RESUMO
The article describes the results of the examination and treatment of patients with peritoneal commissures in the abdominal cavity. The study was conducted by members of the Hospital Surgery Chair No. 1 of the Russian State Medical University based on the Municipal Clinical Hospital No. 15. The article also describes and analyzes the up-to-date methods of the examination of patients having peritoneal commissures in the abdominal cavity and results of videolaparoscopical adheolysis. The algorithm of the examination of patients with peritoneal commissures was developed; indications for videolaparoscopical adheolysis in the emergency and selective surgery were studied and defined.
Assuntos
Cavidade Abdominal/cirurgia , Laparoscopia/métodos , Doenças Peritoneais/cirurgia , Cirurgia Vídeoassistida , Cavidade Abdominal/patologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Doenças Peritoneais/diagnóstico , Aderências Teciduais/cirurgiaRESUMO
The developed system for forecasting the course of the disease in elderly and senile patients made it possible to distinguish two variants of the ulcer course: favorable and unfavorable. Its application confirmed that it is possible to use the forecast evaluation system in studies of remote results. In case of an unfavorable forecast, this provides the ground for urgent recommendations for surgical treatment in this group of patients without waiting for life-threatening complications to develop.