RESUMEN
Today in the clinic all surgical interventions on endocrinal organs are conducted, using welding technology. Comparative analysis of the operative interventions efficacy, performed applying a standard method (control group) and using welding technology (the main group), was conducted. Performance of operations, using electric welding technologies have permitted to reduce the operative intervention duration by 20 - 30%, the blood loss volume--by 30 - 50%, a postoperative pain syndrome severity and the analgetics expense--by 20%, a postoperative stationary treatment duration--by 1-2 days.
Asunto(s)
Pérdida de Sangre Quirúrgica/prevención & control , Electrocoagulación/métodos , Glándulas Endocrinas/cirugía , Procedimientos Quirúrgicos Endocrinos/métodos , Enfermedades del Sistema Endocrino/cirugía , Técnicas Hemostáticas/instrumentación , Analgésicos/uso terapéutico , Electrocoagulación/instrumentación , Glándulas Endocrinas/irrigación sanguínea , Glándulas Endocrinas/patología , Procedimientos Quirúrgicos Endocrinos/instrumentación , Enfermedades del Sistema Endocrino/patología , Humanos , Tempo Operativo , Dolor Postoperatorio/tratamiento farmacológico , Dolor Postoperatorio/fisiopatología , Resultado del TratamientoRESUMEN
The comparative analsis of the effectiveness of surgical interventions performed by the standard method and using electric welding technology in endocrine surgery was hold. Compared duration of surgery, amount of intraoperatve blood loss, frequency of intra- and early postoperative complications. Found that the use of weding technology ensures shorter duration of surgery, on average by 30%, amount of blood loss--by 20-50%, the frequency of intra- and early postoperative complications.
Asunto(s)
Electrocirugia/métodos , Procedimientos Quirúrgicos Endocrinos/métodos , Complicaciones Intraoperatorias/prevención & control , Complicaciones Posoperatorias/prevención & control , Electrocirugia/instrumentación , Procedimientos Quirúrgicos Endocrinos/instrumentación , Humanos , Periodo Posoperatorio , Ondas de RadioRESUMEN
In 14 patients underwent open adrenalectomy with high-frequency electric welding application (I group), in 8 - open adrenalectomy (II group). The two groups were compared: duration of surgery, blood loss, postoperative pain intensity, duration of postoperative hospitalization, the frequency of intra-and postoperative complications, histological changes in tissues. The advantages of open adrenalectomy with high-frequency electric welding application feel less duration of surgery and estimated blood loss, lack of necrosis in the surrounding tissues and foreign bodies in the wound, reducing the trauma of surgery, improving rehabilitation.
Asunto(s)
Glándulas Suprarrenales/cirugía , Adrenalectomía/métodos , Electrocirugia/métodos , Laparoscopía/métodos , Glándulas Suprarrenales/patología , Adrenalectomía/efectos adversos , Humanos , Laparoscopía/efectos adversos , Tiempo de Internación , Complicaciones Posoperatorias , Hemorragia Posoperatoria/etiología , Hemorragia Posoperatoria/prevención & control , Resultado del TratamientoRESUMEN
The authors made an analysis of clinical manifestation of rectocele, methods of diagnosis and surgical treatment of 17 patients with rectocele in the Ukrainian center of proctology for the period from 1988 to 1998. The diagnosis of rectocele of the II degree was made by the methods of clinical and instrumental investigations in 37 patients and of the III degree in 80 patients. Two variants of surgical correction were used: sphincterolevator plasty and sphincterolevator plasty with colporrhaphy. The results of treatment were assessed in 5 years using questionnaires. Relapses were noted in 3 patients (2.8%).
