Vestnik khirurgii imeni I. I. Grekova
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The authors have analyzed results of treatment of 170 patients with traumas of the liver and 129 patients with injuries of the spleen. It was established that the leading factors responsible for lethality were severity of shock, blood loss volume and the amount of associated injuries. The authors have shown that laser coagulation for hemostasis could reduce the amount of lethalities and gave less amount of postoperative complications.
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The results of 44 patients treatment with neck wounds are analysed. Isolated wounds of the neck were shown to be in 77.3%, combined trauma was determined in 22.7% of examination. ⋯ Postsurgical complications have developed in 6. The main reasons for complications occurred to be primary surgical wound treatment from little operative approach and noncomplete revision of the wound canal.
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Vestn. Khir. Im. I. I. Grek. · Jan 1996
Case Reports Comparative Study[The diagnosis and treatment of odontogenic mediastinitis].
A program of early diagnostics of odontogenic mediastinitis was developed on the basis of an analysis of clinico-laboratory manifestations and the evaluation of its clinical efficiency is given. The criteria were established for determining the phases of odontogenic mediastinitis-reactive, toxic and terminal ones. A program of complex treatment was worked out and introduced into practice which included the methods of efferent therapy-hemosorption and perfusion through xenospleen. Substantially decreased lethality (from 39.5% to 15.3%) from odontogenic mediastinitis was obtained.
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Vestn. Khir. Im. I. I. Grek. · Jan 1996
[The possibilities of surgical treatment in injuries to the major blood vessels today].
Under analysis were results of surgical treatment of 47 patients with injuries of the aorta, major arteries and veins. Higher lethality was noted in people with injuries of major veins, especially vena cava. Specific operative methods are described for various kinds of injuries of the vessels of the thoracic and abdominal cavities. Lethality was 25.5%.
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Under analysis is an experience with treatment of 187 patients with injuries to the spleen. Specific features of the clinical course, diagnostics and surgical methods are discussed. ⋯ Organ-saving operations were possible in 13% of the patients. Postoperative lethality was 3.7%.