RESUMO
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.
Assuntos
Perda Sanguínea Cirúrgica/prevenção & controle , Eletrocoagulação/métodos , Glândulas Endócrinas/cirurgia , Procedimentos Cirúrgicos Endócrinos/métodos , Doenças do Sistema Endócrino/cirurgia , Técnicas Hemostáticas/instrumentação , Analgésicos/uso terapêutico , Eletrocoagulação/instrumentação , Glândulas Endócrinas/irrigação sanguínea , Glândulas Endócrinas/patologia , Procedimentos Cirúrgicos Endócrinos/instrumentação , Doenças do Sistema Endócrino/patologia , Humanos , Duração da Cirurgia , Dor Pós-Operatória/tratamento farmacológico , Dor Pós-Operatória/fisiopatologia , Resultado do TratamentoRESUMO
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.
Assuntos
Eletrocirurgia/métodos , Procedimentos Cirúrgicos Endócrinos/métodos , Complicações Intraoperatórias/prevenção & controle , Complicações Pós-Operatórias/prevenção & controle , Eletrocirurgia/instrumentação , Procedimentos Cirúrgicos Endócrinos/instrumentação , Humanos , Período Pós-Operatório , Ondas de RádioRESUMO
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.
Assuntos
Glândulas Suprarrenais/cirurgia , Adrenalectomia/métodos , Eletrocirurgia/métodos , Laparoscopia/métodos , Glândulas Suprarrenais/patologia , Adrenalectomia/efeitos adversos , Humanos , Laparoscopia/efeitos adversos , Tempo de Internação , Complicações Pós-Operatórias , Hemorragia Pós-Operatória/etiologia , Hemorragia Pós-Operatória/prevenção & controle , Resultado do TratamentoRESUMO
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%).