ABSTRACT
Experience of treatment of 17 patients, suffering cholangitis of various genesis, using antiseptic Decasan, is presented. Clinical efficacy of the preparation in complex treatment of cholangitis, confirmed by results of the bile bacteriological investigation, was noted.
Subject(s)
Anti-Infective Agents, Local/therapeutic use , Biliary Tract Surgical Procedures/methods , Biliary Tract/drug effects , Cholangitis/surgery , Decamethonium Compounds/therapeutic use , Suction/methods , Anti-Infective Agents, Local/administration & dosage , Biliary Tract/microbiology , Cholangitis/etiology , Colony Count, Microbial , Combined Modality Therapy , Decamethonium Compounds/administration & dosage , Humans , Jaundice, Obstructive/etiology , Jaundice, Obstructive/surgery , Treatment OutcomeABSTRACT
Experience in treatment of 91 patients with peritonitis on various genesis using antiseptic Dekasan are presented. A marked clinical efficacy compared with that of other antiseptics in the complex treatment of peritonitis was noted.
Subject(s)
Anti-Infective Agents, Local/therapeutic use , Decamethonium Compounds/therapeutic use , Drainage/methods , Peritonitis/drug therapy , Peritonitis/surgery , Anti-Bacterial Agents/administration & dosage , Anti-Bacterial Agents/therapeutic use , Anti-Infective Agents, Local/administration & dosage , Anti-Infective Agents, Local/adverse effects , Combined Modality Therapy , Decamethonium Compounds/administration & dosage , Decamethonium Compounds/adverse effects , Drug Therapy, Combination , Humans , Peritonitis/etiology , Treatment OutcomeABSTRACT
Results of endoscopic treatment of 124 patients with residual and recurrent choledocholithiasis after cholecystectomy were analyzed. It is demonstrated that endoscopic papillosphincterotomy with lithoextraction is the method of choice. Lithoextraction after mechanical lithotripsy is indicated in different sizes of the concrement and terminal part of the common bile duct. Conventional nasobiliary drainage (NBD) in incomplete evacuation of the concrements not always predicts repeated impaction of the stone. Original spiral-type catheter procedure for NBD permits one to prevent repeated impaction of the concrement and to perform operation after attenuation of acute purulent cholangitis.
Subject(s)
Choledocholithiasis/physiopathology , Choledocholithiasis/surgery , Sphincterotomy, Endoscopic/methods , Acute Disease , Adult , Aged , Aged, 80 and over , Choledocholithiasis/diagnosis , Female , Humans , Male , Middle Aged , Recurrence , Severity of Illness IndexABSTRACT
The authors made an analysis of 511 operations for chronic abdominal ischemia caused by stenosis of the celiac trunk performed during 20 years. In addition to decompression of the celiac trunk, one-stage combined operations on the organs of the abdominal cavity were made in 167 out of 511 patients for concomitant diseases. It was shown that adequately fulfilled operations on organs of the abdominal cavity with stenoses of the celiac trunk improved the results of operations for the stenosed vessel.
Subject(s)
Celiac Artery/surgery , Decompression, Surgical/methods , Gastrointestinal Diseases/surgery , Gastrointestinal Tract/surgery , Ischemia/etiology , Abdominal Cavity , Adolescent , Adult , Celiac Artery/pathology , Chronic Disease , Constriction, Pathologic/complications , Female , Gastrointestinal Diseases/etiology , Gastrointestinal Tract/blood supply , Humans , MaleABSTRACT
Lithogenecity of bile was studied in patients with cholelithiasis and choledocholithiasis. It is demonstrated that synthesis of lithogenic bile depends on morphologic state of hepatic cells; chronic disease of the liver is the risk of the cholelithiasis.
