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1.
Vestn Khir Im I I Grek ; 160(3): 92-6, 2001.
Article in Russian | MEDLINE | ID: mdl-11517805

ABSTRACT

The vast material concerned with the surgical treatment of patients with external abdominal hernias collected for 10 years includes 913 planned operations and 608 emergency operations for incarcerated hernias. The overall lethality was 3.4%, lethality after planned operations being 0.1%, after emergency operations--8.4%. It was noted that the amount of elderly and senile patients among patients with incarcerated hernias had increased up to 79%. The traditional methods of autoplasty were used in 95% of the patients. In 5% of the patients the autoabdominal plasty modified by the authors was used for badly amenable to treatment inguinal hernias and postoperative ventral hernias. Better results of treatment of patients with incarcerated external hernias of the abdomen were due to early diagnosis of such hernias, timely hospitalization with special reference to the patient's age, correctly performed surgery and prophylactic measures to avoid cardiovascular and pulmonary complications at the postoperative period.


Subject(s)
Hernia, Ventral/surgery , Age Factors , Aged , Aged, 80 and over , Emergencies , Female , Hernia, Ventral/diagnosis , Hernia, Ventral/mortality , Humans , Male , Middle Aged , Time Factors
2.
Vestn Khir Im I I Grek ; 158(1): 57-8, 1999.
Article in Russian | MEDLINE | ID: mdl-10491837

ABSTRACT

A new method of operative treatment of incarcerated recurring great inguinal-scrotal hernias is proposed with the help of plasty of the posterior wall of the inguinal canal with cicatricial changes to the tissues of the hernial sac. This method was used in operations on 56 patients aged 45-80 years. There were no postoperative recurrences of the disease or lethal outcomes.


Subject(s)
Hernia, Inguinal/surgery , Peritoneum/transplantation , Aged , Aged, 80 and over , Hernia, Inguinal/complications , Humans , Inguinal Canal/surgery , Male , Middle Aged , Recurrence , Scrotum , Suture Techniques , Transplantation, Autologous
3.
Vestn Khir Im I I Grek ; 158(2): 45-7, 1999.
Article in Russian | MEDLINE | ID: mdl-10368891

ABSTRACT

Based on an analysis of results of treatment of 2828 patients with acute appendicitis the authors discuss the causes and give recommendations for prophylactics of incompetence of the vermiform process stump.


Subject(s)
Appendectomy , Surgical Wound Dehiscence/etiology , Acute Disease , Adolescent , Adult , Aged , Aged, 80 and over , Appendicitis/complications , Appendicitis/surgery , Appendix/surgery , Female , Humans , Male , Middle Aged , Retrospective Studies , Surgical Wound Dehiscence/prevention & control , Suture Techniques
4.
Vestn Khir Im I I Grek ; 158(5): 60-1, 1999.
Article in Russian | MEDLINE | ID: mdl-10645585

ABSTRACT

Radical emergency operations were performed on 5 elderly patients with a combination of cancerous tumor of the stomach and such complications as bleeding and perforation. Based on this material the authors make a well-reasoned conclusion that such surgical strategy is justified.


Subject(s)
Adenocarcinoma/surgery , Gastrointestinal Hemorrhage/surgery , Stomach Neoplasms/surgery , Adenocarcinoma/complications , Age Factors , Aged , Aged, 80 and over , Female , Gastrointestinal Hemorrhage/etiology , Humans , Palliative Care , Rupture, Spontaneous , Stomach Neoplasms/complications
7.
Khirurgiia (Mosk) ; (2): 67, 1996.
Article in Russian | MEDLINE | ID: mdl-8754906

ABSTRACT

The study describes a group of patients with big recurrent strangulating inguino-scrotal hernias. The age of patients was between 45 and 80 years. All of them were admitted to the hospital within first 12 hours after strangulation and underwent surgery. 11 patients had ordinary hernioplasty and 25 patients had autoperitoneal hernioplasty. This last method does not cause any trauma, it is a simple procedure and it does not take too much time. There were no deaths after operation. Recurrence of the hernia within a year after an operation was not reported. The function of a digestive tract is good after this operation.


Subject(s)
Hernia, Inguinal/surgery , Scrotum , Aged , Aged, 80 and over , Follow-Up Studies , Hernia, Inguinal/complications , Humans , Male , Middle Aged , Recurrence , Time Factors
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