ABSTRACT
The results of surgical intervention with the use of laparostomy in 29 patients with diffuse purulent peritonitis at the terminal stage are presented. In 11 cases, laparostomy was performed during the first operation, in 18--for postoperative peritonitis. At the time of operations, laser radiation, gastrointestinal intubation were widely used.
Subject(s)
Laparotomy , Peritonitis/surgery , Postoperative Complications/surgery , Aged , Combined Modality Therapy , Humans , Laser Therapy , Male , Peritonitis/mortality , Peritonitis/radiotherapy , Postoperative Complications/mortality , Postoperative Complications/radiotherapy , Ultraviolet TherapyABSTRACT
The results of surgical treatment of 4,078 patients who underwent operation in 1985-1989 were studied. Due to the occurrence of complications in the early postoperative period, 182 relaparotomies were carried out in 164 patients. The main indications for relaparotomies were advanced underlying disease, surgical errors (tactical, technical), changes of the patients' immune status. Early diagnosis, timely operation with the use of technically correct manipulations, and the application of a full complex of intensive therapy measures in the postoperative period are important in the prevention of complications.
Subject(s)
Postoperative Complications/etiology , Age Factors , Humans , Postoperative Complications/epidemiology , Postoperative Complications/surgery , Reoperation/statistics & numerical data , Sex Factors , Surgical Procedures, Operative/statistics & numerical data , USSR/epidemiologyABSTRACT
The results of surgical treatment of 1,069 patients for gastric and duodenal ulcer were studied. Duodenal stump incompetence (DSI) developed in 25 patients (6.3%) after the Billroth II operation; the incompetence was manifested by three clinical forms: infiltrative, primary-fistular, and perforative-peritoneal. Each form of DSI calls for specific tactics of treatment. The perforative-peritoneal form is most dangerous; during its operative management active aspiration-perfusion drainage of the zone of the stump must be installed and the duodenum relieved of a load as much as possible. Drugs reducing pancreatic function, postural drainage, and a diet is included in the complex of therapeutic measures in DSI. The wide introduction of organ-preserving operations into surgical practice will make it possible to avoid this threatening complication.
