Vestnik khirurgii imeni I. I. Grekova
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Vestn. Khir. Im. I. I. Grek. · Jan 2000
Case Reports Comparative Study[Foreign bodies of the rectum].
During the 22 years period there were 26 patients (23 men and 3 women) aged from 18 to 71 with foreign bodies in the rectum introduced through the anal canal. The main causes of the appearance of foreign bodies in the rectum were anal masturbation (in 12 patients) and forced introduction of the objects by other people (in 10 patients). Among the foreign bodies prevailing were plastic and glass bottles, cucumbers and carrots, wooden and rubber objects in the from of the phallus. ⋯ The standardized technique of the transcanal removal of the objects is thought by the authors to include 10 principal propositions. Open operative interventions (removal of the foreign body, suturing the rupture, drainage of the abdominal cavity or of the perirectal space, sigmostomy) were performed in 4 patients with penetrating injuries of the rectum wall. The results of the treatment including removal of all foreign bodies were good, without lethal outcomes.
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Vestn. Khir. Im. I. I. Grek. · Jan 2000
Comparative Study[Removable draining aponeurotic and muscular-aponeurotic sutures in the prevention of suppuration of laparotomy wounds].
Clinico-instrumental investigations and experimental studying of the regeneration of laparotomy wounds sutured by removable draining aponeurotic and muscular-aponeurotic sutures have shown less pronounced course of aseptic inflammation in the wounds. It has been established that the removable aponeurotic sutures substantially decrease the frequency of postoperative suppurations of laparotomy wounds in patients operated on the colon mainly for colorectal carcinoma. The original authors' sutures provide the formation of a cicatrix of the laparotomy wound by the 20th day of the postoperative period and completely prevent the appearance of ligature fistulas.
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Vestn. Khir. Im. I. I. Grek. · Jan 2000
Comparative Study[Early surgical treatment of low-voltage electric burns of the hand in children].
Electrical burns give not more than 8% in the structure of burns in children. Most of the children suffer from burns by electrical current of 220 V, and invalidisation of the children can result from inadequate surgical treatment. Advantages of early operative treatment (primary or delayed necrectomy with different kinds of primary skin plastic) are proved as compared with traditional plastic of the granulating wounds. This method can be considered to be the method of choice in treatment of children with low voltage electrical burns of the hand.