ABSTRACT
The experience of performance of urgent simultant operations (SO) on abdominal cavity organs in 63 patients (of them in 12--using laparoscopic technologies) was summarized. The material was compared and analyzed using statistical methods in three clinical groups, suffering concomitant surgical diseases in patients of gastroenterological, coloproctological and herniological profile. There were shown the possibilities and proved the expediency of SO performance in environment of the abdominal cavity urgent surgery in multiprofile general surgery clinic for enhancement of the patients treatment and an optimal surgical tactics choice.
Subject(s)
Abdomen/surgery , Digestive System Surgical Procedures/methods , Emergency Service, Hospital , Adult , Aged , Female , Humans , Male , Middle AgedABSTRACT
The literature data concerning the problem of simultant operative interventions were analyzed and the unsolved topics were delineated. Basing on the detailed analysis of results of the operations obtained in 78 patients, performed for coexistent diseases, the authors consider the simultant operative interventions in elective surgery of the abdominal cavity the method of choice in presence of two-three coexistent diseases, which must be surgically treated.
Subject(s)
Abdominal Cavity/surgery , Surgical Procedures, Operative/methods , Adult , Aged , Female , Humans , Male , Middle AgedABSTRACT
Peculiarities of postburn esophagitis course and subsequent rehabilitation of patients with burn of esophagus were studied. The authors had systematized and proposed classification of postburn esophagitis, considering prognosis of autoplastic results using segment of colon for postburn esophageal impassability. Right calculation and logical interpretation, determination of significance of postburn esophagitis will provide success of autoplastic rehabilitation of patients with burn disease of the esophagus.
Subject(s)
Burns/surgery , Colon/transplantation , Esophageal Diseases/surgery , Esophagoplasty/methods , Adult , Female , Humans , MaleABSTRACT
To restore the function of the esophagus and stomach after chemical burns, in the clinic for 30 years, a method of colonic esophagoplasty has been employed. The experience with treatment of 354 patients permits the authors to consider the given method an optimal. Improvement of a procedure permitted to reduce the number of complications to 11%, mortality--to 2%. Vocational rehabilitation was achieved in 69% of patients.
