RESUMO
The study was devoted to the problem of postoperative eventrations in gynaecological practice. Coaptation removable sutures were applied in order to prevent similar complications. Operations were performed in the cases of desolate condition of purulent disease of the uterus and uterine appendages with diffuse suppurative peritonitis. An advanced operative technique of suturing through all layers of abdominal wall demonstrated its high efficacy. No one patient (from 39) had the eventration or wound abscess.
Assuntos
Abscesso Abdominal/cirurgia , Técnicas de Fechamento de Ferimentos Abdominais , Laparotomia/efeitos adversos , Doença Inflamatória Pélvica/cirurgia , Deiscência da Ferida Operatória/prevenção & controle , Técnicas de Sutura , Abscesso Abdominal/etiologia , Adulto , Feminino , Humanos , Cuidados Intraoperatórios/métodos , Laparotomia/métodos , Pelve Menor/cirurgia , Avaliação de Resultados em Cuidados de Saúde , Doença Inflamatória Pélvica/complicações , Reoperação/efeitos adversosRESUMO
In a patient, a woman of 62 years, one surgical team has performed consecutively over 3 h 45 min 10 operations for different diseases: extirpation of the uterus with appendages, removal of retroperitoneal fibrosarcoma, appendectomy, 30 cm-resection of the small intestine, polypectomy from the rectum, creation of sygmorectoanastomosis, plastic reconstruction of postoperative ventral hernia with duplication, sectoral resection of mammary gland, removal of papilloma and lipoma of abdominal wall. The outcome is favorable.
Assuntos
Procedimentos Cirúrgicos Operatórios , Músculos Abdominais/cirurgia , Anastomose Cirúrgica , Apendicectomia , Colo Sigmoide/cirurgia , Pólipos do Colo/cirurgia , Feminino , Fibrossarcoma/cirurgia , Hérnia Ventral/etiologia , Hérnia Ventral/cirurgia , Humanos , Histerectomia , Intestino Delgado/cirurgia , Lipoma/cirurgia , Mastectomia Segmentar , Pessoa de Meia-Idade , Papiloma/cirurgia , Reto/cirurgia , Neoplasias Retroperitoneais/cirurgia , Resultado do TratamentoRESUMO
The necessity, possibility and safety of performing planned simultaneous operations on 122 women aged 39-78 were analyzed. Operations for different diseases were fulfilled on 264 patients (from 2 to 10 on one patient) were made mainly by two teams. Complications were noted in 11.2% of the patients, lethality was 0.9%. The duration of staying at the hospital was equal to that for the main disease. The authors consider that the presence of well trained operators and sufficient anesthesiology and resuscitation allow the gynecologists to detect the coexistent pathology and to fulfill associated operations together with other specialists.