ABSTRACT
Scientific literature about the surgical tactics in traumatic instability sternocostal frame was conduct. Studies have shown that this type of trauma expediently are useful minimal invasive osteosynthesis. The original method of osteosynthesis ribs and sternum external fixation apparatus were proposed, its application promoted to significantly improved the results of treatment.
Subject(s)
Fracture Fixation, Intramedullary/methods , Minimally Invasive Surgical Procedures/methods , Ribs/surgery , Sternum/surgery , Evidence-Based Medicine , Fracture Fixation, Intramedullary/instrumentation , Fracture Fixation, Intramedullary/mortality , Humans , Minimally Invasive Surgical Procedures/instrumentation , Minimally Invasive Surgical Procedures/mortality , Ribs/injuries , Sternum/injuries , Survival Analysis , Trauma Severity Indices , Treatment OutcomeABSTRACT
There were analyzed 8 clinical observations of treatment of syndrome of vena cava superior in the injured persons in traumatic instability of a sternocostal skeleton. Peculiarities of course of traumatic process, concerning the trauma severity objective prove, were established.
Subject(s)
Bone and Bones/injuries , Multiple Trauma/pathology , Superior Vena Cava Syndrome/pathology , Vena Cava, Superior/injuries , Adult , Aged , Bone and Bones/physiopathology , Female , Humans , Injury Severity Score , Male , Middle Aged , Multiple Trauma/mortality , Multiple Trauma/physiopathology , Superior Vena Cava Syndrome/mortality , Superior Vena Cava Syndrome/physiopathology , Survival Analysis , Vena Cava, Superior/physiopathologyABSTRACT
The traumatic disease course was studied up in 287 injured persons with polytrauma and shock, 195 (67.9%) of them were admitted to hospital with continuing internal (noncontrolled) hemorrhage. The traumatic disease outcome was analyzed depending on the medical aid volume, delivered on prehospital stage, its duration, the arterial pressure level while admittance to the hospital and the blood loss volume. Maximal lethality was noted while nonconducting of infusion therapy on prehospital stage, as well as in aggressive infusion conduction with early normalization of arterial pressure; optimal outcome was achieved using intensive therapy before surgical hemostasis conduction while application of the hypotensive resuscitation regimen with minimal tissue perfusion and in systolic arterial pressure in the 80-90 mm Hg range.
Subject(s)
Multiple Trauma/therapy , Shock, Hemorrhagic/therapy , Shock, Traumatic/therapy , Adolescent , Adult , Aged , Aged, 80 and over , Arterial Pressure , Female , Fluid Therapy , Humans , Male , Middle Aged , Multiple Trauma/mortality , Multiple Trauma/surgery , Perfusion , Preoperative Period , Rehydration Solutions/therapeutic use , Retrospective Studies , Shock, Hemorrhagic/mortality , Shock, Hemorrhagic/surgery , Shock, Traumatic/mortality , Shock, Traumatic/surgery , Survival Analysis , Time FactorsABSTRACT
The dynamics of the state severity changes and polyorgan dysfunction degree were analyzed in patients, who have died as a consequence of severe acute pancreatitis. In patients, operated on later than 14th day after the disease beginning, and not operated, lethality is caused by primary pancreatogenic polyorgan dysfunction with subsequent progressing of their state due to purulent-septic complications occurrence. The state severity and polyorgan dysfunction in patients, operated on in terms up to 6 days, is connected, possibly, with not substantiated operative-anesthesiological aggression. These data witness the possibility of the patients death prevention, while refusal from "early" operations conduction.
Subject(s)
Multiple Organ Failure/mortality , Pancreatitis/mortality , Severity of Illness Index , APACHE , Digestive System Surgical Procedures , Female , Humans , Male , Medical Records , Middle Aged , Multiple Organ Failure/diagnosis , Multiple Organ Failure/etiology , Multiple Organ Failure/surgery , Pancreatitis/complications , Pancreatitis/diagnosis , Pancreatitis/surgery , Retrospective Studies , Survival Analysis , Time Factors , Treatment OutcomeSubject(s)
Digestive System Surgical Procedures/methods , Endometriosis/complications , Intestinal Fistula/surgery , Intestinal Perforation/surgery , Peptic Ulcer/surgery , Adult , Endometriosis/diagnosis , Female , Humans , Intestinal Fistula/complications , Intestinal Fistula/diagnosis , Intestinal Perforation/complications , Intestinal Perforation/diagnosis , Peptic Ulcer/complications , Peptic Ulcer/diagnosis , Recurrence , Tissue Adhesions/complications , Tissue Adhesions/diagnosis , Tissue Adhesions/surgery , Treatment OutcomeABSTRACT
Problems of diagnosis of the closed pancreatic injury (CPI) in combined trauma are discussed. The CPI peculiarity in closed combined trauma is the absence of pathognomonic symptoms. Rational application of instrumental diagnostic methods permits to diagnose CPI in combined trauma.
Subject(s)
Laparotomy/methods , Pancreas/injuries , Pancreatic Diseases/diagnosis , Algorithms , Humans , Pancreas/surgery , Pancreatic Diseases/surgery , Severity of Illness IndexABSTRACT
There were examined 103 patients, including 62 men and 41 women. Endoscopic method of treatment with removing of 32 things was applied in gastroduodenal localization of foreign body. Per vias naturalis 64 things had evacuated in application of conservative therapy. Planned operation was done in 2 patients in unefficacy of conservative treatment. All the patients are alive.
Subject(s)
Esophagus/surgery , Foreign Bodies/surgery , Adolescent , Adult , Aged , Aged, 80 and over , Esophagoscopy/methods , Female , Foreign Bodies/diagnosis , Humans , Male , Middle Aged , Retrospective StudiesABSTRACT
While application of dynamical omentopancreatopexy for the treatment of necrotic pancreatitis there were noted the purulent and visceral complications frequency lowering from 3.34 in every patient--while the closed interventions usage down to 2.02 and of mortality--from 57.2 down to 33% accordingly.
