Subject(s)
Anti-Inflammatory Agents, Non-Steroidal/therapeutic use , Cytokines/antagonists & inhibitors , Pancreatitis, Acute Necrotizing/drug therapy , Piroxicam/analogs & derivatives , Toll-Like Receptors/antagonists & inhibitors , Anti-Inflammatory Agents, Non-Steroidal/administration & dosage , Cytokines/blood , Dose-Response Relationship, Drug , Follow-Up Studies , Humans , Immunity, Cellular/drug effects , Monocytes/drug effects , Monocytes/metabolism , Pancreatitis, Acute Necrotizing/blood , Pancreatitis, Acute Necrotizing/immunology , Piroxicam/administration & dosage , Piroxicam/therapeutic use , Retrospective Studies , Toll-Like Receptors/blood , Treatment OutcomeABSTRACT
The authors made an analysis of postoperative hernias in 32 patients. General and local causes are considered. The proposed technical methods used for exclusion of local causes allowed the frequency of postoperative hernias to be reduced from 1.9% to 0.5%.
Subject(s)
Cholecystectomy, Laparoscopic/adverse effects , Hernia, Ventral/etiology , Plastic Surgery Procedures/methods , Adult , Aged , Female , Follow-Up Studies , Gallbladder Diseases/surgery , Hernia, Ventral/surgery , Humans , Male , Middle Aged , Postoperative Complications , Retrospective Studies , Suture Techniques , Treatment OutcomeABSTRACT
1389 laparoscopic operations were fulfilled for chronic and acute cholecystitis. In 41 patients (3%) it was necessary to pass on to laparotomy. Injury of hepaticocholedochus was made in 6 patients (0.5%), bleedings appeared in 9 (0.7%), bile leakage at the postoperative period--in 9 (0.5%). Subhepatic abscess was formed in 2 patients. Wound complication sat at the postoperative period developed in 33 patients (2.5%), pulmonary complications--in 7 patients. One patients died of myocardial infarction. The most frequent causes of intraoperative injuries of the vascular and duct structures of the hepatoduodenal ligament and the bile bladder bed were found to be cicatricial and inflammatory alterations of the areas mentioned and non-typical variants of the anatomical situs of the vessels and bile ducts. The detailed examination of the patients at the preoperative period, knowledge of the anatomical variants of the disposition of bile and vascular structures in the operation zone allow to prevent their intraoperative injury.
Subject(s)
Cholecystectomy, Laparoscopic/adverse effects , Humans , Postoperative Complications/classificationABSTRACT
According to the authors' opinion nasointestinal intubation have some advantages over "open" methods of decompression of the small bowel in paralytic intestinal obstruction resulted from peritonitis and mechanical obstruction of the small bowel. The authors' experience with more than 500 their own cases indicates, that application of nasointestinal intubation is not only necessary, but safe as well if keeping strictly to the established technique. Technical aspects of the method, possible errors which could occur during the performance of nasointestinal intubation and introduction of the probe are described. Complications which made up 2.6% are analysed.
