RESUMO
The quality of life was studied up, using MOS SF-36 questionnaire in 47 patients, operated on for infected pancreonecrosis and its complications. Trustworthy lowering of quality of life was revealed in some indices of its physical component only, which were reduced, comparing with such in the patients of a control group.
Assuntos
Pancreatite Necrosante Aguda/psicologia , Pancreatite Necrosante Aguda/cirurgia , Qualidade de Vida , Adulto , Idoso , Estudos de Casos e Controles , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Atividade Motora , Projetos de Pesquisa , Inquéritos e QuestionáriosRESUMO
The experience of treatment of 150 patients, suffering complicated forms of postoperative abdominal hernias (PAH), was summarized, In majority of patients the large and giant hernias, on a background of associated diseases, were revealed. It was established that complicated forms of PAH are associated with local or systemic infection component, causing the necessity of complex prophylactic measures conduction. Autoplastic and prosthetic methods of operations were applied; the indications for implantation procedures were elaborated. The analysis of lethality and early postoperative complications rate was conducted. Late results were studied up to ten years after the operation. The hernia recurrence had occurred in 12 (7.8%) patients.
Assuntos
Hérnia Abdominal/cirurgia , Procedimentos de Cirurgia Plástica/métodos , Complicações Pós-Operatórias/cirurgia , Adulto , Idoso , Idoso de 80 Anos ou mais , Comorbidade , Feminino , Hérnia Abdominal/diagnóstico , Hérnia Abdominal/epidemiologia , Hérnia Abdominal/etiologia , Humanos , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias/diagnóstico , Complicações Pós-Operatórias/epidemiologia , Complicações Pós-Operatórias/etiologia , Recidiva , Resultado do Tratamento , Adulto JovemRESUMO
Recurrent ulcers after vagotomy make their appearance mainly within the first 2 years after operation. Main causes of recurrences are: not complete vagotomy, disturbance of the motor-evacuatory function of the stomach and duodenum and their combination. Continuous rational antiulcer therapy is expedient for noncomplicated course of the recurrent ulcer. The method of reoperation must be chosen with reference to causes of the recidivation established by findings of special preoperative examinations and suboperative data.
Assuntos
Úlcera Péptica/cirurgia , Vagotomia , Adulto , Feminino , Gastrectomia/métodos , Humanos , Masculino , Pessoa de Meia-Idade , Úlcera Péptica/complicações , Úlcera Péptica Hemorrágica/cirurgia , Úlcera Péptica Perfurada/cirurgia , Estenose Pilórica/cirurgia , Recidiva , Reoperação/métodos , Fatores de Tempo , Vagotomia/métodosRESUMO
For the 1970-1997 yrs. period 1357 patients were operated on for an ulcer disease using vagotomy, in 361 (26%) simultant operations were carried out, including in 340--for the abdominal cavity organs diseases and in 21--for intraoperative complications.
Assuntos
Úlcera Duodenal/cirurgia , Vagotomia Gástrica Proximal/métodos , Adolescente , Adulto , Idoso , Criança , Feminino , Humanos , Complicações Intraoperatórias/diagnóstico , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias/diagnósticoAssuntos
Tumor Carcinoide , Gastrinoma , Glucagonoma , Insulinoma , Neoplasias Pancreáticas , Adulto , Tumor Carcinoide/diagnóstico , Tumor Carcinoide/terapia , Erros de Diagnóstico , Feminino , Gastrinoma/diagnóstico , Gastrinoma/terapia , Glucagonoma/diagnóstico , Glucagonoma/terapia , Humanos , Insulinoma/diagnóstico , Insulinoma/terapia , Masculino , Pessoa de Meia-Idade , Neoplasias Pancreáticas/diagnóstico , Neoplasias Pancreáticas/terapia , Fatores de TempoAssuntos
Queimaduras Químicas/cirurgia , Estenose Esofágica/cirurgia , Coto Gástrico/cirurgia , Jejuno/cirurgia , Acidentes , Queimaduras Químicas/complicações , Queimaduras Químicas/etiologia , Queimaduras Químicas/enfermagem , Cuidados Críticos , Emergências , Estenose Esofágica/induzido quimicamente , Estenose Esofágica/complicações , Estenose Esofágica/enfermagem , Humanos , Jejuno/efeitos dos fármacos , Masculino , Pessoa de Meia-Idade , Peritonite/etiologia , Peritonite/enfermagem , Peritonite/cirurgia , Reoperação , Ácidos Sulfúricos/efeitos adversos , Fatores de TempoRESUMO
Irrespective of the character of acid production, in 33 patients with true gastric ulcers, the functional-anatomical (12), or topographic (21) antrumectomy was performed. The immediate results of the operation were positive, only in 1 patient anastomositis occurred, which was cupped off by conservative measures. After the operation, the long-term follow-up revealed no recurrences in 20 patients, dumping syndrome of mild degree developed in 1. The suggested technique is an adequate operative intervention, which permits to preserve of from 1/2 to 5/6 of an organ.