Vestnik khirurgii imeni I. I. Grekova
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Vestn. Khir. Im. I. I. Grek. · Apr 1990
[Evaluation of the effectiveness of spinal anesthesia using lidocaine combined with morphine].
Spinal anesthesia with 2% solution of lidocaine++ in combination with 1-1.5 mg of morphine is more effective as compared with an analogous method of anesthesia without a narcotic analgetic: it considerably increased the quality of the above mentioned analgesia at the expense of an increased blockade of nociceptive reactions and longer duration of the surgical stage of anesthesia and also results in continuous postoperative analgesia.
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Vestn. Khir. Im. I. I. Grek. · Mar 1990
[Organization of medical services for the victims of the earthquake in the city of Spitak, Armenian S.S.R].
Sanitary losses in the city of Spitak were about 47.8%, injures of the middle and critical degree being diagnosed in 9.5%. During the first period (from December 9 to 14, 1988) patients admitted to the hospitals predominantly had traumas of the head, chest, extremities, vertebral column (86.3%). ⋯ Success of treatment of the patients with this pathology was promoted by their having obtained qualified surgical and anesthesiological aid before evacuation to medical institutions of the Center in full value in combination with temporary admittance to the hospital at an average for 12-18 hours up to complete arrest of shock. During the first steps of evacuation the amputation of extremities was fulfilled in 3 cases.
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Vestn. Khir. Im. I. I. Grek. · Mar 1990
[Surgical treatment of postoperative and recurrent ventral hernia].
One of the causes of the appearance of ventral hernias, postoperative and recurrent ones included, is noncomplete fixation of internal organs to the posterior abdominal wall in the prenatal period. For the radical treatment of hernias as a disease operative procedures must include in addition to strengthening of the hernia hilus, removal of the pathologically altered organs, correction of fixation of organs to the posterior lateral surface of the abdominal wall.
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Vestn. Khir. Im. I. I. Grek. · Mar 1990
[Principles of the treatment of patients with combined injuries and multiple fractures].
Based on an experience with 597 patients the authors have formulated main principles of treatment of poly-traumas. Nine groups of patients were established depending on the severity of polytrauma. ⋯ It should be performed rapidly, atraumatically and without blood loss. The application of apparatuses of external fixation on the basis of wires is thought to be expedient at this period.