RESUMEN
While application of dynamical omentopancreatopexy for the treatment of necrotic pancreatitis there were noted the purulent and visceral complications frequency lowering from 3.34 in every patient--while the closed interventions usage down to 2.02 and of mortality--from 57.2 down to 33% accordingly.
Asunto(s)
Epiplón/cirugía , Páncreas/cirugía , Pancreatitis Aguda Necrotizante/cirugía , Procedimientos Quirúrgicos Operativos/métodos , Adulto , Anciano , Femenino , Humanos , Masculino , Persona de Mediana Edad , Estudios RetrospectivosRESUMEN
The experience of examination and treatment of 126 patients with severity trauma of abdomen was summarized. The performance of decompressive laparostomy in treatment of the abdominal compression syndrome was suggested. In 28 patients temporary closure of abdominal cavity by polychlorvinyl blend was applied.
Asunto(s)
Traumatismos Abdominales/cirugía , Descompresión Quirúrgica/métodos , Laparotomía/métodos , Adolescente , Adulto , Anciano , Femenino , Humanos , Masculino , Persona de Mediana Edad , SíndromeRESUMEN
Examination was done to 196 injured persons with the closed abdominal trauma and hepatic injury. Reverse dependence between the trauma severity and frequency of abdominal symptoms exposure was established. Importance of rational use of instrumental diagnostical methods to reveal the hepatic injury timely was stressed.
Asunto(s)
Hígado/lesiones , Humanos , Puntaje de Gravedad del Traumatismo , Heridas y Lesiones/diagnósticoRESUMEN
Clinico-statistical analysis of the treatment results of 624 injured persons for the period from 1990 till 1995 year was conducted. In 509 (81.6%) of them the combined closed thoracic trauma was revealed, in 15 (18.4%)--the isolated closed affection of the skull, thorax, abdomen and extremities have occurred. The anatomic-functional model of the injury severity and prognosis outcome estimation was elaborated, an optimal timing and surgical treatment methods of the thoracic cage bones injury was substantiated, what have promoted to lower lethality from 50%--in injured persons, operated on without taking into account the trauma severity and prognosis outcome, to 31.6%--in operated on in the postponed order.
Asunto(s)
Traumatismos Torácicos/cirugía , Heridas no Penetrantes/cirugía , Enfermedad Aguda , Adulto , Femenino , Humanos , Masculino , Persona de Mediana Edad , Modelos Biológicos , Factores de TiempoAsunto(s)
Lesiones Cardíacas/cirugía , Pericardio/lesiones , Heridas por Arma de Fuego/cirugía , Adulto , Alcoholismo/complicaciones , Urgencias Médicas , Femenino , Atrios Cardíacos/lesiones , Atrios Cardíacos/cirugía , Lesiones Cardíacas/mortalidad , Ventrículos Cardíacos/lesiones , Ventrículos Cardíacos/cirugía , Humanos , Masculino , Pericardio/cirugía , Intento de Suicidio , Violencia , Heridas por Arma de Fuego/mortalidadAsunto(s)
Abdomen , Traumatismos Abdominales , Feto , Traumatismo Múltiple , Complicaciones del Embarazo , Rotura Uterina , Traumatismos Abdominales/cirugía , Accidentes de Tránsito , Adulto , Femenino , Humanos , Traumatismo Múltiple/cirugía , Embarazo , Complicaciones del Embarazo/cirugía , Tercer Trimestre del Embarazo , Rotura Uterina/cirugíaRESUMEN
The results of treatment of 630 patients with peritonitis of different etiology are presented. In 170 patients with purulent peritonitis, the programmed laparostomy was used in the complex of treatment. A good immediate and long-term result was noted. Lethality reduced by 17.3%.
Asunto(s)
Peritonitis/cirugía , Adulto , Femenino , Estudios de Seguimiento , Humanos , Masculino , Persona de Mediana Edad , Estomía , Lavado Peritoneal , Peritoneo/cirugía , Peritonitis/mortalidad , Peritonitis/patología , Rotura Espontánea , Supuración , Procedimientos Quirúrgicos Operativos/métodos , Tasa de Supervivencia , Factores de TiempoRESUMEN
On the basis of treatment of 105 patients operated on for complicated duodenal ulcer disease, it was established that performance of the organ-preserving operation with the ulcer excision supplemented with the pylorus-restoring and pylorus-preserving intervention permitted to reduce considerably the incidence of duodenogastric reflux.