ABSTRACT
The authors had proposed new classification of biliary peritonitis.
Subject(s)
Cholestasis/complications , Peritonitis/classification , Peritonitis/complications , HumansABSTRACT
Data are submitted on changes in the system of regulation of the aggregate state of blood, that result in the development of the second stage of intravascular hemocoagulation syndrome in patients with destructive forms of cholecystitis presenting with paravesicular infiltration in the preoperative period. Disruptions in hemostasis remain after surgery, which fact attests to the need for working out efficient pathogenetically validated methods of correction thereof for the combined treatment of the pathology in question to be raised to a much higher level.
Subject(s)
Cholecystitis/complications , Disseminated Intravascular Coagulation/etiology , Urinary Bladder Diseases/etiology , Acute Disease , Blood Coagulation , Cholecystitis/blood , Cholelithiasis/blood , Cholelithiasis/complications , Disseminated Intravascular Coagulation/blood , Humans , Postoperative Period , Time Factors , Urinary Bladder Diseases/bloodSubject(s)
Appendicitis/surgery , Acute Disease , Adolescent , Adult , Appendectomy , Appendicitis/diagnosis , Child , Female , Humans , MaleSubject(s)
Bronchi/surgery , Respiration, Artificial , Adult , Drainage , Humans , Intubation, Intratracheal , Male , PericardiumABSTRACT
The article analyses the treatment of 12 patients with diffuse purulent peritonitis in whom the titers of specific antibodies against microflora causing peritonitis were corrected in the period of secondary immunodeficiency. The authors suggest a new method for the treatment of peritonitis which is based on inclusion of convalescents' plasma after peritonitis in the therapeutic complex. This plasma contains specific antibodies against the cultured microflora in high titers and is a polyvalent hyperimmune medium which makes it possible to cause an effect on the level of humoral immunity. This improved the results of treatment: the titres of specific antibodies against the cultured microflora grew, such complications of diffuse peritonitis as the formation of circumscribed abscesses in the abdominal cavity and suppuration of the postoperative wound were encountered less frequently, mortality reduced by 16.6% as compared to the control group. The efficacy of the suggested methods was also proved in experiments on 164 animals.
Subject(s)
Immune Sera/isolation & purification , Immunotherapy, Adoptive , Peritonitis/therapy , Animals , Antibodies, Bacterial/blood , Antibodies, Bacterial/drug effects , Antibody Formation/drug effects , Combined Modality Therapy , Drug Evaluation , Drug Evaluation, Preclinical , Escherichia coli/immunology , Humans , Klebsiella/immunology , Peritonitis/immunology , Postoperative Care , Pseudomonas/immunology , Rats , Staphylococcus/immunologyABSTRACT
The possibility of the use of intratissue electrophoresis in patients with presumptive diagnosis of acute appendicitis was studied. Use of the method suggested contributes to enhancing the effectiveness of the treatment performed, prevents unsubstantiated performance of appendectomy, shortens time patients stay in a hospital. The long-term results of treatment with the use of intratissue electrophoresis are better than those in use of the existing methods of dynamic observation (parenteral administration of spasmolytic and desensitizing agents).
Subject(s)
Appendicitis/complications , Appendicitis/diagnosis , Colic/etiology , Electrophoresis/methods , Acute Disease , Adolescent , Adult , Humans , Length of StaySubject(s)
General Surgery/education , Teaching/methods , Curriculum , Education, Medical, Undergraduate , UkraineSubject(s)
Bacterial Infections/classification , Peritonitis/classification , Shock, Septic/classification , Acute Disease , Bacterial Infections/complications , Bacterial Infections/diagnosis , Humans , Peritonitis/complications , Peritonitis/diagnosis , Severity of Illness Index , Shock, Septic/diagnosis , Shock, Septic/etiologyABSTRACT
The diagnostic informative value of the lysosomal-cation test (LCT) in patients with appendicitis was studied. The formula of lysosomal-cation index has been suggested, peculiar features of cytomorphology in given pathology described. The LCT was established to be an informative index of form and severity of the vermiform process inflammation.
Subject(s)
Appendicitis/diagnosis , Blood Proteins/analysis , Antimicrobial Cationic Peptides , Appendicitis/pathology , Appendicitis/surgery , Humans , Postoperative PeriodSubject(s)
Laparotomy , Reoperation , Adolescent , Adult , Aged , Female , Humans , Male , Middle AgedSubject(s)
Appendectomy/instrumentation , Constriction , Equipment Design , Humans , Intraoperative Care/instrumentation , USSRSubject(s)
Bronchi/pathology , Foreign Bodies/diagnosis , Lung Neoplasms/diagnosis , Diagnosis, Differential , Diagnostic Errors , Humans , Male , Middle AgedABSTRACT
According to the data of tetrasolium nitroblue test and titer of the blood serum antibodies to the most frequently cultured microflora in complex treatment of 27 patients with diffuse purulent peritonitis, it was established, that the use of ultraviolet irradiation of the blood stimulated the specific and non-specific organism resistance.
Subject(s)
Bacterial Infections/therapy , Blood Transfusion, Autologous , Blood/radiation effects , Peritonitis/therapy , Ultraviolet Therapy/methods , Adolescent , Adult , Bacterial Infections/immunology , Combined Modality Therapy , Humans , Immunity, Innate/radiation effects , Middle Aged , Peritonitis/immunologyABSTRACT
The authors analyse the performance of programmed laparotomy for dynamic visual observation over the condition of the abdominal organs in 3 patients when (as they claimed) laparoscopy would have produced no effect. The article reports on the efficacy of programmed laparotomy conducted by the method suggested by the authors in 15 patients with purulent peritonitis for repeated cleansing of the abdominal cavity.
