Vol 67, No 3 (1986)

Cover Page

Full Issue

On early emergency relaparotomy

Salikhov I.A., Popov A.F., Mozhanov V.I., Tikhonova T.P.


We observed 70 patients with various acute abdominal diseases who underwent relaparotomy in the early postoperative period (see Table). There were 43 men and 27 women; the patients' age ranged from 15 to 65 years.

Kazan medical journal. 1986;67(3):161-164
pages 161-164 views

Role of hyperbaric oxygenation in preoperative preparation of patients with pyloroduodenal ulcers

Chernyavsky A.A., Zubeev P.S., Milovidova O.V., Mikhailova N.G.


Although conservative therapy remains the main treatment for duodenal ulcers, however, 20-30% of patients require surgical treatment. In recent years a new operative method - selective proximal vagotomy - has been introduced into the wide surgical practice of pyloroduodenal ulcers treatment. Its performance is connected with the decision on the surgeon's tactics concerning the ulcerous niche: should it be excised or left?

Kazan medical journal. 1986;67(3):164-166
pages 164-166 views

Motor and evacuation function of the stomach in different variants of pylorus-reserving operations

Akberov R.F., Naumov V.F.


We carried out a comparative study of motor-evacuatory function of the stomach and intestines in 211 patients after operations, performed by conventional methods (according to Bilrott I and II) and during pylorus-reserving resections of the stomach. The latter were performed by three different methods: by A.E. Zakharov, by Maki-Shalimov and by V.F. Naumov. Each of the mentioned methods of pylosaving operations has its own peculiarities of pyloric sphincter denervation and is accompanied by characteristic deviations of motor-evacuatory function from the norm.

Kazan medical journal. 1986;67(3):166-170
pages 166-170 views

Clinical and functional substantiation of the choice of acupuncture method in the treatment of patients with duodenal ulcer disease

Zimmerman J.S., Erotskaya L.I.


We studied the influence of a single acupuncture treatment on the main functions of the stomach - motor and secretory - in the acute phase of duodenal ulcer relapse, substantiation of the choice of points having a unidirectional influence on the disturbed functions of the stomach in order to use them for a course of treatment.

Kazan medical journal. 1986;67(3):17-20
pages 17-20 views

Results of surgical treatment of pancreonecrosis

Mavrin M.I., Mavrin V.M.


We analyzed the results of surgical treatment of 128 patients (66 men and 62 women) with various forms of pancreatic necrotic process not associated with biliary tract pathology. There were 76 patients aged from 29 to 60 years old and 52 patients over 60 years old. Past medical history showed that 27 patients had alcoholism, 15 patients - gastric and duodenal ulcer, 16 - heart and vascular diseases; 23 patients had acute or chronic pancreatitis.

Kazan medical journal. 1986;67(3):173-176
pages 173-176 views

Clinical and occupational rehabilitation of patients after removal of foreign bodies from the abdominal cavity

Gataullin N.G., Vlasov A.F.


We studied case histories of 125 patients with various foreign bodies in the abdominal cavity left during surgeries according to materials from the Bashkir ASSR from 1938 to 1981. 88 patients had foreign bodies extracted during repeated surgeries, 11 patients - through a wound or a fistula at bandages, 21 patients - at autopsy. In 5 patients gauze foreign bodies due to bedsores penetrated from the abdominal cavity into the intestinal lumen and came out during defecation.

Kazan medical journal. 1986;67(3):176-178
pages 176-178 views

Fibronectin in wound discharge as a criterion of the wound process

Kochnev O.S., Izmailov S.G., Litvinov R.I., Ermolin G.A., Efremov E.E., Zubairov D.M.


In surgical practice a great number of methods are used to assess the course of the wound process; however, the search for more informative tests to reveal the nature of the wound process and reparative regeneration is still relevant. One of the directions of this search is the quantitative determination of the specific components participating in the reparative tissue regeneration in the wound discharge. Such methods include the detection of protein, collagen and its derivatives, glycosaminoglycans etc. in the wound discharge.

Kazan medical journal. 1986;67(3):178-182
pages 178-182 views

Laser therapy in traumatology and orthopedics

Bogdanovich U.Y.


At our institute, laser therapy of wounds is usually performed in the regenerative stage, after clearing of pus-necrotic masses and granulation, since many years of experience have shown that laser therapy is ineffective in the exudative and destructive phases of the wound process. Before exposure to laser, the skin around the wound must be degreased. The defocused beam of laser light is directed directly to the wound or ulcerous surface and adjacent healthy skin areas. For extensive wounds and ulcers, the laser is irradiated in the margins.

Kazan medical journal. 1986;67(3):182-184
pages 182-184 views

Laser therapy for tubal infertility

Rodkina R.A., Baranov V.N., Shabunina G.I.


In the literature we found reports on anti-inflammatory, analgesic, resolving effect of low-energy laser light in the red part of the spectrum, its irritating effect on receptors of the nervous apparatus, ability to induce ovulation. We have not found any works on laser beams application in treatment of tubal infertility, but taking into account the above mentioned we can assume the possibility of restoration of female reproductive function by laser treatment.

Kazan medical journal. 1986;67(3):184-186
pages 184-186 views

Clinical and anatomical classification of postinjection suppuration of the gluteal area

Ibatullin I.A., Ruppel G.G.


We studied the layer-by-layer anatomy of the gluteal region on 102 preparations (51 corpses) and performed a clinical analysis in 312 patients with postinjection infections of the gluteal regions treated by the traditional method.

Kazan medical journal. 1986;67(3):186-188
pages 186-188 views

Anatomical prerequisites of genital nerve compression in humans

Rizamatova S.R., Grechko O.A.


Topographoanatomical relations of the genital nerve with the mentioned ligaments and the sternum muscle were studied on 12 cadavers no later than 3 hours after death and on 4 cadavers of both sexes died between the ages of 30 and 62 years fixed in formalin (24 specimens in total). Attention was paid to the location of the genital nerve in relation to the pelvic bony formations, sternum muscle, sacrospinous and sacrococcygeal ligaments.

Kazan medical journal. 1986;67(3):188-190
pages 188-190 views

Treatment of deforming osteoarthritis with heparin

Askarov A.F., Samtsov A.V.


In order to clarify the nature of the tissue articular blood flow in deforming osteoarthritis and determine the results of therapeutic action with intraarticular injection of heparin, we studied clinical data in 22 patients with primary diarthritis. The age of the patients ranged from 40 to 76 years. Among the 39 treated joints, stage I of the process was diagnosed in 43.6% of patients, stage II - in 38.5% and stage III - in 17.9% of patients. The diagnosis was made on the basis of the results of the general clinical examination.

Kazan medical journal. 1986;67(3):190-192
pages 190-192 views

Clinical evaluation of perifocal edema in patients with supratentorial brain tumors

Samatov N.K., Ibatullin M.M.


We examined 37 patients (18 men and 19 women) with supratentorial brain tumors. Nineteen patients had intracerebral tumors and 18 patients had extracerebral tumors. The patients were subdivided into different groups depending on the predominant localization of the neoplasm, histostructure and malignancy of the tumors, phases of the clinical course of the disease.

Kazan medical journal. 1986;67(3):192-193
pages 192-193 views

Circulatory disturbances and changes in body temperature during anesthesia in brain surgery

Kazantsev F.N., Kamalov E.K.


To assess the adequacy of anesthetic protection during surgical interventions on the brain and in the postoperative period, it is necessary to monitor the central hemodynamics and body temperature regime. Therefore, we performed such control in 52 patients aged from 17 to 60 years old during the operative interventions on the brain under the conditions of intravenous balanced anesthesia with the use of sodium oxybutyrate or nitrous oxide and during 14-16 days in the postoperative period. All patients underwent bone-plastic craniotomy with opening of the dura mater. In 32 patients a brain tumor was removed, in 20 patients a subdural hematoma and cerebral detritus were removed.

Kazan medical journal. 1986;67(3):194-195
pages 194-195 views

Effect of aminazine and droperidol on hemodynamics during ketamine anesthesia in children

Gorshenin P.V., Zhavoronkov V.F., Krasilnikov V.N.


The aim of our study was to investigate the effect of ketamine on peripheral hemodynamics in children with surgical pathology and to develop a way to reduce the effect of ketamine on peripheral blood flow by including aminazine and droperidol in premedication. We examined 120 children aged 7 to 12 years who were in the clinic for inguinal hernia (54), hydrocele testis (30), scar phimosis (26), and white line abdominal hernia (10).

Kazan medical journal. 1986;67(3):196-198
pages 196-198 views

Ueviridine test in patients with diabetes mellitus and liver disease

Eselev M.M., Scepuro P.G., Sorokina G.N.


The aim of the present work was a comparative study of the absorptive function of the liver by means of the test with uyoviridine in diabetes mellitus and some liver diseases. We examined 47 people (27 men and 20 women) aged from 18 to 64 years. Group 1 included 20 patients with diabetes mellitus with moderate and severe forms of the disease and duration of the disease from 3 to 10 years.

Kazan medical journal. 1986;67(3):198-199
pages 198-199 views

Lipid peroxidation and its significance in the pathology of internal organs

Salikhov I.G., Agisheva K.N.


Lipid peroxidation is a chain free-radical oxidation reaction of lipids by molecular oxygen, the product of which is lipid hydroperoxide. The most important effect of lipid peroxidation products on cell membrane permeability. Peroxidation or a mechanism close to it is involved in the regulation of the transport of substances across membranes in normally metabolizing cells.

Kazan medical journal. 1986;67(3):200-203
pages 200-203 views

A Surgeon's Experience in Ethiopia

Akhmerov A.B.


In this report, we would like to share some impressions from our three-year experience from 1981 to 1984 in Ethiopian hospitals in Nekemte (Wallega province in western Ethiopia) and Asmara (northern Eritrea province).

Kazan medical journal. 1986;67(3):203-205
pages 203-205 views

Complex treatment of facial boils and carbuncles

Khamitov F.S., Mingazov G.G., Kozlov V.N., Epstein Y.Z.


From 1974 to 1984, we followed up 210 patients (118 men and 92 women) with facial boils and carbuncles. The disease predominated in persons 16-25 years old (76%). The process was localized in the suborbital and cheek areas in 75 patients, in 37 - on the upper lip, in 18 - on the lower lip, in 12 - in the frontal area, in 38 - on the chin area, in 30 - on the corner of the mouth.

Kazan medical journal. 1986;67(3):205-206
pages 205-206 views

Rehabilitation of patients who underwent laryngeal resection for cancer

Dykhes N.A.


The basic parameters of respiration and blood circulation in 45 patients (mean age 48+8 years) who underwent laryngeal resection for stage I, II, and III cancer from 6 months to 6 years after surgery were studied using the veloergometer method. Eight patients underwent chordectomy with resection of the scapular cartilage, 28 underwent anterolateral resection of the larynx, 6 underwent hemilaringectomy, and 3 underwent horizontal resection.

Kazan medical journal. 1986;67(3):206-207
pages 206-207 views

Experience in treating patients with multiple and combined injuries

Lushnikov E.V., Rusakov A.N., Khafizov F.F., Aydarov R.B.


In the last 7 years, 627 victims (73% male, 27% female) with multiple and combined injuries were treated at Brezhnev Emergency Hospital. There were 53.3% of those aged 21-40 years and 17.3% of children. Open fractures accounted for 4.9%.

Kazan medical journal. 1986;67(3):207-208
pages 207-208 views

Acute phase proteins in the healing of bone fractures and skin burn wounds

Miroshnikov V.M., Kugler L.V., Doronin E.I., Nyrkin A.A.


We determined the content of C-reactive protein (CRP) and a2-glycoprotein in the serum of patients with bone fractures (78 patients) and skin burns (26 patients). In fractures irrespective of follow-up period and extent of injury, C-RB was detected in 79.5% of patients, in burns - in 92.3%; a2-glycoprotein - respectively, in 51.3% and 50.0% (without taking into account gender of patients). Selective analysis of cases of a2-glycoprotein detection depending on sex showed that it was detected much more frequently in women: in 77.0% of fractures and 60% of burns. A similar gender demorphism in trauma patients was also observed in the frequency of a2-glycolprotein detection.

Kazan medical journal. 1986;67(3):208-209
pages 208-209 views

Short-term memory in patients with the consequences of craniocerebral trauma

Osetrov A.S., Bagautdinova A.Z.


We studied short-term memory in patients who had suffered craniocerebral injuries using a 10-word test. Since mnastic activity depends on attention and motivational-emotional states, we examined patients' attention using the Bourdon correctional test and personality features using a multilateral personality examination.

Kazan medical journal. 1986;67(3):209-209
pages 209-209 views

Application of hyperbaric oxygenation in patients with consequences of poliomyelitis

Krasnov A.F., Davydkin N.F., Chernov A.P., Orlova L.A.


We included hyperbaric oxygenation in the complex treatment of 82 patients with consequences of poliomyelitis. We also studied archival materials on 82 patients with similar manifestations of poliomyelitis and identical treatment, but without the use of hyperbaric oxygenation. They formed a control group.

Kazan medical journal. 1986;67(3):209-210
pages 209-210 views

A case of pathological rearrangement of the bone structure of ribs, simulating their fracture

Andreev V.M., Aliakberova P.N., Belyakov V.A.


T., 39 years old, considers herself ill since the beginning of 1983. She had a severe cough, at first dry, later with mucopurulent sputum. During the year she was treated as an outpatient, taking antibiotics and cough pills. In December 1983, she was admitted to a hospital in Kazan, but her condition did not improve. In spring 1984 her cough sharply intensified again, body temperature increased, amount of sputum increased, shortness of breath, which at times became suffocation, general weakness, sweating, poor appetite and weight loss became disturbing. Past illnesses: measles, scarlet fever.

Kazan medical journal. 1986;67(3):211-212
pages 211-212 views

Delivery for anterior sacral encephalocele hernia

Abramchuk A.S., Chirkova A.V., Soboleva Z.Y.


The formation of an anterior sacral envelope hernia is associated with non-incompaction of the vertebral bodies. The hernia is filled with cerebral fluid and usually protrudes through a ventral defect in the sacrum. The diagnosis of a ventral-sacral hernia is very difficult. It does not cause changes in the neurological status and is more often diagnosed as a presacral dermoid cyst. The only complaint of patients is chronic constipation.

Kazan medical journal. 1986;67(3):212-213
pages 212-213 views

A simple method of removing eyelashes from the anterior chamber of the eye

Dedurenko V.I.


After sustained penetrating wounds of the cornea and corneoscleral region, cilia are sometimes found in the anterior chamber of the eye that were not found and removed during the primary surgical treatment of the wound. They are usually extracted with forceps through a limbal incision with a conjunctival flap. The technique of this operation is complicated, because it is necessary to manipulate under the conditions of the emptied anterior chamber of the eye; in addition, the cilia may be lost in the iris stroma. An operating microscope and micro instrumentation are required for the operation.

Kazan medical journal. 1986;67(3):213-214
pages 213-214 views

Fluoroprophylaxis of dental caries by phonophoresis

Zabolotny A.I.


Our preliminary studies have shown that using ultrasound it is possible to introduce fluoride into the teeth 3 times more than by application, resulting in a significant increase in the acid resistance of enamel. The aim of the present work was to develop a technique and evaluate the anti-cariousness effectiveness of sodium fluoride ultraphonophoresis.

Kazan medical journal. 1986;67(3):214-215
pages 214-215 views

Liver function in patients with respiratory tuberculosis

Vizel A.A., Guryleva M.E., Gurylev E.A.


We examined 42 patients (6 women and 36 men) with tuberculosis. The average age was 43.2+1.8 years; bacilliform patients accounted for 45.2%. Infiltrative tuberculosis was diagnosed in 14 patients, focal in 9, disseminated tuberculosis in 4, tuberculoma in 5, pleurisy in 5, fibrous cavernous tuberculosis in 3, and cirrhotic pulmonary tuberculosis in 2. Tuberculostatic therapy was administered at moderate therapeutic dosages. The duration of continuous chemotherapy in most patients ranged from 2 to 4 months.

Kazan medical journal. 1986;67(3):215-215
pages 215-215 views

Organization of surgical care on ships of the river fleet

Avrov Y.M., Zelentsov G.L., Goryunov Y.A.


Issues of surgical aid rendering and organization on ships of river fleet were seldom covered in periodical press before. That's why we decided to share our experience of work of ship medical stations (SPS) of the Central Basin Hospital of Verkhne-Volzhskiy river basin.

Kazan medical journal. 1986;67(3):216-217
pages 216-217 views

On removal of complex foreign bodies from the esophagus using an esophagoscope

Avdeev A.A.


We observed 4 patients with foreign bodies in the esophagus of complex cruciform configuration. The duration of foreign bodies in the esophagus before esophagoscopy for various reasons was 6, 9, 16, and 23 days. In all cases, the foreign bodies were radiologically located in the frontal plane above the level of the second physiological constriction of the esophagus and their ends protruded beyond the esophageal walls. Concomitant complications and severity of patients' condition were in direct correlation with the duration of foreign bodies' stay in the esophagus. All patients under endotracheal anesthesia underwent esophagoscopy to remove foreign bodies.

Kazan medical journal. 1986;67(3):217-218
pages 217-218 views

Polyethylene cannula for frontal sinus drainage after trepanopuncture

Bobrov V.M.


In the diagnosis and treatment of frontitis, frontal sinus trepanopuncture is widely used, after which the sinus is flushed and medication solutions are injected into it through a drainage cannula. Drainage cannula must be reliably fixed, have a sufficient lumen for the introduction of medications, not cause pain during manipulation, soft tissue bedsores. Existing metal cannulas with a mandrel for the frontal sinus do not meet all these requirements.

Kazan medical journal. 1986;67(3):219-219
pages 219-219 views

Method of tendon suturing

Nettov G.G.


There are more than 100 known ways of connecting tendon ends, but all of them have one significant disadvantage: the suturing causes significant traumatization of the tendon ends, which leads to the formation of rough scar tissue adhesions between the suture and the surrounding tissues. To reduce the traumatic nature of the intervention, the distal end of the injured tendon is retrogradely tightened with a temporary U-shaped suture to the place where the tendon ends are connected, and the latter are fixed with an eight-shaped suture.

Kazan medical journal. 1986;67(3):219-220
pages 219-220 views

Physiotherapy in the complex treatment of patients with meniscus injuries of the knee joint

Bakhtiozan F.S., Valneva E.S.


Clinical observations of 239 patients operated on for meniscus injuries showed the advisability of immobilizing the limb with a plaster splint for 7-10 days after surgery with the application of a compressive cotton gauze "dryer" on the joint in the first 2 days. From day 2 after surgery, all patients were prescribed physical therapy, which was combined with therapeutic exercise.

Kazan medical journal. 1986;67(3):220-221
pages 220-221 views

Healing objects in the mirror of art

Skvortsov V.Y.


The human being is the main object of medicine and art. In the pursuit of a holistic understanding of him, medicine and art cannot do without each other, a fact that is particularly evident in the history of fine art, the evolution of which is inextricably linked to the anatomical and physiological knowledge of artists.

Kazan medical journal. 1986;67(3):221-225
pages 221-225 views

Professor Rebekah Izrailevna Lepskaya

Rakhlin L.M., Shcherbatenko L.A.


Rebekah Izrailevna was a deeply and versatile educated person. She skillfully combined research work with the solution of the problems of Soviet health care and the education of doctors. In the clinic headed by prof. RI Lepskoy, doctors not only got acquainted with new methods of diagnosis and treatment, but also learned genuine humanism, selfless service to people.

Kazan medical journal. 1986;67(3):225-226
pages 225-226 views

Academician Konstantin Mikhailovich Bykov

Khamitov K.S., Khabriev R.U.


January 21, 1986 was the 100th birthday of Konstantin Mikhailovich Bykov, one of the most prominent pioneers of Kazan Medical School. The life and activity of the remarkable scientist is an example of selfless service to the national science.

Kazan medical journal. 1986;67(3):227-228
pages 227-228 views

Emergency breast and abdominal surgery

Atyasov N.I.


The monograph consists of a preface, two large sections with 12 chapters, and a list of references. The first section "Emergency surgery of acute diseases and injuries of the chest" consists of 4 chapters. Chapter I analyzes errors in the diagnosis and treatment of diseases and injuries of the chest and their prevention. Chapter II characterizes acute diseases of the chest, airway obstruction, foreign bodies of the trachea and bronchi. Briefly, but quite fully outlined modern methods of treatment of asphyxia, burns of airways, spontaneous pneumothorax, empyema of pleural cavity, abscesses and gangrene of lung, acute purulent pericarditis, mediastinitis, esophageal injuries, aneurysms of heart and chest aorta, pulmonary embolism and pulmonary bleeding. 

Kazan medical journal. 1986;67(3):228-229
pages 228-229 views

Birth damage to the nervous system

Burtsev E.M.


The book is a generalization of the results of many years of research by Professor A. Ratner, the team of the Department of Pediatric Neuropathology at Kazan Institute for Advanced Training of Physicians, and specialists of various profiles (obstetricians-gynecologists, radiologists, pediatricians, morphologists) working with him on the problem of natally conditioned lesions of the nervous system.

Kazan medical journal. 1986;67(3):229-230
pages 229-230 views

Surgical dental care in the outpatient clinic

Khamitov F.S.


The work under review is devoted to the organization of the dental service, methods of examination, diagnosis, anesthesia and treatment of patients with a variety of pathologies of the maxillofacial region. The book consists of 10 chapters.

Kazan medical journal. 1986;67(3):230-231
pages 230-231 views

IV Congress of Urologists of the Ukrainian Soviet Socialist Republic

Sitdykov E.N., Zubkov A.Y.


L. P. Pavlova, M.D. (Kiev), M.D., delivered a report on clinical examination in urology. She drew attention to the role of clinical examination in the prevention of urological diseases and their transformation into chronic forms, in the timely treatment of patients with urological pathology.

Kazan medical journal. 1986;67(3):231-232
pages 231-232 views

Professor Mukhamed Abdullaevich Erzin


On April 29, 1986, after a serious illness at the age of 78, one of the prominent representatives of the Kazan Medical School, Honored Worker of the TASSR and the RSFSR, Doctor of Medical Sciences, Professor Mukhamed Abdullaevich Erzin, died.

Kazan medical journal. 1986;67(3):232-233
pages 232-233 views


Dmitrienko I.M., Kotov V.A.


The III session of the Coordinating Council of the Volga Region for Postgraduate Training of Physicians was held in Kuibyshev on November 28-29, 1985. The meeting was attended by Deputy Ministers of Health for Personnel of Tatar, Chuvash, Mari and Mordovia ASSR, heads of personnel departments of Kuibyshev, Gorki, Ulyanovsk and Kirov Regional Health Departments, Vice-Rectors for Academic Affairs of medical institutions of the region, deans of Faculties for Advanced Medical Training (FEMT), representatives of the MH RSFSR, heads of health authorities and medical institutions of Kuibyshev region and Kuibyshev city.

Kazan medical journal. 1986;67(3):234-234
pages 234-234 views

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