ABSTRACT
The possibilities of ultrasonic examination in the diagnosis of acute appendicitis are analysed. The ultrasonic parameters are systematized on the basis of examination of 76 patients with various forms of acute inflammation of the vermiform process and of 16 healthy individuals. Exosemeiotics of acute appendicitis is presented. The high significance of USE in complex examination of patients with suspected acute inflammation of the vermiform process difficult for diagnosis is shown. This was confirmed by the results of complex examination of 151 patients with various urgent pathological conditions whose clinical symptomatology was similar to that of acute appendicitis. It was found that USE improves the diagnostics in difficult clinical cases and lessens the number of diagnostic and tactical errors. The wide use of ultrasonic examination in the daily practice of surgical clinics is recommended.
Subject(s)
Appendicitis/diagnostic imaging , Acute Disease , Adolescent , Adult , Aged , Aged, 80 and over , Appendicitis/surgery , Female , Humans , Male , Middle Aged , Preoperative Care , Reproducibility of Results , Retrospective Studies , UltrasonographyABSTRACT
The results of treatment of 1,320 patients with acute pancreatitis were analysed, 460 of them had the destructive form of the disease. The high significance of multicomponent etiopathogenetic treatment is demonstrated. The importance of etiotropic treatment with the application of endoscopic interventions, as well as treatment with cytostatics is emphasized. Timely combined use of these methods prevents a progressive uncontrolled course, and reduces the volume of treatment and its duration. The authors also discuss the first experience in nontraditional management of patients with postnecrotic cavitary complications of pancreonecrosis by the aspiration "closed" method with the use of ultrasound.
Subject(s)
Antineoplastic Agents/therapeutic use , Pancreatitis/therapy , Sorption Detoxification , Sphincterotomy, Endoscopic , Acute Disease , Combined Modality Therapy , Drainage , Humans , Pancreatitis/diagnosis , Pancreatitis/mortalitySubject(s)
Buttocks/injuries , Buttocks/surgery , Wounds, Gunshot/surgery , Adult , Humans , Male , Wounds, Gunshot/diagnosisABSTRACT
The condition of the major duodenal papilla and the periampullary region was studied in 1,113 patients with diseases of the biliary tract and pancreas. In 88.6% of cases complex examination revealed various pathological changes which were considered to be important etiological factors of the development of the diseases. These changes were found to be particularly significant in patients with the postcholecystectomy syndrome. The authors present the modern methods for correction of pathology of the major duodenal papilla, among which endoscopic interventions are most valuable.
