Subject(s)
Peptic Ulcer Perforation/diagnosis , Peptic Ulcer Perforation/surgery , Peptic Ulcer/surgery , Aged , Disease Management , Exudates and Transudates/metabolism , Humans , Male , Peptic Ulcer/diagnostic imaging , Peptic Ulcer/pathology , Peptic Ulcer Perforation/diagnostic imaging , Peptic Ulcer Perforation/pathology , RadiographyABSTRACT
The results of histological investigation of the chronic anal fissure (AF) edges in 95 patients with the disease duration from 6 mo to 4.5 yrs were analyzed. Basing on estimation of severity of an acute inflammation signs and the granulation and cicatricial tissue presence there was established, that duration of an acute inflammation in the AF may constitute up to 6 - 7 mo; subacute--from 8 to 11 mo, chronic cicatricial process was observed in terms from 12 mo and more.
Subject(s)
Anal Canal/pathology , Cicatrix/pathology , Fissure in Ano/pathology , Polyps/pathology , Adult , Anal Canal/surgery , Cell Proliferation , Chronic Disease , Cicatrix/complications , Cicatrix/surgery , Epithelial Cells/pathology , Female , Fissure in Ano/complications , Fissure in Ano/surgery , Humans , Inflammation , Male , Middle Aged , Myocytes, Smooth Muscle/pathology , Polyps/complications , Polyps/surgery , Severity of Illness Index , Time FactorsABSTRACT
The comparative analysis of treatment results of 40 patients over the varicose disease of the lower extremities, complicated varicothrombophlebitis, in conjunction with trophic ulcers was conducted. In 22 (55%) patients (I group) performed radical surgery with minimally invasive techniques, in 18 (45%) patients (11 group)--crossectomy followed by conservative therapy. The active tactics and radical surgery varicose disease of the lower extremities, trophic ulcers, and complicated by the varicothrombophlebitis, have led to effective results and improve of patients quality of life.
Subject(s)
Lower Extremity/surgery , Thrombophlebitis/surgery , Varicose Ulcer/surgery , Venous Thrombosis/surgery , Female , Humans , Lower Extremity/blood supply , Lower Extremity/pathology , Male , Middle Aged , Quality of Life , Thrombophlebitis/complications , Thrombophlebitis/pathology , Treatment Outcome , Varicose Ulcer/complications , Varicose Ulcer/pathology , Venous Thrombosis/complications , Venous Thrombosis/pathologyABSTRACT
In experiment, while simulating an acute ileus, the possibility of antibacterial preparations for prophylaxis of purulent--septic complications was studied. There was established, that while progressing purulent intestinal inflammation its wall already in 12 h losses a capacity to cumulate penicillines and aminoglycosides. In a phlegmon-like changed intestine during 48 h cephalosporins and fluorochinolons are accumulated in bactericidal concentration, making a destruction of intestinal wall and occurrence of purulent peritonitis by 6-12 h slower.
Subject(s)
Anti-Bacterial Agents/pharmacology , Ileus/drug therapy , Peritonitis/prevention & control , Ampicillin/pharmacokinetics , Ampicillin/pharmacology , Animals , Anti-Bacterial Agents/pharmacokinetics , Biological Transport , Cephalosporins/pharmacokinetics , Cephalosporins/pharmacology , Ciprofloxacin/analogs & derivatives , Disease Models, Animal , Fluoroquinolones/pharmacokinetics , Fluoroquinolones/pharmacology , Gentamicins/pharmacokinetics , Gentamicins/pharmacology , Ileus/complications , Ileus/microbiology , Ileus/pathology , Peritonitis/etiology , Peritonitis/microbiology , Peritonitis/pathology , Permeability , Rats , Rats, WistarABSTRACT
In experiment on the model of mechanical acute ileus (AI) in accordance to morphological and microbiological investigations data there was established, that in intestinal wall, situated above the obstacle place, purulent enteritis occurs, what may constitute the origin of purulent-septic complications after elimination of the Al cause. Application of antibacterial preparations permits to slow down the progression of destructive processes in the affected intestinal wall.
Subject(s)
Anti-Bacterial Agents/pharmacology , Ileitis/drug therapy , Ileum/drug effects , Ileus/drug therapy , Ampicillin/pharmacology , Animals , Bacteria/drug effects , Bacteria/growth & development , Bacteria/isolation & purification , Ceftriaxone/pharmacology , Ciprofloxacin/analogs & derivatives , Fluoroquinolones/pharmacology , Gentamicins/pharmacology , Ileitis/microbiology , Ileitis/pathology , Ileum/microbiology , Ileum/pathology , Ileus/microbiology , Ileus/pathology , Injections, Intramuscular , Microbial Sensitivity Tests , Rats , Rats, WistarABSTRACT
Comparative analysis of results of examination and treatment of 54 patients, suffering obturation jaundice syndrome, is presented. The presence and severity of hepatic dysfunction was determined in accordance to indices of cytolysis and cholestasis syndromes, and its severity--in accordance to V. P. Zinevich criteria (1986). There was established, that timely elimination of obturation jaundice, using miniinvasive interventions and subsequent conduction of complex hepatotropic therapy, using L-ornitin L-aspartate, permits to correct hepatic dysfunction effectively.
Subject(s)
Cholestasis/therapy , Dipeptides/therapeutic use , Hepatic Insufficiency/prevention & control , Jaundice, Obstructive/therapy , Minimally Invasive Surgical Procedures/methods , Adult , Aged , Aged, 80 and over , Cholestasis/complications , Cholestasis/drug therapy , Cholestasis/surgery , Decompression, Surgical , Dipeptides/administration & dosage , Female , Hepatic Insufficiency/etiology , Humans , Jaundice, Obstructive/drug therapy , Jaundice, Obstructive/etiology , Jaundice, Obstructive/surgery , Male , Middle Aged , Severity of Illness Index , Treatment Outcome , Young AdultSubject(s)
Hemorrhage/surgery , Pancreas/surgery , Pancreatic Pseudocyst/surgery , Suppuration/surgery , Adolescent , Adult , Aged , Aged, 80 and over , Drainage , Female , Hemorrhage/complications , Hemorrhage/diagnostic imaging , Hemorrhage/pathology , Humans , Male , Middle Aged , Pancreas/diagnostic imaging , Pancreas/pathology , Pancreatic Pseudocyst/complications , Pancreatic Pseudocyst/diagnostic imaging , Pancreatic Pseudocyst/pathology , Severity of Illness Index , Suppuration/complications , Suppuration/diagnostic imaging , Suppuration/pathology , UltrasonographyABSTRACT
The results of local treatment of an acute paraproctitis in 37 patients, using suppositoria Distreptase (Biomed Sara and Vassinas Production Ltd., Lyublin, Poland) were analyzed. There were noted sufficiently high efficacy of treatment, in particular, the necrolysis resolution approaching, the wounds granulation and epithelization beginning as well as reduction of the patients treatment period.
Subject(s)
Proctitis/surgery , Streptokinase/therapeutic use , Surgical Wound Infection/drug therapy , Acute Disease , Administration, Rectal , Adult , Aged , Combined Modality Therapy , Drug Therapy, Combination , Female , Humans , Male , Middle Aged , Necrosis , Proctitis/microbiology , Proctitis/pathology , Rectal Fistula/drug therapy , Rectal Fistula/surgery , Streptokinase/administration & dosage , Suppositories , Surgical Wound Infection/microbiology , Surgical Wound Infection/pathology , Treatment Outcome , Wound Healing/drug effects , Young AdultSubject(s)
Jaundice/diagnosis , Pancreatitis/diagnosis , Pancreatitis/therapy , Severity of Illness Index , Acute Disease , Humans , Jaundice/diagnostic imaging , Jaundice/etiology , Jaundice/surgery , Jaundice/therapy , Pancreatitis/complications , Pancreatitis/diagnostic imaging , Pancreatitis/surgery , Sensitivity and Specificity , Syndrome , UltrasonographySubject(s)
Pancreatic Pseudocyst/diagnosis , Severity of Illness Index , Adolescent , Adult , Aged , Aged, 80 and over , Female , Humans , Male , Middle Aged , Minimally Invasive Surgical Procedures , Pancreatectomy/methods , Pancreatic Pseudocyst/diagnostic imaging , Pancreatic Pseudocyst/pathology , Pancreatic Pseudocyst/surgery , Ultrasonography , Young AdultABSTRACT
Results of treatment of 1035 patients with an acute intestinal impassability (AII) were analyzed. There were determined advantages of the ultrasonic investigation (USI) in comparison with roentgenological investigation. Diagnostic validity of USI, not depending on the All origin, had constituted 100% and of roentgenological investigation--33-78%. Modern diagnosis and adequate volume of operative intervention had permitted to improve the results of the patients treatment with All. The mortality rate had constituted 3.3% (43 patients died).
Subject(s)
Digestive System Surgical Procedures/methods , Intestinal Obstruction , Acute Disease , Adolescent , Adult , Aged , Aged, 80 and over , Humans , Intestinal Obstruction/diagnostic imaging , Intestinal Obstruction/mortality , Intestinal Obstruction/surgery , Middle Aged , Radiography , Survival Analysis , UltrasonographyABSTRACT
Possibilities of ultrasonic investigation (USI) in diagnosis of "high" forms of an acute paraproctitis, ischiorectal and pelviorectal one, were studied. Of 20 patients examined, in 14 the diagnosis difficulties were noted, for correction of which the USI method was applied. The presence of purulent formations in pararectal cellular tissue was confirmed, their localization and spread were determined, permitting to substantiate the rational method of surgical intervention choice.
Subject(s)
Proctitis/diagnostic imaging , Proctitis/surgery , Acute Disease , Adolescent , Adult , Female , Humans , Male , Middle Aged , UltrasonographySubject(s)
Bacteria, Anaerobic , Bacterial Infections/therapy , Chloramphenicol/therapeutic use , Drug Therapy, Combination/therapeutic use , Metronidazole/therapeutic use , Soft Tissue Infections/therapy , Bacterial Infections/drug therapy , Bacterial Infections/surgery , Follow-Up Studies , Humans , Soft Tissue Infections/drug therapy , Soft Tissue Infections/surgery , Time FactorsSubject(s)
Ceftriaxone/therapeutic use , Cephalosporins/therapeutic use , Surgical Wound Infection/drug therapy , Acute Disease , Adult , Aged , Antibiotic Prophylaxis , Ceftriaxone/adverse effects , Cephalosporins/adverse effects , Drug Evaluation , Female , Humans , Male , Middle Aged , Postoperative Care , Surgical Wound Infection/microbiologySubject(s)
Anti-Infective Agents/therapeutic use , Appendicitis/surgery , Bacterial Infections/drug therapy , Cholecystitis/surgery , Fluoroquinolones , Peritonitis/surgery , Postoperative Complications/drug therapy , Adult , Aged , Aged, 80 and over , Bacterial Infections/microbiology , Bacterial Infections/prevention & control , Ciprofloxacin/analogs & derivatives , Drainage , Female , Humans , Male , Middle Aged , Postoperative Complications/microbiology , Postoperative Complications/prevention & control , Treatment OutcomeABSTRACT
The results of experimental and clinical studies on the development of multicomponent ointments on a hydrophilic base for local treatment of wounds at phase I of the inflammatory process have been analyzed. A pronounced therapeutic effect of the use of the remedies suggested (levosin, levomecol, dioxycole, sulphamecole, iodmetroxide) resulting from simultaneous dehydrating, antimicrobial, necrolytic and anesthetic effect, 2-fold shortening of the period of wound treatment and improvement of the results of treatment of the patients with different types of purulent surgical infection were noted.
Subject(s)
Anti-Bacterial Agents/administration & dosage , Anti-Infective Agents, Local/administration & dosage , Ointments , Sulfanilamides/administration & dosage , Wounds and Injuries/drug therapy , Chloramphenicol/administration & dosage , Drug Combinations , Humans , Ointment Bases , Organic Chemicals , Skin Absorption , Sulfamoxole/administration & dosage , Suppuration , Time Factors , Uracil/administration & dosage , Uracil/analogs & derivativesABSTRACT
The results of the use of antibacterial preparation "Cifran" in patients with purulent-inflammatory processes of different genesis and location were studied. A good tolerance of the patients to the preparation was established. High chemotherapeutic effectiveness of the preparation in detection of gram-positive, gram-negative and anaerobic microflora was noted.