Subject(s)
Embolism/surgery , Femoral Artery/surgery , Gastrointestinal Hemorrhage/surgery , Wounds, Gunshot/surgery , Adult , Embolism/diagnosis , Embolism/pathology , Femoral Artery/pathology , Foreign Bodies , Gastrointestinal Hemorrhage/diagnosis , Gastrointestinal Hemorrhage/pathology , Humans , Leg/blood supply , Leg/surgery , Male , Scrotum/blood supply , Scrotum/surgery , Wounds, Gunshot/diagnosis , Wounds, Gunshot/pathologySubject(s)
Aorta, Abdominal/injuries , Laparoscopy/adverse effects , Vascular System Injuries/etiology , Duodenum/pathology , Duodenum/surgery , Female , Gastroesophageal Reflux/diagnosis , Gastroesophageal Reflux/pathology , Humans , Intestinal Obstruction/diagnosis , Intestinal Obstruction/pathology , Intestinal Obstruction/surgery , Vascular System Injuries/diagnosis , Vascular System Injuries/pathology , Vascular System Injuries/surgery , Young AdultSubject(s)
Aneurysm, Ruptured/diagnosis , Aorta, Abdominal/injuries , Aortic Aneurysm, Abdominal/diagnosis , Intestinal Fistula/diagnosis , Uterine Neoplasms/diagnosis , Aged , Aneurysm, Ruptured/pathology , Aneurysm, Ruptured/surgery , Aorta, Abdominal/surgery , Aortic Aneurysm, Abdominal/pathology , Aortic Aneurysm, Abdominal/surgery , Duodenum/pathology , Duodenum/surgery , Fatal Outcome , Female , Gastrointestinal Hemorrhage/etiology , Gastrointestinal Hemorrhage/pathology , Gastrointestinal Hemorrhage/surgery , Humans , Intestinal Fistula/complications , Intestinal Fistula/pathology , Intestinal Fistula/surgery , Lymphatic Metastasis , Uterine Neoplasms/pathology , Uterus/pathologyABSTRACT
Results of 20 patients with a recurrent goiter (RG) surgery were analyzed. All patients were from 37 to 73 years old. One-sided RG was in 6 patients, bilateral RG - in 14. With the purpose of specific intraoperation complications prevention the original method of final hemi- or thyroidectomy was developed. The observance of algorithm of actions during an operation concerning RG allows to prevent the damage of recur- rent laryngeal nerve and parathyroid glands.
Subject(s)
Goiter, Nodular/surgery , Intraoperative Complications/prevention & control , Recurrent Laryngeal Nerve Injuries/prevention & control , Thyroidectomy/methods , Adult , Aged , Clinical Decision-Making , Disease Management , Female , Goiter, Nodular/pathology , Humans , Male , Middle Aged , Parathyroid Glands/injuries , Recurrence , Retrospective StudiesABSTRACT
The comparative analysis of results of surgical treatment of 82 patients with acute cholecystitis, which made "early" (ELCE) or "planned" (PLCE) laparoscopic cholecystectomy (LCE) in the surgical department for the period from 2012 to 2014. The analysis showed that LCE can be set in any time from the beginning of acute cholecystitis. However, priority should be given ELCE, providing significant reduction in duration of treatment of patients in hospitals and is more cost effective.
Subject(s)
Cholecystectomy, Laparoscopic/economics , Cholecystitis, Acute/surgery , Cost-Benefit Analysis , Adult , Aged , Cholecystectomy, Laparoscopic/methods , Cholecystitis, Acute/diagnosis , Cholecystitis, Acute/economics , Cholecystitis, Acute/pathology , Female , Gallbladder/pathology , Gallbladder/surgery , Humans , Length of Stay/economics , Length of Stay/statistics & numerical data , Male , Middle Aged , Time FactorsABSTRACT
Through three-years period 57 patients, suffering gastro-intestinal hemorrhage (GIH) of the ulcer genesis, were treated in the clinic. Among them were 37 (64.9%) men and 20 (35.1%) women. The patients have had (56.3 +/- 4.7) yrs old at average. The treatment programm for the patients have included a local arrest of GIH, medicinal therapy, directed on restoration of the circulating blood volume, gastric secretion inhibition, rising of the blood coagulation property. In cases of a middle and severe blood loss the blood preparations were transfused--the erythrocytic mass and freshly frozen plasm. Three patients were operated in the high period of GIH. The GIH recurrence was absent. In 7 - 8 days, if a persistent hemostasis was achieved, the patients were transferred to therapeutic department for the conservative therapy prolongation.
Subject(s)
Anti-Ulcer Agents/therapeutic use , Hemostatics/therapeutic use , Peptic Ulcer Hemorrhage/prevention & control , Stomach/drug effects , Adolescent , Adult , Aged , Aged, 80 and over , Blood Coagulation/drug effects , Erythrocyte Transfusion , Female , Gastric Juice/drug effects , Humans , Longitudinal Studies , Male , Middle Aged , Peptic Ulcer Hemorrhage/pathology , Peptic Ulcer Hemorrhage/surgery , Peptic Ulcer Hemorrhage/therapy , Secondary Prevention , Stomach/blood supply , Stomach/pathology , Stomach/surgery , Treatment OutcomeABSTRACT
The results of treatment of 468 patients, suffering goiter, were analyzed. Surgical access and the operative intervention volume was chosen on background of analysis of the patients preoperative and intraoperative examination data. Extrafascial method of surgical intervention guarantees the blood loss absence and radicality of the operation, as well as reduction of postoperative complications rate. All the patients after the operation are alive.
Subject(s)
Goiter/surgery , Postoperative Complications/prevention & control , Thyroid Gland/surgery , Thyroidectomy/methods , Adolescent , Adult , Aged , Female , Goiter/pathology , Humans , Male , Middle Aged , Minimally Invasive Surgical Procedures , Severity of Illness Index , Thyroid Gland/pathologyABSTRACT
In a modern professional literature the diseases, which undoubtedly threaten the patient's health and life, are called an urgent, special, emergent, fixed-date, etc. Not rare these terms are used simultaneously. Such a plurality of names of a quite dangerous state causes sometimes in these conditions uncertainty to seek help of a specialists and loss of a time. Modern dictionaries of a foreign languages words, of a foreign languages words in Ukrainian language, medical, big explanatory dictionary of a modern Ukrainian language definitely explains, that these terms are synonyms. All of them mean unconditional, timing. And every expression may be used in this context. The above mentioned suggestions and thoughts do not promote a secure fixing in the citizens consciousness the undoubtedness, the disease consequences danger, a threat to health and life. To deposit this in their awareness it is possible not by amorphous depiction, but using a singular, brief, firm term - an urgent.
Subject(s)
Surgical Procedures, Operative , Terminology as Topic , Ambulatory Care , Emergency Service, Hospital , HumansABSTRACT
In a vascular surgery clinic there were treated 148 patients, suffering ascending thrombophlebitis--varicothrombophlebitis, in 2009-2010 yrs. Varicose diseases have lasted from 7 to 32 years. Among instrumental methods of investigation there was used ultrasound color angioscanning for diagnosis of varicothrombophlebitis. Flotating thrombus was revealed in 7 (4.7%), juxtawall one--in 73 (49.4%) and the occlusive one--in 68 (45.9%) patients. There were operated on 130 (87.8%) patients, including those in emergency--119 (91.5%). Radical operation was performed in 107 (82.3%) patients.
