Publications by authors named "G E Samoĭlenko"

Objective: The aim: Is to determine the main causes of adverse outcomes of the patients' treatment with acute ulcerative gastroduodenal bleeding and to develop preventive measures to improve the quality of the patients' treatment with this pathology.

Patients And Methods: Materials and methods: A retrospective analysis of the treatment results of 1323 patients with bleeding of ulcerative etiology has been carried out. There are 375 patients with gastric ulcer (28.

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Basing on the clinical material analysis, on bacteriological investigation data, smear-"prints", the authors recommend application of 10% solution of Betadine for sanatation of the electric wounds with subfascial structures affection, what have permitted to accelerate the wound surface clearance, to reduce exudation, to activate the primary granulation tissue development to prepare the wound for its plastic closure. Application of Betadine in conditions of aseptic inflammation had promoted the secondary necrosis occurrence in the tissue ischemia after deep burn occurrence.

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Results of treatment of 252 patients with burns, to 138 of whom an early necrectomy in terms from several hours to 7 days was conducted, are adduced. Surgical concept of discrimination of the excised deep burn wounds of III and IV degrees according to the depth of affection, using the organ-preserving tactics in dependence of functional state and the cutaneous and fascial wound coverage safety, was proposed. The operative treatment tactics choice depending on indications and contraindications for securing of successful treatment of deep burns was discussed.

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The experience of treatment of patients with deep burns measuring 20% and more of the body surface was summarized. In the principal group 29 injured persons were operated on the 5-7th days after trauma, in the control one in 28 burned persons the skin transplantation was accomplished on granulating wounds. In the principal group lethality was 24.

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