ABSTRACT
The authors have experience in organ-preserving operations for spleen rupture with the splenic artery ligation in 156 casualties. They consider that such operations let to preserve the spleen, to avoid the postoperative rebleeding and ischemia of pancreas tail and body. Also it is accompanied by the low indications of lethality and postoperative complications. The authors consider that this operation is alternative to splenectomy and other techniques of organ-preserving operations in case of spleen trauma.
Subject(s)
Abdominal Injuries/surgery , Spleen/injuries , Splenic Artery/surgery , Wounds, Nonpenetrating/surgery , Abdominal Injuries/diagnosis , Adult , Female , Follow-Up Studies , Humans , Ligation/methods , Magnetic Resonance Angiography , Male , Retrospective Studies , Spleen/blood supply , Spleen/surgery , Splenic Artery/injuries , Vascular Surgical Procedures/methods , Wounds, Nonpenetrating/diagnosis , Young AdultABSTRACT
Twenty-nine patients with massive ischemic stroke (MIS) admitted to the hospital in the first 12h after stroke were examined. On the primary CT scan, there were no zones with decreased density of brain matter. A subsequent CT was performed on the next day to visualize stroke lesions. Correlations between the density of the trunk of the middle cerebral artery (MCA) on the primary CT, the volume of the lesion on the subsequent CT and the character of disease course were analyzed. It was shown that the CT-sign of MCA trunk thrombosis in the acute stage of MIS is a highly-specific predictor of MIS but a less effective predictor of an unfavorable benign disease course.
Subject(s)
Brain Ischemia/diagnostic imaging , Middle Cerebral Artery/diagnostic imaging , Stroke/diagnostic imaging , Tomography, X-Ray Computed , Adult , Aged , Aged, 80 and over , Female , Humans , Male , Middle Aged , ThrombosisABSTRACT
The study represents the retrospective analysis of major intestinal resections (the length of the left in olace bowel less then 200 sm) and non-major resections in 52 patients operated on the acute mesenterial thrombosis. Major bowel resection was performed in 30 patients (57.7%). 66.7% of those patients (20 of 30) died soon after the operation. Whereas lethality rate among patients with non-major resections was 54.5% (12 of 22). All 10 survived patients demonstrated the short-bowel syndrome during the follow-up period (the median follow-up time was 25 months).
