ABSTRACT
The usage experience of the electric welding technologies for biological tissues in 158 patients, while applying Ukrainian highfrequency generator ÐÐ 300 Ð1, was presented. Laparoscopic appendectomy, laparoscopic plasty of inguinal hernia, laparoscopic cholecystectomy, open resection of small and large bowel, during which the method of electric welding of biological tissues was applied, had constituted the main surgical interventions. The electric welding usage have permitted to reduce the operation time and the blood volume loss, and also the clipses quantity needed, which are applied for the hemostasis completion and hermetization of anatomic structures after their transsection. Ðnalysis of the data obtained witnesses high efficacy of the procedure application for the biological tissues conjunction as well as for acceleration of their reparation processes, occurring after disconnection.
Subject(s)
Appendectomy/methods , Blood Loss, Surgical/prevention & control , Cholecystectomy/methods , Electrocoagulation/methods , Herniorrhaphy/methods , Laparoscopy/methods , Appendectomy/instrumentation , Cholecystectomy/instrumentation , Cholecystitis/pathology , Cholecystitis/surgery , Electricity , Electrocoagulation/instrumentation , Hemostasis/physiology , Hernia, Inguinal/pathology , Hernia, Inguinal/surgery , Herniorrhaphy/instrumentation , Humans , Intestines/blood supply , Intestines/pathology , Intestines/surgery , Laparoscopy/instrumentation , Male , Middle Aged , Operative Time , Radio Waves , Surgical Instruments , Treatment Outcome , Wound Healing/physiologyABSTRACT
Investigation was conducted with objective to establish a prognostic significance of the fatty acids content in biliary lipids for the complications occurrence in patients, operated on for an acute cholecystitis, while presence of high operativeanesthesiological risk. A fatty acids content in biliary lipids was analyzed in 64 patients in presence of moderate (grade ÐÐ) and severe (grade ÐÐÐ) course of the disease. Coefficients Ð1 and Ð2 for prognostication of postoperative purulentinflammatory complications occurrence were elaborated, their threshold level (Ð1=0.59, Ð2=1.8) was established. There was established, that excess of the threshold meaning of Ð1 and Ð2 in a bile of patients, suffering an acute cholecystitis while presence of high operativeanesthesiological risk, constitutes a prognostic criterion for the postoperative purulentinflammatory complications occurrence
