Subject(s)
Cardiac Surgical Procedures/adverse effects , Heart Injuries/surgery , Heart Ventricles/injuries , Hemostasis, Surgical/methods , Postoperative Hemorrhage/etiology , Wounds, Stab/surgery , Angiography , Follow-Up Studies , Heart Injuries/diagnostic imaging , Heart Ventricles/diagnostic imaging , Heart Ventricles/surgery , Humans , Male , Middle Aged , Postoperative Hemorrhage/diagnostic imaging , Postoperative Hemorrhage/surgery , Tomography, X-Ray Computed , Wounds, Stab/diagnostic imagingABSTRACT
Phlegmon of retroperitoneal cellular tissue as a complication of endoscopic papillosphincterotomy (PST) was observed in 9 patients. All these patients in the first several hours after PST complained of pains in epigastrium and right hypochondrium. 2 days later the signs of pyogenous intoxication appeared. For diagnosis of complications after PST roentgenological and radionuclide methods as well as US examination and computer tomography were used. For exploration of retroperitoneal phlegmon extraperitoneal approach was employed. The phlegmon cavity was drained by number of tubes TMMK and aspiration-lavage treatment 3 patients died.
Subject(s)
Cellulitis/etiology , Sphincterotomy, Endoscopic/adverse effects , Surgical Wound Infection/etiology , Adult , Aged , Cellulitis/diagnosis , Cellulitis/therapy , Fatal Outcome , Female , Follow-Up Studies , Humans , Male , Middle Aged , Retroperitoneal Space , Retrospective Studies , Suction , Surgical Wound Infection/diagnosis , Surgical Wound Infection/therapyABSTRACT
Based on the experience with treatment of 112 patients with retroperitoneal phlegmons of different etiology the authors distinguish and describe the diffuse and complicated forms of the disease. In treatment of phlegmons special importance is attached to the optimal surgical access. The article describes main principles of performing sanitation of the suppurative foci of the retroperitoneal space, variants of the aspiration-irrigation methods of treatment of the suppurative process. The authors believe that their original differentiated surgical method using different variants of the aspiration-irrigation drainage is effective in treatment of patients with retroperitoneal phlegmons. This method of treatment gave 23.2% lethality while after the traditional methods of treatment 90% of the patients died.
Subject(s)
Cellulitis/surgery , Cellulitis/complications , Combined Modality Therapy , Cutaneous Fistula/etiology , Cutaneous Fistula/surgery , Humans , Intestinal Fistula/etiology , Intestinal Fistula/surgery , Postoperative Care/methods , Retroperitoneal Space/surgery , Suction/methods , Therapeutic Irrigation/methodsABSTRACT
An analysis of results of 26 patients has been made who had incompetent sutures of anastomoses and stump of the duodenum at the nearest postoperative period after gastric resection. In 14 patients (main group) aspiration-lavage method of drainage was used, in 12 patients (control group) other methods of treatment of incompetent sutures were employed. The advantage of the aspiration-lavage method of treatment over other methods is shown.
Subject(s)
Duodenum/surgery , Gastrectomy , Surgical Wound Dehiscence/surgery , Adult , Aged , Anastomosis, Surgical , Emergencies , Female , Humans , Male , Middle Aged , Peritonitis/etiology , Peritonitis/mortality , Peritonitis/surgery , Reoperation , Suction/methods , Surgical Wound Dehiscence/complications , Surgical Wound Dehiscence/mortality , Therapeutic Irrigation/methodsABSTRACT
Treatment of 124 patients with abdominal abscesses is analysed. Sixty-four patients (a test group) were treated by air-tight drainage of the abscess cavity with double-tube silicone drains and automatic fraction irrigation of the purulent cavity in the postoperative period. Other methods of intraabdominal abscess drainage were used in 60 patients (a control group). The advantages of closed programmed aspiration-irrigation treatment are shown.
Subject(s)
Abdomen , Abscess/surgery , Drainage/methods , Adolescent , Adult , Aged , Aged, 80 and over , Child , Drainage/instrumentation , Female , Humans , Male , Middle Aged , Therapeutic IrrigationABSTRACT
The article presents results of treatment of 111 patients with abscesses and phlegmons of soft tissues. In 46 patients (the investigation group) the minimal accesses (1.5 cm) to the abscess were used with drainage of purulent cavities with bilumenal silicon drains TMMK and performing the automatic programmed aspiration-irrigation treatment. In 65 patients (control group) treatment of suppurative processes was effected by an open tampon method. Advantages of the closed method of treatment over the traditional means are shown.
Subject(s)
Abscess/surgery , Skin Diseases, Infectious/surgery , Adolescent , Adult , Aged , Cellulitis/surgery , Child , Chlorhexidine/administration & dosage , Electronic Data Processing , Female , Humans , Intraoperative Care , Male , Middle Aged , Sodium Chloride/administration & dosage , Suction , Therapeutic IrrigationSubject(s)
Subphrenic Abscess/surgery , Adult , Aged , Drainage/methods , Female , Humans , Male , Middle Aged , Therapeutic IrrigationABSTRACT
Results of treatment of 78 patients with intraabdominal abscesses of different localization have shown that treatment with the help of programmed aspiration--irrigation method (in 36 patients) has advantages over other means of drainage of intraabdominal abscesses.
