Vestnik khirurgii imeni I. I. Grekova
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Vestn. Khir. Im. I. I. Grek. · Jan 2010
Biography Historical Article[Affinity of great destinies: Nikolaĭ Ivanovich Pirogov and German surgeon Bernhard Langenbeck].
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Vestn. Khir. Im. I. I. Grek. · Jan 2010
Comparative Study[Evolution of diagnostics and treatment methods of closed isolated spleen injuries in children].
An analysis of treatment of 75 children of the age from 3 years to 17 admitted to the St. Petersburg Pediatric Medical Academy was made. ⋯ In each group the patients were examined and treated which corresponded to the surgical strategy for rupture of the spleen at that period. Different methods of examinations and therapy were determined in the three groups of patients with similar pathology.
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Vestn. Khir. Im. I. I. Grek. · Jan 2010
Comparative Study[Using laparoscopic cholecystectomy in treatment of destructive forms of acute cholecystitis].
Videolaparoscopic cholecystectomy was performed in 352 patients with acute destructive cholecystitis, 236 (67%) of patients having phlegmonous cholecystitis or empyema of the gallbladder, 116 patients (33%) gangrenous cholecystitis. In 74 patients (21%) the course of acute cholecystitis was complicated by the formation of paravesical infiltration or abscess. Standard laparoscopic cholecystectomy was fulfilled in 250 patients (71%), in 102 patients not traditional methods of endovideosurgical dissection of the gallbladder were used, in particular laparoscopic cholecystectomy from the bottom in 18 patients (5.1%) and laparoscopic subtotal cholecystectomy in 84 (23.9) patients. The use of endovideosurgical method of treatment of acute destructive cholecystitis gives statistically reliably shorter time of operative intervention, less number of postoperative complications and lower index of postoperative lethality as compared with traditional cholecystectomy.
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Vestn. Khir. Im. I. I. Grek. · Jan 2010
Comparative Study[Technique of endarterectomy from pulmonary artery in chronic thromboembolic pulmonary hypertension].
The article gives detailed description of a technique of pulmonary endarterectomy in chronic thromboembolic pulmonary hypertension. The method is based on the experience of the world leader in surgical treatment of this disease--the clinic of California, San Diego headed by Stuart Jamieson, cardiothoracal clinic Papworth Hospital in the only center in Great Britain, where PE is performed and on the experience obtained by the collective of the Department of hospital surgery of the medical department of the St. Petersburg state University and the City multi-field hospital.