ABSTRACT
Results of treatment of 238 patients, suffering an acute gastrointestinal hemorrhage, occurring on background of application of medicinal preparations, were adduced. The incidence rate for an acute medicinal ulcers of foregut was analyzed, as well as possibilities for their treatment.
Subject(s)
Hemostasis, Endoscopic/methods , Peptic Ulcer Hemorrhage/chemically induced , Peptic Ulcer Hemorrhage/therapy , Peptic Ulcer/chemically induced , Peptic Ulcer/therapy , Pharmaceutical Preparations , Acute Disease , Adult , Aged , Aged, 80 and over , Endoscopy, Digestive System , Female , Humans , Male , Middle Aged , Peptic Ulcer/drug therapy , Peptic Ulcer Hemorrhage/drug therapy , Plasma Exchange , Proton Pump Inhibitors/administration & dosage , Proton Pump Inhibitors/therapeutic use , Treatment OutcomeABSTRACT
The possibility of intraarterial access for infusion in patients with severe acute pancreatitis (AP) (initial severity score using the APACHE II assessment scale 16 points) is discussed. The results of the intraarterial crystalloid and colloid solutions infusion and its influence into the state of systemic hemodynamic in patients with organ dysfunction are demonstrated. Positive influence of the proposed method for recovering of central hemodynamic parameters in patients with cardiac and/or respiratory dysfunction and the outcome of early phases of AP were ascertained.
Subject(s)
Isotonic Solutions/administration & dosage , Pancreatitis, Acute Necrotizing/physiopathology , Pancreatitis, Acute Necrotizing/therapy , APACHE , Adult , Aged , Colloids , Crystalloid Solutions , Echocardiography , Female , Hemodynamics , Humans , Infusions, Intra-Arterial , Male , Middle Aged , Renal Dialysis , Treatment Outcome , Young AdultABSTRACT
The results of the affected esophagus substitution, using a large intestine segment, in postburn stenosis in 42 patients were analyzed. Complete cicatricial esophageal impassability, impossibility or dangerous bougienage, rapid occurrence of the stricture recurrence, anamnesis data about perforation occurrence, presence of esophageal fistula have constituted the indications for the intervention performance. The best results were achieved while application of isoperistaltic retrosternal coloesophagoplasty, using left half of large intestine. The early postoperative complication was partial insufficiency of the neck anastomosis sutures and the late one--formation of its cicatricial stricture. Three patients died (postoperative lethality was 7.1%).
Subject(s)
Burns, Chemical/complications , Cicatrix/surgery , Esophageal Stenosis/surgery , Esophagoplasty/methods , Adult , Aged , Cicatrix/complications , Colon/transplantation , Esophageal Stenosis/etiology , Female , Humans , Male , Middle Aged , Postoperative Complications , Treatment OutcomeSubject(s)
Bile Ducts, Extrahepatic/surgery , Bile Ducts, Intrahepatic/surgery , Choledocholithiasis/surgery , Age Factors , Aged , Bile Ducts, Extrahepatic/pathology , Bile Ducts, Intrahepatic/pathology , Biliary Tract Surgical Procedures/methods , Choledocholithiasis/diagnosis , Choledocholithiasis/epidemiology , Choledocholithiasis/pathology , Female , Humans , Male , Middle Aged , Severity of Illness Index , Treatment OutcomeSubject(s)
Decompression, Surgical/methods , Digestive System Surgical Procedures/methods , Jaundice, Obstructive/diagnosis , Jaundice, Obstructive/surgery , Adult , Aged , Aged, 80 and over , Diagnosis, Differential , Female , Humans , Jaundice, Obstructive/epidemiology , Jaundice, Obstructive/etiology , Male , Middle Aged , Preoperative Care , Retrospective StudiesABSTRACT
The results of treatment of 334 patients, operated on for cholelithic disease, were analyzed. In 164 of them intraoperative transillumination (IT) was applied and in 170--the generally accepted methods of the hepatoduodenal ligament content exposure. There was established the expedience of the IT application for the extrahepatic biliary ducts (EBD) and vessels verification as well as for the choledocholithiasis diagnosis during performance of laparoscopic and open cholecystectomy. Application of IT and the laparoscopic cholecystectomy method proposed have ad permitted to reduce trustworthy the frequency of the EBD and the vessels iatrogenic injury.
Subject(s)
Bile Ducts, Extrahepatic , Cholecystectomy , Choledocholithiasis/diagnosis , Hepatic Artery , Iatrogenic Disease/prevention & control , Transillumination/methods , Adult , Aged , Aged, 80 and over , Bile Ducts, Extrahepatic/blood supply , Bile Ducts, Extrahepatic/injuries , Bile Ducts, Extrahepatic/surgery , Cholecystectomy/adverse effects , Cholecystectomy/methods , Cholecystectomy, Laparoscopic/adverse effects , Cholecystectomy, Laparoscopic/methods , Choledocholithiasis/surgery , Female , Hepatic Artery/injuries , Hepatic Artery/surgery , Humans , Iatrogenic Disease/epidemiology , Intraoperative Complications/prevention & control , Male , Middle AgedABSTRACT
The methods of diagnosis and operative treatment of internal (in 19 patients) and external (in 18) biliary fistulas, which appeared due to destructive and complicated forms of cholecystitis were analyzed.
Subject(s)
Biliary Fistula/surgery , Adult , Aged , Biliary Fistula/diagnosis , Biliary Fistula/epidemiology , Biliary Fistula/etiology , Biliary Tract Surgical Procedures/methods , Cholecystitis/complications , Female , Humans , Male , Middle Aged , Treatment OutcomeSubject(s)
Polymers/therapeutic use , Wound Infection/drug therapy , Adolescent , Adult , Aged , Aged, 80 and over , Female , Humans , Male , Middle AgedSubject(s)
Intestinal Obstruction , Postoperative Complications , Combined Modality Therapy , Gastrointestinal Motility/physiology , Humans , Intestinal Obstruction/diagnosis , Intestinal Obstruction/physiopathology , Intestinal Obstruction/therapy , Postoperative Complications/diagnosis , Postoperative Complications/physiopathology , Postoperative Complications/therapySubject(s)
Intubation, Gastrointestinal , Peritonitis/therapy , Postoperative Complications/therapy , Sorption Detoxification , Adjuvants, Immunologic/therapeutic use , Aged , Anti-Bacterial Agents/therapeutic use , Anti-Infective Agents, Local/therapeutic use , Decamethonium Compounds/therapeutic use , Dextrans/administration & dosage , Drainage , Humans , Middle Aged , Peritonitis/metabolism , Peritonitis/surgery , Plasma Substitutes/administration & dosage , Postoperative Care , Postoperative Complications/metabolism , Postoperative Complications/surgery , Povidone/therapeutic use , Water-Electrolyte Imbalance/therapyABSTRACT
Results of treatment of 48 patients with postoperative peritonitis using programmed relaparotomy are adduced. Indications for application of the method are determined. New antiseptic agent "Palisan" was used for the abdominal cavity sanation. Analysis of complication is conducted. Lethality was 18.75%.
Subject(s)
Laparotomy , Peritonitis/surgery , Postoperative Complications/surgery , Adult , Anti-Infective Agents, Local/therapeutic use , Combined Modality Therapy , Female , Humans , Male , Middle Aged , Peritonitis/microbiology , Postoperative Complications/microbiology , Reoperation , Time FactorsABSTRACT
Treatment of postoperative peritonitis includes correction of enteral insufficiency, application of programmed relaparotomy, sanation and drain of abdominal cavity, antibiotic therapy, methods of detoxication. Complex approach promotes improvement of results treatment and diminution of postoperative lethality.
