ABSTRACT
On the basis of analysis of the results of treatment of 312 elderly and senile patients with abdominal hernia, it was established that performance of adequate preoperative preparation permitted considerable extension of indications for the operation. Contraindications for surgical treatment of such patients should be established after performance of preoperative preparation with regard for indices of external respiration and hemodynamics.
Subject(s)
Hernia, Ventral/surgery , Preoperative Care/methods , Aged , Hemodynamics/physiology , Hernia, Ventral/physiopathology , Humans , Respiration/physiologyABSTRACT
On the basis of the experience with treatment of 219 patients with middle cysts and fistulas of the neck, the authors consider the causes, diagnosis and differential diagnosis of the disease. Operated on were 218 patients. An excellent result of treatment was noted in 206 (94.5%) of them. Twelve patients developed a disease recurrence. They underwent the reoperation. Technique of operation is described in detail. It is stressed that a good result is possible only in removal of a cyst (fistula) with resection of the hyoid bone body.
Subject(s)
Fistula/diagnosis , Neck , Thyroglossal Cyst/diagnosis , Adolescent , Adult , Aged , Child , Child, Preschool , Diagnosis, Differential , Fasciotomy , Female , Fistula/surgery , Humans , Hyoid Bone/surgery , Male , Middle Aged , Neck Muscles/surgery , Suture Techniques , Thyroglossal Cyst/surgeryABSTRACT
The authors have established in patients with toxic goiter the rough disorders in immune status retaining after surgical treatment. Immunocorrection on the background of surgical treatment is pathogenetically substantiated and contributes to decrease in incidence of the development of postoperative hypothyrosis and disease recurrence.
Subject(s)
Graves Disease/surgery , Postoperative Complications/prevention & control , Adult , Aged , Combined Modality Therapy , Female , Graves Disease/etiology , Graves Disease/immunology , Humans , Male , Middle Aged , Preoperative Care , ThyroidectomyABSTRACT
Four hundred and two elderly and senile patients with nodular goiter were operated on. In most of them, hypothyrosis (decreased triiodothyronine level and increased thyrotropic hormone content in the blood) was revealed; in all--concomitant diseases (2.9 per a patient) and immunologic disorders; in 47%--cervico-retrosternal location of a goiter. In 65.2% of goiter preparations, the degenerative-sclerotic changes were found, in 33%--lymphoid infiltration of stroma, in 18.7%--malignant growth. Operation is the most effective method of treating elderly and senile patients with nodular goiter. It should be of little trauma relative to normal parenchyma.