Subject(s)
Duodenal Ulcer/surgery , Gastric Fistula , Gastroenterostomy/adverse effects , Peptic Ulcer Perforation/surgery , Reoperation/methods , Stomach Ulcer , Adult , Duodenal Ulcer/physiopathology , Gastric Fistula/etiology , Gastric Fistula/physiopathology , Gastric Fistula/surgery , Gastroenterostomy/methods , Humans , Male , Patient Acuity , Peptic Ulcer Perforation/etiology , Peptic Ulcer Perforation/physiopathology , Stomach/pathology , Stomach/surgery , Stomach Ulcer/etiology , Stomach Ulcer/physiopathology , Stomach Ulcer/surgery , Treatment OutcomeABSTRACT
Positive results of combined surgeries in locally advanced cancer of the colon complicated with gastric fistula (3 patients) and duodenal fistula (1 patient) are presented. Effective treatment of these patients requires complex examination, good preoperative preparation, perfect anesthetic management, adequate operation and intensive postoperative (including antibacterial) therapy.
Subject(s)
Colon, Transverse , Colonic Neoplasms/surgery , Digestive System Surgical Procedures/methods , Duodenal Diseases/surgery , Intestinal Fistula/surgery , Adult , Aged , Colonic Neoplasms/complications , Duodenal Diseases/etiology , Female , Follow-Up Studies , Gastric Fistula/etiology , Gastric Fistula/surgery , Humans , Intestinal Fistula/etiology , Male , Middle Aged , Retrospective Studies , Severity of Illness IndexABSTRACT
Sodium hydroxybutyrate is recommended as an anesthetic drug for the main narcosis as possessing the antishock and antihypoxic effect on the basis of an experience with the surgical treatment of 146 patients with diffuse purulent peritonitis in extremely critical states which were estimated as a hypodynamic form of septic shock.
Subject(s)
Anesthesia, General , Hydroxybutyrates , Peritonitis/surgery , Sodium Oxybate , Barbiturates , Diazepam , Droperidol , Drug Combinations , Female , Fentanyl , Humans , Male , Middle Aged , Neuroleptanalgesia , Neuromuscular Depolarizing AgentsABSTRACT
An analysis of the main causes of acute respiratory insufficiency as a frequently observed and severe complication of the early postoperative period after open-heart surgery is presented. To permit differentiated employment of respiratory resuscitation measures, subcompensated and decompensated forms of acute postoperative respiratory insufficiency were distinguished on the basis of clinical and laboratory data. The most efficient methods of treatment of this complication are described, including the employment of helium, ultrasonic inhalator, therapeutic intubation, bronchoscopy, long-term automated artificial pulmonary ventilation. A combined employment of the modified methods of respiratory resuscitation permitted to improve the course of acute respiratory insufficiency and to reduce the mortality nearly three-fold.
