ABSTRACT
The case records of 259 patients with purulent surgical diseases are analysed. The following social groups of patients were distinguished; students--10.4%, office workers--20.5%, factory and agricultural workers--35.9%, lonely pensioners, invalids, and homeless persons--33.2%. The last named group is least socially protected, and the diseases in these cases have a characteristic course and outcomes. In the groups of students and office workers the disease is predominantly marked by the formation of abscesses with rapid resolution after an operative intervention. In the socially unprotected group with somatic diseases, poor nutrition, and absence of care, the purulent process takes a phlegmanous course calling for the use of antibiotics and immunostimulators. The percentage of rehospitalization among these patients is high (up to 20%) due, in many respects, to social factors.
Subject(s)
Abscess/epidemiology , Bursitis/epidemiology , Cellulitis/epidemiology , Social Class , Staphylococcal Infections , Abscess/drug therapy , Abscess/microbiology , Abscess/surgery , Adjuvants, Immunologic/therapeutic use , Adolescent , Adult , Age Factors , Anti-Bacterial Agents/therapeutic use , Bursitis/drug therapy , Bursitis/microbiology , Bursitis/surgery , Cellulitis/drug therapy , Cellulitis/microbiology , Cellulitis/surgery , Combined Modality Therapy , Female , Humans , Male , Middle Aged , Social Environment , SuppurationABSTRACT
Based upon their experience with treatment of 259 patients the authors have shown that purulent diseases are caused mainly by Staphylococcus aureus in combination with other microbes. The microflora of purulent wounds often was antibiotic-resistant. The duration of treatment is dependent on the character of the microflora.
Subject(s)
Urban Population , Wound Infection/microbiology , Adolescent , Adult , Aged , Aged, 80 and over , Bacteria/drug effects , Bacteria/isolation & purification , Drug Resistance, Microbial , Female , Humans , Male , Microbial Sensitivity Tests , Middle Aged , RussiaSubject(s)
Stomach Ulcer/surgery , Adult , Aged , Cardia/surgery , Female , Follow-Up Studies , Gastrectomy/methods , Gastrectomy/mortality , Humans , Male , Middle Aged , Peptic Ulcer Hemorrhage/surgery , Peptic Ulcer Perforation/surgery , Stomach Ulcer/complications , Stomach Ulcer/mortality , Suture TechniquesABSTRACT
Technical peculiarities of a new method of gastric resection are described. Mobilization of the portion being removed was performed without an injury of main vessels and nerves. The secondary branches running to the part being resected should be subjected to parietal ligation or dissection. Operations were made on 52 patients for gastric ulcer or polyps. Immediate and remote results were good.
Subject(s)
Stomach/surgery , Humans , Methods , Polyps/surgery , Stomach Neoplasms/surgery , Stomach Ulcer/surgeryABSTRACT
The authors describe an original variant of gastric resection which was performed in 65 patients with ulcer of the cardial portion of the stomach with good immediate and remote results.
Subject(s)
Cardia/surgery , Gastrectomy/methods , Pylorus/surgery , Stomach Ulcer/surgery , Esophagitis/prevention & control , Gastroesophageal Reflux/prevention & control , HumansABSTRACT
The authors observed 353 patients with acute gastro-intestinal hemorrhages of tumorous etiology. It was shown that modern methods of diagnosis could reveal the correct cause and localization of the source of hemorrhage in 97.5% of patients and objectively estimate the degree of blood loss. The individual methods of treatment enabled the general lethality to be reduced to 29.8% and after radical operations to 7.5%.
