ABSTRACT
Using minimally invasive methods of sanitation of bile ducts in 456 patients with high operative risk reduced the number of postoperative complications to 11%, lethality to 1.3%. Two-stage treatment with surgical intervention by means of laparotomy was necessary in 124 patients. In this group of patients the frequency of complications was 32.3%, and lethality--4.8%.
Subject(s)
Cholelithiasis/surgery , Acute Disease , Age Factors , Aged , Cholelithiasis/complications , Cholelithiasis/mortality , Follow-Up Studies , Humans , Laparoscopy , Middle Aged , Minimally Invasive Surgical Procedures , Postoperative Complications , Risk Factors , Time FactorsABSTRACT
Experiments in dogs have shown expediency of using perfluorane for prevention of incompetence of anastomosis sutures when the formation of intestinal anastomosis occurs under conditions of massive blood loss.
Subject(s)
Blood Substitutes/administration & dosage , Fluorocarbons/administration & dosage , Intestines/surgery , Shock, Hemorrhagic , Anastomosis, Surgical , Animals , Dextrans/administration & dosage , Dogs , Female , Hemodynamics , Male , Plasma Substitutes/administration & dosage , Shock, Hemorrhagic/physiopathologyABSTRACT
On the basis of experimental and clinical investigations the authors showed immunity depression in complicated forms of cholelithiasis. Thymogene appeared to be efficient for immunocorrection that permitted to lower the frequency of postoperative complications and lethality.
Subject(s)
Adjuvants, Immunologic/therapeutic use , Cholelithiasis/therapy , Dipeptides , Peptides/therapeutic use , Acute Disease , Animals , Antibody Formation/drug effects , Cats , Cholecystectomy , Choledochostomy , Cholelithiasis/complications , Cholelithiasis/immunology , Combined Modality Therapy , Drug Evaluation , Drug Evaluation, Preclinical , Humans , Immunity, Cellular/drug effects , Postoperative Care , Postoperative Complications/prevention & controlSubject(s)
Biliary Tract Diseases/surgery , Biliary Tract Surgical Procedures/methods , Laparoscopy/methods , Acute Disease , Aged , Biliary Tract Diseases/mortality , Biliary Tract Surgical Procedures/mortality , Chronic Disease , Drainage , Evaluation Studies as Topic , Female , Humans , Laparoscopy/mortality , Male , Middle Aged , Risk FactorsSubject(s)
Abnormalities, Multiple/surgery , Common Bile Duct/abnormalities , Gallbladder/abnormalities , Abnormalities, Multiple/diagnostic imaging , Aged , Cholangiography , Cholecystectomy , Cholecystography , Choledochostomy , Common Bile Duct/diagnostic imaging , Common Bile Duct/surgery , Female , Gallbladder/surgery , HumansABSTRACT
The authors made an analysis of early operations on 6076 patients. This tactics used in 84.3% of the patients allowed to reduce postoperative lethality up to 2.5%.
Subject(s)
Cholecystectomy/methods , Cholecystitis/surgery , Acute Disease , Aged , Cholecystectomy/mortality , Cholecystitis/mortality , Emergencies , Humans , Middle Aged , Time FactorsABSTRACT
Among the patients with acute cholecystitis, those at the age of 20-45 years account for 12.6%. Of them, 50.9% develop complications: choledocholithiasis, obstructive jaundice, cholangitis, pancreatitis etc. The main method for treatment of the patients is the operation within 24-48 hr from the moment of their admission with intraoperative diagnosis of pathology of the extrahepatic bile ducts. There were no lethality, postoperative complications were noted in 9.3% of the patients.
Subject(s)
Cholecystitis/diagnosis , Acute Disease , Adult , Cholecystectomy , Cholecystitis/complications , Cholecystitis/surgery , Combined Modality Therapy , Humans , Middle Aged , Peritonitis/diagnosis , Peritonitis/etiology , Peritonitis/surgery , Postoperative Complications/epidemiologyABSTRACT
The tactics of early operations for acute cholecystitis in patients with diabetes mellitus gives substantially better results of surgery. In the recent years the incidence of complications in this group of patients has been 20.3%, lethality--6.3%. Control of the carbohydrate metabolism must be made at short terms. It is the operation in combination with the rational insulin therapy which gives the correction of the carbohydrate metabolism.
Subject(s)
Cholecystitis/surgery , Diabetes Complications , Acute Disease , Adult , Aged , Cholecystectomy , Cholecystitis/complications , Cholecystitis/mortality , Cholecystostomy , Choledochostomy , Female , Humans , Male , Middle Aged , Postoperative Complications/epidemiology , Time FactorsABSTRACT
The clinical picture of typhoid peritonitis in 67 patients is described. All the patients were operated upon. General roentgenography of the abdominal cavity and Widal's reaction are thought to be an important help in diagnostics of typhoid peritonitis. An analysis of postoperative complications and lethality in this group of patients is presented.
Subject(s)
Ileal Diseases/surgery , Intestinal Perforation/surgery , Peritonitis/surgery , Typhoid Fever/complications , Adolescent , Adult , Child , Child, Preschool , Female , Humans , Ileal Diseases/etiology , Intestinal Perforation/etiology , Male , Middle Aged , Peritonitis/etiology , Postoperative Complications/etiology , Postoperative Complications/mortalitySubject(s)
Biliary Fistula/etiology , Cholecystitis/complications , Gallbladder Diseases/etiology , Acute Disease , Adult , Aged , Biliary Fistula/complications , Biliary Fistula/surgery , Cholecystitis/surgery , Colonic Diseases/etiology , Colonic Diseases/surgery , Duodenal Diseases/etiology , Duodenal Diseases/surgery , Female , Gallbladder Diseases/complications , Gallbladder Diseases/surgery , Gastric Fistula/etiology , Gastric Fistula/surgery , Humans , Intestinal Fistula/etiology , Intestinal Fistula/surgery , Male , Middle AgedABSTRACT
Valuable diagnostic and curative potentialities of fibrocholangioscopy were shown by using the method in the treatment of 50 patients. Fibrocholangioscopy can better differentiate various forms of cholangitis thus determining the mode of finishing choledochotomy. Fibrocholangioscopy is recommended as a method of examining for operations on bile ducts.
