Subject(s)
Abdominal Cavity/surgery , Abdominal Wound Closure Techniques/instrumentation , Staphylococcal Infections/prevention & control , Surgical Wound Infection , Sutures , Triclosan/pharmacology , Abdominal Cavity/microbiology , Abdominal Cavity/physiopathology , Abdominal Wound Closure Techniques/adverse effects , Abdominal Wound Closure Techniques/standards , Adult , Aged , Aged, 80 and over , Anastomotic Leak/etiology , Anastomotic Leak/physiopathology , Anastomotic Leak/prevention & control , Anti-Infective Agents, Local/pharmacology , Coated Materials, Biocompatible/pharmacology , Digestive System Surgical Procedures/standards , Female , Humans , Length of Stay , Male , Middle Aged , Staphylococcal Infections/microbiology , Staphylococcal Infections/physiopathology , Staphylococcus aureus/drug effects , Staphylococcus aureus/isolation & purification , Staphylococcus aureus/pathogenicity , Surgical Mesh/adverse effects , Surgical Mesh/microbiology , Surgical Mesh/standards , Surgical Wound Infection/complications , Surgical Wound Infection/microbiology , Surgical Wound Infection/physiopathology , Surgical Wound Infection/prevention & control , Sutures/adverse effects , Sutures/microbiology , Sutures/standards , Treatment OutcomeABSTRACT
18 patients with complicated forms of intestinal amebiasis were operated on acute appendicitis, liver abscess or total necrotic colitis. Appendectomy, abscess drainage and colon resection were performed respectively. There were no postoperative deaths. Features of amebic appendicitis and total necrotic amebic colitis are described using clinical cases demonstrations. Recommendations for the treatment of these forms of amebiasis are given.
Subject(s)
Colectomy/methods , Colitis/surgery , Colon/pathology , Dysentery, Amebic/complications , Adult , Animals , Colitis/diagnosis , Colitis/etiology , Colon/parasitology , Colon/surgery , Diagnosis, Differential , Dysentery, Amebic/diagnosis , Dysentery, Amebic/surgery , Emergencies , Entamoeba histolytica/isolation & purification , Humans , Intestinal Mucosa/parasitology , Intestinal Mucosa/pathology , Male , Middle Aged , Necrosis/diagnosis , Necrosis/etiology , Necrosis/surgery , Rupture, SpontaneousABSTRACT
Results of treatment of 4970 patients with acute pancreatitis are presented. Acute destructive pancreatitis was seen in 572 (11.5%) cases. The disease severity was the basis of differential approach to treatment. Necessity of differential approach to choice of treatment policy is demonstrated. Mild and moderate acute destructive pancreatitis in the period of arising early postnecrotic aseptic complications requires combined conservative treatment, laparoscopic sanation and drainage of abdominal cavity and omental sac are indicated when peritoneal symptoms increase. Surgical treatment in patients hospitalized with mild and moderate acute destructive pancreatitis is indicated in early (on day 5-7 after the disease onset) and late (at least 2 weeks) postnecrotic septic complications requiring delayed and late miniinvasive and extended surgeries. Severe acute destructive pancreatitis in the period of developing early postnecrotic aseptic complications associated with severe endogenous intoxication, immunosuppression, polyorganic insufficiency is indication to early (the disease day 1-3) and delayed (day 5-7) surgeries, which are regarded as one of methods of surgical detoxication.
Subject(s)
Pancreatectomy/methods , Pancreatitis, Acute Necrotizing/complications , Pancreatitis, Acute Necrotizing/surgery , Adult , Aged , Female , Humans , Male , Middle Aged , Pancreatitis, Acute Necrotizing/physiopathology , Pancreatitis, Acute Necrotizing/therapy , Retrospective Studies , Severity of Illness Index , Treatment OutcomeSubject(s)
APACHE , Peritonitis/classification , Peritonitis/diagnosis , Humans , Severity of Illness IndexABSTRACT
Immobilization of cellulose and polyacrylic acid on a grafted copolymer increased significantly the stability of proteolytic enzymes to inactivation by urea. Materials containing immobilized proteolytic enzymes and urea and displaying a combined biological activity were obtained.
