RESUMO
It was analyzed the surgical treatment results of thyroid's diseases in 462 patients in terms 1-15 years. Relapse of the disease was defined in 39.4% of cases after organ-preserving operations. Relapse formation was through 5-10 years after surgery. There were nodes up to 1 cm in diameter after hemistrumectomy and maximum subtotal resection of thyroid. Large nodes more than 3 cm in diameter were after subtotal resection of thyroid. Good results after interstitial laser photocoagulation were achieved in all patients, after sclerotherapy - in 89.5% of cases. An average degree of node reduction after laser destruction was 55.5±3.0%, after sclerotherapy - 49.7±_5.6%.
Assuntos
Hipotireoidismo , Terapia a Laser , Complicações Pós-Operatórias , Escleroterapia , Doenças da Glândula Tireoide , Tireoidectomia , Feminino , Seguimentos , Humanos , Hipotireoidismo/diagnóstico , Hipotireoidismo/etiologia , Hipotireoidismo/prevenção & controle , Terapia a Laser/efeitos adversos , Terapia a Laser/métodos , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias/diagnóstico , Complicações Pós-Operatórias/prevenção & controle , Recidiva/prevenção & controle , Federação Russa , Escleroterapia/efeitos adversos , Escleroterapia/métodos , Doenças da Glândula Tireoide/classificação , Doenças da Glândula Tireoide/diagnóstico , Doenças da Glândula Tireoide/cirurgia , Glândula Tireoide/diagnóstico por imagem , Glândula Tireoide/cirurgia , Tireoidectomia/efeitos adversos , Tireoidectomia/métodos , Tempo , Resultado do Tratamento , UltrassonografiaRESUMO
The treatment results of 1540 patients with the incarcerated hernias of various localization were analyzed. It was revealed, that treatment results depend not only of the patient's age and concomitant diseases and operating time but the choice of surgical access and the type of intestinal anastomosis. The main postoperative negative factor proved to be the increase of the intraabdominal pressure, which severely impairs the lung ventilation. The factor can be excluded by using the prosthetic methods of hernioplasty, though.
Assuntos
Parede Abdominal/cirurgia , Virilha/cirurgia , Hérnia Abdominal/cirurgia , Herniorrafia/métodos , Intestinos/cirurgia , Laparoscopia/métodos , Parede Abdominal/patologia , Técnicas de Fechamento de Ferimentos Abdominais , Idoso , Feminino , Virilha/patologia , Hérnia Abdominal/diagnóstico , Hérnia Abdominal/fisiopatologia , Herniorrafia/efeitos adversos , Humanos , Intestinos/patologia , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias , Resultado do TratamentoRESUMO
The method of application wound sorption with sorbent Vaulen was used in treatment of erysipelatous inflammation in 49 patients. The first signs of healing appeared 1.5-2 times quicker, the rate of lessening the area of the wound surface was 21-35% greater. The period of staying in the hospital was 20-23% shorter.
