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Форум лікарів - Пошук
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Рибоксін
05 березня 2015, 23:15
Форум: Онкологія
Тема: Це був рак шлунка ?
Відповіді: 5
Перегляди: 490

Це був рак шлунка ?

Близько року тому у нас оперували хвору В., 58 л., з приводу стенозуючого вихідного раку вихідного відділу шлунка з метастазами в регіональні лимф. вузли і печінку (за словами лікарів !!!). Біопсія: низькодиференційований рак. Була проведена гастроентеростомія попередуободова передня на довгій петлі...
Рибоксін
06 березня 2015, 21:58
Форум: Травматологія і ортопедія
Тема: Нолтрекс і остеніл
Відповіді: 3
Перегляди: 747

Нолтрекс і остеніл

Хтось що-небудь може сказати з приводу внутрішньосуглобових ін'єкцій препаратів "Нолтрекс" і "Остеніл" ? Чи вони реально допомагають хворим з деформуючим остеоартрозом?
Рибоксін
07 березня 2015, 11:31
Форум: Травматологія і ортопедія
Тема: Нолтрекс і остеніл
Відповіді: 3
Перегляди: 747

Re: Нолтрекс і остеніл

А немає посилання, обговорення щодо застосування всяких кеналогів, дипроспанів? Чи можна, потрібно їх вводити всередину суглобів? Коли, скільки і як?
Рибоксін
11 березня 2015, 19:45
Форум: Хірургія
Тема: Сухожильні гігроми
Відповіді: 8
Перегляди: 895

Re: Сухожильні гігроми

Кетгут має таке ж "право на життя" як будь шовний матеріал: кому що подобається!
Рибоксін
16 березня 2015, 15:39
Форум: Загальні медичні питання
Тема: Дисертація - варто чи ні ?
Відповіді: 7
Перегляди: 615

Re: Дисертація - варто чи ні ?

Знаю з досвіду: дисертація не додає ні розуму, ні знань професіоналу. Нема чого витрачати час і сили тому, хто не прагне йти в науку. Лікарі з вченим ступенем нерідко амбітніші за інших, але часто і менш грамотні. Перефразовуючи приказку скажу так: наші пацієнти вибирають по рекламі, а лікуються у т...
Рибоксін
20 березня 2015, 13:07
Форум: Акушерство і гінекологія
Тема: Випадіння піхви
Відповіді: 14
Перегляди: 1659

Re: Випадіння піхви

Хочете провести функціональне дослідження рентгенологічно - виконайте дефекограмму.

При ректороманоскопії можна побачити тільки внутрішнє випадіння, інвагінацію.
Рибоксін
20 березня 2015, 13:04
Форум: Хірургія
Тема: Перитоніт після сігмо-сігмоанастомозу
Відповіді: 26
Перегляди: 2282

Re: Перитоніт після сігмо-сігмоанастомозу

Не розумію я операцію - виведення ділянки перфорації у вигляді двоствольної сігмостоми.  Зараз необхідно робити хорошу двоствольну трансверзостому. Операцію можна робити без лапаротомії - маленьким розрізом десь у лівому підребер'ї.
Рибоксін
20 березня 2015, 21:48
Форум: Хірургія
Тема: Перитоніт після сігмо-сігмоанастомозу
Відповіді: 26
Перегляди: 2282

Re: Перитоніт після сігмо-сігмоанастомозу

Якщо неспроможність виявлена рано і джерело саме неспроможність, то це обходиться меншою летальністю, ніж широка релапаротомія, операції типу ререзекції, Гартмана, та інші.
Рибоксін
22 березня 2015, 10:59
Форум: Хірургія
Тема: Перитоніт після сігмо-сігмоанастомозу
Відповіді: 26
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Re: Перитоніт після сігмо-сігмоанастомозу

Даремно дистальний кінець сховали під очеревину. При неспроможності його швів виникне хороший додатковий дренаж. Пошуки його ускладняться і можливе пошкодження сечоводу, який цю культю дуже любить. Краще було б, вже якщо не виводити обидва кінці у вигляді стом (це не завжди виходить), то хоча б розт...

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