ABSTRACT
The article describes the features of surgery in tumors and tumor-like formations of the ovaries in pregnant women. The influence of surgery on the course and outcome of pregnancy and childbirth is presented. It is showed high efficiency of laparoscopic surgery during I and II trimesters of pregnancy.
Subject(s)
Ovarian Cysts/surgery , Ovarian Neoplasms/pathology , Ovarian Neoplasms/surgery , Ovariectomy/methods , Pregnancy Complications, Neoplastic/pathology , Pregnancy Complications, Neoplastic/surgery , Adult , Female , Humans , Laparoscopy , Laparotomy , Pregnancy , Pregnancy Outcome , Pregnancy Trimester, Second , Treatment OutcomeABSTRACT
A new technique has been worked out for intravasal autovenous valvuloplasty. It is based on the "ink-pot that does not spill" principle with creation of two cusps and is used in the treatment of patients with post-thrombophlebotic disease of the lower limbs induced by absolute valvular incompetence of the great veins. Criteria are offered for assessment of the efficacy of the technique for formation of venous valves. Altogether 54 operations were performed including those provided to 29 patients (the main group) operated on according to the technique proposed and those in 25 patients (control group) operated on the basis of the known technique reported in the literature. In 51 patients, these operations were accomplished in combination with different variants of procedures on the communicating and saphenous veins of the lower limbs. The time of some follow ups was as long as 7 years. The beneficial short-term results were obtained in 96.5% of cases whereas the long-term outcomes were positive in 92% of the basic group patients.
Subject(s)
Postphlebitic Syndrome/surgery , Saphenous Vein/surgery , Vascular Surgical Procedures/methods , Adult , Female , Follow-Up Studies , Humans , Male , Middle Aged , Phlebography , Postphlebitic Syndrome/diagnostic imaging , Retrospective Studies , Saphenous Vein/diagnostic imaging , Treatment Outcome , UltrasonographyABSTRACT
The aim of the work was to improve the results of the treatment of patients suffering from post-thrombophlebitic disease (PTPD) of the lower limbs. An analysis was made of the results of examination and treatment of 800 patients, obtained over the recent 12 years. Wide spreading of operations carried out on the saphenous and communicating veins led to a decrease in the number of the long-term positive results in the presence of valvular insufficiency of the deep veins. At the same time combined operations performed on all three venous systems according to the indications cannot provide for stable results. This circumstance necessitates the carrying out of preventive and anti-recurrence measures. This formed the basis for revision of the treatment policy and development of a complex program for combined surgical and conservative treatment, provided there are strict indications for each of them, depending on the character and the degree of venous insufficiency in PTPD. We have worked out our own technology for conservative treatment; preoperative preparation and postoperative rehabilitation constituted a part of the program suggested. The program for permanent rehabilitation includes an individual training of patients in elementary practices of the treatment and prevention of disease progression. According to the program we undertook the treatment of 343 patients; the positive results could be attained in 87.5% of cases as shown by the 6-year follow up.
Subject(s)
Exercise Therapy/methods , Saphenous Vein/surgery , Thrombophlebitis/complications , Vascular Surgical Procedures/methods , Venous Insufficiency/therapy , Bandages , Disease Progression , Follow-Up Studies , Humans , Middle Aged , Retrospective Studies , Treatment Outcome , Venous Insufficiency/etiologyABSTRACT
Clinical observations confirming the presence of critical zones in blood supply of the intestine are presented. It was shown that exclusion of the vessels of the right half of the colon is responsible for the disturbance of blood supply in the terminal part of the small intestine. Suture bands should be displaced to the level at which the intramural pressure ensures the viability of the intestine in the anastomosis zone. This should be taken into account in resections of the transverse colon, left-side hemicolectomy, abdominal resection and frontal resection of the rectum.
Subject(s)
Intestines/blood supply , Intestines/surgery , Surgical Wound Dehiscence/prevention & control , Anastomosis, Surgical/methods , Colectomy , Colonic Neoplasms/physiopathology , Colonic Neoplasms/surgery , Female , Gastrectomy , Humans , Ischemia/complications , Male , Middle Aged , Regional Blood Flow , Stomach Neoplasms/physiopathology , Stomach Neoplasms/surgery , Surgical Wound Dehiscence/etiologyABSTRACT
The author is the first to report blood pressure in intramural ureteral vessels. The measurements were performed in 20 patients with normal ureters after laparotomy. There was an ascending gradient along the ureter, higher blood pressure in the lower third of the ureter than in the middle third, hemodynamic changes in systemic hypotension.
Subject(s)
Blood Pressure , Ureter/blood supply , Adult , Aged , Arteries , Blood Pressure Determination/instrumentation , Blood Pressure Determination/methods , Diastole , Humans , Intraoperative Period , Laparotomy , Middle Aged , Reference Values , Systole , VeinsABSTRACT
An analysis of 14565 operations on organs of the abdominal cavity has shown that main causes of early relaparotomies were peritonites (47,4%), intestinal obstruction (33,3%), eventration of the abdominal organs (16,0%) and hemoperitoneum (3,3%). The highest lethality was after postoperative peritonitis (54,1%). For the recent 10 years the total lethality has become 31,6% lower due to better diagnosis and early relaparotomies.
