ABSTRACT
The authors made an analysis of the application of a plasma jet with the help of an apparatus of original construction used for treatment of wounds of the liver in 36 patients. This apparatus has a number of advantages as compared with others. The plasma jet gives a reliable homostasis and minimum heat injuries to the liver tissues.
Subject(s)
Hemorrhage/surgery , Hemostasis, Surgical , Liver Diseases/surgery , Liver/surgery , Adult , Equipment Design , Female , Hemostasis, Surgical/adverse effects , Hemostasis, Surgical/instrumentation , Hot Temperature/adverse effects , Hot Temperature/therapeutic use , Humans , Liver/injuries , Male , Middle Aged , Noble Gases , Treatment OutcomeABSTRACT
Optimal parameters of peritoneal cavity treatment by low-frequency ultrasound with alternative use of carbon dioxide and oxygen were selected in experimental animals. Sanitation of peritoneal cavity in fecal peritonitis led to a significant desintoxication effect. The results of treatment of acute generalized peritonitis by this method in 28 patients were good. On day 2 or 3 after surgery all the patients underwent extracorporeal detoxication with hemosorbent AUSRITC-1 with good result. In severe toxemia and water-electrolyte disturbances plasmapheresis was applied. 4 patients of 28 died, lethality was 14.2%.
Subject(s)
Endosonography/methods , Hemoperfusion/methods , Peritonitis/diagnostic imaging , Peritonitis/therapy , Acute Disease , Animals , Carbon Dioxide/therapeutic use , Humans , Oxygen/therapeutic use , Peritonitis/mortality , Survival Analysis , Treatment OutcomeABSTRACT
The method of preperitoneal hernioplasty for simultaneous elimination of inguinal and femoral hernias was developed, which consists in that semi-oval cross-section of the skin is performed 3-4 cm above inguinal ligament. The approach through the aponeurosis of superficial oblique (abdominal) muscle is made above the inguinal channel, the muscles are retracted by blunt manner, and through the incision in transversal fascia they penetrate into preperitoneal space. When doing plastics the posterior wall of inguinal channel is strengthened. The tendon of internal oblique and transversal muscles are sutured together as well as lateral margin of the vagina of rectal muscle with pectineal ligament. Transverse fascia is sutured as duplication by the second row of nodular and the interior orifice of inguinal channel is reconstructed.
