ABSTRACT
54 laparoscopic examinations were performed in 52 pregnant women when acute surgical diseases of the abdomen were suspected. When the suspicions of acute surgical diseases in pregnant women are substantiated, diagnostic laparoscopy has high diagnostic potential and is safe for the mother and fetus. This method permits to avoid unnecessary open operations, and also to perform simple operations through laparoscope.
Subject(s)
Laparoscopy , Pregnancy Complications/diagnosis , Adolescent , Adult , Age Factors , Female , Humans , Pregnancy , Pregnancy Complications/surgery , Pregnancy Trimester, First , Pregnancy Trimester, Second , Pregnancy Trimester, ThirdABSTRACT
Lung abscess was diagnosed during a complex examination in 115 patients. All the patients had local treatment through the bronchoscope. Cleansing of the abscess cavity takes place 1,3 times quicker in the patients who were given laser irradiation in addition to sanitation bronchoscopy or to whom immunomodulators and antibiotics were introduced lymphotropically intrabronchially, than in those with usual sanitation. The administration of 20 ml of glycerol in the abscess cavity allowed cleansing of the cavity to be 2-3 times quicker.
Subject(s)
Bronchoscopy , Lung Abscess/diagnosis , Lung Abscess/therapy , Adjuvants, Immunologic/administration & dosage , Adult , Aged , Anti-Bacterial Agents/administration & dosage , Diagnosis, Differential , Female , Glycerol/administration & dosage , Helium , Humans , Laser Therapy , Lung Abscess/radiotherapy , Male , Middle AgedABSTRACT
On the basis of analysis of their personal experience and the literature data, the authors claim that appendectomy under control of a laparoscope is an alternative to the traditional operation. Laparoscopic appendectomy was conducted in patients with acute and chronic appendicitis. The indication for appendectomy in chronic form of the disease is determined by the results of complete clinical examination and laparoscopic inspection of the region of the right iliac fossa, which is undertaken before each operative intervention. The authors performed laparoscopic appendectomy with the use of a monitor which made it possible for the operating team to watch the operation. The base of the process was ligated with an endoligature or compressed with clips, and then cutoff by means of high frequency current. The stump of the process was not buried in the cupula of the cecum. Laparoscopic appendectomy for chronic appendicitis was performed, as a rule, as a simultaneous intervention in laparoscopic cholecystectomy or operations undertaken for other diseases. The authors did not encounter in the postoperative period any complications associated with appendectomy. The postoperative period was somewhat easier than after the traditional intervention. The motor activity of the patients was completely restored as early as the second-third day. Experience shows competence of such operations.
