Subject(s)
Diverticulum, Esophageal/pathology , Esophagus/pathology , Heart Failure/pathology , Myocardial Ischemia/pathology , Atherosclerosis/complications , Atherosclerosis/diagnostic imaging , Atherosclerosis/pathology , Diabetes Mellitus, Type 2/complications , Diabetes Mellitus, Type 2/diagnostic imaging , Diabetes Mellitus, Type 2/pathology , Diverticulum, Esophageal/complications , Diverticulum, Esophageal/diagnostic imaging , Diverticulum, Esophageal/surgery , Duodenoscopy , Esophagus/diagnostic imaging , Esophagus/surgery , Fatal Outcome , Female , Gastroscopy , Heart Failure/complications , Heart Failure/diagnostic imaging , Humans , Lung Abscess/complications , Lung Abscess/diagnostic imaging , Lung Abscess/pathology , Middle Aged , Myocardial Ischemia/complications , Myocardial Ischemia/diagnostic imaging , Pulmonary Embolism/complications , Pulmonary Embolism/diagnostic imaging , Pulmonary Embolism/pathology , Tomography, X-Ray Computed , UltrasonographyABSTRACT
In the pleural empyema (PE) treatment, not depending on introduction of multiple operative procedures and the medicinal preparations application, some issues remain unsolved, including the infection agents verification, the most rapid bronchial fistula elimination and the lung volume restoration. The EP infection agents spectrum, their sensitivity to preparations were revealed, as well as the enhanced rate of the methicillin-resistant stamms (MRSA) and the microorganisms associations verification. A reduction of the infection agents sensitivity towards "simple" antibacterial preparations was established, so the physicians, treating PE, must prescribe "hard" antibiotics, what enhances its cost.
Subject(s)
Anti-Bacterial Agents/therapeutic use , Bronchial Fistula/drug therapy , Drug Resistance, Multiple, Bacterial/drug effects , Gram-Negative Bacteria/drug effects , Gram-Positive Bacteria/drug effects , Methicillin-Resistant Staphylococcus aureus/drug effects , Anti-Bacterial Agents/classification , Anti-Bacterial Agents/economics , Bronchial Fistula/etiology , Bronchial Fistula/microbiology , Empyema, Pleural/drug therapy , Empyema, Pleural/microbiology , Empyema, Pleural/pathology , Empyema, Pleural/surgery , Gram-Negative Bacteria/growth & development , Gram-Negative Bacteria/isolation & purification , Gram-Negative Bacterial Infections/drug therapy , Gram-Negative Bacterial Infections/microbiology , Gram-Negative Bacterial Infections/pathology , Gram-Negative Bacterial Infections/surgery , Gram-Positive Bacteria/growth & development , Gram-Positive Bacteria/isolation & purification , Gram-Positive Bacterial Infections/drug therapy , Gram-Positive Bacterial Infections/microbiology , Gram-Positive Bacterial Infections/pathology , Gram-Positive Bacterial Infections/surgery , Humans , Lung Volume Measurements , Methicillin-Resistant Staphylococcus aureus/growth & development , Methicillin-Resistant Staphylococcus aureus/isolation & purification , Microbial Sensitivity Tests , Pleural Cavity/microbiology , Pleural Cavity/pathology , Pleural Cavity/surgery , Pneumonectomy/adverse effects , Retrospective Studies , Staphylococcal Infections/drug therapy , Staphylococcal Infections/microbiology , Staphylococcal Infections/pathology , Staphylococcal Infections/surgerySubject(s)
Empyema, Pleural/therapy , Lung Neoplasms/surgery , Pneumonectomy/methods , Thoracic Injuries/surgery , Thoracoplasty/methods , Empyema, Pleural/etiology , Empyema, Pleural/mortality , Empyema, Pleural/surgery , Humans , Lung Neoplasms/complications , Lung Neoplasms/mortality , Lung Neoplasms/pathology , Pneumoperitoneum, Artificial , Survival Analysis , Thoracic Injuries/complications , Thoracic Injuries/mortality , Thoracic Injuries/pathology , Thoracic Surgery, Video-Assisted/instrumentation , Thoracic Surgery, Video-Assisted/methodsABSTRACT
In was analyzed diagnostics and treatment results of 32 victims with duodenal injuries. The authors used 3% hydrogen peroxide solution for duodenal rupture diagnosis. Suggested surgical technique includes intestine intersection where it was broken and anastomosis with a loop of small intestine by using of Roux's method. Also it was done duodenal passage temporary shutdown by using of catgut purse-string suture on pyloric part of stomach.
Subject(s)
Digestive System Surgical Procedures , Duodenum , Peritonitis , Postoperative Complications/prevention & control , Adolescent , Adult , Anastomosis, Surgical/adverse effects , Anastomosis, Surgical/methods , Digestive System Surgical Procedures/adverse effects , Digestive System Surgical Procedures/methods , Drainage/methods , Duodenum/diagnostic imaging , Duodenum/injuries , Female , Humans , Male , Middle Aged , Peritonitis/diagnosis , Peritonitis/etiology , Peritonitis/surgery , Radiography , Rupture/complications , Rupture/diagnosis , Rupture/etiology , Rupture/surgery , Suture Techniques , Treatment OutcomeABSTRACT
The method of surgical treatment of duodenum traumatic damage was proposed, which prevent insufficiency anastomoses sutures, duodenostasis for elimination of damage section and fool temporary duodenum switch in early postoperative period provided.
Subject(s)
Duodenum/injuries , Duodenum/surgery , Adolescent , Adult , Anastomosis, Surgical/methods , Female , Humans , Male , Middle Aged , Suture Techniques , Young AdultABSTRACT
Duodenal damages occurs rarely and constitutes 0.9-5% of all traumas of abdominal organs. The problem is actual because of the condition complicated diagnosis, the absence of standardized surgical tactics and high lethality (from 10-25 up to 40%). As a rule, duodenal damages are revealed intraoperatively. Specific symptoms, characteristic for duodenal damages, are absent. Results of treatment of 28 patients, suffering traumatic duodenal damages, were analyzed and low information value of modern diagnostic methods was noted. There was proved the efficacy of measures for diagnosis of duodenal trauma, using 3% solution of hydrogen peroxide.