ABSTRACT
Surgical tactics in Crohn's disease (CD) was elaborated by the authors, basing, on analysis of modern views on pathogenesis, peculiarities of clinical course, possibility of diagnosis and experience of treatment of the disease. It envisages a modern diagnosis of the disease, prognostication of the recurrence and postoperative complications occurrence, the indications optimization, the choice of surgical treatment method Application of the surgical tactics elaborated for CD in 121 patients have permitted to improve objective estimation of the disease severity, to prognosticate the complications occurrence, to optimize indications for surgical treatment and the choice for method o conditionally radical, restorational, reconstructive--restoration stages of operative intervention, to reduce the disease recurrence rate, postoperative complications and postoperative lethality.
Subject(s)
Anastomosis, Surgical/methods , Colectomy/methods , Crohn Disease/surgery , Ileostomy/methods , Intestine, Large/surgery , Intestine, Small/surgery , Acute Disease , Adolescent , Adult , Chronic Disease , Crohn Disease/pathology , Cystitis/etiology , Cystitis/pathology , Female , Humans , Intestine, Large/pathology , Intestine, Small/pathology , Male , Middle Aged , Peritonitis/etiology , Peritonitis/pathology , Postoperative Complications , Recurrence , UkraineABSTRACT
Surgical tactics of Crohn's disease (CD) treatment was elaborated on base of modern information analysis, concerning pathogenesis, peculiarities of clinical course, possibilities of diagnosis, experience in the disease treatment. The tactics provides a timely diagnosis of the disease, prognostication for the recurrence occurrence and postoperative complications, the indications and the method of surgery optimization. Application of the elaborated surgical tactics in CD in 121 patients have permitted to improve the objective estimation of the disease severity, to prognosticate complications, to optimize surgical indications, as well as a choice of the method of a conditionally-radical, restorational, reconstructive-restorational stages of operative intervention, to reduce the disease recurrences rate, postoperative complications, postoperative lethality.
Subject(s)
Anastomosis, Surgical/methods , Crohn Disease/surgery , Postoperative Complications/prevention & control , Proctocolectomy, Restorative/methods , Crohn Disease/pathology , Female , Humans , Ileostomy/methods , Male , Recurrence , Severity of Illness IndexABSTRACT
The results of studying of antiseptic preparation Decasan for the treatment of patients, suffering purulent infections of pararectal region, are adduced. Efficacy of Decasan was analyzed in 102 patients. The results of investigation obtained are trusting hig antiseptic efficacy of preparation, witnessing possibility of its application as a preparation of choice for the treatment of patients, suffering purulent infections of pararectal region.