ABSTRACT
The authors have found that subdiaphragmatic abscesses developed in 67 (0.62%) out of 10,757 patients operated on organs of the abdominal cavity. A detailed analysis of incidence, causes and localization of subdiaphragmatic abscesses after different operations is given. Questions of clinical and roentgenological diagnostics and results of the treatment of these complications are discussed.
Subject(s)
Digestive System Diseases/surgery , Subphrenic Abscess/etiology , Surgical Wound Infection/etiology , Adult , Aged , Drainage/methods , Female , Humans , Male , Middle Aged , Postoperative Care , Subphrenic Abscess/surgery , Surgical Wound Infection/surgery , Therapeutic IrrigationABSTRACT
The article analyzes the treatment of 45 patients with a gangrene stage of obliterating endarteritis subjected to small amputations in combination with free skin autoplasty. The amputation and skin plasty were preceded by intensive therapy both before operation and in the postoperative period, HBO included. A method of HBO therapy by changing barometric pressure under conditions of hyperbaric oxygenation is described. The patients were also subjected to sympathectomy and continuous intraarterial infusions.
Subject(s)
Amputation, Surgical , Endarteritis/surgery , Foot Diseases/surgery , Foot/surgery , Hyperbaric Oxygenation , Skin Transplantation , Foot/pathology , Gangrene , Humans , Postoperative Care , Wound HealingABSTRACT
As a result of the development of vascular surgery, the interest in so called "minor surgery" (exarticulation of the toes, transmetatarsal amputation of the foot) has been resuscitated of late years. A comparative analysis of various methods of the treatment of 145 patients with obliterating endarteritis of Stages IV and V is performed. An intense pre- and postoperative therapy, hyperoxybarotherapy included, was carried out. The patients were subjected to sympatectomy, intraarterial infusion and skin plasty.