries].
An investigation of materials of treatment of 130 wounded with combined wounds (CW) of extremity blood vessels during war in Afghanistan and in counter-terrorist operations in the Northern Caucasus has shown that the specific feature of surgical treatment of wounds of the extremity arteries associated with severe wounds of other localizations consists in limited possibilities to save the extremities. The scale MESS of a severity of extremity wounds was improved. ⋯ A. Kornilov classification of the severity of acute ischemia and a FS-MESS scale of extremity injuries.
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Vestn. Khir. Im. I. I. Grek. · Jan 2006
[Potential of endoscopic hemostasis in patients with gastroduodenal bleedings].
The authors have analyzed their experiences with treatment of 61 patients using the method of endoscopic clipping: 24 of them had the source of bleeding in chronic ulcers of the duodenal bulb, 6 had chronic gastric ulcers, 15 had acute gastric ulcers, 2 had acute ulcers of the duodenal bulb, Mallory-Weiss syndrome was found in 2 patients, Dieulafoy syndrome in 10 patients and one patient had peptic ulcer of the gastro-entero-anastomosis. The endoscopic clipping was made in 11 patients, in 31 patients injections of adrenaline and coagulation were added, in 9 patients--coagulation only, in 2 patients--irrigation with caproferon, in 8--adrenaline injections. In 57 out of 61 patients reliable hemostasis was achieved.
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Vestn. Khir. Im. I. I. Grek. · Jan 2006
[The place of endovideosurgical interventions in treatment of inguinal hernias].
Endovideosurgical hernioplasty was performed in 3020 patients. Complex forms of inguinal hernias were diagnosed in 280 of them. ⋯ Original technical maneuvers are described, indications and contraindications were established, complications and results of treatment of patients with inguinal hernias were analyzed and evaluated. Recommendations are given for the treatment of patients with complex forms of hernias.