ABSTRACT
The authors presented materials on treatment of acute adhesive obstruction in the St. Petersburg Research Institute of Emergency Medicine for 8 years. Operations were performed on 54 patients. A conclusion was made that laparoscopic adhesiolysis had advantages over open surgery methods but with due regard for the selection of patients for the procedure, and for better rehabilitation after operation.
Subject(s)
Intestinal Obstruction/diagnosis , Intestinal Obstruction/surgery , Laparoscopy/methods , Tissue Adhesions/diagnosis , Tissue Adhesions/surgery , Acute Disease , Adolescent , Adult , Aged , Humans , Intestinal Obstruction/etiology , Intestine, Small , Middle Aged , Postoperative Complications/diagnosis , Postoperative Complications/etiology , Postoperative Complications/surgery , Retrospective Studies , Tissue Adhesions/complications , Treatment Outcome , Young AdultABSTRACT
An analysis of experimental investigations carried out in 32 dogs and 30 rabbits and laboratory data of 242 patients has shown that the application of antioxidant and antihypoxic medicines decrease reperfusion lesions and endotoxicosis in operative treatment of acute intestinal obstruction.
Subject(s)
Digestive System Surgical Procedures/methods , Flavin Mononucleotide/administration & dosage , Inosine Diphosphate/administration & dosage , Intestinal Obstruction/complications , Intestine, Small , Niacinamide/administration & dosage , Reperfusion Injury/therapy , Succinates/administration & dosage , Acute Disease , Animals , Disease Models, Animal , Dogs , Drug Combinations , Humans , Infusions, Intravenous , Intestinal Obstruction/diagnosis , Intestinal Obstruction/surgery , Male , Middle Aged , Rabbits , Reperfusion Injury/diagnosis , Reperfusion Injury/etiology , Treatment OutcomeABSTRACT
The work is based on the results of an analysis of medical care of 453 patients with wounds of the heart and pericardium. It has been shown that the successful treatment of such patients is possible only in cases of complete succession of performing medical procedures at the prehospital and hospital stages based on urgent in time and adequate in volume life-saving interventions, arriving to the wounded of a specialist included in the surgical resuscitation team. It was found that in 32.4% of the wounded who died at the prehospital stage the wound of the heart was not absolutely fatal. So, the volume of medical care at the prehospital stage must be wider and more intensive.
