Vestnik khirurgii imeni I. I. Grekova
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Vestn. Khir. Im. I. I. Grek. · Jan 2009
Case Reports[Gunshot combined spinal and craniocerebral injuries].
An analysis of 32 case histories of patients with gunshot wounds of the cervical part of the spine and spinal cord in combination with cranio-cerebral injuries is presented. In 11 patients with injuries of the spine and spinal cord it was shown that in 4 patients tetraplegia persisted in the postoperative period, 3 patients had Brown-Sequard syndrome, 1 patient had superior paraparesis, 3 patients had pelvis disorders. Rehabilitation procedures started as early as possible allow minimization of the neurological problems and, correspondingly, the degree of disability of the patients.
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Vestn. Khir. Im. I. I. Grek. · Jan 2009
Comparative Study[Reduction of shoulder dislocation by Kocher's method].
Many present-day manuals on surgery and traumatology give distorted description of the method of shoulder dislocation by Kocher. In treatment of 69 patients with anterior dislocation of the shoulder the authors used the original Kocher's method (without traction, countertraction, without an assistant) and studied its effectiveness and safety. ⋯ There were no complications. The original Kocher's method of reduction of anterior dislocation of the shoulder is effective and safe.
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Vestn. Khir. Im. I. I. Grek. · Jan 2009
Comparative Study[Intraventricular thrombolysis and liquor filtration in treatment of newborns with severe intraventricular hemorrhages].
The authors have analyzed 32 cases of complex treatment of severe forms of neonatal intraventricular hemorrhages and proved high clinical efficiency of complex treatment. The stage-by-stage application of tissue plasminogen activator and operation of extracorporeal cerebrospinal fluid filtration resulted in decreased mortality, reduced duration of the cerebrospinal fluid sanitation period, reduced number of shunting-dependent children. One year follow-up showed an improvement of the patients' quality of life.
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Vestn. Khir. Im. I. I. Grek. · Jan 2008
Case Reports[Application of exchangeable transhepatic frame stents in patients with posttraumatic strictures of the hepatic and common bile duct].
For the period from 2000 through 2007 there were 27 patients treated for lesions of extrahepatic bile ducts of different genesis. Since all the lesions were high, we have formed biliodigestive anastomoses on the exchangeable transhepatic drains by the method of Groetz-Saypol-Kurian. In a month after the operation and a standard management of the exchangeable transhepatic drains we departed from the classical technique and applied nonperforated drains. Using the nonperforated exchangeable transhepatic drains in patients after reconstructive operations on the extrahepatioc bile ducts gave good immediate results of operations and substantially improved quality of life of the patients in the postoperative period.