RESUMEN
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.
Asunto(s)
Procedimientos Quirúrgicos del Sistema Digestivo/métodos , Ileus/cirugía , Laparoscopía/métodos , Adherencias Tisulares/cirugía , Enfermedad Aguda , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Femenino , Humanos , Ileus/diagnóstico por imagen , Ileus/tratamiento farmacológico , Ileus/etiología , Masculino , Persona de Mediana Edad , Índice de Severidad de la Enfermedad , Adherencias Tisulares/complicaciones , Adherencias Tisulares/diagnóstico por imagen , Adherencias Tisulares/tratamiento farmacológico , Resultado del Tratamiento , Ultrasonografía , Adulto JovenRESUMEN
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%.
Asunto(s)
Úlcera Duodenal/cirugía , Úlcera Péptica Perforada/cirugía , Antro Pilórico/cirugía , Terapia Recuperativa , Femenino , Estudios de Seguimiento , Humanos , Masculino , Vagotomía/métodosAsunto(s)
Fagocitosis/inmunología , Cloruro de Potasio/uso terapéutico , Regeneración/fisiología , Infecciones de los Tejidos Blandos/tratamiento farmacológico , Infecciones de los Tejidos Blandos/inmunología , Infección de la Herida Quirúrgica/tratamiento farmacológico , Infección de la Herida Quirúrgica/inmunología , Tampones (Química) , Electroquímica/instrumentación , Humanos , Soluciones/administración & dosificaciónRESUMEN
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.
Asunto(s)
Adenoma/cirugía , Coledocostomía/métodos , Neoplasias del Conducto Colédoco/cirugía , Endoscopía/métodos , Cálculos Biliares/cirugía , Adulto , Anciano , Anciano de 80 o más Años , Femenino , Humanos , Masculino , Persona de Mediana EdadRESUMEN
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.