Publications by authors named "T A KADOSHCHUK"

[A twin drain].

Khirurgiia (Mosk)

January 1993

A design for drainage is suggested consisting of connected tubes with openings. For continuous and long-term drainage the openings are made one opposite to the other on the contiguous sides of the tubes.

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The authors developed a method for drainage of the retroperitoneal space in acute destructive pancreatitis, which includes retroperitoneal advancement of tubes to the pancreatic bed. To limit the spreading of the pyonecrotic process by creating an effective withdrawal of the exudate, the drains are introduced on both sides through the space between Toldt's fascia and the colon, and additional drains are also introduced into the paracolonic space limited by Toldt's and prerenal fascias.

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While analyzing the results of 594 direct operative interventions for various forms of complicated chronic pancreatitis, which were conducted in a specialized department, the author specifies the indications for various types of operations on the pancreas and adjoining organs. The elaboration of new and improvement of existing methods of operative interventions, their individualization, adherence to the organ-preserving principle in surgical pancreatology, purposeful prevention of postoperative complications, and persistent application of medical rehabilitation measures in the postoperative period made it possible to improve significantly the immediate and late-term results of surgical management of the complicated category of patients, to reduce the postoperative mortality from 4.6 to 1.

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