ABSTRACT
95 patients with postthrombophlebitis affection of the lower limbs were treated according to three schemes: conventional therapy alone (anticoagulants, anti-inflammatory therapy, etc.), training of collateral circulation plus minimal standard chemotherapy, training of collateral circulation plus local and endovasal laser radiation plus minimal standard chemotherapy. A total of 75 patients were treated (27, 32 and 36 patients of group 1, 2 and 3, respectively). The best results were achieved in group 3.
Subject(s)
Physical Therapy Modalities/methods , Postphlebitic Syndrome/rehabilitation , Adult , Aged , Chronic Disease , Collateral Circulation , Combined Modality Therapy , Female , Humans , Laser Therapy , Leg/blood supply , Male , Middle Aged , Postphlebitic Syndrome/physiopathology , Veins/physiopathologyABSTRACT
The results of treatment of 639 patients with acute esophagogastroduodenal bleeding have been analysed. There were the following causes of bleeding: in 66.4%--ulcer disease, in 9.1%--gastric tumours, in 7.3%--erosive gastritis, in 6.4%--portal hypertension, in 9.1%--the other. In 1.7% of patients, a cause was not established. Conservative treatment was performed in 59% of patients, surgery--in 41%. Complications developed in 24.9% of the patients, 8.6% died.
Subject(s)
Duodenal Ulcer/complications , Esophageal and Gastric Varices/surgery , Gastrointestinal Hemorrhage/surgery , Peptic Ulcer Hemorrhage/surgery , Stomach Ulcer/complications , Acute Disease , Duodenal Ulcer/diagnosis , Duodenal Ulcer/surgery , Esophageal and Gastric Varices/diagnosis , Female , Gastrectomy , Gastrointestinal Hemorrhage/diagnosis , Gastrostomy , Hemostasis, Endoscopic , Hemostatic Techniques , Humans , Male , Middle Aged , Peptic Ulcer Hemorrhage/diagnosis , Postoperative Complications/epidemiology , Recurrence , Stomach Ulcer/diagnosis , Stomach Ulcer/surgeryABSTRACT
The results of 308 emergency (61%) and elective (39%) simultaneous operative interventions, comprising 2.2% of the total number of operations for 10 years, are presented. In performing the simultaneous operations for strict indications, the risk of intervention increases insignificantly. The incidence of postoperative complications and lethality after such interventions do not exceed the corresponding indices after similar operations, but performed separately.
Subject(s)
Digestive System Diseases/surgery , Genital Diseases, Female/surgery , Neoplasms/surgery , Postoperative Complications/etiology , Urologic Diseases/surgery , Adolescent , Adult , Age Factors , Aged , Digestive System Diseases/complications , Female , Genital Diseases, Female/complications , Humans , Male , Middle Aged , Neoplasms/complications , Postoperative Complications/mortality , Risk Factors , Urologic Diseases/complicationsSubject(s)
Colonic Diseases/surgery , Rectal Diseases/surgery , Surgical Wound Dehiscence/etiology , Suture Techniques/instrumentation , Sutures/adverse effects , Aged , Anastomosis, Surgical/adverse effects , Anastomosis, Surgical/instrumentation , Equipment Failure , Female , Humans , Male , Middle Aged , Surgical Wound Dehiscence/prevention & control , USSRSubject(s)
Laser Therapy , Pelvic Inflammatory Disease/radiotherapy , Ultraviolet Therapy , Acute Disease , Female , Humans , LaparoscopyABSTRACT
Direct irradiation by a helium-neon laser of the pancreas in acute pancreatitis potentiates the action of fluorouracil, permits to reduce its dosage, improve the results of treatment.
Subject(s)
Fluorouracil/administration & dosage , Laser Therapy , Pancreas/radiation effects , Pancreatitis/therapy , Acute Disease , Animals , Combined Modality Therapy , Dogs , Helium , Neon , Pancreas/drug effects , Radiotherapy DosageABSTRACT
Results of rightsided hemicolectomy performed in 23 patients using the compression suture with the help of apparatus AKA-2 and apparatus NZhKA-60 supplied with silicon paddings are described. The use of compression sutures have considerably shortened the time of formation of anastomosis and large intestine stump and allowed to standardize the technical methods of the operation. The ideal union of the sutured intestinal walls, antiseptic condition of the operation, high hermetic property facilitated the healing of anastomoses and the stump by first intention. The proposed method gives better functional results due to advantages of the compression method of joining the tissues.
Subject(s)
Cecal Neoplasms/surgery , Colectomy/methods , Colonic Neoplasms/surgery , Suture Techniques/instrumentation , Adult , Aged , Anastomosis, Surgical/methods , Cecum/surgery , Humans , Ileum/surgery , Middle Aged , PressureSubject(s)
Laser Therapy , Peritonitis, Tuberculous/radiotherapy , Ultraviolet Therapy , Adolescent , Adult , Female , Humans , Laparoscopy , Male , Middle Aged , Peritonitis, Tuberculous/diagnosisSubject(s)
Hepatitis/radiotherapy , Laser Therapy , Liver Cirrhosis/radiotherapy , Aged , Chronic Disease , Female , Humans , Male , Middle AgedABSTRACT
An analysis of 14565 operations on organs of the abdominal cavity has shown that main causes of early relaparotomies were peritonites (47,4%), intestinal obstruction (33,3%), eventration of the abdominal organs (16,0%) and hemoperitoneum (3,3%). The highest lethality was after postoperative peritonitis (54,1%). For the recent 10 years the total lethality has become 31,6% lower due to better diagnosis and early relaparotomies.
Subject(s)
Abdomen, Acute/surgery , Hemoperitoneum/surgery , Intestinal Obstruction/surgery , Peritonitis/surgery , Adult , Aged , Female , Hemoperitoneum/etiology , Humans , Intestinal Obstruction/etiology , Male , Middle Aged , Peritonitis/etiology , Postoperative Complications/surgery , Reoperation , Time FactorsABSTRACT
The article describes results of the experimental and clinical application of the suturing apparatus AKA-2 forming compression anastomoses on the colon with the help of connecting rings. The results obtained enabled the authors to recommend the suturing apparatus AKA-2 for clinical use. Experience with using the apparatus AKA-2 in several medical institutions in 225 operations on the colon has shown the apparatus to be reliable and to considerably facilitate the creation of anastomoses in operations on the colon and rectum.
