ABSTRACT
Since 1993, 272 patients underwent surgery on gastrointestinal tract: 92--for gastric ulcer, 79--for duodenal ulcer, 29--for cancer of the stomach, 67--for cancer of the colon, 5--for other diseases. The main operations were resection of the stomach (195), hemicolectomy (23), abdominal-anal and anterior resection of the rectum (44). In 135 patients group 1 all stages of surgery on gastrointestinal tract were performed with "Auto Suture" instruments (USA). In 137 patients group 2 anastomosis was created by two-layer nodal suture with Russian auto-suture instruments (UKL-60, UO-40) during some stages of operation. Postoperative complications occurred in 57 (20.9%) patients: 14 (5.1%) in group 1 and 43 (15.8%) in group 2. Predominant complications were suppuration of the wound (7 and 14 cases, respectively), anastomositis (2 and 10), pneumonia (8--only in group 2), bleeding in anastomotic zone (5--only in group 2). After surgery 7 (2.6%) patients died due to causes not associated with method of surgery or anastomosis creation. Advantages of modern auto-suture instruments in surgery of gastrointestinal tract are demonstrated: reduction of surgery time, simplicity and reliability of anastomosis creation, possibility of use in hard to reach abdominal parts (low anterior resection of the rectum), better postoperative period, a 3-fold decrease of postoperative complications number.
Subject(s)
Anastomosis, Surgical/instrumentation , Digestive System Surgical Procedures/instrumentation , Surgical Staplers , Adult , Aged , Female , Humans , Male , Middle Aged , Postoperative ComplicationsABSTRACT
The article studies the results of treatment in patients who had come at the stage of secondary surgical care in shock state. The authors stress the fact that prophylaxis of hard shock development or complications can be achieved by opportune and adequate primary medical care, rational infusion therapy and strict adherence to the principles of field surgery.
