RESUMO
Under analysis were results of surgical treatment of 4908 patients with diseases of organs of the abdominal cavity obtained during the period from 1985 till 1990. In 57 patients relaparotomy was caused by early postoperative commissural ileus. Late diagnosis of the main disease, technical and tactical errors during operations and at the early postoperative period were responsible for the appearance of the commissural ileus. Of special significance in getting better results of treatment of patients with this complication are: timely diagnosis (with contrast enterography), obligatory decompression and intubation of the gastrointestinal tract, valuable intensive therapy with the ultraviolet laser intravascular photomodification of blood.
Assuntos
Obstrução Intestinal/etiologia , Complicações Pós-Operatórias/etiologia , Cuidados Críticos , Humanos , Obstrução Intestinal/diagnóstico , Obstrução Intestinal/cirurgia , Laparotomia , Cuidados Pós-Operatórios , Complicações Pós-Operatórias/diagnóstico , Complicações Pós-Operatórias/cirurgia , Reoperação , Fatores de Tempo , Aderências Teciduais/complicações , Aderências Teciduais/diagnóstico , Aderências Teciduais/cirurgiaRESUMO
The results of surgical treatment of 4,078 patients who underwent operation in 1985-1989 were studied. Due to the occurrence of complications in the early postoperative period, 182 relaparotomies were carried out in 164 patients. The main indications for relaparotomies were advanced underlying disease, surgical errors (tactical, technical), changes of the patients' immune status. Early diagnosis, timely operation with the use of technically correct manipulations, and the application of a full complex of intensive therapy measures in the postoperative period are important in the prevention of complications.