ABSTRACT
It was done the analysis of the results of 625 open and endoscopic prosthetic and autoplastic hernia repairs made in a planned and emergency basis during the period from 2005 to 2012. The autoplastic group was divided into three subgroups: the plastic by Bassini, Shouldays and Postempski. The prosthesis group was divided into open and endoscopic subgroups. The open prosthesis group was also divided into subgroups in accordance with the options of hernia sac preparation (excised, reseted, untouched) and the reconstruction of the posterior wall of the inguinal canal (without reconstruction, with a single-layer and double-layer plastic). It was noted hematocele scrotum - 19 (3.04%), hematoma of the spermatic cord - 16 (2.56%), wound infiltration with a hemorrhagic component - 13 (2.08%). It was not noted the hemorrhagic complications in the subgroups of open prosthesis without hernia sac preparation. Reducing surgical aggression against inguinal hernias during the operation can reduce the frequency of hematomas. The absence of a clear classification of hematomas brings to difficulties in assessment of the role of specific surgical techniques in the development of postoperative complications after surgery for inguinal hernias.
Subject(s)
Hematoma/etiology , Hernia, Inguinal/surgery , Herniorrhaphy/adverse effects , Postoperative Hemorrhage/etiology , Follow-Up Studies , Hematoma/epidemiology , Herniorrhaphy/methods , Humans , Incidence , Laparoscopy/methods , Male , Postoperative Hemorrhage/epidemiology , Retrospective Studies , Russia/epidemiology , Surgical MeshSubject(s)
Biliary Fistula/complications , Gastric Fistula/complications , Gastrointestinal Hemorrhage/etiology , Hemostasis, Endoscopic/methods , Splenic Vein/abnormalities , Vascular Malformations/complications , Biliary Fistula/diagnosis , Diagnosis, Differential , Endoscopy, Gastrointestinal , Follow-Up Studies , Gastric Fistula/diagnosis , Gastrointestinal Hemorrhage/diagnosis , Gastrointestinal Hemorrhage/surgery , Humans , Male , Middle Aged , Severity of Illness Index , Splenic Vein/surgery , Vascular Malformations/diagnosis , Vascular Malformations/surgeryABSTRACT
Treatment of ulcerative gastroduodenal bleedings remains one of the most pressing problems in urgent surgery. Available methods of endoscopic hemostasis are not fully eligible to safety requirements, effectiveness and reliability. In this connection persist high levels of general and postoperative mortality in our country and around the world. The aim of this study is to identify the advantages and disadvantages of endoscopic radiofrequency effects in comparison with standard techniques of hemostasis, used in the treatment of ulcer bleeding in the world practice.
Subject(s)
Electrocoagulation/methods , Endoscopy, Gastrointestinal/methods , Hemostasis, Endoscopic/methods , Peptic Ulcer Hemorrhage/therapy , Animals , Disease Models, Animal , Epinephrine/administration & dosage , Epinephrine/therapeutic use , Male , Peptic Ulcer Hemorrhage/pathology , Rats , Rats, Wistar , Treatment Outcome , Vasoconstrictor Agents/administration & dosage , Vasoconstrictor Agents/therapeutic useABSTRACT
The 3-year experience minimally invasive surgery for the treatment of the acute cholecystitis was summarized. Criteria of the access choice and terms of surgery were substantiated. Treatment tactics of the acute cholecystits with the use of minimally invasive surgery were outlined, which allowed to decrease the rate of unreasonable "open" operations.
Subject(s)
Cholecystectomy/methods , Cholecystitis, Acute/surgery , Minimally Invasive Surgical Procedures/methods , Adult , Aged , Aged, 80 and over , Female , Follow-Up Studies , Humans , Male , Middle Aged , Retrospective Studies , Treatment Outcome , Young AdultSubject(s)
Colonic Diseases/etiology , Intestinal Obstruction/etiology , Intestinal Obstruction/surgery , Splenectomy , Splenic Diseases/complications , Adolescent , Colonic Diseases/diagnostic imaging , Colonic Diseases/surgery , Humans , Intestinal Obstruction/diagnostic imaging , Laparoscopy , Laparotomy , Male , Necrosis , Postoperative Care , Radiography, Abdominal , Spleen/pathology , Splenic Diseases/diagnostic imaging , Splenic Diseases/pathology , Splenic Diseases/surgery , Splenomegaly/diagnostic imaging , Treatment Outcome , UltrasonographyABSTRACT
Treatment results in 110 patients with stenotic bleeding pyloroduodenal ulcers (SBPU) were analyzed. Correlation dependence of hemorrhage severity and recurrence frequency from the degree of pyloroduodenal stenosis was revealed. Recurrence of ulcer gastroduodenal bleeding - is the main factor that determines lethality at SPBU. The total lethality against a background of SPBU recurrence was 16%, whereas in the absence of recurrence it was 10%. Treatment tactics in patients with SPBU was worked out. The best results were received after urgent operations which had been carried out after short-term preoperative preparation, aimed to blood replacement and correction of water-electrolytic and protein-energy disturbances at pyloroduodenal stenosis.
Subject(s)
Hemorrhage/pathology , Peptic Ulcer/pathology , Pyloric Stenosis/pathology , Adult , Aged , Aged, 80 and over , Female , Hemorrhage/complications , Hemorrhage/surgery , Humans , Male , Middle Aged , Peptic Ulcer/complications , Peptic Ulcer/surgery , Pyloric Stenosis/complications , Pyloric Stenosis/surgeryABSTRACT
The surgical treatment of postoperative ventral hernias (PVH) in patients with high operative-anesthesiologic risk (OAR) still remains a problem. The results of PVH treatment in 150 patients with different degrees of OAR are analyzed in the paper. Autoplastic operations and explantation of synthetic prostheses were performed. The second method demonstrated a range of advantages. The necessity of widening the indications for the planned surgery for PVH is proved, especially in patients with the increased OAR. This will permit avoiding complications of the hernia itself and decrease the frequency of urgent PVH surgery, very undesirable in such patients. The algorithm of the choice of reconstruction and anesthetic management is worked out.