RESUMEN
18 patients with complicated forms of intestinal amebiasis were operated on acute appendicitis, liver abscess or total necrotic colitis. Appendectomy, abscess drainage and colon resection were performed respectively. There were no postoperative deaths. Features of amebic appendicitis and total necrotic amebic colitis are described using clinical cases demonstrations. Recommendations for the treatment of these forms of amebiasis are given.
Asunto(s)
Colectomía/métodos , Colitis/cirugía , Colon/patología , Disentería Amebiana/complicaciones , Adulto , Animales , Colitis/diagnóstico , Colitis/etiología , Colon/parasitología , Colon/cirugía , Diagnóstico Diferencial , Disentería Amebiana/diagnóstico , Disentería Amebiana/cirugía , Urgencias Médicas , Entamoeba histolytica/aislamiento & purificación , Humanos , Mucosa Intestinal/parasitología , Mucosa Intestinal/patología , Masculino , Persona de Mediana Edad , Necrosis/diagnóstico , Necrosis/etiología , Necrosis/cirugía , Rotura EspontáneaAsunto(s)
Cavidad Abdominal/cirugía , Técnicas de Cierre de Herida Abdominal/instrumentación , Infecciones Estafilocócicas/prevención & control , Infección de la Herida Quirúrgica , Suturas , Triclosán/farmacología , Cavidad Abdominal/microbiología , Cavidad Abdominal/fisiopatología , Técnicas de Cierre de Herida Abdominal/efectos adversos , Técnicas de Cierre de Herida Abdominal/normas , Adulto , Anciano , Anciano de 80 o más Años , Fuga Anastomótica/etiología , Fuga Anastomótica/fisiopatología , Fuga Anastomótica/prevención & control , Antiinfecciosos Locales/farmacología , Materiales Biocompatibles Revestidos/farmacología , Procedimientos Quirúrgicos del Sistema Digestivo/normas , Femenino , Humanos , Tiempo de Internación , Masculino , Persona de Mediana Edad , Infecciones Estafilocócicas/microbiología , Infecciones Estafilocócicas/fisiopatología , Staphylococcus aureus/efectos de los fármacos , Staphylococcus aureus/aislamiento & purificación , Staphylococcus aureus/patogenicidad , Mallas Quirúrgicas/efectos adversos , Mallas Quirúrgicas/microbiología , Mallas Quirúrgicas/normas , Infección de la Herida Quirúrgica/complicaciones , Infección de la Herida Quirúrgica/microbiología , Infección de la Herida Quirúrgica/fisiopatología , Infección de la Herida Quirúrgica/prevención & control , Suturas/efectos adversos , Suturas/microbiología , Suturas/normas , Resultado del TratamientoRESUMEN
Immobilization of cellulose and polyacrylic acid on a grafted copolymer increased significantly the stability of proteolytic enzymes to inactivation by urea. Materials containing immobilized proteolytic enzymes and urea and displaying a combined biological activity were obtained.
Asunto(s)
Enzimas Inmovilizadas/química , Urea/química , Resinas Acrílicas/química , Celulosa/química , Enzimas Inmovilizadas/metabolismo , HidrólisisRESUMEN
Results of treatment of 4970 patients with acute pancreatitis are presented. Acute destructive pancreatitis was seen in 572 (11.5%) cases. The disease severity was the basis of differential approach to treatment. Necessity of differential approach to choice of treatment policy is demonstrated. Mild and moderate acute destructive pancreatitis in the period of arising early postnecrotic aseptic complications requires combined conservative treatment, laparoscopic sanation and drainage of abdominal cavity and omental sac are indicated when peritoneal symptoms increase. Surgical treatment in patients hospitalized with mild and moderate acute destructive pancreatitis is indicated in early (on day 5-7 after the disease onset) and late (at least 2 weeks) postnecrotic septic complications requiring delayed and late miniinvasive and extended surgeries. Severe acute destructive pancreatitis in the period of developing early postnecrotic aseptic complications associated with severe endogenous intoxication, immunosuppression, polyorganic insufficiency is indication to early (the disease day 1-3) and delayed (day 5-7) surgeries, which are regarded as one of methods of surgical detoxication.