A combined cuff suture was elaborated in the clinic for the formation of a functioning constrictor and prevention of suture incompetence in various anastomoses. The method of its application is discussed and the results of its testing in gastroduodeno- and gastrojejunostomy in animal experiments are shown. The cuff suture was used in the clinic in 129 patients, in operative management of obstruction of the hepaticocholedochus and biliodigestive anastomoses in 77, in formation of constrictor digestive anastomoses after resection of the stomach and gastrectomy in 42 patients, and in cystogastrostomy in one patient with favorable functional outcomes.
View Article and Find Full Text PDFThe authors provide the long-term results of cholecysto-digestive + anastomoses in 59 patients operated on for nontumorous diseases. The gallbladder anastomosed with the upper parts of the alimentary tract preserved reservoir and concentration functions, ability for visualization during cholecystocholangiography. The discrete pulse mechanism of bile secretion via the bile diverting anastomoses and their antireflux function eliminated the risk of chronic pancreatitis and terminal cholangitis.
View Article and Find Full Text PDFAn examination of 78 patients with complicated and not complicated duodenal ulcers has established suppression of parietal digestion and absorption in the small intestine. The alterations were still greater at early terms after selective proximal vagotomy. At the remote postoperative period the activation of the cavitary and parietal digestion took place as well as enhancement of the absorption processes in the small intestine.
View Article and Find Full Text PDFOn the basis of clinico-laboratory and radioimmunologic investigations in 139 patients with thyrotoxicosis, it is shown that in prescription of lithium carbonate with mercazol, more rapid decrease in the blood level of thyroid hormones, incidence of complications before and after the operation, cost expenditure is noted when compared to the other methods.
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