ABSTRACT
In the period from 2001 till 2010 there were 117 extirpations of the oesophagus with single-stage plasty of the stomach in 94 patients and plasty of the large intestine--in 23 cases. Gastric resections were performed earlier in 50 (42.7%) patients, though gastrectomy took place in 39 (78%) patients. The accumulated experience allowed making an assessment of immediate and long-term results of esophagoplasty to patients, who had earlier the gastric resection. The incompetence of oesophagogastric anastomosis was noted in 2 times more frequent and the formation of stenosis of given anastomosis in 3 times more often. I order to improve the results of esophagoplasty, the method of serousmyotomy was applied in the cases of remnant stomach.
Subject(s)
Colon/transplantation , Esophageal Diseases/surgery , Esophagoplasty , Esophagus/surgery , Gastric Stump , Stomach/transplantation , Anastomosis, Surgical/adverse effects , Anastomosis, Surgical/instrumentation , Anastomosis, Surgical/methods , Esophageal Diseases/classification , Esophagoplasty/adverse effects , Esophagoplasty/instrumentation , Esophagoplasty/methods , Esophagus/pathology , Female , Gastric Stump/pathology , Gastric Stump/physiopathology , Humans , Male , Middle Aged , Surgically-Created Structures/adverse effects , Surgically-Created Structures/pathology , Treatment OutcomeABSTRACT
The results of surgical treatment, performed in 1028 patients, suffering chronic hemorrhoids (CHH) stages I-IV, are presented. The patients were divided on three groups in accordance to the disease stage. Comparison of the treatment results was conducted in groups of the patients in accordance to the intervention methods used. Basing on the obtained results analysis, the diagnostic-treatment algorithm was elaborated for differentiated approach to surgical treatment in patients, suffering CHH.
Subject(s)
Hemorrhoids/surgery , Postoperative Complications/prevention & control , Adult , Chronic Disease , Disease Management , Female , Hemorrhoids/pathology , Humans , Male , Middle Aged , Severity of Illness IndexABSTRACT
Video-thoracoscopic esophagectomy was performed in 51 patients including 25 patients with esophageal cancer, 18 -- with cicatricial stenosis of the esophagus and 8 -- with esophageal achalasia of stage IV. Video-thoracoscopic esophagectomy and laparotomy for gastroplasty may be performed simultaneously with 2 surgery teams that reduce time of surgery. Simultaneous thoracoscopic and transhiatal approaches to the esophagus permit avoiding conversion in severe periesophagitis.
Subject(s)
Esophagectomy/methods , Thoracic Surgery, Video-Assisted , Adult , Aged , Esophageal Achalasia/surgery , Esophageal Neoplasms/surgery , Esophageal Stenosis/surgery , Female , Gastroplasty , Humans , Laparotomy , Male , Middle Aged , Time Factors , Treatment OutcomeABSTRACT
The method of treatment of nonspeciphic extrasphincteric rectal fistula was proposed, which consists of the fistula channel excision en bloc with external and internal (the anal sinus, which bears the fistula) apertures on perineum, subsequent layer by layer restoration of the rectal wall, as well as the sphincters and the anal levators muscles integrity (if necessary) and the formed cavity drainage. The operation was performed in 25 patients. Its performance have guaranteed the recurrences rate lowering as well as the postoperative incontinence occurrence.
