RESUMEN
Methods and results of treatment of 119 patients, suffering postoperative abdominal hernia, were analyzed. There was established, that application of laparoscopic miniinvasive technologies permits to improve the results of treatment in patients in comparison with those after open operative interventions, due to shortening of the operation duration, better visualization during viscerolysis conduction, shortening of rehabilitation period, the patients postoperative quality of life improvement.
Asunto(s)
Cavidad Abdominal/cirugía , Hernia Abdominal/cirugía , Herniorrafia/métodos , Complicaciones Posoperatorias , Cavidad Abdominal/patología , Adulto , Anciano , Femenino , Hernia Abdominal/etiología , Hernia Abdominal/rehabilitación , Humanos , Laparoscopía , Masculino , Persona de Mediana Edad , Calidad de VidaRESUMEN
The impact of various methods of plasty, using net implants, on results of umbilical hernias treatment was studied in experimental and clinical investigation. The umbilical hernias plasty was performed in accordance to the IPOM (intraperitoneal on lay mesh) method, application of which have permitted to reduce a hospital stay of the patients as well as their period of social rehabilitation, and to guarantee the best cosmetic effect in comparison with such while making umbilical hernias plasty in accordance to a sub lay method.
Asunto(s)
Cavidad Abdominal/cirugía , Hernia Umbilical/cirugía , Herniorrafia/métodos , Mallas Quirúrgicas , Cavidad Abdominal/patología , Adulto , Animales , Femenino , Hernia Umbilical/patología , Hernia Umbilical/rehabilitación , Herniorrafia/instrumentación , Humanos , Interleucina-1/sangre , Interleucina-10/sangre , Interleucina-6/sangre , Tiempo de Internación/estadística & datos numéricos , Masculino , Ensayo de Materiales , Dimensión del Dolor , Dolor Postoperatorio/sangre , Dolor Postoperatorio/fisiopatología , Conejos , Resistencia al Corte , Resistencia a la Tracción , Factor de Necrosis Tumoral alfa/sangreRESUMEN
Morphological changes in gastric mucosa were studied, optimal terms of bariatric operations performance after intragastric balloon (IGB) insertion were determined. Before the IGB insertion in 10 (35.7%) patients, in accordance to histological investigations, the changes in gastric mucosa were not revealed, and in 18 (64.3%) - chronic gastritis was established. In accordance to endoscopic investigation results, immediately after the IGB removal in 23 (82.1%) patients a pronounced erythematous gastropathy was noted, and in 5 (17.9%) - erosive gastropathy. While investigating the gastric mucosa biopsies in all the patients a prominent inflammatory changes were revealed, including significant edema, pronounced lymphocytic infiltration. In accordance to esophagogastroduodenoscopy data on the 14-th day of endoscopic monitoring in 6 (21.4%) patients pathological changes of gastric mucosa were not revealed, in 22 (78.6 %) - erythematous gastropathy was noted, and in accordance to histological investigation - chronic gastritis. Persistence of IGB in gastric cavity during 6 mo caused a morphological changes in gastric mucosa - a significant inflammation, what was confirmed by endoscopic and histological investigations data. The gastric mucosa structure normalization was observed in 14 days after the IGB removal, that's why a radical bariatric intervention is recommended to perform not earlier the term established.
Asunto(s)
Cirugía Bariátrica , Balón Gástrico , Mucosa Gástrica/cirugía , Gastritis/cirugía , Obesidad Mórbida/cirugía , Biopsia , Femenino , Mucosa Gástrica/patología , Gastritis/patología , Gastroscopía , Histocitoquímica , Humanos , Masculino , Obesidad Mórbida/patologíaRESUMEN
The article analyzes the dynamics of postoperative pain at single-port transumbilical laparoscopic cholecystectomy compared to traditional laparoscopic cholecystectomy. It is shown that the intensity of pain in patients who have undergone laparoscopic procedures through a single transumbilical access was significantly less than in patients with traditional laparoscopic intervention. Furthermore, the use of a single-port transumbilical laparoscopic cholecystectomy accompanied by a smaller increase in the concentration of proinflammatory cytokines compared with patients who had laparoscopic procedures through four trocar accesses.
