Khirurgiia
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Biography Historical Article
[Role of scientific school of the academician B.V.Petrovskiĭ in development of esophagus surgery in Russia].
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Critical analysis of modern overview devoted to general infectious-inflammatory process and materials of original research (690 patients) provides a basis for discussion of diagnostic criteria of and new terminology. Wide introduction of researches on classification, criteria of diagnosis and terminology offered by North American conference (R. Bone et al., 1992) into practice is recommended. The given definitions better reflect the essence of homeostatic disorders in septic patients, allow to carry out early change of the program of treatment, to standardize approaches to diagnosis, monitoring and therapy and enable search in epidemiology of sepsis, choice of the best ways of scientific investigation.
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Case Reports Comparative Study
[Treatment of patients with foreign bodies in rectum].
The analysis of treatment results in 112 patients with foreign bodies in the rectum, aged from 16 to 80 years, was carried out. 99.1% of the patients were men. All the patients were examined and treated in proctology department of the Moscow municipal clinical hospital N 67 from 1969 to 1998. The examination was made by standard scheme, including rectal touch, rectoromanoscopy, X-ray and ultrasonic examinations. ⋯ When small foreign bodies could not be reached by finger, they were removed through rectoscope. Foreign bodies of big sizes, proximal end of which was in the sigmoid colon, were removed under anasthesia with the help of the assistant who fixed the foreign body through the abdominal wall in the left ileac region. In impossibility of the subject removal by these methods and presence of complications (perforation, peritonitis), laparotomy with subsequent transanal subject removal without colon section was performed, in case of perforation--with wound suturing or colostomy.