RESUMEN
The results of treatment of 150 patients, suffering gastroduodenal perforative ulcer, using laparoscopic method, were studied. Depending on the operations volume, they must be divided on palliative, conditionally radical and radical. The operation volume choice has depended on the patient age, the ulcer disease duration and the course character, as well as the conservative therapy efficacy. Laparoscopic interventions were performed in 138 (92%) patients and laparoscopically-associated--in 12 (8%). Complications in the early postoperative period have had occurred in 4 (2.7%) patients. Postoperative recurrence of ulcer was revealed during three years in 14 (9.3%) patients.
Asunto(s)
Úlcera Duodenal/cirugía , Duodenoscopía/métodos , Laparoscopía/métodos , Úlcera Péptica Perforada/cirugía , Adolescente , Adulto , Anciano , Úlcera Duodenal/complicaciones , Úlcera Duodenal/epidemiología , Duodenoscopía/estadística & datos numéricos , Humanos , Laparoscopía/estadística & datos numéricos , Masculino , Persona de Mediana Edad , Úlcera Péptica Perforada/complicaciones , Úlcera Péptica Perforada/epidemiología , Resultado del Tratamiento , Adulto JovenRESUMEN
The results of surgical treatment of 687 patients, ageing 22-78 yrs old and suffering inguinal hernia recurrence, are analyzed. The operative intervention choice was established in accordance with presence of the certain hernia type as well as inguinal dehiscence height and degree of atrophic changes in musculo-aponeurotic structures of inguinal channel. After the operation inflammatory complications were observed in 50 (7.3%) patients and they were eliminated, using adequate conservative measures. In 2 (0.3%) patients the operative wound suppuration have occurred. In 2 (0.36%) patients the hernia recurrence have occurred in far remote period as a consequence of the operative wound suppuration.
Asunto(s)
Hernia Inguinal/cirugía , Herniorrafia/métodos , Adulto , Anciano , Femenino , Hernia Inguinal/epidemiología , Herniorrafia/efectos adversos , Herniorrafia/estadística & datos numéricos , Humanos , Masculino , Persona de Mediana Edad , Prevención Secundaria , Mallas Quirúrgicas , Técnicas de Sutura , Resultado del Tratamiento , Adulto JovenRESUMEN
Immediate and late results of surgical treatment were analyzed in 365 patients aged from 30 to 80 years with inguinal hernia using net of polypropylene and the PHS system in comparison with results of autoplastic operations, performed in 326 patients. Application of net of polypropylene and the PHS system allows to improve in patients the surgical treatment result significantly because of reliable strengthening of inguinal canal fundus without tension of tissues. Early postoperative rehabilitation and the lowering of recurrences occurrence justify significant advantages of such hernioplasty over autoplastic methods and its wide application in surgical treatment of primary inguinal hernia.
Asunto(s)
Procedimientos Quirúrgicos del Sistema Digestivo/instrumentación , Hernia Inguinal/cirugía , Polipropilenos/uso terapéutico , Adulto , Anciano , Anciano de 80 o más Años , Femenino , Humanos , Masculino , Persona de Mediana Edad , Estudios RetrospectivosRESUMEN
The hernioplasty method was elaborated by the authors. The method stipulates the prosthesis of polyurethane placement in the duplicature from the hernial sac and parietal peritoneum and is sewn under the hernial defect edge, which are then sewn contactly. With the application of method elaborated 36 patients were operated on, suffering from large abdominal hernia. In 2 patients the lymphorhagia was observed in postoperative period during 9 days, in 1 the wound have suppurated and the prosthesis was removed. The late follow-up results were observed from 3 months till 3 years, the hernia recurrence was not revealed.