RESUMO
The results of treatment of 157 patients, suffering an acute adhesive ileus (AAI), were analyzed. Indications for laparoscopic and open adhesiolysis were substantiated. There was established, that laparoscopic adhesiolysis is effective in patients in adhesions process (AP) of I - II stages on the height of a seizure. Conduction of laparoscopic adhesiolysis after AAI elimination, using conservative methods in patients with AP I - III stages is effective and constitutes one of prophylactic methods for the adhesions disease recurrence and AAI.
Assuntos
Procedimentos Cirúrgicos do Sistema Digestório/métodos , Íleus/cirurgia , Laparoscopia/métodos , Aderências Teciduais/cirurgia , Doença Aguda , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Íleus/diagnóstico por imagem , Íleus/tratamento farmacológico , Íleus/etiologia , Masculino , Pessoa de Meia-Idade , Índice de Gravidade de Doença , Aderências Teciduais/complicações , Aderências Teciduais/diagnóstico por imagem , Aderências Teciduais/tratamento farmacológico , Resultado do Tratamento , Ultrassonografia , Adulto JovemRESUMO
The results of surgical treatment of 224 patients with perforated pyloroduodenal ulcers were analyzed. 110 patients were operated using pyloruspreserving and pylorusreducing methods. The new method of pyloroduodenoplasty is suggested. Duodenogastral reflux after pyloruspreserving operations is arised in 4.5% of observations, after pylorusdestructive--in 46.7%.
Assuntos
Úlcera Duodenal/cirurgia , Úlcera Péptica Perfurada/cirurgia , Antro Pilórico/cirurgia , Terapia de Salvação , Feminino , Seguimentos , Humanos , Masculino , Vagotomia/métodosAssuntos
Fagocitose/imunologia , Cloreto de Potássio/uso terapêutico , Regeneração/fisiologia , Infecções dos Tecidos Moles/tratamento farmacológico , Infecções dos Tecidos Moles/imunologia , Infecção da Ferida Cirúrgica/tratamento farmacológico , Infecção da Ferida Cirúrgica/imunologia , Soluções Tampão , Eletroquímica/instrumentação , Humanos , Soluções/administração & dosagemRESUMO
Method of endoscopic choledochoduodenostomy was elaborated and introduced in clinical practice. Results of formation of endoscopic biliodigestive anastomosis in 12 patients for 1990-2000 yrs period were analyzed. In 7 (5.8%) patients complications occurred, 1 (0.8%) patient died.
Assuntos
Adenoma/cirurgia , Coledocostomia/métodos , Neoplasias do Ducto Colédoco/cirurgia , Endoscopia/métodos , Cálculos Biliares/cirurgia , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
Comparative results of treatment of 103 patients with purulent-inflammatory diseases of soft tissues are presented. In patients of a main group iodine-dicerin was applied locally and in control group generally accepted treatment was conducted. Using iodine-dicerin the results of treatment were significantly better, the stationary treatment course was two times shorter than in a control group of patients.